Center For Health Policies and Studies

Centrul pentru Politici și Analize în Sănătate (Centrul PAS) și Ambasada Republicii Lituania în Republica Moldova anunță lansarea proiectului„ Sprijin pentru reformarea asistenței medicale primare (AMP) în Republica Moldova”

PAS Center and Embassy of the Republic of Lithuania in the Republic of Moldova announce the launch of the project "Support for the reform of primary health care (PHC) in the Republic of Moldova"

10/7/2020 1:32 PM
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Center for Health Policies and Studies (PAS Center), in accordance with the Decision adopted by the Commission of Development and Cooperation of the Embassy of the Republic of Lithuania to the Republic of Moldova on 22 September 2020, launches the implementation of the Project „Support for primary health care reform in the Republic of Moldova”.

Primary health care represents the „gateway” to the health system, the first contact a person has with the health system when a health issue emerges (and does not represent an emergency). Therefore, the capacity of providing primary health care services has a direct impact on the entire health system, at all levels. Primary health care (PHC) can solve 80% of the health problems in any society. The onset of the global COVID-19 pandemic has reaffirmed the importance of strengthening PHC sector.

In the last 10 years, the Republic of Moldova has been affected by a constant shortage of family doctors (general practitioners, GP), especially in rural areas. The existing financial mechanisms that national health authorities put in place to stimulate employment of young specialists have not delivered the desired results. High rates of emigration immediately after graduation generates significant losses of public resources allocated for their training, but also a gap of specialists that can no longer be covered at the moment. According to the official data of ANSP (National Agency for Public Health), in the period from 2002 to 2019 the system lost over 450 family doctors. In 2002 there were 2,136 specialists reported and only 1,687 remained in 2019, reaching a coverage of 4.8 per 10,000 population. And the number has been steadily declining over the last decade.

Financial and technical assistance of foreign partners during the last 5 years had limited impact  on systemic improvement in PHC. The Government of the Republic of Moldova started in early 2019 the liberalization of GP practice, which had shown, so far, limited results.

The project „Support for primary health care reform in the Republic of Moldova” aims to:

  • develop recommendations for PHC reform, based on international practices that have proven to be effective, contributing to the reorganization of primary health care centers with independent legal status;
  • develop new principles of activity in order to stimulate motivation and retention;
  • ensure stability, self-regulation, accountability and democratic principles.

The lead expert of this project will be Mr. Juozas Galdikas, Professor, Doctor of Medicine, Minister of Health of the Republic of Lithuania (1996-1998), Representative of the Republic of Lithuania in the World Health Organization (WHO) in the field of evaluation of medical technologies and medical devices (2010-2014) and who has experience in several international projects.

The PAS Center will provide further updates on this project.

The Project „Support for primary health care reform in the Republic of Moldova” is implemented by the Center for Health Policies and Studies (PAS Center) within the framework of the Development Cooperation and Democracy Promotion Programme in Moldova in 2020 with the financial support of the Embassy of Lithuania in the Republic of Moldova.

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