| Palliative Care Service Provision |
| History and Development of Palliative Care |
| Public Health Context |
| Ethics and Ethnography |
| References and Further Reading |
| |
|
|
| Use this function to cross reference with other available countries |
|
| |
|
 |
| Narrative History of Palliative Care in Moldova |
| One respondent, from the Oncology Centre in Moldova, stated that 'A concept and infrastructure of palliative care in Moldova was worked out in 1994. It contains specialised units, palliative sections in the oncological institute, palliative care units in hospitals and polyclinics, homecare programmes and hospice foundations … [but] the programmes are without state financing … The current situation is disastrous.'9 |
| Nevertheless, despite these difficulties, 'The lack of palliative care in our country and the big number of cancer patients at the advanced 4th grade initiated the idea of the introduction of palliative care in Moldova and made our specialists begin the work in this domain.'10 This led to the creation of the 'Hospice Angelus' in the capital Chisinau, Moldova, which was legally registered in August 2001 and began its home care service the following month. A day care service is scheduled to begin in September 2003 and it has plans for an inpatient unit in a building which has been made available by the mayor of the municipality. |
| One questionnaire contained the following detailed observations, remarkable testimony to local energy and the strength of international links, even in one of the poorest countries in Europe: |
| |
'… in the Republic of Moldova, palliative care only begins its development. We are a group of enthusiastic persons who without any help, on their own are trying to implement the idea of palliative care and hospice service on this territory. Our team is formed of doctors, psychologists, social workers and of course volunteers, from the University of Medicine, Chisinau. We [acquainted] ourselves with a hospice service from St Petersburg and Moscow in Russia, with the hospice 'Casa Sperantei' in Brasov, Romania and we also participated in the conference on hospice problems in Russia in May 2001. This conference was held with the participation of Wendy Jones, director of the British-Russian Hospice Society. We also had the opportunity to participate at the Balkan Conference on Palliative Care in June 2001, in Brasov, Romania with the participation of Mary Baines who was appointed Medical Director to the Ellenor Foundation. We also elaborated the projection and working standards of hospice service in the Republic of Moldova. We are now working on the elaboration of the cancer pain standards based on the recommendation of the World Health Organisation. … Even if our achievements are considerable, they are difficult to obtain because of our country's financial situation. The lack of help from our state, the poverty of our population, the inexistence of an experienced partner make our work much more difficult. We would be very grateful for any information or recommendation about the organizations which are involved in palliative care. Maybe some of them are willing to help us, we are opened in front of new possibilities.'11 |
|
|
Top | Moldova Homepage | Regions & Countries | Countries A-Z
Observatory Home | Global Analysis Home |
|
Your Location: Global Analysis Home > Countries A-Z > Moldova > Palliative Care History