health donors’ meeting ministry of health republic of serbia 25.09.2007

HEALTH DONORS MEETING Ministry of Health Republic of Serbia 25.09.2007.

Ministry of Health Republic of Serbia MID-TERM GOALS 2006-2010 Improvement of Health Care for vulnerable groups and those affected by diseases of socio-economic importance Capacity building in the field of Public Health Quality improvement in Health Care Ensure equal access and accessibility to Health Care Capacity building of the Ministry of Health

STRATEGIES OF THE REPUBLIC OF SERBIA RELATED TO HEALTH MoH participated in strategy papers development: 1.Poverty Reduction Strategy Paper (2003) 2.Plan of Action for Children (2004) 3.Action plan for health of Roma population (2005) 4.Strategy of aging (2005) MoH initiated strategy papers development and Government acceptance: 1.National Strategy for Fight against HIV/AIDS (2005) 2.Strategy for Youth Development and Health in the Republic of Serbia (2006) 3.Tobacco Control Stategy 4.Strategy for the Development of Mental Health Care (2007) Ministry of Health Republic of Serbia

THE REPUBLIC OF SERBIA HEALTH SYSTEM STEWARDSHIP Ministry of Health of the Republic of Serbia- BETTER HEALTH FOR ALL IN THE THIRD MILLENNIUM: Health Policy document (2002) Vision of the Health Care System in Serbia (2002) Strategy and Action Plan of the reform of Health Care System in the Republic of Serbia by 2015. (2003); Legal basis for system development and health care system reform: System laws: Law on Drugs and Medical supplies (2004) Health Care Law (2005) Health Insurance Law (2005) Medical Chambers Law (2005) Ministry of Health Republic of Serbia

Biennial Collaborative Agreement (BCA) between The Ministry of Health of Serbia and the Regional Office for Europe of the World Health Organization 2008/2009 Priority 1:Public Health Activities related to NCD prevention and control Expected Results : National strategy developed to address the burden of disease in the areas of NCD, mental disorders, injuries and violence. Development of public awareness programs regarding health promotion, nutrition and food safety Priority 2:Human Resources for Health Planning and Development Expected Results: Strengthened country capacity to improve quality of health workers education, training and regulation Ministry of Health Republic of Serbia

Priority 3: Health system development Expected Results: Strengthened national capacity for management of health financing policy and reforms. Strengthened health information system and country capacity to produce and use health statistics and other information for monitoring and policymaking Strengthening health systems to address environmental health and occupational health Enhancing the capacity of the Primary Care system to address inequity in health, particularly for vulnerable groups Ministry of Health Republic of Serbia

Priority 4: Strengthening capacity to respond to various health security threats Expected Results: Strengthened national health systems capacity to effectively manage health crises. Enhancing national capacity for communicable diseases surveillance and response including building core capacities for effective International Health Regulations (IHR) implementation. Strengthening immunization systems in the context of health systems strengthening in order to maximize equitable access of all people to vaccines of assured quality and to integrate other essential child health interventions with immunization.

Ministry of Health Republic of Serbia IPA PROJECT PROPOSALS 2008 Hospital Software Implementation (HIS) and HIS Standardization Capacity building for the application of health indicators and the change of corresponding legislation Development of palliative care services in Serbia Capacity building in public health institutions and local self-government to improve the health in rural communities Combating social exclusion:Strengthening child survival Inactivation of infective medical waste

Ministry of Health Republic of Serbia PROJECT PROPOSALS FOR BILATERAL DONORS Capacity building for establishing and developing basis for Childrens Environment and Health National Action Plan (CEHAP) in Serbia Modernization/reconstruction of the work of the Human Blood Plasma Fractionation Centre Renewal of the equipment for processing of patients for irradiation therapy in all irradiation therapy centers in the Republic of Serbia Transplantation of stem cells in children in Serbia Kardionet Hospital Financial Management

Ministry of Health Republic of Serbia Hospital Software Implementation (HIS) and HIS Standardisation Up until the year 2000 there was no appropriately structured, operatively efficient information system which would stand as a pillar of the entire health care sector. Electronic ICT used to be applied only in a fragmentary and uncoordinated fashion, while the information system was outdated and to a great extent limited to paper work. In August 2002, the International Cooperation and Project Coordination Department was established in the Serbian Ministry of Health. Cooperation with the World Bank and European Union has resulted in the launch of several projects.

Ministry of Health Republic of Serbia In 2007, the following ICT-related projects, the pillar of the future integrated ICT system of health care in Serbia, have been or are being carried out: ) Central Information Service (CIS), which provides: Resource data bases (of health care institutions, health care workers and medical equipment); Code and nomenclature systems; Web portal for the exchange of data between those who take part in the provision of health care services. b) Intranet network of the Republic Institute of Health Insurance (RIHI), which connects the directorate, the branches and outposts (180 locations); c) Data base of RIHI insurees with modules to monitor exercising the rights pertaining to health insurance; d) National and regional data bases for citizens/patients electronic health care documentation (HCD).

Ministry of Health Republic of Serbia Furthermore, the software has been developed and a pilot project is currently being implemented for: ) the hospital information systems (HIS) in Kraljevo, Valjevo and Vranje and upgrading of the software for the hospital in Zrenjanin; b) the functionally and technologically upgraded software for primary health care (PHC) in Kraljevo. With a view to providing interoperability (the ability of various information systems to communicate with one another), it is necessary to provide the implementation of software standards complying with the international and European standards such as: ISO TC215, openEHR, CEN/TC 251, HISA and HL7. In order to reach the final objective the integrated ICT of Serbian health care it is necessary to provide capacities for further implementation of HIS and primary health care software in the future. This task will have the following limitations: funding; IT training and capacities of health care workers (medical, non-medical and ICT staff) not meeting the minimal requirements for the introduction of information technologies in the working process.

Ministry of Health Republic of Serbia STRATEGIC AND LEGAL BASIS Better Health for All in the Third Millennium Development Strategy of the Information Society in the Republic of Serbia, Health Care Law PROJECT GOALS The key objective of outfitting hospitals with the modern information and communication systems is to provide best quality work, both as regards providing medical services for patients and as regards providing electronic information for a more efficient overall health care system management. Specific objectives of the project are the following: Standardised hospital software; Educated hospital staff for the support (ICT staff) and application of ICT solutions (end users medical and non-medical staff); Electronic documentation provided that will support for hospital staff in performing better quality and more efficient work.

Ministry of Health Republic of Serbia Targeted donors: European Commission, IPA 2008 Budget: EUR 4.000.000 Planned Duration : 24 months

Ministry of Health Republic of Serbia Capacity building for the application of health indicators and the change of the corresponding legislatin Health reporting represents a systematic description and analysis of the state of health of the population, individual health risks and environmental risks that influence the health, resources and financing of the health service and the overall health care system Health indicators reflect the state of health, health care system performances or health resources, but in a way which enables monitoring of the goals and achievement of health strategies, programmes and measures Under the circumstances where on the one hand the health system should meet the: anachronous legal bases and obsolete methodology, demands and needs of the national statistics and international organisations for providing health indicators, intensive development process in the domain of integrated health information system, it is necessary to determine a new law on records in the area of health care which will regulate this area.

Ministry of Health Republic of Serbia It is to be expected that without undertaking activities using a clearly defined project, like the proposed one, the area of health statistics and informatics whose arrangement is the precondition for many activities in the health care system will leave this area unregulated for a long time.

Ministry of Health Republic of Serbia Strategic and legal background : Strategy and Action Plan of the health care system reform of the Republic of Serbia until 2015th Poverty Reduction Strategy of the Republic of Serbia The 2005 Law on Health Care clearly defines the significance of the health-statistics system, as well as of an integrated information system which are the key precondition for providing information for monitoring health of the population, performance of the health care system and reaching decisions at all the levels of health care in the country. Project goal Preparation of new legal regulations for the area of medical documentation, records and reporting in the health care system of the Republic of Serbia as the precondition for providing health indicators.

Ministry of Health Republic of Serbia Targeted donors : European Commission (IPA 2008). Justification: one of the key priorities alignment with the European Union standards and legislation. Planned duration: 30 months Budget: EUR 550.000

DEVELOPMENT OF PALLIATIVE CARE SERVICES IN SERBIA Palliative care according to the definition of the World Health Organisation, 2002: Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.. Serbia is one of the few countries in Europe that does not have a defined national policy, legal regulations in this area, or the Palliative Care Strategy. Insufficient levels of information among professional health care employees, law-makers, patients, their families, public in general; insufficient number of educated staff; insufficient financial resources are some of the key problems of the insufficient development of the palliative care services in Serbia. Ministry of Health Republic of Serbia

Existing state of affairs with regards to the capacities for the palliative care: 1.For adults Units for the palliative care of hospital patients: 0 Units which support care of hospital patients: 1 2. For children and young people There are no services for the palliative care for children and young people Education and training: Palliative care is not covered by the curriculum of medical studies and post graduate studies, nor is it covered by the curriculum of medical schools. There also isnt curriculum for health associates (psychologists and social workers) Ministry of Health Republic of Serbia

Ministry of Health Republic of Serbia Existing legal grounds: Health Care Law, are. 110, paragraph 6, and art. 88 Statutes of primary health care centres and general hospitals stipulate the existence of palliative care The by-laws stipulate that 10% of the overall bed capacities in the general hospitals are for palliative care Law on drugs and medical assets Poverty Reduction Strategy Social care development strategy Strategy of aging

Ministry of Health Republic of Serbia Project goal Palliative care integrated into the health care system of the Republic of Serbia with a continuous improvement of the quality of services and the inclusion of vulnerable groups. Targeted donors: European Commission, IPA 2008 Budget: EUR 4.000.000 Duration: 48 months

Ministry of Health Republic of Serbia Capacity building in public health institutions and local self-government to improve the health of the population in non-urban (rural) communities In 2006, the Ministry of Health of Serbia carried out a health survey of Serbian population in order to obtain a statistically reliable estimate of various health indicators, both at the national level and at the level of the six geographic regions and the level of urban and other settlements/rural/non-urban areas. The results of this survey revealed considerable differences between urban and non-urban populations in many of the indicators used. This summary includes selected results that mostly concern the risk factors associated with the physical and social environments and individual behaviour, which can be used as the basis for the attainment of the specific objectives, identification of priority problems and introduction of relevant strategies, measures and actions directed toward population health and health care improvement.

Ministry of Health Republic of Serbia Balanced development and decentralization are among the top national priorities for Serbia. In this context, the reduction of differences between urban and rural areas is a part of the national development policy and, consequently, a part of this policy is Also the objective of reducing the differences in terms of factors with direct or indirect impact on population health. Any delays in the efforts to improve the health of the rural population are likely to be detrimental both to the development of local communities and to the overall regional development, because such development is inseparable from the health potential of The people who inhabit those areas.

Ministry of Health Republic of Serbia Strategic and legal background Poverty Reduction Strategy Paper Strategy of Sustainable Development (draft) Local Self-government Law Health Care Law Overall goal Reduced the differences between urban and non-urban (rural) communities measured against health determinants. Specific goals: Defining of a National Program on Health Promotion in Rural Communities Capacity building of public health institutes and offices, primary health care centres and local self-government units for the implementation and enforcement of the National Program on Health Promotion in Rural Communities.

Ministry of Health Republic of Serbia Targeted donors: European Commission (IPA 2008). Justification: one of the key priorities is the harmonization with the EU balanced regional development standards Planned duration: 4 months Budget: EUR 650.000

Ministry of Health Republic of Serbia COMBATING SOCIAL EXCLUSION: STRENGTHENING CHILD SURVIVAL Today in Serbia where very low natality rates prevail; not all mothers and children in the country have equal chance of survival : Close to 10 percent of Roma children are not born with assistance of skilled health worker, The prevalence of stunting is three times higher among children from the poorest families, and six times higher among Roma children vaccinated by 18 months of age, 15% of Roma mothers do not receive any antenatal care, Contraceptive prevalence is very low, 27% (out of which 25% use traditional methods). Lack of access to Mother and Child Health (MCH) services, lack of knowledge among health workers about needs of marginalized families have resulted in three times higher than national averages under five mortality among Roma (29 per thousand live births).

Ministry of Health Republic of Serbia Strategic and legal background: Better Health for All in the Third Millennium Poverty Reduction Strategy Paper Serbia Plan of Action for Children (SPA) Strategy for Youth Development and Health Health Care Law

Ministry of Health Republic of Serbia Project goal Long-term programme objective is to further reduce child mortality, particularly among excluded and marginalized groups and to set conditions for optimal child growth and development. Project Purpose Fulfilling the activities planned will lead to: Expansion of the scope of basic health care and universal access and quality care to children and mothers from disadvantaged groups, Improved quality of health services and increased capacity of health workers to deliver services that meet the needs of client, Establishment of the links between social services, and between health service and local community, Participation of the clients, particularly the most in need in the health service design and functioning, Necessary policy changes to ensure inclusive policies are in place and are practicing.

Ministry of Health Republic of Serbia Targeted donors : European Comission, IPA 2008 Duration: 36 months Budget: EUR 1.980.000

Ministry of Health Republic of Serbia According to World Health Organization (WHO) definition, as in the case in the majority of EU countries, medical waste denotes any waste composed partially or entirely of: Human and animal tissues Blood and other bodily fluids Excretions and secretions Medicines and other pharmaceutical preparations Swabs, pads, gauze, bandages, etc. Needles, surgical blades, lancets and other sharp instruments Any other waste originating from practices of medicine, dentistry, veterinary medicine, pharmacy or similar practices, research, treatment, protection or drawing of blood for transfusions, and which could infect a person coming into contact with them. In the most general sense, infectious waste is defined as waste that can cause infectious diseases. Infectious waste must be treated and decontaminated before disposal (Directive 99/31/EC). Infectious waste forms approximately two thirds of hazardous medical waste INACTIVATION OF INFECTIVE MEDICAL WASTE

Ministry of Health Republic of Serbia In the Republic of Serbia, following problems have been noted: Unprocessed infectious waste is disposed of together with other communal waste There is inadequate storage of infectious waste in hospital premises Adequate facilities for processing infectious waste in accordance with valid international standards do not exist Based on the above, the Ministry of Health wishes to fully cover the issue of infectious medical waste for the whole of Serbia, including the procurement of an incinerator, which falls within the competence of the line Ministry for Environmental Protection. There is ongoing EAR Project,,Technical Assistance for Medical Waste Management which covers 71 health institutions.

Ministry of Health Republic of Serbia Strategic and legal basis Since this is an intersectorial field (Ministry of Health and Ministry of Environmental Protection), legislation is positioned within the area of EU and national legislation for environmental protection, but very closely related to health. The National Waste Management Strategy The Drafted Law on Waste Management The Law on Protection of the Population from Infectious Diseases PROJECT GOALS Overall Goal Safe from the aspect of health and ecologically acceptable manner of the procedure for medical waste, in accordance with economic situation and the level of development of health care services and health care in the Republic of Serbia. Specific Goals To upgrade the present inadequate and risky procedure for treating infectious waste To form a coherent system for infectious waste management To reduce the risk of disease for professionally exposed persons and for the general population To reduce environmental pollution

Ministry of Health Republic of Serbia Targeted donors: Europen Commission, IPA 2008 Planned Duration: 36 months Budget: EUR 4.000.000

Ministry of Health Republic of Serbia Capacity building for establishing and developing basis for Childrens Environment and Health National Action Plan (CEHAP) in Serbia To ensure the implementation of the commitments taken at the Fourth Ministerial Conference on Environment and Health in 2004 The future for our children for the improvement of childrens health and environment, external technical and financial support is needed to support a series of activities which will enable Serbia to make improvements in childrens health and environment. So far, environmental health is an unfunded priority of two ministries, Ministry of Health and Ministry of Science and Environmental Protection of the Republic of Serbia. In a special chapter on Environment and Health in the of the National Environmental Action Plan of the Republic of Serbia, the critical nature of environmental health impacts on children, especially from lead originating from transport sector has been highlighted. National Environmental Programme is adopted by Government in June 2006, and is also in procedure for Parliament adoption.

Ministry of Health Republic of Serbia Existed data indicates high hazardous environmental exposures and health effects in children indicating that environmental health risks to children and adolescents are still present. Strategic and legal basis National Millennium Development Goals (Goal No 4: Reducing Child Mortality) Serbia Plan of Action for Children (SPA) Strategy for Youth Development and Health National Environmental Programme Project goals A focused and integrated multistakeholder institutional framework for monitoring childrens health and environment Developed and adopted national CEHAP

Ministry of Health Republic of Serbia Targeted donors : All donors except European Commission Budget: EUR 100.000 Planned duration: 19 months

Ministry of Health Republic of Serbia The Institute for Blood Transfusion of Serbia is the only producer of stable blood products (albumin, intravenous immunoglobulin, specific and normal immunoglobulin) in Serbia. The plasma for fractionation is obtained by processing whole blood units or by the plasmapheresis procedure. Blood and plasma are collected from voluntary, unpaid donors, citizens of Serbia in 47 transfusion centres. The plasma is then transported to and processed at the Department for the plasma fractionation. Production problems: Inadequate space which does not suit the requirements for the production of parenteral preparations in compliance with the Good Production Practice - GPP; Technological process which is designed for the production of albumin and in which It cannot be expected to have 100% utilisation of the plasma proteins; Obsolete equipment whose frequent breakdowns lead to stoppages in the production; Lack of equipment which would facilitate efficiency and safety of production; The consequence of the above-stated problems is an irregular supplying of the medical drug market from the production programme of the Institute, with further and enormous impact on health of the population. MODERNISATION/RECONSTRUCTION OF THE WORK OF THE HUMAN BLOOD PLASMA FRACTIONATION CENTRE

Ministry of Health Republic of Serbia Strategic and legal ground: National Strategy for the Accession to the European Union Strategy for providing adequate quantities of safe blood and blood products in the Republic of Serbia (draft) Law on drugs and medical assets (Official Herald of RS, no. 84/2004) according to which the producers of drugs are under obligation to introduce the Good Production Practice GPP by July 2009(OfficialGazette,no.31/2000). General goal: Continuous production and supplying of the domestic market with good quality and safe medical drugs produced from plasma of unpaid, voluntary donors, citizens of Serbia. Specific goals: Improvement of individual phases of production which significantly influence the quality and safety of the medical drugs from the production programme of the Institute for Transfusion of Blood of Serbia.

Ministry of Health Republic of Serbia Targeted donors : All donors except European Commission Budget: EUR 802,000 Planned Duration : 6 months

Ministry of Health Republic of Serbia RENEWAL OF THE EQUIPMENT FOR PROCESSING OF PATIENTS FOR IRRADIATION THERAPY IN ALL IRRADIATION THERAPY CENTRES IN THE REPUBLIC OF SERBIA In Serbia there are in total 6 Irradiation Therapy Centers, one in the following cities: Sremska Kamenica (Novi Sad), Belgrade, Kladovo, Kragujevac, Nis and VMA in Belgrade. As presented in the documents submitted to the Ministry of Health by the Committee for Enhancing Irradiation Therapy Implementation in the Republic of Serbia, if the renewal of equipment, in Irradiation Therapy Centers wouldnt be implemented, one can expect them to stop operations, due to lack of capacity to process patients waiting to be irradiated: very small number of linear accelerators for irradiation, very small number of preparatory and processing equipment for irradiation patients In linear accelerators in Serbia.

Ministry of Health Republic of Serbia In developed European countries standard is that on every 250 000 inhabitants 1 linear accelerator should be operating. In Serbia the situation is significantly worse, more than 1 000 000 inhabitants per one accelerator. Impossibility to prepare and process the patient for irradiation therapy leads to the impossibility of treatment of such an aggressive disease, as malignant disease. By resolving this problem using external funds, and urgent issue of equipment for irradiation therapy centers in Serbia would be resolved. Strategic and legal background : National Strategy the Accession to the EU The document Health Policy of Serbia Vision of the Health Care System in Serbia Strategy with Action Plan for Health System Reform in Serbia until 2015 has been based on previous documents, and together with them has been represented in the Ministry of Health publication Better Health for All in the Third Millennium. Health Care Law

Ministry of Health Republic of Serbia Project goals : Provided quality processing of the patient for irradiation therapy, meaning that during 25 irradiation therapy visits, which is an average per patient, any mistake in patients irradiation should be prevented. One should have in mind that in the irradiation therapy there is no place for mistakes: you can not prescribe new therapy to once irradiated patient, because the dose is cumulative, and can trigger completely different effect from the intended one - be it over-irradiation or sub-irradiation (too big or insufficient dose for tumor treatment). Established European standards in the field of processing patients with malignant diseases for irradiation therapy treatment (preparations for irradiation therapy).

Ministry of Health Republic of Serbia Targeted donors: All donors except European Commission Planned Duration: 12 months. Budget: EUR 3.000.000

Ministry of Health Republic of Serbia TRANSPLANTATION OF HEMATOPOETIC PROGENITOR CELLS IN CHILDREN IN SERBIA Transplantation of hematopoetic progenitor cells is an important modern form of treatment of numerous developed and inherent diseases. In Serbia there is one pediatric center for PHCT opened in 1997 in the Institute for Health Protection of Mother and Child of Serbia Vukan Cupic (Mother and Child Institute - MCI). Starting from the standard of the European Group for Blood and Marrow Transplantation (EBMT), 22 transplantations should be performed on 1,000,000 inhabitants a year, and according to the census from 2002 it is estimated that 34-35 autologous and alogenous transplantations should be performed in Serbia per year. The existing capacities in MCI (space, staff) enable performing 16-20 PHCTs annually, because of which there is a request for enlargement of the existing capacities and introduction of the new forms of PHCT.

Ministry of Health Republic of Serbia Up to 5 patients are sent for treatment to foreign centers. Treatment in foreign centers is even 5 times more expensive than in Serbia. If the project implementation fails, further outflow of the funds from the Republic Health Insurance Bureau would ensue, for sending patients to foreign centers, and chances of this vulnerable group of patients would be decreased for adequate treatment, because the existing funds cannot cover all costs of treatment in the foreign centers. Also, by implementing this project, cooperation with the neighboring countries would be implemented, where based on current experience we have determined that there are similarities that would enable successful exchange of hematopoetic progenitor cells, that is, exchange of human material. Strategic and Legal Background : National strategy of Serbia for EU Accession Health Policy of Serbia National Action Plan for Children

Ministry of Health Republic of Serbia Project Goals : To introduce new forms of progenitor hematopoesis cell transplantation (PHCT) from: related partly identical donor and non-related identical donor To expand capacities of bone marrow transplantation departments; with cryobiology and transfusiology laboratory in the Mother and Child Health Protection Institute Vukan Cupic Ph.D.; To establish national progenitor hematopoesis cell bank from umbilical cord and to join EUROCORD; To acquire accreditation by JACIE ( Standards for Haematopoetic Progenitor Cell Collection, Processing and Transplantation from The Joint Accreditation Committee of ISCT-EBMT, supported by The European Commission under the Public Health Programme 2003-2008).

Ministry of Health Republic of Serbia Targeted donors: All donors except European Commission Planned Duration: 36 months Budget EUR 3.447.400

Ministry of Health Republic of Serbia KARDIONET-SERBIA Serbia lacks developed, operational and efficient unified health information system that would integrate national medical sector and prepare it for regional and European integrations. On the other side, cardiovascular diseases are the leading cause of death in many developed countries and many developing countries Serbia is, in this sense, not different from the rest of the world. In circumstances like these, a complete development and realization of one Component of an e-Health system in Serbia, in the area of cardiology, whose results would later help development and implementation of the whole e-Health system, would represent a well chosen investment that leads to acceleration of a transition process and assist reforms in the area.

Ministry of Health Republic of Serbia Strategic and legal basis National Strategy for EU Accession Development Strategy of the Information Society in the Republic of Serbia,, Health Care Law Better health for All in third Millennium Project goal The goal of this project is the realization of preconditions for development of complete e-Health system in Serbia, aimed at improvement of prevention, efficiency of medical care, rationalization of expenses, scientific work and education in the area of cardiology in Serbia.

Ministry of Health Republic of Serbia Targeted donors : All donors except European Commission Planned duration: 36 months Budget: EUR 1.450.000

Ministry of Health Republic of Serbia Hospital Financial Management To achieve EU integration, the government of Serbia is working hard to reform structure of the governmental body and to make capacity development of public sector staff. Health sector reform is also one of the prioritized areas, too. Medical doctors who do not have specialized knowledge of financial management have been taking responsibility for the management in medical institutions. Since Japanese Government provided valuable Medical equipment through grant aid assistance to core hospitals in Serbia, in order to make the equipment be utilized as much and long as possible, without having shortage of spare parts or consumables, each hospital need to improve its financial management. The following are the Hospitals which had Grant Aid Assistance and targeted hospitals of this project. 1) Clinical Center of Serbia 2) Clinical Center of Nis 3) Clinical Center of Novi Sad 4) Clinical Hospital Center Kragujevac

Ministry of Health Republic of Serbia Project goal The hospitals which had Japanese Grant Aid Assistance are able to obtain spare parts and consumables for the equipment supported by improving hospital financial management. Strategic and legal basis Objective number 7 of the Serbian Health Policy relates to the Improvement of the human resource base of the health care system (human resources for health).

Ministry of Health Republic of Serbia Targeted donors: Japan Planned duration: 36 months Budget: EUR 200.000

health donors’ meeting ministry of health republic of serbia 25.09.2007

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