Acasă

Center For Health Policies and Studies

Rapid Tests for Drug Resistance to Detect Extensively Drug-Resistant Tuberculosis

Period September, 2009 - December, 2020
Donor The Regents of University of California on behalf of the San Diego Campus
Description

The overall goal of the program is to reduce the average XDR-TB detection time from months to a week. XDR-TB detection time will be defined as the number of days from initiation of testing to recording of final results of all drugs for each test.
The objectives of the Programme are:

  1. To reduce the average XDR-TB detection time from months to a week;
  2. To determine agreement between rapid tests and standard DST results.
  3. To identify the genetic basis of discordant results from Aim 2.
  4. To characterize XDR-TB strains globally.

Genomic, spatial and epidemiological analysis to inform targeted TB interventions in Moldova

Period February, 2018 - December, 2020
Donor The International Union Against Tuberculosis and lung Disease, Inc.D/B/A Vital Yale University
Description

The objectives of the project are:

  1. To fully characterize TB trasmission patterns within the Republic of Moldova;
  2. To better understand the relative contribution of acquired and transmitted resistance to the MDR-TB epidemic in Moldova;
  3. To understand how WGS can be used to inform the rational targeting of TB interventions;
  4. To build local capacity for interpreting WGS data and understanding its capacity to inform local responses;
  5. To estimate costs and explore the feasibility use of WGS within the Moldovan TB program.

Health barometer of the population of the Republic of Moldova, 2019

Period January, 2019 - December, 2019
Donor The World Bank / Global Partnership for Social Accountability
Description

The Health Barometer of the Population of the Republic of Moldova, 2019 has been carried out for the second consecutive year to dynamically identify the perception of the population using the health services regarding the general opinion about the state of the health system, as well as the experience regarding the use of the medical services in the primary health care and hospital. This barometer of opinion was realized within the project "Promoting participatory social responsibility for a high-performance health system".

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Accessibility to drugs through the list of compensated drugs

Period January, 2019 - December, 2019
Donor Soros Foundation Moldova/Open Society Foundation
Description

This study is intended to analyze the changes and challenges related to the latest revisions of the evaluation mechanism, including / excluding a drug from the list of those that can compensate for the parts of the AOAM and issuing a drug for the beneficiaries of the drugs.

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Access to essential medicines in the Republic of Moldova

Period January, 2019 - December, 2019
Donor Soros Foundation Moldova/Open Society Foundation
Description

The purpose of this study is to analyze and evaluate the implementation of the concept of essential drugs in the national health system and to identify the determining factors to improve the application of the concept in practice.

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Patient Exit Survey: 2019 results

Period January, 2019 - December, 2019
Donor The World Bank / Global Partnership for Social Accountability
Description

The Patient Exit Survey: 2019 results presents the results of two surveys carried out within one year of each other in 55 hospitals in the Republic of Moldova. The main purpose of the survey is to measure the degree of satisfaction of hospitalized patients in a comparable and objective way for each public hospital in the country. The survey was conducted within the project " Implementing Participatory Social Accountability for Better Health”, implemented by the Center for Health Policy and Analysis (PAS Center) in collaboration with the Ministry of Health, Labor and Social Protection, with the financial support of the World Bank / Global Partnership for Social Responsibility.

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Palliative care in the Republic of Moldova, 2007-2017

Period January, 2018 - October, 2019
Donor Soros Foundation Moldova/Open Society Foundation
Description

The goal of the project is to boost the development of palliative care services to ensure access to services, as an integral part of the right to medical care. Under the project a comprehensive analysis of the evolution of palliative care during the period 2007-2017 is carried out by areas of palliative care: organization and administration, financing, physical and human resources, service provision.

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Analysis of the purchase of medical products, tests, laboratory reagents for the diagnosis and monitoring of the treatment of HIV, TB and hepatitis during 2017-2018.

Period September, 2018 - June, 2019
Donor UNDP, UNAIDS
Description

The goal of the study was to analyze the algorithm stipulated in the national regulatory acts on the management of the procurement of ARV, anti-TB, antiviral (hepatitis C) drugs in correlation with its actual implementation and the monitoring and analysis of the purchase prices of these drugs.


Qualitative study on Teen pregnancy in the Republic of Moldova

Period December, 2018 - May, 2019
Donor UNFPA Moldova
Description

The goal of the qualitative sociological study is to explore and identify the key factors and behavioral patterns that lead to adolescent pregnancy, thus helping to identify the necessary interventions to prevent them. 

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Validation of baseline and interim performance indicators as part of the project improving health serving the people

Period July, 2018 - March, 2019
Donor Ministry of Health The World Bank/Ukraine
Description

To conduct study for collection, processing, analysis, and use of information from patients' medical records, as required for reliable assessment of the most important indicators of the Assessment System for outcomes of the "Improving Health, Serving People" Project, verification and supplementing of existing data of medical statistics.


Technical assistance in strengthening the cooperation framework of TB / HIV sectors in the Republic of Moldova

Period January, 2018 - December, 2018
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

This report presents the results of the technical assistance offered by the Ministry of Health, Labor and Social Protection, the National Program for Tuberculosis Control and the National Program for the prevention and control of HIV / AIDS and sexually transmitted infections in strengthening the cooperation framework of the TB / HIV sectors in the Republic of Moldova.

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Health barometer of the population of the Republic of Moldova, 2018

Period January, 2018 - December, 2018
Donor The World Bank / Global Partnership for Social Accountability
Description

The Population Health Barometer was developed to identify the perception of the population using the health services regarding the general opinion about the state of the health system as well as the experience regarding the use of the medical services in the primary and hospital healthcare. This barometer of opinion was realized within the project "Promoting participatory social responsibility for a high-performance health system".

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Patient Exit Survey: 2018 results

Period January, 2018 - December, 2018
Donor The World Bank / Global Partnership for Social Accountability
Description

The Patient Exit Survey: 2018 results is the first of its kind in the health field in the Republic of Moldova and was conducted within the project " Implementing Participatory Social Accountability for Better Health”, implemented by the Center for Health Policy and Analysis (PAS Center) in collaboration with the Ministry of Health, Labor and Social Protection, with the financial support of the World Bank / Global Partnership for Social Responsibility.

The main purpose of the survey was to measure the satisfaction of the hospitalized patients in a comparable and objective way for 55 public health-care institutions in the country and to give a general score to the hospital. Also, the survey measures the satisfaction of patients regarding the quality of interaction and communication with doctors and medical staff, participation in decision-making and training on post-discharge behavior, opinion on the conditions of hospitalization, as well as evaluation of suggestions made by outpatients regarding aspects that need improvement in hospitals.

 

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Assessment of capacity building needs of NGOs working with Key Populations and relevant healthcare providers in Moldova

Period June, 2018 - August, 2018
Donor UNFPA Moldova
Description

Assessment of capacity building needs of NGOs working with Key Populations and relevant healthcare providers had the main objectives:

- Assess factors that influence key populations’ access and referral to HIV prevention services; 

- Assess organizations’ working approaches with key populations on HIV prevention; 

- Elaborate recommendations for increasing program coverage. 

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Clinical audit of multidrug-resistant tuberculosis cases in the Republic of Moldova

Period January, 2017 - December, 2017
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

Goals of the study; Produce strategic information on the quality of clinical management of MDR-TB cases which will be used in the decision-making on increasing life expectancy and improving the quality of life of the patients.

Objectives;

  1. Conduct a quantitative assessment of the quality of healthcare services provided to MDR-TB patients.
  2. Identify the risk factors associated with reduced success rate of the MDR-TB treatment.
  3. Identify and systematise the potential shortcomings in the treatment quality of the MDR-TB cases.
  4. Make recommendations for further improvement of the clinical management of the MDR-TB cases.

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Air quality monitoring in restaurants, cafes and pubs in Chisinau: Study of the situation after the implementation of the law on tobacco control

Period January, 2017 - December, 2017
Donor Campaign for Tobacco-Free Kids” and “Bloomberg Philanthropies”
Description

The purpose of this study was to measure air quality in restaurants, cafes and pubs in Chisinau, Republic of Moldova.

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The results of the repeated monitoring of restaurants, cafes, pubs, medical and educational institutions from Chisinau, Balti and Cahul, regarding the implementation of Law No. 278 of 14.12.2007 "On tobacco control"

Period January, 2017 - December, 2017
Donor Campaign for Tobacco-Free Kids” and “Bloomberg Philanthropies”
Description

The purpose of this study was the repeated monitoring in restaurants, cafes, pubs, medical and educational institutions from Chisinau, Balti and Cahul, regarding the implementation of Law No. 278 of 14.12.2007 "On tobacco control" and the Decision Government no. 474 of 28.04.1998 "On the application of cash machines and control with fiscal memory for cash settlements"

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Tuberculosis in Moldova: knowledge, attitudes and practices of the general population and of the affected key population, 2017

Period January, 2017 - December, 2017
Donor The Global Fund to Fight Against AIDS,Tuberculosis and Malaria
Description

The primary purpose of the study was to evaluate the level of knowledge, attitudes and practices regarding tuberculosis among the general population and the key groups affected. For this purpose, a survey was carried out that included 2 large groups: the general population and the affected groups, namely: migrants, people living with HIV, people using drugs, homeless people and people in detention.

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Ensuring with ARV drugs 2010-2016

Period January, 2017 - December, 2017
Donor Soros Foundation Moldova/Open Society Foundation
Description

This study is a continuation of the study conducted in 2013 as part of PAS Center’s Health Monitor project. Its purpose was to provide a situation analysis of procurement of ARV drugs and identification of possible scenarios in the context of transition from procurement of drugs through external sources to procurement using national public sources. The study analysed the procurement aspects during the transition period and offered some opportunities for future interventions.

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Strategy for advocacy, communication and social mobilization in tuberculosis control in the Republic of Moldova (2018-2020)

Period January, 2017 - December, 2017
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The present strategy, conceived as a component of the instruments for the implementation of the National Program for tuberculosis control for the years 2016-2020, offers an integrative vision of the ACSM as an arsenal of social media, aiming at ensuring the changes of cognitive, mental and behavioral nature in relation to TB both at the scale of the whole society and for the actors involved in the control of the disease and of the persons affected by TB.

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Estimation of the size of the group of IDU prisoners

Period September, 2017 - October, 2017
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The purpose of the exercise was to review all existing data related to the drug users in penitentiaries, as well as to the experience of detention of the drug users, to analyze and triangulate the collected data and to estimate the population of IDU detainees and to estimate the beneficiaries of the risk reduction programs in the penitentiary system.

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Integrated Bio-behavioral study in key populations (IDUs, SWs, MSM and inmates) at higher risk

Period March, 2016 - September, 2017
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The study goal was to gather strategic information regarding the risk factors contributing to transmission of HIV, virus of Hepatitis B and C, and Sexually Transmitted Diseases in key populations as people who inject drugs (PWID), commercial sex workers (SWs), men who have sex with men (MSM) and prisoners for a better advocacy, planning, and design of the future prevention programs. 

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Estimation of the size of the groups of Injectable Drug Users, Female Sex Workers, Men who have Sex with Men, Republic of Moldova

Period April, 2017 - August, 2017
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The purpose of the exercise is to estimate the number of injecting drug users (IDU), female sex workers (SWs) and men who have sex with men (MSM) in the Republic of Moldova.

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Evaluation of the Non-Governmental Organization (NGO) involvement in TB control in the Republic of Moldova

Period February, 2017 - March, 2017
Donor The Global Fund to Fight Against AIDS,Tuberculosis and Malaria
Description

The evaluation of the Global fund grant to small NGOs aims at generating information on strengths and weaknesses of NGO engagement in TB control, required actions for ensuring sustainability and potential areas for future interventions. 

The specific objectives are:

1. To assess the effectiveness and efficiency of the NGO´s contribution

2. To assess the sustainability beyond Global Fund support

3. To generate information on strengths and weaknesses of NGO engagement 

4. To identify potential areas for future interventions 


Evaluation of opioid substitution therapy in the Republic of Moldova

Period January, 2012 - December, 2016
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The evaluation of opioid substitution treatment services in Moldova was conducted under the program "Strengthening the HIV control in Moldova, 2015 - 2017", financed by the Global Fund to Fight AIDS, Tuberculosis and Malaria, and implemented by the Centre for Health Policies and Studies in collaboration with the Republican Narcological Dispensary. 

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Results of the monitoring of cafes, pubs, restaurants in Chisinau and Balti mun. Regarding the implementation of Law no. 278 of 14.12.2007 "On tobacco control" and of the Government Decision no. 474 of 28.04.1998 regarding the application of cash machines and control with fiscal memory for carrying out cash settlements, between 23 September - 6 November 2016

Period January, 2016 - December, 2016
Donor Campaign for Tobacco-Free Kids” and“Bloomberg Philanthropies”
Description

The purpose of this study was to monitor restaurants, cafes, pubs, medical and educational institutions from Chisinau, Balti and Cahul, regarding the implementation of Law no. 278 of 14.12.2007 "On tobacco control" and Government Decision no. 474 of 28.04.1998 "On the application of cash machines and control with fiscal memory for cash settlements".

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Estimation of the number of drug users in prisons

Period September, 2016 - December, 2016
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The exercise of estimating the size of the group of IDU detainees was carried out within the program "Strengthening HIV control in the Republic of Moldova", financed by the Global Fund to Fight AIDS, Turbeculosis and Malaria, implemented by the Center for Health Policy and Studies jointly with the Department of Institutions penitentiary.

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UNFPA Survey on Financial Flows for Family Planning in 2014 in the Republic of Moldova

Period October, 2015 - October, 2016
Donor UNFPA Moldova
Description

The main purpose of the survey was to improve data quality and build national capacity of the public authorities and national institutions to monitor resource flows and develop evidence-based and cost efficient policies on reproductive health, including family planning. The survey included mapping and survey of expenditures from national and international resources for family planning and forecast future expected national budget for family planning for 2016 and 2017. The survey included national government  departments,  private sector and national health insurance company, NGOs and donor agencies.


Policy analysis of non-communicable diseases in Moldova

Period November, 2015 - January, 2016
Donor Swiss Tropical and Public Health Institute
Description

The goal was to conduct an in-depth analysis of the current status, strengths and challenges of the policy framework for Non-Communicable Diseases (NCDs) prevention in Moldova.


Chart audit of cases with TB/HIV co-infection in Moldova

Period January, 2014 - December, 2015
Donor The Global Fund to Fight Against AIDS,Tuberculosis and Malaria
Description

Goal of the study: Produce strategic information on the quality of the clinical management of TB/HIV co-infection cases to be used in the decision-making on increasing life expectancy and improving the quality of life of PLHIV.
Objectives:

  1. Conduct a quantitative assessment of the quality of health care services provided to cases of TB/HIV co-infection
  2. Identify the risk factors associated with the mortality among the TB/HIV cases
  3. Identify and systematise the potential shortcomings in the management of the TB/HIV co-infection cases
  4. Assess the causes of death of PLHIV
  5. Make recommendations for further improvement of the clinical management of the TB/HIV co-infection cases

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Access to compensated medicines in Moldova 2014

Period January, 2014 - December, 2015
Donor Soros Foundation Moldova / Open Society Foundation
Description

The purpose of this study was to identify the barriers in the current system of reimbursed medicines at the regulatory, operational and financial level, to identify the opinions and practices of the population in accessing medicines and the impact on the health status. This study was conducted to measure the contribution of reimbursed drugs on access to drugs in the Republic of Moldova.

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Advertising and promotion of cigarettes at marketing points

Period December, 2015 - December, 2015
Donor Campaign for Tobacco-Free Kids” and“Bloomberg Philanthropies”
Description

Qualitative study among children in the primary cycle of studies "Advertising and promotion of cigarettes at points of sale" focuses on determining the reaction of children to advertising and promotion of tobacco products at points of sale. The main findings of the study show that in commercial spaces, all consumers, regardless of age or whether or not they are smokers, are exposed to the influence of slogans and images that stimulate smoking.

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Estimation of the costs associated with HIV prevention programs in the penitentiary system

Period September, 2015 - December, 2015
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The purpose of the exercise is to estimate the costs required for risk reduction programs in the penitentiary system per beneficiary in order to identify mechanisms for financial support from the state and for alternative financial sources from the Global Fund.


Barometer of opinion. Access and quality of hospital medical services in the perception of the population of the Republic of Moldova.

Period January, 2015 - December, 2015
Donor Soros Foundation Moldova
Description

The main purpose of the study was to identify the most relevant objections and dissatisfactions of the patients in relation to the services of diagnosis, treatment and accommodation in hospitals.
The support objectives of the research consisted in highlighting the factors that essentially determine
the functional performance of the stationaries, as well as the barriers to obtaining the necessary assistance.

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Ensuring with medicines the hospitals in the Republic of Moldova

Period January, 2015 - December, 2015
Donor Soros Foundation Moldova
Description

This analysis makes a broad feature of the current system of drug supply of hospitals, the identification of possible factors that contribute to the interruption of drug delivery and the functionality of the drug supply system, the formulation of the options that would be necessary to remedy the process of drug supply of healthcare institutions.

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Baseline Study on Project Indicator Baseline Patient Information in hospitals of Cahul, Orhei and Edinet

Period November, 2015 - December, 2015
Donor GIZ Quality Improvement of Health Services
Description

The goal was to incude the baseline indicator into the GIZ project on Quality Improvement of Health Services in Hospitals in Moldova.


End-of project evaluation of the interventions aimed to promote an integrated approach to developing services for most-at-risk adolescents and youth implemented during March 2012- December 2014

Period December, 2014 - October, 2015
Donor UNICEF Moldova
Description

The main purpose of the evaluation was to assess end of project results and achievements in relation to the project objectives and document good practices, lesson learned for future programming.


Assessment of the development of MSM / HIV services in the Republic of Moldova

Period July, 2015 - September, 2015
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The purpose of this assessment was to study existing HIV-service programs for MSM and provide practical recommendations for their improvement in the direction of increasing coverage, as well as other UNGASS indicators.

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Assessment of community centres for tuberculosis outpatient care in the Republic of Moldova

Period May, 2015 - June, 2015
Donor The Global Fund to Fight Against AIDS,Tuberculosis and Malaria
Description

The current assessment of CCs for TB outpatient care in RM has the following objectives:

1) Assess the effectiveness of the current CC services.

2) Assess the current and potential future integration of the CC services into the health system of the country.

3) Assess the sustainability of the CC model of outpatient TB services delivery after the phasing out of the Global Fund support.

4) Make recommendations for a sustainable model of outpatient TB services in the country.


Access to Health Services survey in the Republic of Moldova

Period September, 2012 - June, 2015
Donor UNICEF Moldova
Description

The Center for Health Policies and Studies provided data analysis and developed the report of the 2012 Access to Health Services Survey (2012 AHSS) desk review and qualitative research. 2012 AHSS was carried out as part of Moldova Multiple Indicator Cluster Survey (MICS) in 2012. The  2012 AHSS report describes the access of Moldovan population to health services and  health expenditures at last episode of illness and provides a comparison of these to the baseline data collected in 2000 before the introduction of health insurance. In addition, it provides a cross-sectional picture of health coverage dimensions based on Tanahashi framework based on the data collected in both Access to Health Module and MICS 2012.

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Assessment of the access of people living with HIV to health services

Period January, 2014 - March, 2015
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The aim of the study was the geographical and financial accessibility and acceptability of health services, the use of general health services, the use of specialized medical services for people living with HIV, the availability of antiretroviral therapy and the quality of medical care during pregnancy and childbirth for women living with HIV.

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Hospital Governance in the Republic of Moldova 2014

Period March, 2014 - December, 2014
Donor Friedrich Ebert Stichtung Foundation
Description

This study has been conducted as part of the alternative mechanisms independent of existing public mechanisms andto provide further information on hospital governance framework. This study comes as a support to Ministry of Health in developing public policies in hospital sector, offers valid and relevant information on hospital governance. The study can be applied to assess progress in achieving objectives of the National Health Policy and National Health Development Strategy 2007-2017, of the Government Activity Program for the years 2013-2014 and for the Roadmap on Accelerating Reforms, Addressing the Needs of Health Sector through Investment Policies.

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Innovative model of outpatient MDR-TB case management in the context of rapid diagnosis implementation. The Demonstration Project in the Republic of Moldova

Period April, 2012 - April, 2013
Donor Otsuka SA
Description

The overall goal of the program is to combine the use of rapid diagnostic tests to identify MDR-TB patients and their treatment in outpatient conditions.
The objectives of the Programme are:

1. To establish if an outpatient-based model for MDR TB case management in Moldova can:

    • prevent the spread/amplification of drug resistant TB by limiting hospitalization;
    • maintain and/or improve adherence and treatment outcomes for MDR TB achieved through the hospital-based model of care;
    • develop/enhance service capacity for MDR TB treatment administration and side effects management;
    • contribute to infection control (e.g., contacts screening);

2. To evaluate the impact of rapid tests on initiation of appropriate treatment regimens and treatment management;
3. To compare the performance and turnaround times of:

    • Smear Microscopy, GeneXpert, solid (LJ) and liquid culture (MGIT) in identifying M. Tuberculosis;
    • GeneXpert and phenotypic DST in identifying Rifampicin resistance;
    • GenoType MTBDRsl (LPAsl) on sputum samples and on culture isolates and phenotypic DST in identifying resistance to fluoroquinolones, injectables (kanamycin, amikacin and capreomycin) and ethambutol;

4. To compare treatment outcomes of outpatient MDR TB care model to historical treatment outcome data for MDR TB hospital based model of care;
5. To evaluate the impact of rapid tests in reducing the diagnostic delay of MDR TB identification.


Public opinion on the danger of exposure to tobacco smoke and the effectiveness of anti-smoking laws

Period January, 2013 - January, 2013
Donor Campaign for Tobacco-Free Kids” and“Bloomberg Philanthropies”
Description

This study was conducted for the first time in the Republic of Moldova and aims to determine the population's options regarding the prohibition of smoking in public places and in closed work spaces, as well as in public transport. The study provides details on the rights of non-smokers to breathe unpolluted air from tobacco smoke in public spaces and at their workplaces, analyzes the position of the population against the smokers' wishes to smoke at workplaces, in public places, including restaurants and pubs, presents the opinion of the population regarding the increase in taxes on cigarettes. The research also tested whether the population would support a person from the country's leadership or a political party, which will strongly promote a law that will protect the health of people and, first of all, children from tobacco smoke.

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Efficiency of policies to improve access to medicines by approving and recording producer prices for medicines

Period January, 2013 - January, 2013
Donor Soros Foundation-Moldova
Description

This document analyzes the effectiveness of policies to improve access to medicines by approving and recording producer prices for medicines in the Republic of Moldova.

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Tuberculosis in Moldova: Knowledge, Attitude and Practice in General Population, 2012

Period January, 2013 - January, 2013
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The survey has been conducted by the Centre of Sociological, Politological and Psychological Analysis and Investigations „CIVIS” in the framework of the project „Empowerment of People with Tuberculosis and Communities in Moldova”, financed by the Global Fund to Fight AIDS, Tuberculosis and Malaria and implemented by the Center for Health Policies and Studies.

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The negative impact of data exclusivity on access to medicines

Period January, 2013 - January, 2013
Donor Soros Foundation-Moldova
Description

This express analysis aimed to analyze the negative impact of data exclusivity on access to medicines. This publication appears in the project "Health Monitor" implemented by the PAS Center with the financial support of the Soros Fundation- Moldova.

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Air quality in public food premises: Results of the air quality monitoring study in restaurants, cafes and pubs in Chisinau

Period January, 2013 - January, 2013
Donor Campaign for Tobacco-Free Kids” and “Bloomberg Philanthropies”
Description

The purpose of this study was to monitor restaurants, cafes, pubs, medical and educational institutions in Chisinau.

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Ensuring ARV drugs from public sources for 2014-2016: possible scenarios

Period January, 2013 - January, 2013
Donor Soros Foundation-Moldova
Description

The aim of the study was to support the transition from the procurement of antiretroviral drugs from external sources to their procurement from public sources by analyzing the current HIV treatment situation and current procurement practices, the needs for 2014–2016, by analyzing possible scenarios for antiretroviral drugs procurement and to help identify common strategic aspects and priorities on the basis of which the Cost Strategy for the health sector for 2014–2016 should be developed.

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Barriers and Facilitating Factors in Access to Health Services in the Republic of Moldova

Period August, 2011 - June, 2012
Donor WHO
Description

This report specifically aims to:

  1. review the impact of the 2009 and 2010 amendments to the Law on Mandatory Health Insurance for the poor and uninsured (Parliament of Republic of Moldova, 2009, 2010c);
  2. explore the barriers and facilitating factors in access to health services in the Republic of Moldova, with a specific focus on barriers experienced by socially excluded populations and other vulnerable/high risk groups.

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Additional payments for salons with increased comfort in public hospitals: pros and cons

Period January, 2012 - January, 2012
Donor Soros Foundation-Moldova
Description

This express analysis aimed to study the international experience but also to evaluate the possible risks on the access and quality of the medical services, the economic effect and the implications on the corruption in the health system, the legality of the promoted initiative and the necessity of keeping the medical services against payment within the framework of public hospitals in the Republic of Moldova.

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The efficiency of public hospitals in the Republic of Moldova

Period January, 2012 - January, 2012
Donor Soros Foundation-Moldova
Description

The study aimed to evaluate the efficiency of public hospitals and its determinants, through the following specific objectives:

  1. Analysis of the technical efficiency of public hospitals through the use of the bed fund;
  2. The analysis of the technical efficiency of the public hospitals through the relation of resources allocated allocated results;
  3. Elucidation of the factors that influence the technical efficiency of the public hospitals and the formulation of the rigorous recommendations.

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Health Monitor: Access and Quality of Hospital Services in the Opinion of the General Population of the Republic of Moldova

Period December, 2010 - December, 2011
Donor Soros Foundation-Moldova
Description

The main goal of the study was to identify the level of satisfaction and quality perception of diagnostic, treatment and accomodation in hospitals. The main objectives were to identify factors that determine the functional performance of hospitals, as well as barriers in receiving appropriate health care by looking at the following aspects: access to facilities, management of hospital admission and inpatient treatment; key aspects in quality of services as perceived by the patients, aspects related to out-of-pocket payments and financial access to inpatient services; level of satisfaction with hospital services at different levels of care. 

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Evaluation of the Integrated Management of Childhood Illness (IMCI) programme in the Republic of Moldova

Period December, 2010 - August, 2011
Donor UNICEF Moldova
Description

The main goal of the evaluation was to assess the impact of IMCI program on health of children in the Republic of Moldova and identify barriers to ensure sustainability, acceptance and integration of the program.

The objectives were the following:  

  1. Evaluation of the relevance, effectiveness, efficiency, and contribution to the general policy framework of mother and child health;  
  2. Impact evaluation of child health outcomes, taking into account baseline situation, timetable of interventions, and assessment of gender and vulnerable group dimensions where needed. The results of the evaluation were to be used by the Government, health authorities, and external donors in planning further health strategies for children under 5 years and their families.

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Impact analysis of health care reforms

Period January, 2010 - December, 2010
Donor Soros Foundation-Moldova
Description

This policy document presents an impact analysis of the reforms promoted by the Ministry of Health between September 2009 - January 2010. The impact analysis of the health reforms is part of the larger initiative of the PAS Center for the implementation of the Health Monitor in Moldova, a mechanism for monitoring of the situation in the health field by applying a comprehensive methodology.

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Stady of policies regarding the degree of decentralization

Period January, 2010 - December, 2010
Donor Soros Foundation-Moldova
Description

The study presents a summary and a general picture regarding decentralization in general, but also the possibility of applying different forms of decentralization within the health system of the Republic of Moldova.

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Study of policies related to administrative decentralization in the health sector

Period December, 2008 - December, 2009
Donor Swiss Agency for Development and Cooperation, Moldova office
Description

Following the interests of this study there was evaluated the level of knowledge of medical staff and representatives of local public authorities regarding the process of decentralization in the domain of health care, described the attitude of medical staff and representatives of LPA towards the existent degree of decentralization and necessity in decentralization or centralization of the health care system, as well as the attitude of the respondents towards the process of autonomisation or privatization in the field of primary medical assistance and other levels of health care administration.

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Risk Factors Associated with Tuberculosis Directly Observed Treatment Default and Failure in the Republic of Moldova

Period September, 2007 - October, 2009
Donor The Global Fund to Fight Against AIDS,Tuberculosis and Malaria
Description

The goal was to identify and measure factors associated with DOT failure and default, in order to suggest suitable measures to increase the treatment success rate. The study was designed to examine qualitatively and quantitatively the factors associated with TB defaults and failures. The quantitative part of the study examines the factors associated with treatment defaults and failures in TB patients, while the qualitative study explores the opinion of providers (primary health care and TB specialists) on factors associated with poor treatment outcomes.

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Study on analysis of equity in mother and child health

Period July, 2009 - October, 2009
Donor UNICEF
Description

The study describes and assesses the extent of inequalities in maternal and child indicators and other key indicators causally relating to maternal and child health in the Republic of Moldova. The equity analysis is based on the concept of multi-factorial determinants of health, taking into account that inequalities in health arise from, and are maintained by unequal distribution of welfare, knowledge, lifestyle practices, attainment of employment, access to education, water and sanitation system, food production and social support. The study focuses on describing the state of maternal and child health inequity in Moldova through the analysis of the three types of indicators: high-level outcomes, key intermediate outcomes, and structural outcomes. In doing so, both descriptive and quantitative techniques were applied. This included the collection and description of data available from other related surveys, but also the quantitative techniques (concentration curve, concentration index, significance tests, etc) in order to attempt to quantify of the degree of inequity as it relates to wealth.

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Operational research on HIV prevalence among new TB cases in Moldova

Period September, 2007 - April, 2008
Donor USAID, WHO
Description

Study goal: to estimate HIV prevalence among newly registered TB cases in 2007 in the Republic of Moldova.
Objectives:

  1. To estimate HIV prevalence among TB new detected cases in Moldova
  2. To estimate HIV knowledge among TB patients in Moldova
  3. To reveal TB patients attitudes towards HIV/AIDS
  4. To measure HIV VCT coverage of TB patients.

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National Tuberculosis Resistance Survey data

Period September, 2007 - December, 2007
Donor American International Health Alliance (AIHA)
Description

The goal of the project: to determine the prevalence of anti-TB drug resistance, among new and previously treated cases (used as a proxy for primary and acquired drug resistance respectively), the level of MDR TB, the pattern of resistance and the implications for tuberculosis control in Moldova.

  1. To estimate prevalence of anti-TB drug resistance, particularly MDR, among new and previously treated cases in the civilian and penitentiary sectors;
  2. To compare the results of the second survey with the previous one in order to assess trends of resistance;
  3. To estimate if DR has the same distribution in the different regions of the country;
  4. To perceive the DR trend over time.

Ongoing Programs and Grants

The future without smoking

Period April, 2024 - December, 2024
Budget USD 79,437
Donor The National Medical Insurance Company
Description

The aim of the project is to inform and protect young people in the Republic of Moldova from the negative influences of the tobacco industry, by organizing information sessions on the harms of smoking, information and education campaigns, at the national level, on the risks associated with smoking and the promotion of a healthy lifestyle without tobacco.

The main activities are focused around 3 objectives:

  1. Increasing the level of education and awareness of the harmfulness of tobacco consumption for health.
  2. Organizing an information and awareness campaign for young people, in the online media and social networks, about the harm of smoking to health.
  3. Developing the capacities and information skills of teachers and health professionals in promoting information and educating adolescents and young people regarding the harmfulness of cigarette consumption, based on a guide that will include specific information about the harm of smoking on the health of adolescents and young people .

UNFPA Country programme for the Republic of Moldova 2023 - 2027

Period February, 2024 - November, 2024
Budget USD 40,000
Donor UNFPA
Description

The purpose of the project is to improved policies and accountability frameworks for enhanced capacities of the health system, institutions, and communities to deliver human rights-based, client-centred sexual and reproductive health information, services and supplies to women and young people, particularly those furthest left behind, including in humanitarian settings.

Objective:
Conducting a Qualitative Study on factors that influence the uptake of Family Planning Services/ Modern Contraceptives Use among 12 vulnerable groups of population in the Republic of Moldova, aiming to identify the root causes of the still high unmet need for voluntary family planning at the national level.


Strengthening tuberculosis control and reducing AIDS mortality in the Republic of Moldova

Period January, 2024 - December, 2026
Budget EUR 4,649,104
Donor Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The goal of the program is to reduce the human suffering and socioeconomic burden associated with TB and HIV/AIDS in Moldova, promote people-centered, gender-sensitive and rights-based enabling environments and systems, in order to give an effective and sustainable response to TB and HIV, by (i) scaling up the access to an effective up-to-date TB
diagnosis, treatment and prevention (with special attention to KPs), and (ii) closing the
gap in the progress towards the 90-90-90 targets: increase early HIV detection, ensure
a rapid scale up of ART and improve HIV care quality, by promoting innovative
prevention interventions.

Objectives include the following:

  1. Ensure universal access to timely and quality diagnosis and detection of TB (with emphasis on RR/MDR TB) - by rolling out rapid molecular diagnostic testing, improving the quality and coverage of drug-susceptibility testing (DST), and promoting active targeted case finding (screening for TB in high risk groups mainly);
  2. Improve the treatment outcomes of DR TB patients by implementing modified shorter treatment regimens and scaling-up people-centered approaches, comprehensive patient support and follow up activities;
  3. Reduce TB transmission by scaling up effective preventive treatment and improving infection control;
  4. Increase early HIV detection, scale up ART and improve HIV care quality, by promoting innovative testing approaches, ensuring access to quality ART, implementing differentiated people-centered models of HIV treatment and care/ ART, and addressing the weak linkages in the HIV care continuum;
  5. Prevent HIV transmission, by expanding the coverage of innovative prevention interventions among key populations, integrate health service platforms at community level, and remove the dichotomy between HIV prevention and HIV care service continuums;
  6. Consolidation of the health system;
  7. Consolidation of the community system;
  8. Remove human rights and gender barriers and achieve zero discrimination.

 


Sustainability of Services for Key Populations in Eastern Europe and Central Asia (“EECA”)

Period January, 2022 - December, 2024
Budget USD 498,486.00
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The project is implemented in 2 countries: Belarus and Kazakhstan and is focused on the alignment of national HIV testing and treatment protocols with WHO recommendations and on the decentralization of HIV testing services through the removal of normative, legal and technical barriers.

The main activities are focused around 3 objectives:

  1. Institutionalizing effective models of, and processes in, HIV responses in the EECA Region to impact the HIV care cascade in the region;
  2. Removing barriers to services for key populations to promote quality health interventions based on human rights principles; addressing gender barriers to services;

Budget advocacy for sustainable services for key populations in the EECA region.


Surveillance and Response to Avian and Pandemic Influenza by National Health Authorities outside the United States

Period January, 2009 - September, 2026
Budget USD 1,512,350.67
Donor Centers for Disease Control and Prevention - USA
Description

Project aims: Strengthening the capacities for rapid detection and response to potential pandemic influenza as well as for monitoring the occurrence and assessing the impact of seasonal influenza in the country through enhancing the surveillance system and control and improving pandemic preparedness in the Republic of Moldova.

Main objectives of the project are:

  1. Strengthening the influenza surveillance, control system and monitoring of influenza viruses circulation in the Republic of Moldova;
  2. To develop the capacity for detecting Non-Influenza Viral and Bacterial Respiratory and Vaccine-preventable Pathogen.

Location: Moldova (at national level)


The Open Medical Institute (OMI) - Salzburg Medical Seminars International

Period May, 2007 - December, 2024
Budget USD 4,000 per year
Donor American Austrian Foundation, Austrian Federal Ministry for Education, Science and Culture and The Open Society Foundations
Description

The overall goal of the program is to development of human resources in the health sector.

The objective of the Programme is to systematic strengthening  of human and organizational capacity across the entire spectrum of institutions (hospitals, clinics, districts' administration in health sector, medical university, medical colleges) and health issues(including infectious diseases, the training of the professionals in health, extension of the medical services in primary health care , and quality improvement, etc.).


Closed Programs and Grants

It's your right to be healthy

Period July, 2023 - December, 2023
Budget EUR 25,000
Donor European Union (through Slovak AID and People in Need)
Description

The purpose of the project is to diversify journalistic formats to increase the visibility of the Sănătate INFO platform and ensure public access to various formats for presenting information in the field of health and patients' rights.

Project objectives:

  1. Diversification of media products by creating video, audio, multimedia, infographics, formats that were no longer used by Sănătate INFO.
  2. Developing original media products and giving users the ability to choose the information format they like.
  3. Attracting a new audience to the platform, increasing the visibility of the Sănătate INFO website and the number of users.

UNFPA Country programme for the Republic of Moldova 2023 - 2027

Period April, 2023 - December, 2023
Budget USD 21,166
Donor UNFPA
Description

The overall goal of the program is to improved policies and accountability frameworks for enhanced capacities of the health system, institutions, and communities to deliver human rights-based, client-centred sexual and reproductive health information, services and supplies to women and young people, particularly those furthest left behind, including in humanitarian settings.
Objectives:

  1. Developing and widely promoting 10 written articles based on conducted media interviews with relevant stakeholders from health, social protection, police sectors, representatives of medical education institutions, faculties of Law, Social Assistance, and with local public authorities & NGOs working with SWs - reflecting opinion on multi-stakeholders’ collaboration in ensuring the sex workers community ’s basic human rights.
  2. Designing and conducting a thematic Immersive Theatre Performance “Beyond Appearances” – to facilitate understanding of sex workers' lived traumatic experiences & stigma, prejudice, and discrimination they face, through engagement of audience
  3. Organizing a “Beyond Appearances” Public Exhibition - to facilitate through artistic presentation - public awareness increase and understanding of sex workers' lived traumatic experiences & stigma, prejudice, and discrimination they face, jointly with - a Public Debate to follow - to be focused on challenges and solutions for ensuring the needed enabling environment for sex workers' community empowerment within HIV prevention effort at the national level

MOMENTUM Routine Immunization Transformation and Equity

Period February, 2023 - April, 2024
Budget USD 88,676
Donor JSI Research & Training Institute, Inc
Description

Project aim: Contribute to increased uptake of COVID-19 vaccination in Serbia, North Macedonia, Moldova, and Bosnia and Herzegovina

Main objectives of the project are:

  1. Increasing demand for vaccination among priority populations.
  2. Correcting mis- and disinformation through social and behavior change communication (SBCC) and media-focused strategies.
  3. Fostering opportunities for learning within and across countries

Facilitating civic participation in health decision-making

Period January, 2023 - December, 2023
Budget USD 70,000
Donor Soros Foundation Moldova
Description

The aim of the project is to contribute to the realization of the public authorities' commitments, in particular the approval of the regulatory framework in the field of pharmacy, palliative care and other priorities assumed in the governing act, by making the public authorities responsible for the commitments made to citizens to ensure rights and equity in health, through the lens of the four main functions of the health system: organization and administration, provision of services, financing and generation of resources (human, drugs, medical devices, etc.).
Project objectives:

  1. By the end of 2023, public policy documents in the field of pharmacy, palliative care and other priorities assumed in the governing act, promoted and approved by the Government.
  2. By the end of 2023, the process of public consultation of health decisions, through the promotion and greater participation of civil society, so that its participation has a significant impact on the decision-making process of the Government, will include 100% of the draft decisions in health, which have an impact on ensuring rights and equity in health, to which civil society recommendations were presented.

Service provision “To assess the impact of the most recent political and economic sanctions on the sustainability and accessibility of community-led HIV prevention services in the Russian Federation”

Period June, 2022 - October, 2022
Budget USD 41,719.60
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

In the context of the political situation and economic instability within the Russian Federation, there is a tendency to reduce not only foreign funding, but also a decrease in the volume of donations from Russian individuals and legal entities.

Thus, the situation in the non-profit sector is rather complicated. At the same time, there is no reliable data on what the real impact of the current circumstances on the viability of civil society organizations, on the access of key populations to HIV prevention services, as well as on the quality of their services for key populations, can be.

The requested technical assistance is focusing on the assessment of the impact of the economic and political situation in the Russian Federation both on the work of civil society organizations providing services to key populations, and the availability and quality of HIV prevention and treatment services in the country, and recommendations will be developed and action plan for a set of measures to maintain the effectiveness of the work of civil society organizations. A face-to-face two-day consultation with representatives of civil society organizations and communities of key groups will be organized to discuss the results of the assessment and develop recommendations and an action plan for the package of measures.

Within this TA assignment, PAS Center is managing a team of international and national consultants, sub-contracts a local NGO for country-based activities, along with managing the contract itself and providing the expertise on HIV community engagement.


Participatory democracy for health rights and equity

Period June, 2022 - June, 2023
Budget USD 65,500
Donor Soros Foundation Moldova
Description

The aim of the project is to increase the accountability of public authorities towards the commitments made to citizens, especially those related to rights and equity in health and transposed in public policy documents.
Project objectives:

  1. Improving the process of public consultation of health decisions by promoting and greater participation of civil society, so that its participation has a significant impact on the decision-making process of the Government.
  2. Strengthening the participatory democratic dimension of civil society to improve its capacity to represent citizens' interests, influence policy-making and facilitate an increased impact of civil society's voice on the decision-making process of executive authorities.

CRG Technical Assistance to assess different CLM models in Tajikistan

Period April, 2022 - June, 2022
Budget USD 35,642
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

Aim: To provide civil society and communities in Tajikistan with information on community-led monitoring (CLM) models to monitor gender and human rights to TB and HIV services to advocate for a coordinated and unified CLM framework.

Program interventions are structured around four main objectives:

  1. Identify and document ongoing and planned CLM models (e.g. One Impact, ReACT, Prevent TB) as well as potential new models;
  2. Facilitate a consultative process to assess the strengths, weaknesses, opportunities, and threats (SWOT) of different CLM models and their usability, scalability and sustainability to monitor gender and human rights related barriers to TB and HIV services;
  3. Facilitate a consultative process to develop recommendations for a unified CLM framework for TB and HIV;
  4. Mapping of CBOs/NGOs interested to be engaged in CLM of gender and human rights related barriers to TB and HIV services;

Support CBOs/NGOs to advocate with key actors and stakeholders for the use of people-centered approaches and CLM. Within this short TA assignment, PAS Center is managing a team of international and national consultants, sub-contracts a local NGO for country-based activities, along with managing the contract itself and providing the expertise on CLM interventions.


UNFPA country program for the Republic of Moldova

Period March, 2022 - December, 2022
Budget USD 41,666
Donor UNFPA Moldova
Description

The overall goal of the program is to enhanced health system capacity to develop and implement policies and programs at all levels that ensure equal access to high-quality sexual and reproductive health and reproductive rights services, including commodities by those women, adolescents and youth left furthest behind, including in humanitarian settings.

Objective:

  1. Conceptualizing and conducting a Social Media Awareness Campaign “Beyond Appearances” reflecting human stories of Sex Workers (development of a concept and components of the Social Media Campaign - Articles and Podcasts - reflecting anonymous human stories of sex workers, to be promoted via social media channels aiming to increase awareness at the national level and advance the human rights of sex workers - participatory communication playing a vital role in awareness and critical thinking increasing and consequently contributing to creation of an enabling environment for community empowerment);
  2. Capacity building of personnel of 20 NGOs working with Key Populations (staff & peer volunteers) on strengthening interlinkages between HIV Prevention and other SRH Services (development of the training package and conducting an off-line training workshop aiming at improving referral mechanism between NGOs & KPs' communities and healthcare providers, meeting thus KPs’s communities wider HIV Prevention & other SRH needs);
  3. Developing and launching of an interactive innovative e-learning course for NGOs working with Key Populations (staff and peer volunteers ) on Strengthening Interlinkages between HIV Prevention and other SRH Services (the availability of the e-learning course aims at ensuring the sustainability of thematic capacity building, considering the high turn-over of the NGOs' staff & peer volunteers).

Regional Civil Society & Community Participation in 2022 STP Governance Report

Period January, 2022 - April, 2022
Budget USD 7,000
Donor UNOPS/Stop TB Partnership
Description

Aim: Utilizing regional TB civil society organizations and networks enhance the participation of TB civil society and affected communities in the 2022 Stop TB Partnership (STP) Governance Report through the engagement of TB affected community or civil society respondents in each of the focus countries.

Program interventions are structured around two main objectives:

  1. Support the engagement of TB affected communities in national TB Governance Assessments;
  2. Coordinate the participation and feedback of TB affected communities and civil society in national TB Governance Assessments.

The project covered 4 countries – Kyrgyzstan, Tajikistan, Ukraine and Uzbekistan.


TB CRG Action Plans: It’s time translating Recommendations of TB CRG Assessments into Costed time -Bound Actions

Period December, 2021 - December, 2022
Budget USD 148,140
Donor UNOPS/Stop TB Partnership
Description

The aim of the project is to make the TB response rights-based, equitable and stigma-free, with communities at the centre. And leverage Covid-19 as a strategic opportunity to get back on track and accelerate progress towards United Nations High Level Meeting (UNHLM) targets.
Program interventions was structured around two objectives:

  1. To contribute, organize and implement effective campaigns primarily targeting regional decision-making bodies to increase UNHLM 2022 accountability efforts related to CRG commitments and to advocate for TB recovering efforts to mitigate the impact of COVID-19 on the TB response Catalyze experience sharing on CRG costed action plans (CAPs) development across the region, to ensure that every EECA country with a TB CRG Assessment develops, adopts and funds a national TB CRG Action Plan.
  2. To contribute to making the TB response at country level rights-based, equitable and stigma-free, with communities at the center through development of costed action plans (CAPs) in Armenia, Azerbaijan, Kazakhstan and Tajikistan.

The project provides funding to CSOs in Armenia, Azerbaijan, Kazakhstan and Tajikistan and technical assistance to Georgia, Moldova and Ukraine additionally to the first 4 countries mentioned above.


Independent Review of Implementation of Transition Plan 2018-2020 in Ukraine

Period October, 2021 - October, 2022
Budget USD 77,361
Donor The Global Fund Technical Support Mechanism
Description

The aim of the project is to conduct an independent review of the achievement of Transition Plan outcomes in Ukraine with the aim of developing detailed recommendations and actions for further strengthening and support. The recommendations would become the basis for a new plan for the institutionalization of the existing mechanism for contracting HIV prevention services for key and vulnerable populations, with a future vision for people living with HIV support services and TB care services incorporation.

The activities are focused on analyzing the achievement of commitments of the Government, included in the HIV / TB Transition Plan.

Within this TA assignment, PAS Center is managing a team of international and national consultants, along with managing the contract itself and providing the expertise on TB related issues assessed within the evaluation.

Location: Ukraine (at national level).


Healthy Information/media project

Period July, 2021 - September, 2022
Budget USD 74,910
Donor U.S. Department of State FEDERAL ASSISTANCE AWARD
Description

The overall project goal is to protect people's healthier belief and actions related to COVID-19 by curbing the spread of misinformation about the virus and maintaining the information flow on COVID-19 in the online environment from credible sources, based on scientific evidence and reasoned by qualified public health specialists with a special focus on community level involvement.

The project is focused on:

  1. Strengthening the capacities of the local media through establishing a network of journalists from different regions of the country to act as the go-between for the public and health and science experts.
  2. Developing journalistic materials and facilitate information flow on COVID-19 from reliable sources, based on evidence and reasoned by qualified professionals in the local media.
  3. Ensuring dissemination of truthful information related to COVID-19 and preventive behaviors at the community level by engaging local leaders and groups of young people in three rayons.

As the result of project, the journalists and communities will increase their capacity to look at and critically analyze health information related to COVID-19 and beyond.

Location: Moldova (at national level).


Development and piloting of digital tool to provide virtual clinical, psycho-social support and rights-based monitoring for people in OST (Support-OST)

Period June, 2021 - December, 2022
Budget USD 50,000
Donor UNODC, UNDP and UNAIDS
Description

Based on the successful implementation of video-supported TB treatment in Moldova, a digital tool will be developed and piloted to provide virtual clinical, psycho-social support and rights-based monitoring for people in opioid substitution therapy (OST) from Chisinau.

The overall goal of the project is to ensure continuous clinical and psycho-social virtual support for people in OST treatment to improve adherence and ensure person-led monitoring of human-rights, physical and economic barriers and quality issues related to access of OST services.

Program interventions are structured around a main objective: to enhance the support to people in OST, both by medical staff and peers from civil society organizations, depending on individual needs of each of the beneficiaries for improved access and adherence to treatment.

For the project implementation the existing VST (video-supported treatment) tool “I LIKE VST” will be adapted to Support-OST platform, trainings for medical staff and NGO representatives engaged in providing support for people in OST who find the tool acceptable will be organized, and roll-out and institutionalization of the proposed intervention will be ensured by the end of the project. The platform will provide an opportunity for enhanced support to people in OST both by medical staff and peers from civil society organizations, depending on individual needs of each of the beneficiaries, as well as video-assisted daily OST intake. The intervention will be rolled-out taking into account human rights considerations, confidentiality and people-centered aspects in provision of care to people in OST, integrating routine patient feedback as a quality improvement strategy.

Location: Moldova (at national level).


UNFPA country program for the Republic of Moldova

Period April, 2021 - December, 2021
Budget USD 32,407
Donor UNFPA Moldova
Description

The overall goal of the program is to enhanced health system capacity to develop and implement policies and programs at all levels that ensure equal access to high-quality sexual and reproductive health and reproductive rights services, including commodities by those women, adolescents and youth left furthest behind, including in humanitarian settings.

Objective:

1) capacity building of the NGOs staff in the area of HIV Prevention among Key Populations (3 on-line thematic trainings on HIV Prevention to be conducted for staff of 20 NGOs working with KPs):

  1. “Strengthening capacities of field workers on applying behaviour change and motivational counselling’s techniques, aiming to ensure the quality/effectiveness of harm reduction and psychosocial support interventions”;
  2. “Strengthening capacities of field workers on applying community mobilization’s techniques among vulnerable groups of population in the context of HIV/ AIDS, aiming to ensure/increase the access to harm reduction and psychosocial support interventions”;
  3. “Health, Rights and Well-Being Practical Tool for HIV and SRH Programmes with Young Key Populations”;

2) development of an innovative on-line learning course for NGOs staff (including 5 induction thematic training modules on HIV Prevention among Key Populations, including Young KPs) - to ensure the sustainability of capacity building interventions for 20 NGOs working with Key Populations.


Strengthening Tuberculosis control and reducing AIDS related mortality in the Republic of Moldova

Period January, 2021 - December, 2023
Budget USD 7,615,265.18 (including USD 6,239,140 for the main allocation and USD 1,376,125.18 for the additional allocation)
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The goal of the program is to reduce the human suffering and socioeconomic burden associated with TB and HIV/AIDS in Moldova, promote people-centered, gender-sensitive and rights-based enabling environments and systems, in order to give an effective and sustainable response to TB and HIV, by (i) scaling up the access to an effective up-to-date TB diagnosis, treatment and prevention (with special attention to KPs), and (ii) closing the gap in the progress towards the 90-90-90 targets: increase early HIV detection, ensure a rapid scale up of ART and improve HIV care quality, by promoting innovative prevention interventions. Program interventions are structured around 8 main objectives:

  1. Ensure universal access to timely and quality diagnosis and detection of TB - by rolling out rapid molecular diagnostic testing, improving the quality and coverage of drug-susceptibility testing, and promoting active targeted case finding (screening for TB in high risk groups mainly);
  2. Improve the treatment outcomes of TB patients by implementing modified shorter treatment regimens and scaling-up people-centered approaches, comprehensive patient support and follow up activities;
  3. Reduce TB transmission by scaling up effective preventive treatment and improving infection control;
  4. Increase early HIV detection, scale up ART and improve HIV care quality, by promoting innovative testing approaches, ensuring access to quality ART, implementing differentiated people-centered models of HIV treatment and care/ ART, and addressing the weak linkages in the HIV care continuum;
  5. Prevent HIV transmission, by expanding the coverage of innovative prevention interventions among key populations, integrate health service platforms at community level, and remove the dichotomy between HIV prevention and HIV care service continuums;
  6. Health system strengthening;
  7. Community system strengthening;
  8. Remove human rights and gender barriers and achieve zero discrimination.

TB and HIV service interventions are evidence-based for key and vulnerable populations, as per WHO, Stop TB Partnership and UNAIDS guidance and aligned to the highest impact interventions as outlined in Optima TB and Optima HIV studies.

In 2021, within an additional allocation related to COVID-19 prevention and care, PAS Center received resources to implement: (1) Mitigation for TB programs; (2.) Community-led advocacy and research; (3.) Community-based organizations institutional capacity building; (4.) Respond to human rights and gender related barriers to services.

The additional allocation will contribute to the recovery of case notification and increase the number of people diagnosed with TB and enrolled in treatment, to reach a high vaccine coverage and to decreased the level of COVID-related stigma.

The project is implemented at the national level.


Study on the public health response of the Republic of Moldova to the COVID-19 pandemic. (Complementary research to the Health Monitor project for good governance in the Republic of Moldova (continued, 2020)

Period November, 2020 - December, 2020
Budget USD 8,000
Donor Soros Foundation Moldova
Description

The purpose of the project is to assess the level of preparedness, alertness and response in the field of public health of the Republic of Moldova to identify, manage and care for new cases of COVID-19, in the light of the recommendations of the World Health Organization.
The basic objective is:
Ensuring the coverage of the public health response of the Republic of Moldova, in the light of WHO recommendations on COVID-19.


Support to reforms in the primary health care in Moldova

Period October, 2020 - November, 2020
Budget EUR 9,686
Donor The Embassy of the Republic of Lithuania in the Republic of Moldova. Project is funded under the Lithuanian Development Cooperation and Democracy Promotion Programme.
Description

The aim of the project is to support the development of a new model of primary care, based on international practices that have proven effective.

The basic objective is:
Elaboration of recommendations for the reform of primary health care based on international practices that have proven effective, contributing to the reorganization of primary health care centers with independent legal status, development of new principles to stimulate motivation, ensure stability, self-regulation, accountability and democratic principles.


Ensuring correct information and combating misinformation in the COVID-19 pandemic (Complementary activity to the Health Monitor project for good governance in the Republic of Moldova)

Period October, 2020 - January, 2022
Budget USD 38,000
Donor Soros Foundation Moldova
Description

The aim of the project is to increase public awareness and understanding of the response of each individual, community and state authorities to the COVID-19 pandemic in the Republic of Moldova.

The basic objectives are:

  1. Promoting credible information sources in the Moldovan society during the COVID-19 pandemic.
  2. Promoting and maintaining in the media the flow of information on COVID-19 from credible sources, based on evidence and argued by qualified specialists.

UNFPA country program for the Republic of Moldova

Period April, 2020 - December, 2020
Budget USD 22,487
Donor UNFPA Moldova
Description

The overall goal of the program is to enhanced health system capacity to develop and implement policies and programs at all levels that ensure equal access to high-quality sexual and reproductive health and reproductive rights services, including commodities by those women, adolescents and youth left furthest behind, including in humanitarian settings.
Objective:

  • Capacities building of NGOs' staff to deliver qualitative HIV Prevention Services to Key Populations.

COVID - 19 media coverage through multimedia formats

Period March, 2020 - June, 2020
Budget USD 4,595
Donor Internews Moldova Subgrant
Description

The goal of this project was to increase the quality of information on COVID-19 in the Republic of Moldova.

On one hand, by training the journalists on reporting crisis information for public health, increase the number of balanced information on COVID 19 in the Republic of Moldova. On the other hand, by building an information campaign on COVID-19 dedicated to the public. The E-Sanatate.md Platform’s team made a series of short video materials with questions and explanations of crisis communication experts in public health emergencies in Moldova or abroad (WHO experts, for example). These was based on general rules that journalists have to take into account when reporting on public health emergencies, as well as on the concrete situations that journalists are facing at the moment, when they are confronted with the COVID-19 pandemic. The video materials answered to many journalists' questions to make more efficient and constructive the communication with the public, but also with the authorities.

At the same time, during the information campaign dedicated to the society was used several multimedia elements: video sequences with explanations from doctors and public health experts and other interactive elements.

Location: Moldova (at national level).


Improving national legislation in the field of pharmacy in line with international practice

Period January, 2020 - December, 2022
Budget USD 125,000
Donor Soros Foundation-Moldova
Description

The purpose of the program is to increase the population's access to medication by improving the legislative framework in the pharmaceutical field.

The main objective is to improve the national legislation in the pharmaceutical field with international best practices

The activities of the project consist of ex-post legal evaluation and ex-post impact assessment of the existing Law on Pharmaceutical Activity, with the amendments, and elaboration, jointly with the relevant authorities and the academic community in the pharmaceutical field, of the draft Law on Pharmacy (in new wording), the dossier of documents to this draft law (information note, impact analysis, concordance table, etc.), as well as promotion of the draft Law for approval by the Parliament.

Location: Moldova (at national level).


Facilitating the efficient and effective implementation of the regulatory framework related to ensuring the access of the population to essential medicines under ambulatory conditions

Period November, 2019 - December, 2020
Budget USD 34,900
Donor Soros-Moldova Foundation
Description

The aim: to facilitate the access of the population to essential medicines under ambulatory conditions. Оbjectives:

  1. Adjustment of the National List of Essential Medicines for adults and children prescribed in outpatient conditions, based on the current regulatory framework and recommendations of the World Health Organization (WHO).
  2. Develop a set of indicators to monitor access to essential medicines for adults and children prescribed in outpatient conditions.
  3. Elaboration of the Regulation for the Selection Committee for the essential drugs.

Advocacy for the implementation of a sustainable mechanism for ensuring the transparency of public money in health

Period June, 2019 - August, 2020
Budget USD 29,993
Donor Soros-Moldova Foundation
Description

The overall goal of the program: Increased transparency, accountability, economic efficiency and the effectiveness of public money spending by public-funded health institutions.

The objective is to implement efficient and effective implementation of the legislative and normative provisions of financial transparency and activity of the public health financial institutions.


Healthy Information

Period March, 2019 - November, 2019
Budget USD 6,937
Donor Internews Moldova (Subgrant)
Description

The overall goal of the program was to combat with facts and with the help of health specialists false information about the challenges people would face when interacting with health related issues.

Objectives:

  1. To increase the level of health awareness of population by counteraction common myths and misinformation by presenting truthful, evidence-based and expert information;
  2. To combat the manipulative and distorted information by public and other actors with arguments, references to legislation, analysis, evidence and their presentation in the form of analysis, investigations, news on the E-Sanatate.md Platform.

Location: Moldova (at national level).


Sănătos Informațional

Period March, 2019 - October, 2019
Budget USD 6,937
Donor Internews Moldova
Description

The overall goal of the program is to combat with facts and with the help of health specialists false information about the challenges people would face when interacting with health related issues.

Objectives:

1) Increasing population's level of health awareness by counteractiogn common myths and misinformation by presenting truthful, evidence-based, expert information;

2) Combating manipulative and distorted information by public and other actors with arguments, references to legislation, analysis, evidence and their presentation in the form of analysis, investigations, news on the Platforma E-Sanatate.md.


UNFPA country programme for the Republic of Moldova

Period January, 2019 - December, 2019
Budget USD 47,539
Donor UNFPA Moldova
Description

The overall goal of the program is to enhanced health system capacity to develop and implement policies and programmes at all levels that ensure equal access to high-quality sexual and reproductive health and reproductive rights services, including commodities by those women, adolescents and youths left furthest behind, including in humanitarian settings and use of high-quality disaggregated data on sexual and reproductive health, with a focus on young people and gender-based.

Objectives:

1) Assessment of the SRH indicators into health system;

2) Study on Teen Pregnancy in Republic of Moldova;

3) Assessment of compliance of services provided by NGOs working with key populations and relevant health care providers with provisions of SWIT, MSMIT, TRANSIT, IDUIT.


TB-REP 2.0: Advancing people-centered quality TB care-from the new model of care towards improving DR-TB early detection and treatment outcomes

Period January, 2019 - December, 2021
Budget USD 5,748,822 (including USD 4,998,976 for the main allocation and USD 749,846 for the additional allocation)
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

For the main allocation the overall goal was to foster timely TB case detection and improved treatment outcomes in patients with special emphasis on drug-resistant TB, in eleven Eastern European and Central Asian countries through meaningful involvement of communities and civil society and integrated people-centered TB care delivery systems able to address the needs of key and vulnerable populations. Program interventions was structured around two main objectives:

  1. To ensure full engagement of communities and civil society in TB prevention and care for improving TB and DR-TB case detection and patient care outcomes;
  2. To strengthen health systems to enable integrated patient-centered TB and DR-TB care delivery systems for meeting challenges and addressing the needs of key populations.

Location: Eastern European and Central Asian region (Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Tajikistan, Turkmenistan, Ukraine and Uzbekistan).

The project engaged a wide range of partners at regional level, such as World Health Organization Regional Office for Europe (WHO/Europe), TB Europe Coalition (TBEC), TB People and Global TB Caucus (GTBC), as well as the country level in all 11 countries covered: Ministries of Health, National TB Programs, civil society and affected communities’ organizations. PAS Center successfully completed the three-years project which required good management, communication skills on behalf of PAS Center team to ensure the smooth work of diverse, multicultural teams of partners, including consultants hired for technical assistance.

In 2021, within an additional allocation related to COVID-19 prevention and care, PAS Center implemented activities focused on four TB-REP 2.0 countries (Armenia, Azerbaijan, Georgia and Moldova), that includes:

  • Increase access and accelerate systematic bidirectional TB/COVID screening through CSO engagement in campaigns and intensified case-finding
  • Community-led campaign to encourage Codiv-19 vaccination in key and vulnerable populations for TB
  • Engage community TB outreach platforms in TB/COVID-19 bi-directional testing for people with symptoms of TB and COVID-19.

Engage TB NGO frontline workers in primary differentiated screening of people with TB/ COVID-19 in need of immediate medical care.


People centered TB care in Moldova: Scaling up digital treatment adherence approach

Period July, 2018 - March, 2021
Budget USD 423,250
Donor UNOPS/STOP TB Partnership-TB REACH Initiative Wave 6
Description

The overall goal of the program was to produce additional treatment success through scaling up digital treatment adherence approach with proven success and community-led monitoring in Moldova.

Program interventions was structured around two objectives:

  1. To strengthen TB treatment adherence through innovative monitoring technology by rolling out video-observed treatment (VOT) at national level;
  2. Increase the role of patient in TB patient-centered model of care through community role in collecting, analysis and communicate information on the availability and quality of services, barriers to accessing these services and inequalities through promotion of community-led monitoring.

The project covered 22 administrative units (2 municipalities and 20 districts) from Republic of Moldova, including Transnistria region.


UNFPA country program for the Republic of Moldova 2018-2022

Period February, 2018 - December, 2022
Budget USD 204,394
Donor UNFPA Moldova
Description

The overall goal of the program is to insure the people of the Republic of Moldova, in particular, the most vulnerable, to demand and benefit from democratic, transparent and accountable governance, gender sensitive, human rights and evidence based public policies, equitable services, efficient, effective and responsive public institutions, inclusive and equitable education, health and social policies and services.

The program interventions were structured around two main objectives:

  1. To enhanced health system capacity to develop and implement policies and programs at all levels that ensure equal access to high-quality sexual and reproductive health and reproductive rights services, including commodities by those women, adolescents and youth left furthest behind, including in humanitarian settings that include such activities as: assessment of the capacity building needs of NGO s working with key populations and relevant health care providers related to implementation of comprehensive HIV implementation tools for key populations; capacity building of the NGOs staff in the area of HIV prevention among key populations on strengthening interlinkages between HIV Prevention and other sexual and reproductive health (SRH) services by conducting a series of trainings with various thematic and development and launching of an innovative on-line learning course for NGOs staff including various thematic training modules on HIV prevention among key population, including young key populations to ensure the sustainability of the capacity building interventions, considering the high turn-over of the NGOs' staff & peer volunteers.
  2. To increase availability and use of high-quality disaggregated data on sexual and reproductive health, with focus on young people and gender-based by policy and decision makers at national and local levels.

Location: Moldova (at national level), including Transnistria region.


Unifying Spatial and Genomic Analysis to Inform Strategic and Measure the Effectiveness Intervention in the Republic of Moldova

Period February, 2018 - December, 2020
Budget USD 271,373
Donor The International Union Against Tuberculosis and lung Disease
Description

This scientific project comes to help the NTPs to develop the programmatic activities in the future.

The objectives of the project:

  1. To fully characterize TB transmission patterns within the Republic of Moldova;
  2. To better understand the relative contribution of acquired and transmitted resistance to the MDR epidemic;
  3. To understand how sequencing can be used to inform the rational targeting of TB interventions;
  4. To build local capacity for interpreting WGS data and understanding its capacity to inform local responses;
  5. To estimate costs and explore the feasibility use of WGS within the Moldovan TB program.

The activities are focused on conducting a prospective, genomic analysis of all culture-positive TB cases diagnosed in 2018 and 2019 in the R. Moldova to investigate the distribution and transmission of M.tuberculosis across the country. Phylogenetic methods were used to identify putative transmission clusters and spatial and demographic data were analyzed

to further describe local transmission of M tuberculosis strains.

This study demonstrates the potential role of comprehensive genomic surveillance for understanding the complex transmission patterns of M.tuberculosis and highlights the urgent need of new interventions to interrupt transmission of highly-resistant M. tuberculosis in Moldova and other high burden MDRTB countries in European Region. 


Strengthening Tuberculosis control in the Republic of Moldova, 2018 - 2020

Period January, 2018 - December, 2020
Budget USD 3,920,627
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal of the program was to reduce the burden of tuberculosis in Moldova by ensuring universal access to quality diagnoses and treatment, implementing sustainable patients – centered approaches, addressing the needs of high-risk groups and strengthening the National TB Program management capacities.

The main activities were focused around 3 objectives:

  1. To ensure universal access to timely and high quality of all forms of TB including m/XDR-TB;
  2. To strengthen patient- centered approaches to M/XDR-TB treatment;
  3. To improve management of HIV- associated tuberculosis.

The project contributed to the implementation of the new technologies for TB diagnoses and the implementation of the new approaches to the care of people with TB (people centered approach).

Location: Moldova (at national level), including Transnistria region.


Strengthening TB control in the Republic of Moldova

Period January, 2018 - December, 2020
Budget EUR 3,960,620
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal of the program is to reduce the burden of tuberculosis in Moldova by ensuring universal access to quality diagnoses and treatment, implementing sustainable patients – centred approaches, addressing the needs of high-risk groups and strengthening NTP management capacity.

Objectives:

1) To ensure universal access to timely and high quality of all forms of TB including m/XDR-TB;

2) To strengthen patient- centered approaches to M/XDR-TB treatment;

3)  To improve management of HIV- associated tuberculosis.


UNFPA country programme for the Republic of Moldova

Period January, 2018 - December, 2018
Budget USD 60,295
Donor UNFPA Moldova
Description

The overall goal of the program is to enhanced health system capacity to develop and implement policies and programs at all levels that ensure equal access to high-quality sexual andreproductive health and reproductive rights services, including commodities by those women, adolescents and youths left furthest behind, including in humanitarian settings and increased availability and use of high-quality disaggregated data on sexual and reproductive health, with a focus on young people and gender-based.

Objectives:

1) Number of NGOs staff trained in using comprehensive HIV Tools for Key Populations (SWIT, MSMIT, TRANSIT, IDUIT);

2) The national health information system includes disaggregated data on sexual and reproductive health and gender-based violence.


Palliative care in Republic of Moldova

Period December, 2017 - December, 2019
Budget USD 47,378
Donor Soros Foundation-Moldova
Description

The overall goal of the program is to develop and disseminate the palliative care services to ensure access to palliative care as an integral part of the right to healthcare centered on  patient's needs.

Objectives:

1) To carry out a comprehensive analysis of the evolution of palliative care during the period 2007-2017 in the Republic of Moldova;

2) To carry out a quantitative and qualitative study on the access and quality of palliative care services in the Republic of Moldova;

3) Profduce a Final Report "Palliative Care in the Republic of Moldova. Ten years of change".


Strengthening palliative care in the Republic of Moldova

Period December, 2017 - February, 2022
Budget USD 104,877
Donor Soros Foundation Moldova
Description

The aim of the project was to implement in the Republic of Moldova the biopsychosocial model of palliative care financed from the basic fund of compulsory health insurance; to contribute to the approval of the legislation ensuring the provision of palliative care services on a multidisciplinary basis and financed from the basic fund of compulsory health insurance, as well as to the development of a sub-legislative regulatory framework for the organization and functioning of palliative care services in the Republic of Moldova.
The objectives of the project was the following:

  1. To carry out a comprehensive analysis of the evolution of palliative care during the period 2007-2017 in the Republic of Moldova;
  2. To carry out a quantitative and qualitative study on the access and quality of palliative care services in the Republic of Moldova;
  3. To produce a Final Report "Palliative Care in the Republic of Moldova. Ten years of change".
  4. To promote the establishment and development of the capacities of the Platform / National Coalition for the Consolidation of Palliative Care;
  5. To advocate through the National Platform / Coalition for the Strengthening of Palliative Care in favor of approving the legislative framework favorable to the multidisciplinary approach to palliative care with funding from the Basic Compulsory Health Insurance Fund;
  6. To promote through the National Platform / Coalition for the Consolidation of Palliative Care the efficient and effective implementation of the provisions of the new legislative regulations in the field of palliative care, focusing on the regulatory framework for the organization and operation of palliative care services.

The project activities were focused on developing, in partnership with relevant public authorities and palliative care providers, the legislative and regulatory framework for the organization and functioning of palliative care services in the Republic of Moldova, and its approval at Government and Parliament levels.

Location: Moldova (at national level).


Facilitating the efficient and effective implementation of the regulatory framework related to ensuring the access of the population to essential medicines under ambulatory conditions

Period November, 2017 - December, 2020
Budget USD 82,278
Donor Soros-Moldova Foundation
Description

The aim of the project was to facilitate the access of the population to essential medicines under ambulatory conditions.

The objectives of the project were:

  1. Adjustment of the National List of Essential Medicines for adults and children prescribed in outpatient conditions, based on the current regulatory framework and recommendations of the World Health Organization (WHO).
  2. Development a set of indicators to monitor access to essential medicines for adults and children prescribed in outpatient conditions.
  3. Elaboration of the Regulation for the Selection Committee for the essential drugs.

Location: Moldova (at national level).


Enhancing people's access to medicines

Period November, 2017 - June, 2019
Budget USD 70,140
Donor Soros Foundation-Moldova
Description

The overall goal of the program is to promote and contribute to improve the implementation in the RM of the National List of Essential Medicines (NLEM) adjusted to the WHO List of Essential Medicines (LEM) and a NLEM with Compensated Medicines List under a transparent, holistic and feasible evaluation, inclusion/exclusion of drugs in the list of compensated within the compulsory health insurance system.

Objectives:

1) Assess the implementation of the concept of essential medicines in the national health system and identifying the factors for enhancing the transfer of the concept into the national practice;

2) Analyze the evaluation mechanism, inclusion/exclusion of drugs in the list of compensations within the compulsory health insurance system.


Monitoring the distribution and use of money from Moldova's mandatory health insurance funds

Period June, 2017 - June, 2018
Budget USD 36,000
Donor Soros Foundation-Moldova
Description

The overall goal of the program is to monitor and promote the transparency of the use of public money in the health insurance system, ensuring access to the entire process, starting from the decisions of the Management Board of the National Health Insurance Company (NHIC), public/private medical and sanitary institutions and reporting.

The objective of the Programme is to present the information to decision-makers within the NHIC (Decisions of the Management Board, strategies, internal departments, financial reports, etc.) in order to promote the transparency of the process of allocating the public money intended for the contracting of public/private medical institutions.


Implementing Participatory Social Accountability for Better Health, 2016-2020

Period October, 2016 - January, 2020
Budget USD 730,000
Donor The World Bank / Global Partnership for Social Accountability
Description

The overall goal of the program was to inform users of health services in selected rayons about the performance, quality, and efficiency of hospitals and primary care clinics within a certain radius of their residence in order to improve service delivery.

The project consisted of four components:

  1. Promoting citizen monitoring of hospital performance;
  2. Strengthening performance based incentive program in family medicine through social audits of primary healthcare institutions;
  3. Creating an enabling environment for informed public dialogue in health;
  4. Facilitating knowledge and learning to enhance effectiveness of social accountability interventions.

The project assisted the Government’s effort to improve health governance, increase health sector development effectiveness and empower citizens through enabling the appropriate environment for social accountability interventions in Moldova. There were enforced the mechanisms of accountability, including efforts to enhance citizen knowledge and use of conventional mechanisms, through promoting transparency and civic engagement. The project comprised a set of interventions, which enabled citizens and civil society organizations to hold the public authorities accountable.

Location: Moldova (at national level).


TB Regional Eastern Europe and Central Asia Project on Strengthening Health Systems for Effective TB and Drug Resistant-TB Care, 2016-2018

Period January, 2016 - December, 2018
Budget USD 6,051,191
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal of TB-REP is to improve TB and DR-TB outcomes in the targeted EECA countries through a health systems strengthening approach that leads to the wide adoption of patient centred approaches for the provision of TB and DR-TB prevention, treatment, and care services.

Program interventions was structured around three objectives:

  1. To increase political commitment to TB and M/XDR-TB control through regional cooper-ation and evidence sharing for better governance of national TB programs;
  2. To develop and disseminate evidence on effective TB services delivery systems for im-plementation of patient-centred approaches and innovative models of care;
  3. To ensure sustainable financing of TB control and efficient funds allocation mechanisms.

Organizations participating in TB-REP include the Moldovan nongovernmental organization PAS Center as the principal recipient, World Health Organization Regional Office for Europe as lead technical partner, the London School of Hygiene and Tropical Medicine, the London School of Economics and Political Science, the European Respiratory Society, the Stop TB Partnership, the TB Europe Coalition and the Alliance for Public Health Ukraine.

Location: Eastern European and Central Asian region (Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, the Republic of Moldova, Tajikistan, Turkmenistan, Ukraine and Uzbekistan). 


Strengthening Tuberculosis control in the Republic of Moldova, 2015-2017

Period July, 2015 - December, 2017
Budget EUR 6,116,310
Donor Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal of the program is to reduce the burden of tuberculosis (including M/XDR-TB) in Moldova by ensuring universal access to quality diagnosis and treatment, implementing sustainable patient-centered approaches, addressing the needs of high-risk groups and strengthening NTP management capacity.

Objectives:

1) To ensure universal access to timely and quality diagnosis of all forms of TB including M/XDR-TB;

2) To ensure universal access to quality treatment of all forms of TB including M/XDR-TB;

3) To strengthen patient-centered approaches to M/XDR-TB treatment;

4) To improve management of HIV-associated tuberculosis;

5) To strengthen national TB control program management, coordination, monitoring and evaluation.


Strengthening HIV control in Republic of Moldova, 2015-2017

Period January, 2015 - December, 2017
Budget EUR 8,248,729
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal of the program is to support an effective response to HIV in the Republic of Moldova in order to reduce prevalence among KAP and AIDS related mortality through improving access KAP to essential HIV prevention, diagnostic, treatment, care and support services.

Objectives:

1) To increase access to evidence-based HIV prevention; 

2) To ensure universal access to comprehensive HIV treatment, care and support; 

3) To strengthen community capacity and ensure program sustainability.


Expanding access to rapid diagnosis of TB and MDR-TB in Moldova by Xpert MTB/RIF, with spacial emphasis on high risk groups

Period October, 2014 - March, 2016
Budget USD 929,682
Donor Stop TB Partnership, WHO, TB Reach Wave-4
Description

Goal of the project to expand access to rapid diagnosis of TB and MDR-TB in Moldova by Xpert MTB/RIF, with special emphasis on high risk groups.

Objectives:

1) Rollout of Xpert technology to the district level;                                            

2) Intensified TB case finding in prisoners using Xpert testing and strengthening TB information system in the penitentiary sector;  

3) Intensified TB case finding in PLWH tusing Xpert testing.


Enhancing TB diagnosis and MDR detection by rolling out Xpert MTB/RIF technology at district level, with special emphasis on high risk groups – prisoners and PLWH

Period October, 2011 - September, 2014
Budget USD 996,964
Donor Stop TB Partnership, WHO, TB Reach Wave-2
Description

The overall goal of the program is to enhance TB diagnosis and MDR detection by rolling out Xpert MTB/RIF technology at district level, with special emphasis on High-risk groups-prisoners and PLWH.

Objectives:

1) Rollout of Xpert technology to the district level;

2) Intensified TB case finding in prisoners by Xpert and strengthening TB information system in the penitentiary sector;

3) Intensified TB case finding in PLWH by Xpert.


Developing early childhood intervention system for children in the Republic of Moldova

Period April, 2011 - December, 2011
Budget EUR 18,890
Donor Soros Foundation Moldova, Centre for Early Intervention „Voinicel” (Moldova)
Description

The overall goal of the program is to development of the legal framework for Early Childhood Intervention in the Republic of Moldova.

The objective of the Programme is to support development of legal and policy framework to integrate early childhood interventions for children with disabilities into existing systems in the Republic of Moldova; support central and local authorities to strengthen monitoring and evaluation system on child disability.


Advocating for the Creation of the National Coordinating Council for Tobacco Control and the Development and Passage of National Comprehensive FCTC-Compliant Legislation - Smoke Free Moldova

Period February, 2011 - March, 2017
Budget USD 46,619 per year
Donor Bloomberg Philanthropies through Tobacco - Free Kids Action Fund
Description

The overall goal of the program is to align national legal framework according to WHO Framework Convention on Tobacco Control provisions and development of an efficient implementing mechanism.

Objectives:

1) To promote establishment and build capacity of the National Coordinating Council for Tobacco Control.

2) To advocate for the strong FCTC-compliant tobacco control legislation through NCCTC.

3) To advocate for the passage of the FCTC-compliant legislation.


Empowerment of People with Tuberculosis and Communities in Moldova, 2010-2015

Period October, 2010 - June, 2015
Budget EUR 7,434,590
Donor Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal  is to reduce the burden of Tuberculosis in the Republic of Moldova.

Objectives:

First Implementation Period (October, 2010- December, 2012)

1) To ensure universal access to diagnosis and treatment of drug-resistant tuberculosis;

2) Mobilize resources to support community-level partnerships;

3) Remove barriers to care for poor and other vulnerable communities;

4) Strengthen the health system and engage all available partners in TB control;

5) Advocacy, communication and social mobilization (ACSM);

6) Integrate TB services on both sides of the prison walls; and

7) Operational research in priority issues of TB.

 

Second Implementation Period (January, 2013- June,2015)

1) To strengthen community involvement and foster partnerships for effective TB control; 

2) To ensure successful TB case management through patient support and strengthening health system capacities. 


Enhancing the influenza surveillance and control system in the Republic of Moldova

Period March, 2010 - December, 2020
Budget USD 1,212,351
Donor Centers for Disease Control and Prevention
Description

The overall goal of the program is to sustaining Influenza Surveillance Networks and Response to Seasonal and Pandemic Influenza in the Republic of Moldova.

Objectives:

1) Strengthen and maintain national routine influenza reporting as part of surveillance;

2) Review the national influenza surveillance and control system to identify shortcoming and challenges with regard to epidemiological and virological data collection, analysis, reporting, and information sharing and implementation public health measures;

3) Strengthen and maintain sentinel surveillance for SARI, ARI and ILI and expand the number of Hospital -based surveillance sentinel sites;

4) Strengthen and maintain laboratory capacities for influenza testing and reporting at the National Viral Laboratory;

5) Improve and maintain an information management system for influenza surveillance data.


Health Monitor for Good Governance in Moldova Project

Period January, 2010 - December, 2020
Budget USD 49,500 per year
Donor Soros Foundation-Moldova
Description

The overall goal of the program is to maintain and develop sustainable mechanisms for independent and neutral monitoring of health policies in order to promote good governance in the Republic of Moldova’s health system.

The objective is to monitor central and local health authorities’ actions through constant monitoring of public policy development and subsequent reflection in mass media. The project aims to solve problems in the health system by establishing a broad dialogue between the central government (Ministry of Health), consumers of health services, civil society, multilateral and bilateral international institutions, and the other parties as well, by creating a mechanism to monitor the health system situation and the impact of policies and interventions on the health reforms stipulated in the governmental policy documents, sectoral and intersectoral policies in the field of health. This information is accessible to the public, for those who will make decisions and also for foreign partners and other stakeholders.

Location: Moldova (at national level).


Reducing HIV-related burden in the Republic of Moldova, 2010 - 2014

Period January, 2010 - December, 2014
Budget EUR 12,057,410
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal of the program is to ensure prevention among key affected populations, reduction of the negative impact of the epidemic through provision of care, treatment and support to PLHIV.

Objectives:

1) To develop capacity and ensure sustainability;

2) To support PLHIV, PWID and ensure sustainability; and

3) To ensure engagement of civil society and key affected populations and promote human rights.

The key activities implemented to reach these objectives were:

1) improving previously achieved performances to ensure higher accessibility for PLHIV to medical and no-medical services;

2) institutionalizing capacity building of service providers in HIV/AIDS through e-learning;

3) monitoring and supervision of social assistance for PLHIV;

4) increasing quality of life and improving OST adherence;

5) psycho-social support to PWID and ensuring OST adherence;

6) supporting children infected and affected by HIV/AIDS;

7) strengthening Regional Social Centers for PLHIV;

8) assessing the situation on human rights and HIV;

9) providing legal support and litigation; and

10) ensuring engagement of civil society and key affected population.

Direct target group/beneficiaries of this project are: HIV infected adults and children.

Indirect target group are: Health and social protection specialists, namely: key stakeholders at the national and relevant line institutions, primary health care providers, infectious disease physicians, MDT Care Team professionals, members of ARV teams, students of Medical University and Colleges, students of social assistance departments within Moldovan Universities, social assistants, public health managers, service providers in HIV/AIDS, NGOs and lawyers, actively working in HIV/AIDS etc.


The Integrated Tabletop platform for Rapid Detection of XDR-TB in Clinical Samples

Period September, 2009 - December, 2020
Budget USD 550,317.41
Donor The Regents of the University of California, San Diego
Description

The Programme was focused on the evaluation of the accuracy of the Akonni Biosystems XDR-TB TruArray and lateral-flow cell (XDR-LFC) assay, a novel assay that detects mutations in seven genes known to confer resistance to antitb drugs: katG, inhA promoter, and ahpC promoter (isoniazid), rpoB (rifampin), gyrA (fluoroquinolones), rrs and eis (kanamycin), and rrs (capreomycin and amikacin).

The objectives of the Programme was:

  1. To reduce the average XDR-TB detection time from months to a week;
  2. To determine agreement between rapid tests and standard DST results.
  3. To identify the genetic basis of discordant results from Aim 2.
  4. To characterize XDR-TB strains globally.

The evaluation of assay performance was based on using of direct sputum samples from 566 patients from Moldova over 2 years. Rapid sputum-based resistance testing for drugs including bedaquiline, linezolid, and delaminid, among others, will be increasingly valuable given growing widespread use in Moldova and other high burden MDRTB countries globally.

The results of study comes to help the WHO to develop TB strategic action plan for the next years.


Preventing Hepatitis B and C in Moldova Project

Period May, 2009 - April, 2011
Budget USD 1,383,760
Donor Japan Social Development Fund through World Bank
Description

The aim of the project is the prevention of viral hepatitis B and C, as well as the further development of a quality blood service.

Project objectives:

1) To increase the knowledge on ways of transmitting viral hepatitis among the vulnerable population (youth, migrants, rural population) and key population at risk (commercial sex workers, drug users, prisoners);

2) To promote the use of Voluntary Counseling and Testing services for HIV and Hepatitis B and C;

3)  To develop an all-volunteer blood donation pilot program and high-quality sustainable blood services                                                                                                                             


Providing social support and increasing PLWH's adherence to ARV treatment

Period May, 2008 - September, 2009
Budget USD 24,079
Donor Soros Foundation-Moldova
Description

The overall goal of the program is to providing social support and increasing PLWH compliance to ARV treatment.

The objective of the Programme is to providing reimbursement for travel expense for PLWH that came to the Republic Institution (DDVR) for monitoring, receiving ARV therapy and peer to peer counseling.


Prevention of mother-to-child transmission of HIV (PMTCT) and capacity building in voluntary counseling and testing (VCT)

Period January, 2008 - December, 2009
Budget USD 67,500
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria (Round 6)
Description

The overall goal of the program is to expand HIV prevention, treatment and care, to ensure universal access to Highly-active antiretroviral treatment (HAART), to increase voluntary counseling and testing among those at highest risk, and to scale up prevention for the vulnerable groups.

Project objectives:

1) To reduce sexual and mother-to-child transmission (MTCT) of HIV/STIs and transmission of HIV via needle sharing by scaling up the access of population to prevention and testing services;

2) To foster equal access of PLWHA through epansion of social and health services and measures to combat discrimination and stigma;

3) To strengthen government and community capacity to cope with the HIV epidemic, through partnerships and enhanced and coordination.


Support to orphan children and those vulnerable for HIV

Period January, 2008 - December, 2009
Budget USD 275,550
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria (Round 6)
Description

The overall goal of the program is to support orphans and vulnerable to HIV children through expansion of social and health services and applaying measures to combat discrimination and stigma.

Project objectives:

1) To strengthen social services for children infected with and affected by HIV/AIDS through extending and developing existing network of playrooms in Moldova, including the children room from the ARV Treatment Department;

2) To improve quality of life of children vulnerable to HIV through the organization of summer camps for rehabilitation of children and training of parents.


Strengthening TB control in the Republic of Moldova

Period October, 2007 - September, 2012
Budget USD 738,659
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria (Round 6)
Description

The overall goal of the program is to reduce the burden of the TB.

Project objectives:

1) To strengthen DOTS realization to improve TB detection and case management;

2) To improve management of drug resistant tuberculosis by extension of implemented DOTS-Plus Project

3) To strengthen the management and coordinator of the National Healthcare System for TB patients&Management of project;

4) To increase public awareness of tuberculosis, reduce stigmatization.


Strengthening Antiretroviral treatment adherence in the Republic of Moldova

Period May, 2007 - May, 2008
Budget USD 63,706
Donor The Global Fund to Fight AIDS, Tuberculosis and Malaria
Description

The overall goal of the program is to support the Government's efforts to control HIV/AIDS.

The objective of the Programme is to assist the country to achieve its health -related Millennium Development Goals (MDG) through improving Moldova's health status by reducing mortality, morbidity and transmission of Tuberculosis, HIV/AIDS and other sexually transmitted infections.