child. The People's Advocate for Children's Rights also concludes that the national public
authorities have failed to reach a satisfactory threshold for carrying out the indicated actions and
notes with regret that government institutions have not examined or implemented his previous
recommendations set out in the previous annual reports in the chapters on the right to health and
reiterates the importance of fulfilling them.
In the current circumstances, the Children's Ombudsman presents the situation of respecting
the child's right to health on palliative care segment in 2019. In the Republic of Moldova at present
there are over 500 children in need of palliative care. Palliative care is the type of service that can
help children and adolescents living with many serious illnesses, including genetic disorders,
cancer, neurological disorders, heart and lung disease and others. Palliative care is important for
children at any age or stage of serious illness. It may start as soon as you learn about your child's
illness. This can help prevent symptoms and relieve physical pain. Thus, during 2019, the People's
Advocate Office prepared the Thematic Report on the implementation by the Republic of Moldova
of the provisions of the resolution on strengthening the palliative care as a component of integrated
lifelong treatments153. In the process of monitoring and analyzing the data obtained, the following
problematic aspects were found:
The MHLSP mentions that the district hospitals hospitalize patients with care
problems in the pediatric wards of the district, if necessary. However, in the study it
was determined that palliative care services for children are not provided in the
district hospital medical institutions.
The managers of the institutions mentioned that separate funding for children in
palliative care does not exist, and the NHIC contracts services for palliative care,
without a delimitation between adults and children and there is no way to calculate
the needs and consumables for children in palliative care.
At the same time, there was invoked the lack of an interdisciplinary team specially
created and trained for palliative care in children, with only the assistance offered
within the Oncology Institute.
It was also found that no hospital institution has a psychologist specialized in
pediatric palliative care 154.
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