The National Framework Plan for the viral hepatitis control in Romania, 2019-2030, coordinated by the Ministry of Health Romania (National Program)

The National Framework Plan for the viral hepatitis control in Romania, 2019-2030, coordinated by the Ministry of Health Romania (National Program)

Virus targets
Hepatitis B
Hepatitis C
Type
Testing and treatment implementation
Setting
National
Phase
Active
Health outcomes
Incidence
Mortality
Prevalence
WHO region
European Region
Target goal
Country
Romania
Key interventions
Community mobilization
Hepatitis B Vaccination
Injection safety and infection control
Persons who inject drugs: HCV cure as prevention
Persons who inject drugs: Syringe service program(s)
Prevention mother-child transmission
Strategic data analysis
Screening and diagnosis
Treatment (direct or referral)
Target population
Adults
Blood transfusion recipients
Household contact(s)
Incarcerated populations (current and former)
Infants (less than one year of age)
Men who have sex with men
Newborn (born in last 30 days)
Occupations with possible exposure
Persons who inject drugs
Pregnant women
Sexual contact(s)
Performance target
Care cascade: HBV diagnosis
Care cascade: HBV testing
Care cascade: HBV treatment
Care cascade: HCV diagnosis
Care cascade: HCV testing
Care cascade: HCV treatment
Harm reduction (access to safe injection equipment for persons who inject drugs)
HBV prevention of mother to child transmission
Injection safety
Vaccination coverage
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Performance target additional info

Targets for 2020:

- 95% coverage for hepatitis B vaccination with 4 doses established in the National Vaccination Calendar;

- 95% coverage for the first dose of hepatitis B vaccine given to newborns in the first 24 hours after birth;

- 75% coverage for testing the pregnant women for hepatitis B and C and 95% coverage for the post-exposure prophylaxis with HBIG in newborns from infected mothers in the first 12 hours after birth, associated with the first dose of hepatitis B vaccine;

- all donated blood to be tested by PCR for HBV and HCV; - 50% injections to be given using safety-engineered injection devices;

- to assure the continuity of the harm reduction programmes for PWIDs (to distribute at least 200 syringes/PWID/year);

- at least 40% opiod-dependent PWIDs to receive OST;

- 95% coverage for hepatitis B vaccination in uninfected PWIDs;

- at least 25% of persons living with chronic infections with HBV,HDV and HCV to be diagnosed and informed about their disease;

- at least 75% of persons detected with HVB and HCV infections and eligible for treatment to be enrolled in antiviral treatment;

- to obtain viral suppression for at least 70% of the patients being in long-term treatment for hepatitis B;

- to diagnose at least 75% of the patients being in advanced stages of disease with HBV and HCV (cirrhosis or hepatocellular carcinoma);

- to cure at least 95% of the patients with chronic hepatitis C enrolled in treatment.

Summary and objectives

Objective: The Plan aims to create an evidence-based intervention framework for a comprehensive and systematic response of the health sector to viral hepatitis, taking into account the national context, needs and priorities. The basic principles of the Plan are those on which the European plan is based, respectively: a) universal coverage with health services; b) ensuring continuity of medical services; c) use of public health approaches.

It was approved by the 588/2019 Order of MoH and published in the Romanian Official Monitor (Monitorul Oficial al Romaniei, Partea I nr.332 din 02.05.2019).

Challenges: To maintain the necessary financing for the activities included in the Plan.

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