ASSESSMENT OF THE PRE-HOSPITAL EMERGENCY MEDICAL CARE IN MOLDOVA REPEMOL PROJECT SUPPORT FOR THE DEVELOPMENT OF EMERGENCY CARE

In the Republic of Moldova, there is a continuous concern of the authorities to develop the emergency medical assistance at all levels. To this end we have proposed a national program on emergency medical assistance development for 2011-2015, a Government planning document, on the medium term, aiming to consolidate and continuously modernize the emergency services, to expand the public access to quality emergency care support services in order to reduce the impact of emergencies on the public health. The national arguments for a better concentration of forces towards ensuring the public emergency care are: high population density, demographic transition and population aging, epidemiological transition with significant change of the morbidity profile and increasing number of non-communicable cardiovascular digestive and respiratory chronic diseases, respectively emergencies caused by their acute exacerbation or decompensation, new public health emergencies as avian and pandemic influenza, recurrence of tuberculosis, increased incidence of injuries and the location of Moldova prone to seismic activity which, together with the risks of droughts, floods, heavy rains and other disasters, make the emergency medical system a clear priority for the Moldovan public health. The project "Regionalization of Paediatric Emergency and Intensive Care services" (REPEMOL) is a complex multidimensional intervention on the Republic of Moldova health system and on the public health. REPEMOL project was initiated in 2008 at the request of the Health Ministry of the Republic of Moldova and submitted to the Swiss Agency for Development and Cooperation, with the aim to increase the effectiveness and efficiency of the paediatric health care system through systemic changes, as response to the Ministry of Health’s strategy on the regionalization of health care in the country. Finally, attention should be paid to how the changes occurred in the emergency system are being communicated to all those involved, from policy makers to emergency care professionals and the public, in order to ensure their adherence to changes and hence their support in implementing the proposed measures.