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									                    PROJECTS OF THE MINISTRY OF HEALTH

PRESIDENCY OF REFİK SAYDAM HYGIENE CENTER

       The Projects of General Directorate of Food Security and Nutrition Research

Project 1:

Project Title: Strentgtening of Infrastructure in the Studies of Promoting the Quality System
Towards Laboratory Accreditation.

Project Objective: To access ‘European Safety Level’ in the studies of laboratory and to
form a sound basis in our target towards accreditation through overcoming infrastructure
deficiency.

Application Area: Laboratories of Food Safety and Nutrition Research Directorate. The
square of our Directorate is 1050m2.

Duration: 1 year

Budget: Ventilation               : 40-50 000 Euro
        Continuous Power Resource :     30 000 Euro
        Bio-Safety Cabin          :      10 000 Euro
                                    --------------------
                                    80-90 000 Euro

Project 2:

Project Title: Personnel Training on the Studies of Promoting the Quality System Towards
Laboratory Accreditation.

Project Objective: To implement accreditation studies through managing the knowledge and
experience of relevant personnel in order to reach the level that will be able to accredit in
laboratory studies.

Application Area: Laboratories of Food Safety and Nutrition Research Directorate.

Duration: 1 year

Budget: 40- 45 000 Euro

Project 3:

Project Title: To Make a Study on Nitrate Content in Infant Foods, Other Infant and Child
Food (infant and child vegetable products) and Vegetables Imported and Produced in Turkey.

Project Objective: To implement the effective analysis method on this subject in European
Countries under our Directorate, to form information source on taking necessary measures by
screening nitrate level in products and to come into the position in which routine nitrat
analysis is made in relevant foodstuffs.


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Application Area: To screen the market in Ankara and across Ankara, imported products

Duration: 3 years

Budget: 150.000 Euro

The Distribution of the Budget per year:
   1. Year : approximately 120.000 Euro for the procurement of devices and materials
   2. Year: approximately 15.000 Euro for the chemical and consumption materials
   3. Year: approximately 15.000 Euro for the chemical and consumption materials

Project 4:

Project Title: Toys (establisment of laboratory model for the control of toys and other toys
equipment produced in our country and imported as to national legislation)

Project Objective: To meet approval standards that will analysis and monitor the main safety
provisions.

    -   To enhance market surveillance system and product safety in harmony with European
        Union models
    -   To establish a reference laboratory infrastructure that makes the implementation of the
        Council directive numbered 88/378/EEC concerning approximation of the law of
        Member States relating to the safety of EU toys possible and to disseminate gained
        experience and knowledge.

Application Area: To test toys and other toys equipment

    -   To enhance the institutional capacity
    -   To improve the professionel characteristics of the personnel and to increase the
        productivity
    -   To constitute laboratory register system
    -   To update the international test method and to prepare documents
    -   To form laboratory instructions

Duration: The duration of the project necessary for the establisment of laboratories,
purchasing of devices, placing of them, the usage of devices and test methods is 3 years.

Overall Budget: Mechanic and physical test equipment : 183.400
                Flamable test equipment                      : 74.012
                Electrical test equipment                     : 20.688
                Chemical test equipment GC                   : 128.400
                                              ICP            : 321.000
                                              GC-MS           : 53.500
                Education                                    : 20.000
                                     -------------------------------------

                                               TOTAL           : 801.000 Euro



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Project 5:

Project Title: The Designation of Vinil Clorur Monomer Amount in Foodstuffs and PVC
Package Materials

Project Objective: The designation of the amount of Vinil Klorür Monomer the toxic effect
of which is known and limit amount is determined in EU directives in PVC package materials
and in foodstuffs that connect with these products in order to protect the consumer health is
purposed.

Duration: 1 year is suggested for the organization of the tender on purchasing of the device,
placing the device and training on the usage of the device

Overall Budget: Head Space GC                  : 60.000 Euro
                Chemical Consumption Material : 10.000 Euro
                                            ---------------------
                                    TOTAL : 70 000 Euro

       The Projects of Directorate of Enviromental Health Research

Project 6:

Project Title: Modernization of Air Quality Measurement System and Formation of
Electronic Billboard to Announce the Outcome of Measurement to Public Within the Scope of
Ankara Air Pollution Monitoring Activities

Project Objective: To provide the harmonization of existing air pollution measurement
system with the criteria in Council Directive numbered 96/62/EC concerning the designation
of air quality and management within the scope of harmonization process and to announce
warning messages to public when the threshold values are exceeded.

Duration: The duration of the project is determined as 2 years.

Overall Budget:

Total cost to set up the system: 1.300.000 ABD $ + AVT

The cost for required infrastructure performance (telephone and modem connections etc.),
training of the technical personnel, spare parts and consumption materials: 150.000 ABD $

Project 7:

Project Title: Strentgtening of Control and Research of Disinfectant Materials Laboratories;
Fulfillment of Microbiological Efficency Tests

Duration: At least 3 years

Estimated Overall Budget: 450.000 $ + AVT for the expenditure of devices and equipment,
besides finance total for the training of personnel.



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Project 8:

Project Title: Implementation of biological degradation test methods of unionic and non-
ionic active elements.

Project Objective: Approximation of EU legislation concerning detergents within the scope
of free movement of goods and equipment of laboratory infrastructure in harmony with EU
directives

Application Area: Internal Market – All synthetic detergents

Duration: 3 year (at the end of 2005)

Overall Budget: 17.165 Euro
                 4.250 Euro (from budget)
                12.915 Euro (from EU financial cooperation)

       The Projects of Directorate of Toxical Investigation

Project 9:

Project Title: Strentgtening of pyhsical infrastructure towards market surveillance in Turkiye

Project Objective: To enhance the infrastructıre of test laboratories used in the market
surveillance system relating to toys

Application Area: The project will be applied to the enhancement of Toxic Investigation
Residue Laboratories and Chemical Substances Laboratories that will make the analysis
concerning the chemical safety of the toys.

Duration: 1 year

Overalll Budget: 780.000 Euro

Project 10:

Project Title: Development of Programme on Environment for Turkey (water intended for
human consumption)

Project Objective: To develop administrative and financial structure in order to achieve
approximation of EU directives concerning water intended for human consumption and
enforce the directives.

Application Area: Activitiy field related to the studies of Laboratories of Toxic Investigation
Directorate

Duration: ---------------

Overall Budget: -----------



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Remark: Project Fiche on the project is at the preparation process.

Project 11:

Project Title: Development of Programme on Environment for Turkey (Good Laboratory
Practices)

Project Objective: To develop administrative and financial structure for the enforcement of
EU directives concerning good laboratory practices.

Application Area: Activitiy field related to the reinforcement of infrastructure studies of
Laboratories of Toxic Investigation Directorate

Duration: 2 years

General Budget: 1.680.000 Euro is suggested.

Remark: Project Fiche on the project is at the preparation process.

Project 12:

Project Title: Reinforcement of Quality Infrastructure in Turkey

Project Objective: To enhance the quality infrastrucure studies of Toxic Investigation
Laboratories within the scope of New Approach Directives and Old Approach Directives
within the framework of reinforcement of quality infrastructure studies in Turkey

Application Area: Activitiy field related to the studies of Laboratories of Toxic Investigation
Directorate

Duration: ------------

Overall Budget: --------------

Project 13:

Project Title: Establishment of Accreditation Infrastructure Within the Scope of Product
Safety and Product Requirement

Project Objective: To establish standardization, test, meteorology, calibration and
accreditation infrastructure within the framework of EU harmonisation of legislation and to
ensure international validity of test results by forming accreditation infrastructure in the
laboratories of Toxic Investigation Directorate within this scope

Duration: 4 years

Overall Budget: 2.510.000 Euro

Remark: The project draft is submitted to the Department for European Union Coordination
in August 29th 2001.


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Project 14:

Project Title: Enhancement of the Functions of Toxic Control Centers in the System of
Chemical Safety

Project Objective:

Duration: 2 years

Overall Budget: 440.000 Euro

Remark: The project draft is submitted to the Department for European Union Coordination
in August 29th 2001.

Project 15:

Project Title: Improvement of Preparations of Health Personnel against Chemical War
Agents

Project Objective: To make contribution on the development of any plan, programme and
policies in order to decrease the effects of chemical substances on human health and
environment

Duration: 2 years

Overall Budget: 2.002.000 Euro

Remark: The project draft is submitted to the Department for European Union Coordination
in September 25th 2002 with the evaluation within the scope of EU Public Health Action
Programme.

       Directorate of Communicable Diseases

Project 16:

Project Title: Control of Communicable Diseases and Enhancement of Surveillance System
in Turkey

Project Objective: Strengthening the national structure towards the notification, control and
protection of infectious diseases and establishment of necessary technical and legislation
infrastructure concerning data collection in accordance with European Union Council
Decisions.

Application Area:

   1) Establishment of a system for the control of communicable diseases and epidemiolojic
      surveillance
   • legal adjustment
   • determination of task and authority of institutions


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   •   formation of necessary national and international cooperation plans necessary for the
       control of infectious diseases in accordance with Council Decision numbered
       2119/98/EC, 2000/96/EC and 2000/253/EC

   2) Strenghtening of the infrastructure of public health laboratories
   • standardization of tests towards infectious diseases that take place in notification
      system and will be diagnosised through laboratories
   • formation standard laboratory procedurs
   • procuremnet of deficiency in equipment and personnel
   • personel training
   • formation of quality control schemes
   • formation of national and international network

Duration: 2 years

Overall Budget: 4.000.000 Euro (The preparation process of project draft stil goes on. The
project budget, therefore, has not been determined yet)

Project 17:

Project Title: Establishment of Hospital Infection Surveillance System and Antibiotic
Resistance Surveillance System at Nozocomial Factors

Project Objective: To establish hospital infection surveillance system, to bring hospital
infection surveillance national qualities, to monitor antibiotic resistance at nozokomiyal
factors, to be involved in international networks

Duration: 3 years

Estimated Overall Budget: 1 million Euro

The Distribution of the Budget per year: 500.000 Euro for the first year
                                         250.000 Euro for the second year
                                         250.000 Euro for the third year

DEPARTMENT OF CANCER COMBAT

Project 18:

Project Title: Project on Free Tobacco Life

Project Objective: To decrease the amount of smoking in Turkey and to prevent future
generations from taking up smoking by focusing on the harmful effects of tobacco.

Application Area: Schools particularly for the studies on the young and children, non-
governmental organizations

Duration: 2 years.




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In the first year, the problem of smoking will be brought up and the policies will be
determined. In the second year, campaings and trainings will be done within the framework of
the policies and centers will be established.

Overall Budget: 1. Year:     1.000.000 Euro
                2. Year:     3.000.000 Euro
               TOTAL:        4.000.000 Euro

Project 19:

Project Title: Renovation Project on Mesothelioma Regions with Enviromental Factor

Project Objective: To make the renovation of the regions caught Mesothelioma because of
asbestos and zeolit or the regions having Mesothelioma risk within this programme

Application Area: Perilous regions (Nevşehir Tuzköy Country Town and Karain Village
where mesothelioma cases are determined)

Duration: 4 years

Overall Budget: 1. Year: 1.000.000 Euro
                2. Year: 3.000.000 Euro
                3. Year: 5.000.000 Euro
                4. Year: 5.000.000 Euro
               TOTAL: 14.000.000 Euro

Project 20:

Project Title: Enhancement Project of Quality of Water Intended for Human Consumption

Project Objective: Designation of necessary policies in order to enhance quality of water
intended for human consumption.

Application Area: Preparation of water map across Turkey, designation of priority regions,
establishment of regional public health laboratories and the restoration of existing ones, the
indroduction of water policy

Duration: 3 years

Overall Budget: 1. Year: 3.000.000 Euro
                2. Year: 7.000.000 Euro
                3. Year: 2.000.000 Euro
               TOTAL: 12.000.000 Euro

Project 21

Project Title: Cancer Register Database Project

Project Objective: Designation of cancer burden and distribution in Turkiye



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Application Area: 11 provinces

Duration: 2 years

Overall Budget: 1. Year: 1.000.000 Euro
                2. Year: 1.000.000 Euro
                TOTAL: 2.000.000 Euro

Project 22:

Project Title: Strengthening of Malaria Control Studies in Diyarbakır Province

Project Objective: To provide the descrease of malaira incidence to 50 % in two years in
respect of incidence of the year 2002.

Application Area: Malaria risky regions in the administrative borders of Diyarbakır province

Duration: July 2003 – July 2005

Estimated Budget: 580.000 Euro

Project 23:

Project Title: Health Education Centers

Project Objective: To establish health education centers where in-service and public health
education programmes are carried out in order to descrease the disease burden, to promote the
communiyt’s health, to increase the efficiency and sufficiency of health personnel.

Application Area:

Adana: Adana Vocational High School (Western Mediterranean Region)
Eskişehir: Eskişehir Atatürk Health Vocational Health High School (some parts of Central
Anatolian Region, Marmara and Aegean Region)
Ankara: Etimesgut Mustafa Kemal Vocational Health High School (training carried out by
the Ministry and Central Anatolian Region
Samsun: Samsun Atatürk Vocational Health High School (Black Sea Region)
İzmir: İzmir Atatürk Vocational Health High School (Aegean Region)

Duration: ……………….

First Phase: 12 month (procurement of necessary logistics and equipment for the transition of
the five vocational health high schools into health center)

Second Phase: permanent (the delivery of in-service and public education programmes of
Education Centers)

Overall Budget: 4 billion Turkish Liras (1.470.000 USD)




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GENERAL DIRECTORATE OF PRIMARY HEALTH CARE

Project 24:

Project Title: Reconfigurement of Primary Health Care Services Project

Project Objective: To constitute primary health care services where the population live and
work as a prohibitive, therapeutic and rehabilitative with multi-professional team and to
provide public particicpation

Application Area: Population distribution (one family physician and one nurse/midwife per
3000 to 5000 ) will be made under health clinic. A family physician delivers prohibitive
health services and primary health care services in order to protect and promote the health of
people under his/her control.

Duration: 5 years

Overall Budget: 30.300.000 $

Project 25:

Project Title: Strenghtening of Primary Health Care Register and Notification System

Project Objective: Hardware and software enchancement of the system to decrease
inaccuracy in data collection, notfication, analysis, comment and transformation of
information to services to minumum level

Duration: -------------

Overall Budget: 127.050 Euro

Project 26:

Project Title: Healthy Environments for Children in Sustaniable Development

Project Objective: To prepare, to implement, to evaluate and to enhance ‘Child,
Environment and Health Action Plan’ that will achive common action of health and
environment sector and develop ongoing cooperation in order to provide healthy
environments for children.

Duration: 2 years (01.01.2004 – 31.12.2005)

Overall Budget: 120.500 US$

Project 27:

Project Title: Development of Tourism, Environment and Health Action Plan

Project Objective: To prepare, to implement, to evaluate and to enhance ‘Tourism,
Environment and Health Action Plan’ that will achive common action of health and


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environment sector and develop ongoing cooperation in order to realize healthy tourism
action.

Duration: 2 years (01.01.2004 – 31.12.2005)

Overall Budget: 110.500 US$

Project 28:

Project Title: Development of National Environment Health Action Plan

Project Objective: To discuss national environment actions with remaining 40 provinces and
relevant sectors at national and local level, to prepare an activity document, to initiate good
practices studies at local level. A document about these studies will be presented at Budapeşte
Environment anbd Health Cabinet Meeting.

Duration: 2 years (01.01.2004 – 31.12.2005)

Overall Budget: 72.750 US$

Project 29:

Project Title: Development of Healthy Provinces Network

Project Objective: To develop National Provinces Network in line with 4. Period principles
under the auspices of Municipilaties, Governorship, Provincial Health Directorates, NGOs
and universities in a coordinated way.

Duration: 2 years (01.01.2004 – 31.12.2005)

Overall Budget: 124.000 US$

Project 30:

Project Title: Modernization, Standardization, Enhancement of Air Quality Monitoring
Network and Monitoring with Telemetering System

Project Objective: To monitor air pollution through air pollution measurement stations
permanently and immediately, to increase the parameters that will be measured, to be
modernized air pollution measurement stations to compile data, to monitor all processes with
telemetring system, to inform public of outcomes through electronic billboards and to inform
the international organizations of measurment data correctly.

Duration: 2 years(01.01.2004 – 01.01.2006)

Overall Budget: 1.540.000 US$




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Project 31:

Project Title: Determination of Noise Resulted from Motor Vehicles and Its Drivers in City
Traffic; the Effect of Noise on Human and Environment Health and Measures

Project Objective: To determine noise resulted from motor vehicles and its drivers in city
traffic; to evaluate the determined values on the health of people and society and to decrease
the effect of noise on human helath by making cooperation with relevant institutions.

Duration: -------------

Estimated Budget: 170.000 $

Project 32:

Project Title: Modernization and Development of Air Quality Monitoring System and
Monitoring with Telemetring System Project

Project Objective: To monitor air pollution through air pollution measurement stations
permanently and immediately, to modernize air pollution measurement stations to increase the
parameters that will be measured, to compile data and to monitor all processes with
telemetring system, to inform public of outcomes through electronic billboards and to inform
the international organizations of measurment data correctly.

Duration: 2 years(01.01.2004 – 01.01.2005)

General Budget: 400.000 $

Project 33:

Project Title: Mental Health Training at Primary Health Care Project

Project Objective: To prepare an inventory on primary health care and to apply this training
program and to give training health personnel in health clinic on mental health.

Duration: Mental Health Tarining Programme towards general practician elected from health
clinics in provinces and districts will be carried out between the years 2003 and 2004.

Overall Budget: ------------------

Project 34:

Project Title: Reconfigurement of Mental Health Services at Emergency Situation Project

Project Objective: To decrease the psychological effects of war, refugee immgiration,
earthquake and extraordinary circumstances on people and to be brought life and work
conditions into normal situation.

Duration: ----------------



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Budget: 100.000 $

DEPARTMENT FOR TUBERCULOSIS COMBAT

Project 35:

Project Title: Strenghtening of Laboratories Worked Within the Scope of National
Tuberculosis Control Programme

Project Objective: To provide delivery of services at the recommended levels by WHO in all
laboratories determinded for Treatment Strategy Under Direct Surveillance Within the Scope
of National Tuberculosis Control Programme

Application Area: Department for Tuberculosis Combat, Refik Saydam Hygiene Center,
Tuberculosis Dispensaries, Regional Tuberculosis Laboratories and Laboratories in Breast
Disease Hospitals

Duration: 3 years (1+1+1)

Total Budget: 1.692.000.000.000 Turkish Liras

GENERAL DIRECTORATE OF CURATIVE SERVICES

Project 36:

Project Title: Unification of Public Hospitals

Project Objective: To unite all public institutions in order to deliver the service and to
benefit from services and to unite all public health institutions

Duration: 3 months for 1. Phase
         1 year for 2. Phase

Overall Budget: Studies on the cost of project will be made when the resource is provided.

Project 37:

Project Title: To Achieve Autonomious Structure in the Hospitals

Duration: 1 year (to enact legislation)
          2 years (to pilot practice)

General Budget: Studies on the cost of project will be made when the resource is provided.

Project 38:

Project Title: Central Command of Administration and Control of All Public Hospitals

Duration: approximately 2 years



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Estimated Overall Budget: Studies on the cost of project will be made when the resource is
provided

Project 39:

Project Title: ISO 9001:2000 Quality Management System Practice, Pilot Institutions
Support Project

Duration: 1 year

General Budget: 20 billion Turkish Liras

Project 40:

Project Title: ISO9001: 2000 Quality Management System Implementation Project

Duration: 6-8 months

Estimated Overall Budget: 20 billion Turkish Liras

Project 41:

Project Title: Productivity Resarch on Health Services

Duration: The duration of the project is specified in 2001-2003 Investment Programme

Overall Budget: ---------------

Project 42:

Project Title: Establishment of Turkish Pharmacautic and Medical Devices Institutions

Duration: 2 years

Overall Budget: 5 million $

Project 43:

Project Title: Augmentation of Diabet, Hypertension and Obesity Centers

Duration: 2 years

Overall Budget: 250 billion Turkish Liras

Project 44:

Project Title: Drugs Control Project

Duration: ----------------------



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Overall Budget: 100.000 $

Project 45:

Project Title: Reorganization of Blood Centers

Duration: 2003-2005

Overall Budget: 40.500 $ for one center

Project 46:

Project Title: Enhancement of Service Delivery for the Qualified Service Delivery and
Enhancement of Health Services

Duration: 3 months

Overall Budget: 100 billion Turkish Liras

Project 47:

Project Title: Burn and Therapy Centers Project

Duration: 2 years

Estimated Overall Budget: 770.000 Euro for one center

Project 48:

Project Title: Redevelopment and Capacity Enhancement of Emergency and Intensive Care
Units in Istanbul Hospitals Project

Duration: 2 years

Estimated Overall Budget: 24.9 billion Turkish Liras

Project 49:

Project Title: Projection and Radiotherapy Centers Project

Duration: -------------------

Overall Budget: The project takes place in 2002 Investment Programme

Project 50:

Project Title: Alcohol and Drug Dependence Centers Project
Duration: 2 years

Overall Budget: 50 billion Turkish Liras


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