Republic of Moldova
Grant amount: $150,000
Details: Site visits by HIS experts, developing comprehensive national HIS strategic plan, data analysis training.
The modern history of the Moldovan health system starts after the Second World War. Prior to 1994 Moldova had a Semashko Model, entirely funded by the state. This system had the following main principles: state monopoly in health care services provision to people, centralized planning and administration, unitary character of health services, universal access to free-of-charge health care, participation of people in the health-related decision making process. These principles were mere declarations, as the quality of health care services was low, the access to essential health services and drugs was limited, the governing decisions were not based on evidence and didn’t respond to the patients’ needs, and the informal payments increased every year.
The reform of the health system of the Republic of Moldova started in 1995, when the World Bank and the Moldovan Government started negotiating the enhancement of the health system and adoption of the Law on Health Protection nr. 411-XIII from 28 th of March 1995. At this stage new principles regarding health financing and organization of primary and secondary health care have been established, private health sector started to be developed, etc. In 1997 the reform of Primary Health Care started. Based on Strategy for reforming of health sector in newly economic conditions, that has been approved by the Government of the Republic of Moldova decision Nr. 668 from 17th of July 1997, Primary Health Care sector (family medicine) started to be developed, number of hospitals and beds has been decreased, basic package of services guaranteed by the state has been defined.