Subject: Re: EU ACTION COVID19 - Georgia
From: Lajos Kovács <[email-masked]>
To: Tamar Gabunia <[email-masked]>
Cc: Ketevan Goginashvili <[email-masked]>, Lika Gamgebeli <[email-masked]>
Date: Thu, 23 Apr 2020 23:26:23 +0000

Dear Tamar,

Thank you for your message and sharing the background documents.

Please find attached the revised concept note for the EU funded action to support the Ministry of Health to respond effectively COVID-19 and minimize the impact of the novel coronavirus outbreak in Georgia.

Please note that this version has been aligned with your most recent request below. Therefore, the proposal focuses on telehealth solutions in COVID-19 response in Georgia. The proposal has been prepared for a short-term, while the sustainability, complementarity
and synergy of the action has also been considered for a longer term, after the outbreak ends.

Thank you for your consideration. Should you have any question please let me know.

Best wishes,

Lajos

​

Feladó: Tamar Gabunia

Elküldve: 2020. április 18., szombat 13:06

Címzett: Lika Gamgebeli ; Ketevan Goginashvili

Másolatot kap: Lajos Kovács

Tárgy: RE: EU ACTION COVID19 - Georgia

Dear Lajos and Lika

Many thanks for sharing the initial concept note and estimated cost for EU action. Over the last few days we’ve had intensive consultation with the World bank, EIB and ABD. Hospital related costs related to COVID
response (including PPEs and hospital equipment) will be largely covered from these sources. Attached is the updated metrics will all needs including ambulance service and primary care. May I kindly ask to revise the concept note to focus on primary care strengthening
needs. Primary care providers play a key role in COVID response in Georgia. We’ve established the online consultation systems. All call directed to emergency service (112) are transferred to family doctors for triage and follow up care. Telecommunication are
being increasingly used. The implementation of telemedicine for primary care clinics was discuss here before the Covid19 epidemics, nowadays this concept becomes even more acute. Therefore, it would be a big help if EC support can be directed to (1) procuring
basic equipment and furniture for around 300 village ambulatories, recently refurbished/build by the government . An estimated cost for equipment and furniture is USD 7 to 10000.    and (2) procure telemedicine equipment for remote site (around 50 units, approximate
cost per each USD 15000). A concept note on rolling out telemedicine technologies is attached. I believe Lika can do  quick translation.

Developing an online training/communication platform for primary care providers is also a top priority.

I will look forward to hearing from you about possibility of supporting these interventions.

With kind regards

პატივისცემით,

თამარ გაბუნია

მინისტრის მოადგილე

Sincerely,

Tamar Gabunia, MD, MPH

Deputy Minister

From: Lika Gamgebeli

Sent: Wednesday, April 15, 2020 1:14 PM

To: Tamar Gabunia ; Ketevan Goginashvili

Cc: Lajos Kovács

Subject: EU ACTION COVID19 - Georgia

Importance: High

Dear Tamar,

Hope this email find you well. Thank you for providing the investment needs for COVID19 response.

Based on our discussion from Monday, Lajos and I have prepared a concept note and estimated cost for EU Action.  The action, will contribute to purchasing
PPE (2% of total), ICU equipment (9% of total - including 1 ECMO), and
laboratory testing needs (42% of total). The concept note also leaves room for other actions, like training of primary healthcare workers.

Please, kindly review and let me know if you have any comments,

Best regards,

Lika