The issues facing health professionals, migration and mobility, as well key activities of the “Better managing the mobility of health professionals in the Republic of Moldova” coordinated and implemented by WHO with financial support of the European Unionwere the discussion topics tackled on the “Bună seara!” talk show on Moldova 1 TV on 27 March 2015. 

The health system of the Republic of Moldova has not escaped of the global problem of migration of health professionals. It has been especially impacted by migration from the country, by uneven geographical distribution of professionals between rural and urban areas and by limitations in planning and governance of human resources for health.

 

On 17 December 2014, national counterparts, international partners and WHO staff met in Chisinau, Republic of Moldova to discuss implementation, good practices and challenges of the WHO Global Code of Practice on the International Recruitment of Health Personnel. The meeting aimed to discuss effective policy options that have been applied in the WHO European Region in order to strengthen national health workforces and health systems and to gauge the Republic of Moldova’s progress in implementing the Code’s provisions.

A relative lack of regulation on the licensing of health professionals in Republic of Moldova, coupled with an increase in migration of health professionals in recent years, has led to the displacement of health professionals and the need to look for mechanisms to ensure professional competence.

Representatives from the Ministry of Health of the Republic of Moldova and decision-makers from the State University of Medicine and Pharmacy "Nicolae Testemitanu" visited key counterparts in Estonia to learn from their experience of university autonomy and accountability in the decentralization process. The visit took place from 27 to 30 October 2014 and was organized by the WHO Country Office in the Republic of Moldova in cooperation with University of Tartu, Tartu University Hospital, Tallinn University of Technology and the Embassy of the Republic of Moldova in Estonia.

A four-person delegation from the Republic of Moldova participated in the South-eastern Europe Health Network (SEEHN) workshop “Health workforce from challenges to solutions. Shaping the agenda for action in the South-eastern Europe Health Network countries” held in Ljubljana, Slovenia, 10–11 November 2014. The workshop was organized by the SEEHN Regional Health Development Centre on Human Resources for Health in collaboration with, and under the technical guidance of the WHO Regional Office for Europe and with support from the Ministry of Health and the Ministry of Foreign Affairs of Slovenia. 

Over 450 participants gathered at the third National Health Forum on 23–24 October 2014 in Chisinau, to exchange information and improve cooperation at national and local levels in the area of health care and public health. This event is the broadest national platform for discussions in the health sector and was attended by representatives of Parliament, the Prime Minister’s office, stakeholders in the health system and other sectors, diplomatic missions and the Delegation of the European Union to the Republic of Moldova, international organizations and partners. Representatives of the Romanian and Lithuanian ministries of health, WHO and international speakers also attended as special guests.

Migration of health professionals; the cost of training doctors and nurses; and motivation and mechanisms for retaining health professionals in the national health sector were the discussion topics tackled on the “Bună seara” talk show on Moldova 1 TV on 26 September 2014. The moderator, Mircea Surdu, has also paid attention to other areas related to health professional migration and the activities carried out within the “Better managing the mobility of health professionals in the Republic of Moldova” project.

Since 19 August 2014, 140 human resources in health (HRH) specialists representing central authorities and health-care providers in the Republic of Moldova have enrolled in the second national course on use of the Human Resources in Health Information Management System (SIERUSS). Conducted by the National Centre for Health Management of the Ministry of Health, with WHO Country Office support, training will run until October 2014. 

A workshop to strengthen national capacity in workforce planning in the Republic of Moldova was organized by the Ministry of Health and WHO on 16–18 July 2014.  The workshop focused on the role of workforce planning in financial and service planning, critical factors that influence an effective workforce plan, and application of the WHO Workload Indicators of Staffing Need (WISN).
A study on health workers originating from the Republic of Moldova who are living and working in Romania was conducted between September and December 2013 with support from the WHO Country Office in the Republic of Moldova. Results of the study, including factors in both countries that contribute to migration, were launched by the Moldovan Ministry of Health and WHO at a roundtable meeting on 27 June 2014. The meeting brought together representatives of the Ministry, professional medical associations, the European Union, international organizations and related projects in the area.

Results of the first study on the costs of training health professionals in the Republic of Moldova were launched on 3 June 2014. The study aimed to assess the investment in medical training per graduate (doctors and nurses) and the estimated cost of brain drain and brain waste to facilitate further discussions in society.

The issue of international mobility of health professionals has attracted significant attention in the health policy community over the last few years. In the Republic of Moldova, international migration of health professionals in the past two decades has resulted in a significant brain drain and brain waste. The Republic of Moldova registers ...

In support of the national process to increase the autonomy of universities, a workshop on university autonomy and accountability in the decentralization process took place in Chisinau on 14–15 May 2014. The event brought together senior staff of the State University of Medicine and Pharmacy "Nicolae Testemitanu", vice rectors, faculty deans, deputy deans, and heads of various administrative departments to learn from Estonian experience in applying practical tools of university self management.
Over 200 medical institution managers and heads of human resources for health (HRH) departments completed a national course in HRH management and governance held in the period December 2013–April 2014. The course closing ceremony in Chisinau on 11 April 2014 was attended by representatives of the Ministry of Health, WHO Country Office, Delegation of the European Union in the Republic of Moldova, and the School of Public Health.

The specialists from the area of Human Resources in Health, who have finished the training courses on how to use the Human Resources in Health Information Management System (SIERUSS), carried out by the National Health Management Center of the Ministry of Health, with the support of the World Health Organization Office in the Republic of Moldova, were provided with an additional tool to apply the SIERUSS in their day-to-day activity. This is the Green Line 022.79.71.31, which was created in October 2013 at the National Health Management Center and is operational from Monday to Friday, in between 8.00 and 17.00 o’clock. 

The second workshop on negotiation skills and techniques for bilateral agreements on the migration of medical workers was held in Chisinau, 4 February 2014. The event was organized by the WHO Country Office in the Republic of Moldova in partnership with the Ministry of Health, within the framework of the project “Better managing the mobility of health professionals in the Republic of Moldova”, funded by the European Union.

The national trainings in the Human Resources for Health Management and Governance course, with the support of the Ministry of Health and WHO Country Office, is being organized by the School of Public Health Management, started on the 20th of January, 2014. Over 180 managers and heads of HR of the national health institutions will attend the training in the period of January-April 2014, with 9 study groups being organised.
A group of 12 managers and head of human resources for health departments representing central health care institutions were participated in the Human Resources for Health (HRH) Management and Governance pilot training course.  The training was held in the period of 2-6 December and was conducted bythe School of Public Health Management, with the WHO Country Office support.

A delegation from the Republic of Moldova, consisting of 2 staff of the WHO Country Office and Mr Victor Lutenco, Head of the Bureau for Diaspora Relations, contributed to the Third Global Forum on Human Resources for Health held in Recife, Brazil on 10–13 November 2013. 

 

WHO side event

A side event of the Forum, organized by the WHO regional offices for Europe and the Western Pacific on 9 November, focused on international health workforce mobility and recruitment, and bilateral agreements as a tool for managing the migration of health professionals.

 

Over 300 “human resources in health” specialists representing central authorities and health care providers in the Republic of Moldova will receive training on how to use the Human Resources in Health Information Management System (SIERUSS). Training courses began on 15 October 2013 and are being conducted by the National Center for Health Management of the Ministry of Health with WHO Country Office support.

A delegation from the Republic of Moldova visited Helsinki, Finland from 23 to 25 September 2013 to learn from Finnish experience with strategic health workforce planning, monitoring of stocks and flows of health professionals as well as anticipation of workforce demands.

The visiting group comprised specialists from the Ministry of Health of the Republic of Moldova, National Centre for Health Management, State University of Medicine and Pharmacy "Nicolae Testemitanu", and National College of Medicine and Pharmacy "Raisa Pacalo".

Doctors and nurses who leave the Republic of Moldova to work abroad often miss their professions – this is the subject of a year-long awareness raising campaign launched in the Republic of Moldova at the end of September. The campaign is being organized by the Ministry of Health with support from WHO and the European Union (EU).
A technical consultation focusing on a model for bilateral agreements was held in the Republic of Moldova on 9 – 10 September 2013. Bilateral agreements are legal instruments between two sovereign states. They are an important part of managing the mobility of health care professionals. The model for bilateral agreements was initially proposed by the intersectoral working group in July.

A group of key health care stakeholders from the Republic of Moldova visited Poland, on 19-23 August 2013, to learn from Poland’s experience in the medical education of nurses.  The visit, which was supported by WHO, is part of the Republic of Moldova’s ongoing efforts to revise and adjust national education programs to European standards. This will involve changes in curricula and nursing education programs, to bring the Republic of Moldova in line with EU and international requirements.

On 17 June 2013, a wide variety of stakeholders and international representatives met in the Republic of Moldova to discuss progress towards the implementation of the WHO Global Code of Practice on the International Recruitment of Health Personnel.

The Code aims to strengthen health systems by establishing and promoting voluntary principals and practices for ethical international recruitment of health personnel. The technical discussion aimed to promote debate on effective policy options to strengthen the Moldovan national health workforce and health system and to foster commitment among all national stakeholders to implement the Code in the country. 

A policy dialogue on performance-related pay – payment for performance (P4P) – with an emphasis on primary health care was held 13 June 2013 in Chisinau, Republic of Moldova. This was followed by a workshop on 14 June 2013 to support further improvement in the P4P system applied in Moldova. The event was organized by WHO, the Ministry of Health of the Republic of Moldova and the National Health Insurance Company.

“I have been living in Italy for almost 13 years now. In 2012, I obtained my licence to practise as a family doctor for an undetermined period. Prob...
Статистика

Около
500

молдавских врачей

находится во Франции*

 

(* В соответствии с "Отображение молдавской диаспоры в Италии, Португалии, Франции и Великобритании", автор - Диана Кеяну-Андрей, при координации со стороны МОМ и ЕС)

Mobility Project Video