Vadim Krasnoselsky and Kristina Albul discussed issues related to public health and the functioning of the republic's healthcare system. It was noted that the birth rate in Pridnestrovie is declining. While 506 children were born in the first five months of 2025, this year it has fallen to 436. The highest birth rate is in Tiraspol – 1 per 1000 population, while the lowest is in the Grigoriopol and Rybnitsa districts – 0.7. Meanwhile, the number of abortions is declining annually, including among teenagers aged 15-17. The President and the minister discussed measures being taken at the ministry level and nationally to improve demographic indicators. The President emphasized that no issue is insignificant – the involvement of all sectors is essential: from repairs to nurseries to ensuring state security. When deciding to give birth to a child, citizens weigh all these aspects: healthcare, education, culture, law enforcement, infrastructure, the state of the economy, and immigration policy.
An encouraging fact from the minister's report: according to data from the first five months of this year, the mortality rate has decreased by 10.5% compared to the same period last year. The decrease was noted for causes related to diseases of the circulatory and digestive systems, as well as malignant tumors. Mortality from infectious and parasitic infections increased by 25%. Vadim Krasnoselsky instructed that this issue be studied and preventive measures adopted based on the findings. Another area with increased mortality is non-medical: road traffic accidents (+33.6% compared to the first five months of 2025). The highest mortality rate is currently in Kamenka district, and the lowest in Bendery.
9.9% decrease in overall morbidity was also recorded. The rate has fallen by 17% among adults and children under 14. However, adolescents are still frequently affected. The number of cases among those aged 15-17 has decreased by only 3.6%. The President noted that this issue needs to be given special attention, with greater attention paid to screening, prevention, and encouraging young people to engage in sports and a healthy lifestyle. Vadim Krasnoselsky noted that these are young people at the age when they are taking final and entrance exams: increased workload and stress negatively impact the physical and mental well-being of young people.
The Ministry of Health is paying particular attention to diseases classified as social. 25 new cases of HIV, five cases of AIDS, 30 cases of tuberculosis, 78 cases of bronchial asthma, 315 cases of diabetes, and 256 cases of mental illness or behavioral disorders have been registered over the past five months. HIV and tuberculosis rates have decreased, while increases have been recorded for other rates. Speaking about inpatient care, Kristina Albul reported that 3033 beds had been deployed in medical facilities across the republic by early summer. Since the beginning of the year, 20567 patients have been treated, 2808 of whom are children. Approximately 2000 people are hospitalized in the republic daily. 836 people received treatment at home over the five reporting months (13776 medical procedures were performed on them).
The report places particular emphasis on personnel training. It is noted that medical personnel training requires consistency and systemic approach, as it is essential to adapt treatment processes to changing protocols and new technologies. 169 physicians and 373 nursing staff completed continuing professional education program this year. 129 medical professionals received At the state university the advanced training, funded by the republican budget, in areas such as the pathogenetic foundations of disease development, the application of modern molecular methods in clinical practice, arterial hypertension, emergency cardiology and electrocardiographic diagnostics of cardiac pathologies, emergency surgery, and medical law. Fifteen specialists are currently studying in the "Healthcare Management and Economics" professional retraining program. Our medical professionals have received advanced training at international venues including the Volga Region Research Medical University, the Unified Personnel Training Center (St. Petersburg), and the University of Medicine and Pharmacology named after Testemitanu (Chisinau). Furthermore, the participation of 745 representatives of the Pridnestrovian healthcare system in 17 scientific conferences, congresses, and international roundtables, as well as internships and training at medical centers in Russia and other countries, was crucial for sharing experiences and exploring new treatment approaches. The state placed 60 state-funded graduates from the Tarasevich Medical College and 53 from the Sklifosovsky Medical Institute in January and May.
Kristina Albul mentioned in her report the development of the "Prevention and Treatment of Cardiovascular Diseases in the Pridnestrovian Moldavian Republic" state program and recalled that five targeted healthcare programs are currently in effect in the republic. She described the monitoring and inspection activities being carried out at medical institutions of various levels. Speaking about preventative work aimed at preventing and detecting diseases early, the speaker reported on free screening at institutions under the Ministry of Health, scheduled medical examinations for residents and wards of social institutions, and vaccinations for the general population.
The topic of upgrading medical infrastructure was addressed. The Central Republican Hospital of Rybnitsa was mentioned among other projects. Renovations to the operating room, primary surgery department, and purulent surgery department have been completed there. The reconstruction of the Republican Clinical Hospital continues unabated despite the extremely difficult economic situation. This year's plans include renovations to outpatient clinics of Slobodzeya and Grigoriopol. Renovations to the Mother and Child Center and the City Hospital in Bendery are ongoing. The Minister emphasized that limited financial resources are delaying the commissioning of facilities and leading to a decline in the quality of medical services. The reduction in funding limits for equipment and inventory repairs is a serious problem.
The interlocutors discussed the most problematic aspects in detail. The President issued ongoing instructions.
