Basis to develop a vision for Child and Adolescent Health and Development: perspectives for the Republic of Moldova


A policy dialogue on Child and Adolescent Health Strategy development in the Republic of Moldova was conducted in Chisinau on 18 September 2012. The event was organized by the Ministry of Health with WHO support, in close partnership with the European Union. The event gathered together decision-makers and representatives of the Ministry of Health, Ministry of Labour, Social Protection of Family and Child, Ministry of Education, Ministry of Youth and Sports, State Medical and Pharmaceutical University, National Institute on Mother and Child Health and health care managers across the country, WHO experts.

An overview of the current status of and developments in Child and Adolescent Health in Europe, and the results of the policy study in Child and Adolescent Health conducted in 2012 were presented at the meeting.

Dr Rodica Scutelnic, Chief of the Hospital and Emergency care department in Ministry of Health that incorporates the Mother and Child Health services, noted in her opening speech: “The Government is acting as Insurer on behalf of some population groups, including children. All mother and child care related costs – regardless of the health system level – are covered by the Government today, including the provision of care for children in outpatient settings with fully-compensated drugs for the treatment of most common conditions. This demonstrated implementation of the WHO Millennium Development Goals, namely MDG 4 that aims to ensure better services and quality of life for children.”

Dr Jarno Habicht, WHO Representative in the Republic of Moldova, underlined that good prerequisites for strengthening of the Child and Adolescent Health systems are in place in Moldova. Development of the strategic document started in 2006, but is still in progress. As next stage it was planned to discuss the situation analyses on child and adolescent health and development and to present the policy study findings and results to all the stakeholders. The delegates were also to agree on the number of immediate and long term activities aimed at improving Child and Adolescent Health in the country.

“It is now the right time to restart the process of developing a vision and policy for child and adolescence health including clear actions for implementation. It is important to have clear leader, as Ministry of Health, and inclusive process involving all relevant stakeholders across sectors. The draft policy study with recommendations will give the clarity regarding the priority actions and health systems responsibilities. The document aims to guide the process of the policy development, will contribute to the overall health reform and improvement of the overall policy framework related to the child and adolescent health, including Youth Friendly Health Services”, added Dr Habicht.

Child and Adolescent Health policy study results

Findings and recommendations from Preliminary results of the conducted policy study:

  • Need to improve the intersectoral collaboration.
  • Need to improve the capacity of implementing and monitoring of the quality standards.
  • Increased disaggregated data and consider possible engagement with Health Behaviour of School Aged Children (HBSC) Surveys.
  • Wider use of Youth Friendly Health Service approaches and standards.
  • Increased role of National Institute of Public Health in the frame of the Child and Adolescent Health and Development programs and services.
  • Access to appropriate IT especially to support Continued Professional Education of Staff; access and transportation issues for rural communities.
  • Age appropriate health promotion and clinical services.
  • Increased involvement of Children and Adolescents in developing services.

Capacity building workshop for Child and Adolescent Health Strategy

The capacity building workshop, conducted on 20 September 2012, highlighted the short term plan for the Child and Adolescent Health Strategy development:

  • Ministry of Health will lead the process and will initiate the process of development of the strategic document in CAH.
  • The State Chancellery will be addressed in order to produce a document to formulate the responsibilities of each Ministry involved into the process of the strategy development.
  • The technical groups to work on identified priorities will be organized based on the document issued by the State Chancellery.
  • The mechanism regarding the Local Public Authorities involvement will be developed.

“This year the WHO endorsed a new strategy – Health 2020, including on child and adolescent health, their welfare, by cutting back on the burden of diseases and by reducing the mortality owing to those; providing for the equity and affordability of health services; making use of cross-sector interventions (across several line ministries). The European policy aims at providing hands-on assistance in developing national policies and design tools to implement the Health 2020 strategy, which one may also use at country level”, said Ms Vivian Barnekow, Programme Officer, Child and Adolescent Health Department, WHO/Europe.

The policy dialogue took place within the framework of the biennial collaborative agreement (BCA) 2012-2013 between the Government and WHO/Europe, and is also part of the WHO/European Union initiative “Supporting policy dialogue on national health policies, strategies and plans in selected countries”.