Workshop on sustaining a health system in conditions of crisis in Transnistria region
WHO workshop health system crisis.JPG
5 November 2015

The first intensive course on health system sustainability in Transnistria region entitled "The activity of healthcare facilities in conditions of crisis" took place on 3–5 November 2015 in Tiraspol. The WHO Country Office in the Republic of Moldova, in cooperation with the Centre for Health Policy at the National Research University Higher School of Economics from the Russian Federation, organized the event.

With over 30 representatives from central health authority and medical institutions, and the economic and finance sectors, the workshop was one of the largest dedicated to health system financing and sustainability, costs and limited budgets.

The aim of the intensive course was to strengthen the capacities of key decision-makers and managers of republican and central rayon hospitals in: health governance; health financing and service planning; delivery in conditions of austerity and crisis.

"We are looking for ways to maintain our health system, to preserve the access of population to health care based on available financial resources. Consequently, this seminar is very timely for us," said Irina Molokanova, deputy head of a central health authority responsible for economic affairs.

"In the current situation, it is crucial to find mechanisms and methods to improve the efficiency of the health system and ensure financial protection of the population," added Sergey Shishkin, WHO expert.

A team of WHO experts discussed during lectures and roundtables the international experience of health systems response in crisis, better use of existing health systems resources, better planning and service delivery, opportunities and benefits of implementation of quality management in health facilities, staff motivation etc.

Results of reviews

2 WHO visits to Transnistria region to discuss financing and health system review took place in 2014–2015. The results highlighted the need to: revise health financing and care arrangements taking into account WHO/Europe's international experience; review key health system areas together with different stakeholders and using international best practices; and develop and revise documents according to international standards.

WHO support for this activity is part of the biennial collaborative agreement 2014–2015 between the Moldovan Ministry of Health and WHO/Europe. The initiative is financially supported by WHO and 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.



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