Recommendation Report Moldova IX

1. Introduction
   Objective
2. General
3. Children's Hospital I
4. Outpatient Clinic Medical School
5. St. Michael Hospital (Municipal Clinical Spitalul Saint Arhanghel Mihail)
6. Children's Hospital II
7. Trinity Hospital (Spitalul Clinic Municipal Sfanta Treime)
8. Summary
9. Recommendations

Recommendations

If we think about all our impressions of the 5 hospitals we visited, we feel two hospitals should/need the most support from an engineering point of view. This, by no means, disqualifies the other two hospitals; we just have to prioritize somewhat in order to simply get things rolling.
We believe this charity aid project should aim at the following two hospitals:

1. the Trinity Hospital (Spitalul Clinic Municipal Sfanta Treime)
2. the Children's Hospital 2 (Spitalul Clinic Municipal Pentru Copii nr 2)

The Trinity Hospital because:

1. it is affiliated to the Medical School of Chisinau
2. it offers most medical specialties
3. more than 23,000 patients were treated here, in 2004
4. it has an adequate logistical infrastructure which best resembles Western-European infrastructure
5. all buildings and equipment are in a poor state of maintenance and there is no money to change this
6. there are non-functional central medical gasses systems which are important for proper treatment of the patients

The Children's Hospital 2 because:

1. it's affiliated with the Medical School of Chisinau
2. it offers operating facilities
3. it owns good diagnostic equipment
4. it has a Burns Unit for children (from all over the country)
5. it lacks a functioning medical gasses network
6. it has an adequate laboratory, provided for by a Japanese donation

The Urgenta Foundation recommends:

1. to publicize the list of equipment needs of all 4 hospitals across Dutch hospitals and other medical institutions
2. to remove all high-tech equipment from those lists: the physicians would really like to get this equipment, but our experience has taught us that maintenance and repair will cause trouble because there are no qualified engineers. Contracting it out is too expensive so the equipment ends up unused in some corner.
3. to install central medical gasses supply systems (oxygen and compressed air) in both hospitals and connect it to the Emergency Department, the ICU and the Operating Center. We consider these kinds of installations to be basic equipment for any hospital, especially University Hospitals.

Jan Scheerder, Arnold van Rijn
Frans de Jong, Cosmin Costea

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