Progressing towards Universal Health Coverage in Moldova
Switzerland supports Moldova’s efforts to achieve better health of the population, through ensuring universal access to affordable medical services of good quality. In its 2nd (exit) phase, the project will accompany the health authorities in advancing health financing and service delivery reforms, improving the efficiency and responsiveness of the healthcare system, promoting transparency and accountability in the health sector, and empowering service users and civil society organizations to oversee healthcare services, their quality and resource allocation.
Región/País | Tema | Período | Presupuesto |
---|---|---|---|
República de Moldova |
Salud
Fortalecimiento del sistema sanitario
Servicios médicos |
01.05.2024
- 30.06.2027 |
CHF 3’555’000
|
- Enhancing the capacities of the health authorities in evidence-based policy- and decision-making, addressing the inadequate distribution of resources (financial, human, etc.) in the health sector, fragmentation of services, and limited access to affordable and good quality healthcare, esp. for vulnerable groups and in underserved areas.
- Scaling up to national level and institutionalization of social accountability tools and mechanisms in healthcare institutions; increased awareness and engagement of the civil society and service-users / patients across the country in promoting transparency and accountability in the health sector.
- Cruz Roja Suiza
- Banco Mundial - Banco Internacional de Reconstrucción y Fomento
- Health consultant hired to directly support the Ministry of Health (to be selected)
-
Sector según clasificación del comité de ayuda al desarrollo de la OCDE SALUD
SALUD
Sub-Sector según clasificación del comité de ayuda al desarrollo de la OCDE Política sanitaria y gestión administrativa
Servicios médicos
Temas transversales El proyecto apoya también mejoras en la organización contraparte
Tipo de ayuda Mandato con fondos fiduciarios
Mandato sin fondos fiduciarios
Contribución a proyectos y programas
Número de proyecto 7F09461
Contexto | Switzerland contributed to significant improvements in Moldova's healthcare system over the past two decades. Nevertheless, numerous challenges and structural weaknesses persist, incl. fragmentation of services combined with inadequate distribution of resources; concentration of human and technical capacities in the capital, leading to limited access to quality healthcare services in remote and rural areas; weak cross-sectoral cooperation (health, social, labour, etc.); low health literacy among the population; etc. Despite an increase in mandatory health insurance’s coverage, people in Moldova still face important health-related financial risks; accessing affordable healthcare services of good quality is especially difficult for vulnerable groups. The health sector is perceived by the population as being one of the most corrupt, with most common and visible forms of corruption being related to service delivery. |
Objetivos | Moldovan population enjoys quality healthcare with adequate financial protection. |
Grupos destinarios |
Target group/s: Final beneficiaries: |
Efectos a medio plazo |
Outcome 1: Moldovan health authorities implement health sector reforms to ensure sustainable, effective and efficient distribution of resources and demand-oriented services in healthcare for all, including vulnerable population and underserved areas. Outcome 2: Service users and civil society (NGOs, patients’ associations, etc.) promote and demand social accountability in the healthcare sector. |
Resultados |
Resultados previstos: Resultados de las fases anteriores: Despite huge pressure on the health sector caused by the Covid-19 pandemics and the high number of Ukrainian refugees fleeing their country due to the Russian aggression, the first (extended) phase of the project brought notable results. Health sector authorities received support to carry out various assessments and evaluations and collect robust relevant evidence for decision-making on i) improving the health service delivery and performance, ii) aligning financial allocations with performance and population health needs. Critical steps have been taken towards the institutionalization of evidence-based health financing mechanisms and tools. Different social accountability and quality improvement instruments and mechanisms have been piloted in six health institutions (hospitals and Primary Health Care centres) in the Northern districts of Moldova. The project also contributed to increased awareness among the population and key public agencies about patients’ rights and accountability in the health sector. |
Dirección / Officina Federal responsable |
COSUDE |
Crédito |
Cooperación con Europa del Este |
Contrapartes del proyecto |
Contraparte del contrato Institución financiera internacional (IFI) Organización suiza sin fines de lucro |
Coordinación con otros proyectos y actores | The project complements and creates synergies with other ongoing interventions of the Swiss Health portfolio in Moldova, in particular in view of fostering inter-sectorial collaboration, evidence-based financing of health services, and strengthening the referral system between various healthcare and social services. The project also paves the way for a new Swiss-supported intervention planned to start in 2024, focused on the reform of emergency healthcare and rehabilitation services. |
Presupuesto | Fase en curso Presupuesto suizo CHF 3’555’000 Presupuesto actual suizo ya emitido CHF 800’000 Total del proyecto desde la primera fase Presupuesto suizo CHF 5’024’000 Presupuesto inclusive contrapartes del proyecto CHF 8’579’000 |
Fases del proyecto | Fase 2 01.05.2024 - 30.06.2027 (Fase en curso) Fase 1 01.11.2017 - 30.04.2024 (Completed) |