Abstract:
Background: The functional organization of the service, institution or organization requires adjustment to challenges of the social, economic, and
professional environment that intervene development stages of society. This is also true for the Public Health Supervision Service.
Material and methods: The results are based on evidence of historical achievements, statistical activity data in public health surveillance, the disease
prevention, data on managers’ opinion about ways to streamline institutional work, including some results of the economic activity of the institutions.
Results: The diminished activity in the prevention of non-communicable diseases is determined by the scarce budget for public health surveillance
activities, the lack of staff and the inappropriate approach of the methodology for monitoring environmental factors in relation to the health of the
population. Service overloading 1.2-1.4 times to the functional standard, driven by low wages and as a result of staff exodus, has a negative impact
on effective indicators of public health coverage. The current model of non-communicable disease prophylaxis, with a particular focus on increasing
healthcare investment, does not contribute to improving the population’s health indicators.
Conclusions: The functioning of the Public Health Surveillance Service under the conditions of insufficient budget with dispersion of the existing number
of institutions does not contribute to the efficiency of public health surveillance.
The results of the study, also the health and economic indicators in the health system point to the need for institutional reform to adjust the public health
surveillance and financial support for disease prevention activities under the new conditions.
Description:
The Scientific Laboratory of Management in Public Health, National Centre of Public Health, Chisinau, the Republic of Moldova
