Monitoring Official Development Assistance to the Health Sector in the Republic of Moldova 2013 Report
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MINISTRY OF HEALTH OF THE REPUBLIC OF MOLDOVA MONITORING OFFICIAL DEVELOPMENT ASSISTANCE TO THE HEALTH SECTOR IN THE REPUBLIC OF MOLDOVA 2013 REPORT MINISTRY OF HEALTH OF THE REPUBLIC OF MOLDOVA MONITORING OFFICIAL DEVELOPMENT ASSISTANCE TO THE HEALTH SECTOR IN THE REPUBLIC OF MOLDOVA 2013 REPORT Keywords HEALTH MANAGEMENT AND PLANNING HEALTH POLICY PUBLIC HEALTH ADMINISTRATION FINANCING, HEALTH HEALTH SYSTEMS PLANS – ORGANIZATION AND ADMINISTRATION HEALTH SERVICES INTERNATIONAL COOPERATION REPUBLIC OF MOLDOVA Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe UN City, Marmorvej 51 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permis- sion to quote or translate, on the Regional Office web site (http://www.euro.who.int/pubrequest). © World Health Organization 2014 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to reproduce or trans- late its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of propri- etary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. The views ex- pressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the World Health Organization. Disclaimer The authors’ views expressed in this report do not necessarily reflect the views of the World Health Organization, the Swiss Agency for Development and Cooperation or the Ministry of Health of the Republic of Moldova. MONITORING OFFICIAL DEVELOPMENT ASSISTANCE II TO THE HEALTH SECTOR IN THE REPUBLIC OF MOLDOVA - 2013 REPORT CONTENTS List of figures and tables...................................................................................................................................................................... IV Abbreviations........................................................................................................................................................................................... V Acknowledgements.............................................................................................................................................................................. VII Foreword................................................................................................................................................................................................... VIII I. Country context..................................................................................................................................................................... 1 1.1 Availability of finances in the health system of the Republic of Moldova........................................................ 2 II. Background............................................................................................................................................................................. 5 III. Methodology.......................................................................................................................................................................... 7 3.1 Study design..................................................................................................................................................................... 7 3.2 Data collection................................................................................................................................................................. 9 3.3 Data analysis..................................................................................................................................................................... 10 IV. Limitations............................................................................................................................................................................... 11 V. Results....................................................................................................................................................................................... 12 5.1. Development partners................................................................................................................................................ 12 5.2. Geographical coverage............................................................................................................................................... 14 5.3. Types of funding, health sector and priority programme areas................................................................... 17 5.4. Alignment with national frameworks.................................................................................................................... 21 5.5. Financial management systems............................................................................................................................... 22 5.6. Medium-term budgetary framework.................................................................................................................... 22 5.7. Aid predictability........................................................................................................................................................... 23 5.8. Development partner coordination and complementarity........................................................................... 27 VI. Findings.................................................................................................................................................................................... 29 6.1. Overall observations.................................................................................................................................................... 29 6.2. Comparing the results with the Paris Declaration indicators........................................................................ 30 6.3. Republic of Moldova involvement in the regional projects........................................................................... 31 VII. Conclusions............................................................................................................................................................................. 34 VIII. References............................................................................................................................................................................... 36 IX. Annexes.................................................................................................................................................................................... 39 Annex 1. Development partner questionnaire.......................................................................................................... 39 Annex 2. Glossary.................................................................................................................................................................. 51 Annex 3. Completed questionnaires.............................................................................................................................. 57 Annex 4. Paris Declaration Indicators of Progress...................................................................................................... 154 MONITORING OFFICIAL DEVELOPMENT ASSISTANCE TO THE HEALTH SECTOR IN THE REPUBLIC OF MOLDOVA - 2013 REPORT III LIST OF FIGURES AND TABLES Fig. 1. GDP per capita and total expenditure on health per capita in the Republic of Moldova, 2000–2013....... 3 Fig. 2. Overall ODA disbursed by development partner and type of disbursement, 2013.......................................... 13 Fig. 3. Grants and soft loans, 2011–2013......................................................................................................................................... 14 Fig. 4. Project aid and SBS, 2011–2013............................................................................................................................................. 14 Fig. 5. Development partners by district, 2013............................................................................................................................ 16 Fig. 6. Total disbursement by funding category, 2011–2013.................................................................................................. 17 Fig. 7. Investment funds by component, 2011–2013...............................................................................................................