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Pagina principala / Abortion / Information for providers / National Strategy on Reproductive Health 2005 - 2015 / 7. Expected rezults

7. Expected rezults

7. Expected rezults

General:

• improvement of the legal framework on the functioning of the reproductive health service;
• the reproductive health subject included in the undergraduate and graduate studies curriculum;
• qualified, comprehensive and integrate reproductive health services organized in every district and city;
• the regulations on health care in family planning adjusted to the international requirements;
• the family planning record, monitoring and evaluation system developed;
• sexual education implemented in the education system as well;
• the local information, education and communication system developed.

7.1. Related to family planning:

• the prevalence of modern contraception will exceed 50%. Hormonal contraception will exceed 10%, and voluntary surgical sterilization will exceed 5%;
• consultation in choosing the optimal contraceptive method will become a constitutive part of the primary health care system;
• the population’s information and education level in family planning will exceed 75%;
• the level of the population’s access to family planning services will increase.

7.2. Related to safe motherhood:

The following rates will decrease:

• the rate of maternal mortality, under 20 per 100 thousnad live births;
• the rate of perinatal mortality, under 10 per 1000 live and still births;
• the rate of early neonatal mortality, under 5 per 1000 live births;
• the rate of early neonatal morbidity, under 200 per 1000 live births;
• equal access of women to perinatal care regardless of the place of living and social status;
• during the antenatal health care the pregnant women will be offered at least six visits, including one in the first quarter of the pregnancy period;
• the target population will have healthy perinatal care attitudes and habits.

7.3. Related to the sexual and reproductive health of teenagers and young people:

• sexual education will be implemented in at least 80 % of the schools of the country;
• the teenager’s and youth’s information and education level in sexual and reproductive health will exceed 80%;
• every locality of the country will be provided with youth-friendly health services;
• the following decreases will be observed:
• teenage pregnancy – by 30%;
• syphilis incidence in teenagers – by 20%.

7.4. Related to the prevention and management of reproductive tract infections:

• the counseling of patients infected with sexually transmitted infections will be integrated with the family planning and family doctor service;
• the information and education level of the population of reproductive age in sexually transmitted infections and HIV/AIDS will exceed 75%;
• the extent of the participation of population of reproductive age in risky behavior decision-making will increase;
• the HIV/AIDS incidence will stay at the level of the year 2004. The frequency of mother-to-child transition of HIV will decrease to less than 1%.

7.5. Related to abortion and pregnancy termination services:

• the population’s level of information and education in abortion issues will increase;
• abortion rate will not exceed 15 from 1000 women of reproductive age;
• the frequency of post-abortion complications will decrease;
• the maternal mortality from post-abortion complications will be avoided;
• more than 70% of the patients after an abortion will leave the medical institution with a well selected contraceptive method.

7.6. Related to Sterility Prevention and Management:

• the number of visits and access of the sterile couples to qualified health services will increase;
• the level of information and education of the population of reproductive health in infertility prophylaxis issues will increase.

7.7. Related to domestic violence and sexual abuse prevention and management:

• the population’s level of information and education in domestic violence and sexual abuse will increase;
• the number of domestic violence and sexual abuse cases will decrease.

7.8. Related to the prevention of trafficking in human beings:

• the population’s level of information and education in the trafficking in human beings phenomenon and its consequences will increase;
• the number of trafficked persons will decrease.

7.9. Related to the early diagnosis and management of breast and genital cancer:

• the population’s level of information and education in fighting genital and breast cancer issues will meet the European standards;
• the percentage of diagnosis of cervical cancer in stage 0 will exceed 25, and in stages I-II – 45.

7.10. Related to sexual health of elderly persons:
The level on information and education of elderly persons in sexual health will exceed 60%;
every locality of Moldova will develop counseling services for elderly persons with sexual problems.

7.11. Sexual and reproductive health of men:

• men’s level of information on sexual and reproductive health protection will exceed 70%;
• all of the family planning services in the country will grant counseling to men on sexual and reproduction issues.