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WORLD BANK SUPPORTS DISEASE PREVENTION AND CONTROL IN ARMENIA
http://www.armradio.am/en/2013/03/28/world-bank-supports-disease-prevention-and-control-in-armenia/
12:32 28.03.2013
The World Bank Board of Executive Directors today approved a US$35
million credit for the Disease Prevention and Control Project in
Armenia. The project will support the Government of Armenia in
improving maternal and child health services, and the prevention,
early detection, and management of selected non-communicable diseases
at the primary health care level,as well as the efficiency and quality
of selected hospitals in Armenia.
Despite structural and organizational reforms, the health care system
is still struggling to catch up with the epidemiological changes in
morbidity and mortality patterns. The greatest burden of disease in
Armenia, as in most European countries, comes from non-communicable
diseases, a group of conditions that includes cardiovascular disease,
cancer, mental health problems, diabetes, chronic respiratory disease,
and musculoskeletal conditions. Based on the statistical data,
around 50 percent of all deaths are due to cardiovascular diseases
and 74 percent are due to combined cases (cardiovascular, neoplasms,
and diabetes mellitus). Non-communicable disease challenges require
action at different levels: prevention, behavioral change, early
detection, and adoption of cost-effective treatments.
The project's main beneficiaries would be the Armenian population
who would benefit from improved maternal and child health services;
prevention, screening and management of selected non-communicable
disease risk factors and conditions, such as diabetes, hypertension,
and cervical cancer; as well as improved hospital services. Health care
providers would also benefit from the performance-based incentives. The
project would promote positive health outcomes for both women and
men, as well as for infants, children, working age adults, and senior
citizens.
The use of a performance-based financing approach will support the
delivery of primary health care services related to non-communicable
diseases and contribute to reducing informal payments by increasing
performance bonuses to health workers, meanwhile, increasing their
accountability for results. Thus,service delivery will be more
accessible both in financial and geographical terms.
"Bolstering the supply of quality health care services has been a
cornerstone of Armenia's health reforms in the past decade. On the
other hand, the economic crisis forced half of the poorest households
to decrease spending on healthcare," says Jean-Michel Happi,World
Bank Country Manager for Armenia. "This project will support better
targeting of the services to the poor by linking primary health care
services to performance bonuses of health workers. We believe that
this will help to achieve better health results in the country."
The major expected results under this project are:
Over the last six years the Government has been implementing regional
(marz) hospital modernization program with World Bank's financial
assistance. To successfully complete the plan, this project would
finance the upgrading and refurbishing of remaining marz hospital
network in Lori, which will serve over 281,000 people of the region.
It would finance civil works, provision of medical and waste
management equipment, training activities aimed at improving the
management system of Vanadzor Medical Center, as well as increasing
professional skills and competencies of medical staff. In addition,
provision of angiographs for the newly opened Gyumri hospital and
the Nork-Marash specialized cardiology and cardiac surgery center
for adults and children in Yerevan is proposed.
"The project will address the rising incidence of non-communicable
diseases by increasing services volume at the primary health care
level," says Susanna Hayrapetyan, World Bank Senior Health Specialist
and Task Team Leader of the project. "This will positively impact the
poor population as screening tests will become more affordable. The
project will actively promote the mass screening and will allow
cutting the time and cost of travel to health care facilities."
The project would finance substantial design work for the
reconstruction of the Center of Hematology in Yerevan and for the
creation of a Bone Marrow Transplantation Unit at the Center.
Renovation/reconstruction, provision of equipment, medical furniture
and supplies, as well as clinical and management training would also
be supported. Treatment standards in accordance with international
standards for treatment of blood diseases will be sustained.
The project would also support the establishment of a new Armenia
Oncology Center to allow provision of integrated oncology services
for the population which the country is currently lacking.Radiation
treatment is inadequate, as the equipment is obsolete. Theproject would
support the Government's plans to construct a new single building
that would house all related servicesby allocating funds for the
construction of a radiation therapy facility,provision of diagnostic
and treatment equipment, as well as development of clinical protocols
and treatment standards.The Government is exploring the possibility
of creating the new oncology center using public-private partnership.
Total financing of the project is US$45 million, of which the
Government of Armenia will provide US$8.2 million. The Health Results
Innovation Trust Fund (HRITF)will contribute grant funding in the
amount of US$1.8 million. The World Bank credit of US$35 million will
be provided on standard blend IDA terms at a fixed interest rate
of 1.25 percent per annum with a maturity of 25 years and a 5 year
grace period.
http://www.armradio.am/en/2013/03/28/world-bank-supports-disease-prevention-and-control-in-armenia/
12:32 28.03.2013
The World Bank Board of Executive Directors today approved a US$35
million credit for the Disease Prevention and Control Project in
Armenia. The project will support the Government of Armenia in
improving maternal and child health services, and the prevention,
early detection, and management of selected non-communicable diseases
at the primary health care level,as well as the efficiency and quality
of selected hospitals in Armenia.
Despite structural and organizational reforms, the health care system
is still struggling to catch up with the epidemiological changes in
morbidity and mortality patterns. The greatest burden of disease in
Armenia, as in most European countries, comes from non-communicable
diseases, a group of conditions that includes cardiovascular disease,
cancer, mental health problems, diabetes, chronic respiratory disease,
and musculoskeletal conditions. Based on the statistical data,
around 50 percent of all deaths are due to cardiovascular diseases
and 74 percent are due to combined cases (cardiovascular, neoplasms,
and diabetes mellitus). Non-communicable disease challenges require
action at different levels: prevention, behavioral change, early
detection, and adoption of cost-effective treatments.
The project's main beneficiaries would be the Armenian population
who would benefit from improved maternal and child health services;
prevention, screening and management of selected non-communicable
disease risk factors and conditions, such as diabetes, hypertension,
and cervical cancer; as well as improved hospital services. Health care
providers would also benefit from the performance-based incentives. The
project would promote positive health outcomes for both women and
men, as well as for infants, children, working age adults, and senior
citizens.
The use of a performance-based financing approach will support the
delivery of primary health care services related to non-communicable
diseases and contribute to reducing informal payments by increasing
performance bonuses to health workers, meanwhile, increasing their
accountability for results. Thus,service delivery will be more
accessible both in financial and geographical terms.
"Bolstering the supply of quality health care services has been a
cornerstone of Armenia's health reforms in the past decade. On the
other hand, the economic crisis forced half of the poorest households
to decrease spending on healthcare," says Jean-Michel Happi,World
Bank Country Manager for Armenia. "This project will support better
targeting of the services to the poor by linking primary health care
services to performance bonuses of health workers. We believe that
this will help to achieve better health results in the country."
The major expected results under this project are:
Over the last six years the Government has been implementing regional
(marz) hospital modernization program with World Bank's financial
assistance. To successfully complete the plan, this project would
finance the upgrading and refurbishing of remaining marz hospital
network in Lori, which will serve over 281,000 people of the region.
It would finance civil works, provision of medical and waste
management equipment, training activities aimed at improving the
management system of Vanadzor Medical Center, as well as increasing
professional skills and competencies of medical staff. In addition,
provision of angiographs for the newly opened Gyumri hospital and
the Nork-Marash specialized cardiology and cardiac surgery center
for adults and children in Yerevan is proposed.
"The project will address the rising incidence of non-communicable
diseases by increasing services volume at the primary health care
level," says Susanna Hayrapetyan, World Bank Senior Health Specialist
and Task Team Leader of the project. "This will positively impact the
poor population as screening tests will become more affordable. The
project will actively promote the mass screening and will allow
cutting the time and cost of travel to health care facilities."
The project would finance substantial design work for the
reconstruction of the Center of Hematology in Yerevan and for the
creation of a Bone Marrow Transplantation Unit at the Center.
Renovation/reconstruction, provision of equipment, medical furniture
and supplies, as well as clinical and management training would also
be supported. Treatment standards in accordance with international
standards for treatment of blood diseases will be sustained.
The project would also support the establishment of a new Armenia
Oncology Center to allow provision of integrated oncology services
for the population which the country is currently lacking.Radiation
treatment is inadequate, as the equipment is obsolete. Theproject would
support the Government's plans to construct a new single building
that would house all related servicesby allocating funds for the
construction of a radiation therapy facility,provision of diagnostic
and treatment equipment, as well as development of clinical protocols
and treatment standards.The Government is exploring the possibility
of creating the new oncology center using public-private partnership.
Total financing of the project is US$45 million, of which the
Government of Armenia will provide US$8.2 million. The Health Results
Innovation Trust Fund (HRITF)will contribute grant funding in the
amount of US$1.8 million. The World Bank credit of US$35 million will
be provided on standard blend IDA terms at a fixed interest rate
of 1.25 percent per annum with a maturity of 25 years and a 5 year
grace period.