The M&E Unit was created as part of the Scientific and Practical Center of Public Health and Health Management of the Ministry of Health and Social Protection of the Republic of Moldova, which later on was reorganized in the National Centre for Health Management of the Ministry of Health of the Republic of Moldova. The M&E unit is in charge to develop, to implement and sustain the functionality of the M&E systems for the National Health Programmes, including the National Programme on Prevention and Control of HIV/AIDS/STIs. Following the recommendations of UNAIDS and main donors in HIV/AIDS, regarding the necessity to implement "The Three Ones" principle, the M&E system of National HIV/AIDS Programmes represents the only monitoring and evaluation mechanism at the country level.
On January 1, 2004, the Government of Republic of Moldova has identified the National Centre for Health Management of the Ministry of Health to be in charge of the implementation of the national M&E system of the National AIDS Programme. The M&E Unit was created as part of the abovementioned Center. According to the Center’s Activity Regulations the M&E Unit represents a sub-division of the Medical Statistics and Monitoring Department. Following the approval of the recommendations of the Washington Conference organized by the UNAIDS and the main donors in HIV/AIDS from April 25, 2004, regarding the necessity to implement "The Three Ones" Principle, the M&E Unit represents the only monitoring and evaluation mechanism at the country level. The M&E Unit implements the system by monitoring the set of indicators which has been developed and agreed by all stakeholders to support monitoring and evaluation and ensures regular UNGASS and Universal Access to HIV prevention, treatment, care and support reporting with all proper consultations and data collection. The first outputs of the M&E Unit was the development of UNGASS report with all the proper consultations and data collection for the period of 2003–2005, as well as 2005–2007. An important outcome has been the unified methodology on M&E, as stipulated in the National M&E Plan, as well as a unified national indicator set.
The flow of data into the system is designed in such a way as to increase the use of existing systems, thus minimizing the needs to re-input data, thereby reducing transaction costs and the streamlining business process.
The system runs from data capture to data processing, data storage, data reporting and analysis. The main sources, required for an integrated system include: statistics from health care providers, laboratory, specific surveys, behavioural survey, epidemiological surveillance, vital statistics, and financial monitoring.
The flow of information in the system has been separated due to the reporting and collection differences that exist between the national TB programme and the AIDS programme. Data from the TB Form 089 (revised) is collected at the rayon level TB dispensary, processed by the rayonal statistical unit, and sent to the National TB Centre, where it is captured and stored in a local database. The data, required for the national epidemiological surveillance database is transmitted directly to the National Centre for Preventive Medicine (NCPM) in a standardized reporting format. Database at the National TB Centre, AIDS Centre, Narcological Dispensary and Republican Dermato-venerological Dispensary is linked to the national M&E Unit.
The HIV/AIDS/STI patient data and lab results are collected at the local level by the Centre for Preventive Medicine (CPM), sent electronically to the National CPM, incorporated into the national epidemiological surveillance database and standardized report for reintegration into the M&E system. The National AIDS Centre also receives a report.