Subject: Fw: focal points for COVID-19 project
From: Nino Moroshkina <[email-masked]>
To: Ketevan Goginashvili <[email-masked]>
Date: Mon, 13 Apr 2020 12:06:22 +0000

ქეთი, სასუნთქი აპარატების ჩამონათვალში, 21 პოზიციაზე არის სს "ევექსის კლინიკები", აჭარაში. საიდენტიფიკაციო კოდი 40 5327427. არ არის მითითებული მისამართი. გთხოვ, მომწერო.

----- Forwarded Message -----

From: Tamar Gabunia

To: Volkan Cetinkaya

Cc: Ketevan Goginashvili ; Lika Gamgebeli ; Maddalena Honorati ; Iryna Postolovska ; Adrien Arnoux Dozol ; [email-masked]

Sent: Monday, April 13, 2020, 09:32:18 AM GMT+4

Subject: RE: focal points for COVID-19 project

Dear Volkan

Many thanks for your e-mail and follow up. Please find my responses below:

Would the Ministry consider using Bank Facilitated Procurement (BFP) among other alternative procurement options? Our procurement specialist Tanvir informed us about this opportunity, if the Ministry is
interested in, we can share the BFP request.  For some critical equipment such as ventilators, we heard that waiting period is quite long.-
Ministry is currently using a standard emergency procurement mechanism. I will discuss with our procurement team if they would be interested in switching to BFP.

Is the government already contracting with private facilities to deliver COVID-19 services or are there plans to do so? During the first call, if we recall correctly,
you told us that an assessment of ICU/ventilator capacity at private facilities showed that there was sufficient supply of ventilators in Georgia to meet even the high-infection scenarios. If there is indeed sufficient availability of ventilators and ICUs,
perhaps it may not be necessary to purchase additional ventilators for the public sector. The situation may differ by region – for example, if there are fewer private facilities with ICU/ventilator capacity near Abkhazia, there is a strong justification for
investing to equip Rukhi hospital. It would be great if we could have more information on this. Is the private sector willing to provide such services?-
As you know 85% of inpatient capacity in Georgia is private. The number of ventilators in private sector facilities is around 1700. 60% of this capacity is utilized at a time for other health conditions. Private providers have been engaged in COVID treatment
however critical cases are being transferred to selected public facilities in Tbilisi. Rukhi hospital is currently being prepared for operations and we hope this will happen within the next couple of days with most basic services. The bed shortage is most
severe in Samegrelo region with only 15 infection disease beds in Zugdidi and a 100 beds referral hospital (Private) which continues general health service delivery (except COVID). We consider full equipment of Rukhi clinical very important and people with
COVID may experience other health emergencies and the hospital should be fully equipped to address those needs. As for ICU equipment it is indeed very urgent.

If the private sector will be involved in the COVID-19 response, will the government procure personal protective equipment (PPE) and other supplies/consumables and distribute them to private facilities or
will private facilities do this on their own?- As there is a shortage of PPE on a global and local market, for the time being the ministry decided to procure PPEs centrally and distribute them to clinics which are identified as Fever
or COVID clinics, other providers would also need to enhance IC measures and procure adequate amount of PPEs. Ministry will only be providing PPEs within the COVID program for selected private and public health facilities. If is decision is changed and providers
are able to procure PPEs by themselves, PPE cost will be included into the service tariff to be covered by the government.

Could you also please provide the total number of existing (fully equipped) ICU beds in the public and private sectors?- Attached you can find the list of health facilities
„ხელოვნური სუნთქვის აპარატები“ with the number of ICU beds with ventilators. There is also the list of facilities which are or will be involved in COVID response. Sorry these are in Georgian language. I assume local office can help
with translation.

With best regards

Tamar

From: Volkan Cetinkaya [mailto:[email-masked]]

Sent: 13 April, 2020 03:10

To: Tamar Gabunia

Cc: Ketevan Goginashvili ; Lika Gamgebeli ; Maddalena Honorati ; Iryna Postolovska ; Adrien Arnoux Dozol ; [email-masked]

Subject: RE: focal points for COVID-19 project

Dear Tamar,

I hope this email find you well!  Have you had a chance to discuss implementation arrangement and investment priorities during your meeting on Friday?

Could you please help us by answering a few questions regarding Georgia’s approach to working with the private sector for COVID-19?

Would the Ministry consider using Bank Facilitated Procurement (BFP) among other alternative procurement options? Our procurement specialist Tanvir informed us about this opportunity, if the Ministry is
interested in, we can share the BFP request.  For some critical equipment such as ventilators, we heard that waiting period is quite long.

Is the government already contracting with private facilities to deliver COVID-19 services or are there plans to do so? During the first call, if we recall correctly, you told us that an assessment of ICU/ventilator
capacity at private facilities showed that there was sufficient supply of ventilators in Georgia to meet even the high-infection scenarios. If there is indeed sufficient availability of ventilators and ICUs, perhaps it may not be necessary to purchase additional
ventilators for the public sector. The situation may differ by region – for example, if there are fewer private facilities with ICU/ventilator capacity near Abkhazia, there is a strong justification for investing to equip Rukhi hospital. It would be great
if we could have more information on this. Is the private sector willing to provide such services?

If the private sector will be involved in the COVID-19 response, will the government procure personal protective equipment (PPE) and other supplies/consumables and distribute them to private facilities or
will private facilities do this on their own?

Could you also please provide the total number of existing (fully equipped) ICU beds in the public and private sectors?

Best,

Volkan

From: Tamar Gabunia <[email-masked]>

Sent: Friday, April 10, 2020 1:47 AM

To: Volkan Cetinkaya <[email-masked]>;
[email-masked]

Cc: Ketevan Goginashvili <[email-masked]>; Lika Gamgebeli <[email-masked]>

Subject: RE: focal points for COVID-19 project

[External]

Dear Volkan

I hope all is well with you. May I kindly ask to keep me in the CC list on correspondence to focal points. This will make the communication faster.

Just to let you know, I will be meeting with the Vice Prime Minister and MoF representatives this morning to discuss the implementation arrangements and investment priorities. Will get back to you with this later
today.

პატივისცემით,

თამარ გაბუნია

მინისტრის პირველი მოადგილე

Sincerely,

Tamar Gabunia,
MD, MPH

First Deputy Minister

From: Volkan Cetinkaya [mailto:[email-masked]]

Sent: 10 April, 2020 04:26

To: Ketevan Goginashvili

Cc: Adrien Arnoux Dozol; Alicia C. Marguerie; Darejan Kapanadze; Djamshid Iriskulov; Fabiola Altimari; Gabriel Francis; Iryna Postolovska; Jelena Lukic; Maddalena Honorati; David Jijelava;
[email-masked]; Nino Ramishvili; Parviz Ahmadov; Prachi Shrikant Tadsare; Roberto Claudio Sormani; Sophia V. Georgieva; Tamar Tsenteradze; Tanvir Hossain

Subject: focal points for COVID-19 project

Dear Keti,

I hope this email finds you well!

Could you please us identify colleagues in the ministry who can help us with specific assessments needed for preparation our project.

Specifically, focal points for :

Procurement

Financial management

Stakeholder engagement plan

Environmental and social safeguards

DM Tamar Gabunia shared the attached note with us. Do you have more information about the
new building procurement plan for the Infectious Disease Hospital? Is it already identified? If so, where is it? Is it a public or private building?

Best,

Volkan