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Coordinates: 8°33′21″S 125°35′35″E / 8.55585°S 125.593025°E / -8.55585; 125.593025
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HNGV is the largest hospital in East Timor.<ref name="anzgita tltp">{{cite web |author1=<!--not stated--> |title=Timor-Leste Training Program |url=https://www.anzgita.org/timor-leste.html |website=Australian & New Zealand Gastroenterology International Training Association (ANZGITA) |access-date=23 March 2023 |language=en}}</ref><ref name="salendo 2022">{{cite journal |last1=Salendo |first1=Junius |last2=Ximenes |first2=Joao |last3=Soares |first3=Alito |last4=Guest |first4=Glenn |last5=Hagander |first5=Lars |title=Acute burn care and outcomes at the Hospital Nacional Guido Valadares (HNGV), Timor-Leste: A 7-year retrospective study |journal=[[Medicine (Lippincott Williams & Wilkins journal)|Medicine]] |date=16 December 2022 |volume=101 |issue=50 |pages=e32113 |doi=10.1097/MD.0000000000032113 |pmid=36550901 |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771211/ |access-date=23 March 2023 |issn=0025-7974}}</ref> It is also the only one providing [[primary care|primary]] and [[secondary care]] to patients from all over the country,<ref name="ucan 2022-01-06">{{cite news |last1=Dagur |first1=Ryan |title=Dengue forces Timor-Leste's main hospital into bed sharing - UCA News |url=https://www.ucanews.com/news/dengue-forces-timor-lestes-main-hospital-into-bed-sharing/95623 |access-date=23 March 2023 |work=[[Union of Catholic Asian News|UCA News]] |date=6 January 2022 |language=en}}</ref> in what amounts to a challenging resource-limited environment.<ref name="salendo 2022"/> In particular, it provides the secondary health services for five of the nation's 13 [[Municipalities of East Timor|municipalities]].<ref name="salendo 2022"/>
HNGV is the largest hospital in East Timor.<ref name="anzgita tltp">{{cite web |author1=<!--not stated--> |title=Timor-Leste Training Program |url=https://www.anzgita.org/timor-leste.html |website=Australian & New Zealand Gastroenterology International Training Association (ANZGITA) |access-date=23 March 2023 |language=en}}</ref><ref name="salendo 2022">{{cite journal |last1=Salendo |first1=Junius |last2=Ximenes |first2=Joao |last3=Soares |first3=Alito |last4=Guest |first4=Glenn |last5=Hagander |first5=Lars |title=Acute burn care and outcomes at the Hospital Nacional Guido Valadares (HNGV), Timor-Leste: A 7-year retrospective study |journal=[[Medicine (Lippincott Williams & Wilkins journal)|Medicine]] |date=16 December 2022 |volume=101 |issue=50 |pages=e32113 |doi=10.1097/MD.0000000000032113 |pmid=36550901 |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771211/ |access-date=23 March 2023 |issn=0025-7974}}</ref> It is also the only one providing [[primary care|primary]] and [[secondary care]] to patients from all over the country,<ref name="ucan 2022-01-06">{{cite news |last1=Dagur |first1=Ryan |title=Dengue forces Timor-Leste's main hospital into bed sharing - UCA News |url=https://www.ucanews.com/news/dengue-forces-timor-lestes-main-hospital-into-bed-sharing/95623 |access-date=23 March 2023 |work=[[Union of Catholic Asian News|UCA News]] |date=6 January 2022 |language=en}}</ref> in what amounts to a challenging resource-limited environment.<ref name="salendo 2022"/> In particular, it provides the secondary health services for five of the nation's 13 [[Municipalities of East Timor|municipalities]].<ref name="salendo 2022"/>


As the national referral hospital,<ref name="salendo 2022"/> HNGV is one of East Timor's six referral hospitals,<ref name="pw c 2014">{{cite web |title=PacWaste Country Profile: Timor-Leste |url=https://www.sprep.org/attachments/pacwaste/CP/PW-CP-Timor_Leste.pdf |website=PacWaste |access-date=23 March 2023 |date=c. 2014}}</ref> and the country's only [[tertiary referral hospital]].<ref name="salendo 2022"/><ref name="wb&opm 2015">{{cite report |author= World Bank and OPM |date=June 2015 |title=Health Worker Survey in Timor-Leste Final Report |url=https://documents1.worldbank.org/curated/en/986251468187127947/pdf/103443-WP-P146118-PUBLC-Timor-Leste-Health-Worker-Survey-Final-Report-14June15.pdf |publisher=Dili: [[World Bank]] and Oxford: [[Oxford Policy Management]] (OPM) |access-date=27 March 2023}},</ref>{{rp|2}}
As the national referral hospital,<ref name="salendo 2022"/> HNGV is one of East Timor's six referral hospitals,<ref name="pw c 2014">{{cite web |title=PacWaste Country Profile: Timor-Leste |url=https://www.sprep.org/attachments/pacwaste/CP/PW-CP-Timor_Leste.pdf |website=PacWaste |access-date=23 March 2023 |date=c. 2014}}</ref> and the country's only [[tertiary referral hospital]].<ref name="salendo 2022"/><ref name="wb&opm 2015">{{cite report |author= World Bank and OPM |date=June 2015 |title=Health Worker Survey in Timor-Leste Final Report |url=https://documents1.worldbank.org/curated/en/986251468187127947/pdf/103443-WP-P146118-PUBLC-Timor-Leste-Health-Worker-Survey-Final-Report-14June15.pdf |publisher=Dili: [[World Bank]] and Oxford: [[Oxford Policy Management]] (OPM) |access-date=27 March 2023}},</ref>{{rp|2}} According to Ministry of Health guidelines, patients cannot be transferred from a primary level health facility to a referral hospital, or from another referral hospital to HNGV, without a referral. Consequently, a patient must often visit multiple facilities before reaching HNGV.<ref name="price 2016">{{cite journal |last1=Price |first1=Jennifer A. |last2=Soares |first2=Ana I. F. Sousa |last3=Asante |first3=Augustine D. |last4=Martins |first4=Joao S. |last5=Williams |first5=Kate |last6=Wiseman |first6=Virginia L. |title=“I go I die, I stay I die, better to stay and die in my house”: understanding the barriers to accessing health care in Timor-Leste |journal=[[BMC Health Services Research]] |date=30 September 2016 |volume=16 |issue=1 |pages=535 |doi=10.1186/s12913-016-1762-2 |url=https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1762-2 |access-date=29 March 2023 |issn=1472-6963}}</ref>


Not all of the tertiary care organised for East Timorese patients is carried out at HNGV; most such care is administered overseas, under a limited number of overseas referrals.<ref name="price 2016"/>
⚫
HNGV administers both [[Inpatient care|inpatient health care]] and a wide range of [[Outpatient department|outpatient health services]],<ref name="salendo 2022"/><ref name="wb&opm 2015"/>{{rp|2}} and also has emergency care facilities, specialised services and enhanced laboratory facilities.<ref name="wb&opm 2015"/>{{rp|2}} {{As of|2022}}, it had 260–340 inpatient beds.<ref name="salendo 2022"/> On occasions, such as when there is an outbreak of [[dengue fever]], patients are forced to share beds.<ref name="ucan 2022-01-06"/>

⚫
HNGV provides both [[Inpatient care|inpatient health care]] and a wide range of [[Outpatient department|outpatient health services]],<ref name="salendo 2022"/><ref name="wb&opm 2015"/>{{rp|2}} and also has emergency care facilities, specialised services and enhanced laboratory facilities.<ref name="wb&opm 2015"/>{{rp|2}} {{As of|2022}}, it had 260–340 inpatient beds.<ref name="salendo 2022"/> On occasions, such as when there is an outbreak of [[dengue fever]], patients are forced to share beds.<ref name="ucan 2022-01-06"/>


Inpatient services cover general medicine, general surgery, paediatrics, obstetrics and gynaecology, and emergency.<ref name="fadr report"/>{{rp|16}}<ref name="anzgita tltp"/> The hospital also admits patients for elective procedures through outpatient clinics.<ref name="anzgita tltp"/> {{As of|2014}}, the outpatient services provided were:<ref name="fadr report"/>{{rp|16}}
Inpatient services cover general medicine, general surgery, paediatrics, obstetrics and gynaecology, and emergency.<ref name="fadr report"/>{{rp|16}}<ref name="anzgita tltp"/> The hospital also admits patients for elective procedures through outpatient clinics.<ref name="anzgita tltp"/> {{As of|2014}}, the outpatient services provided were:<ref name="fadr report"/>{{rp|16}}
Line 89: Line 91:
* Counselling for HIV/AIDS
* Counselling for HIV/AIDS


Also on the site of the hospital, but separately from the outpatient care buildings, there is a major national facility for eye care. It provides daily outpatient treatment of cataracts, and also eye health outreach to the municipalities.<ref name="fadr report"/>{{rp|16}} Dialysis is offered within the department of medicine. There is a department of anaesthetics with an intensive care unit
Also on the site of the hospital, but separately from the outpatient care buildings, is a major national facility for eye care. It provides daily outpatient treatment of cataracts, and also eye health outreach to the municipalities.<ref name="fadr report"/>{{rp|16}} Dialysis is offered within the department of medicine. There is a department of anaesthetics with an intensive care unit


==References==
==References==

Revision as of 05:19, 29 March 2023

Guido Valadares National Hospital
  • Hospital Nacional Guido Valadares (Portuguese)
  • Óspital Nasionál Guido Valadares (Tetum)
Emergency ward of the hospital
Emergency ward of the hospital
Map
Geography
LocationAvenida Dom Martinho Lopes [de], Culu Hun [de], Cristo Rei, Dili, East Timor
Coordinates8°33′21″S 125°35′35″E / 8.55585°S 125.593025°E / -8.55585; 125.593025
Organisation
TypeGeneral
Services
Beds260–340
History
Former name(s)
  • Rumah Sakit Umum Pusat Dili
  • (Dili Central General Hospital)
  • Dili National Hospital
Opened1982
Links
ListsHospitals in East Timor

Guido Valadares National Hospital (Portuguese: Hospital Nacional Guido Valadares, Tetum: Óspital Nasionál Guido Valadares) (HNGV), formerly Dili National Hospital, is the national hospital of East Timor. It is located in Culu Hun [de], on the eastern edge of the capital city of Dili.[1]

History

The hospital was founded in 1982 by the then Indonesian administration of East Timor. Initially, its name, in Indonesian, was Rumah Sakit Umum Pusat Dili (RSUP) (transl. Dili Central General Hospital);[2]: 12  it was also known, in English, as the Dili National Hospital.[3]

As a consequence of the 1999 crisis that led ultimately to East Timorese independence from Indonesia, the hospital was taken over by the International Committee of the Red Cross (ICRC), which managed it until 2003, a period that included a year-long preparation for hand over. During that period, the IRC and the government of East Timor cooperated in upgrading the hospital, including by expanding the number of wards and units, recruiting more staff, and improving medical and non-medical equipment.[2]: 12 

On 29 June 2003, the ICRC officially handed the hospital over to the East Timorese government. During the handover ceremony, Mari Alkatiri, Prime Minister of the country's first constitutional government, inaugurated several new buildings, and announced that government had officially renamed the hospital after Guido Valadares, a former member of the Fretilin National Committee and the Vice-Minister of Labor and Social Welfare in the Council of Ministers formed by Fretilin in 1975.[2]: 12 [4]

As of 2011, the hospital had 260 beds, with secondary and tertiary healthcare services.[5] By 2014, the number of beds had increased to 340, extending over 14 wards and units; the hospital also had 581 staff, both international and local.[2]: 12 

A functional analysis of HNGV carried out for the Ministry of Health in 2014 concluded that management capacities were very low at all levels, with upper and middle managers having no formal educational background in management. Consequently, work organisation was very poor, as was the quality of control and supervision. Middle management and staff were generally demotivated.[2]: 2–3 

According to the report of the functional analysis, poor leadership at the hospital was affecting its entire management structure. The vast majority of the people interviewed by the report's authors had said that the global situation at the hospital had been deteriorating for years, and that the deterioration had accelerated since 2011. Upper management had not been sympathetic to that view, and, in turn, had made complaints of their own about the oversight of the hospital by the Ministry.[2]: 3 

The upper management structure at HNGV was the same as a 50 bed hospital, and the report's authors considered a revised structure HNGV was proposing to the Ministry would be worse. Additionally, there were daily major breaches of most elementary hygiene and infection prevention rules, and nobody at the hospital seemed to care. The report's recommendations included a drastic change in leadership of the hospital, an improvement in management capacities, alterations to staffing practices, work organisation, supervision and control, and increased systematisation.[2]: 4–9 

Following the completion of the report, the Ministry developed a four day training program to promote good governance of hospitals. The program was held at a number of venues, including four of East Timor's regional reference hospitals, and then, in mid-October 2016, was carried out at HNGV.[6]

On 16 April 2019, the Deputy Minister of Primary Health Care, Élia dos Reis Amaral [de], swore in 17 new HNGV Heads of Department.[7]

In early 2022, the Royal Australasian College of Surgeons engaged a consultant to develop a strategic plan to improve the clinical education function at HNGV, and support the positioning of the facility as a national teaching hospital over the longer term.[8]

On 24 June 2022, a mobile intensive care unit (ICU) arrived in East Timor to be located at HNGV. It had been donated by the American people, as part of US$20 million provided to support East Timor's health security. The first unit of the ICU was a 9-bed supplement to the 25 ICU beds with which the hospital was already equipped.[9] Later that year, on 5 October 2022, the government's Council of Ministers approved a proposal by the Minister of Health, Odete Maria Freitas Belo, for the construction of a five-storey Paediatric and Coronary Intensive Care Unit at HNGV. It was expected that the unit would improve specialised quality care for emergency and urgent paedriatic cases, and also the national response to emerging and sporadic outbreaks of diseases with major public health impacts, including dengue fever and cholera.[10]

The foundation stone for the new ICU building was laid by the Prime Minister, Taur Matan Ruak, on 26 January 2023. During the stone laying ceremony, Belo said that the facility would take two years to construct, and, when completed, would accommodate 327 beds, 81 midwives, and 163 nurses.[11][12]

Description

HNGV is the largest hospital in East Timor.[13][14] It is also the only one providing primary and secondary care to patients from all over the country,[15] in what amounts to a challenging resource-limited environment.[14] In particular, it provides the secondary health services for five of the nation's 13 municipalities.[14]

As the national referral hospital,[14] HNGV is one of East Timor's six referral hospitals,[16] and the country's only tertiary referral hospital.[14][17]: 2  According to Ministry of Health guidelines, patients cannot be transferred from a primary level health facility to a referral hospital, or from another referral hospital to HNGV, without a referral. Consequently, a patient must often visit multiple facilities before reaching HNGV.[18]

Not all of the tertiary care organised for East Timorese patients is carried out at HNGV; most such care is administered overseas, under a limited number of overseas referrals.[18]

HNGV provides both inpatient health care and a wide range of outpatient health services,[14][17]: 2  and also has emergency care facilities, specialised services and enhanced laboratory facilities.[17]: 2  As of 2022, it had 260–340 inpatient beds.[14] On occasions, such as when there is an outbreak of dengue fever, patients are forced to share beds.[15]

Inpatient services cover general medicine, general surgery, paediatrics, obstetrics and gynaecology, and emergency.[2]: 16 [13] The hospital also admits patients for elective procedures through outpatient clinics.[13] As of 2014, the outpatient services provided were:[2]: 16 

  • Internal medicine
  • Surgery
  • Paediatrics
  • Obstetrics and gynaecology
  • Mother and child health
  • Cardiac
  • Dermatology
  • Dental care
  • ENT
  • Psychology
  • Angiology
  • Counselling for HIV/AIDS

Also on the site of the hospital, but separately from the outpatient care buildings, is a major national facility for eye care. It provides daily outpatient treatment of cataracts, and also eye health outreach to the municipalities.[2]: 16  Dialysis is offered within the department of medicine. There is a department of anaesthetics with an intensive care unit

References

  1. ^ "Guido Valadares National Hospital, Culu Hun, Cristo Rei, Díli, Timor Leste". mindat.org. Retrieved 23 March 2023.
  2. ^ a b c d e f g h i j Cote, Andre; Neno, Maximiano (April 2014). National Health Sector Strategic Plan Support Project: Hospital National Guido Valadares Functional Analysis Draft Report (PDF) (Report). Democratic Republic of Timor-Leste, V Constitutional Government, Ministry of Health. Retrieved 23 March 2023.
  3. ^ "East Timor Hospitals & Dili National Hospital". Floth. Retrieved 23 March 2023.
  4. ^ "Dili, June 30, 2003 – Daily Media Review: Dili National Hospital Renamed". Ministry of Foreign Affairs and Cooperation. Archived from the original on 8 November 2003. Retrieved 26 March 2023.
  5. ^ Ghodse, Hamid (30 June 2011). International Perspectives on Mental Health. RCPsych Publications. p. 220. ISBN 978-1-908020-00-0. Retrieved 16 July 2012.
  6. ^ "Ministry of Health invests in training for a better administration". Government of Timor-Leste. 19 October 2016. Retrieved 26 March 2023.
  7. ^ "Dezassete novos Chefes de Departamento do Hospital Nacional Guido Valadares tomam posse" [Seventeen new Department Heads of the Guido Valadares National Hospital take office]. Government of Timor-Leste (in Portuguese). 16 April 2019. Retrieved 26 March 2023.
  8. ^ Consultancy – Development of a Strategic Plan Clinical Education Function at Guido Valadares National Hospital (HNGV) in Timor Leste Terms of Reference (PDF), Melbourne: Royal Australasian College of Surgeons, 2022, p. 1, retrieved 27 March 2023
  9. ^ Sousa, Camilio de (24 June 2022). "The United States Government Boosts Timor-Leste's ICU Capacity by 150%". Tatoli. Retrieved 21 March 2023.
  10. ^ Martins, Filomeno (5 October 2022). "Govt to build a five-story building for pediatric and CICU of HNGV". Tatoli. Retrieved 22 March 2023.
  11. ^ "Ground-breaking ceremony for the New Paediatric and Coronary Intensive Care Unit of the Guido Valadares National Hospital". Government of Timor-Leste. 26 January 2023. Retrieved 22 March 2023.
  12. ^ Martins, Filomeno (26 January 2023). "Prime Minister lays foundation stone of new building for National Hospital". Tatoli. Retrieved 22 March 2023.
  13. ^ a b c "Timor-Leste Training Program". Australian & New Zealand Gastroenterology International Training Association (ANZGITA). Retrieved 23 March 2023.
  14. ^ a b c d e f g Salendo, Junius; Ximenes, Joao; Soares, Alito; Guest, Glenn; Hagander, Lars (16 December 2022). "Acute burn care and outcomes at the Hospital Nacional Guido Valadares (HNGV), Timor-Leste: A 7-year retrospective study". Medicine. 101 (50): e32113. doi:10.1097/MD.0000000000032113. ISSN 0025-7974. PMID 36550901. Retrieved 23 March 2023.
  15. ^ a b Dagur, Ryan (6 January 2022). "Dengue forces Timor-Leste's main hospital into bed sharing - UCA News". UCA News. Retrieved 23 March 2023.
  16. ^ "PacWaste Country Profile: Timor-Leste" (PDF). PacWaste. c. 2014. Retrieved 23 March 2023.
  17. ^ a b c World Bank and OPM (June 2015). Health Worker Survey in Timor-Leste Final Report (PDF) (Report). Dili: World Bank and Oxford: Oxford Policy Management (OPM). Retrieved 27 March 2023.,
  18. ^ a b Price, Jennifer A.; Soares, Ana I. F. Sousa; Asante, Augustine D.; Martins, Joao S.; Williams, Kate; Wiseman, Virginia L. (30 September 2016). ""I go I die, I stay I die, better to stay and die in my house": understanding the barriers to accessing health care in Timor-Leste". BMC Health Services Research. 16 (1): 535. doi:10.1186/s12913-016-1762-2. ISSN 1472-6963. Retrieved 29 March 2023.{{cite journal}}: CS1 maint: unflagged free DOI (link)
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