PREHOSPITAL EMERGENCY MEDICAL ASSISTANCE SAVES LIVES

Programme 2021 - 2027 Interreg VI-A NEXT Romania - Rep.Moldova

Date of latest update: 2026-08-06

Description

Description (EN):

The common challenge: Provision of emergency medical assistance at the pre-hospital stage and assisted medical transportation of patients is provided by the ambulance institutions/services. These institutions aim to improve the population's access to quality emergency medical services at the pre-hospital stage, minimize the impact of medical-surgical emergencies on the health of the population, reduce human suffering, increase the chances of survival of patients with life-threatening conditions, as well as prevent disabilities and reducing the rate of preventable deaths. The ambulance service that provides, by calling 112, a 24/7 response to medical emergencies, is at the front line of the healthcare system and represents a crucial link in the chain of patient survival, where time plays a fundamental role, applying timely defibrillation in case of cardiac arrest, early restoration of vital organs in major traumas, timely transportation of patients in critical conditions for care in stationary conditions and in specialized hospital wards, etc. The quality of emergency medical services depends on a multitude of factors, but a central one rests on the available transport resources. In this sense, ambulances play a critical role and are a fundamental component of the ambulance service. Adequate provision of medical transport units can greatly improve the survival rate and avoid the consequences of medical emergencies in the short, medium and long term. Although the ambulance fleet consists of 435 in the Republic of Moldova and 76 in Iași county, it is necessary to have an optimal number of high-performing ambulances, in relation to the population and the area served (one ambulance with a stretcher per approx. 5,000 inhabitants), motivated by the fact that only approx. 93%, respectively 95% of the ambulances are functional at a certain moment, the rest being in repairs and technical overhauls due to the advanced degree of wear and tear. The overall objective of the project is: 1) improving the access of patients who call 112 to quality emergency medical services by training the specialized staff of the ambulance services to provide assistance and emergency consultations at home, in order to reduce suffering and increase the chances of survival; 2) increasing the resilience of the systems for providing medical assistance in the pre-hospital stage by renewing the fleet of B-type ambulances, to ensure assisted medical and unassisted medical transport; 3) increasing the chances of survival of people who suffer a cardio-respiratory arrest by providing first aid by citizens (untrained people), by using AEDs installed in the program area, in crowded areas of urban localities. Expected results: -10 type B ambulances purchased and operationalized within the partner ambulance services (4 ambulances in Iasi and 6 ambulances in Chisinau); -90 automatic external defibrillators (AED) purchased, installed and put into operation in the program area in Romania, to ensure emergency intervention in the community; -32 (16IS+16RM) employees - medical and operational staff involved in providing pre-hospital emergency medical assistance - who improved their skills; -2 joint activities for the exchange of good practices/experience; -1 collaboration agreement concluded between the partner ambulance services with the aim of cooperating across borders and after the implementation of the project. The beneficiaries project are: - direct - 1. citizens from the program area targeted by the project, respectively approx. 7,116 from IS and 28,200 from RM who will be assisted in pre-hospital emergency medicine by the 4+6 new outpatient clinics; 2. citizens who may suffer a cardio-respiratory attack and are within the range of AEDs that can be used by people without specific training in providing first aid, until the arrival of the ambulance service. - indirect - approx. 60 employees from partners, calculating 2 people/crew*3 shifts/day + 32 employees who will participate in joint training. Cross-border approach: Within the project, joint specialized training sessions for staff will be organized with the involvement of trainers from the counterpart cross-border institution and experience exchange activities leading to the improvement of emergency medical care and assisted medical transport for patients. What is new: Creation of a first aid network in case of cardio-respiratory arrest in the North-East region of Romania, by installing 90 AEDs in different localities, in order to prevent death and serious illnesses that can be generated by stopping the electrical activity of heart Also, joint training with instructors/trainers from the partner who will share best practices regarding emergency care at home, in the pre-hospital phase, in different types of conditions.

Actual Achievements (EN):

The partners appointed project teams that coordinated the implementation of the activities by conducting online and face-to-face meetings and through online and telephone communications. Through the project, the partners aim to improve the population's access to quality emergency medical services in the pre-hospital stage, to minimize the impact of medical and surgical emergencies on the health of the population, in particular to reduce human suffering and increase the chances of survival of patients with life-threatening conditions. In this regard, LP1 and PP2 have published notices of participation in competitive procedures for the acquisition of 10 type B ambulances (4 in Iași and 6 in Chișinău), to improve the medical transport services of patients by the partner ambulance services. PP3 also started the development of the procurement documentation for 90 AEDs that will be installed in congested areas of urban localities and in rural localities with large populations. In this regard, with the support of the county councils, it informed the localities targeted by the project in the 3 counties and organized 2 events with their representatives in Iași and Vaslui counties, the last event to be organized in Botoșani, in Period 2. In order to improve emergency medical services provided to the population, in November 2025, the first joint training session for employees of partner ambulance services was organized in Chisinau, attended by 16 medical professionals from Iași, coordinated by 4 trainers from Chisinau, on the topic of "Cardiovascular Emergencies". The joint training aimed to share best practices regarding the provision of emergency medical aid in the pre-hospital phase, which leads to a unified approach to intervention in the project area. To promote the project, the funding program, the financing and the objectives, LP1 organized a press conference to launch the project and published 2 articles in the media regarding the progress of the project. Each partner created a project page on its own website and posted updated information on the implemented activities.

Project outputs: 1 Collaboration agreement concluded for the implementation of the project(EN)
10 new ambulances that will serve approximately 35,316 citizens who call 112 annually(EN)
participations in joint actions (EN)

Thematic information

Health and social services Institutional cooperation and cooperation networks

Priority: (VI-A_Ro-Mo_2) Social Development across Borders

Priority specific objective: RSO4.5. Ensuring equal access to health care and fostering resilience of health systems, including primary care, and promoting the transition from institutional to family-based and community-based care

Priority policy objective (Interreg specific objective): PO4 A more social and inclusive Europe implementing the European Pillar of Social Rights

Type of intervention: 129 Health equipment

Partners (3)

Lead Partner: SERVICIUL DE AMBULANTA JUDETEAN IASI

PIC (Participant Identification Code): 879996417

Partner’s ID if not PIC: - | 7604489 | TAX REGISTRATION CODE (EN)

Address: Primaverii Boulevard, 700172 Iasi, Romania

Department address: PrimaveriiIASI, Romania

Legal status: public

Organisation type: Hospitals and medical centres

Website: https://www.ambulantaiasi.ro/

Total budget: EUR 674 517.79

Partner’s programme co-financing: EUR 607 066.01

Partner’s programme co-financing rate: 90.00%

Partner contribution: EUR 67 451.78

Contractors:

Name: HAPPY CENTER SRL
VAT registration or tax identification number: 136.96 / RO22712514
Name: EXPERT GUSTO SRL
VAT registration or tax identification number: 251.02 / RO38274879
Name: KAUFLAND ROMANIA
VAT registration or tax identification number: 53.33 / RO15991149
Name: AD PRESS PUBLICITY SRL
VAT registration or tax identification number: 147 / RO40247191
Name: AGENTIA DE PRESA AGERPRESS
VAT registration or tax identification number: 84 / RO24292654
Name: HAPPY CENTER SRL
VAT registration or tax identification number: 136.96 / RO22712514

ASOCIAȚIA DE DEZVOLTARE INTERCOMUNITARĂ EURONEST

Name: ASOCIAȚIA DE DEZVOLTARE INTERCOMUNITARĂ EURONEST

PIC (Participant Identification Code): 951261541

Partner’s ID if not PIC: - | 23198960 | TAX REGISTRATION CODE (EN)

Address: Stefan cel Mare si Sfant boulevand, 700075 Iasi, Romania

Department address: Stefan cel Mare si Sfant boulevand, 700075 Iasi, Romania

Legal status: public

Organisation type: Interest groups including NGOs

Website: https://adieuronest.ro/

Total budget: EUR 319 582.72

Partner’s programme co-financing: EUR 287 624.44

Partner’s programme co-financing rate: 90.00%

Partner contribution: EUR 31 958.28

Contractors:

Name: MS VECTOR ACHIZITII SRL
VAT registration or tax identification number: 27896663
Name: SC DEDEMAN SRL
VAT registration or tax identification number: 2816464
Name: SC Fix Media Advertising SRL
VAT registration or tax identification number: 18926455

INSTITUȚIA MEDICO-SANITARĂ PUBLICĂ „CENTRUL NAȚIONAL DE ASISTENȚĂ MEDICALĂ PRESPITALICEASCĂ”

Name: INSTITUȚIA MEDICO-SANITARĂ PUBLICĂ „CENTRUL NAȚIONAL DE ASISTENȚĂ MEDICALĂ PRESPITALICEASCĂ”

Department: RISCANI EMERGENCY MEDICAL ASSISTANCE SUBSTATION

PIC (Participant Identification Code): 911310636

Partner’s ID if not PIC: - | 1015600032824 | TAX REGISTRATION CODE (EN)

Address: Constantin Vârnav, MD-2025 CHISINAU, Moldova

Department address: Andrei Doga, 2024 CHISINAU, Moldova

Legal status: public

Organisation type: Hospitals and medical centres

Website: https://ambulanta.md/

Total budget: EUR 671 118.00

Partner’s programme co-financing: EUR 604 006.20

Partner’s programme co-financing rate: 90.00%

Partner contribution: EUR 67 111.80

Contractors:

Name: SC DELTAMED SRL
VAT registration or tax identification number: RO 9434372

Sub-Contractors:

Name: NA
VAT registration or tax identification number: NA

Partners map

Partners and Projects info

EURONEST INTERCOMMUNITY DEVELOPMENT ASSOCIATION

PREHOSPITAL EMERGENCY MEDICAL ASSISTANCE SAVES LIVES

Partners and Projects info

PUBLIC MEDICAL-SANITARY INSTITUTION „NATIONAL CENTER FOR PREHOSPITAL EMERGENCY MEDICAL ASSISTANCE”

PREHOSPITAL EMERGENCY MEDICAL ASSISTANCE SAVES LIVES

Partners and Projects info

IASI COUNTY AMBULANCE SERVICE

PREHOSPITAL EMERGENCY MEDICAL ASSISTANCE SAVES LIVES

Lead partner

Project partner

Summary

Project name (EN): PREHOSPITAL EMERGENCY MEDICAL ASSISTANCE SAVES LIVES

Project acronym: PreMED

Project ID: ROMD00299

Project start date: 2025-08-02

Project end date: 2027-08-01

Project status: ongoing

Relevant linked projects:

Purchase of specific equipment to improve the capacity and quality of the emergency intervention system, the provision of emergency medical assistance and qualified first aid in the North-East Region - SMIS 23396, financed by ROP 2007-2013, Axis 3, DMI 3.3. EURONEST implemented the project code SMIS 23396 through which 30 ambulances were purchased: 24 ambulances type B (first aid) and 6 ambulances type C (reanimation), of which 4+1 for Iași. They were given to the inspectorates for emergency situations in the northeast region, which have the quality of end user in SMURD type interventions. (EN) | This project aims to improve the ambulance fleet of CAS Iași (Romania), as well as PMSI NCPEMA (Republic of Moldova), to improve the response time in providing emergency medical assistance to patients who call 112. Thus, for patients who call in 112 of the area targeted by the project, it will be possible to register an improvement in the response time for the provision of emergency medical assistance in the pre-hospital phase. (EN), Improving the capacity and quality of the emergency intervention system in winter conditions – SMIS 48572, financed by ROP 2007-2013, Axis 3, DMI 3.3. Another project implemented by EURONEST had as its objective the purchase of special vehicles necessary for winter interventions, in conditions of massive/continuous snowfall. Thus, 6 tracked/wheeled UTV vehicles equipped with a patient transport stretcher were purchased for providing first aid and transporting patients in winter, from areas where ambulances cannot reach, due to snow-blocked roads. (EN) | Through new ambulances and AEDs installed in public places for quick interventions in patients who suffer a heart attack in public places, the current project contributes to equipping the project area with mobile infrastructure and fixed specialized equipment with the aim of intervening as quickly as possible and efficient in saving human lives. (EN), The project to modernize the equipment for training in the provision of medical first aid within the National Center for Emergency Medical Care - financed by the Embassy of Japan in the Republic of Moldova, implemented in the period 2018-2020. NCEMC's Emergency and Disaster Medicine Training Center has been equipped with 40 high-fidelity manikins, which has contributed to increasing the quality of first aid and cardiopulmonary resuscitation training, which is ongoing among medical staff and non-medical of the institution. (EN) | As part of the project, two training sessions will be organized for the specialized ambulance staff, during which intervention methods will be taught in cases of cardio-respiratory arrest and stroke, the first ailments from the list of diseases that require emergency medical assistance. These trainings come with a novelty: the staff employed by one partner will be trained by trainers from the other partner, thus ensuring a transfer of common emergency medical knowledge, methods and procedures. (EN)

Total budget/expenditure: EUR 1 665 218.51

Total EU funding (amount): EUR 1 498 696.65

Total EU funding (co-financing rate): 90.00%

Co-financing sources:

Investments, deliverables, policy contributions

(bullets are inserted automatically and may be incorrectly placed)

Deliverables:

Notice regarding the initiation of the purchase published
Contract concluded
Ambulances received
Monitoring reports
Press release published L1-24
Stickers 25*25 cm L17-24
Permanent plaque
Poster A3 L17-24
Press conference L2-24
articles published L2-24
Notice regarding the initiation of the purchase published
Contract concluded
AEDs received
Collaboration protocols concluded
Monitoring reports
Press release published L1-24
Stickers 8*8 cm
Poster A3
Permanent plaque
training sessions
course support
participation lists
participation diplomas
photos/video
press release published
exchange of good practices sessions
invitations and agenda sent to guests
presence list
photos/video
press release published
information sessions
correspondence with educational institutions
student participation lists
photos/video
press release published
promotional materials distributed
packages with healthy food products
first aid kits distributed
laptop
mobile phone

Contribution to wider strategies and policies:

EUStrategyDanubeRegion The development of the relationship with the Republic of Moldova is a priority of the foreign policy of the Republic of Moldova, the fundamental milestones being: support for the European course of the Republic of Moldova and the intensification of concrete cooperation for the close connection to Romania and the EU. The deepening of privileged relations with the Republic of Moldova is based on the application of bilateral cooperation projects carried out by the two countries, thus contributing to the improvement of the living conditions of all the citizens of the Republic of Moldova.
The partners propose to promote the transnational cooperation project between institutions from RO and RM, to eliminate development gaps and to increase interconnectivity between the states participating in the EU macro-regional strategies, the proposed project responding to pillar 4. Consolidation of the Danube region, priority areas 9. and 10. Thus, at the institutional level, knowledge will be acquired and new methods will be adopted for the provision of emergency medical assistance in the pre-hospital phase, by carrying out joint training of the personnel from the ambulance services in the Republic of Moldova and Iași County, as well as of experience exchange activities between specialists within the partnership and other medical institutions that have competences in providing emergency medical assistance.
Thus, the project aims to improve the provision of emergency medical assistance services in the pre-hospital phase in the partner institutions, by training 32 own employees and equipping them with 10 B-type ambulances equipped with new medical equipment, which will contribute to the improvement of services of emergency medical assistance for patients calling 112.
Rallying to the EU's measures to prioritize the lives of its citizens, 90 AEDs will be installed in the project area that can be used by citizens in the event of a cardio-respiratory arrest in a person in a public place.
Other NATIONAL DEVELOPMENT STRATEGY "European Moldova 2030"
The development objectives established by the NDS derive from the modern concept of quality of life and from the major problems identified at the national level, responding to the pressing needs of society. In the development context of the Republic of Moldova, among the most important dimensions of the quality of life are health, social solidarity, respect for human rights, etc.
In the allocation of public resources, the problems relate to their insufficiency and inefficiency, although the current structure of the medical services system has gone through a process of transformation as a result of reforms in the field of primary medical care, urgent medical care and hospital services, with the aim of bringing services as close as possible to the citizen. However, the practical implementation of the reforms is difficult due to the insufficiency of human resources in some areas, reduced financial funds, limited capacities, at all levels of the system, to respond to the needs of the population. At the same time, public expenditures in general and the share of public expenditures for health did not keep up with the economic growth of the last 10 years, placing the Republic of Moldova among the last countries in Europe in terms of the share of public expenditures in total health expenditures. Therefore, it is found that in the Republic of Moldova there is an oversized, outdated and expensive health infrastructure, low technical capacities and a lack of health professionals, especially in rural areas.
Therefore, through the project, we aim to attract non-refundable funds to improve the fleet of B-type ambulances, the most used in the provision of emergency medical assistance in the pre-hospital phase (95%) and to improve specific medical knowledge by conducting courses/training of staff with trainers from Romania.
Other NATIONAL HEALTH STRATEGY 2023-2030 "For health, together"
Although the National Health Strategy (NHS) 2014-2020 Evaluation Report, developed in 2021, shows that the lowest scores for performance were achieved within 5 general objectives, including OG 7 "Infrastructure", the emergency medicine system benefiting, however, from purchased vehicles and the number of operational teams.
The historical underfunding of the field of primary health care and specialized outpatients had the adverse effect of "rolling" a significant number of health services from this level to pre-hospital emergency services (emergency rooms) and hospital services.
In the context of the analysis carried out, the decrease in the importance given to the approach to health from a population perspective and the almost exclusive favoring of curative medical care, the decrease in interest in ensuring the reserve of operative personnel (doctors and nurses) and the necessary infrastructure in the emergency medical care sector in the hospital and prehospital (CAS) have largely led to the actual situation, namely to a health system that fails to match investments with health outcomes.
With these premises, Romania declares through the NHS 2023-2030 its intention to implement sustained structural reforms of the health system, in particular, regarding the continuous improvement of the coordination and provision of emergency services provided in a timely manner, as well as their continued integration into within the framework of the other health care services provided.

Deliverable (other than infrastructural investment) areas:

România (RO), IASI, Primaverii, 74, 700172
Moldova (MD), CHISINAU, Andrei Doga, 21, 2024

Programme Common Output Indicator:

RCO 087 - Organisations cooperating across borders, Measurement unit:
RCO 081 - Participations in joint actions across borders, Measurement unit:
RCO 069 - Capacity of new or modernised health care facilities, Measurement unit:

Delivered output indicator(s):

(RCO81) Participations in joint actions across borders: 20.0

Programme Common Result Indicator:

RCR 084 - Organisations cooperating across borders after project completion, Measurement unit:
RCR 073 - Annual users of new or modernised health care facilities, Measurement unit:
RCR 085 - Participations in joint actions across borders after project completion, Measurement unit:

Project part of European Union Macro-Regional or Sea Basin Strategy: EUSDR

Information regarding the data in keep.eu on the programme financing this project

Financing programme

2021 - 2027 Interreg VI-A NEXT Romania - Rep.Moldova

Latest month of project-partner-call data publication

2026-08

No. of projects in keep.eu / Total no. of projects (% of projects in keep.eu)

95 / 95 (100%)

No. of project partnerships in keep.eu / Total no. of project partnerships (% of project partnerships in keep.eu)

241 / 241 (100%)

Notes on the data

There are discrepancies in this programme's financial data in keep.eu. Namely, in one or more cases, the sum of the project partners' budgets exceeds the total budget of the respective project. Interact is working with the Programme to correct those figures.

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PREHOSPITAL EMERGENCY MEDICAL ASSISTANCE SAVES LIVES

Description

Thematic information

Partners (3)

Partners map

Summary

Investments, deliverables, policy contributions

Information regarding the data in keep.eu on the programme financing this project

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