State University of Medicine and Pharmacy „Nicolae Testemiţanu” Republican Disaster Medicine Center TRAINING OF PUBLIC HEALTH SPECIALISTS IN PUBLIC HEALTH.

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State University of Medicine and Pharmacy „Nicolae Testemiţanu” Republican Disaster Medicine Center TRAINING OF PUBLIC HEALTH SPECIALISTS IN PUBLIC HEALTH EMERGENCIES Mihail Pîsla, MD, PhD Republican Disaster Medicine Centre

Ensuring a high level of preparedness for public health emergencies requires capacities and resources : Institutional Human Logistic Financial Etc.,

ASSESSMENT OF HEALTH SECURITY AND CRISES MANAGEMENT CAPACITY IN THE REPUBLIC OF MOLDOVA Key findings There is no overall strategy for training health personnel and no regular budget to develop an ongoing, continuing professional development programme to ensure adequate numbers of competent staff for crisis preparedness and response. Present training is focused mainly on emergency medicine and no courses are available on disaster management or the broader public health issues. Recommendations Disaster management should also be increasingly included the pre- and post-graduate curricula of health professionals (doctors, nurses and paramedics). It is also an essential topic for any postgraduate training in public health.

4 training courses with managers of district (municipal) health systems components (hospitals, family doctors centers, public health centers, EMS stations) December 2011

Local Public Administration GOVERNMENT National System for Preparedness and Response to public health emergencies Zonal Emergency Medicine Stations District Emergency Medicine Substation District Hospital District Public Health Center Family Doctors Center CMF Independent Family Doctors Centers, Ambulance Points MOH/NSPCEM MOH/NPHC National Extraordinary Public Health Commission Rep. of Moldova Commission for Emergency Situations Commission for Emergency Situations Extraordinary Public Health Commission CMF Family Doctors Offices

Ministry of Health Order no.928 of "Regarding the coordination of preparedness measures, response and liquidation of consequences of emergency situations and public health emergencies “ District directors of public health centers have been nominated as medical coordinators of activities of preparedness, response and liquidation of medical consequences in crisis and public health emergencies

Local Public Administration GOVERNMENT National System for Preparedness and Response to public health emergencies Zonal Emergency Medicine Stations District Emergency Medicine Substation District Hospital District Public Health Center Family Doctors Center CMF Independent Family Doctors Centers, Ambulance Points MOH/NSPCEM MOH/NPHC National Extraordinary Public Health Commission Rep. of Moldova Commission for Emergency Situations Commission for Emergency Situations Extraordinary Public Health Commission CMF Family Doctors Offices Dir.PH Center- coordinator

Ministry of Health’s Order no.928 of "Methodical indications on planning of preparedness, response and liquidation of consequences of medical emergencies and public health emergencies of population of the territorial-administrative unit"

4 training courses with hospital directors June 2012

4 training courses with directors primare medical care facilities Juli 2013

3 – days training course with directors of Public Health Centers February 2013

Mater Programs in Public Health and Social Services

Postgraduate training Programme for master/residency in Public Health

The module "Management of risks and public health emergencies“

The module "Management of risks and public health emergencies.” 21 teaching themes 2 sub-modules: "Management of the public health emergencies and organization of health care“ "Aspects of the public health in the management of risks and public health emergencies,“ 140 hours have been allocated (42 hours of lectures and 98 hours of seminars) Simulation exercise of response actions in public health emergencies

Health 2020: European policy framework supporting action across government and society for health and well-being Priority 3 Strengthening people-centred health systems, public health capacity and emergency preparedness, surveillance and response

Thank you for your attention Questions?