The health of mothers and children

Project completed
A newborn under a fluorescent lamp
Improved medical equipment should reduce the infant mortality rate. © SECO/SDC SECO/SDC

Switzerland is supporting the continuing training of medical personnel and the modernisation of antiquated hospital infrastructures in 27 Lithuanian hospitals, and increasing energy efficiency in at least 24 of them. These measures will greatly improve overall conditions for women in childbirth and for their newborn babies.

Country/region Topic Period Budget
Lithuania
Improving social security
Hospital modernisation
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.

Background

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.

Objectives

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.

 

Target groups

 

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

 

 

 

Activities
  • 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
     
Results

Achieved results:  

  •  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 


Directorate/federal office responsible SDC
Credit area Swiss Contribution to the enlarged EU
Project partners Contract partner
Foreign state institution
  • Central State of South East


Budget Current phase Swiss budget CHF   26'600'000 Swiss disbursement to date CHF   26'562'644
Project phases

Phase 1 01.11.2011 - 14.06.2017   (Completed)