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

• Core development indicators in Moldova show a strong positive trend until 2005 and a weak
positive or even negative trend after 2005, despite an overall positive environment. 54 Maternal
mortality, one of the core indicators for RH health, is among these indicators. More research is
needed to understand what is behind this change in trends and how can it be addressed. UNFPA
should support such research related to the core components of its country programme
• Finish the training ofdoctors and nurses, which is currently at coverage rates of 80 per cent and 50
per cent respectively. It is especially important to plan training for Nurses, especially those based
in rural areas, given that the doctors have to cover several villages, the nurse is often the only
primary care provider on site.
• Institutionalize the training ofdoctors and nurses, since there will be a need for a permanent offer
of this kind of on the job training for them. This kind of training cannot be a permanent task for
UNFPA. There is a need for an exit strategy for doctor and nurse training for UNFPA.
• Regular periodic update meetings and revisionof training materials at specified intervals in the
future are recommended, in order to keep the curriculum and the trainers up to date and
motivated. This process should also include official approval or certification or allocation of
points for the Accreditation and Re-accreditation of the trainers by the MOH or other relevant
authority.
• Make the LMIS more usable and user friendly and include LMIS and RHICS training in RH/FP
courses and workshops.
• Continue advocacy for LSBE inclusion in school curricula. Demographic trends and public
opinions preference for school based sex education rather thanimplemented by parents show that
the need and the base for the expected change exist. Modern school curricula based LSBE is
additionally of extreme importance, given the high number of young boys and girls living without
their parents, in Moldova.
54 Macroeconomic and poverty trends since 2000 show a strong pattern of improvement between 2000 and 2005
with a break point in 2005 and a weak trend of improvement (or even a deterioration) since 2005. Parallel to the
positive economic trend in the first part of the last decade many social indicators improved with dynamic trends
until 2005 and after 2005 in a much slower degree. Even if economic growth recovered after 2005 (until 2008 and
then again starting from 2010) social indicators seem to have not been able to recover their strong positive trend
before 2005 or have even shown negative results. The per capita GDP measured in purchase poverty increased from
2112 USD (PPP) in 2000 to 2843 USD (PPP) in 2009. The monetary poverty rate decreased from 67.8% in 2000 to
26.5% in 2004 and remained almost stable afterwards, reaching 26.3% in 2009 (lowest point 25.8% in 2006)
despitepositive economic growth (with exception of 2009). Considering social indicators, Under Five Mortality
decreased from 23.3 in 2000 to 15.7 in 2005 and further much slower only to 14.3 in 2009. Similarly Maternal
Mortality dropped from 27.1 in 2000 to 18.6 in 2005 and then to 17.2 in 2009 and the share of underweight newborn
children increased from 4.3 in 2000 to 5.3 in 2008. The net enrolment rates in primary and secondary education
decreased between 2000 and 2009 (all data UNDP National Human Development Report Moldova 2011 on social
exclusion).
UNFPA Moldova Extended Country Programme (2007-2011/12)
Outcome Evaluation
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