Primary health care centers become autonomous
Thirty-five family doctors’ district centers and six rural health centers in Moldova will change their legal status and become autonomous. The health center in Saratenii Vechi in Telenesti district is the first primary health care institution that signed a direct contract with the National Health Insurance Company on April 23, Info-Prim Neo learned from the press service of the Ministry of Health.
During the signing ceremony, the U.S. Ambassador to Moldova Michael D. Kirby gave the center two computers and a printer to automate the reporting and recording of data.
Currently, the primary health care institutions in Moldova are subordinated to the district hospitals. The new system is built on the Health Ministry’s reforms aimed at strengthening the primary health care institutions, which are the first contact points for the patients that need medical assistance. If the primary health care institutions are autonomous, their budgets will be more transparent, while a stricter control over the own resources will make these institutions to provide better services.
The Ministry of Health started the process of decentralizing the primary medial assistance in 2007 with the support of the Millennium Challenge Threshold Program on Good Governance, by adopting a legal framework for regulating the given sector. Over 1,250 family doctors benefited from a training course on the creation and administration of an independent primary health care center. The training was offered by the European Union in cooperation with the Country Threshold Program supported by the United States. Many of the newly created centers received assistance for reconstruction from the World Bank.
The two-year Good Governance Program is financed by the US Government through the Millennium Challenge Corporation and managed by the United States International Development Agency. The program assists the Government of Moldova in implementing reforms that promote good governance and aim to reduce corruption and improve the quality of the services provided in the public sector, especially in the legal, fiscal and healthcare sectors.
