Santé de la mère et de l’enfant

Projet terminé
Un nouveau-né sous la lumière de tubes fluorescents
L'amélioration des équipements médicaux vise à réduire le taux de de mortalité des nouveau-nés. © SECO/DDC SECO/SDC

Dans 27 hôpitaux lituaniens, la Suisse soutient la formation du personnel médical et la modernisation des infrastructures hospitalières désuètes. De plus, l’efficacité énergétique d'au moins 24 de ces hôpitaux sera améliorée. Les conditions de prise en charge des parturientes et des nouveau-nés s’en trouvent nettement améliorées.

Pays/région Thème Période Budget
Lituanie
Accroître la sécurité sociale
Modernisation d‘hôpitaux
01.11.2011 - 14.06.2017
CHF 26'600'000

Note: the texts under all the headings, with the exception of 'Results achieved', describe the situation before the start of the project.

Contexte

Birth rate in Lithuania has been decreasing since 1992. In 2006 it was reported at 9.2 per 1’000 inhabitants (one of the lowest in the EU), but the rate of infant mortality was 6.84 deaths per 1’000 live births. Perinatal mortality - 7.26 deaths per 1’000 live births - and the neonatal mortality rate stood at 3.92 per 1’000 live births. These rates are well above EU average rates, which are 5.06, 6.16 and 3.33 accordingly. Most of infants (37 %) died from diseases that emerged during the perinatal period while 34 % died from congenital defects. Therefore, the National Health Programme of Lithuania requires that special attention must be given to the reduction of the infant mortality rate. The measures envisaged by this Programme will contribute towards achieving the level of health related indicators reported by EU 15 countries.

Objectifs

The overall objective of the Programme is to meet the World Health Organisation’s recommendations, EU directives and international standards regarding neonatal and perinatal health care services in Lithuania.

Specific objectives are to reach:

  • Pregnant women and maternal mortality rate down to 5.36 (per 1000 live births), neonatal mortality rate down to 2.63
  • 20’000 delivering women have access to upgraded quality services.
  • Improved patients’ satisfaction with conditions in hospital

 

Groupes cibles

 

  • Medical staff working in perinatal and neonatal sectors
  • Pregnant women
  • Delivering women
  • Neonates and infants

 

 

 

Activités
  • Medical equipment will be improved in 22 hospitals.
  • Special transport vehicles for newborns are being provided for three hospitals located in isolated areas.
  • Specialists are being trained in the use of modern technologies.
  • Diagnosis and treatment guidelines are being developed to standardise and systematise the most important pathological conditions.
  • A comprehensive database of patient data is being developed.
     
Résultats

Résultats obtenus:  

  • Recent patient satisfaction surveys showed that patient satisfaction has almost doubled compared with 2010 (28% in 2010 and 47% in 2014). With improved medical equipment in 27 hospitals, the mortality rate amongst pregnant women, mothers and new-borns is declining.
  • 24 hospitals (out of 27) have received part of the necessary modern medical equipment (monitoring the status of new-borns, incubators, anaesthesia apparatus, ultrasound equipment, warmed new-born reanimation tables, etc.).
  • 3 (out of 9) hospitals completed repair works.
  • 70 guidelines and protocols on diagnostics and treatment in obstetrics and neonatology developed
  • 1376 participants (versus 1300 planned) have improved their professional competence and their skills in using modern technology.


Direction/office fédéral responsable DDC
Crédit Contribution suisse à l'UE élargie
Partenaire de projet Partenaire contractuel
Institution étatique étrangère
  • Central State of South East


Budget Phase en cours Budget de la Suisse CHF   26'600'000 Budget suisse déjà attribué CHF   26'562'644
Phases du projet

Phase 1 01.11.2011 - 14.06.2017   (Completed)