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Immediate
needs
We have been extremely cautious in spending the charity’s
money as we know that we will need an emergency budget
to cover certain costs in the following year:
Emergency operations
The hospital in Akhmeta is not equipped for complicated
operations such as open heart and neurological surgery.
These operations have to be performed in Tbilisi and
paid for. Until the end of the year MSF is covering these
emergency expenses for Chechen refugees. Ccharm is committed
to step in when MSF pulls out in 2007. Such operations
usually cost at present rates between US $ 300-500. We
cannot tell in advance how many such interventions will
be needed but we need to allow for an emergency budget
of a minimum of US $ 7000.
Supplying medicine
MSF will stop supplying the hospital with medicine at
the end of the year. Ccharm will have to take over. We
are getting advice from MSF and our own doctors regarding
the cost.
Equipped Kitchen
We realised that in this Hospital there are no cooking
facilities. Patients families have to bring their own
food from far away with no possibility to warm it or
cook it. We are looking into that.
Installing hot water
The hospital at present has two shower rooms for the
patients and one for the doctors. We will be bringing
electrical water heaters on our next visit. Cost of purchase
in theUKand installation, approximately £1,000.
Ambulance
Duisi is 16 kms only from Akhmeta but the road is so
bad that it can take over an hour to reach the hospital
for emergencies and seriously wounded people. There are
no public transport and very few private cars able to
transport patients. As a result many people have died
before reaching the hospital.
Ccharm will be looking into the possibility of providing
a properly equipped ambulance to be stationed in Duisi
and eventually pay for the services of a full time doctor.
Medical tools/medicines Inventory
We are sending our medical adviser soon after the New
Year to assess all medical tools needed and to start
a methodic assessment and the organising of theTB programme.
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