Noncommunicable diseases Action Plan in Republic of Moldova – evaluation framework
On 12-13 October a team of WHO experts met in the Republic of Moldova to evaluate the national Noncommunicable diseases (NCDs) Action Plan. The objectives of the mission were:
- to develop a framework for the evaluation of the Action Plan 2016-2020 aiming at the implementation of the National Strategy for prevention and control of NCDs; and
- to provide technical assistance to the Ministry of Health building on previous reviews.
The following topics were discussed:
- a methodology for the evaluation of the national NCDs Action Plan;
- the WHO Global Monitoring Framework on NCDs and the UN commitments;
- consistence and gaps of the national framework of indicators, and data collection against the indicators.
The event brought together representatives of the Ministry of Health, the National Center of Health Management, the National Centre of Public Health, the National Health Insurance Company and coordinators of the national control programmes on NCDs.
Aliona Serbulenco, deputy Minister of Health, emphasized in her intervention the progress and the challenges that the Republic of Moldova is facing in the development and implementation of the national NCDs programmes: “Monitoring and evaluating NCD programmes are important and critical steps for assessing the level of implementation, for the identification of gaps and challenges and for measuring the final impact. This process requires coordinated action and a good information system. It is not an easy task because some policy interventions are at both individual and population level and require the involvement of both health and non-health actors for successful implementation”.
Conclusions and recommendations
The national programme coordinators were very interested in improving the monitoring and evaluation steps of NCD programmes and in exchanging information between the programmes. They presented a number of recommendations during the workshop, such as
- the development of an evaluation framework based on the methodology that was discussed at the meeting;
- the identification of responsible authorities with clear roles and responsibilities;
- the creation of a mechanism to interconnect the different information systems; and
- building capacity to improve data analysis and reporting.
NCDs are leading causes of mortality in the Republic of Moldova responsible for 87% of all deaths. Almost 55% of all deaths are determined by cardiovascular diseases, followed by cancer (14%). Other leading causes of mortality include injuries (8%), respiratory disease (4%), diabetes (1%), and other NCDs (13%). Prevalence of alcohol consumption and smoking among men are among the highest rates in the WHO European Region. To reduce the burden of NCDs and their risk factors the government of the Republic of Moldova has developed national policies on key risk factors and NCDs.
Roundtable meeting on NCD actions in Tiraspol
The WHO experts also attended the roundtable meeting on NCD “best-buys” actions which was organized on 13 October in Tiraspol. During this event they discussed the progress made so far on the development of the actions against NCDs. The purpose of the meeting was to support the local working group in developing further actions against NCDs in line with international commitments, particularly the WHO NCD Global Monitoring Framework.
This event is part of the Support to Confidence Building Measures Programme, funded by the European Union and coordinated by WHO, under technical assistance and capacity building activities in the health sector.
These events are part of the activities envisaged under the biennial collaborative agreement 2016–2017 between the Moldovan Ministry of Health and WHO/Europe. The mission was funded by the Ministry of Health of the Russian Federation and the joint WHO/ the Swiss Agency for Development and Cooperation (SDC) project “Support to strengthening governance and policy dialogue in health sector - 2nd phase”.