HOSPITALS

Timor-Leste needs healthy people to build up their nation again. At the moment various factors ranging from malnutrition, missing sanitation to poor healthcare hamper the development. The Timor Foundation develops concepts with the goal to accelerate the improvement of the health services through the collaboration with experienced partners (fe RACS, ETEP, Fred Hollows among others)
that provides know-how, access to funding and expertise.

We are seeking funds for the transportation of the ultrasound scanner and training costs at the National hospital in Dili: 15'000 USD
 

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The Facts

The concept
The development of a functional healthcare system has first priority in Timor-Leste. At the moment, this project is negatively influenced by different factors. Missing sanitary facilities, worse medical equipment and defective training of the physicians are key factors which have to be improved urgently.
Already 700 Timorese physicians have terminated their medical basis studies in Cuba and are working in Timor-Leste now. However, the education shows massive gaps and needs to be improved sustainable by further vocational training.
Many physicians gain their first experience in the National Hospital in Dili or in the surrounding small medical institutions in the outback. There is a lack in well-educated staff, assistants, nurses and medical specialists. A further problem is that the hospitals nor have the urgent needed infrastructures neither the modern technologies, which are indispensable for a progressive healthcare system.
Timor Foundation target to support a cooperation between the Kantonsspital St.Gallen (KSSG) and the National Hospital in Dili, Timor-Leste. 

The first common project
The first steps are done. A ultrasound scanner for the emergency department is provided to the National Hospital in Dili by the Kantonsspital St.Gallen for free. Furthermore the Hospital in St.Gallen offers their clinical bed linen.
In a further step the bed linen and ultrasound scanner have to be transported to Dili now. This is not only a complex but also an expensive process.
Afterwards the ultrasound scanner will be used in the emergency medicine. To ensure that the physicians can handle the technical tool there will be a professional training. The workshop is going to be conducted by Prof. Dr. Joseph Osterwalder, chief physician of the central emergency department at the Kantonsspital St.Gallen. For this purpose, he will travel to Timor-Leste by himself in September 2017.
With the valuable support of the Kantonsspital St.Gallen and the great commitment of Prof. Dr. Joseph Osterwalder it will be possible to achieve a thin end of the edge in a long term cooperation in Timor-Leste

The Facts
Project costs in USD
Composition of the costs for the ultrasound scanner:
- Packaging
- Transportation, Installation,
- Workshop on site by Prof. Dr. Osterwalder
- Flight, catering and accommodation for Prof. Dr. Osterwalder

Composition of the costs for the Hospital bed linen:
- Packaging
- Transportation (Price by weight)

Project duration
- Prof. Dr. Osterwalder is going to arrive in September in Dili to conduct the advanced training courses
- Bed linen: They will be available to the National Hospital by Mai 2017

Further steps
Timor Foundation would like to invest in a sustainable and effective education and training in the medical field. On site, we work with the ministry for health and the National Hospital in Dili, Timor-Leste. And in Switzerland we work in cooperation with the Kantonsspital St.Gallen.

Contact person
Barbara Lietz, CEO, Board Member Timor Foundation:
barbara.lietz@timor-foundation.com

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National Hospital

Context
Dili National Hospital is the referral facility for all cases requiring specialized medical assistance or more sophisticated diagnostic techniques. Several organizations (such as RACS, UNFPA and CordAID) are supporting the hospital and it's Timorese management team. It has medical, surgical, paediatric and obstetric facilities with a total bed capacity of 228. It is relatively well equipped. The out-patient department has ample facilities for different consultation services and provides first, second and third-class care.

Summary of main findings
The National hospital Guido Valadares in Dili offers a range services and treatments. Next to pediatrics and neonatal units, it has als gynecology and obstetrics, medical unit and of course the surgical unit. The latter offers a basic broad range of surgery including basic intestinal general surgery, trauma and orthopedics. The eye hospital managed through RACS and Fred Hollows in collaboration with the local authorities is very efficient and performs more than 1000 surgeries a year, mainly sight restoring cataract surgery. In terms of diagnostics, most of important tests to diagnose a common disease are available. In general the equipment is in good condition. Haemodialysis can also be performed at the hospital. The hospital meets the basic criteria for hygiene. There is an international mix of doctors from Cuba, China, Europe, Australia, New Zealand, USA among others working alongside with the doctors from Timor-Leste.


Atauro Clinic

Background and rational
Timor Leste’s population is predominantly rural and thus faces serious difficulties in accessing medical services. It is not uncommon for family members to travel for hours by foot to receive treatment, and, with more than half the population living below the basic needs poverty line of USD0.88 per day, essential medical care can also be prohibitively expensive.  The building of clinics in rural and remote areas, such as the clinic proposed on Atauro, is therefore essential in extending basic medical care to Timor’s underserviced population.

Timor Leste also has one of the world’s highest rates of blindness and vision impairment. The main causes of blindness here, as elsewhere in the developing world, are cataract and uncorrected refractive error – both of which are treatable and preventable.  Extending basic eye care services to remote areas such as Atauro is key to addressing the social and economic burden that avoidable blindness in Timor Leste represents.

The National Eye Clinic (NEC) in Dili has an outreach program where eye teams and health workers regularly visit these remote locations (10 times a year) to carry out eye health promotion, screening and surgery. The visits usually last a week and much is accomplished with sometimes up to 50-80 cataract operations performed (among other ophthalmic surgeries) in addition to refractions (150-200 glasses prescribed per outreach trip).