Archived page: may contain outdated information!

Short hospital information sheet

23-06-2001

 

   

 Hospital Facilities  

    

The hospital has medical, surgical, paediatric and obstetrical facilities with total bed capacity 226 (incl. 14 observation beds and 26 low dependency beds)

They are:

  • Surgical 54 beds (26 male and 28 female)

  • Medical 46 beds (27 male and 19 female)

  • Paediatric 28 beds

  • Maternity 24 beds

  • Maternity observation 6 beds

  • Observation room 2 rooms 4+4 beds

  • ICU 6 beds

  • Low dependency ward 26 beds (incl. 9 paediatric beds)

  • Isolation ward 28 beds 

Others are;

Operating theatre with 2 tables a Post Anaesthetic Room and Central Sterilising Unit, Physiotherapy department, Emergency Room, Laboratory and a X-ray department.

Poly Clinic where there is an OPD and facilities for different consultation services.

The non medical departments are;

Pharmacy, kitchen, laundry, cleaning service and maintenance team. There is a 250 kW generator, a mortuary, 2 bore holes, and an incinerator. There are as well staff quarters, workshops etc.

 
go to top of page
   

    

 Staff  

    

At present there are 315 East Timorese staff working in the hospital including 170 nurses and midwives. In each ward there is an East Timorese Responsible, a deputy and three teams working on shifts. The working hours are 08.00 - 16.00 and 16.00 - 08.00. The nonmedical departments in the hospital have started a 40 hour week roster and the medical departments are in the process of doing the same. Since January 2001, there are 6 East Timorese Nurse Supervisors covering the Hospital 24 hours. Their main focus is support to the nursing services. They have received training and backup from expatriate Nursing Specialists.

There are 5 East Timorese doctors in the Hospital. They cover the OPD, ER, Medical and Paediatric services and on calls since March 2001. They have the back up from 2 expatriate specialists in Paediatrics and Internal Medicine who teach and consult when needed.

There are also 5 expatriate Surgeons, Anaesthesiologists and Gynaecologist Obstetrician on call 24 hours a day, 7 days a week.

 
go to top of page
   

    

 Medical care  

    

The treatment provided in the hospital is based on WHO standard treatment protocols and medicaments, combined with the ICRC and international standards.

  • The most common diseases are malaria, lower respiratory track infections, asthma, tuberculosis, gastroenteritis, as well as chronic diseases and other medical problems.

  • The surgical problems are related to trauma, orthopaedic problems, acute abdominal problems, obstetrical problems and more chronic problems such as hernias, kidney stones, goitre, some tumours etc.

  • A MoU was done with ASEA-REHAB, a team of plastic surgeons that have had a rehabilitation and reconstructive surgery program in East Timor since 1994. They come on a 3-4 month basis and have access to the hospital facilities for reconstructive surgery. Training of East Timorese included.

  • Lalla Foresight International is a group of ophthalmologists visiting on the same basis as the plastic surgery team.

  • Dentists from Australia arrived in April 2001 with a fully equipped caravan have started dental service.

 
go to top of page
   

    

 Training  

    

An expatriate teaching nurse arrived in April 2000 and co-ordinated training, workshops, protocols and external training, e.g. nursing students until February 2001.

A 6 month training program for 6 nurses in basic physiotherapy was completed in December 2000.

Guidelines and protocols for treatment and nursing care have been made and the 25 nursing guidelines were submitted to WHO in May 2001.

English and Portuguese teaching was organised in 2000 and 2001.

A teaching program for the East Timorese doctors commenced in November 2000.

In February 2001 training in basic radiography commenced for one nurse.

Nursing students, both from the academic training and SPK nursing school have done their practical training in the Hospital.

Bed side training in all hospital departments is still ongoing but since February 2001 the expatriate nurses have been stepping back, more supporting the middle management. At present the East Timorese nurses are managing quite well with minimum expatriate presence.

 
go to top of page
   

    

 Supplies and equipment  

    

The ICRC will leave a 3 month stock of medical supplies for the Hospital and after ICRC's departure the Central Pharmacy in Dili will provide the supplies.

The Hospital has a significant amount of medical equipment and much of it has now been repaired (replacement value estimated AU$ 1,000,000). As yet there is no biotechnical backup in East Timor and maintenance of equipment is from biotechnicians in Darwin. There is an ultrasound machine, two functioning x-ray machines, some monitors, anaesthetic machines, autoclaves, laboratory and physiotherapy equipment. There are no ventilators in use.

All equipment brought to the Hospital by ICRC will remain.

 
go to top of page
   

    

 Hand over of the Hospital  

    

The ICRC announced on 12.03.2000 that it will cease operational responsibility and management of the Hospital at the latest the on June 30th 2001. The East Timor authorities favour a " Timorisation " of the Hospital. Unfortunately a major problem has been to find East Timorese counterparts in higher and middle management positions. Likewise, the number of East Timorese doctors is limited (23 for the whole territory, no practising specialists) and thus, it appears, that the Hospital will need external support beyond ICRC's departure. The permanent recruitment process for senior health professionals will be finalised in June 2001, which includes the management team and doctors for Dili National Hospital.

DHS has made an agreement with Cordaid (Catholic Organisation for Relief and Development), a Dutch organisation, and other organisations, to support the East Timorese hospital management and provide specialists to train, supervise and support the medical and nonmedical services from July 1st 2001, for the coming 1-2 years.

 
go to top of page
   

    

 Management  

    

From May 2001 the implementation process of handing the Hospital over to DHS commenced. The management structure is planned as follows:

  • East Timorese Hospital Director together with a counterpart from Cordaid

  • East Timorese Medical Co-ordinator with a counterpart from Cordaid

  • East Timorese Nursing Co-ordinator with a counterpart from Cordaid

  • East Timorese Administrator with an advisor from DHS

  • East Timorese Administrative Co-ordinator

  • East Timorese Non Clinical Co-ordinator

 
go to top of page
   

    

 Statistics  

 

 Average per week  

 01.01.2001 - 12.05.2001  

 Total  

 21.09.1999 - 23.06.2001  

 Admissions  

 142  

 11,183  

 OPD consultations  

 2,004  

 131,727  

 Operations  

 46  

 3,860  

 Deliveries  

 44  

 2,694  

 Deaths  

 10  

 720