Republic of Moldova
Maternal mortality rates have fluctuated widely, reaching a low of 23 per 100 000 live births in 2015 and a high of 44.5 maternal deaths per 100 000 live births in 2010. This is higher than the average of the WHO European region (16 per 100 000).
WHO/Europe has continuously working with the Ministry of Health, Labour and Social Protection and partners in the Republic of Moldova to support the reform and developments, as well as, to build the capacity to improve the reproductive, maternal, newborn, child and adolescent health from different perspectives.
The biennial collaborative agreement for 2018-2019 includes initiatives aimed to improve the access to services and get better health outcomes for women, newborn, children and adolescents through the technical assistance in:
- in improving quality of antenatal, postpartum and hospital care for pregnant women, mothers and newborns and monitoring progress;
- guidance in adaptation of the evidence based and human rights oriented tools and methodologies in assurance of the reproductive rights’ fulfillment for all women and men, girls and boys;
- support improvement in the provision of safe abortion services through the scaling up of comprehensive abortion care services and the revision of the abortion care standards;
- support to develop, update and implement comprehensive gender responsive CAH policies and actions with focus on social determinants, inequality and reliable information sources;
- support to improve quality of health care services in different settings through the use of the WHO Quality of care assessment packages, quality improvement approaches like near-miss case reviews (NMCR) and confidential enquiries into maternal deaths (CEMD) and support conducting HBSC study, ACE survey; and
- capacity building of national experts in operational research, implementation of the research projects (such as Global maternal sepsis survey) and collecting new evidence on reducing reproductive, maternal and newborn health inequities.
This also continues the priorities set earlier on mother and child and reproductive health, which is to develop policies, strategies, norms and standards to improve access, quality and use of reproductive, maternal, newborn, child and adolescent health services.