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World Bank Supports Further Revamping Of Health Care In Rural Areas

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  • World Bank Supports Further Revamping Of Health Care In Rural Areas

    WORLD BANK SUPPORTS FURTHER REVAMPING OF HEALTH CARE IN RURAL AREAS OF ARMENIA

    Targeted News Service
    December 20, 2010 Monday 12:45 AM EST

    World Bank issued the following news release:

    The World Bank Board of Executive Directors today approved a US$
    19 million loan for the Additional Financing of the Second Phase of
    the Health System Modernization Project for Armenia. The project will
    support the Government of Armenia efforts to expand primary health care
    (PHC) services on the basis of family medicine, and upgrade hospital
    networks in the regions. The aim of the project is to provide the
    population, in particular the most vulnerable groups, with improved
    access to quality health care services, and also to better manage
    public health threats.

    The project will continue supporting the Government's Health Reform
    Program of streamlining, consolidating and upgrading health care
    facilities, fully restructuring the PHC network, and also improving
    the allocation of limited financial and human resources to expand
    free access to essential health care services for the most of the
    population. In particular, this project will:

    * Upgrade the physical conditions of additional 14 rural ambulatories,
    provide modern equipment, and retrain medical personnel (family
    physicians and family nurses) on family medicine;

    * Finance purchase of equipment, supplies, and furniture for four
    regional hospitals in Ararat, Armavir, Aparan, and Goris;

    * Fully equip the Gavar and Gyumri medical centers;

    * Finance the construction of a new hospital building in Gyumri;

    * Equip five regional hospital networks in Meghri and Kapan (Syunik
    region), Abovian (Kotayk), Alaverdi and Vanadzor (Lori), and Berd
    (Tavush) with modern technology. The medical staff of the hospitals
    will be trained on clinical case management and provided with reference
    materials.

    "The process of modernization of hospitals in the regions has already
    resulted in a consolidation of services, improvement in efficiency
    and reduction of costs, better access to quality health care in five
    regions of Armenia," says Asad Alam, World Bank Regional Director
    for the South Caucasus countries. "Based on the lessons learned and
    encouraged by the success of the project, this second phase will
    scale up the process of optimization in the country's remaining ten
    regions in order to deliver better quality care to the population."

    "The project will also help improve the governance and management
    structures of health care facilities," says Susanna Hayrapetyan, Head
    of the World Bank Team that designed the project. "Strengthening the
    Health Ministry's effective stewardship in policy making, regulation
    and accountability will ensure better and targeted use of public
    resources."

    In addition, the project will address activities of institutional
    capacity strengthening critical to the reform agenda. Those include:
    human resource development and licensing of medical facilities;
    completion of health services costing study; piloting case-mix hospital
    financing system; introduction of hospital Quality Assurance system;
    establishment of a computerized student examination system at the
    State Medical University; and independent financial audits at each
    project hospital and public disclosure of audit reports.

    Under the World Bank project, 1200 family doctors and more than 1300
    family nurses have been trained. New out-patient facilities were built
    in 79 communities of Armenia. In 66 communities, these facilities
    were completely refurbished. All 255 out-patient facilities and
    health centers received new medical equipment, furniture and other
    necessary items.

    Total financing of the Project is US$ 25.3 million, of which the
    Government of Armenia will finance US$ 6.3 million from its own
    resources. The IBRD Loan of US$ 19 million has a maturity of 25 years
    and a grace period of 10 years included.

    Since joining the World Bank in 1992 and IDA in 1993, commitments to
    Armenia total approximately US$ 1.409 billion.




    From: A. Papazian
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