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.







