Country Programme (2007-2011/2012) evaluation - UNFPA Moldova

elations have proved to work out as expected, when it comes to the link between outputs and outcomes.
In some cases the progress towards the outcomes is lower then in others as will be discussed below. In
these cases generally the expected output has not fully be achieved. Hence a lower level of output leads to
a lower level of progress towards the outcome. It is important to mention that in no case a lower level of
outcome was consequence of a misunderstood or badly established link between causes end effects,
between the nature of outputs and their link with expected outcomes.
Reproductive Health
RH training
At a primary level, a number of reproductive health (RH) services, including family planning (FP), are
provided by a network of 47 RH/FP cabinets, mostly located in rayon centres, which should in principle
take a holistic and comprehensive approach to sexual and reproductive health services and information.
Underthe current situation, the purpose of the RH/FP network has to expand to embrace.
UNFPA has been actively supporting Family Planning and Reproductive Health (FP/RH) in the Republic
of Moldova, including the Training of Trainers (TOT), for over fifteen years - the very first TOT for
FP/RH district coordinators in Moldova was held in January 1995. Thereafter, with the support of the
UNFPA CO, the team of national trainers in FP/RH have trained around 1400 family medicaldoctors (of
an official total number of 2200 in the country) and 1600 nurses (of a total of 5000 in the country) in this
field. 36 By the end of the current CPAP, it is planned for UNFPA to have facilitated the training in FP/RH
of all family doctors in Moldova. It is anticipated that a probable priority of the next CPAP cycle will be
completing the FP/RH training of all nurses in Moldova. It is necessary to complete FP training for all
primary care doctors and nurses, especially since the “fear” of dealing with hormonal
contraceptionremains.
The Ministry of Health has requested assistance to update the training curriculum for medical
practitioners, including an additional module on domestic violence. The national team of trainers are
expected to undertake a revision and update of the training curriculum as mentioned above.
Commodity security
Commodity security remains a serious issue in Moldova. UNFPA Moldova has been able to establish
andimplement a nationwide LMIS system for commodity security monitoring, but in spite of intensive
advocacy efforts it has still not been possible to achieve commodity security through a firm commitment
of national authorities to provide them free of charge to all vulnerable groups. Nevertheless, the achieved
commitment to provide them at least for one (a first) vulnerable group (post-abortion) can be considered
as a step in the right direction and a positive sign for the future.
36 Source for all data - UNFPA
UNFPA Moldova Extended Country Programme (2007-2011/12)
Outcome Evaluation
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