Throughout the last decade, the Republic of Moldova has faced human resources shortages in health care facilities due to intensive migration. There is a discrepancy between the number of medical workers, especially for nurses and midwives, available in rural and urban areas. While the number of medical workers in health care facilities in Chisinau is satisfactory, rural areas face shortages of family doctors and nurses and district hospitals are understaffed. Consequently, a call for volunteers from the medical university and colleges was launched and a reserve list of medical staff was created.
Since the state of emergency was declared on 17 March, WHO, jointly with national experts, have supported 49 training sessions on infection prevention and control as well as clinical case management for managers, medical staff (doctors, nurses) and non-medical staff from frontline COVID-19 hospitals:
- 6 designated facilities (first stage) for adults and children,
- Chisinau municipality hospitals which opened additional COVID wards,
- staff from all 7 regional hospitals plus 28 district hospitals,
Before the initiation of home care and treatment management, medical and non-medical staff from primary care (municipal, rayon and local levels), including paediatricians were trained on the same topics.
A series of trainings was also conducted on infection prevention and control, the correct use of PPE, biological medical waste management, case management, as well as communication with suspected cases and contacts for all staff at: the Ambulance service, Youth Friendly Health Services, the COVID triage centre, perinatal care centres, psychiatric hospitals, community mental health services, long-term care institutions, social care residential facilities; professionals working in intensive care units; pharmacists; dentists; epidemiologists; student volunteers that will contact suspected cases; professionals at the forensic service and prison staff.
WHO and MHLSP also organized focused training on clinical care: oxygen therapy for severe and critical cases in adults and children; child care (based on IMCI and WHO/UNICEF guideline on child care during COVID) and vaccination during the COVID-19 epidemic; referral and treatment algorithms for persons with mental health issues; algorithms for psychological intervention and support for medical workers included in the COVID-19 response (training for psychologists and psychiatrists deployed to COVID-19 hospitals) with clear instructions for psychological teams; protocol on treatment at home for mild cases for all health services, including mental health facilities and prisons; a provisional protocol on clinical management of moderate, severe and critical cases; psychological support and prevention of burn-out (training for MIA subordinated services – General Police Inspectorate, National Patrolling Service, border police, asylum and repatriation service, emergency service and the prison service).