Subject: RE: Mission on Mental Health - May 20th to 22nd
From: "antoine.pogorzelski" <[email-masked]>
To: Ketevan Goginashvili <[email-masked]>
Cc: Andréï TRETYAK <[email-masked]>, ASSAYAG Gaelle <[email-masked]>, DUMAY Jean-Baptiste <[email-masked]>, LE GUEN Nicolas <[email-masked]>, Mariam Darakhvelidze <[email-masked]>, Natalia Gamgebelivrai <[email-masked]>, [email-masked]
Date: Thu, 16 May 2019 12:13:40 +0000

Dear Ketevan,

Thank you very much for you reply and make things easy for the upcoming mission of Alain Lefebvre and Dr Kovess Masfety.

Dr. Kovess is also an academic in France and Canada. She asked me if she could publish results of the work she will lead in Georgia in a specialized journal for health policies and psychiatry. We think it might be a good idea, however we want your approval before authorizing Dr Kovess to publish anything.  Viviane will probably mention it to you next week, and we will be happy to discuss this further with you.

Thank you very much for your thoughts on this.

Best regards,

Antoine POGORZELSKI

Project Manager
Human Capital and Social Development

[email-masked]

Tél. : +33 (0)1 70 82 73 85

73, rue de Vaugirard - 75006 Paris - France

http://www.expertisefrance.fr

Antoine

De : Ketevan Goginashvili [mailto:[email-masked]]
Envoyé : mercredi 15 mai 2019 17:05
À : Alain Lefebvre
Cc : "Andréï TRETYAK" ; 'ASSAYAG Gaelle' ; 'DUMAY Jean-Baptiste' ; 'Viviane Kovess' ; 'LE GUEN Nicolas' ; Mariam Darakhvelidze ; Natalia Gamgebelivrai ; [email-masked]; Antoine POGORZELSKI
Objet : RE: Mission on Mental Health - May 20th to 22nd

Dear Alain Lefebvre,

I am sending you agenda for 20-22.05 (see in blue)

Monday 20th of May:

10:30 - 12h30: Meeting with you and your team (including the persons from the social service agency) on your objectives, the general frame of the reform and the deliverables you expect from the technical review of the existing documentation. We would like also to know what are the links between mental health and handicap and understand how people are considered as mentally handicaped, and the type of support, services and institutions they benefit from.

8th floor. MoH

13:00 -16h: meeting with the team in the ministry and the social service agency in charge of health statistics and mental health statistics, and understand your information system on health status and on health structure (Ms Kovess, Interpreter)

1th floor, MoH (SSA), Magda Naskidashvili (Deputy head of Health program department; 599093910)

15:30 - 17:00: visit to the Georgian National Center for Disease Control and Public Health (CDC) in order to discuss the collection of mental diseases statistics, get their opinion on the present mental diseases surveillance and get the main elements they are producing and information about the tools they use (Ms Kovess, Interpreter)

NCDC (Tbilisi, kakhetis gzatketsili 99), Maia Kereselidze, head of medical statistics department; 599744041

We would expect you to organize this Monday activities as you wish, and you can add or modify some elements of this day.

We have understood in our exchanges during the lunch at Tabla restaurant that Dr. Nino Makhashvili from Ilia State University is your mental health adviser. Could she follow us in our activities on Monday?

Tuesday 21st of May

We would need to visit a public structure to understand how it functions and also learn about the data collected. I have also understood from Dr. Nino Makhashvili that there are private structures who have already developed a good information system on their activities. So, if you can help us organize a visit in one of these structures, it would be useful. In addition, we would like to meet a mobile team in order to know better about their activity and the information they collect.

So we propose the following programme:

9h - 10h Meeting with a mobile team (Ms Kovess, Interpreter)

Rustavi mental health hospital Manana Eliashvili (Rustavi have 4 mobile teams); 599556689

10h30 - 12h00 Visit to a public hospital with  amental health department (medical doctors, nurses, director and persons in charge of the information system). Could be Rustavi hospital. (Ms Kovess, Interpreter)

Rustavi mental health hospital Manana Eliashvili (Rustavi have 4 mobile teams)

13h - 14h30 Visit of a private structure with a mental health department (medical doctors, nurses, director and persons in charge of the information system), if this structure has some innovative ideas about the information system (Ms Kovess, Interpreter) (Ms Kovess, Interpreter)

“Medical Corporation Evex”, 577151428 Giorgi Giorgadze,  Director

15h30 - 19h: Meetings to be organized with NGOs and other partners: we would like to have a presentation of the work they have already done with professional associations on standards for different types of structures, and on changes needed in the law, and on innovations already in place. I am planning to ask Irma Khabazi, from the Open Society Foundation, to organize these exchanges as a workshop (Ms Kovess, M. Lefebvre, Ms Gamgebeli). You could come with us to these meeting if you are available

Wednesday 22nd of May

9h-11h:Continuation of the work with NGOs, other partners and ministry, to be defined on Tuesday

11h-13h: meeting with Georgian companies specialised in population surveys

Visit to GEOSTAT?!

16h-18h Closing meeting with the Ministry

8th floor. MoH

I am sending Documents also in Georgian.

With best regards, Keti

Ketevan Goginashvili, MPH

Head of Health Policy Division

Health Care Department

Ministry of Internally displaced Persons

from  Occupied Territories,

Labor, Health and Social Affairs

144 Tsereteli Ave

Tbilisi 0119, Georgia

Tel: +995 32 251 00 38 ext 1108

Mob: 995 577717984

From: Alain Lefebvre [mailto:[email-masked]]
Sent: 11 May, 2019 13:37
To: Ketevan Goginashvili; Mariam Darakhvelidze
Cc: "Andréï TRETYAK"; 'ASSAYAG Gaelle'; 'DUMAY Jean-Baptiste'; 'Viviane Kovess'; 'LE GUEN Nicolas'; Ketevan Goginashvili; Mariam Darakhvelidze; Natalia Gamgebelivrai; [email-masked]; Antoine POGORZELSKI
Subject: Re: Mission on Mental Health - May 20th to 22nd
Importance: High

Dear Ketevan Goginashvili, dear Mariam Darakhvelidze

I am with Pr Viviane Kovess Masfety one of the 2 experts coming to Georgia in order to meet you and define how we can best assist you in order to define the objectives and the possible action plan for a mental health's reform in Georgia. I have worked as a Deputy Director General of health in France, and I have been in charge of preparing health legislation, and of  planning and reporting, including mental health, at the regional and national level. Pr Viviane Kovess Masfety will be leading the project, and I will assist her when needed. We will later have additional members of the team as needed. For the moment, we are going to be assisted by Natalia Gamgebeli for the organization of the mission.

As indicated by Antoine Pogorzelski, the goal of this mission would be to i) make sure of what has been already done by whom and see how all the information can be gathered in the ministry ii) map, find and engage local partners and resources (focal points, survey/questionnaire companies/NGO), iii) define which type of survey would be needed to assess the needs in order to prepare an action plan efficiently .

As an addition to Antoine Pogorzelski's email, I would like to propose a more detailed agenda for our mission, so that you can organize our schedule.

Monday 20th of May:

9:00-10h: meeting at AFD (French Development Agency) (Ms Kovess, M. Lefebvre, Ms Gamgebeli)

10:30 - 12h30: Meeting with you and your team (including the persons from the social service agency) on your objectives, the general frame of the reform and the deliverables you expect from the technical review of the existing documentation. We would like also to know what are the links between mental health and handicap and understand how people are considered as mentally handicaped, and the type of support, services and institutions they benefit from.

13:00 -16h: meeting with the team in the ministry and the social service agency in charge of health statistics and mental health statistics, and understand your information system on health status and on health structure (Ms Kovess, Interpreter)

16:30 - 18:00: visit to the Georgian National Center for Disease Control and Public Health (CDC) in order to discuss the collection of mental diseases statistics, get their opinion on the present mental diseases surveillance and get the main elements they are producing and information about the tools they use (Ms Kovess, Interpreter)

We would expect you to organize this Monday activities as you wish, and you can add or modify some elements of this day.

We have understood in our exchanges during the lunch at Tabla restaurant that Dr. Nino Makhashvili from Ilia State University is your mental health adviser. Could she follow us in our activities on Monday?

Tuesday 21st of May

We would need to visit a public structure to understand how it functions and also learn about the data collected. I have also understood from Dr. Nino Makhashvili that there are private structures who have already developed a good information system on their activities. So, if you can help us organize a visit in one of these structures, it would be useful. In addition, we would like to meet a mobile team in order to know better about their activity and the information they collect.

So we propose the following programme:

9h - 10h Meeting with a mobile team (Ms Kovess, Interpreter)

10h30 - 12h00 Visit to a public hospital with  amental health department (medical doctors, nurses, director and persons in charge of the information system). Could be Rustavi hospital. (Ms Kovess, Interpreter)

13h - 14h30 Visit of a private structure with a mental health department (medical doctors, nurses, director and persons in charge of the information system), if this structure has some innovative ideas about the information system (Ms Kovess, Interpreter) (Ms Kovess, Interpreter)

15h30 - 19h: Meetings to be organized with NGOs and other partners: we would like to have a presentation of the work they have already done with professional associations on standards for different types of structures, and on changes needed in the law, and on innovations already in place. I am planning to ask Irma Khabazi, from the Open Society Foundation, to organize these exchanges as a workshop (Ms Kovess, M. Lefebvre, Ms Gamgebeli). You could come with us to these meeting if you are available

Wednesday 22nd of May

9h-11h:Continuation of the work with NGOs, other partners and ministry, to be defined on Tuesday

11h-13h: meeting with Georgian companies specialised in population surveys

16h-18h Closing meeting with the Ministry

So we would like to know if:

1) this agenda is fine for you

1) you could organize for us the meetings with the Ministry and the social service agency, with the National Center for Disease Control and Public Health, with the public and private hospitals and with the mobile team.

2) you could send us an English version of the present strategy, and other documents such as legislation , proposals and  statistics on mental health, preferably in English, but also in Georgian if not in English.

3) You plan to join us for all the mission, in particular for the meeting with CDC, NGOs and the mobile team.

For the contacts and exchanges of  information, you can contact us through email, but also myself through mobile phone (+ 33 6 51 39 43 70) of Ms Natalia Gamgebeli, in Tbilisi, on +995 591 34 55 32 for the practical arrangements.

I plan to contact Ms Khabazi about the workshop with interested partners, and provide her with this tentative agenda.

Happy to meet yoyu next week.

Alain Lefebvre

Tel: + 33 6 51 39 43 70

Sent: Thursday, May 09, 2019 at 9:13 PM
From: "antoine.pogorzelski" <[email-masked]>
To: "'Ketevan Goginashvili'" <[email-masked]>, "'Mariam Darakhvelidze'" <[email-masked]>
Cc: "Andréï TRETYAK" <[email-masked]>, "'ASSAYAG Gaelle'" <[email-masked]>, "'DUMAY Jean-Baptiste'" <[email-masked]>, "'Alain Lefebvre'" <[email-masked]>, "'Viviane Kovess'" <[email-masked]>, "'LE GUEN Nicolas'" <[email-masked]>
Subject: Mission on Mental Health - May 20th to 22nd

Dear Ketevan, dear Mariam,

I hope this email finds you well and that you celebrated well the holiday on May 9th. In France we celebrate the end of WWII on May 8th.

As you know, we are organizing the next mission regarding mental health. Two experts, Alain Lefebvre (who Ketevan met on Friday at lunch) and Dr. Viviane Kovess Masfety, will arrive on Sunday May 19th and will leave Tbilisi on Thursday  23rd May. The objective of the mission is to further gather information about what is feasible in terms of epidemiological survey and overall strategy. Both experts are in CC and I encourage them to complete my mail if I am not concise enough.

As I mentioned earlier, Dr. Kovess-Masfety has an extensive knowledge of monitoring mental health policies (expert for the EU DG Health in setting indicators for the EU for exemple), strategy designing (France, Romania, Afghanistan, Kazakhstan) including mental healthcare financing and budgeting.

The goal of this mission would be to i) make sure of what has been already done by whom and see how all the information can be gathered in the ministry ii) map, find and engage local partners and resources (focal points, survey/questionnaire companies/NGO), iii) define the methodology of the epidemiological survey (to be continued till September 2019 with a follow-up mission from Dr. Kovess).

Therefore, I would like to ask you if it’s possible to organize meetings with you and some other stakeholders from Monday 20th may to Wednesday 22nd may.

On Monday, Alain and Viviane would like to meet with the AFD office first and then with all persons in the ministry involved on mental health issues and people working on data/information related to mental health and mental health institutions (especially if there are people dealing with statistics on mental health) in order to have an overview of the available data and what is done in the ministry. Could you arrange for such meeting? I think this would take a whole afternoon. We think it important to also invite the advisor on Mental Health to the Ministry to some of the meetings, Dr. Nino Makhashvili from Ilia State University and the Global Initiative on Psychiatry – Tbilisi, if you don’t see any problem with that.

On Tuesday, it would be nice to meet with a mental health institution and meet with the outpatient care specialist (and especially mobile team) and the person in charge of statistics/data management at the health institution. We have the contact details of Ekaterine Berdznishvili, Head of outpatient mental health services of Rustavi MH Center, Manana Eliashvili, the Director of Rustavi MH Center, so we could go to Rustavi. Maybe you have other suggestions of mental health institutions to visit.

On Wednesday, subsequent meetings can happen, and Alain and Viviane might meet with other NGOs and also companies/NGOs in charge of surveys. Viviane has been to Georgia in 2016 for a conference on psychiatry and had met with Dr Eka Chkonia, Associate Professor of Psychiatry at Tbilisi State Medical University. Do you know her?  We will arrange a meeting to meet with her too.

I’ll be glad to discuss the program with you by phone if it’s more convenient for you.

I am looking forward to hearing from you.

Best regards,

Antoine POGORZELSKI

Project Manager
Human Capital and Social Development

[email-masked]

Tél. : +33 (0)1 70 82 73 85

73, rue de Vaugirard - 75006 Paris - France

http://www.expertisefrance.fr

-- Expertise France s’est doté d’une charte sur le droit à la déconnexion. A ce titre, les e-mails reçus ou envoyés en dehors du temps de travail n'appellent pas de traitement immédiat, en respect de l'équilibre vie privée/vie professionnelle. -- Expertise France has established a ´right to disconnection’ policy. Under this policy e-mails either received or sent outside of normal working hours are not required to be processed immediately. This is to ensure that we respect a correct work / life balance.

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Expertise France s’est doté d’une charte sur le droit à la déconnexion. A ce titre, les e-mails reçus ou envoyés en dehors du temps de travail n'appellent pas de traitement immédiat, en respect de l'équilibre vie privée/vie professionnelle.

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Expertise France has established a ´right to disconnection’ policy. Under this policy e-mails either received or sent outside of normal working hours are not required to be processed immediately. This is to ensure that we respect a correct work / life balance.