Human development and social inclusion

 Photo: OHCHR

Goals

  • People have access to more sustainable regional development, economic opportunities - innovation and agriculture in particular - and decent work
  • People enjoy equitable access to quality public health and health care services and protection against financial risks
  • All children and youth enjoy equitable and continuous access to a quality and relevant education system
  • People enjoy equitable access to increased social protection

 

Progress towards Results

Results updated to 2015, as included in the 2015 Progress Report of the UN-Moldova Partnership Framework 2013-2017

To support employment and self-employment the United Nations set up a network of five career advisory centres across the country. In 2013–2015 these achieved an average success rate of 80 per cent, due to an innovative methodology focused on soft skills.

With United Nations support, young entrepreneurs from across the country, including the breakaway Transnistrian region, created new companies, which will provide for 160 new jobs: more than 80 per cent of which will be for women. An additional 60 companies on both sides of the Nistru river received scaled-up business support services, strengthened business ties and signed new cooperation agreements.

Partnering with civil society, in 2015 the United Nations reached 9,410 persons from both sides of the Nistru river with joint initiatives in health care, media, culture and support to people with disabilities.

The United Nations further supported the efficient delivery of local public services through inter-municipal cooperation tools. As a result, more than 100,000 people from rural communities received access to waste management, road maintenance and street lighting services.

The United Nations supported the health system reform, consolidating and advancing improvements in health governance. Thanks to a number of legislative and normative acts improving universal health coverage, the population gained better access to clinical and public health services. Due to the United Nations-supported medicine reimbursement reforms, 85 per cent of the population obtained improved access to antihypertensive drugs – a key priority since cardio-vascular diseases are the main cause of morbidity and mortality in the country. A 1 per cent increase in mandatory contributions for health insurance was introduced despite economic and political setbacks, and insurance coverage was extended to 85 per cent of the population, which resulted in improved financial protection. Out-of-pocket payments when seeking health care decreased, limiting the risk related to health spending for the poorest households. Access to long-term care was also improved by reprofiling hospital beds. The United Nations assisted in the revision of the Health Development Strategy, while work continued on drafting the new Law on Health Care.

The ground-breaking Law on Tobacco Control, developed with United Nations assistance and fully harmonized with the Framework Convention on Tobacco Control, was adopted in 2015. This is expected to address the growing problem of tobacco smoking, and to bring about substantial health gains for the entire population.

The United Nations also facilitated the provision of free influenza vaccines to high-risk groups (with 150,000 doses distributed). The Government of Moldova took ownership of the procurement of contraceptives for vulnerable groups.

The new national HIV programme shifted towards a focus on investment, in line with the allocative efficiency concept, with the objective of allocating available resources efficiently over time to maximize impact.

Legislative reforms removed age-related barriers to access to quality health services. The development of the Public Health System reform agenda and the Climate Change Health Adaptation Plan further supported efforts to ensure access to quality public health services.

As a result of sustained United Nations efforts, steady progress was made in ensuring children’s right to a family environment, thanks to the advancement of the deinstitutionalization agenda. From 2010 to 2015, the number of children under 18 in institutions decreased by 67 per cent, while the number of children placed in family-based foster care increased by 39 per cent.

An operational labour dispute resolution mechanism was established in 2015, with United Nations support.