Project

The Healthy Life project is designed to contribute to the improvement of the health and wellbeing of the Moldovan population, especially in rural areas, by offering support the Ministry of Health, Labour and Social Protection of the Republic of Moldova to implement the national health reform agenda, especially in the areas of Public Health (PH) and Primary Health Care (PHC) with a focus on noncommunicable diseases.

Non-communicable diseases (NCDs) are the leading cause of death worldwide. Like many countries, the Republic of Moldova faces a growing NCD mortality and morbidity burden: it is estimated that NCDs accounted for more than 80% of total deaths and more than 50% of the population  suffers from NCDs, including cardiovascular diseases, cancer, chronic respiratory diseases, digestive diseases and diabetes.

The Healthy Life project is implemented in 10 pilot districts which are involved in two waves: successful approaches developed in the first 4 districts (Falesti, Ungheni, Stefan Voda and Cahul) will be in turn disseminated to the additional 6 districts (Orhei, Criuleni, Taraclia, Vulcanesti, Edinet and Briceni).

The project is financed by the Swiss Agency for Development and Cooperation (SDC) and implemented by the Swiss Tropical and Public Health Institute. 

Objectives

The overall goal of project is to contribute to the improvement of the health and well-being of the Moldovan population, especially in rural areas, through the reduction of the burden of non-communicable diseases.

OUTCOME 1
OUTCOME 2
OUTCOME 3

National health authorities create an enabling policy environment for decentralized and integrated management of NCDs. Identify, establish or harmonize laws, policies, regulations and collaboration
mechanisms at all levels to facilitate effective and efficient actions to reduce the burden of NCDs on
people and the health system.

The population in target districts has access to and uses quality integrated care, including outreach services, related to NCDs. Improve capacity and quality of NCD diagnosis, treatment and management at the PHC level, but also reorganize PHC health services towards integrated care to ensure a continuum of care for chronic patients and strengthen capacities for preventive services, interdisciplinary work and collaboration with community and non-governmental institutions.

The population in target districts has improved its healthcare seeking behaviour and reduced its NCDs risk behaviour. Support multisectoral engagement in health promotion and build capacities of districts health teams to elaborate an evidence-based community health profile and community based health action plans addressing risk factors of NCDs among their population, but also mobilize community groups and empower to play an active role in demanding quality healthcare services and making the health system responsive to
patients’ needs.

Key working principles

Primary focus on communities / population
Harmonisation, complementarity and national ownership of project
Evidence generation and knowledge sharing for replication, scale-up and sustainability
Complementarity and synergy with other ongoing projects in the health sector in Moldova
Participatory planning and implementation through existing national and decentralised partners
Ensuring functional governance through improved mechanisms of decision-making, participation and accountability
Reducing the gender barriers to NCD prevention, care and treatment
Overcoming social exclusion of the most vulnerable and those most affected by NCDs

Target Groups

Family doctors, nurses from PHC and community nurses from 10 pilot districts

National Agency for Public Health and Rayon Centers for Public Health from 10 pilot districts

Rayon councils from 10 pilot districts

Mayors and their multidisciplinary teams from selected communities

Patients groups and community members

Partner institutions

Ministry of Health, Labour and Social Protection of the Republic of Moldova
Relevant state institutions and agencies
Rayon and local public authorities from 10 pilot districts
International organizations and donors (EU, SDC, WHO, WB, UN agencies etc.)
Providers of Medical Education / Professional Associations
Thematic NGOs and community based organizations (CBOs)

Beneficiaries

Moldovan population in 10 pilot districts will benefit from an improved health status with regard to NCDs.

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