New reproductive health policy framework in the Republic of Moldova on its way

WHO

Key stakeholders and development partners met on 14 April 2015 to discuss the implementation results of the National Reproductive Health Strategy (2005–2015) and of the assessment of family planning services, and to agree on the next strategic actions and reproductive health policy documents needed.

It was an excellent example of intersectoral collaboration as the representatives from different ministries – health, social affairs, education, youth and sports – participated in this meeting. Health service providers and representatives of civil-society organizations, interagency groups and aid development agencies also took part in the discussion.

The Ministry of Health of the Republic of Moldova monitors and evaluates the National Reproductive Health Strategy. The implementation results were developed by a team of national and international experts with the technical support and guidance of the WHO Country Office, Republic of Moldova, WHO/Europe and the United Nations Population Fund Country Office. The results were based according to the objectives and expected outcomes of the National Reproductive Health Strategy. Factors that favoured or hindered the implementation were identified using internationally accepted methodologies.

Reproductive health is a long-standing priority in the Republic of Moldova. Prevention and management of unintended pregnancies is one of the priority areas in the country. Implementation of the safe abortion initiative has been ongoing during the past 10 years, starting with a strategic assessment and leading to the development of national standards and guidelines, development of improved national reporting on abortion, and implementation of comprehensive care in 6 model centres, all with high-quality care based on WHO guidance. Technical support for the initiative was provided by the Department of Reproductive Health and Research at WHO headquarters, in collaboration with WHO country and regional offices and with the generous support of the James Tudor Foundation. 

The results of the assessment of abortion services in the Republic of Moldova were presented and discussed during a workshop conducted at the Ministry of Health on 15 April 2015. The final assessment showed significant changes in provision of safe abortion care, as well as room for further improvement and scaling up. Health facilities in the country still exist where pregnancy termination continues to be performed with outdated, less safe methods.

Stakeholders taking part in both meetings agreed on the importance of a new reproductive health strategic framework document and the main principles and objectives. The Ministry of Health will take the leadership role in this process.