Strategies to sustain and scale up quality health care services for adolescents in

the Republic of Moldova

Andrei USATÎI Minister of Health

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Progress toward universal health coverage requires a transition from adolescent-friendly projects to adolescent-responsive health systems.

HEALTH FOR THE WORLD'S ADOLESCENTS.

A second chance in the second decade. WHO 2014

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Summary of the presentation

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Rationale for strengthening the quality of health care services for adolescents in the Republic of Moldova

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Demography and health status

sources: *National Statistics Office in Republic of Moldova, www.moldstatistica.md, National Centre of Preventive Medicine **KAP, Studies 2003-2012, Health for Youth Association

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Adolescent grow and develop in unsupportive environment

sources: *National Statistics Office in Republic of Moldova, www.moldstatistica.md, National Centre of Preventive Medicine

**KAP, Studies 2003-2012, Health for Youth Association 6

Using a WHO 5S approach to inform strategic actions

Supportive policies & strategies

Strategic information

Services & commodities

Strengthening & supporting other sectors

Strategic resources:

FinancingHR capacity

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Services: the Youth Friendly Health Services initiative

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Services & commodities: scaling up

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Strategic resources for sustainability

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Strategic information

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Supportive policies & strategies

CAHD Strategy in final draft, 2014

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Strengthening & supporting other sectors

- SHS reorganisation process, 2006-2013, WHO

- Peer programs, UNFPA

- Capacity building of school resource persons in adolescent health promotion , Health For Youth Association, SDC

- Piloting reviewed mandatory curricula of civic education with component of health promotion, Neovita YHFC

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Main Impact

-From 2011 to 2013 access to YFHS increased by 3 time from 5% to 15% for 10-24 y.o. In 2014 we expect an increase in this figures.

-Prevention of 9 cases of HIV by all YFHCs (1 case by 4 YFHC) per year, at least , providing full range of HIV prevention services (information, counseling, testing, condom provision) can be potentially cost saving for medical system.

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Unresolved issues and ways forward (1)

Areas for future actions

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Unresolved issues and ways forward (2)

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Unresolved issues and ways forward (3)

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THANK YOU FOR YOR ATTENTION

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