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  • Healthy Mothers For Healthy Children

    HEALTHY MOTHERS FOR HEALTHY CHILDREN

    Azat Artsakh - Nagorno Karabakh Republic (NKR)
    23 March 05

    Last October the Clinic for Women was opened in Stepanakert sponsored
    by the Armenian - Canadian union of doctors of Toronto. The clinic
    specializing in obstetrics and gynecology operates on a charity
    basis. We talked to the head of the clinic Lilia Arzumanian on the
    work of the clinic. L.G. "Doctor Arzumanian, the clinic has been
    operating for several months now. Did it prove to be a necessity to
    the population of the republic?" Lilia Arzumanian "First of all,
    I should say that with the type of service it provides the clinic
    has a special place in the system of medical institutions as it deals
    with the health of girls and women. What we lacked once has become a
    reality. I mean the sexual education of girls in particular. Since
    the opening day of the clinic about a thousand women consulted us
    and were examined. Some of them came again later. They represent
    different social classes: students, soldiers, housewives, etc. Our
    youngest patient is 12 years old, while the oldest was born in
    1919. In this period ten patients turned o us with the problem of
    sterility. Five of them have been married for a long time now, two
    are already pregnant. The rest are still being examined. The other
    branch of services provided by the clinic is diagnosis and treatment of
    sexually transmitted diseases. About 400 people infected with venereal
    diseases were discovered. There were even cases of gonorrhea. Another
    service provided in the clinic is ultrasound examination. Uterine
    fibroid tumour (myoma) was found with ten women. We suspected cancer
    with three women and sent them abroad. Women visit us not only from
    the capital but also from all the regions of the republic. It means
    that the work of the clinic is efficient." L.G. "Are all the services
    provided inside the clinic free?" "Generally, the clinic operates on
    a charity basis. Everything including examination, ultrasound, advice
    of the psychologist, is free of charge. If additional examination is
    required outside the clinic, the patients have to cover the expenses
    themselves. There are diseases for the treatment of which expensive
    medicine is needed, such as, for example, sterility. Nevertheless,
    in these cases we provided the patients with certain kinds of
    medicine free of charge. Besides, we have distributed about 3000
    contraceptives to our patients." L.G. "Do you cooperate with the
    diagnostic center? Does it provide free service to the patients
    of the clinic? - L.A. "There is permanent cooperation with the
    diagnostic center. However, everything is not in the way it had
    been planned. At present we cannot afford to pay for all kinds of
    examination in the diagnostic center because some of them are very
    expensive. Patients have to pay for diagnostic services." L.G.
    "As far as I remember, the sponsors had promised to provide free
    medicine besides free medical care." L.A. "It is planned. At present
    there is no sufficient financing. In the course of time our sponsors
    will settle the problem. The sponsors are ten Armenian families from
    Toronto. The director of the program is Avetik Poghossian. He is going
    to visit Artsakh on May 1. Very soon we will obtain new equipment
    for hormonal examination which is very important for us It is a
    matter of time. I am sure that Karabakh will also have mammography
    equipment after the opening of the new health care complex, which
    is also a necessity." L.G. "Do you have other sponsors?" L.A. "The
    honorary president of the foundation of the clinic is the first lady
    of the republic Inna Ghukassian who aids us greatly supplying us
    with necessary articles. She is in constant communication with us and
    visits us if necessary and at holidays. Besides Mrs. Ghukassian, the
    speaker of the National Assembly also aids us; he gave a TV set to the
    clinic." L.G. "Is it necessary to make an appointment to see a doctor
    in the clinic" L.A. "Examination is by appointment. Women with the
    problem of sterility, however, are attended without appointment." L.G.
    "The clinic also deals with sexual education. What steps are taken in
    this direction?" L.A. "We have prepared a serioes of lectu res to be
    delivered at secondary schools. Our schoolgirls do not have enough
    knowledge in sexual education." L.G. "What would you wish to our
    girls and women?" L.A. "I wish them to be healthy."

    LAURA GRIGORIAN. 23-03-2005
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