The project intends to enhance local communities' health infrastructure in two Armenian by purchasing mobile medical electric vehicle, an immunoanalyzer and install solar panels.
In Armenia due to very small and inefficient health insurance system and absence of life insurance about 80% health expenses are made out-of-pocket.
Patients receiving cancer treatment in Armenia, their families and caregivers, are one of the most disadvantaged groups of Armenia's population. Since 2014 more than 8,300 new cancer cases are registered annually in Armenia. According to studies conducted, the daily average of 3,500 patients are in need of palliative care in Armenia, of which at least 40% are cancer patients (of which around 500 reside in Yerevan area). A lots of patients in Armenia die of cancer, they die at home, in great pain, with no palliation, which may last for few months, because palliative care is not accessible, even though the state budget provides funding for palliative patients who receive care at clinics.
A Palliative Care Clinic (PCC) with a small capacity of 10 beds is created at National Center of Oncology in August 2020 as unique center of palliative care in Armenia, complaint with international standards and best practices for palliative care and hospice management. The development plan of PCC envisions having mobiles teams for palliative care for conducting home-visits in Yerevan and its neighboring regions, thus serving a significantly higher number of patients in pain in addition to 30 in-patients at the PCC. For this purpose, the purchase of an electric medical vehicle for its mobile teams will allow to reach out patients with "green energy", which can charge their batteries with the solar power station's generated energy, thus reducing CO2 emissions and contributing to environmental protection and cancer prevention. In total, the newly established dispensary unit and mobile teams will be able to provide services to around 18,000 out-patients annually in Yerevan and nearby regions.
The cardiovascular mortality rate in Armenia is higher than in neighboring countries. According to the World Health Organization's Global Burden of Disease Survey, the standardized relative mortality rate from STDs in Armenia exceeds 673.49 per 100,000 populations. According to the assessment indicators of the activity of the healthcare system of the Republic of Armenia, 1788 out of 100000 inhabitants die from ischemic heart disease. Acute myocardial infarction kills 318 women per year per 100,000 population, 234 of which are over 70 years old, 384 men per 100,000 population, 200 of which are over 70 years old, 117 are 60-70 years old, 57 are 50-59 years old, 9 are 40-49 years old. The mortality rate from diseases of the circulatory system is 55.2%.
The above-mentioned cause of death is the same percentage in the Syunik region, which is why the role of the French-Armenian Cardio-Vascular Center (FACC) in organizing the process of prevention and treatment of cardiovascular diseases among the population of the region is crucial. Being the only modern cardio-vascular clinic in the whole Syunik region, the further development of the FACC is conditioned by the expansion of the provided services, including quality medical analysis and the recruitment of new qualified personnel. In particular, the construction of a new building is already underway, which will allow computer scanning and mammography. It is planned to introduce neurosurgery endovascular interventions.
Since establishment in 2013, role of the FACC is great in raising awareness about the prevention of cardiovascular disease in the wider society. The FACC in Goris is the only clinic in the region where invasive procedures are performed. The FACC is of great importance, as it serves the population of Artsakh and Syunik region. Equipped with 25 hospital beds + 6 beds of intensive cardiology care, 3 rooms of consultation and cardiovascular browsing and 2 rooms of coronagraphy, as well as rooms for radiology and medical the FACC provides diagnostic and therapeutic services related to cardiovascular system diseases. It consists of two catheterization laboratories (invasive surgery rooms), examination and diagnosis rooms, an X-ray room, a laboratory, as well as a resuscitation unit and a special reception room for emergency care. The FACC provides all cardiovascular services, with the exception of open-heart surgery, for population in Goris and Syunik region: diagnostic and interventional coronary angiography, stenting, coronary angiography, diagnosis, therapeutic treatments, etc.
To support the extension of provided medical services a new immunoanalyzer is needed allowing to carry out various immunoassay analysis such as serology, immunochemistry and antigen detection which results are basis for provision of relevant and quality medical treatment. At the same time the FACC is facing of regular power outage (in average more than 3 hours per week) and a solution for permanent supply of electricity is needed.
According to technical capacities of solar panels to be installed, the following annually savings from payment for electricity and hot water are expected at beneficiary organizations: i) PCC (7 000 000 AMD/ 17500 USD and ii) at FACC 5 000 000 AMD/ 12500 USD.
Savings from payment for electricity and hot water will be re-invested into further development of the PCC and expansion affordable, quality and sustainable medical treatment to a larger community of users. With the savings the PCC will be able to hire additional staff and increase its base/portfolio of services offered to palliative patients and families. One example is that a psycho-social support unit will be set up engaging 3 onco-psychologists to provide on-site psychological assistance to patients and families, a new service which doesn't exist currently. At FACC the savings will be used for enlarging the type and number of medical analysis such as serology, immunochemistry and antigen detection, as well as reducing their prices to insure better affordability for local population and quality treatment of patients.
The income generated by these savings will therefore ensure the sustainability of the project impact for 25 years, the duration of the use of solar panels proposed by supplier.