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6. Goals and objectives

6. Goals and objectives

Main goal

The main goal is to guarantee the rights of Moldovan citizens to accomplish their sexual and reproductive function in order to:

  • achieve a healthy sexual development and maturity and be able to enjoy and safe sex;
  • have the wanted number of children in healthy and safe conditions;
  • avoid sexuality and reproduction related diseases;
  • benefit by quality health services in case of reproductive and sexual function disorders;
  • not be affected by and subject to violence and other abusive reproduction and sexuality related practices.

General objectives

The general objectives are:

  • support the couples and individuals in accomplishing their reproduction goals;
  • prevent unwanted or high-risk pregnancies;
  • provide access to legal and safe abortion;
  • decrease the maternal and perinatal morbidity and mortality;
  • prevent sexually transmitted infections and HIV/AIDS;
  • improve the sexual and reproductive health of teenagers and youth;
  • encourage the active participation of men in family planning and reproductive health protection;
  • prevent and manage efficiently the infertility;
  • provide protection from violence and other abusive reproduction and sexuality related practices;
  • provide quality, accessible, acceptable and convenient medical reproductive health services to everyone;
  • improve the quality of consultation, information, education and communication on sexuality and reproduction issues.

 

6.1. Family planning

Goal: educate a responsible and safe attitude of the population towards sexual behavior, prevent unwanted or high-risk pregnancies.

Objectives:

  • ensure optimal conditions for the couples and individuals to accomplish their reproductive function;
  • achieve the ideal – “each pregnancy has to be wanted and planned”;
  • decrease the role of abortion as a birth control method by providing modern contraceptive methods;
  • increase the level of the population’s knowledge on advantages and benefits of the family planning;
  • increase the access to and affordability of qualified family planning and reproductive health services;
  • enhance the active and aware participation of women, men and youth in regarding reproductive options decision-making;
  • optimize the monitoring, evaluation and report system in family planning.

 

6.2. Safe motherhood

Goal: decrease maternal, perinatal and neonatal morbidity and mortality in the Republic of Moldova by improving the quality and accessibility of health care services.

Objectives:

  • ensure full access to and social equality in perinatal care;
  • educate healthy perinatal care attitudes and habits in population.

 

6.3. Sexual and reproductive health of teenagers and youth

Goal: improve the sexual and reproductive health of teenagers and youth.

Objectives:

  • inform and educate teenagers in sexual and reproductive health, in order to develop responsible and healthy habits and behaviors;
  • provide teenagers with free access to youth-friendly health services, with no discrimination, in order to fulfill their reproductive needs taking into consideration the right to privacy, confidentiality and informed consent;
  • reduce the pregnancy, abortion and sexually transmitted infections rate among teenagers and youth.

 

6.4 Infections of the Reproductive Tract

Goal: prevent the sexually transmitted infections and HIV/AIDS among the sexually active population.

Objectives:

  • improve the diagnosis of sexually transmitted infections and HIV/AIDS within reproductive health clinics;
  • improve the quality of consulting and management of patients infected with sexually transmitted infections and HIV/AIDS;
  • increase the access of population to the prophylaxis, diagnosis and treatment of sexually transmitted infections and HIV/AIDS;
  • increase the information and education level of the population on the diagnosis possibilities and methods of sexually transmitted infections and HIV/AIDS.

 

6.5. Abortion and pregnancy termination services

Goal: reduce the use of abortion as a birth control method and provide safe abortion services, if needed.

Objectives:

  • reduce the morbidity and mortality induced by post-abortion complications;
  • reduce the rate of total abortions and repeated abortions;
  • improve the quality of pregnancy termination services by implementing the cost-efficient technologies recommended by WHO and integrate them with other reproductive health services;
  • increase the access of population to safe pregnancy termination services;
  • strategic approach, as recommended by WHO, to the improvement of functioning of pregnancy termination system;
  • strategic evaluation of the abortion services in the country.

 

6.6 Sterility Prevention and Management

Goal: ensure full access of the population to quality health care services related to sterility.

Objectives:

  • revise the normative framework regarding sterility management;
  • develop national regulations and standards on sterile couples’ behavior;
  • strengthen the institutional capacities of diagnosis and treatment of sterile couples;
  • increase the access to specialized medical sterility diagnosis and treatment services;
  • accomplish the practical-scientific evaluation study of the multiple sterility aspects in the country;
  • increase the population’s level of information and education in sterility prevention.


 

6.7. Domestic Violence and Sexual Abuse Prevention and Management

Goal: reduce domestic violence and sexual abuse.

Objectives:

  • ensure the legislative and normative framework related to domestic violence and sexual abuse prevention;
  • provide specific services to victims of domestic violence and sexual abuse;
  • increase the population’s level of information and education in domestic violence and sexual abuse;
  • set up social assistance services for families that fail to comply with their responsibilities towards children;
  • implement psychological rehabilitation services for children who have been victims of violence or its witnesses;
  • provide counseling services to abusers.

 

6.8. Prevention of Trafficking in Human Beings

Goal: prevent and reduce trafficking in human beings

Objectives:

  • ensure the appropriate legal framework for fighting the trafficking in human beings and providing health and social assistance for the victims;
  • provide victims with specific services related to trafficking in human beings;
  • increase the population’s level of information and education in the field of trafficking in human beings.

 

6.9. Early Diagnosis and Management of Genital and Breast Cancer

Goal: improve the early diagnosis and management of genital and breast cancer.

Objectives:

  • improve the legal framework in the field of early diagnosis of breast and cervical cancer;
  • finalize the development and approval of the National Program on fighting oncological diseases for 2005-2010;
  • increase the access of population to genital and breast cancer diagnosis and prophylaxis services;
  • cytological screening to trace out pre-cancer processes and cervical cancer;
  • train the health services providers in early diagnosis of breast and cervical cancer;
  • train obstetricians-gynecologists and midwifes from rural places in correct collection of smears from the cervix and cervical canal for the cytological investigation;
  • develop the modern concept of information and education of population in genital and breast cancer;
  • promote the primary and secondary prophylaxis of female genital cancer through mass-media;
  • publish brochures and hand-outs on early diagnosis of cervical and breast cancer methods;
  • involve large sections of people in actively fighting cervical and breast cancer.

 

6.10. Sexual Health of the Elderly

Goal: improve sexual health of elderly women and men.

Objectives:

  • increase the elderly persons’ access to sexual health services;
  • increase the elderly persons’ level of information and education in the field of sexual health.

 

6.11. Sexual and Reproductive Health of Men

Goal: improve sexual and reproductive health of men and encourage their active participation in family planning.

Objectives:

  • increase men’s level of knowledge on family planning and reproductive health protection;
  • increase men’s access to qualified family planning and reproductive health services;
  • encourage the active participation of men in family planning decision-making.

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