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The initial training of specialists was carried out by
Lumos in coordination with the key ministries. Initial
training includes all specialists from the health and
social sectors within the pilot regions, both at the
community and district level, as well as specialists
from other districts around the country. Annually, a
nationwide seminar is organized for specialists from
both sectors working at the district level in order to
analyse the impact of the inter-sector cooperation
mechanism, and to disseminate the practices and
experiences of districts in this field. Moreover, the
specialists involved benefit from individual method-
ological assistance and participate in roundtable
activities where interactive approaches are used.
FUNDING:
Presently under evaluation
Lumos is currently conducting an in-depth analysis
of the history of the European Structural and Invest-
ment Funds and how civil society worked together to
convince EU member states to divert funding away
from institutions to family and community-based
care. Unfortunately, at this moment it is not possible
to provide a clear answer as the investigation is
ongoing.
OUTLOOK:
A scalable model for other districts
Prospects for the network mechanism include:
• Strengthening of the inter-sectoral cooperation
between staff from health care and social assis-
tance systems to prevent and reduce mortality of
children under five.
• Development and approval of normative frame-
works, e.g.: strategy on health, development, and
welfare of children and adolescents; strategy on
parental education; provision of comprehensive
medical, social, and educational services for early
child intervention.
• Development of an early childhood intervention
system at the national level.
• Development and expansion of inter-sectoral
cooperation practices to prevent and reduce
maternal mortality rate.
The practice of inter-sector cooperation for pre-
venting and reducing infant and under-five mortality
at home is applied at the national level and can
be adopted or adapted by other organizations or
countries. The implementation of the mechanism
has positively influenced the well-being of children in
Moldova by improving the quality of social and medi-
cal services through a unique, inter-sector system of
monitoring and assisting families and children at risk.
Further, it has enhanced the capacities of multidisci-
plinary teams to identify, evaluate, refer, assist, and
monitor child victims and potential victims of violence,
neglect, exploitation, and trafficking.
FACTS AND FIGURES:
Infant and child mortality rates
decrease
• Over the project period, the rate of infant
mortality decreased nationally from 11.7 ‰
in 2010 to 9.6 ‰ in 2014.
• The rate of mortality of children under five
decreased from 13.6 ‰ in 2010 to 11.6 ‰
in 2014.
• As part of the project, Lumos has been
building the capacity of medical staff and
social workers regarding identification, re-
ferral, assistance, and intervention to reduce
and prevent under-five mortality at home.
• During the project implementation some
1,500 professionals in the health, social, po-
lice, and public administration sectors – both
from the pilot regions and non-pilot regions
– received training.
• The quality of the training is ensured by the
use of the training materials developed and
approved by the key ministries, with Lumos
support.