Title: Project Radiology SK FH 29/3
Author: MZV SR

Annex 2a
to the Memorandum of Understanding on the reorientation of the 
„Swiss-Slovak Counterpart Fund (SSCPF)“
Project Radiology SK FH 29/3

Supplement to the project „SK FH 29 Radiology“, contract No. 914800,
in the framework of Swiss Confederation donation to the Slovak Republic

Supplement to the project is presented by:

Prof. MUDr. Jozef Bilický, CSc
Chief Specialist of the Ministry of Health of the SR
for Radio Diagnosis

1. Project SK FH 29 Radiology

	In the framework of the donation of Swiss Confederation to Slovak Republic in 1997 yr. has been realised the project “Radiology” No. 914800. To Slovak hospitals has been delivered by Swiss companies Swissray Medical AG and Comet eleven X-ray Radiography/ Fluoroscopy (R/F) tilting tables Eurascop 3 with the total value of 3’217’123 CHF. In 1998 yr. (according the contract sign 25.9.1998) two units Eurascop 3 with the total value of 717’030 CHF. X-ray units has been delivered to the hospitals according regulations of Ministry of Health, approved by relevant Swiss authorities (Swiss Federal Office for Foreign Economic Affairs – FOFEA).

	In the period 1995-2000 several missions of representatives from BAWI, Swiss Red Cross and other authorised Swiss experts, together with representatives of Ministry of Health of the Slovak Republic visited several times all hospitals, where Swiss X-ray units were installed. Results of missions summarised in several reports confirmed, that production quality, delivery, installation and service has been performed in full agreement with the Project SK FH 29 Radiology and the Contract No. 914800/1/5. Service of X-ray units is provided on a high professional level and Ministry of Heath is getting only positive response from the hospitals. It can be stated, that the assistance of Swiss Confederation to the Slovak Republic through the Project “SK FH 29 Radiology, contract No. 914800 has been very efficient, for which we would like to express our deep appreciation to the Swiss Confederation.   

2. Necessity to secure long-term functionality of delivered X-ray unit

	Swiss authorities during the realisation of Swiss Confederation donation to the Slovak republic stressed following conditions:
a)	to bring help to large number of Slovak citizens
b)	duration of the help should be as long as possible

From these reasons Common Swiss-Slovak Committee for the control of using Swiss donation to the Slovak Republic decided to use 500 000 Swiss Franks for the revolving fund administrated by the National agency for development of small and medium enterprise (NARMSP) for prolongation of service of X-ray units delivered within the project Radiology. Companies Swissray Medical MEE s.r.o. and Medixray s.r.o. are providing service so ,that the units are working continuously with full efficiency. With delivered X-ray units were till now examined more than 350 000 patients (see Table 1.), and even more – several hospitals presented only fluoroscopic examinations and not also radiographic examinations.

3. Reasons for prolongation of the service. 

	However donation of Swiss confederation considerably improved situation at 13 hospitals, health care in Slovak Republic still has great problems to assure good quality of radio diagnostic examinations for most of population. Questionnaire organised by a chief specialist for radiology showed, that X-ray units Eurascop 3 were keeping all the time in a very good technical condition and they very often served as a basic and mostly used X-ray units in the hospital. The results of the questionnaire are summarised in the Table 1. Hospitals are planning in the years 2003 – 2005 provide at least 234 500 examinations. Opposite to this many other X-ray units in these hospitals are in bad, or even critical shape and hospitals do not have money for their repair.

4. Financial covering of the project

	Project applicants propose to use 12 million Slovak crowns (Sk) from the revolving Slovak-Swiss fund, administrated by NARMSP agency. The cost of service, prophylactics, import of spare parts is 17 500 Sk per month per X-ray unit, which is 19.250 Sk with 10% VAT. For 13 X-ray units is the cost 3 003 000 Sk per year. On the basis of relevant invoices NARMSP will pay 1 501 500 Sk each half a year. For the spare parts for 13 X-ray units Eurascop 3 it is propose to give in the start of the project 1 million Sk. The cost of spare parts will be accounting according the real use, (it is supposed 1 MSk/yr.) until all 12 MSk will be used. Financial aspect and other conditions of the project will be settled by an Agreement between Ministry of health SR and the responsible company Swissray Medical MEE s.r.o. 

5. Realisation of the project

	As proposed project is an supplement to the Project SK FH 29 Radiology, contract No. 914800 it is supposed, that it will be realised by companies, which won the tender for delivery of X-ray units within Project Radiology organised by FOFEA in Switzerland in 1996. Company Swissray Medical MEE s.r.o. is an exclusive representative of Swissray Medical AG, Hochdorf in Slovak republic and owns all necessary certificates for import and use of relevant X-ray equipment and accessories. This company in co-operation with service company Medixray s.r.o. will realise import of spare parts and service of the equipment.	 

Bratislava 9^th September 2002 

..................................................... 
		Prof. MUDr. Jozef Bilický, CSc
		chief specialist of  MH SR
		for radiodiagnostics
Table 1.   Number of examinations performed with the X-ray units delivered within the 
                 project SK FH 29 Radiology

No.

Hospital

Inhabitants in the
region

No. of examinations
in 1997 – 2002

Planed
examinations
in 2003 – 2005

Date of insallation

1.

Martinská FN
Martin

250.000

46.365

24.500

6.2.1997

2.

FNsP Košice 
Trieda SNP 1

250.000

15.756
 fluoroscopy

7.500
fluoroscopy

27.2.1997

3.

NsP Ružinov
Bratislava

200.000

40.000

23.000

5.2.1997

4.

NsP Prešov

100.000

6.984
fluoroscopy

5.000
fluoroscopy

15.5.1997

5. | NsP Žilina, | 200.000 | 47.685 | 50.000 | 16.5.1997
6. | NsP Dunajská Streda | 112.000 | 31.357 | 18.814 | 13.5.1997
7. | NsP Rimavská Sobota | 80.000 | 30.421 | 20.000 | 14.5.1997
8. | NsP Topoľčany, | 75.000 | 27.000 | 18.000 | 19.8.1997
9. | NsP Piešťany | 80.000 | 53.467 | 27.200 | 19.8.1997

10.

NsP Svidník

65.000

6.463
fluoroscopy

5.000
fluoroscopy

21.8.1997

11. | NÚTaRCH Lehnice | 200.000 | 12.800 | 6.000 | 1.10.1997

12.

OLÚ TaRCH 
Nitra – Zobor

200.000

20.475

18.000

12.1.1999

13.

NsP Humenné

65.000

11.800
fluoroscopy

11.500
fluoroscopy

12.1.1999

| Total | | 350.106 | 234.514 |