A program of improvement perinatological care for hospitals was implemented in 2008 – 2014 on the Lower Silesian District Board initiative, due to the relatively high as for Polish conditions infant mortality rate. The institutions which took an effort of leading the program received a great help from the budget of the district. Obstetric and neonatal departments were accessorized with the missing medical equipment. Standards of services related with childbirth were improved. During antenatal classes women could be prepared for the labour in much better conditions , they are informed about the possibility of family birth, anesthesia of labour pain.
In March 2013 the Ministry of Health announced an open competition under the Programme PL 07 ” Poprawa i lepsze dostosowanie ochrony zdrowia do trendów demograficzno – epidemiologicznych “ co-financed by the EEA Financial Mechanism 2009-2014 and the Norwegian Financial Mechanism 2009-2014. There was a chance to continue the raising of care standards in neonatal and obstetric hospitals of Lower Silesia District to a greater extant.
A duty of identifying the needs of hospitals, preparing application documents and applying for prospective funding was taken by Specjalistyczny Szpital Ginekologiczno – Polozniczy im. E. Biernackiego w Walbrzychu. 10 hospitals with different levels of hospital care have joined the project:
1. Specjalistyczny Szpital Ginekologiczno – Polozniczy im. E. Biernackiego w Walbrzychu, which is a Leader of Project,
2. Uniwersytecki Szpital Kliniczny we Wroclawiu,
3. Wojewodzki Szpital Specjalistyczny we Wroclawiu,
4. Szpital Specjalistyczny im. A. Falkiewicza we Wroclawiu,
5. Wojewodzkie Centrum Szpitalne Kotliny Jeleniogorskiej w Jeleniej Gorze,
6. Wojewodzki Szpital Specjalistyczny w Legnicy,
7. Samodzielny Publiczny Zespoł Opieki Zdrowotnej w Swidnicy,
8. Szpital Specjalistyczny im. dra A. Sokolowskiego z siedziba w Walbrzychu
9. Milickie Centrum Medyczne Sp. z o.o.
10. Strzelinskie Centrum Medyczne Sp. z o.o.
PL 07 program awakened a considerable interest. In June 2013, the Ministry of Health as Program Operator received 585 applications for funding!
After a year, in July 2014 the Ministry of Health chose30 projects, including project No 267/07/13 under the title ” Mały DolnoŚlązak – Program poprawy opieki perinatalnej na terenie województwa dolnośląskiego “.
Fundamental element of non-investment activities is to raise qualifications of medical staff. Under the project, a number of training courses for doctors and nurses was planned. With the aim of increase skills, specialists in the field of neonatology and obstetrics will participate in 7 trainings, including lectures and workshops. Therefore recognition techniques, pathological conditions of pregnant women and newborns will be improved and aspects of neonatal resuscitation, neonatal ultrasound examinations in the field of cardiac ultrasound, ultrasounds of head and hip joints.will be discussed Obstetricians will enrich their knowledge about the diagnosis and treatment of women infertility and high-risk pregnancy. Nurses and midwives will take part in 6 training courses including cardiopulmonary resuscitation of newborns, the fetal monitoring and the care of pregnant women with diabetes. Topics of seminars will complement the knowledge of nurses and midwives and will lead to apply the same standards of care in all 10 hospitals.
The preventive tests are the another element of the project. Over 40 thousand various kinds of tests will be financed by the EEA Financial Mechanism 2009-2014 and the Norwegian Financial Mechanism 2009-2014 – including bacteriological tests, eye tests and ultrasound of newborns (cardiac ultrasound, hip ultrasound, fontanelle ultrasound), as well as bacteriological examinations of women executed just before labour in order to determine possible risks for the child.
The project also foresees enhanced programs for antenatal classes, which offer women free training in- and outside Wroclaw. In all hospitals, lactation emergency was opened to prevent resignation of breast-feeding caused by inflammation of the breast.
Together with noninvestment activities, there will be implemented thepurchase of medical equipment which is still missing in hospitals. Each of the hospitals described their most urgent needs. In particular, not only 9 ultrasound cameras will be purchased , which are nowadays an essential tool in the field of medicine, but also 15 beds for childbirth, 26 modern cameras CTG. In two hospitalscentrals of obstetric supervisory will be installed.
Neonatal agencies will be retrofitted with 17 machines supporting breath, 16 incubators, 32 cardio monitors, 20 pulse oximeters, 28 infusion pumps, and many other equipment. To sum up, we will purchase 221 devices and pieces of equipment worth nearly 11 million zł.
In addition three hospitals will be supported by funding for infrastructure tasks.
In Specjalistyczny Szpital Ginekologiczno – Polozniczy w Walbrzychu will rise Diagnostic Center of Women and Newborns, in Wojewodzki Szpital Specjalistyczny in Wroclaw neonatal department will be modernized and in Milicz childbirth track will be rebuilt.
Project promotion and popularization the knowledge about health
The project also involves the promotion of actions undertaken within its framework. The aim of the promotional campaign is primarily to reach the target group – pregnant women and young mothers with information about the project and actions, which are taken within it. Promotion of the project involves the production and distribution of more than 400 000 information leaflets for women about pregnancy, childbirth, antenatal classes and health pregnant women care system in the Lower Silesia District. Additionally, in regional television a series of programs will be broadcasted to encourage the use of the offer of the project and popularizing knowledge about the health of pregnant women, young mothers and their newborns
At the end of the program, in order to discuss obtained medical knowledge and to familiarize participants and people interested in results its outcome Specjalistyczny Szpital Ginekologiczno – Polozniczy w Walbrzychu will organize a Scientific Symposium.
For all these goals 22.2 million zł were obtained from EEA Financial Mechanism 2009-2014 and the Norwegian Financial Mechanism 2009-2014, own contribution will come in particular from the budget of Lower Silesia District and the state budget. The total value of the entire project, which must be completed by March 2016 equals 27.8 million zł. All hospitals in the partnership agreement agreed to continue testing newborns and women by 2021- the end of the project.
We hope that after completion of all program elements infant mortality rate will be among the lowest in Poland, and women will willingly give birth to more children. They will know more about the proper care of the newborn, breastfeeding, and hopefully postpartum depression will be rarely performed.
inż. Alice Daleczko
Director of the Specjalistyczny Szpital Ginekologiczno – Polozniczy im. E. Biernackiego w Walbrzychu – the Project Leader