Republic of Moldova Autonomous Territorial Unit of Gagauzia

Home , Comrat, Gagauzia, Gagauz people, Governor of Gagauzia, Mihail Formuzal

REPUBLIC OF TURKEY MINISTRY OF HEALTH Department of Foreign Affairs

REPUBLIC OF MOLDOVA AUTONOMOUS TERRITORIAL UNIT OF GAGAUZIA

Ceadir-Lunga Comrat Vulcanesti

Turkey, with her economy, foreign policy, democratic structure and reforms, has ascended as a country which is followed with appreciation and attention all over the world.

For sure, we achieved this by believing, trusting in ourselves with self-confidence.

We are doing in the same way. How it was done, how it was achieved in the history is a foundation for us.

We are succeeding in the same way.

Recep Tayyip Erdoğan Prime Minister of the Republic of Turkey AUTONOMOUS TERRITORIAL UNIT OF GAGAUZIA

Turkey considers Moldova as an important cooperation partner and a close friend country in the Region.

Within the relations with Moldova, Gagauzia has a special importance for Turkey due to our language and cultural ties with its people.

We believe the presence of Gagauz people is an enriching and consolidating factor in our relations with Moldova.

Prof. Dr. Recep Akdağ Minister of Health of the Republic of Turkey H.E. Minister of Health Prof. Dr. Recep Akdağ and Governor of the Autonomous Territorial Unit of Gagauzia Mr. Mihail Formuzol during a bilateral meeting

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In parallel with Turkey’s increasingly intensifying and diversifying international relations, the foreign activities of the Ministry of Health has been accelerated.

Our Ministry shall continue its cooperative activities with the countries of the region in the field of health with full attention and enthusiasm.

Prof. Dr. Nihat Tosun Undersecretary of the Ministry of Health of the Republic of Turkey

Undersecretary Prof. Dr. Nihat Tosun welcomes Mihail Formuzol, Governor of the Autonomous Territorial Unit of Gagauzia, Republic of Moldova

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• Gagauzes, a small Turkic population, today mostly lives in primarily Moldova, Ukraine, Romania, Bulgaria, Turkey, Kazakhstan and Kyrgyzstan.

• Gagauzes speak Anatolian Turkish with their own accents and variant sentence formations.

• According to Gagauzian sources, there are about 250.000 Gagauz people around the world. Among them, 170.000 Gagauzes live mainly in Moldova and mostly in the southern regions of the country.

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• The Gagauzia region is mainly an agricultural region. Viticulture and fruits are the leading agricultural products. The household income of the Regionis low. The life standard in the region is lower than the Moldovan average. Weak industry, agriculture based economy and sporadic drought lead economic underdevelopment in the Gagauzia.

• 4% of Moldova’s population (totally about 4 million) consists of Gagauzes.

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• During the “Referendum on Independence” in December 1991, 80% of Gagauz people voted for establishment of “Republic of Gagauzia.

• The administration established by Gagauz people was not recognized by central authorities of Moldova; however, the parties did not break the ties and searched for a peaceful solution to the dispute. AUTONOMOUS TERRITORIAL UNIT OF GAGAUZIA • In order to find a solution, the Moldovan Government prepared a draft law in the late 1992 and initiated negotiations with the Gagauz Party. The negotiation process continued for about 2 years.

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• Unlike the separatist Transnistria movement in Moldova, the Gagauzes did not insist on “state status” and this facilitated the negotiations regarding the special status of “Gagauzia”.

• The Parliament of Moldova ratified the “Law on Special Legal Status of Gagauzia” in the framework of 111th Article of the new Moldovan Constitute, (27 August 1994) envisaging that special status could be given to Transnistria and Gagauzia on 23 December 1994.

• Turkey pays special importance on the relations with Gagauzia and considers Gagauz people as a bridge consolidating the relations with the Republic of Moldova.

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BASHKAN (GOVERNOR) OF AUTONOMOUS TERRITORIAL UNIT OF GAGAUZIA VISITED OUR MINISTRY

• Governor of Autonomous Territorial Unit of Gagauzia, Republic of Moldova Mr. Mihail Formuzal and his accompanying delegation visited H.E. Minister of Health Prof. Dr. Recep Akdağ in the Ministry of Health on 29 January 2009.

Governor of Autonomous Territorial Unit of Gagauzia, Republic of Moldova Mr. Mihail Formuzal in the Ministry of Health (29 January 2009)

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MEETINGS

During the meeting held in our Ministry;

Governor of Gagauzia Mr. Mihail Formuzal stated that they would like to send specialist physicians and health personnel to Turkey for short term trainings and would appreciate such kind of training opportunities from our Ministry.

Mr. Formuzal also expressed that they would like Turkish private sector to be active in the field of health in Gagauzia, there were big shortfalls in Gagauzia in terms of both physical structure and medical devices and materials, and requested Turkey to assist them in this aspect. Then, Mr. Formuzal conveyed a list of requirements for medical devices in Gagauzia to Mr. Minister.

After listening to Governor of Gagauzia, H.E. Minister Prof. Dr. Recep Akdağ expressed Turkey’s enthusiasm in offering all kinds of assistance to Gagauzia within the spirit of friendship and brotherhood, and added that trainings to be given in Turkey for the health personnel of Gagauzia would be convenient for our Ministry and if they informed our Ministry about the required training fields and the number of personnel, we would start the necessary activities.

Prof. Dr. Akdağ stated that our Ministry would conduct relevant efforts regarding the medical devices and materials which were requested by Gagauzia as donation and then inform our counterparts about the situation.

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THE DELEGATION OF OUR MINISTRY IN THE AUTONOMOUS TERRITORIAL UNIT OF GAGAUZIA (1-4 April 2009)

In order to observe the situation and determine the requirements in the Autonomous Territorial Unit of Gagauzia, Kamuran Özden, Head of the Department of Foreign Affairs of the Ministry of Health and Dr. Adnan Hasanoğlu, Chief Physician of Ankara Training and Research Hospital/ Ministry Advisor, paid a visit to Moldova on 1-4 April 2009.

Meeting with Mihail Formuzal, Governor of the Autonomous Territorial Unit of Gagauzia, Republic of Moldova

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Population of the Autonomous Territorial Unit of Gagauzia

Adult Child Total There are three provinces in the 1. Comrat Region 51.570 17.690 69.260 Autonomous Territorial Unit of 2. Ceadir-Lunga Region 49.781 15.457 65.238 Gagauzia 3. Vulcanesti Region 20.288 4.931 25.219 • Comrat Total 121.639 38.078 159.717 • Ceadir-Lunga • Vulcanesti

Three stars in the flag symbolize the three provinces.

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There are three hospitals in these three provinces. In addition to the hospitals, there are also three family medicine centres. Family Physicians are working in the family medicine centres. There are 157 family medicine physicians in Gagauzia.

Furthermore, there are health posts in every village. In the health posts, one physician, phsyio-therapist, midwife and nurses are working. 24 hours serving emergency centres are available in the health posts in bigger villages. In these emergency centres, one ambulance and operators are working.

In the cities, emergency centres are located in the garden of the hospital or within the hospital.

Bed Capacity

1. Comrat Hospital 255 2. Ceadir-Lunga Hospital 237 3. Vulcanesti Hospital 100 TOTAL 592

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Number of Physicians

1. Comrat Hospital 125 2. Ceadir-Lunga Hospital 129 3. Vulcanesti Hospital 56 TOTAL 310

Number of other health personnel

1. Comrat Hospital 412 2. Ceadir-Lunga Hospital 414 3. Vulcanesti Hospital 183 TOTAL 1.009

Visit to Çeşmeköy Health Station

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MOLDOVA AND AUTONOMOUS TERRITORIAL UNIT OF GAGAUZIA

• The number of cancer diseases shows an increasing trend in the Gagauzia Region. Though it was 183.6 in 2002, it increased to 215.3 in 2008. • 30 % of cancer patients can be diagnosed at the latest stage of the disease. • Tuberculosis disease rate in the Gagauiza Region is 72/100,000. • Family medicine system is implemented in the Gagauzia Region. • Cardiology, cardiovascular surgery, neurosurgery, plastic surgery and medical oncology cannot be performed. • Number of notified AIDS (HIV) patients is 40.

Republic of Moldova Gagauzia Region 2006 2007 2008 2006 2007 2008 Birth Rate 10.3 10.3 10.9 11.7 11.7 12.1 Mortality Rate 13.2 13.0 11.7 11.6 12.3 10.9 Child Mortality Rate 9.6 9.9 12.1 10.8 12.4 8.3

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RESULTS, OBSERVATIONS, SUGGESTIONS

At the end of the meetings and observations by our delegation in Comrat, Vulcanesti and Ceadir Lunga, the remarks and suggestions have been summarized as follows:

1. Health services in Gagauzia are delivered based on family medicine system. 2. The delivery of health services is quite insufficient both in terms of building facilities and medical devices and materials. 3. The health personnel need vocational training. 4. The number of health personnel is adequate. 5. There is no cardiology department. Cardiovascular Surgery, Plastic Surgery, Neurosurgery and Medical Oncology cannot be performed at all. 6. There are almost no imaging services. 7. 2 new USG devices are seen in the entire Gagauzia Region and X-Ray devices are 40-50 years old. 8. The operating rooms are not sterilized.

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RESULTS, OBSERVATIONS, SUGGESTIONS

9. Devices in the operating rooms are 40-50 years old. 10. Only one autoclave device (almost 100 years old) is seen the entire Gagauzia Region. 11. Sterilization can be performed with old small desktop autoclaves. 12. No new or complete set surgical materials are seen. 13. Laboratory, USG, X-Ray services and operating room are in the same building in the new hospital constructed in Ceadir Lunga. These services are delivered in the other hospitals in independent buildings. 14. Intensive care could not have been seen in the whole region. 15. There is no paediatric newborn clinic available. 16. There are no such emergency services like in Turkey. 17. Emergency services are provided in a simple way with inadequate ambulances (patient transportation vehicles).

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RESULTS, OBSERVATIONS, SUGGESTIONS

18. Biochemistry laboratories are insufficient. (There is no other laboratory). 19. The expectations from Turkey in the Gagauzia Region of the authorities to the people (particularly among the people) are significant. 20. Turkish spoken in the Gagauzia Region can be understood. Especially people in the villages totally speak Turkish. 21. It has been noticed that the number of people travelling to Turkey for working is quite high. Almost everybody would like to go to and work in Turkey. 22. Gagauzia should be supported in terms of medical devices and materials.

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TRAININGS

17 Gagauz health personnel from the Autonomous Territorial Unit of Gagauzia, the Republic of Moldova attended trainings on various fields in Turkey in Ankara Training and Research Hospital on 6 May-3 June 2009.

Health Personnel from Gagauzia were in Ankara (6 May 2009)

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ANKARA TRAINING AND RESEARCH HOSPITAL GAGAUZIAN HEALTH PERSONNEL ATTENDED TRAINING (6 May – 3 June 2009)

NAME-SURNAME TITLE FIELD OF TRAINING Natalia Popazoglo Physiatry Specialist Functional Diagnostics Iuri Gheli Surgery Specialist Endoscopy and Surgery Maria Todorova Laboratory Specialist Laboratory Gherghi Ormanji Endoscopy Specialist Endoscopy Tatiana Slavioglo Nurse (Reanimation) Reanimation and Anaesthesiology Elena Ghenova Laboratory Nurse Laboratory Fiodor Bargan Infectious Diseases Specialist Infection Ecaterina Vornicova Laboratory Specialist Laboratory Specialist Elizaveta Novac Laboratory Nurse Reanimation and Anaesthesiology Evghenia Caraseni Laboratory Nurse Laboratory Eugeniu Ariku Endoscopy Specialist Endoscopy Maria Cerneva Laboratory Nurse Laboratory Larisa Cerneva Internal Diseases Specialist Functional Diagnostics Ludmila Gheorghiev Nurse (Anaesthesiology) Reanimation and Anaesthesiology Svetlana Topal Midwife Gynaecology and Obstetrics Gheorghi Neagu Orthopaedics Specialist Orthopaedics Fedora Curdoglo Orthopaedics Nurse Orthopaedics

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PROVISION OF THE MEDICAL DEVICES AND MATERIALS

After the visit of our Ministry’s delegation to Moldova on 1-4 April 2009, by completing a number of consultations between the representatives of the Prime Ministry, our Ministry and the Ministry of Foreign Affairs, medical device and materials needed by Moldova and Gagauzia were determined. The aforementioned medical devices and materials were provided by our Ministry.

The medical devices and materials provided by our Ministry for Moldova Gagauzia were shipped on a truck on 27 September 2009, and sent to Moldova.

Medical devices and materials provided by our Ministry (August 2009)

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PROVISION OF THE MEDICAL DEVICES AND MATERIALS

On 4-7 October 2009, Head of the Department of Foreign Affairs Kamuran Özden, Deputy Chief Physician of Ankara Training and Research Hospital/ Ministry Advisor Dr. Adnan Hasanoğlu and Chief Physician of Ankara Dışkapı Paediatric Diseases Training and Research Hospital Prof. Dr. Bahattin Tunç paid a visit to Moldova in order to deliver the medical devices and materials provided by our Ministry to the Autonomous Territorial Unit of Gagauzia, Republic of Moldova.

Shipment of medical devices and materials provided by our Ministry from Turkey (27 September 2009)

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MEDICAL DEVICES AND MATERIALS ARRIVED IN THE GAGAUZIA (5 October 2009)

Firstly, our delegation had a meeting with Mr. Mihail Formuzal, Governor of Gagauzia on 5 October 2009.

Governor Formuzal stated that the technical team of our Ministry had paid a visit to Gagauzia for observations five months ago and just after 5 months the medical devices were delivered, and he expressed his gratitude to the Minister of Health Prof. Dr. Recep Akdağ and the Republic of Turkey.

Our delegation, then, travelled to Vulcanesti. The customs formalities of the goods sent beforehand were completed in Vulcanesti.

Handing over the goods in Gagauzia (Vulcanesti, 5 October 2009)

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DELIVERY AND INSTALLATION OF MEDICAL DEVICES AND MATERIALS (6 October 2009)

On the same day, after the customs formalities had been completed, the goods to be delivered to Vulcanesti were handed over.

In the evening, the delegation arrived in Comrad and conveyed the goods to Comrat Hospital.

Then, on 6 October 2009, they travelled to Ceadir Lunga.

In Ceadir Lunga the Obstetrics and Gynaecology Room was furnished. Engineers accompanying our delegation completed the installation of the medical devices and trained the relevant personnel on the operation of the devices

Vulcanesti, (6 October 2009)

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DELIVERY AND INSTALLATION OF MEDICAL DEVICES AND MATERIALS (7 October 2009)

Our delegation had another meeting with Governor Mihail Formuzal on 7 October 2009.

Governor Formuzal mentioned that the trainings offered by our Ministry to the health personnel of Gagauzia was very helpful and added that it would be more effective if trainings in Turkey for 20-25 more personnel could be given, too.

Comrat, (7 October 2009)

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DELIVERY AND INSTALLATION OF MEDICAL DEVICES AND MATERIALS

One of the technicians accompanying our delegation started to establish the Biochemistry Laboratory in Vulcanesti. The other two technicians, on the other hand, stayed in Comrat and started installations of medical devices.

Our Ministry’s delegation returned to Turkey on 7 October 2009. The engineers stayed in Gagauzia and completed both the installation of all devices and relevant trainings. They returned to Turkey on 16 October 2009.

While signing the delivery report (5 October 2009)

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DELIVERY REPORT

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DELIVERY REPORT

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CEADIR - LUNGA

OBSTETRICS & GYNAECOLOGY GROUP 1 Gynaecologic Examination Table 1 2 Suction Unit 1 3 Plastic Bottles 1 4 Surgical Lamp (Mobile) 1 5 Fetal Monitor 1 6 Caesarean Set 1 7 Abortion Set 1 8 Delivery Set 1

Obstetrics & Gynaecology (Ceadir-Lunga, 6 October 2009)

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COMRAT

OPERATING ROOM GROUP 1 Operating Table 1 2 Surgical Lamp 1 3 Surgical Suction Unit 1 4 Plastic Bottles 1 5 Anaesthesia Device 1 6 Sterilizer 1 7 Electro Surgical Unit 1 8 Defibrillator 1 9 Laryngoscope 1 10 Resuscitator (Adult) 1 11 Sphygmomanometer 1 12 Stethoscope 1 13 General Surgical Set 1

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OPERATING ROOM – COMRAT-VULCANESTI

Operating Room Operating Room

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AUTOCLAVE – COMRAT-VULCANESTI

After

Eski Hali

Before

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X-RAY DEVICE - COMRAT

RADIOLOGY GROUP 1 X-Ray Device 1 2 Automatic Film Developer 1

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DENTAL UNIT - COMRAT

DENTAL GROUP 1 Dental Unit 1 With System and Accessories Dentist Chair, Negatoscope, Suction Unit 2 Compressor 1 3 Airetor Head 1 4 Endodontic Hand Pieces 1 5 Endodontic Scalers 1 6 Craig Light (Unit Mounted with Led) 1 7 Teeth Set 1 8 X-Ray Device 1

Dental X-Ray

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DENTAL UNIT - COMRAT

Before After

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EKG DEVICE (EXERCISE STRESS SYSTEM) – COMRAT

EXERCISE STRESS SYSTEM EKG 1 Exercise Stress System 1

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ENDOSCOPY - COMRAT

Before After

ENDOSCOPY SET 1 Endoscopy Set 1

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OPERATING ROOM – VULCANESTI

Operating Room

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OPERATING ROOM- VULCANESTI

Before After

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OPERATING ROOM- VULCANESTI

Before After

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ULTRASOUND DEVICE - VULCANESTI

ULTRASOUND DEVICE 1 USG Device 1

USG Device

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BIOCHEMISTRY LABORATORY-VULCANESTI

BIOCHEMISTRY GROUP 1 Biochemistry Auto-analyzer 1 Biochemistry Set 1 2 Blood Counter Device 1 Blood Counter Consumables 1 3 Urine Analyzer 1 4 Deionization Water Device 1 5 Centrifuge 1 6 Urine Centrifuge 1 7 Coagulator 1

Biochemistry Laboratory

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NEWBORN GROUP – VULCANESTI

NEWBORN GROUP 1 Incubator 1 2 Suction Unit 1 3 Laryngoscope 1 4 Resuscitator 1

Incubator

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MIHAIL FORMUZAL, GOVERNER OF AUTONOMOUS TERRITORIAL UNIT OF GAGAUZIA, REPUBLIC OF MOLDOVA VISITING BIOCHEMISTRY LABORATORY (VULCANESTI)

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HEALTH PERSONNEL OF GAGAUZIA ATTENDED TRAININGS IN ANKARA 2ND GROUP (15 December 2009 – 15 January 2010)

Name-Surname Title Training Field Trainer Hospital Constantin Radeov Endoscopy Specialist, Comrat Endoscopy and Surgery Turkey High Specialization Training and Research Hospital

Gheorghi Neagu Surgery Specialist, Comrat Orthopaedics Ankara Training and Research Hospital

Fedora Setmuratova Chief Nurse-Consultancy, Comrat Oncology Ankara Numune Training and Research Hospital

Alexandra Tantuc Family Medicine Specialist, Comrat Family Medicine Ankara Numune Training and Research Hospital

Victor Neagu Family Medicine Specialist, Comrat Family Medicine Ankara Numune Training and Research Hospital

Anna Paci Family Medicine Specialist, Comrat Family Medicine Ankara Numune Training and Research Hospital

Fedora Gheorghieva Nurse- Surgery Unit, Comrat Operating Room Nursing Ankara Training and Research Hospital

Zinaida Varban Dermatology Specialist, Ceadir-Lunga Dermatology Ankara Training and Research Hospital

Maria Stamova Head of Neurology Dept Ceadir-Lunga Neurology Ankara Training and Research Hospital Chief Midwife, Ceadir-Lunga Maternity Evdochia Uzun Midwifery and Gynaecology Zekai Tahir Burak Obs. & Gyn. Training and Res. Hospital Hos.

Valentina Çimpoeş Nurse, Ceadir-Lunga Maternity Hospital Newborn Zekai Tahir Burak Obs. & Gyn. Training and Res. Hospital

Maria Cheleş Family Medicine Specialist Ceadir-Lunga Family Medicine Ankara Numune Training and Research Hospital

Evdokia Cayci Chief Nurse, FM. Cen., Ceadir-Lunga Family Medicine Ankara Numune Training and Research Hospital

Tatiana Slavioglo Beşgöz Village Health Centre Emergency Ankara Training and Research Hospital

Veaceslav Uzunov Ophthalmology Specialist Oph. and Eye / Micro-Surgery Ankara Training and Research Hospital

Marianna Cuculer Laboratory Officer Laboratory Ankara Training and Research Hospital

Evghenia Gogan Surgery Specialist Vascular Doppler Graphy Turkey High Specialization Training and Research Hospital

Maria Cerneva Laboratory Nurse Biochemistry Laboratory Ankara Training and Research Hospital

Natalia Buzadji Operating Room Nurse, Vulcanesti Functional Diagnostics Ankara Training and Research Hospital

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GAGAUZIA HEALTH PERSONNEL IN ANKARA

Gagauzia Health Personnel visiting our Ministry (15 December 2009)

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THE FLAGS WAVE HIGH ABOVE

We presented the flags of our country and our Ministry to the Chairman of Health General Board (Health Director) Mr. Ivan Vieru (7 October 2009)

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PUBLIC SERVICE TELEVISION NEWSCAST

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PROJECT TEAM

REPUBLIC OF TURKEY MINISTRY OF HEALTH Department of Foreign Affairs Mithatpaşa Cad. No: 3 Sıhhıye, 06434 ANKARA - TURKEY Tel : +90 (312) 585 22 50