Capacity-building in public health for doctors from the left bank of the Dniester River

WHO/Igor Vrabie

WHO and the School of Public Health Management, Chisinau, Republic of Moldova, organized a training specifically designed for doctors from the left bank of the Dniester River (Transnistria). This unprecedented collaboration enabled a group of 22 doctors from the left bank to deepen their knowledge of public health operations. Completed in April 2018, the course focused on governance and management of modern health systems and the role of new public health concepts in shaping effective health service delivery to meet the needs of the population.

Many elements of the health system from the left bank are outdated and require reform and modernization. The region is facing challenges related to health financing, a shortage of competent workers and relevant skills-mix. The health system in Transnistria is confronted with significant problems such as demographic challenges and a changing epidemiological profile, including a growing burden of noncommunicable diseases. These challenges require innovative solutions in reforming services delivery and health systems in general.

“The course provided us with new knowledge in modern management, quality health service delivery and effective public health operations. Now is the right time to think and put new knowledge into practice in order to provide better health care to the population we serve,” commented one of the participating doctors, Evgheni Calalb, Head of Tiraspol Emergency Centre.

Practical simulation exercises and study visits on the right bank

Six 1-week training modules were delivered from September 2017 to April 2018 covering:

  • governance for health
  • competent public health workforce
  • organizational structures and financing
  • information, communication and social mobilization for health
  • advancing public health research to inform policy and practice.

The participants had the opportunity to join several study visits to health-care facilities and international organizations on the right bank. They were familiarized with the work of international organizations in the health sector in the Republic of Moldova. The trainees were provided with an overview of the United Nations and the World Bank activities in the health sector, health-oriented projects funded by the Swiss Agency for Development and Cooperation, and European Union support for health sector reform. The group learned about autonomy of service providers, principles of mandatory health insurance, and quality management in health services. During the visit to the National Health Insurance Company, they were familiarized with health financing reform and future plans to improve the quality of service delivery.

In addition, the group participated in simulation exercises organized at the University Centre for Simulation in Medical Training, Chisinau.

WHO support for this activity is included in the Biennial Collaborative Agreement between the Ministry of Health of the Republic of Moldova and WHO/Europe. The initiative is funded by the European Union programme “Support to Confidence Building Measures” and coordinated by WHO under technical assistance and capacity-building activities in the health sector.