Improvement of maternal and newborn health continues in the Republic of Moldova


Ongoing implementation of near-miss case reviews and the "individual, family and community involvement methodology" by health professionals in the Transnistrian region will have a significant impact on reducing maternal mortality in the Republic of Moldova.

This was the conclusion of a mission conducted by the WHO/Europe on 29 October 2014 to follow up on implementation of the near-miss case review methodology and to discuss progress within pilot facilities in Tiraspol and Bender. Near-miss case reviews are the identification and assessment of cases in which pregnant women have survived obstetric complications. The WHO team also participated in case discussions. 

Progress and plans for better care

Access to quality maternal and newborn health services has improved over the last 10 years in the Republic of Moldova, however there is room for further improvement in order to reach the Millennium Development Goal targets in this area. 

Important efforts have been made in the pilot facilities to reduce severe maternal morbidity rate and to improve the quality of care through the methodologies suggested by WHO. Service delivery has also been enhanced through two Effective Perinatal Care courses and several technical workshops on other WHO tools.

The individual, family and community involvement methodology will be piloted in the Slobodzeia rayon of the Transnistrian region with a focus on informing adolescents and women of the risks to both mother and child of smoking during pregnancy, after delivery and passive smoking. Among other steps, a local working group will prepare a situation analysis of the pilot region, including health promotion activities undertaken to reduce smoking. 

These activities are part of the Support to Confidence Building Measures Programme, funded by the European Union, Swiss Development Cooperation Agency and United Nations Development Programme. The health component focuses on immunizations and improvement of perinatal care. It is implemented in close partnership with WHO and the United Nations Children’s Fund.