Imsp dispensarul Dermatovenerologic Republican

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ABREVIATURI

Matricea NASA 2007

Average Exchange Rate for the year 2007 (local currency to USD)

1 USD = 12,5 MDL

TOTAL (Local Currency)

Public Sources

International Sources

Private Sources
(optional for UNGASS reporting)

International Sub-Total

Bilaterals

Multilaterals

AIDS Spending Categories

Public Sub-Total

Central / National

Sub- National

Dev. Bank Reimbur-sable (e.g. Loans)

All Other Public

Social Security (Publicly Managed)

UN
Agencies

Global Fund

Dev. Bank Non Reimbur -seable (e.g. Grants)

All Other Interna-tional

Private Sub-Total

Corpo-rations

Consumer / Out-of-pocket

TOTAL (Local Currency)

102504353

27519758

74809595

19440000

11217708

17506588

21398125

5247174

175000

1. Prevention (sub-total)

78647623

25800676

52846947

16524000

9675071

12273863

10871524

3502489

1.1 Communication for social and behavioral Change (previously called "Mass Media")

11287300

Not applicable

11287300

6420000

202933

573497

697913

3392957

Not applicable

1.2 Community mobilization

974375

Not applicable

974375

Not applicable

974375

Not applicable

1.3 Voluntary counselling and testing

4062639

Not applicable

4062639

3684000

Not applicable

378639

Not applicable

1.4 Programs for vulnerable and special populations

7276995

Not applicable

7276995

Not applicable

6797763

478632

Not applicable

600

Not applicable

1.5. Youth in school

558870

Not applicable

558870

Not applicable

449938

108932

Not applicable

1.6 Youth out of school

Not applicable

1.7 Prevention programs for PLHA

Not applicable

1.8 Programs for sex workers and their clients

2291612

Not applicable

2291612

Not applicable

2291612

Not applicable

1.9 Programs for MSM

Not applicable

1.10 Harm reduction programs for IDUs

1852612

Not applicable

1852612

Not applicable

1852612

Not applicable

1.11 Workplace activities

Not applicable

1.12 Condom social marketing

Not applicable

1.13 Public and commercial sector condom provision

Not applicable

1.14 Female condom

Not applicable

1.15 Microbicides

Not applicable

1.16 Improving management of STIs

25800000

Not applicable

1.17 Prevention of mother-to-child transmission

2888402

Not applicable

2888402

Not applicable

1700000

396427

791975

Not applicable

1.18 Blood safety

10440183

Not applicable

10440183

3696000

Not applicable

1956709

4787474

Not applicable

1.19 Post-exposure prophylaxis

52407

676

Not applicable

51731

Not applicable

51731

Not applicable

1.20 Safe medical injections

Not applicable

1.21 Male Circumsicion

Not applicable

1.22 Universal precautions

104000

Not applicable

104000

Not applicable

104000

Not applicable

1.99 Others / Not-elsewhere classified

11058228

Not applicable

11058228

2724000

Not applicable

8334228

Not applicable

2. Care and Treatment (sub-total)

8502878

1601904

6900974

2808291

4084575

8108

2.1 Outpatient care

2.1.1 Provider initiated testing

968495

943600

Not applicable

24895

Not applicable

24895

Not applicable

2.1.2 Opportunistic infection (OI) prophylaxis

Not applicable

2.1.3 Antiretroviral therapy

5698069

Not applicable

5698069

Not applicable

2331344

3366725

Not applicable

2.1.4 Nutritional support associated to ARV therapy

Not applicable

2.1.5 Specific HIV laboratory monitoring

Not applicable

2.1.6 Dental care

Not applicable

2.1.7 Psychological treatment and support services

22300

Not applicable

2.1.8 Palliative care

Not applicable

2.1.9 Home-based care

490562

Not applicable

490562

Not applicable

490562

Not applicable

2.1.10 Alternative and informal care and treatment services

Not applicable

2.2 In-patient care

543919

2.2.1 Opportunistic infection (OI) treatment

327481

92085

Not applicable

235396

Not applicable

227288

8108

Not applicable

2.99 Others / Not-elsewhere classified

452052

3. Orphans and Vulnerable Children * (sub-total)

3.1 Education

Not applicable

3.2 Basic health care

Not applicable

3.3 Family/home support

Not applicable

3.4 Community support

Not applicable

3.5 Administrative costs

Not applicable

3.6 Institutional Care

Not applicable

3.9 Others / Not-elsewhere classified

Not applicable

4. Program Management and Administration Strengthening (sub-total)

14384550

30218

14179332

2916000

1101642

2014912

6442026

1704752

175000

4.1 Programme Planning, coordination and programme management

1541757

Not applicable

1541757

Not applicable

429425

1112332

Not applicable

4.2 Programme Administration and Transaction costs associated with managing and disbursing funds

773138

Not applicable

773138

Not applicable

549500

Not applicable

223638

Not applicable

4.3 Monitoring and evaluation

3768014

Not applicable

3768014

Not applicable

383938

Not applicable

3334076

50000

Not applicable

4.4 Operations research

363333

Not applicable

363333

Not applicable

125000

Not applicable

238333

Not applicable

4.5 Sero-surveillance

25000

Not applicable

25000

Not applicable

25000

Not applicable

4.6 HIV drug-resistance surveillance

Not applicable

4.7 Drug supply systems

18204

Not applicable

18204

Not applicable

18204

Not applicable

4.8 Information technology

50000

Not applicable

50000

Not applicable

50000

Not applicable

4.9 Supervision of personnel

25000

Not applicable

25000

Not applicable

25000

Not applicable

4.10 Upgrading laboratory infrastructure

7820104

30218

Not applicable

7614886

2916000

Not applicable

2014912

2678525

5449

175000

Not applicable

4.11 Construction of new health centres

Not applicable

4.99 Others / Not-elsewhere classified

Not applicable

5. Incentives for Human Resources (sub-total)

966268

86960

879308

440995

409522

28791

5.1 Monetary incentive for physicians

25220

Not applicable

5.2 Monetary incentive for nurses

30650

Not applicable

5.3 Monetary incentive for other staff

31090

Not applicable

5.4 Formative education and build-up of an AIDS workforce

368374

Not applicable

368374

Not applicable

47007

321367

Not applicable

5.5 Training

416579

Not applicable

416579

Not applicable

393988

Not applicable

22591

Not applicable

5.9 Others / Not elsewhere classified

94355

Not applicable

94355

Not applicable

88155

Not applicable

6200

Not applicable

6. Social Protection and Social Services excluding Orphans and Vulnerable Children (sub-total)

6.1 Monetary benefits

Not applicable

6.2 In-kind benefits

Not applicable

6.3 Social services

Not applicable

6.4 Income generation

Not applicable

6.9 Others / Not elsewhere classified

Not applicable

7. Enabling Environment and Community Development (sub-total)

3034

7.1 Advocacy and strategic communication

3034

Not applicable

3034

Not applicable

3034

Not applicable

7.2 Human rights

Not applicable

7.3 AIDS-specific institutional development

Not applicable

7.4 AIDS-specific programs involving women

Not applicable

7.9 Others / Not elsewhere classified

Not applicable

8. Research excluding operations research which is included under (sub-total)

8.1 Biomedical research

Not applicable

8.2 Clinical research

Not applicable

8.3 Epidemiological research

Not applicable

8.4 Social science research

Not applicable

8.5 Behavioural research

Not applicable

8.6 Research in economics

Not applicable

8.7 Research capacity strengthening

Not applicable

8.8 Vaccine-related research

Not applicable

8.9 Others / Not elsewhere classified

Not applicable

* The term vulnerable children in this context refers to children whose parent is too ill to take care of them but do not qualify for social support as orphan.

LISTA LITERATURII

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ABABII, I., GHIDIRIM, Gh., CIOCANU, M. Politica Naţională de Sănătate. Buletinul Academiei de Ştiinţe a Moldovei, Ştiinţe Medicale. Chişinău, 2006, nr. 2, p. 7 -17.
ALBAN, A. “Moldova input for - HIV interventions 2008-2012“, Chisinau, 29 February, 2008.
ATUN R. A. "Opportunities in the UK Health Care Market. A Strategic Analysis" FT Health Care Reports. Financial Times, London, 1998. 278 p.
ARAN, C. “Classifications & Categories- Overview”, NASA TRAINING Bucureşti, decembrie 2007
ARAI, K. Deployment of cost accounting of various services in the departments of hospitals in United States. Hitotsubashi Ronsou 1999, 121(5), p.94–115.
ARAI, K. Development of hospital cost accounting in United States. Hitotsubashi Ronsou 1998, 120(5), p.151–173.
ARAI, K., MATSUURA, T., SAKAMOTO, N., et all. Hospital data interchange format of Financial Analysis Information. Jpn. J. Medical Information, 1999, 19, p.219–229.
AVILA, C National Aids Spending Assessment (NASA). Second Regional National Health Accounts Workshop Tbilisi, Georgia December 7-9, 2005
AVILA, C. “Financial resources to achieve Financial Universal and Access”, NASA TRAINING Bucureşti, decembrie 2007
BANARI, D. “ Evaluarea costurilor pentru tarifele la serviciile medico sanitare si factorii care au influenţă asupra valorilor lor”. Sănătate Publică, Economie şi Management în medicină. Chişinău, 2005, nr.3, p. 21-26.
BANARI, D. “ Premizele implementării conturilor naţionale de sănătate in Republica Moldova” Sănătate Publică, Economie şi Management în medicină. Chişinău, 2008
BARROS, P.P. The black box of healthcare expenditure growth determinants. Health Economics. London. 1988. vol. 7(6), p. 533-44.
BAURCIULU, A. “Echilibrul financiar public la nivel macroeconomic “, Lucrare de doctor in ştiinţe economice, Academia de Studii Economice din Moldova, Chisinau, 2006, pp. 107-133
BERMAN, P. “Guide to producing national health accounts: with special applications for low-income and middle income countries” World Health Organization, 2003, 309 pp.
BERMAN, P. “ Health Economics” vol. 6: 11-30 (1997)
BOLLINGER, L., STOVER, J., BOULLE, A., CLEARY, S . Model for Estimating Resource Needs for Prevention, Care, and Mitigation. Resource Needs for HIV/AIDS, South Africa, December 2006.
BOLLINGER, L., STOVER, J., “Methodology for Care and Treatment Interventions”, Futures Institute August 20, 2007
BRADFORD, D., CRAYCRAFT, C. Prospective payments and hospital efficiency. Review of Industrial Organization 11 (6), p. 791 – 809.
BROWN, G., SHARMA, S., BROWN, M., et all. Evidence-based medicine and cost-effectiveness. J Health Care Finance 1999, 26(2), p.14-23.
BROWN, C. Public Sector Economics / BROWN, G., JACKSON P. – Oxford: Basil Blackwell, 1990
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BUNKER, J.P., FRAZIER, H.S. and MODTELLER, F. The role of medical care in determine health: creating an inventory on benefits. In B.J. AMICK, S. LEVINE, A.R. Tarlov and D. Chapman Walsh (ends) Society and Health, pp. 305-41. New York: Oxford University Press. 1995. 342 p.
BUSMACHIU, E., CASIAN, A. Aspecte de finanţare a cheltuielilor pentru ocrotirea sănătăţii Materialele conferinţei VII-a Ştiinţifice Internaţionale: Ştiinţa, Tehnica, Medicina şi Bioetica în strategia de existenţă umană: probleme de interacţiune şi interconexiune 24 aprilie 2002 –UMI, Chişinău,2002, p.221-224.
BUSMACHIU, E., CASIAN, A. Sistemul asigurărilor sociale : Reforma, strategiile şi direcţiile de dezvoltare în Republica Moldova. Informaţie de sinteză, Rubrica SATI şi INEI – Chişinău, 2002, 50p.
BULETIN INFORMATIV PRIVIND SITUAŢIA EPIDEMICĂ ÎN INFECŢIA HIV/SIDA, REALIZAREA PROGRAMULUI NAŢIONAL PE SEMESTRU II, 2007 ŞI SARCINILE PENTRU 2008. CNŞPMP, Chisinau 2008
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ABREVIATURI:
AOAM - Asigurărilor Obligatorii de Asistenţă Medicală

ARV- AntiRetroViral

AS – Agenti financiari

BSB- Bărbaţilor care fac Sex cu Bărbaţi

CGG - Cheltuielile Generale ale Guvernului

CNS- Conturi Nationale de Sanatate

CNOS – Conturile Natioanale ale Ocrotirii Sanatatii

CSN – Conturile Sistemului National

LSC- Lucrătorii Sexului Comercial

M&E – Monitorizare si Evaluare

NASA - National Aids Spending Assessment

OCED - Organizatia de Colaborare Economica si Dezvoltare

OCV – Orfani si Copii Vulnerabili

OMS – Organizatia Mondiala a Sanatatii

OS – Ocrotirea Sanatatii

ONU – Organizatia Natiunilor Unite

ONG – Organizatie NonGuvernamentala

PIB – Produsul Intern Brut

PNB – Produsul Naţional Brut

SCOS – Subcontul Contului National de Sanatate

SOS – Sistemul Ocrotirii Sanatatii

SF – Surse Finnaciare

UDI - Utilizatorilor de Droguri Injectabile

USMF – Universitatea de Stat de Medicină şi Farmacie

ANEXE:

Anexa.1 - Table 1.1 Sri Lanka national health accounts, sources to providers matrix, 1997 (OECD SHA format) p.10 „Guide to producing national health accounts”
Anexa. 2 - Table 3.2 International Classification for Health Accounts scheme for health care functions (ICHA-HC) p.28 „Guide to producing national health accounts”
Anexa. 3 - Table 3.5 Classification based on essential public health functions (EPHF) p.32 „Guide to producing national health accounts”
Anexa.4 – Matrita Estimarilor fluxurilor financiare destinate HIV/SIDA conform clasificarii NASA pentru anul 2006, Republica Moldova
Anexa.5 - Matrita Estimarilor fluxurilor financiare destinate HIV/SIDA conform clasificarii NASA pentru anul 2007, Republica Moldova
Anexa.6 – Matricea Finantarii Nationale dupa NASA adaptata pentru RM, Anexa la Ordinul MS „Cu privire la elaborarea Raportului Naţional pentru anul 2008 în conformitate cu Declaraţia de Asumare a Angajamentelor cu privire la HIV din cadrul Sesiunii Speciale din 2001 a Adunării Generale a ONU”
Anexa.7 – Indicatorii demografici legati de HIV/SIDA pentru anii 2003-2011.
Anexa 8 – Costul activitatilor HIV/SIDA in conformitate cu clasificarea NASA pe anii 2007-2010
Anexa 9 - Situaţia economico-financiară a IMSP din anul 2007
Anexa 10 - Compararea functiilor NASA cu functiile subcontului HIV/SIDA al CNS
Anexa 11 – Ordiul MS nr. 479 din 29.12.08 „Cu privire la elaborarea Raportului Naţional pentru anul 2008 în conformitate cu Declaraţia de Asumare a Angajamentelor cu privire la HIV din cadrul Sesiunii Speciale din 2001 a Adunării Generale a ONU”
Anexa 12 – Ordinul MS nr.194 din 13.05.08 „Cu privire la crearea Echipei de Management în cadrul proiectului Servicii de Sanatate si Asistenta Sociala implementat cu suportul Asociatia Internationala pentru Dezvoltare”

1 . Sistemul de conturi Nationale (SCN) prezinta o structura larga (vasta), elaborata pentru sistemul national al evidentei economice de Comisia Comunitatiloe Europene de Colaborare si Dezvoltare, ONU si Banca Mondiala. Regulile de conducere (administrare) si structura SCN se contin in indrumarul numit „Sistemul de conturi Nationale” 1993 [138], de obicei desemnat prin abreviatura SCN93. Partea introductiva SCN93 da o definitie „ca unei culegeri de conturi macroeconomici, multilaterale, consecvente si flexibile, indreptate spre satisfacerea necesitatilor analiticienilor din sectoarele de stat si particular, politicienilor si persoanelor, care iau decizii”. Ea da o definitie, pusa la baza unei conceptii ca produsul intern brut (PIB).

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