2014Vilnius

“We will ensure that within three to four years effective working maternity and children’s departments at the hospitals will be renovated and equipped with the necessary modern medical equipment to provide safer and higher quality health care services for pregnant, delivering women and newborn babies.”

Therefore, it is valuable that the Lithuanian and Swiss Cooperation Programme contributes to the

implementation of such an important Lithuanian Government’s priority.

In 1994-1996 the Swiss Government granted 4.6 m CHF to the project “Neonatology”. These funds were used for procurement of modern medical equipment and staff training activities at the 8 largest hospitals of the country providing perinatal and neonatal health care services.

In 1997-1999 the Swiss Government granted 4 m CHF to the project “Pediatric Intensive Care and Pediatric Anesthesia”.

These funds were used for supplying 5 Pediatric Reanimation and Intensive Care Units and 2 Pediatric Anesthesia Units at Vilnius, Kaunas and Klaipėda University Hospitals and Klaipėda, Panevėžys and Šiauliai Regional Hospitals with:

modern medical equipment; staff training and education activities;

support for establishing the transport system.

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Number of life births 37812 37019 36415 34149 31185 29541 29977 29769 29510 29606 30020 31536 32165 30676 30268 30459

Infant deaths under 1 years 391 343 315 294 250 238 206 240 209 213 190 172 181 153 144 118

For 1 000 life births 10,3 9,2 8,6 8,5 8,0 8,1 6,9 8,1 7,1 7,2 6,3 5,5 5,5 5,0 4,8 3,9

Early neonatal mortality (0 - 6 days newborns)

165 133 128 117 89 98 79 104 79 91 79 69 71 53 64 45

For 1 000 life births 4,3 3,6 3,5 3,4 2,9 3,3 2,6 3,5 2,7 3,1 2,6 2,2 2,2 1,7 2,1 1,5

Late neonatal mortality (7 - 27 days newborns)

60 47 44 47 42 32 34 42 45 31 28 30 34 30 26 29

For 1 000 life births 1,6 1,3 1,2 1,4 1,3 1,1 1,1 1,4 1,5 1,0 0,9 1,0 1,1 1,0 0,9 1,0

Postneonatal mortality 166 163 143 130 119 108 96 94 85 91 83 73 76 70 54 44

For 1 000 life births 4,4 4,4 3,9 3,8 3,8 3,7 3,1 3,2 2,9 3,1 2,8 2,3 2,4 2,3 1,8 1,4

Stillbirths 248 240 207 221 167 193 168 150 152 137 161 164 151 147 148 117

For 1 000 births 6,5 6,4 5,7 6,4 5,3 6,5 5,6 5,0 5,1 4,6 5,3 5,2 4,7 4,8 4,9 3,8

Perinatal mortality 413 373 335 338 256 291 247 254 231 228 240 233 222 200 212 162

For 1 000 births 10,9 10,0 9,2 9,8 8,2 9,8 8,2 8,5 7,8 7,7 8,0 7,4 6,9 6,5 7,0 5,3

Pregnant and delivering women mortality

6 6 5 3 4 6 1 5 4 0 2 3 0 2 2 1

For 1 00 000 births 23,8 18,9 13,8 11,8 12,8 20,3 3,3 16,8 13,6 0 6,7 9,5 0 6,5 6,6 3,3

Programmes implementation agreements were signed on 9th February, 2012 and will be implemented by 13th of June, 2017.

Projects implementation agreements with 17 hospitals were signed on 12th June, 2012 and will be implemented by 31st of November, 2016.

5 new Projects implementation agreements were signed on December, 2013 and will be implemented by 31st of November, 2016.

To reduce economic and social disparities between Lithuania and more advanced European Union member states, as well as between Lithuania’s urban centres and peripheral regions.

The purpose of this support is to improve the quality and accessibility of perinatal and neonatal services and reduce the disparities between regional and urban hospitals.

Alytus Regional S. Kudirkos Hospital

Children`s Hospital (Affiliate of Vilnius University Hospital Santariškės Clinics)

Christian Maternity Home Hospital

Hospital of Lithuanian University of Health Sciences Kaunas Clinics

Kaunas Clinical Hospital

Kėdainiai Hospital

Klaipėda University Hospital

Marijampolė Hospital

Mažeikiai Hospital

P. Mažylis Maternity Home Hospital (Affiliate of Kaunas Clinical Hospital)

Panevėžys Republican Hospital

Pasvalys Hospital

Raseiniai Hospital

Šiauliai Republican Hospital

Tauragė Hospital

Telšiai Hospital

Trakai Hospital

Ukmergė Hospital

Utena Hospital

Vilnius Clinical Hospital

Vilnius Maternity Home Hospital

Vilnius University Hospital Santariškės Clinics

Vilkaviškis Hospital

Visaginas Hospital

31,294 m CHF (~87,600 m LTL, rate applied: 1 CHF = 2,8 LTL)

26,600 m CHF – Swiss support funds4,694 m CHF – co-financing of the Republic of Lithuania

To improve the quality of health care services to pregnant, delivering women and neonates.

To improve collection of statistic data on the health of pregnant, delivering women and neonates and to expand the possibilities of sharing and analysing the collected data.

24 hospitals will be equipped with the necessary modern medical equipment for providing high quality perinatal and neonatal health care services.

Vehicles with special equipment for safe transportation of neonates will be provided to 3 health care institutions providing medical care to premature neonates and the services of neonatal reanimation and intensive treatment.

Premises of 10 health care institutions will be repaired. 70 guidelines and protocols of diagnostics and treatment in obstetrics and

neonatology will be developed. Professional competence and modern technology usage skills of not less than 1300

health care specialists engaged in the provision of obstetric and neonatal services will be improved.

Computer database of pregnant, delivering women and newborn babies health data will be developed and prepared for usage in health care institutions, improving the collection of statistical data on perinatal and neonatal health and expanding the possibilities of data analysis through the inclusion of data on premature and unhealthy neonates required for the remote monitoring of such neonates.

Medical equipment23 Lithuanian hospitals equipped with 34 different names of necessary modern medical

equipment of more than 31 m LTL:• Pasvalys Hospital • Raseiniai Hospital• Tauragė Hospital• Telšiai Hospital• Trakai Hospital• Ukmergė Hospital• Utena Hospital• Vilnius Clinical Hospital• Vilnius Maternity Home Hospital • Vilnius University Hospital Santariškės

Clinics• Vilkaviškis Hospital• Visaginas Hospital

• Alytus Regional S. Kudirkos Hospital• Children`s Hospital (Affiliate of Vilnius University Hospital

Santariškės Clinics)• Christian Maternity Home Hospital • Hospital of Lithuanian University of Health Sciences Kaunas

Clinics • Kaunas Clinical Hospital• Kėdainiai Hospital• Klaipėda University Hospital• Marijampolė Hospital• Mažeikiai Hospital• P. Mažylis Maternity Home Hospital (Affiliate of Kaunas

Clinical Hospital) • Panevėžys Republican Hospital

Monitors for essessment of the state of the newborns, incubators, anaesthesia apparatuses, equipment for foetus condition examination and for surgery and reanimation of newborns, ultrasound equipment, warmed newborn reanimation tables, universal delivery beds and ect.

20 units of otoacoustic emission accumulating devices for the neonates hearing screening were bought.

Otoacoustic emission accumulating devices for the neonates hearing screening are necessary by implementing newborn hearing screening.

Repair worksContracts of technical projects and technical projects supervision services and repair works were signed by 4 of 10 hospitals.1 hospital completed repair works.

Professional competence improvement and guidelines and protocols of diagnostics and treatment The contract of health care specialists’ professional competence improvement and development of diagnostics and treatment guidelines and protocols in obstetrics and neonatology was signed on 27 June, 2013.23 (of 70) the most important guidelines and protocols of diagnostics and treatment in obstetrics and neonatology were developed.

Computer databaseThe contract of technical supervision services related to development and installation of computer database of pregnant, delivering women and newborn babies health records planned to be signed in 2014.

22,353 m CHF (~62,600 m LTL, rate applied: 1 CHF = 2,8 LTL)

19,000 m CHF – Swiss support funds3,353 m CHF – co-financing of the Republic of Lithuania

1. Thermal insulation installed: renovated and insulated roofs; insulated exterior walls; replaced windows and exterior doors; sealed seams between the board panels of exterior walls.2. Energy efficient engineering systems installed and operational: upgraded heating stations; upgraded external/internal hot water supply systems ; upgraded internal heating systems; upgraded electricity supply systems (including installation of lighting with LED lights).3. Microclimate improvement engineering systems installed and operational: upgraded/installed ventilation/air conditioning systems.4. Rehabilitated and modernized vacuum and oxygen supply systems installed and

operational

5 new hospitals included into the Programme and Projects implementation agreements were signed.

12 agreements to the Projects implementation agreements were signed.

3 hospitals completed repair works (2 hospitals will carry out procurements of installation of lighting with LED lights).

Repair works are in process in 2 hospitals. 5 hospitals are preparing to announce repair works

procurements. 9 hospitals prepared technical projects expertise's. 6 hospitals completed public procurements.

The next activities are being implemented:

replaced windows – 1 hospital; upgraded internal heating system – 1 hospital; upgraded external hot water supply systems –

1 hospital; upgraded/installed ventilation/air conditioning

systems – 2 hospitals; upgraded electricity supply systems – 1

hospital; upgraded vacuum supply systems – 1 hospital; upgraded oxygen supply systems – 1 hospital.

The achievement of the other indicators is in the process.

Befo

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Ms Virginija Ambrazevičienė Head of International Projects Management DivisionMinistry of Health of the Republic of Lithuania

Tel. +370 5 260 4719 El. p. virginija.ambrazeviciene@sam.lt

Also:http://www.sam.lt/go.php/lit/Lietuvos_ir_Sveicarijos_bendradarbiavimo/1195http://www.facebook.com/LietuvosIrSveicarijosBendradarbiavimoPrograma