Evaluation of the structure and provision of primary care in the Republic of Moldova
In many countries in transition, health reforms are part of profound and comprehensive changes in essential societal functions and values. Reforms of (primary) care are not always based on evidence, and progress may be driven by political arguments or the interests of specific professional groups, rather than by the results of sound evaluations. However, policy-makers and managers nowadays increasingly demand evidence of the progress of reforms and the responsiveness of services.
The implementation of the WHO Primary Care Evaluation Tool (PCET) aims to provide a structured approach towards this by drawing on the health systems functions, such as governance, financing and resource generation, as well as the characteristics of a good primary care (PC) service delivery system: accessibility, comprehensiveness, coordination and continuity. This report gives an overview of the findings for the Republic of Moldova.