In the Republic of Moldova, continuous efforts are being made to maintain and strengthen the sexual and reproductive health (SRH) of the population and to ensure access for all individuals, throughout their lives, to information, education, resources, services, and necessary support for the realization of sexual and reproductive rights, without discrimination, coercion, exploitation, or violence. In this regard, our research aims to present the dynamics of SRH indicators during the last five years, which corresponds to the implementation period of the National Program on Health and Sexual and Reproductive Rights for the years 2018-2022. We seek to explain the changes that have occurred as a result of the interventions carried out and implemented policies. We have adjusted the legislative and regulatory framework to facilitate increased access to quality services for the population while upholding the principles of equity and non-discrimination. Ensuring access to quality services in the field of SRH also necessitates the presence of adapted infrastructure, including facilities that cater to the needs of people with disabilities, an appropriate environment for service provision, and the availability of the equipment and consumables necessary to ensure comprehensive medical documentation. The COVID-19 pandemic has necessitated the application of innovative approaches in the provision of SRH services and health education services at a distance, utilizing telemedicine and other technologies. This has ensured the availability and accessibility of SRH services during the crisis period when population mobility was restricted. Additionally, a well-trained SSR service provider is essential, as it significantly influences the quality of services delivered. To address this, efforts have been made to train and strengthen the capacities of medical staff involved in providing quality SRH services. Special emphasis has been placed on adapting the university and post-graduate curriculum for the training of doctors and the training curriculum for the average medical staff. This includes the development of national and standardized clinical protocols, standards, and guidelines aligned with international requirements. Considerable efforts have been made to increase the population's access to services in all areas of SRH, which were deemed a priority at that time.