1.Quarter 2019
ZIRF-Counselling
The patient suffers from: paranoid schizophrenia und needs medication on a regular basis in
Kamenka, Moldavia.
information Background Background
Medical Care
Treatment: Kamenka (Camenca in latin script) is a city located in the Transnistrian region of the Republic of Moldova. There are no specialized medical facilities to support psychological treatment of the patient in Camenca city. The nearest Psyhological Hospital in the region is located in Tiraspol.
IMPORTANT: It should be underlined that the Moldovan Government (GoM) has no de facto control over the region. The region has its own so-colled public health system which is not under Moldovan de factor jurisdiction. This situation resides in the fact that Transnistria's status is disputed for more than 25 years, as the self-proclaimed authorities (residing in Tiraspol) claim the region as an independent state. In this context, it is important to note that the Moldovan public health services are NOT available in Transnistria region (and respectively are not available in Camenca or Tiraspol).
However, being a citizen of Moldova (assuming the migrant has a Moldovan citizenship that can be certified with a national ID card), the patient has the option to benefit of the public medical assistance provided within Moldovan public health services on the right bank of the Nistru River. For this to happen, the medical condition of the beneficiary should be assessed by specialized medical staff and an official diagnosis by the Moldovan competent authorities should be issues, based on which the returnee will be referred to specialized hospital for further treatment. In case the medical condition of paranoid schizophrenia is confirmed (or other
Country Information Country severe medical conditions), the returnee will be hospitalized, while the costs of hospitalization and medication will be covered by a public medical insurance, which would be issued free of charge based on the issued diagnosis.
Beyond the first option, in case the migrant is registered with the unrecognized Transnistrian authorities (which can be certified with a Passport issued by Transnistrian de facto authorities), theoretically he/she can benefit of medical assistance, provided by so-called Transnistrian public health system. However, one should note that, according to the existing practices, in the Transnistrian region:
• The access to hospitalization for people suffering from different psychological conditions is limited and possible only in extreme cases, specifically when the patient poses a threat to other people / public order; • There are no working programs for medical rehabilitation or social reintegration / inclusion for people with mental conditions.
IOM – Vertretung für Deutschland: Charlottenstraße 68, D-10117 Berlin• Deutschland • Fax: +49.30.278 778 99 IOM - Zweigstelle in Nürnberg: Postfach 44 01 59 • D-90206 Nürnberg • Neumeyerstr. 22-26 • D-90411 Nürnberg • Deutschland • Fax: +49.911.4300 260 Telefonzentrale IOM Deutschland: +49.911.43000 E-Mail: IOM-Germany@iom.int • Internet: http://www.iom.int/germany
Medication: The following medication are available (Right Bank Moldova):
• Olanzapin, 15 SMT NET (N3) - Bloonis® 15 mg / N7x4 / 192 MDL / 9.77 EUR • Abilify 15 MG (N3) (Wirkstoff: Aripiprazol ) - Amdoal® 15mg / N15x2/ 556 MDL / 28.3 EUR • Haloperidol -Neurax DEC 100 (N3)Z (Wirkstoff: ) – Halopril 5ml / 1 ml N5x2 / 28.52 MDL / 1.45 EUR • Valporat Chrono GLENM500MG (N3)- Valprocom Chrono 500 mg / N10x3 / 31 MDL / 1.57 EUR • Pantoprazol Aurobindo 40MG N3) - Aspan™ 40 mg/ N14 / 49.31 MDL / 3.31 EUR • Risperidon, - Rileptid® 2mg / N10x2 / 71 MDL / 3.56 EUR • Amisulprid - Solian® 200 mg / N10x3 / 245 MDL / 12.47 EUR
The availability of this medical in Camenca is not known. If the person has a Moldovan public medical insurance, in Moldova the medication is compensated by the state based on medical prescriptions received from the family doctor / treating doctor.
These bellow medications are delivered from the drugstore only on doctor prescription. Therefore, drugs supply is advisable in this case. • Olanzapin, 15 SMT NET (N3) • Abilify 15 MG (N3) (Wirkstoff: Aripiprazol ) • Haloperidol -Neurax DEC 100 (N3)Z (Wirkstoff: ) • Valporat Chrono GLENM500MG (N3)
Support: In Moldovan there are several non-governmental organizations which provides services to people with disabilities, including mental one such as: • The Community Mental Health Center – provides mental health and addiction-based disruptions services on the most modern standards in the field. In the treatment of mental, behavioral and addictive disorders, The Community Mental Health Center (MSSC) provides comprehensive health care, psychological support, informal support and care. Contact - Chisinau, Moldova, str. Dokuceaev 11A, tel: +373 22 731440. The services provided to patients are free of charge for the patients who have a public medical insurance. • Keystone Moldova, an NGO which promotes the labor inclusion of persons with disabilities. Social Entrepreneurship. Contact - http://www.keystonemoldova.md , 20, Sf. Gheorghe Street, MD-2001, Chisinau, Moldova, Tel: +373 22 92941, Office Manager: +373 68208202. The services provided to patients are free of charge for the patients who have a public medical insurance. • Center for the Rights of the Persons with Disabilities, an NGO which provide primary and Qualified Legal Aid for persons with disabilities. Republica Moldova, Chișinău str. Pușkin 16, of. 5, MD-2012., Tel/Fax: (+373) 22 287 090, https://cdpd.md . The services provided to patients are free of charge for the patients who have a public medical insurance.
IOM – Vertretung für Deutschland: Charlottenstraße 68, D-10117 Berlin• Deutschland • Fax: +49.30.278 778 99 IOM - Zweigstelle in Nürnberg: Postfach 44 01 59 • D-90206 Nürnberg • Neumeyerstr. 22-26 • D-90411 Nürnberg • Deutschland • Fax: +49.911.4300 260 Telefonzentrale IOM Deutschland: +49.911.43000 E-Mail: [email protected] • Internet: http://www.iom.int/germany