Issuu on Google+

2020-ÇÝ Àܸ²è²æª к²ðÒ Ð²Þì²ðÎ ²Þʲî²Üøܺð ºì ìÆֲβ¶ðàôÂÚàôÜ Ð²ÚÎ²Î²Ü ²Îܲ´àôÄàôÂÚ²Ü Ü²Ê²¶ÆÌ

COUNTDOWN TOWARDS 2020 ACTIVITIES AND STATISTICS THE ARMENIAN EYECARE PROJECT

ÈáõÛë ѳÛÇ ³ãù»ñÇÝ

bringing sight to armenian eyes


2020-ÇÝ Àܸ²è²æª к²ðÒ Ð²Þì²ðÎ ²Þʲî²Üøܺð ºì ìÆֲβ¶ðàôÂÚàôÜ Ð²ÚÎ²Î²Ü ²Îܲ´àôÄàôÂÚ²Ü Ü²Ê²¶ÌÆ Æð²Î²Ü²òð²Ì ²Þʲî²ÜøºðÀ вڲêî²ÜÆ Ð²Üð²äºîàôÂÚàôÜàôØ ºì ÐÐ ´Ü²ÎâàôÂÚ²Ü ²ÎܲÚÆÜ ²èàÔæàôÂÚ²Ü Æð²ìÆֲβÚÆÜ ìºðÈàôÌàôÂÚàôÜÀ

COUNTDOWN TOWARDS 2020 ACTIVITIES AND STATISTICS ACTIVITIES CARRIED OUT BY THE ARMENIAN EYECARE PROJECT AND THE EYE HEALTH SITUATION ANALYSIS IN THE REPUBLIC OF ARMENIA êáõÛÝ Ññ³ï³ñ³ÏáõÃÛáõÝÁ Ñݳñ³íáñ ¿ ¹³ñÓ»É ²Ù»ñÇÏÛ³Ý ÅáÕáíñ¹Ç ³ç³ÏóáõÃÛ³Ùμª ²ØÜ ØÇç³½·³ÛÇÝ ½³ñ·³óÙ³Ý ·áñͳϳÉáõÃÛ³Ý (²ØÜ Ø¼¶) ¨ гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ (вÜ) ÙÇçáóáí: Ðñ³ï³ñ³ÏáõÃÛáõÝáõÙ ³ñï³Ñ³Ûïí³Í ï»ë³Ï»ïÝ»ñÁ å³ïϳÝáõÙ »Ý Ñ»ÕÇݳÏÝ»ñÇÝ, ¨ Ñݳñ³íáñ ¿, áñ ãѳÙÁÝÏÝ»Ý ²ØÜ Ø¼¶ ϳ٠²ØÜ Î³é³í³ñáõÃÛ³Ý ï»ë³Ï»ïÝ»ñÇ Ñ»ï: This publication was made possible with the support of the American People through the U.S. Agency for International Development (USAID) and the Armenian EyeCare Project (AECP). The contents of this publication are the sole responsibility of the authors and do not necessarily reflect the views of USAID or the U.S. Government.

ºðºì²Ü YEREVAN гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÇÍ The Armenian EyeCare Project

2010


Ðî¸ 617.7:31 ¶Øä 56.7+60.6 º899

лÕÇݳϳÛÇÝ ËáõÙμ ܳÇñáõÑÇ æñμ³ßÛ³Ý èáç»ñ úѳݻëÛ³Ý ²É»ùë³Ý¹ñ Ø³É³Û³Ý ÜáõÝ» ºÕdz½³ñÛ³Ý ì³ñí³ñ³ ø³É³ßÛ³Ý

îíÛ³ÉÝ»ñÇ í»ñÉáõÍáõÃÛáõÝÁª ܳÇñáõÑÇ æñμ³ßÛ³ÝÇ Ò¨³íáñáõÙÁª ØÇݳë гÙμ³ñÓáõÙÛ³ÝÇ

Group of Authors Author Nairuhi Jrbashyan Roger Ohanesian Alexander Malayan Nune Yeghiazaryan Varvara Kalashyan

Data Analysis by Nairuhi Jrbashyan Design by Minas Hambardzumyan

º899 §2020-ÇÝ Àܸ²è²æª к²ðÒ Ð²Þì²ðÎ ²Þʲî²Üøܺð ºì ìÆֲβ¶ðàôÂÚàôܦ/ ܳÇñáõÑÇ æñμ³ßÛ³Ý, èáç»ñ úѳݻëÛ³Ý, ²É»ùë³Ý¹ñ سɳ۳Ý, ÜáõÝ» ºÕdz½³ñÛ³Ý, ì³ñí³ñ³ ø³É³ßÛ³Ý/: §Ð³ÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·Çͦ ´³ñ»·áñÍ³Ï³Ý ÑÇÙݳ¹ñ³Ù, 2010 Ã., 118 ¿ç

Ü»ñϳ۳óíáÕ ÝÛáõÃÁ Ýϳñ³·ñáõÙ ¿ вÜ-Ç ÏáÕÙÇó ÐÐ-áõÙ Çñ³Ï³Ý³óí³Í ³ß˳ï³ÝùÝ»ñÁ ¨ »ñÏñÇ μݳÏãáõÃÛ³ÝÁ ïñ³Ù³¹ñí³Í ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÁ: ØǨÝáõÛÝ Å³Ù³Ý³Ï, ÝÛáõÃÁ å³ñáõݳÏáõÙ ¿ ÐÐ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý áõ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý ·Çï³Ï³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñ, áñáÝù áñáßáõÙ ÁݹáõÝáÕÝ»ñÇÝ Ñݳñ³íáñáõÃÛáõÝ Ïï³Ý ·Ý³Ñ³ï»É ÇÝãå»ë μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý íÇ׳ÏÁ, ³ÛÝå»ë ¿É ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ å³Ñ³Ýç³ñÏÁ »ñÏñáõÙ: This pubication presents the activities carried out by the Armenian EyeCare Project (AECP) in Armenia and services provided to the population. At the same time, it presents the estimates of main indicators of eye health and incidence of main eye diseases in Armenia. These indicators will serve as a basis for policy makers to analyze the eye health situation and estimate the demand of eye care services in the country. ISBN 978-99941-2-463-3

Ðî¸ 617.7:31 ¶Øä 56.7+60.6 º899

Copyright 2010 гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÇÍ, The Armenian EyeCare Project îå³ù³Ý³ÏÁ, Print Run - 500 Ðñ³ï³ñ³ÏÇã, Printed by §ì¾È²ê öñÇÝæ êäÀ, Velas Print Ltd.

4


5

´àì²Ü¸²ÎàôÂÚàôÜ Üºð²ÌàôÂÚàôÜ................................................................................................... 66 1. вÚÎ²Î²Ü ²Îܲ´àôÄàôÂÚ²Ü Ü²Ê²¶ÆÌ Ìð²¶ðÆ Üä²î²ÎÜ àô ܺðβÚÆê Üì²ÖàôØܺðÀ.................................................................................. 88 1.1. Ìð²¶ðÆ Üä²î²ÎÀ, ¾àôÂÚàôÜÀ ºì ¶àðÌÀÜκðܺðÀ............................. 88 1.2. Ìð²¶ðÆ ÐÆØÜ²Î²Ü Üì²ÖàôØܺðÀ............................................................. 99 2. вÜ-Æ §ÈàôÚê вÚÆ ²âøºðÆܦ ܲʲҺèÜàôÂÚàôÜÀ, ¸ð² ´²Ô²¸ðÆâܺðÜ àô ²ð¸ÚàôÜøܺðÀ........................................................... 10 10 2.1. ܲʲҺèÜàôÂÚ²Ü ¾àôÂÚàôÜÜ àô ÐÆØÜ²Î²Ü ²ð¸ÚàôÜøܺðÀ................ 10 10 2.2. ܲʲҺèÜàôÂÚ²Ü ´²Ô²¸ðÆâܺðÆ ÀܸвÜàôð Üβð²¶ÆðÀ................. 12 12 - ´Ý³ÏãáõÃÛ³Ý ³ÏݳÛÇÝ É³Ûݳï³ñ³Í ½ÝÝáõÙÝ»ñ ¨ μáõÅû·ÝáõÃÛáõÝ............... 12 12 - îíÛ³ÉÝ»ñÇ í»ñÉáõÍáõÃÛáõÝ ¨ ·Çï³·áñÍÝ³Ï³Ý ³ß˳ï³ÝùÝ»ñ.................... 12 12 - ´ÅßÏ³Ï³Ý áõëáõóáõÙ ¨ í»ñ³å³ïñ³ëïáõÙ.................................................... 14 13 - гÝñ³ÛÇÝ áõëáõóáõÙ......................................................................................... 14 14 - γñáÕáõÃÛáõÝÝ»ñÇ ½³ñ·³óáõÙ........................................................................ 15 15 3. 2003-2009 ÃÃ. ÐÐ ´Ü²ÎâàôÂÚ²ÜÀ вÜ-Ç Ø²îàôò²Ì ²Îܲ´àôÄ²Î²Ü Ì²è²ÚàôÂÚàôÜܺðÆ êºÔØ Üβð²¶ÆðÀ............................................................ 20 20 3.1. 2003-2009 ÃÃ. ºðºø Þðæ²ÚòºðÆ ÀܲòøàôØ Ð²Ü-Æ îð²Ø²¸ð²Ì ²Îܲ´àôÄ²Î²Ü Ì²è²ÚàôÂÚàôÜܺðÆ ²Øöàö Üβð²¶ÆðÀ.............................20 20 3.2. 2007-2009 ÃÃ. вÜ-Ç ºððàð¸ Þðæ²ÚòÆ ÀܲòøàôØ Æð²Î²Ü²òì²Ì ²Þʲî²ÜøܺðÆ êºÔØ Üβð²¶ÆðÀ....................................................................25 25 4. вÜ-Ç îìÚ²ÈܺðÆ ÞîºØ²ð²ÜÆ ìºðÈàôÌàôÂÚ²Ü ²ð¸ÚàôÜøܺðÆ ²ØöàöàôØÀ.............................................................................. 27 27 4.1. вÜ-Ç ÎàÔØÆò ¼ÜÜì²Ì ´Ü²ÎâàôÂÚ²Ü ²ÎܲÚÆÜ ²èàÔæàôÂÚ²Ü Ø²êÆÜ îìÚ²ÈܺðÆ Ð²ì²øØ²Ü àô ØÞ²ÎØ²Ü ØºÂา´²ÜàôÂÚàôÜÀ.............. 27 4.2. вÜ-Ç 2003-2009 ÃÃ. ºðºø Þðæ²ÚòºðÆ ÀܲòøàôØ ÐÐ ´Ü²ÎâàôÂÚ²Ü Þðæ²ÜàôØ ¶ð²Üòì²Ì ²ÎܲÚÆÜ ÐÆì²Ü¸àôÂÚàôÜܺðÀ.................................. 29 29 4.3. ÐÐ ´Ü²ÎâàôÂÚ²Ü Þðæ²ÜàôØ ²ÎܲÚÆÜ ÐÆì²Ü¸àôÂÚàôÜܺðÆ î²ð²Ìì²ÌàôÂÚ²Ü ¶Ü²Ð²î²Î²ÜܺðÀ` Àêî вÜ-Ç îìÚ²ÈܺðÆ.................... 34 34 5. 2003-2009 ÃÃ. вÜ-Ç ºðºø Þðæ²ÚòܺðÆ ÀܲòøàôØ ÐÐ ´Ü²ÎâàôÂÚ²ÜÀ îð²Ø²¸ð²Ì ²Îܲ´àôÄ²Î²Ü Ì²è²ÚàôÂÚàôÜܺðÀ` زð¼²ÚÆÜ Îîðì²Ìàì......................................................................................... 39 39 5.1. ²ð²¶²ÌàîÜÆ Ø²ð¼....................................................................................... 39 39 5.2. ²ð²ð²îÆ Ø²ð¼............................................................................................. 41 41 5.3. ²ðزìÆðÆ Ø²ð¼........................................................................................... 42 42 5.4. Îàî²ÚøÆ Ø²ð¼..............................................................................................43 43 5.5. Èàèàô زð¼ ................................................................................................... 44 44 5.6. ÞÆð²ÎÆ Ø²ð¼.................................................................................................45 45 5.7. êÚàôÜÆøÆ Ø²ð¼............................................................................................ 46 46 5.8. î²ìàôÞÆ Ø²ð¼.............................................................................................. 47 47 5.9. ì²Úàò ÒàðÆ Ø²ð¼....................................................................................... 48 48 вìºÈì²Ìܺð....................................................................................................... 50 50

ENGLISH VERSION OF THE BROCHURE................................................................................65 65


ܺð²ÌàôÂÚàôÜ ÎáõñáõÃÛ³Ý å³ï׳é³Í ó³íÝ áõ ï³é³å³ÝùÁ ³ÝÝϳñ³·ñ»ÉÇ ¿, ÇëÏ ï»ëáÕáõÃÛ³Ý í»ñ³Ï³Ý·ÝáõÙÁ` ³Ý·Ý³Ñ³ï»ÉÇ: î»ëáÕáõÃÛ³Ý Ë³Ý·³ñáõÙÝ»ñÝ ÇÝãå»ë ³ÙμáÕç ³ß˳ñÑáõÙ, ³ÛÝå»ë ¿É г۳ëï³Ýáõ٠ѳٳñíáõÙ »Ý ѳÝñ³ÛÇÝ ³éáÕçáõÃÛ³ÝÁ ëå³éݳóáÕ ËݹÇñ: ´Ý³ÏãáõÃÛ³Ý ÙÇ ½·³ÉÇ Ù³ëÁ, ѳïϳå»ë 50 ï³ñ»Ï³ÝÇó μ³ñÓñ ³ÝÓÇÝù, ·ïÝíáõÙ »Ý ÏáõñáõÃÛ³Ý éÇëϳÛÇÝ ËÙμáõÙ: §ìÇÅÁÝ-2020¦-Á ²éáÕç³å³ÑáõÃÛ³Ý Ñ³Ù³ß˳ñѳÛÇÝ Ï³½Ù³Ï»ñåáõÃÛ³Ý (²ÐÎ) ¨ ÎáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ÙÇç³½·³ÛÇÝ ·áñͳϳÉáõÃÛ³Ý (International Agency for the Prevention of Blindness /IAPB) ѳٳï»Õ ݳ˳ӻéÝáõÃÛáõÝÝ ¿: ²ÛÝ ÙÇÝ㨠2020 Ãí³Ï³ÝÁ ³ÙμáÕç ³ß˳ñÑáõÙ ³í»ÉÇ ù³Ý 100 ÙÇÉÇáÝ Ù³ñ¹Ï³Ýó ÏáõñáõÃÛáõÝÁ ϳÝ˳ñ·»É»Éáõ ³í»ÉÇ ³ÏïÇí ·áñÍáÕáõÃÛáõÝÝ»ñÇ Ïáã ¿ ³ÝáõÙ: ܳ˳ӻéÝáõÃÛ³Ý ßñç³Ý³ÏáõÙ 1999 Ãí³Ï³ÝÇó Ç í»ñ ³Ù»Ý ï³ñÇ ³ÙμáÕç ³ß˳ñÑáõÙ ÝßíáõÙ ¿ î»ëáÕáõÃ³Ý Ñ³Ù³ß˳ñѳÛÇÝ ûñÁ, áñÇ Ýå³ï³ÏÝ ¿ μ³ñÓñ³Ó³ÛÝ»É ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ áõÝ»óáÕÝ»ñÇ ËݹÇñÝ»ñÁ ¨ Ù»Ï ³Ý·³Ù ¨ë ÑÇß»óÝ»É í»ñçÇÝÝ»ñÇë ÝϳïÙ³Ùμ ï³ñμ»ñ »ñÏñÝ»ñáõÙ ëï³ÝÓÝ³Í å³ñï³íáñáõÃÛáõÝÝ»ñÇ Ù³ëÇÝ: ²Ûë ï³ñÇ §ìÇÅÁÝ-2020¦-Á î»ëáÕáõÃ³Ý Ñ³Ù³ß˳ñѳÛÇÝ ûñÁ ÝßáõÙ ¿ §2020-ÇÝ Áݹ³é³çª ѻﳹ³ñÓ Ñ³ßí³ñϦ Ëáñ³·ñáí: ì»ñçÇÝë ³é³ç³ñÏáõÙ ¿ ³Ù÷á÷»É ³Û¹ áÉáñïÇ ·áñÍáÕáõÃÛáõÝÝ»ñÁ ¨ Ýí³×áõÙÝ»ñÁ, ˻ɳÙïáñ»Ý åɳݳíáñ»É ³å³·³ ù³ÛÉ»ñÁ ÙÇÝ㨠2020 Ãí³Ï³ÝÁª Ý»ñ³éÛ³É ÎáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ³½·³ÛÇÝ Íñ³·ñ»ñÇ ·áñÍáÕáõÃÛáõÝÝ»ñÁ: гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÇÍÁ (вÜ) Ù»ÏÝ ¿ ³ÛÝ Ï³½Ù³Ï»ñåáõÃÛáõÝÝ»ñÇó, áñÁ г۳ëï³ÝáõÙ ³ÏݳμáõÅáõÃÛ³Ý áÉáñïáõ٠ɳÛݳͳí³É ³ß˳ï³ÝùÝ»ñ ¿ Çñ³Ï³Ý³óÝáõÙ: вÜ-Ç ³é³ù»ÉáõÃÛáõÝÝ ¿ ϳÝ˳ñ·»É»É Ó»éùμ»ñáíÇ ÏáõñáõÃÛáõÝÁ г۳ëï³ÝáõÙ ¨ ѳë³Ý»ÉÇ ¹³ñÓÝ»É 21-ñ¹ ¹³ñÇ ³ÏݳμáõÅáõÃÛáõÝÁ Ûáõñ³ù³ÝãÛáõñ ѳÛÇÝ: Æñ ³é³ù»ÉáõÃÛ³ÝÝ áõ §ìÇÅÁÝ-2020¦-Ç ³é³çݳѻñÃáõÃÛáõÝÝ»ñÇÝ Ñ³Ù³ÑáõÝ㪠вÜ-Á ѳ×áõÛùáí ÝßáõÙ ¿ 2010 Ã. î»ëáÕáõÃ³Ý Ñ³Ù³ß˳ñѳÛÇÝ ûñÁ` Ý»ñϳ۳óÝ»Éáí §2020-ÇÝ Àܸ²è²æª к²ðÒ Ð²Þì²ðÎ, ²Þʲî²Üøܺð ºì ìÆֲβ¶ðàôÂÚàôܦ Ëáñ³·ñáí Çñ í»ñÉáõÍ³Ï³Ý ½»ÏáõÛóÁ, áñÁ Ññ³ï³ñ³Ïí»É ¿ ÐÐ ²éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñáõÃÛ³Ý ¨ ²ØÜ ØÇç³½·³ÛÇÝ ¼³ñ·³óÙ³Ý ¶áñͳϳÉáõÃÛ³Ý Ñ³Ù³·áñͳÏóáõÃÛ³Ùμ: 6


7 êáõÛÝ Ññ³å³ñ³ÏáõÙÝ Çñ μÝáõÛÃáí Ñ»ï¨áõÙ ¿ î»ëáÕáõÃ³Ý Ñ³Ù³ß˳ñѳÛÇÝ ûñí³ 2010Ã. Ëáñ³·ñÇÝ: ²ÛÝ ³Ù÷á÷áõÙ ¿ 1992 Ãí³Ï³ÝÇó Ç í»ñ г۳ëï³Ýáõ٠вÜ-Ç Çñ³Ï³Ý³óñ³Í ³ß˳ï³ÝùÝ»ñÁ, ³Ý¹ñ³¹³éÝáõÙ ¿ вÜ-Ç ÑÇÙÝ³Ï³Ý Ý³Ë³Ó»éÝáõÃÛáõÝÝ»ñÇÝ áõ Ýí³×áõÙÝ»ñÇÝ ¨ Ý»ñϳ۳óÝáõÙ ¿ ÐÐ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛáõÝÝ áõ »ñÏñáõÙ ³ÏݳÛÇÝ Í³é³ÛáõÃÛáõÝÝ»ñÇ å³Ñ³Ýç³ñÏÁ ·Ý³Ñ³ï»Éáõ вÜ-Ç ·Çï³Ñ»ï³½áï³Ï³Ý ³ß˳ï³ÝùÇ ÷áñÓÁ: Æ ÉñáõÙÝ, ѻ層Éáí î»ëáÕáõÃ³Ý Ñ³Ù³ß˳ñѳÛÇÝ ûñí³ Ã»Ù³ïÇÏ ïñ³Ù³μ³ÝáõÃÛ³ÝÁ, ½»ÏáõÛóÁ Ý»ñϳ۳óÝáõÙ ¿ ݳ¨ ÐÐ-áõÙ ÎáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ³½·³ÛÇÝ Íñ³·ñÇ Çñ³Ï³Ý³óÙ³Ý ³ñ¹ÛáõÝùÝ»ñÁ, ÇÝãå»ë ݳ¨ вÜ-Ç Ý»ñ¹ñáõÙÝ ³Û¹ é³½Ù³í³ñáõÃÛ³Ý Ýå³ï³ÏÝ»ñÇÝ Ñ³ëÝ»Éáõ ·áñÍáõÙ (ï»ë` ѳí»Éí³Í 2-áõÙ Ý»ñϳ۳óí³Í ÝÛáõÃÁ, áñÁ ïñ³Ù³¹ñí»É ¿ ÐÐ ²éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñáõÃÛ³Ý ÏáÕÙÇó): îå³íáñÇã ³ñ¹ÛáõÝùÝ»ñ »Ý ·ñ³Ýóí»É вÜ-Ç §ÈáõÛë ѳÛÇ ³ãù»ñÇݦ Íñ³·ñÇ, ²ØÜ ØÇç³½·³ÛÇÝ ¼³ñ·³óÙ³Ý ¶áñͳϳÉáõÃÛ³Ý ¨ вÜ-Ç §²é³çݳÛÇÝ ¨ ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ ¹³ßÇÝù¦ Íñ³·ñÇ Ñ³Ù³Ï³ñ·í³Í ³ß˳ï³ÝùÝ»ñÇ ¨ μ³½Ù³ÃÇí ·áñÍÁÝÏ»ñ-¹áÝáñÝ»ñÇ ßÝáñÑÇí: îíÛ³É í»ñÉáõÍ³Ï³Ý íÇ׳ϳ·ñáõÃÛáõÝÁ μ³ó³éÇÏ ¿ г۳ëï³ÝÇ Ñ³Ù³ñ: ºñϳñ ï³ñÇÝ»ñ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇÝ í»ñ³μ»ñáÕ Ñ³Ù³å³ñ÷³Ï ï»Õ»Ï³ïíáõÃÛáõÝÁ ËÇëï ë³Ñٳݳ÷³Ï ¿ »Õ»É: ¼»ÏáõÛóÇ í»ñÉáõÍ³Ï³Ý Ù³ëáõÙ ½»ï»Õí³Í »Ý вÜ-Ç ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ` г۳ëï³ÝáõÙ ÏáõÛñ áõ ÃáõÛÉ ï»ëáÕáõÃÛ³Ùμ μݳÏãáõÃÛ³Ý Ý»ñϳ۳óí³ÍáõÃÛ³Ý, ÏáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ÑÇÙÝ³Ï³Ý ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý, ϳï³ñ³ÏïÇ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÇ Í³ÍÏáõÛÃÇ í»ñ³μ»ñÛ³É: ´»ñí³Í ¿ ݳ¨ ³ÏݳÛÇÝ Ëáó»ÉÇáõÃÛ³Ý Ñ³Ù³ÃÇíÁ` 50-Çó μ³ñÓñ ï³ñÇùÇ μݳÏãáõÃÛ³Ý Ñ³Ù³ñ: Üßí³Í ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ ѳßí³ñÏí»É »Ý ³é³çÇÝ ³Ý·³Ù ÇÝãå»ë »ñÏñÇ, ³ÛÝå»ë ¿É Ýñ³ Ù³ñ½»ñÇ Ïïñí³Íùáí: Ø»Ýù ÑáõÛë áõÝ»Ýù, áñ ³Ûë ³ß˳ï³ÝùÁ Ïû·ÝÇ áñáßáõÙ ÁݹáõÝáÕÝ»ñÇÝ, ·ÇïݳϳÝÝ»ñÇÝ ¨ ÏÇñ³é³Ï³Ý áÉáñïáõÙ ½μ³Õí³Í Ù³ëݳ·»ïÝ»ñÇÝ` û° Ï»ÝïñáÝ³Ï³Ý ¨ û° Ù³ñ½³ÛÇÝ Ù³Ï³ñ¹³ÏÝ»ñáõÙ ³ÏݳÛÇÝ Í³é³ÛáõÃÛáõÝÝ»ñÇ åɳݳíáñÙ³Ý ¨ Çñ³Ï³Ý³óÙ³Ý ·áñÍáõÙ: лÕÇݳÏÝ»ñÁ ³ç³ÏóáõÃÛ��Ý Ñ³Ù³ñ ßÝáñѳϳÉáõÃÛáõÝ »Ý ѳÛïÝáõÙ Çñ»Ýó ·áñÍÁÝÏ»ñÝ»ñÇÝ, вÜ-Ç ³ÝÓݳϳ½ÙÇÝ ¨ μÅßÏ³Ï³Ý ËÙμ»ñÇÝ, áñáÝù áñ¨¿ Ï»ñå Ù³ëݳÏó»É »Ý ³Ûë ³ß˳ïáõÃÛ³Ý å³ïñ³ëïÙ³ÝÁ:


1. §Ð²ÚÎ²Î²Ü ²Îܲ´àôÄàôÂÚ²Ü Ü²Ê²¶Æ̦ Ìð²¶ðÆ Üä²î²ÎÜ àô ܺðβÚÆê Üì²ÖàôØܺðÀ 1.1.

Ìð²¶ðÆ Üä²î²ÎÀ, ¾àôÂÚàôÜÀ ºì ¶àðÌÀÜκðܺðÀ

гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÇÍÁ (³ÛëáõÑ»ï` вÜ) μ³ñ»·áñÍ³Ï³Ý Ï³½Ù³Ï»ñåáõÃÛáõÝ ¿, áñ 1992 Ã. ²ØÜ-áõÙ ÑÇÙݳ¹ñ»É ¿ ³Ù»ñÇÏ³Ñ³Û ³ÏݳμáõÛÅ èáç»ñ úѳݻëÛ³ÝÁ: γ½Ù³Ï»ñåáõÃÛ³Ý ³é³ù»ÉáõÃÛáõÝÝ ¿ ϳÝ˳ñ·»É»É г۳ëï³ÝáõÙ Ó»éùμ»ñáíÇ ÏáõñáõÃÛáõÝÁ: ²Û¹ Ýå³ï³Ïáí Çñ»Ýó ÷áñÓÁ ѳÕáñ¹»Éáõ ¨ ÑÇí³Ý¹Ý»ñÇÝ μáõÅ»Éáõ ³é³ù»ÉáõÃÛ³Ùμ ²ØÜ-Çó г۳ëï³Ý »Ý ³Ûó»É»É μ³½Ù³ÃÇí μ³ñÓñ³Ï³ñ· ³ÏݳμáõÛÅÝ»ñ: ê÷ÛáõéùÇ Ù»ñ ѳÛñ»Ý³ÏÇóÝ»ñÇ ¨ ³ÛÉ Ñ³Ý·³Ý³ÏáõÃÛáõÝÝ»ñÇ ßÝáñÑÇí г۳ëï³Ý »Ý μ»ñí»É μ³½Ù³ÃÇí óÝϳñÅ»ù ³ÏݳμáõÅ³Ï³Ý μáõÅå³ñ³·³Ý»ñ, ë³ñù³íáñáõÙÝ»ñ ¨ ¹»Õáñ³Ûù: вÜ-Ý Çñ ³é³ù»ÉáõÃÛáõÝÁ ÐÐ-áõÙ Çñ³Ï³Ý³óÝáõÙ ¿ »ñÏñáõÙ áõ ¹ñ³ÝÇó ¹áõñë ·ïÝíáÕ Çñ ·áñÍÁÝÏ»ñÝ»ñÇ Ñ»ï ë»ñï ѳٳ·áñͳÏóáõÃÛ³Ùμ: вÜ-Ç ÑÇÙÝ³Ï³Ý ·áñÍÁÝÏ»ñÝ»ñÝ »Ý` - ÐÐ ³éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñáõÃÛáõÝÁ, - ÐÐ ³ß˳ï³ÝùÇ ¨ ëáóÇ³É³Ï³Ý Ñ³ñó»ñÇ Ý³Ë³ñ³ñáõÃÛáõÝÁ, - ÐÐ μáÉáñ Ù³ñ½»ñÇ Ù³ñ½å»ï³ñ³ÝÝ»ñÁ, ºñ¨³ÝÇ ù³Õ³ù³å»ï³ñ³ÝÁ, ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝù³å»ï³ñ³ÝÝ»ñÁ - ê. سɳ۳ÝÇ ³Ýí³Ý ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÁ, - ø³Ý³ù»é-¼»ÛÃáõÝ μÅßÏ³Ï³Ý Ï»ÝïñáÝÁ, - ºñ¨³ÝÇ å»ï³Ï³Ý μÅßÏ³Ï³Ý Ñ³Ù³Éë³ñ³ÝÇ ÃÇí 1 ÐÎÐ ³ÏݳμáõÅ³Ï³Ý ÏÉÇÝÇϳÝ, - سñ½³ÛÇÝ μÅßÏ³Ï³Ý Ï»ÝïñáÝÝ»ñÁ, ³éáÕçáõÃÛ³Ý Ï»ÝïñáÝÝ»ñÝ áõ ´ØÎ-Ý»ñÁ, - ²ØÜ ØÇç³½·³ÛÇÝ ½³ñ·³óÙ³Ý ·áñͳϳÉáõÃÛáõÝÁ (²ØÜ Ø¼¶) ¨ ѳñ³ÏÇó ³éáÕç³å³Ñ³Ï³Ý ¨ ÏñÃ³Ï³Ý Íñ³·ñ»ñ, - ´³½Ù³ÃÇí ϳ½Ù³Ï»ñåáõÃÛáõÝÝ»ñ áõ ³ÝѳïÝ»ñ ê÷ÛáõéùáõÙ, - ØÇ ß³ñù »ñÏñÝ»ñÇ ¹»ëå³ÝáõÃÛáõÝÝ»ñ, - ´³½Ù³ÃÇí ѳë³ñ³Ï³Ï³Ý ¨ ÙÇç³½·³ÛÇÝ Ï³½Ù³Ï»ñåáõÃÛáõÝÝ»ñ: вÜ-Ç ·áñÍáõÝ»áõÃÛáõÝÁ ٻͳå»ë Ýå³ëï»É ¿ г۳ëï³ÝáõÙ §ÎáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý é³½Ù³í³ñ³Ï³Ý Íñ³·ñǦ Çñ³Ï³Ý³óÙ³ÝÁ: (î»°ë ѳí»Éí³Í 2, ÐРϳé³í³ñáõÃÛ³Ý 02/11/2006 Ãí³Ï³ÝÇ N-43-Ü áñáßÙ³Ý Ï³ï³ñÙ³Ý í»ñ³μ»ñÛ³É ï»Õ»Ï³ÝùÁ:) 8


9

1.2.

Ìð²¶ðÆ ÐÆØÜ²Î²Ü Üì²ÖàôØܺðÀ

г۳ëï³ÝáõÙ Çñ ·áñÍáõÝ»áõÃÛ³Ý ³ÙμáÕç ÁÝóóùáõÙ (ëÏë³Í 1992 Ãí³Ï³ÝÇó) вÜ-Á ß³ñáõݳϳμ³ñ ɳÛÝ ·áñÍáõÝ»áõÃÛáõÝ ¿ ͳí³É»É, áñÇ ÑÇÙÝ³Ï³Ý Ýí³×áõÙÝ»ñÁ Ãí³ñÏí³Í »Ý ëïáñ¨. - γ½Ù³Ï»ñåí»É ¿ 33 μÅßÏ³Ï³Ý ³é³ù»ÉáõÃÛáõÝ ²ØÜ-Çó г۳ëï³Ý. 55 ³ÏݳμáõÛÅÝ»ñ ²ØÜ-Çó Çñ»Ýó ÙÇçáóÝ»ñáí ³Ûó»É»É »Ý г۳ëï³Ý` Çñ»Ýó ÷áñÓÁ ÷á˳Ýó»Éáõ г۳ëï³ÝÇ ³ÏݳμáõÛÅÝ»ñÇÝ ¨ μáõÅ»Éáõ ÑÇí³Ý¹Ý»ñÇÝ: - îñ³Ù³¹ñí»É »Ý ³í»ÉÇ ù³Ý 18,5 ÙÇÉÇáÝ ²ØÜ ¹áɳñ ³ñÅáÕáõÃÛ³Ùμ ³ÏݳμáõÅ³Ï³Ý ë³ñù³íáñáõÙ ¨ μáõÅå³ñ³·³Ý»ñ ³Ù»ñÇÏÛ³Ý ¹»Õ³·áñÍ³Ï³Ý áõ μÅßÏ³Ï³Ý ë³ñù³íáñáõÙÝ»ñ ³ñï³¹ñáÕ Ï³½Ù³Ï»ñåáõÃÛáõÝÝ»ñÇ ¨ ³ÝѳïÝ»ñÇ ÏáÕÙÇó: - Øß³Ïí»É »Ý ³ñ¨ÙïÛ³Ý ³ÏݳμáõÅáõÃÛ³Ý ã³÷³ÝÇßÝ»ñÇÝ Ñ³Ù³å³ï³ë˳ÝáÕ Ñ»ï¹ÇåÉáÙ³ÛÇÝ áõëáõÙÝ³Ï³Ý Íñ³·ñ»ñ ¨ Ù»Ãá¹Ý»ñ: ÆÝãå»ë ݳ¨ Ñ»ÕÇݳÏí»É ¨ ïå³·ñí»É »Ý §²ãùÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ¦ (2005 Ã.) ¨ §²ÏݳμáõÅáõÃÛ³Ý ÁÝïñ³ÝǦ (2007 Ã.) áõëáõÙÝ³Ï³Ý Ó»éݳñÏÝ»ñÝ ³é³çݳÛÇÝ ûÕ³ÏÇ μáõųß˳ïáÕÝ»ñÇ ¨ ³ÏݳμáõÛÅÝ»ñÇ Ñ³Ù³ñ: - Øß³Ïí»É ¨ 1998 Ã. ÷»ïñí³ñÇÝ ÐРϳé³í³ñáõÃÛ³ÝÝ ¿ Ý»ñϳ۳óí»É ²ãùÇ μ³ÝÏÇ í»ñ³μ»ñÛ³É ûñ»Ýë¹ñáõÃÛáõÝ: - üÇݳÝë³íáñí»É ¿ 8 Ñ³Û ³ÏݳμáõÛÅÇ Ù³ëݳ·Çï³Ï³Ý í»ñ³å³ïñ³ëïáõÙÁ, ÇÝãå»ë ݳ¨` 3 ¹Çïáñ¹³Ï³Ý ³é³ù»ÉáõÃÛáõÝ ²ØÜáõÙ: - üÇݳÝë³íáñí»É ¨ ³Ýóϳóí»É ¿ ºñ¨³ÝáõÙ 11 ÙÇç³½·³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ñ³Ù³ÅáÕáí: - üÇݳÝë³íáñí»É ¿ íÇñ³Ñ³ï³Ï³Ý ѳïáõÏ ÙÇç³ÙïáõÃÛáõÝ å³Ñ³ÝçáÕ 15 ÑÇí³Ý¹Ç μáõÅáõÙÝ ²ØÜ-áõÙ: - ê. سɳ۳ÝÇ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝáõÙ ë³ñù³íáñáõÙÝ»ñáí ³å³Ñáíí»É ¨ ѳٳÉñí»É ¿ ÑÇÝ· Ù³ëݳ·Çï³óí³Í μ³Å³ÝÙáõÝù ` - íÇïñ»á-é»ïÇݳÉ, 1998 Ã. - ·É³áõÏáÙ³ÛÇ, 2000 Ã. - »Õçñ³Ã³Õ³ÝÃÇ ¨ áõí»ÇïÇ, 2001 Ã. - ÝÛ³ñ¹³-³ÏݳμáõÅáõÃÛ³Ý ¨ ûñμÇï³É íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÇ, 2004 Ã. - ³ãùÇ μ³ÝÏ, 2005 Ã. - 2002 Ã. ³Ù»ñÇÏÛ³Ý Ñ³Ý·³Ý³ÏáõÃÛáõÝÝ»ñÇ ßÝáñÑÇí ëï»ÕÍí»É ¨ г۳ëï³Ý ¿ μ»ñí»É ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ (³ÛëáõÑ»ï` ²ÞÐ), áñÝ ³Ýí׳ñ ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñ Ù³ïáõó»Éáõ Ýå³ï³Ïáí ßñçáõÙ ¿ г۳ëï³ÝÇ Ù³ñ½»ñáõÙ: - 2003 Ã. ÑáõÝÇëÇÝ Ð³Û³ëï³ÝÇ áÕç ï³ñ³ÍùáõÙ Ù»ÏݳñÏ»É ¿ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñÇ, Ëáñ³óí³Í ѻﳽáïáõÃÛáõÝÝ»ñÇ


¨ μáõÅû·ÝáõÃÛ³Ý Ñ³Ù³å³ñ÷³Ï Íñ³·ÇñÁ: ²é ³Ûëûñ вÜ-Ç μÅßÏ³Ï³Ý ËÙμ»ñÁ ¨ ²ÞÐ-Ý Ï³ï³ñ»É »Ý »ñ»ù ßñç³Ûó г۳ëï³ÝÇ Ù³ñ½»ñáõÙ: - 2005 Ã. г۳ëï³ÝÇ áÕç ï³ñ³ÍùáõÙ Ù»ÏݳñÏ»É ¿ ѳÝñ³ÛÇÝ áõëáõóÙ³Ý ¨ Çñ³½»ÏÙ³Ý Íñ³·ÇñÁ: îå³·ñí»É ¨ ï³ñ³Íí»É ¿ 12 ³ÝáõÝ (600 ѳ½. ûñÇݳÏ) ï»Õ»Ï³ïáõ ·ñùáõÛÏ ³ãùÇ ËݳÙùÇ, ³Ýíï³Ý·áõÃÛ³Ý ¨ »ñ»Ë³Ý»ñÇ áõ ٻͳѳë³ÏÝ»ñÇ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ í»ñ³μ»ñÛ³É: - 2006 Ã. Ù³ÛÇëÇÝ, سɳ۳ÝÇ ³Ýí³Ý ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÇ ¨ ²ØÜ ØÇç³½·³ÛÇÝ ½³ñ·³óÙ³Ý ·áñͳϳÉáõÃÛ³Ý Ñ³Ù³·áñͳÏóáõÃÛ³Ùμ, ÑÇÙݳ¹ñí»É ¨ ë³ñù³íáñáõÙÝ»ñáí ³å³Ñáíí»É ¿ àõëáõóÙ³Ý ¨ ³ËïáñáßÙ³Ý Ï»ÝïñáÝÁ: - 2006 Ã. ø³Ý³ù»é-¼»ÛÃáõÝ μÅßÏ³Ï³Ý Ï»ÝïñáÝáõÙ ÑÇÙݳ¹ñí»É ¿ ó³Íñ ï»ëáÕáõÃÛ³Ý μ³Å³ÝÙáõÝùÁ: - 2007 Ã. §öý³Û½»ñ¦ ÁÝÏ»ñáõÃÛ³Ý ÝíÇñ³ïíáõÃÛ³Ý ßÝáñÑÇí г۳ëï³Ý ¿ Ý»ñÙáõÍí»É íÇñ³Ñ³ï³Ï³Ý ÑÙïáõÃÛáõÝÝ»ñÇ ½³ñ·³óÙ³Ý É³μáñ³ïáñÇ³Ý (Wet Lab), áñÁ ͳé³ÛáõÙ ¿ ³ÏݳμáõÛÅÝ»ñÇ ¨ áõë³ÝáÕÝ»ñÇ íÇñ³Ñ³ï³Ï³Ý ÑÙïáõÃÛáõÝÝ»ñÇ Ï³ï³ñ»É³·áñÍÙ³ÝÁ: - 2010 Ã. вÜ-Ç ³ÝÙÇç³Ï³Ý Ù³ëݳÏóáõÃÛ³Ùμ г۳ëï³ÝáõÙ Ý»ñ¹ñí»É ¿ ²ÝѳëáõÃÛ³Ý é»ïÇÝáå³ÃdzÛÇ (²è) ³ËïáñáßÙ³Ý ¨ μáõÅÙ³Ý Íñ³·ÇñÁ:

2. вÜ-Æ §ÈàôÚê вÚÆ ²âøºðÆܦ ܲʲҺèÜàôÂÚàôÜÀ, ¸ð² ´²Ô²¸ðÆâܺðÜ àô ²ð¸ÚàôÜøܺðÀ 2.1. ܲʲҺèÜàôÂÚ²Ü ¾àôÂÚàôÜÜ àô ÐÆØÜ²Î²Ü ²ð¸ÚàôÜøܺðÀ ÐÐ-áõÙ ÑÇÙݳ¹ñí»Éáí áñå»ë §Ð³ÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·Çͦ μ³ñ»·áñÍ³Ï³Ý ÑÇÙݳ¹ñ³Ùª вÜ-Á, ëÏë³Í 2003 Ãí³Ï³ÝÇó, Çñ³Ï³Ý³óÝáõÙ ¿ §ÈáõÛë ѳÛÇ ³ãù»ñÇݦ ݳ˳ӻéÝáõÃÛáõÝÁ, áñÝ áõÕÕí³Í ¿ г۳ëï³ÝáõÙ ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ μ³ñ»É³íÙ³ÝÁ ¨ Ó»éùμ»ñáíÇ ÏáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³ÝÁ: 2004 Ã. Ç í»ñ вÜ-Á ѳٳ·áñͳÏóáõÙ ¿ ²ØÜ ØÇç³½·³ÛÇÝ ½³ñ·³óÙ³Ý ·áñͳϳÉáõÃÛ³Ý (USAID/²ØÜ Ø¼¶) Ñ»ï` ¶Éáμ³É ½³ñ·³óÙ³Ý ¹³ßÇÝùÇ ßñç³Ý³ÏÝ»ñáõÙ: ܳ˳ӻéÝáõÃÛáõÝÝ Çñ ÑÇÙÝ³Ï³Ý Ýå³ï³ÏÝ Çñ³·áñÍáõÙ ¿ ÑÇÝ· ß³Õϳåí³Í áõÕÕáõÃÛáõÝÝ»ñáí, áñáÝù í»ñçÇÝÇë μ³Õ³¹ñãÝ»ñÝ »Ý` - μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ É³Ûݳï³ñ³Í ½ÝÝáõÙÝ»ñ ¨ μáõÅû·ÝáõÃÛáõÝ, - ïíÛ³ÉÝ»ñÇ í»ñÉáõÍáõÃÛáõÝ ¨ ·Çï³Ñ»ï³½áï³Ï³Ý ³ß˳ï³ÝùÝ»ñ, - μÅßÏ³Ï³Ý áõëáõóáõÙ ¨ í»ñ³å³ïñ³ëïáõÙ, 10


11 - ѳÝñ³ÛÇÝ áõëáõóáõÙ ¨ Çñ³½»ÏáõÙ, - ϳñáÕáõÃÛáõÝÝ»ñÇ ½³ñ·³óáõÙ: ê÷ÛáõéùÇó, ï³ñμ»ñ Ñáí³Ý³íáñÝ»ñÇó ëï³óíáÕ Ñ³Ý·³Ý³ÏáõÃÛáõÝÝ»ñÇ, ÇÝãå»ë ݳ¨ ²ØÜ Ø¼¶-Ç ïñ³Ù³¹ñ³Í ¹ñ³Ù³ßÝáñÑÇ ³ç³ÏóáõÃÛ³Ùμ вÜ-Ç ³ÏݳμáõÅ³Ï³Ý ËÙμ»ñÁ ¨ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ å³ñμ»ñ³μ³ñ ßñç³Ûó»ñ »Ý ϳï³ñáõÙ ÐÐ μáÉáñ Ù³ñ½»ñáõÙ áõ ºñ¨³ÝáõÙ` Çñ³Ï³Ý³óÝ»Éáí ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ, Ëáñ³óí³Í ѻﳽáïáõÃÛáõÝÝ»ñ áõ ÙÇç³ÙïáõÃÛáõÝÝ»ñ: àñå»ë ³é³ÝÓÇÝ Íñ³·Çñ` вÜ-Á ÝáõÛÝ ³é³ù»ÉáõÃÛ³Ùμ ³Ûó»É»É ¿ ݳ¨ È»éݳÛÇÝ Ô³ñ³μ³ÕÇ Ð³Ýñ³å»ïáõÃÛáõÝ ` 2004, 2006, 2008 ¨ 2010 ÃÃ.:

§ÈáõÛë ѳÛÇ ³ãù»ñÇݦ Íñ³·ÇñÁ 2003 Ã. ÑáõÝÇëÇó ÙÇÝ㨠2010 Ã. ë»åï»Ùμ»ñ ÁݹѳÝáõñ ³éÙ³Ùμ áõÝ»ó»É ¿ Ñ»ï¨Û³É ³ñ¹ÛáõÝùÝ»ñÁ. - ÐÐ ³ÙμáÕç ï³ñ³ÍùáõÙ 264,568 Ù³ñ¹ вÜ-Ç ³ÏݳÛÇÝ ½ÝÝáõÙ ¿ ³Ýó»É Çñ ϳ٠Ùáï³Ï³ ѳٳÛÝùáõÙ (Ý»ñ³éÛ³É 128,933 »ñ»Ë³): - 27,091 Ù³ñ¹ ³Ýó»É ¿ Ëáñ³óí³Í ѻﳽáïáõÃÛáõÝ ²ÞÐ-áõÙ: - 11,303 Ù³ñ¹ ²ÞÐ-áõÙ íÇñ³Ñ³ïí»É ϳ٠ɳ½»ñ³ÛÇÝ μáõÅáõÙ ¿ ëï³ó»É: - ä³ïñ³ëïí»É áõ ³Ýí׳ñ ïñ³Ù³¹ñí»É ¿ 29,546 ³ÏÝáó: - êï»ÕÍí»É ¿ вÜ-Ç μÅßÏ³Ï³Ý ËÙμ»ñÇ ÏáÕÙÇó ½ÝÝí³Í μݳÏãáõÃÛ³Ý ïíÛ³ÉÝ»ñÇ ßï»Ù³ñ³Ý, áñÇ ·Çï³Ñ»ï³½áï³Ï³Ý í»ñÉáõÍáõÃÛáõÝÝ áõ ³Ù÷á÷áõÙÁ Ñݳñ³íáñáõÃÛáõÝ ¿ ïí»É ·Ý³Ñ³ï»Éáõ ÐÐ-áõÙ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ áõ ï»ëáÕáõÃÛ³Ý Ë³Ã³ñáõÙÝ»ñÇ ï³ñ³Íí³ÍáõÃÛáõÝÁ: - ì»ñ³å³ïñ³ëïí»É ¿ 1,684 μáõųß˳ïáÕ, ³Û¹ ÃíáõÙ` ³ÏݳμáõÛÅÝ»ñ, ÁÝï³Ý»Ï³Ý μÅÇßÏÝ»ñ ¨ ³ÏݳμáõÅ³Ï³Ý ùáõÛñ»ñ ÐÐ Ù³ñ½»ñÇó ¨ ºñ¨³ÝÇ åáÉÇÏÉÇÝÇϳݻñÇó: - ´³Å³Ýí»É ¿ 501,156 ï»Õ»Ï³ïáõ ·ñùáõÛÏ: - ²Ýóϳóí»É ¿ ѳÝñ³ÛÇÝ ÏñÃáõÃÛ³Ý 360 ¹³ëÁÝóó` 9000 »ñ»Ë³Ý»ñÇ ¨ 900 ٻͳѳë³ÏÝ»ñÇ Ñ³Ù³ñ:


2.2. ܲʲҺèÜàôÂÚ²Ü ´²Ô²¸ðÆâܺðÆ ÀܸвÜàôð Üβð²¶ÆðÀ ´Ý³ÏãáõÃÛ³Ý ³ÏݳÛÇÝ É³Ûݳï³ñ³Í ½ÝÝáõÙÝ»ñ ¨ μáõÅû·ÝáõÃÛáõÝ §ÈáõÛë ѳÛÇ ³ãù»ñÇݦ Íñ³·ÇñÁ Ýå³ï³Ï áõÝÇ Ï³Ý˳ñ·»É»É Ó»éùμ»ñáíÇ ÏáõñáõÃÛáõÝÁ` г۳ëï³ÝÇ μáÉáñ ѳٳÛÝùÝ»ñÇ μݳÏÇãÝ»ñÇ Ñ³Ù³ñ μ³ñÓñáñ³Ï ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÁ ѳë³Ý»ÉÇ ¹³ñÓÝ»Éáí: Ìñ³·ñÇ ßñç³Ý³ÏÝ»ñáõ٠вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ (²ÞÐ) ¨ μÅßÏ³Ï³Ý ËÙμ»ñÝ ³Ûó»ÉáõÙ »Ý г۳ëï³ÝÇ μáÉáñ Ù³ñ½»ñÇ ·ÛáõÕ³Ï³Ý áõ ù³Õ³ù³ÛÇÝ Ñ³Ù³ÛÝùÝ»ñ` Çñ³Ï³Ý³óÝ»Éáõ Ñ»ï¨Û³É ³ß˳ï³ÝùÝ»ñÁ` - ÁݹѳÝáõñ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ ٻͳѳë³ÏÝ»ñÇ ¨ »ñ»Ë³Ý»ñÇ Ñ³Ù³ñ, - Ëáñ³óí³Í ѻﳽáïáõÃÛáõÝ, íÇñ³Ñ³ïáõÃÛáõÝ Ï³Ù É³½»ñ³ÛÇÝ μáõÅáõÙ ²ÞÐ-áõÙ, - ³ÏÝáóÇ Ý߳ݳÏáõÙ, ÇëÏ ³Ý³å³Ñáí ËÙμ»ñÇÝ Ý³¨` ³ÏÝáóÇ ïñ³Ù³¹ñáõÙ: ²ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÁ í³Õ ѳÛïݳμ»ñ»Éáõ ¨ ųٳݳÏÇÝ μáõÅ»Éáõ Ýå³ï³Ïáí ѳïáõÏ áõß³¹ñáõÃÛáõÝ ¿ ¹³ñÓíáõÙ ÏáõñáõÃÛ³Ý å³ï×³é ¹³ñÓáÕ ÙÇ ß³ñù ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ Ñ³Ûïݳμ»ñÙ³ÝÁ, ÇÝãå»ë ûñÇݳÏ` ϳï³ñ³ÏïÇ, ·É³áõÏáÙ³ÛÇ, ß³ù³ñ³Ëï³ÛÇÝ ó³Ýó»Ý³ËïÇ, Ù³ÏáõÉÛ³ñ ¹ÇëïñáýdzÛÇ ¨ ³ÛÉÝ: ÀݹѳÝáõñ ½ÝÝáõÙÝ»ñÇó Ñ»ïá ѳñÏ »Õ³Í ¹»åùáõÙ μݳÏÇãÝ»ñÝ áõÕ»·ñíáõÙ »Ý ²ÞÐ` Ëáñ³óí³Í ѻﳽáïáõÃÛ³Ý, ɳ½»ñ³ÛÇÝ Ï³Ù íÇñ³Ñ³ï³Ï³Ý μáõÅÙ³Ý Ñ³Ù³ñ: гë³Ý»ÉÇ ÉÇÝ»Éáõ Ýå³ï³Ïáí вÜ-Á ϳ۳ÝáõÙ ¿ ²ÞÐ-Ý ÐÐ μáÉáñ Ù³ñ½»ñÇ Ï»ÝïñáÝ³Ï³Ý ù³Õ³ùÝ»ñáõÙ: 2003 Ã. ÑáõÝÇëÇó ÙÇÝ㨠2009 Ã. ë»åï»Ùμ»ñ ³ÙÇëÁ г۳ëï³ÝÇ Ù³ñ½»ñáõ٠вÜ-Ý Çñ³Ï³Ý³óñ»É ¿ »ñ»ù ßñç³Ûó: Ü»ñϳÛáõÙ ÁÝóóùÇ Ù»ç ·ïÝíáÕ ãáññáñ¹ ßñç³ÛóÝ ëÏëí»É ¿ 2009 Ã. ÑáÏï»Ùμ»ñÇ ëϽμÇÝ ¨ ³ÏÝϳÉíáõÙ ¿ ³í³ñïí»É 2011 Ã. ë»åï»Ùμ»ñÇÝ:

îíÛ³ÉÝ»ñÇ í»ñÉáõÍáõÃÛáõÝ ¨ ·Çï³Ñ»ï³½áï³Ï³Ý ³ß˳ï³ÝùÝ»ñ лﳽáï³Ï³Ý ¨ ·Çï³·áñÍÝ³Ï³Ý ³ß˳ï³ÝùÝ»ñÁ вÜ-Ç ·áñÍáõÝ»áõÃÛáõÝáõÙ ³é³çݳÛÇÝ ï»Õ »Ý ½μ³Õ»óÝáõÙ: г۳ëï³ÝÇ Ù³ñ½»ñáõÙ 2003 Ã. Ç í»ñ Çñ³Ï³Ý³óñ³Í ³ß˳ï³ÝùÝ»ñÇ ßÝáñÑÇí вÜ-Á ѳí³ù»É ¿ вÜ-Ç »ñ»ù ßñç³Ûó»ñÇ ÁÝóóùáõÙ ³ÏݳμáõÅ³Ï³Ý 12


13 ½ÝÝáõÙ ³Ýó³Í ßáõñç 160 ѳ½³ñ ߳ѳéáõÝ»ñÇ ïíÛ³ÉÝ»ñÁ ¨ ëï»ÕÍ»É ¿ ßï»Ù³ñ³Ý, áñÇ í»ñÉáõÍáõÃÛ³Ý ÑÇÙ³Ý íñ³ ëï³óí»É »Ý г۳ëï³ÝáõÙ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛáõÝÝ áõ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛáõÝÁ μÝáõó·ñáÕ, ÙÇç³½·³ÛÝáñ»Ý ÁݹáõÝí³Í Ù»Ãá¹³μ³ÝáõÃÛ³Ùμ ѳßí³ñÏí³Í óáõó³ÝÇßÝ»ñ` ÇÝãå»ë »ñÏñÇ, ³ÛÝå»ë ¿É Ýñ³ Ù³ñ½»ñÇ Ïïñí³Íùáí: гí³ùí³Í ïíÛ³ÉÝ»ñÁ ��ݳñ³íáñáõÃÛáõÝ »Ý ÁÝÓ»éáõÙ μ³ó³Ñ³Ûï»Éáõ »ñÏñáõÙ áõ Ýñ³ Ù³ñ½»ñáõÙ ï»ëáÕáõÃÛ³Ý Ë³Ý·³ñáõÙÝ»ñÇ ÑÇÙÝ³Ï³Ý å³ï׳éÝ»ñÁ ¨ ·Ý³Ñ³ï»Éáõ ÏáõñáõÃÛ³Ý, ÃáõÛÉ ï»ëáÕáõÃÛ³Ý ¨ ³ÛÝåÇëÇ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛáõÝÁ, ÇÝãåÇëÇù »Ý ϳï³ñ³ÏïÁ, ·É³áõÏáÙ³Ý, »Õç»ñ³Ã³Õ³ÝÃÇ ¨ ³Ïݳѳï³ÏÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÁ: ²ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý ïíÛ³ÉÝ»ñÇ ÑÇÙ³Ý íñ³ вÜ-Á ݳ¨ Ùß³Ï»É áõ Ý»ñ¹ñ»É ¿ 50-Çó μ³ñÓñ ï³ñÇùÇ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý Ëáó»ÉÇáõÃÛ³Ý Ñ³Ù³ÃÇíÁ, áñÁ, Áëï ¿áõÃÛ³Ý, »ñÏñÇ ³Û¹ ï³ñÇùÇ μݳÏãáõÃÛ³Ý ÏáõñáõÃÛ³Ý íï³Ý·Ç ·Ý³Ñ³ï³Ï³ÝÝ ¿: вÜ-Á Çñ³Ï³Ý³óñ»É ¿ »ñÏáõ ³ÛÉ Ñ»ï³½áïáõÃÛáõÝ ³ÏݳÛÇÝ Í³é³ÛáõÃÛáõÝÇó û·ïíáÕÝ»ñÇ ·áÑáõݳÏáõÃÛáõÝÁ ·Ý³Ñ³ï»Éáõ Ýå³ï³Ïáí: Àëï ³Û¹ ѻﳽáïáõÃÛ³Ý ³ñ¹ÛáõÝùÝ»ñÇ` вÜ-Ç Í³é³ÛáõÃÛáõÝÝ»ñÇó û·ïí³Í ÑÇí³Ý¹Ý»ñÇ 94%-Á ¹ñ³Ýù ·Ý³Ñ³ï»É ¿ ɳí ϳ٠·»ñ³½³Ýó:

´ÅßÏ³Ï³Ý áõëáõóáõÙ ¨ í»ñ³å³ïñ³ëïáõ٠вÜ-Ç ÏáÕÙÇó Ù³ïáõóíáÕ μÅßÏ³Ï³Ý áõëáõóáõÙÁ ¨ í»ñ³å³ïñ³ëïáõÙÁ Ñݳñ³íáñáõÃÛáõÝ ¿ ï³ÉÇë г۳ëï³ÝÇ ³é³çݳÛÇÝ, »ñÏñáñ¹³ÛÇÝ ¨ »ññáñ¹³ÛÇÝ Ù³Ï³ñ¹³ÏÝ»ñÇ μáõųß˳ïáÕÝ»ñÇÝ ½³ñ·³óÝ»Éáõ ³ÏݳμáõÅáõÃÛ³Ý Ù³ëÇÝ ·Çï»ÉÇùÝ»ñÝ áõ ÑÙïáõÃÛáõÝÝ»ñÁ, ÇÝãÁ ϳå³ÑáíÇ μ³ñÓñáñ³Ï ³ÏݳÛÇÝ Í³é³ÛáõÃÛáõÝÝ»ñÇ Ù³ïáõóáõÙÁ μݳÏãáõÃÛ³ÝÁ г۳ëï³ÝÇ ³ÙμáÕç ï³ñ³ÍùáõÙ: вÜ-Á μ³½Ù³ÃÇí Ù³ëݳ·Çï³Ï³Ý ¹³ëÁÝóóÝ»ñ ¿ ϳ½Ù³Ï»ñå»É г۳ëï³ÝÇ Ù³ñ½³ÛÇÝ ³ÏݳμáõÛÅÝ»ñÇ áõ ÁÝï³Ý»Ï³Ý μÅÇßÏÝ»ñÇ Ñ³Ù³ñ: ²Û¹ ·áñÍáõÙ Ýñ³ ÑÇÙÝ³Ï³Ý ·áñÍÁÝÏ»ñÝ»ñÝ »Ý ²ØÜ Ø¼¶ §²éáÕçáõÃÛ³Ý ³é³çݳÛÇÝ å³Ñå³ÝÙ³Ý μ³ñ»÷áËáõÙÝ»ñÇ Íñ³·ÇñÁ¦ (PHCR) ¨ §ÎñÃáõÃÛ³Ùμ ½³ñ·³óÙ³Ý ³Ï³¹»Ùdzݦ (AED): ²é ³Ûëûñ вÜ-Á г۳ëï³ÝÇ Ù³ñ½»ñáõÙ ¨ ºñ¨³ÝáõÙ í»ñ³å³ïñ³ëï»É ¿ ³í»ÉÇ ù³Ý 1600 Ù³ëݳ·»ïÇ: ¸³ëÁÝóóÝ»ñÇ Å³Ù³Ý³Ï ÏÇñ³éíáõÙ »Ý вÜ-Ç Ñ»ÕÇÝ³Ï³Í §²ãùÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ¦ ¨ §²ÏݳμáõÅáõÃÛ³Ý ÁÝïñ³ÝǦ áõëáõÙÝ³Ï³Ý Ó»éݳñÏÝ»ñÁ, áñáÝù г۳ëï³ÝÇ ³ÝϳËáõÃÛáõÝÇó Ç í»ñ Ññ³ï³ñ³Ïí³Í ³é³çÇÝ Ñ³Û»ñ»Ý ³ÏݳμáõÅáõÃÛ³Ý ¹³ë³·ñù»ñÝ »Ý:


î»ë³Ï³Ý ¹³ëÁÝóóÝ»ñÇó ½³ï, г۳ëï³ÝÇ Ù³ñ½»ñÇ ³ÏݳμáõÛÅÝ»ñÝ áõ ÁÝï³Ý»Ï³Ý μÅÇßÏÝ»ñÁ Ñݳñ³íáñáõÃÛáõÝ áõÝ»Ý Ý³¨ ͳÝáóݳÉáõ ųٳݳϳÏÇó ³ÏݳμáõÅ³Ï³Ý ë³ñù³íáñáõÙÝ»ñÇÝ ¨ ½³ñ·³óÝ»Éáõ Çñ»Ýó ÏÇñ³é³Ï³Ý ÑÙïáõÃÛáõÝÝ»ñÁ: Üñ³Ýù Ù³ëݳÏóáõÙ »Ý Çñ»Ýó μݳϳí³Ûñ»ñáõ٠вÜ-Ç μÅßÏ³Ï³Ý ËÙμ»ñÇ ÏáÕÙÇó Çñ³Ï³Ý³óíáÕ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñÇÝ, ÇÝãå»ë ݳ¨ вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³Ýáóáõ٠ϳï³ñíáÕ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÇÝ áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙÝ»ñÇÝ: ÎñÃ³Ï³Ý Ýå³ï³Ïáí 2006 Ã., ²ØÜ Ø¼¶ ýÇݳÝë³íáñÙ³Ùμ, вÜ-Á ê. سɳ۳ÝÇ ³Ýí³Ý ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝáõÙ μ³ó»É ¿ Ýáñ³·áõÛÝ ë³ñù³íáñáõÙÝ»ñáí ѳ·»ó³Í àõëáõóÙ³Ý ¨ ³ËïáñáßÙ³Ý Ï»ÝïñáÝÁ, áñï»Õ μÅÇßÏÝ»ñÁ ¨ áõë³ÝáÕÝ»ñÁ ͳÝáóÝáõÙ »Ý ³ÏݳμáõÅáõÃÛ³Ý áÉáñïÇ í»ñçÇÝ ½³ñ·³óáõÙÝ»ñÇÝ ¨ Ýí³×áõÙÝ»ñÇÝ: ²Ûëï»Õ ·áñÍáõÙ ¿ μ³ñ»ñ³ñ гÛÏ ´³μÇÏÛ³ÝÇ ³Ýí³Ý ·ñ³¹³ñ³ÝÁ` ³ÏݳμáõÅáõÃÛ³Ý í»ñ³μ»ñÛ³É ·ñ³Ï³ÝáõÃÛ³Ý ³Ù»Ý³Ñ³ñáõëï ѳí³ù³ÍáõÝ»ñÇó Ù»ÏÁ г۳ëï³ÝáõÙ: ÜáõÛÝ Ãí³Ï³ÝÇÝ, §öý³Û½»ñ¦ ÁÝÏ»ñáõÃÛ³Ý ÝíÇñ³ïíáõÃÛ³Ý ßÝáñÑÇí, áõëáõÙÝ³Ï³Ý Ï»ÝïñáÝÁ ѳٳÉñ»É ¿ íÇñ³Ñ³ï³Ï³Ý ÑÙïáõÃÛáõÝÝ»ñÇ ½³ñ·³óÙ³Ý É³μáñ³ïáñÇ³Ý (Wet lab):

гÝñ³ÛÇÝ áõëáõóáõ٠гÝñ³ÛÇÝ áõëáõóÙ³Ý μ³Õ³¹ñÇãÇ ÑÇÙÝ³Ï³Ý Ýå³ï³ÏÝ»ñÝ »Ý μݳÏãáõÃÛ³ÝÝ Çñ³½»Ï»É ï»ëáÕáõÃÛ³Ý å³Ñå³ÝÙ³Ý ¨ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ Ï³Ý˳ñ·»ÉÙ³Ý ÙÇçáóÝ»ñÇ Ù³ëÇÝ, ÇÝãå»ë ݳ¨ ß»ßï³¹ñ»É ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇó û·ïí»Éáõ ϳñ¨áñáõÃÛáõÝÁ: гÝñ³ÛÇÝ áõëáõóáõÙÁ ÙÇïí³Í ¿ ï»Õ»Ï³ïíáõÃÛáõÝ ¨ ·Çï»ÉÇùÝ»ñ ïñ³Ù³¹ñ»Éáõ ÙÇçáóáí μݳÏãáõÃÛ³Ý, Ù³ëݳíáñ³å»ë »ñ»Ë³Ý»ñÇ ßñç³ÝáõÙ ³éáÕç í³ñù³·ÇÍ Ó¨³íáñ»ÉáõÝ: ػͳѳë³ÏÝ»ñÇ áõ »ñ»Ë³Ý»ñÇ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ¨ ³ãùÇ ËݳÙùÇ áõ ³Ýíï³Ý·áõÃÛ³Ý Ù³ëÇÝ Ñ³Ýñ³Ù³ïã»ÉÇ ï»Õ»Ï³ïíáõÃÛáõÝ ï³ñ³Í»Éáõ Ýå³ï³Ïáí вÜ-Á ïå³·ñ»É ¿ 12 ³ÝáõÝ ï»Õ»Ï³ïáõ ·ñùáõÛÏ` 600 ѳ½³ñ ûñÇݳÏáí: вÜ-Ç ³ß˳ï³ÝùÝ»ñÇ ÁÝóóùáõÙ ¹ñ³Ýù ï³ñ³ÍíáõÙ »Ý г۳ëï³ÝÇ μáÉáñ Ù³ñ½»ñáõÙ ¨ ßñç³ÝÝ»ñáõÙ: гÝñ³ÛÇÝ Çñ³½»ÏÙ³Ý ³ß˳ï³ÝùÝ»ñÁ ï³ñíáõÙ »Ý Ýå³ï³Ï³ÛÇÝ ï³ñμ»ñ ËÙμ»ñáõÙ` ϳ½Ù³Ï»ñå»Éáí ³ãùÇ ËݳÙùÇ ¨ ³Ýíï³Ý·áõÃÛ³Ý ùÝݳñÏáõÙÝ»ñ ¹åñáó³Ï³ÝÝ»ñÇ, Ýñ³Ýó ÍÝáÕÝ»ñÇ, áõëáõóÇãÝ»ñÇ ¨ ¹åñáóÝ»ñÇ μáõųÝÓݳϳ½ÙÇ Ñ³Ù³ñ: Îñïë»ñ ¹åñáóÇ »ñ»Ë³Ý»ñÇ Ñ³Ù³ñ ûٳïÇÏ ¹³ë»ñ »Ý ³Ýóϳóí»É ÙÝç³Ë³ÕÇ ¨ ïÇÏÝÇϳÛÇÝ Ý»ñϳ۳óáõÙÝ»ñÇ Ó¨áí: ØÇç³½·³ÛÇÝ ¨ ï»Õ³Ï³Ý ³ÛÉ Íñ³·ñ»ñÇ 14


15 ѳٳ·áñͳÏóáõÃÛ³Ùμ вÜ-Á ³ÝóϳóÝáõÙ ¿ ѳݹÇåáõÙÝ»ñ ݳ¨ ѳٳÛÝù³ÛÇÝ ³ÏïÇí ËÙμ»ñÇ ¨ μáõųß˳ïáÕÝ»ñÇ Ñ»ï, áñáÝù ëï³ó³Í ·Çï»ÉÇùÝ»ñÁ ÷á˳ÝóáõÙ »Ý μݳÏãáõÃÛ³ÝÁ` ï»Õ»Ï³ïíáõÃÛáõÝÁ ѳë³Ý»ÉÇ ¹³ñÓÝ»Éáí ³é³í»É Ù»Í Ãíáí Ù³ñ¹Ï³Ýó:

γñáÕáõÃÛáõÝÝ»ñÇ ½³ñ·³óáõ٠вÜ-Á ¨ Ýñ³ ·áñÍÁÝÏ»ñÝ»ñÁ Ýå³ï³Ï áõÝ»Ý Ð³Û³ëï³ÝÝ ³ÏݳμáõÅáõÃÛ³Ý ³é³ç³ï³ñ Ï»ÝïñáÝ ¹³ñÓÝ»É áÕç ï³ñ³Í³ßñç³ÝáõÙ: §Î³ñáÕáõÃÛáõÝÝ»ñÇ ½³ñ·³óٳݦ ³ÝÏÛáõݳù³ñ»ñÝ »Ý ·Çï»ÉÇùÝ»ñÇ ÷á˳ÝóáõÙÁ ¨ ͳé³ÛáõÃÛáõÝÝ»ñÇ Ñ³Ù³Ï³ñ·³ÛÇÝ ÑÇÙÝáõÙÁ: 1992Ã. Ç í»ñ ³Ù»ñÇÏÛ³Ý Ù³ëݳ·»ïÝ»ñÝ ³Ûó»ÉáõÙ »Ý г۳ëï³Ý` ÷á˳Ýó»Éáõ Ñ³Û ·áñÍÁÝÏ»ñÝ»ñÇÝ Çñ»Ýó ·Çï»ÉÇùÝ»ñÁ ¨ ÑÙïáõÃÛáõÝÝ»ñÁ ³ÏݳμáõÅáõÃÛ³Ý áÉáñïáõÙ: Æ ÉñáõÙÝ` 11 ÙÇç³½·³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ñ³Ù³ÅáÕáíÝ»ñ »Ý ϳ½Ù³Ï»ñåí»É: γñáÕáõÃÛáõÝÝ»ñÇ ½³ñ·³óÙ³ÝÝ ¿ ÙÇïí³Í سɳ۳ÝÇ ³Ýí³Ý ³ÏݳμáõÅ³Ï³Ý ¨ ø³Ý³ù»é-¼»ÛÃáõÝ μÅßÏ³Ï³Ý Ï»ÝïñáÝÝ»ñáõÙ í»ó Ù³ëݳ·Çï³óí³Í ÏÉÇÝÇϳݻñÇ ëï»ÕÍáõÙÁ ¨ í»ñ³½ÇÝáõÙÁ: ¸ñ³Ýù »Ý` íÇïñ»á-é»ïÇݳÉ, ·É³áõÏáÙ³ÛÇ, »Õç»ñ³Ã³Õ³ÝÃÇ ¨ áõí»ÇïÇ, ÝÛ³ñ¹³-³ÏݳμáõÅáõÃÛ³Ý ¨ ûñμÇï³É íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÇ, ³ãùÇ μ³ÝÏ ¨ ó³Íñ ï»ëáÕáõÃÛ³Ý ÏÉÇÝÇϳݻñÁ: вÜ-Ç ÏñÃ³Ï³Ý ÷á˳ݳÏÙ³Ý Íñ³·ñÇ ßÝáñÑÇí ²ØÜ-Ç ³ÏݳμáõÅ³Ï³Ý É³í³·áõÛÝ ÏÉÇÝÇϳݻñáõÙ í»ñ³å³ïñ³ëïáõÙ ¿ ³Ýó»É ѳ۳ëï³ÝóÇ áõà ³ÏݳμáõÛÅ, áíù»ñ ³ÛÅ٠ջϳí³ñáõÙ »Ý í»ñáÑÇßÛ³É Ù³ëݳ·Çï³Ï³Ý μ³Å³ÝÙáõÝùÝ»ñÁ ¨ ëï³óí³Í ÷áñÓÝ áõ ·Çï»ÉÇùÝ»ñÁ ѳÕáñ¹áõÙ Çñ»Ýó ·áñÍÁÝÏ»ñÝ»ñÇÝ ¨ áõë³ÝáÕÝ»ñÇÝ: Ü»ñϳÛáõÙë, áñå»ë ³é³ÝÓÇÝ áõÕÕáõÃÛáõÝ, вÜ-Á ß³ñáõݳÏáõÙ ¿ г۳ëï³ÝáõÙ Çñ ²ÝѳëáõÃÛ³Ý é»ïÇÝáå³ÃdzÛÇ (²è) ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñÇ ¨ μáõÅÙ³Ý Íñ³·ÇñÁ: ²ÛÝ Ù»ÏݳñÏ»É ¿ 2010 Ã. ³Ùé³ÝÁ ²è ϳÝ˳ñ·»ÉÙ³ÝÁ ¨ μáõÅÙ³ÝÁ ÝíÇñí³Í ÙÇç³½·³ÛÇÝ Ñ³Ù³ÅáÕáíÇ ¨ вÜ-Ç Ñ³Ù³å³ï³ëË³Ý μÅßÏ³Ï³Ý ³é³ù»ÉáõÃÛ³Ý Ñ»ï ÙdzëÇÝ: ÐÐ ³éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñáõÃÛ³Ý Ñ³Ù³å³ï³ëË³Ý Ï³ñ·³¹ñáõÃÛ³Ùμª ³ÛëáõÑ»ï å³ñμ»ñ³Ï³Ý ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ »Ý Çñ³Ï³Ý³óíáõÙ ºñ¨³ÝÇ` Ýáñ³ÍÇÝÝ»ñÇ í»ñ³Ï»Ý¹³Ý³óÙ³Ý ¨ ÇÝï»ÝëÇí ûñ³ådzÛÇ μáÉáñ μ³Å³ÝÙáõÝù»ñáõÙ: ²Ûë Íñ³·ñÇ ßÝáñÑÇí ï³ñ»Ï³Ý Ùáï 100 ³Ýѳë Ýáñ³ÍÇÝ Ï÷ñÏíÇ ÏáõñáõÃÛáõÝÇó: Þ³ñáõݳÏíáõÙ ¿ ݳ¨ вÜ-Ç ÏáÕÙÇó ѳٳϳñ·íáÕ Ñ»é³μÅßÏáõÃÛ³Ý Íñ³·ÇñÁ: ²Ûë ݳ˳ӻéÝáõÃ³Ý ßÝáñÑÇí Ñ³Û ¨ ³Ù»ñÇϳóÇ Ù³ëݳ·»ïÝ»ñÁ Ùßï³Ï³Ý ϳåÇ Ù»ç »Ý ¨ ËáñÑñ¹³ÏóáõÙ »Ý г۳ëï³Ýáõ٠ѳݹÇåáÕ ²è μáÉáñ ¹»åù»ñÇ ßáõñç:


3. 2003-2009 ÃÃ. ÐÐ ´Ü²ÎâàôÂÚ²ÜÀ вÜ-Ç Ø²îàôò²Ì ²Îܲ´àôÄ²Î²Ü Ì²è²ÚàôÂÚàôÜܺðÆ êºÔØ Üβð²¶ÆðÀ ÜϳïÇ áõݻݳÉáí, áñ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ É³Ûݳͳí³É ½ÝÝáõÙÝ»ñÇ ¨ μáõÅû·ÝáõÃÛ³Ý μ³Õ³¹ñÇãÁ вÜ-Ç §ÈáõÛë ѳÛÇ ³ãù»ñÇݦ ݳ˳ӻéÝáõÃÛ³Ý ³é³í»É ɳÛݳï³ñ³Í áõ Ù³ëë³Û³Ï³Ý μ³Õ³¹ñÇãÝ ¿, áñÇ Çñ³Ï³Ý³óáõÙÁ Ñݳñ³íáñáõÃÛáõÝ ¿ ïí»É ݳ¨ ϳï³ñ»Éáõ í»ñÉáõÍáõÃÛáõÝÝ»ñ áõ ëï³Ý³Éáõ »ñÏñÇ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛáõÝÁ μÝáõó·ñáÕ Ï³ñ¨áñ óáõó³ÝÇßÝ»ñ, ëïáñ¨ Ý»ñϳ۳óÝáõÙ »Ýù ³Û¹ μ³Õ³¹ñÇãÇ ßñç³Ý³Ïáõ٠вÜ-Ç` 2003-2009 ÃÃ. г۳ëï³ÝÇ Ù³ñ½»ñáõ٠ϳï³ñ³Í »ñ»ù ßñç³Ûó»ñÇ ÁÝóóùáõÙ Çñ³Ï³Ý³óñ³Í ³ß˳ï³ÝùÝ»ñÇ ë»ÕÙ Ýϳñ³·ÇñÁ: вÜ-Ç í»ñçÝ³Ï³Ý Ýå³ï³ÏÁ ÏáõñáõÃÛ³Ý ¹»Ù å³Ûù³ñÁ ¨ г۳ëï³ÝÇ Ûáõñ³ù³ÝãÛáõñ μݳÏãÇ Ñ³Ù³ñ ųٳݳϳÏÇó ³ÏݳμáõÅáõÃÛáõÝÁ ѳë³Ý»ÉÇ áõ Ù³ïã»ÉÇ ¹³ñÓÝ»ÉÝ ¿: ²Û¹ Ýå³ï³ÏÇÝ Ñ³ëÝ»Éáõ ѳٳñ вÜ-Á, Ù³ëݳíáñ³å»ë, 2003 Ã, Ç í»ñ Çñ³Ï³Ý³óÝáõÙ ¿ §ÈáõÛë ѳÛÇ ³ãù»ñÇݦ Íñ³·ÇñÁ: ì»ñçÇÝë г۳ëï³ÝÇ ·ÛáõÕ³Ï³Ý áõ ù³Õ³ù³ÛÇÝ Ñ³Ù³ÛÝùÝ»ñÇ μݳÏÇãÝ»ñÇ ßñç³ÝáõÙ ÁݹѳÝáõñ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ, Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝ, íÇñ³Ñ³ïáõÃÛáõÝ Ï³Ù É³½»ñ³ÛÇÝ μáõÅáõÙ ³ÝóϳóÝ»Éáõ ÙÇçáóáí Ýñ³Ýó ѳٳñ ѳë³Ý»ÉÇ ¿ ¹³ñÓÝáõÙ μ³ñÓñáñ³Ï ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÁ: §ÈáõÛë ѳÛÇ ³ãù»ñÇݦ Íñ³·ñÇ ßñç³Ý³ÏÝ»ñáõÙ 2003-2009 ÃÃ. вÜ-Ç ÏáÕÙÇó ÐÐ Ù³ñ½»ñáõÙ Çñ³Ï³Ý³óí³Í ³ß˳ï³ÝùÝ»ñÇ ³Ù÷á÷ Ýϳñ³·ÇñÁ, ѳïϳå»ë ͳÝñ³Ý³Éáí 2007-2009 ÃÃ. вÜ-Ç Ï³ï³ñ³Í í»ñçÇÝ ßñç³ÛóÇ ³ñ¹ÛáõÝùÝ»ñÇ íñ³, μ»ñíáõÙ ¿ ëïáñ¨:

3.1. 2003-2009 ÃÃ. ºðºø Þðæ²ÚòºðÆ ÀܲòøàôØ Ð²Ü-Æ Ø²îàôò²Ì ²Îܲ´àôÄ²Î²Ü Ì²è²ÚàôÂÚàôÜܺðÆ ²Øöàö Üβð²¶ÆðÀ ´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2003-2009 ÃÃ. ÁÝóóùáõ٠гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ (²ÞÐ) »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É ÐÐ 9 Ù³ñ½»ñáõÙ, Áݹ·ñÏ»Éáí ¹ñ³Ýó ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñÇ μݳÏãáõÃÛ³Ý Ù»Í Ù³ëÁ1: âÝ³Û³Í áñáß ï³ñμ»ñáõÃÛáõÝÝ»ñÇÝ, μáÉáñ ßñç³Ûó»ñÇ Ï³½Ù³Ï»ñåã³Ï³Ý 1 ²Ûë μ³ÅÝáõÙ í»ñÉáõÍí»Éáõ »Ý ÙdzÛÝ ÐÐ 9 Ù³ñ½»ñáõÙ (μ³óÇ ¶»Õ³ñùáõÝÇùÇó ¨ ºñ¨³Ý ù³Õ³ùÇó) 2003-2009 ÃÃ. вÜ-Ç Ï³ï³ñ³Í ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñÇ ³ñ¹ÛáõÝùÝ»ñÁ:

20


21 ·áñͻɳϻñåÁ, μÅßÏ³Ï³Ý Ùáï»óáõÙÝ»ñÁ ¨ áõÕÕí³ÍáõÃÛáõÝÁ ÑÇÙݳϳÝáõÙ ÝáõÛÝÝ »Ý: ²Û¹ ÁÝóóùáõ٠вÜ-Ç ³ÏݳμáõÛÅÝ»ñÇ ËÙμ»ñÁ ÁݹѳÝáõñ ³éÙ³Ùμ ³Ûó»É»É »Ý »ñÏñÇ 841 ·ÛáõÕ³Ï³Ý áõ ù³Õ³ù³ÛÇÝ Ñ³Ù³ÛÝùÝ»ñ (ÐРѳٳÛÝùÝ»ñÇ ßáõñç 90%-Á): Úáõñ³ù³ÝãÛáõñ Ù³ñ½áõ٠ݳËù³Ý вÜ-Ç ³ß˳ï³ÝùÝ»ñÁ ëÏë»ÉÁ ï»ÕÇ »Ý áõÝ»ó»É ѳݹÇåáõÙÝ»ñ Ù³ñ½Ç ջϳí³ñáõÃÛ³Ý Ñ»ï` Íñ³·ñÇ Çñ³Ï³Ý³óÙ³Ý ÑÇÙÝ³Ï³Ý ËݹÇñÝ»ñÁ ѳٳϳñ·»Éáõ Ýå³ï³Ïáí: ´Ý³ÏãáõÃÛáõÝÁ ɳÛÝáñ»Ý ï»Õ»Ï³óí»É ¿ вÜ-Ç ³Ýí׳ñ ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ í»ñ³μ»ñÛ³É. ѳٳå³ï³ëË³Ý Ñ³Ûï³ñ³ñáõÃÛáõÝÝ»ñ »Ý ïåí»É ï»Õ³Ï³Ý ûñûñáõÙ, Ñ»é³ñÓ³Ïí»É »Ý ï»Õ³Ï³Ý é³¹Çá- ¨ Ñ»éáõëï³Ï³Û³ÝÝ»ñáí, ÇÝãå»ë ݳ¨ ÷³Ïóí»É »Ý μáÉáñ ѳë³ñ³Ï³Ï³Ý í³Ûñ»ñáõÙ (åáÉÇÏÉÇÝÇϳݻñ, ˳ÝáõÃÝ»ñ, ù³Õ³ù³å»ï³ñ³Ý, μ³ÝÏ»ñ, ¨ ³ÛÉÝ): سñ½Ç μáõųß˳ïáÕÝ»ñÝ áõ ëáóÇ³É³Ï³Ý ³ß˳ïáÕÝ»ñÁ û° ³ãùÇ ËݹÇñÝ»ñ áõÝ»óáÕ ÑÇí³Ý¹Ý»ñÇÝ, û° ÁݹѳÝáõñ μݳÏãáõÃÛ³ÝÁ Ñáñ¹áñ»É »Ý ³Ûó»É»É вÜ-Ç μÅÇßÏÝ»ñÇÝ: ²ÏݳμáõÅ³Ï³Ý ½ÝÝáõÙÝ»ñÝ Çñ³Ï³Ý³óÝáÕ μÅÇßÏÝ»ñÇ ËÙμ»ñÁ ï»Õ³Ï³Ûí»É »Ý ï»ÕÇ åáÉÇÏÉÇÝÇϳݻñáõÙ, ³ÙμáõɳïáñdzݻñáõÙ ¨ ´ØÎ-Ý»ñáõÙ, ¨ μáÉáñ ó³ÝϳóáÕÝ»ñÝ ³Ýó»É »Ý ³Ýí׳ñ ³ÏݳμáõÅ³Ï³Ý ½ÝÝáõÙ: вÜ-Ç ÏáÕÙÇó μݳÏãáõÃÛ³ÝÁ ïñ³Ù³¹ñíáÕ Í³é³ÛáõÃÛáõÝÝ»ñÝ ³Ýí׳ñ »Ý μáÉáñÇ Ñ³Ù³ñ (Ý»ñ³éÛ³É ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñÁ, ³��ÝáóÇ ¹áõñë·ñáõÙÝ áõ ÙÇç³ÙïáõÃÛáõÝÝ»ñÁ ²ÞÐ-áõÙ): ²ÏݳÛÇÝ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñ ³ñíáõÙ »Ý ÙdzÛÝ μݳÏãáõÃÛ³Ý ³Ù»Ý³³Õù³ï áõ Ëáó»ÉÇ Ë³í»ñÇÝ (ݳ˳å»ë ×ßï»Éáí ³Û¹ ÷³ëïÁ` ÐÐ ³ß˳ï³ÝùÇ áõ ëáóÇ³É³Ï³Ý Ñ³ñó»ñÇ Ý³Ë³ñ³ñáõÃÛ³Ý ïñ³Ù³¹ñ³Í ó³ÝÏ»ñÇ ÙÇçáóáí): ²Û¹ ËÙμ»ñÇÝ ãå³ïϳÝáÕ ³ÝÓÇÝù, áñáÝù íÇñ³Ñ³ïáõÃÛ³Ý Ï³ñÇù áõÝ»Ý, áõÕ»·ñíáõÙ »Ý ³ÏݳμáõÅ³Ï³Ý ÏÉÇÝÇϳݻñ: ²ãùÇ ½ÝÝáõÙÝ»ñÝ Çñ³Ï³Ý³óí»É »Ý ºñ¨³ÝÇ »ññáñ¹³ÛÇÝ ûÕ³ÏÇ ³ÏݳμáõÅ³Ï³Ý Ñ³ëï³ïáõÃÛáõÝÝ»ñÇ ³ÏݳμáõÛÅÝ»ñÇó, μáõÅùáõÛñ»ñÇó ¨ ÏÉÇÝÇÏ³Ï³Ý ûñ¹ÇݳïáñÝ»ñÇó μ³Õϳó³Í ¨ ѳïáõÏ ³Û¹ Ýå³ï³Ïáí í»ñ³å³ïñ³ëïí³Í ËÙμ»ñÇ ÏáÕÙÇó` û·ï³·áñÍ»Éáí ³ãùÇ ½ÝÝÙ³Ý ÙÇç³½·³ÛÝáñ»Ý ÁݹáõÝí³Í ã³÷³ÝÇßÝ»ñÝ áõ ·áñÍÇùÝ»ñÁ: ¼ÝÝáõÙÁ Ý»ñ³é»É ¿ ÑÇí³Ý¹Ý»ñÇ ï»ëáÕáõÃÛ³Ý ëñáõÃÛ³Ý ëïáõ·áõÙÁ ȳݹáÉïÇ ¨ êÇíó¨-¶áÉáíÇÝÇ ³ÕÛáõë³ÏÝ»ñÇ û·ÝáõÃÛ³Ùμ: î»ëáÕáõÃÛ³Ý ó³Íñ ëñáõÃÛ³Ý ¹»åù»ñáõÙ, ¹ñ³ å³ï׳éÁ áñáß»Éáõ Ýå³ï³Ïáí, ½ÝÝáõÙÝ»ñÁ ß³ñáõݳÏíáõÙ ¿ÇÝ ×»Õù³ÛÇÝ É³ÙåÇ ¨ ûýóÉÙáëÏáåÇ ÏÇñ³éÙ³Ùμ: â³÷í»É ¿ Ý»ñ³ÏݳÛÇÝ ×ÝßáõÙÁ ѳٳå³ï³ëË³Ý ·áñÍÇùÇ` ïáÝáå»ÝÇ Ï³Ù Ø³ÏɳÏáíÇ ÙÇçáóáí: ²ÝÑñ³Å»ßïáõÃÛ³Ý ¹»åùáõÙ ¹áõñë »Ý ·ñí»É ³ÏÝáóÝ»ñ:


²é³í»É μ³ñ¹ ¹»åù»ñáõÙ, »ñμ ÑÇí³Ý¹ÇÝ ³ÝÑñ³Å»ßï ¿ñ ³í»ÉÇ Ù³Ýñ³½ÝÝÇÝ Ñ»ï³½áïáõ٠ϳ٠ѻﳷ³ μáõÅáõÙ (íÇñ³Ñ³ï³Ï³Ý ϳ٠ɳ½»ñ³ÛÇÝ), ݳ áõÕ»·ñíáõÙ ¿ñ ²ÞÐ` ³í»ÉÇ Ëáñ³óí³Í ѻﳽáïáõÃÛáõÝÝ»ñÇ ¨ ѻﳷ³ μáõÅÙ³Ý ¨ áõÕ»·ñÙ³Ý Ýå³ï³Ïáí: ºñ»Ë³Ý»ñÝ ³Û¹åÇëÇ ¹»åù»ñáõÙ áõÕ»·ñíáõÙ ¿ÇÝ ºñ¨³ÝÇ ³ÏݳμáõÅ³Ï³Ý ÏÉÇÝÇϳݻñ: ²ÛÝ ÑÇí³Ý¹Ý»ñÁ, áñáÝù ÙdzÛÝ ß³ñáõÝ³Ï³Ï³Ý μáõÅáõ٠ϳ٠ËݳÙùÇ Ï³ñÇù áõÝ»ÇÝ, áõÕ»·ñíáõÙ ¿ÇÝ ï»ÕÇ ³ÏݳμáõÛÅÇ Ùáï: ²Ûë ɳÛݳͳí³É ³ß˳ï³ÝùÝ»ñÇ ³ñ¹ÛáõÝùáõÙ 2003-2009 ÃÃ. ÁÝóóùáõ٠г۳ëï³ÝáõÙ ³Ýí׳ñ ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñ ëï³Ý³Éáõ Ýå³ï³Ïáí Íñ³·ñÇÝ ¹ÇÙ»É ¨ ³ÏݳμáõÅ³Ï³Ý ½ÝÝáõÙ ¿ ³Ýó»É »ñÏñÇ 156,688 μݳÏÇã (»ñÏñÇ μݳÏãáõÃÛ³Ý ßáõñç 5%-Á), áñáÝó Ù»Í Ù³ëÁ` 61%-Á, ٻͳѳë³Ï μݳÏãáõÃÛáõÝ ¿ (16 ¨ ³í»ÉÇ ï³ñ»Ï³Ý), ÇëÏ 39%-Á` »ñ»Ë³ (ÙÇÝ㨠16 ï³ñ»Ï³Ý): Àݹ áñáõÙ, ϳݳÛù ѳÝñ³å»ïáõÃÛáõÝáõÙ ½ÝÝí³Í μݳÏãáõÃÛ³Ý ßñç³ÝáõÙ ·»ñ³ÏßéáõÙ »Ý. Ýñ³Ýù ϳ½ÙáõÙ »Ý ѻﳽáïí³ÍÝ»ñÇ ßáõñç 57%-Á: ºñ»Ë³Ý»ñÇ ßñç³ÝáõÙ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ Ñ³Ûïݳμ»ñáõÙÝ áõ ųٳݳÏÇÝ Ï³Ý˳ñ·»ÉáõÙÁ ٻͳå»ë Ýå³ëïáõÙ ¿ μݳÏãáõÃÛ³Ý ßñç³ÝáõÙ ÏáõñáõÃÛ³Ý áõ ÃáõÛÉ ï»ëáÕáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³ÝÁ, ³Û¹ ÇëÏ å³ï׳éáí вÜ-Á Çñ »ñÏñáñ¹ ßñç³ÛóÇ Å³Ù³Ý³Ï ³í»ÉÇ Ù»Í áõß³¹ñáõÃÛáõÝ ¿ ¹³ñÓñ»É ¹åñáóÝ»ñáõ٠ϳï³ñíáÕ ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñÇÝ: Æñ »ñÏñáñ¹ ßñç³ÛóÇ ÁÝóóùáõÙ ÐÐ-áõ٠вÜ-Ç ÏáÕÙÇó ½ÝÝí³Í μݳÏãáõÃÛ³Ý Ï»ëÇó ³í»ÉÇÝ` 55%-Á ÑÇÙݳϳÝáõÙ ·ÛáõÕ³Ï³Ý 245 ѳٳÛÝùÝ»ñÇ 320 ¹åñáóÝ»ñÇ ³ß³Ï»ñïÝ»ñÝ »Ý »Õ»É: ÐÇÙݳϳÝáõÙ ¹ñ³Ýáí ¿ å³Ûٳݳíáñí³Í вÜ-Ç ÏáÕÙÇó ѻﳽáïí³Í μݳÏãáõÃÛ³Ý ßñç³ÝáõÙ »ñ»Ë³Ý»ñÇ μ³ñÓñ Ý»ñϳ۳óí³ÍáõÃÛáõÝÁ (39%)` »ñÏñÇ μݳÏãáõÃÛ³Ý ÅáÕáíñ¹³·ñ³Ï³Ý ϳéáõóí³ÍùÇ Ñ³Ù»Ù³ï (ßáõñç 24%): гßíÇ ³éÝ»Éáí ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñÇ μݳÏãáõÃÛ³Ý Ñ³Ù³ñ ³ÏݳμáõÅ³Ï³Ý ³é³çݳÛÇÝ áõ »ñÏñáñ¹³ÛÇÝ Í³é³ÛáõÃÛáõÝÝ»ñÇ ³é³í»É ¹Åí³ñ³Ù³ïã»ÉÇáõÃÛáõÝÁ` вÜ-Ç ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñÁ ٻͳå»ë áõÕÕí³Í »Ý »Õ»É ¹»åÇ ·ÛáõÕ³Ï³Ý μݳÏãáõÃÛáõÝÁ. ѻﳽáïí³ÍÝ»ñÇ ßáõñç 58%-Á ·ÛáõÕ³Ï³Ý μݳÏãáõÃÛáõÝ ¿: êáódzɳå»ë ³Ý³å³Ñáí áõ Ëáó»ÉÇ ¨ ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ½ÝÝí³Í μݳÏãáõÃÛ³Ý Ñ³Ù³ñ вÜ-Á å³ïñ³ëï»É áõ ³Ýí׳ñ ïñ³Ù³¹ñ»É ¿ ÁݹѳÝáõñ ³éÙ³Ùμ 29,546 ³ÏÝáó:

22


23

¼ÝÝáõÙÝ»ñ ³Ýó³Í μݳÏãáõÃÛ³Ý Ù³ñ½³ÛÇÝ μ³ßËáõÙÁ íϳÛáõÙ ¿, áñ ¹ñ³ ÁݹѳÝáõñ ÃíáõÙ ³é³í»É Ù»Í Ý»ñϳ۳óí³ÍáõÃÛáõÝ áõÝ»Ý ²ñ³ñ³ïÇ, ²ñÙ³íÇñÇ, Îáï³ÛùÇ áõ Èáéáõ Ù³ñ½»ñÇ μݳÏÇãÝ»ñÁ:

вÜ-Ç ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ (²ÞÐ) 2003-2009 ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿ ³Ýó»É ¹ñ³ ϳñÇùÝ áõÝ»óáÕ 16,518 μݳÏÇã (½ÝÝí³Í ٻͳѳë³ÏÝ»ñÇ 17.3%-Á), áñáÝóÇó 7,939-Á (½ÝÝí³Í ٻͳѳë³ÏÝ»ñÇ 8.3%-Á) ³ÛÝáõÑ»ï¨ ²ÞÐ-áõÙ íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É:


ÀݹѳÝáõñ ³éÙ³Ùμ 2003-2009 ÃÃ. ²ÞÐ-áõÙ ³Ýóϳóí»É ¿ 8,394 íÇñ³Ñ³ïáõÃÛáõÝ áõ ɳ½»ñ³ÛÇÝ ÙÇç³ÙïáõÃÛáõÝ, áñáÝó Ù»Í Ù³ëÁ (ßáõñç 70%-Á) ϳï³ñ³ÏïÇ ï³ñμ»ñ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÝ »Ý »Õ»É:

ÐÐ Ûáõñ³ù³ÝãÛáõñ Ù³ñ½áõ٠вÜ-Ç Ù³ïáõó³Í ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ Ýϳñ³·ÇñÁ μ»ñí³Í ¿ μ³ÅÇÝ 5-áõÙ: 24


25

3.2. 2007-2009 ÃÃ. вÜ-Ç ºððàð¸ Þðæ²ÚòÆ ÀܲòøàôØ Æð²Î²Ü²òì²Ì ²Þʲî²ÜøܺðÆ êºÔØ Üβð²¶ÆðÀ вÜ-Ç ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ 2007-2009 ÃÃ. ÁÝóóùáõÙ »ññáñ¹ ßñç³ÛóÝ »Ý ϳï³ñ»É ÐÐ 9 Ù³ñ½»ñáõÙ (μ³ó³éáõÃÛ³Ùμ ºñ¨³ÝÇ, áñï»Õ ½ÝÝáõÙÝ»ñÁ Ï»Ýïñáݳóí³Í »Ý »Õ»É μݳÏãáõÃÛ³Ý ³é³ÝÓÇÝ, ѳïáõÏ ËÙμ»ñÇ ßñç³ÝáõÙ áõ ¹åñáóÝ»ñáõÙ, áõ ¶»Õ³ñùáõÝÇùÇ Ù³ñ½Ç)1: ºññáñ¹ ßñç³ÛóÇ ÁÝóóùáõ٠вÜ-Ç ³ÏݳμáõÛÅÝ»ñÝ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ »Ý ³Ýóϳóñ»É г۳ëï³ÝÇ 490 ѳٳÛÝùÝ»ñáõ٠ϳ٠»ñÏñÇ Ñ³Ù³ÛÝùÝ»ñÇ ßáõñç 54%-áõÙ: ¼ÝÝáõÙÝ»ñÇ Ý»ñϳ۳ó»É »Ý »ñÏñÇ 615 ï³ñμ»ñ ѳٳÛÝùÝ»ñÇ μݳÏÇãÝ»ñ` ÑÇÙݳϳÝáõÙ ·ÛáõÕ³Ï³Ý μݳϳí³Ûñ»ñÇó: ÀݹѳÝáõñ ³éÙ³Ùμ, ½ÝÝí³ÍÝ»ñÇ ·»ñ³ÏßÇé Ù³ëÁ` 68%-Á, ·ÛáõÕ³Ï³Ý μݳÏãáõÃÛáõÝÝ ¿, áñáÝó ѳٳñ ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÝ ³í»ÉÇ ¹Åí³ñ³Ù³ïã»ÉÇ »Ý: вÜ-Ç ÏáÕÙÇó ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñÇ ¿ »ÝóñÏí»É г۳ëï³ÝÇ 26,711 μݳÏÇã (ϳ٠»ñÏñÇ μݳÏãáõÃÛ³Ý ßáõñç 0.9%-Á), áñáÝóÇó 16,837-Á ϳ٠63%-Á` ϳݳÛù, ÇëÏ 1,195-Á` »ñ»Ë³ (ÙÇÝ㨠16 ï³ñ»Ï³Ý): вÜ-Ç ÏáÕÙÇó ½ÝÝí³ÍÝ»ñÇ Ï»ëÇó ³í»ÉÇÝ` 52%-Á ëáódzɳå»ë ³Ý³å³Ñáí ¨ ³é³ÝÓÇÝ (ѳïáõÏ) Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ ³ÝÓÇÝù »Ý »Õ»É:

1 ՀԱՆ-ը իր աշխատանքները սահմանափակել է Գեղարքունիքի մարզում, քանի որ այնտեղ գործում է Հայաստանի ամերիկյան համալսարանի Կարո Մեղրիկյանի աչքի հիվանդությունների կանխարգելման կենտրոնի և “Արարատ-1 Լայոնս Քլաբ ինտերնեյշնլ” բարեգործական հասարական կազմակերպության և ՀՀ առողջապահության նախարարության համատեղ ջանքերով ստեղծված Սևանի ակնաբուժական կենտրոնը:


вÜ-Ç ÏáÕÙÇó ³ÏݳÛÇÝ ½ÝÝáõÙ ³Ýó³ÍÝ»ñÇ Ù»Í Ù³ëÁ (72.3%) í»ñ³ñï³¹ñáÕ³Ï³Ý ï³ñÇùÇó μ³ñÓñ ï³ñÇùÇ μݳÏãáõÃÛáõÝÝ ¿` 49Çó μ³ñÓñ ï³ñÇù áõÝ»óáÕÝ»ñÁ: 70 ¨ ³í»ÉÇ ï³ñ»Ï³ÝÝ»ñÁ ϳ½ÙáõÙ »Ý ½ÝÝí³Í μݳÏãáõÃÛ³Ý Ù»Ï »ññáñ¹Çó ùÇã ³í»ÉÇÝ` 31%-Á: ¼ÝÝí³Í μݳÏãáõÃÛ³Ý ï³ñÇù³ÛÇÝ μ³ßËáõÙÁ μ»ñí³Í ¿ ·Í³å³ïÏ»ñ 2-áõÙ:

²ÞÐ-Ý ÁݹáõÝ»É, Ëáñ³óí³Í ѻﳽáïÙ³Ý ¿ »ÝóñÏ»É ¨ ³Ëïáñáᯐ ¹ñ³ ϳñÇùÝ áõÝ»óáÕ 3,943 ½ÝÝí³ÍÝ»ñÇ (½ÝÝí³Í ٻͳѳë³ÏÝ»ñÇ 15.5%-Á)` ³ß˳ï»Éáí ÑÇÙݳϳÝáõÙ ÐÐ ÷áùñ áõ ÙÇçÇÝ ù³Õ³ùÝ»ñáõÙ ¨ ÁݹáõÝ»Éáí ݳ¨ ѳñ³ÏÇó ·ÛáõÕ»ñÇ μݳÏãáõÃÛ³ÝÁ: ²Û¹ μݳÏãáõÃÛ³Ý ßáõñç Ï»ëÁ` 48%-Á (ϳ٠½ÝÝí³Í ٻͳѳë³ÏÝ»ñÇ 7.4%-Á)` 1,893 Ù³ñ¹, ²ÞÐ-áõÙ íÇñ³Ñ³ïí»É ϳ٠ɳ½»ñ³ÛÇÝ ÙÇç³ÙïáõÃÛ³Ý ¿ »ÝóñÏí»É: вÜ-Á ³ÏÝáó ¿ å³ïñ³ëï»É áõ ïñ³Ù³¹ñ»É ¹ñ³Ýó ϳñÇùÝ áõÝ»óáÕ ëáódzɳå»ë ³Ý³å³Ñáí 9,793 Ù³ñ¹áõ ѳٳñ:

26


27

4. вÜ-Ç îìÚ²ÈܺðÆ ÞîºØ²ð²ÜÆ ìºðÈàôÌàôÂÚ²Ü ²ð¸ÚàôÜøܺðÆ ²ØöàöàôØÀ ´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ÁݹѳÝáõñ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»ÉáõÝ ½áõ·ÁÝóó, 2003 Ã. Ç í»ñ вÜ-Á ѳí³ù»É ¨ í»ñÉáõÍ»É ¿ Íñ³·ñÇ ßñç³Ý³ÏÝ»ñáõÙ ³ÏݳμáõÅ³Ï³Ý ½ÝÝáõÙ ³Ýó³Í ßáõñç 160 ѳ½³ñ ߳ѳéáõÝ»ñÇ ïíÛ³ÉÝ»ñÁ ¨ ëï»ÕÍ»É ¿ ïíÛ³ÉÝ»ñÇ ßï»Ù³ñ³Ý, áñÇ í»ñÉáõÍáõÃÛ³Ý ÑÇÙ³Ý íñ³ ëï³óí»É »Ý г۳ëï³ÝáõÙ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛáõÝÝ áõ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛáõÝÁ μÝáõó·ñáÕ ÑÇÙÝ³Ï³Ý ÙÇç³½·³ÛÝáñ»Ý ÁݹáõÝí³Í óáõó³ÝÇßÝ»ñÝ áõ ¹ñ³Ýó ѳٻٳï³Ï³Ý å³ïÏ»ñÁ` »ñÏñÇ ¨ Ýñ³ Ù³ñ½»ñÇ Ïïñí³Íùáí: êïáñ¨ Ý»ñϳ۳óÝáõÙ »Ýù ÐÐ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý áõ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý ·Çï³Ï³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñ, áñáÝù áñáßáõÙ ÁݹáõÝáÕÝ»ñÇÝ Ñݳñ³íáñáõÃÛáõÝ Ïï³Ý ·Ý³Ñ³ï»Éáõ ÇÝãå»ë μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý íÇ׳ÏÁ, ³ÛÝå»ë ¿É ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ å³Ñ³Ýç³ñÏÁ »ñÏñáõÙ: Üßí³Í ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ ÑÇÙÝí³Í »Ý 2007-2009 ÃÃ. ÁÝóóùáõÙ ÐÐ 9 Ù³ñ½»ñáõ٠вÜ-Ç Ï³ï³ñ³Í »ññáñ¹ ßñç³ÛóÇ ïíÛ³ÉÝ»ñÇ í»ñÉáõÍáõÃÛ³Ý íñ³1 , ù³ÝÇ áñ ³ÛÝ å³ñáõÝ³Ï»É ¿ ³é³í»É óñÙ, ѳí³ëïÇ áõ ɳÛÝ ï»Õ»Ï³ïíáõÃÛáõÝ` ½ÝÝí³Í μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý í»ñ³μ»ñÛ³É: ´³óÇ ³Û¹, áñáß ÑÇÙÝ³Ï³Ý ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ·Íáí ÏÝ»ñϳ۳óí»Ý ݳ¨ вÜ-Ç »ñ»ù ßñç³Ûó»ñÇ ¹ÇݳÙÇϳÛÇ í»ñÉáõÍáõÃÛáõÝÝ»ñ:

4.1. вÜ-Ç ÎàÔØÆò ¼ÜÜì²Ì ´Ü²ÎâàôÂÚ²Ü ²ÎܲÚÆÜ ²èàÔæàôÂÚ²Ü Ø²êÆÜ îìÚ²ÈܺðÆ Ð²ì²ø²¶ðØ²Ü àô ØÞ²ÎØ²Ü ØºÂา´²ÜàôÂÚàôÜÀ гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ ³Ýóϳóñ³Í ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñÇÝ ½áõ·³Ñ»é ѳí³ùí»É »Ý ½ÝÝí³ÍÝ»ñÇ Ù³ëÇÝ áñáß³ÏÇ ïíÛ³ÉÝ»ñ: ²ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñÇ Ñ³Ù³ñ ¹ÇÙ³Í Ûáõñ³ù³ÝãÛáõñ ³ÝÓÇ Ñ³Ù³ñ Éñ³óí»É ¿ ѳñó³Ã»ñÃ, áñÁ Ý»ñ³éáõÙ ¿ Ýñ³ ³éáÕç³Ï³Ý ÁݹѳÝáõñ íÇ׳ÏÇ (Ù³ëݳíáñ³å»ë áõß³¹ñáõÃÛáõÝ ¹³ñÓÝ»Éáí ³ÛÝ μÅßÏ³Ï³Ý ËݹÇñÝ»ñÇÝ, áñáÝù ³½¹áõÙ »Ý ï»ëáÕáõÃÛ³Ý íñ³, ´³ó³éáõÃÛ³Ùμ ºñ¨³ÝÇ, áñï»Õ вÜ-Á ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ ¿ ϳï³ñ»É ÙdzÛÝ ¹åñáóÝ»ñáõÙ ¨ ëáóÇ³É³Ï³Ý Ñ³ëï³ïáõÃÛáõÝÝ»ñáõÙ (Ù³ÝϳïÝ»ñ, Í»ñ»ñÇ ïáõÝ ÇÝï»ñݳïÝ»ñ, μ³ñ»·áñÍ³Ï³Ý ×³ß³ñ³ÝÝ»ñ, ³½³ï³½ñÏÙ³Ý í³Ûñ»ñ ¨ ³ÛÉÝ) áõ ¶»Õ³ñùáõÝÇùÇ Ù³ñ½Ç, áñï»Õ вÜ-Ç ½ÝÝáõÙÝ»ñÁ ÷áùñ ï³ñ³ÍáõÙ »Ý áõÝ»ó»É, ù³ÝÇ áñ Ù³ñ½áõÙ ³ÏݳÛÇÝ Í³é³ÛáõÃÛáõÝÝ»ñÝ ³é³í»É Ù³ïã»ÉÇ »Ý: 1


ÇÝãå»ë, ûñÇݳÏ` ß³ù³ñ³ÛÇÝ ¹Ç³μ»ïÁ, μ³ñÓñ ×ÝßáõÙÁ ¨ μáñμáù³ÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÁ), ³éáÕç³å³Ñ³Ï³Ý áõ ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇÝ ¹ÇÙ»Éáõ ѳ׳˳ϳÝáõÃÛ³Ý, ÇÝãå»ë ݳ¨ ³éáÕç ³åñ»É³Ï»ñåÇ å³ïÏ»ñ³óáõÙÝ»ñÇ í»ñ³μ»ñÛ³É Ñ³ñó»ñ: вÜ-Ç μÅßÏ³Ï³Ý ³ÝÓݳϳ½ÙÁ ѳñó³Ã»ñÃÇ í»ñçݳٳëáõÙ ½»ï»Õ»É ¿ ïíÛ³É ³ÝÓÇ ³ÏݳÛÇÝ ½ÝÝÙ³Ý áõ ³ËïáñáßÙ³Ý, ÇÝãå»ë ݳ¨ μÅßÏ³Ï³Ý ÙÇç³ÙïáõÃÛ³Ý μÝáõó·ÇñÝ áõ ³ñ¹ÛáõÝùÝ»ñÁ: Èñ³óí³Í ѳñó³Ã»ñûñÁ Ùáõïù³·ñí»É »Ý, áñÇ ³ñ¹ÛáõÝùáõÙ ëï»ÕÍí»É ¿ вÜ-Ç ½ÝÝáõÙÝ»ñÝ ³Ýó³Í μݳÏãáõÃÛ³Ý ïíÛ³ÉÝ»ñÇ ßï»Ù³ñ³Ý, áñÝ ³ÛÝáõÑ»ï¨ íÇ׳ϳ·ñ³Ï³Ý í»ñÉáõÍáõÃÛ³Ý ¿ »ÝóñÏí»É (h³ñó³Ã»ñÃÇ 2007-2009 ¨ 2010 ÃÃ. ßñç³Ûó»ñÇ ÁÝóóùáõÙ û·ï³·áñÍí³Í ï³ñμ»ñ³ÏÁ ½»ï»Õí³Í ¿ гí»Éí³Í 1-áõÙ): ¶Ý³Ñ³ïÙ³Ý ¨ ÙáÝÇÃáñÇÝ·Ç Ñ»ï¨áÕ³Ï³Ý ³ß˳ï³ÝùÁ, ÇÝãå»ë ݳ¨ Ùßï³Ï³Ý ѻﳹ³ñÓ Ï³åÁ вÜ-Ç μÅßÏ³Ï³Ý ËÙμ»ñÇ ¨ ²ÞÐ-Ç ³ÝÓݳϳ½ÙÇ Ñ»ï Ñݳñ³íáñáõÃÛáõÝ »Ý ïí»É ßñç³Ûó»ñÇ Ï³½Ù³Ï»ñåã³Ï³Ý ·áñͻɳϻñåÇ, μÅßÏ³Ï³Ý Ùáï»óáõÙÝ»ñÇ ¨ μáí³Ý¹³Ï³ÛÇÝ μ³ñ»É³íÙ³Ý ï»ë³ÝÏÛáõÝÇó ³í»ÉÇ ³ñ¹Ûáõݳí»ï ¹³ñÓÝ»Éáõ вÜ-Ç ³ÙμáÕç ·áñÍáõÝ»áõÃÛáõÝÁ ÐÐ-Ç Ù³ñ½»ñáõÙ: вÜ-Ç ÏáÕÙÇó ëï»ÕÍí»É ¨ ·áñÍÇ »Ý ¹ñí»É ëùñÇÝÇÝ·Ç Ù»Ãá¹³μ³ÝáõÃÛáõÝÁ, ѳñó³Ã»ñûñÁ, μ³½Ù³ÃÇí áõÕ»óáõÛó»ñ, Çñ³Ï³Ý³óÙ³Ý Ï³ñ·»ñ, ѳßí»ïíáõÃÛ³Ý Ã»ñÃÇÏÝ»ñ ¨ ³ÛÉÝ: ¸ñ³Ýù ¨ Ù³ëݳíáñ³å»ë вÜ-Ç Ñ³ñó³Ã»ñÃÇ Ýáñ³óí³Í ï³ñμ»ñ³ÏÁ Ñݳñ³íáñáõÃÛáõÝ »Ý ïí»É вÜ-Ç »ññáñ¹ ÷áõÉáõÙ ëï³Ý³Éáõ ³í»ÉÇ Ù³Ýñ³Ù³ëÝ ï»Õ»ÏáõÃÛáõÝÝ»ñ ÐÐ-áõÙ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ í»ñ³μ»ñÛ³É` ÙÇ³Å³Ù³Ý³Ï å³Ñå³Ý»Éáí ݳËáñ¹ ßñç³Ûó»ñÇ ïíÛ³ÉÝ»ñÇ Ñ»ï ѳٻٳïáõÃÛ³Ý Ñݳñ³íáñáõÃÛáõÝÁ: àõëïÇ ïíÛ³ÉÝ»ñÇ í»ñÉáõÍáõÃÛáõÝÁ ÑÇí³Ý¹³óáõÃÛ³Ý ï»ë³ÝÏÛáõÝÇó Ý»ñϳ۳óíáõÙ ¿ ³é³í»É³å»ë »ññáñ¹ ÷áõÉÇ ûñÇݳÏáí: гñÏ ¿ Ýß»É, áñ вÜ-Ç ïíÛ³ÉÝ»ñÇ ßï»Ù³ñ³ÝÁ ÁÝïñ³Ýù³ÛÇÝ Ñ»ï³½áïáõÃÛ³Ý ³ñ¹ÛáõÝù ã¿, ù³ÝÇ áñ μݳÏãáõÃÛ³Ý Ù³ëݳÏóáõÃÛáõÝÁ ϳï³ñíáÕ Ñ»ï³½áïáõÃÛáõÝÝ»ñÇÝ Ï³Ù³íáñ μÝáõÛà ¿ áõÝ»ó»É, ½ÝÝáõÙÝ»ñÝ Çñ³Ï³Ý³óÝáÕ ËÙμ»ñÝ ÁݹáõÝ»É »Ý μáÉáñ ³ÛÝ Ù³ñ¹Ï³Ýó, áíù»ñ ¹ÇÙ»É »Ý вÜ-ÇÝ: ²Û¹ ÇëÏ å³ï׳éáí, ½ÝÝí³Í μݳÏãáõÃÛ³Ý ë»é³-ï³ñÇù³ÛÇÝ, ÇÝãå»ë ݳ¨ ï³ñ³Íù³ÛÇÝ (ù³Õ³ù-·ÛáõÕ ¨ Ù³ñ½»ñ) ѳٳٳëÝáõÃÛáõÝÝ»ñÁ ã»Ý ѳٳå³ï³ëË³Ý»É »ñÏñÇ ÅáÕáíñ¹³·ñ³Ï³Ý áõ ï³ñ³Íù³ÛÇÝ μÝáõó·ñÇãÝ»ñÇÝ: ²Ûë ѳݷ³Ù³ÝùÁ ѳßíÇ ³éÝ»Éáí` ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ ëï³Ý³Éáõ ѳٳñ ïíÛ³ÉÝ»ñÁ Ïßéí»É »Ý` Ýßí³Í ѳٳٳëÝáõÃÛáõÝÝ»ñÁ ßïÏ»Éáõ ¨ »ñÏñÇ ÅáÕáíñ¹³·ñ³Ï³Ý áõ Ù³ñ½³ÛÇÝ μÝáõó·ñÇãÝ»ñÇÝ Ñ³Ù³å³ï³ë˳ݻóÝ»Éáõ Ýå³ï³Ïáí ¨ ï³ñ³Íí»É »Ý: 28


29 ²Ûë ѻﳽáïáõÃÛ³Ý ßñç³Ý³ÏÝ»ñáõÙ ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÝ áõ óáõó³ÝÇßÝ»ñÁ ѳßí³ñÏí»É »Ý ÑÇÙݳϳÝáõ٠ٻͳѳë³Ï (16 ¨ ³í»ÉÇ ï³ñ»Ï³Ý) ¨ Ù³ëݳíáñ³å»ë 50-Çó μ³ñÓñ ï³ñÇùÇ μݳÏãáõÃÛ³Ý Ñ³Ù³ñ` ѳßíÇ ³éÝ»Éáí í»ñçÇÝÝ»ñÇë ³é³í»É μ³ñÓñ éÇëϳÛÇÝ ·áñÍáÝÁ Ñݳñ³íáñ ÏáõñáõÃÛ³Ý ³éáõÙáí: ´³óÇ ³Û¹, ßï»Ù³ñ³ÝÁ å³ñáõݳÏáõÙ ¿ ¹ÇݳÙÇÏ ß³ñù»ñ, áñáÝù ѳٳå³ï³ë˳ÝáõÙ »Ý »ñÏáõ ï³ñí³ ÁÝóóùáõÙ ÐÐ 9 Ù³ñ½»ñáõ٠вÜ-Ç Çñ³Ï³Ý³óñ³Í »ñ»ù ßñç³Ûó»ñÇÝ` 20032005, 2005-2007 ¨ 2007-2009 Ãí³Ï³ÝÝ»ñÇÝ: àõëïÇ, ëï³óí³Í ³ñ¹ÛáõÝùÝ»ñÇ Ñ³Ù»Ù³ïáõÃÛáõÝÝ»ñÁ ¹ÇݳÙÇϳÛáõÙ áõÝ»Ý áñáß³ÏÇ ³é³ÝÓݳѳïÏáõÃÛáõÝÝ»ñ, áñáÝó ÁÝûñóáÕÁ å»ïù ¿ áñáß í»ñ³å³ÑáõÙáí Ùáï»Ý³:

4.2. вÜ-Ç 2003-2009 ÃÃ. ºðºø Þðæ²ÚòºðÆ ÀܲòøàôØ ÐÐ ´Ü²ÎâàôÂÚ²Ü Þðæ²ÜàôØ ¶ð²Üòì²Ì ²ÎܲÚÆÜ ÐÆì²Ü¸àôÂÚàôÜܺðÀ ÐÐ ²éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñáõÃÛáõÝÝ Çñ íÇ׳ϳ·ñ³Ï³Ý ï³ñ»·ñù»ñáõÙ å³ßïáݳå»ë Ññ³å³ñ³ÏáõÙ ¿ »ñÏñÇ μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛáõÝÁ μÝáõó·ñáÕ »ñÏáõ ÑÇÙÝ³Ï³Ý óáõó³ÝÇß` ³ãùÇ ¨ Ýñ³ ѳí»ÉÛ³É ³å³ñ³ïÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ áõ ·É³áõÏáÙ³ÛÇ ³é³çÇÝ ³Ý·³Ù ³Ëïáñáßí³Í ¹»åù»ñÇ ù³Ý³ÏÁ ¨ μݳÏãáõÃÛ³Ý ÁݹѳÝáõñ ÑÇí³Ý¹³óáõÃÛáõÝÝ ³Û¹ ÑÇí³Ý¹áõÃÛáõÝÝ»ñáí: Àëï áñáõÙ, μݳÏãáõÃÛ³Ý ÑÇí³Ý¹³óáõÃÛ³Ý ¹»åù»ñÁ ·ñ³ÝóíáõÙ »Ý μáõÅû·ÝáõÃÛáõÝ ëï³Ý³Éáõ ѳٳñ ¹ÇÙ»ÉÇë ¨ å³ñï³¹Çñ ϳÝ˳ñ·»ÉÇã ùÝÝáõÃÛáõÝÝ»ñ ³ÝóÝ»ÉÇë1: ²Û¹ óáõó³ÝÇßÝ»ñÇ ¹ÇݳÙÇÏ³Ý íϳÛáõÙ ¿, áñ ³ãùÇ áõ Ýñ³ ѳí»ÉÛ³É ³å³ñ³ïÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñáí ·ñ³Ýóí³Í μݳÏãáõÃÛ³Ý ÃÇíÁ Ù»ñ »ñÏñáõÙ 2004-2008 ÃÃ. ³×»É ¿ ßáõñç »ñÏáõ ³Ý·³Ù` 2008Ã-ÇÝ Ï³½Ù»Éáí 2,610 Ù³ñ¹` 100,000 μݳÏãÇ Ñ³ßíáí (ϳ٠ÁݹѳÝáõñ ³éÙ³Ùμ 68,544 Ù³ñ¹): Àݹ áñáõÙ, 2005 Ã-Çó ëÏë³Í, Ýßí³Í ÑÇí³Ý¹áõÃÛáõÝÝ»ñáí ÑÇí³Ý¹Ý»ñÇ ÁݹѳÝáõñ ÃíÇ ßáõñç 47%-Á, ³Ëïáñáßí»É ¿ Çñ ÏÛ³ÝùáõÙ ³é³çÇÝ ³Ý·³Ù: ²ãùÇ áõ Ýñ³ ѳí»ÉÛ³É ³å³ñ³ïÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ÃíáõÙ, ë³Ï³ÛÝ, å³ßïáÝ³Ï³Ý íÇ׳ϳ·ñáõÃÛáõÝÁ Ù³Ýñ³Ù³ëÝáõÙ ¿ ÙdzÛÝ ·É³áõÏáÙ³ÛÇ ¹»åù»ñÁ: Àëï ÐÐ ³éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñáõÃÛ³Ý ïíÛ³ÉÝ»ñÇ` 2008 Ã. ¹ñáõÃÛ³Ùμ Ù»ñ »ñÏñáõÙ ·ñ³Ýóí³Í ¿ »Õ»É ·É³áõÏáÙ³Ûáí ³Ëïáñáßí³Í 5,320 Ù³ñ¹, áñáÝóÇó 1,274-Á 2008 Ã. ³Ëïáñáßí»É ¿ ÏÛ³ÝùáõÙ ³é³çÇÝ 1 î»°ë ÐÐ ²Ü ²²Æ ï»Õ»Ï³ïí³Ï³Ý í»ñÉáõÍ³Ï³Ý Ñ³Ýñ³å»ï³Ï³Ý Ï»ÝïñáÝ. ìÇ׳ϳ·ñ³Ï³Ý ï»Õ»Ï³·Çñù 2008:


³Ý·³Ù: ²ãùÇ áõ Ýñ³ ѳí»ÉÛ³É ³å³ñ³ïÇ ³ÛÉ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ·Íáí å³ßïáÝ³Ï³Ý íÇ׳ϳ·ñáõÃÛáõÝÁ μ³ó³Ï³ÛáõÙ ¿:

áõ

¶Í³å³ïÏ»ñ 4-Á Ý»ñϳ۳óÝáõÙ ¿ вÜ-Ç ³ÏݳμáõÅ³Ï³Ý ËÙμ»ñÇ ÏáÕÙÇó 2003-2009 ÃÃ. »ñ»ù ßñç³Ûó»ñÇ ÁÝóóùáõ٠ٻͳѳë³ÏÝ»ñÇ (16 ¨ ³í»ÉÇ ï³ñ»Ï³Ý) ßñç³ÝáõÙ ³Ëïáñáßí³Í ³ãùÇ áõ Ýñ³ ѳí»ÉÛ³É ³å³ñ³ïÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ¹»åù»ñÇ ÃÇíÁ` ÑÇÙÝ³Ï³Ý ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ áñáß³ÏÇ ËÙμ»ñÇ Ïïñí³Íùáí: ²ÛÝ íϳÛáõÙ ¿, áñ вÜ-ÇÝ ³Û¹ ³ÙμáÕç ÁÝóóùáõÙ ³Ûó»É³Í ÐÐ μݳÏãáõÃÛ³Ý ßñç³ÝáõÙ ³Ëïáñáßí»É ¿ ÁݹѳÝáõñ ³éÙ³Ùμ ϳï³ñ³ÏïÇ 27,032 ¹»åù, áñáÝó Ù»Í Ù³ëÁ` 60%-Á ѳÛïݳμ»ñí»É ¿ ÑÇí³Ý¹Ç ÏÛ³ÝùáõÙ ³é³çÇÝ ³Ý·³Ù: вÜ-Ç ³ÏݳμáõÅ³Ï³Ý ËÙμ»ñÝ ³Û¹ ųٳݳϳѳïí³Íáõ٠ѳÛïݳμ»ñ»É »Ý ³Ïݳѳï³ÏÇ ï³ñμ»ñ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ 14,437 ¹»åù, áñáÝóÇó 62%-Á` ÑÇí³Ý¹Ý»ñÇ ÏÛ³ÝùáõÙ ³é³çÇÝ ³Ý·³Ù, »Õç»ñ³Ã³Õ³ÝÃÇ ï³ñμ»ñ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ` 6,877 ¹»åù, áñáÝóÇó 62%-Á ³é³çÇÝ ³Ý·³Ù ¨ ·É³áõÏáÙ³ÛÇ 5,411 ¹»åù, áñáÝóÇó 54.5%-Á` ³é³çÇÝ ³Ý·³Ù: ÀݹѳÝáõñ ³éÙ³Ùμ Ð²Ü ³ß˳ï³ÝùÇ 6 ï³ñÇÝ»ñÇ ÁÝóóùáõÙ »ñÏñáõ٠ѳÛïݳμ»ñí»É ¿ ³Ûë ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ 53,757 ¹»åù (Áݹ áñáõÙ, Ù»Ï Ù³ñ¹Á ϳñáÕ ¿ñ áõÝ»Ý³É ÙÇ ù³ÝÇ ï³ñμ»ñ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ), áñáÝóÇó 32,465-Á ϳ٠60.4%-Á ÑÇí³Ý¹áõÃÛáõÝÝ áõÝ»óáÕÝ»ñÇ Ùáï ѳÛïݳμ»ñí»É ¿ ÏÛ³ÝùáõÙ ³é³çÇÝ ³Ý·³Ù: ÎáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ Ñ³Ûïݳμ»ñáõÙÁ ϳÙ, áñ ÝáõÛÝÝ ¿, ³é³çÇÝ ³Ý·³Ù ³ËïáñáßáõÙÁ ÑÇí³Ý¹Ý»ñÇÝ Ñݳñ³íáñáõÃÛáõÝ ¿ ï³ÉÇë ųٳݳÏÇÝ ¹ÇÙ»Éáõ μÅßÏÇ` ³ÏݳμáõÅ³Ï³Ý »ñÏñáñ¹³ÛÇÝ áõ »ññáñ¹³ÛÇÝ Í³é³ÛáõÃÛáõÝÝ»ñ ëï³Ý³Éáõ ÙÇçáóáí Ñݳñ³íáñ ÏáõñáõÃÛáõÝÁ ϳÝ˳ñ·»É»Éáõ Ýå³ï³Ïáí: 30


31 àõëïÇ Ð²Ü-Ç ·áñÍáõÝ»áõÃÛáõÝÁ ÏáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ μ³ó³Ñ³ÛïÙ³Ý ³éáõÙáí ٻͳå»ë Ýå³ëïáõÙ ¿ ÏáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³ÝÁ »ñÏñáõÙ:

ì»ñÁ Ýßí³Í ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ` вÜ-Ç ÏáÕÙÇó 2003-2009 ÃÃ. г۳ëï³ÝáõÙ ·ñ³Ýóí³Í ¹»åù»ñÇ μ³ßËáõÙÁ Ù³ñ½³ÛÇÝ Ïïñí³Íùáí μ»ñí³Í ¿ ëïáñ¨:


2003-2009 ÃÃ. вÜ-Ç ³ÏݳμáõÛÅÝ»ñÇ ÏáÕÙÇó ³ÏݳÛÇÝ ½ÝÝáõÙ ³Ýó³Í ÁݹѳÝáõñ ³éÙ³Ùμ 95,607 ٻͳѳë³ÏÝ»ñÇó (16 ¨ ³í»ÉÇ ï³ñ»Ï³Ý) ßáõñç 40,000-Ç ßñç³ÝáõÙ ·ñ³Ýóí»É ¿ ³ãùÇ áõ Ýñ³ ѳí»ÉÛ³É ³å³ñ³ïÇ ³éÝí³½Ý Ù»Ï ÑÇí³Ý¹áõÃÛáõÝ: ê³ Ï³½ÙáõÙ ¿ ½ÝÝí³ÍÝ»ñÇ ßáõñç 42%-Á: ê³Ï³ÛÝ, ÝϳïÇ áõݻݳÉáí ½ÝÝí³Í μݳÏãáõÃÛ³Ý ÅáÕáíñ¹³·ñ³Ï³Ý ³é³ÝÓݳѳïÏáõÃÛáõÝÝ»ñÁ, ³Ûë óáõó³ÝÇßÁ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý óáõó³ÝÇß ãÇ Ñ³Ù³ñíáõÙ: ²ÏݳÛÇÝ ï³ñμ»ñ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ ѳßí³ñÏí»É »Ý ïíÛ³ÉÝ»ñÇ ßï»Ù³ñ³ÝÁ Ïßé»Éáõó Ñ»ïá ¨ μ»ñí³Í »Ý »Ýó·ÉáõË 4.3-áõÙ: вÜ-Ç ÏáÕÙÇó Çñ³Ï³Ý³óíáÕ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñÇ ³ÙμáÕç ÁÝóóùáõÙ ³éÝí³½Ý Ù»Ï ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛ³Ùμ ·ñ³Ýóí³Í μݳÏãáõÃÛ³Ý Ù³ñ½³ÛÇÝ μ³ßËáõÙÁ μ»ñíáõÙ ¿ ëïáñ¨:

32


33 вÜ-Á 2003-2009 ÃÃ. »ñ»ù ßñç³Ûó»ñÇ ÁÝóóùáõ٠ѳÛïݳμ»ñ»É ¿ ï»ëáÕáõÃÛ³Ý Ë³Ã³ñáõÙáí ÁݹѳÝáõñ ³éÙ³Ùμ 16,520 Ù³ñ¹, áñáÝóÇó 3,173-Á` ÏáõÛñ, ÇëÏ ¨ë 13,347-Á` ÃáõÛÉ ï»ëáÕáõÃÛ³Ùμ1:

î»ëáÕáõÃÛ³Ý Ë³Ã³ñáõÙÝ»ñÇ ¹»åù»ñÁ ÑÇÙݳϳÝáõÙ å³Ûٳݳíáñí³Í »Ý »Õ»É ϳï³ñ³Ïï ÑÇí³Ý¹áõÃÛ³Ùμ: вÜ-Ç Ñ»ï³½áïáõÃÛáõÝÝ»ñÝ ³Ýó³Í ¨ ï»ëáÕáõÃÛ³Ý Ë³Ã³ñÙ³Ùμ ³Ëïáñáßí³Í ٻͳѳë³Ï μݳÏãáõÃÛ³Ý ³í»ÉÇ ù³Ý 50%-Ç ßñç³Ýáõ٠ѳÛïݳμ»ñí»É ¿ ϳï³ñ³Ïï, ßáõñç 8%-Ç ßñç³ÝáõÙ` ·É³áõÏáÙ³, 22%-Ç ßñç³ÝáõÙ ³Ïݳѳï³ÏÇ ËݹÇñÝ»ñ »Ý ѳÛïݳμ»ñí»É, ÇëÏ ¨ë 15%-Ç Ùáï` »Õç»ñ³Ã³Õ³ÝÃÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ: γï³ñ³ÏïÇó ³é³ç³óáÕ ÏáõñáõÃÛáõÝÇó, ÇÝãå»ë ѳÛïÝÇ ¿, ϳñ»ÉÇ ¿ Ëáõë³÷»É ųٳݳÏÇÝ íÇñ³Ñ³ï³Ï³Ý ÙÇç³ÙïáõÃÛáõÝ Ï³ï³ñ»Éáõ ¹»åùáõÙ: Àëï вÜ-Ç »ññáñ¹ ßñç³ÛóÇ ïíÛ³ÉÝ»ñÇ` ÐÐ-áõÙ 16 ¨ ³í»ÉÇ ï³ñ»Ï³ÝÝ»ñÇ 2.3%-Á ï³ñ»É ¿ ϳï³ñ³ÏïÇ íÇñ³Ñ³ïáõÃÛáõÝ Ù»Ï ¨ ¨ë 0.7%-Á` »ñÏáõ ³ãùáõÙ: ØÇÝã¹»é, ϳï³ñ³ÏïÇ íÇñ³Ñ³ï³Ï³Ý ͳÍÏáõÛÃÁ (»ñÏáõ ³ãùáõ٠ϳï³ñ³Ïï áõÝ»óáÕ μݳÏãáõÃÛ³Ý ÃíáõÙ ³éÝí³½Ý Ù»Ï ³ãùáõÙ 1 Àëï ²éáÕç³å³ÑáõÃÛ³Ý Ñ³Ù³ß˳ñѳÛÇÝ Ï³½Ù³Ï»ñåáõÃÛ³Ý ë³ÑÙ³ÝÙ³Ý` ÏáõÛñ ¿ ѳٳñíáõÙ ³ÛÝ ³ÝÓÁ, áñÇ ï»ëáÕáõÃÛ³Ý ëñáõÃÛáõÝÁ É³í³·áõÛÝ ï»ëÝáÕ ³ãùáõÙ, ³é³í»É³·áõÛÝ ×ß·ñïÙ³Ý å³ÛÙ³ÝÝ»ñáõÙ 3/60-Çó (0.05-Çó) å³Ï³ë ¿: ÂáõÛÉ ï»ëáÕáõÃÛáõÝ áõÝ»óáÕ ¿ ѳٳñíáõÙ ³ÛÝ ³ÝÓÁ, áñÇ ï»ëáÕáõÃÛ³Ý ëñáõÃÛáõÝÁ É³í³·áõÛÝ ï»ëÝáÕ ³ãùáõÙ, ³é³í»É³·áõÛÝ ×ß·ñïÙ³Ý å³ÛÙ³ÝÝ»ñáõÙ ·ïÝíáõÙ ¿ 3/60-6/18 ÙÇç³Ï³ÛùáõÙ (0.05-0.33), ÇëÏ ï»ëáÕáõÃÛ³Ý Ë³Ã³ñáõÙ áõÝ»óáÕÝ»ñÝ ³Ûë »ñÏáõ ËÙμ»ñÇó áñ¨¿ Ù»ÏÇÝ å³ïϳÝáÕÝ»ñÝ »Ý (ï»ëáÕáõÃÛ³Ý ëñáõÃÛáõÝÁ 0.0- 0.33)


ϳï³ñ³ÏïÇ íÇñ³Ñ³ïáõÃÛáõÝ áõÝ»ó³ÍÝ»ñÇ Ù³ëݳμ³ÅÇÝÁ) ϳ½ÙáõÙ ¿ Áݹ³Ù»ÝÁ 23.8%2: ê³ Ý߳ݳÏáõÙ ¿, áñ »ñÏáõ ³ãùáõ٠ϳï³ñ³Ïï áõÝ»óáÕÝ»ñÇ Áݹ³Ù»ÝÁ Ùáï 24%- ¿, áñ íÇñ³Ñ³ï»É ¿ ·áÝ» Ù»Ï ³ãùÇ Ï³ï³ñ³ÏïÁ:

4.3. ÐÐ ´Ü²ÎâàôÂÚ²Ü Þðæ²ÜàôØ ²ÎܲÚÆÜ ÐÆì²Ü¸àôÂÚàôÜܺðÆ î²ð²Ìì²ÌàôÂÚ²Ü ¶Ü²Ð²î²Î²ÜܺðÀ` Àêî вÜ-Ç îìÚ²ÈܺðÆ Ð²Ü-Ç ïíÛ³ÉÝ»ñÁ Ïßé»Éáõó, »ñÏñÇ μݳÏãáõÃÛ³Ý ë»é³ï³ñÇù³ÛÇÝ áõ ï³ñ³Íù³ÛÇÝ Ñ³Ù³Ù³ëÝáõÃÛáõÝÝ»ñÇÝ Ñ³Ù³å³ï³ë˳ݻóÝ»Éáõó ¨ ï³ñ³Í»Éáõó Ñ»ïá ëï³óí»É »Ý г۳ëï³ÝáõÙ ï»ëáÕáõÃÛ³Ý Ë³Ã³ñÙ³Ý, ³Û¹ ÃíáõÙ` ÏáõñáõÃÛ³Ý áõ ÃáõÛÉ ï»ëáÕáõÃÛ³Ý ï³ñ³Íí³ÍáõÃÛ³Ý ÙÇçÇÝ ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ` »ñϳÙÛ³ ųٳݳϳѳïí³ÍáõÙ` 2003-2005, 20052007 ¨ 2007-2009 ÃÃ. ѳٳñ: Àëï ³Û¹ ·Ý³Ñ³ï³Ï³ÝÝ»ñÇ` ÐÐ-áõÙ 2007-2009 ÃÃ. ¹ñáõÃÛ³Ùμ ÏáõÛñ ¿ »Õ»É μݳÏãáõÃÛ³Ý ÙÇçÇÝ Ñ³ßíáí 0.7%-Á, ÇëÏ ÃáõÛÉ ï»ëáÕáõÃÛáõÝ ¿ áõÝ»ó»É` 4.1%-Á: ÀݹѳÝáõñ ³éÙ³Ùμ »ñÏñÇ μݳÏãáõÃÛ³Ý 4.8%-Ý áõÝ»ó»É ¿ ï»ëáÕáõÃÛ³Ý Ë³Ã³ñáõÙ: Àëï áñáõÙ, ÏáõñáõÃÛ³Ý ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ ųٳݳÏÇ Ù»ç μ³ñ»É³íí»É »Ý` 2003-2005 ÃÃ. 1.3%-Çó 2007-2009 ÃÃ. ѳëÝ»Éáí ÙÇçÇÝÁ 0.7%-Ç, ÇëÏ ÃáõÛÉ ï»ëáÕáõÃÛ³Ý ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ í³ï³ó»É »Ý: ê³ ¿ å³ï׳éÁ, áñ ï»ëáÕáõÃÛ³Ý Ë³Ã³ñÙ³Ý ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ гٻٳïáõÃÛ³Ý Ñ³Ù³ñ Ýß»Ýù, áñ ÝáõÛÝÇëÏ ½³ñ·³óáÕ »ñÏñÝ»ñáõÙ ³Ûë óáõó³ÝÇßÁ ÑÇÙݳϳÝáõÙ ß³ï ³í»ÉÇ μ³ñÓñ ¿: úñÇݳÏ` Ðݹϳëï³ÝáõÙ ³ÛÝ Ï³½ÙáõÙ ¿ 63%, ä³ÏÇëï³ÝáõÙ` 44%: 2

34


35

»ñÏñáõÙ ³×»É »Ý: ²ÛÝáõ³Ù»Ý³ÛÝÇí, 2007-2009 ÃÃ. ѳٳñ г۳ëï³ÝáõÙ ÏáõñáõÃÛ³Ý ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ ²éáÕç³å³ÑáõÃÛ³Ý Ñ³Ù³ß˳ñѳÛÇÝ Ï³½Ù³Ï»ñåáõÃÛ³Ý` ÎáíϳëÇ Ñ³Ù³ñ ³ñí³Í ëïáñÇÝ ¨ í»ñÇÝ ·Ý³Ñ³ï³Ï³ÝÝ»ñÇ ÙÇç³Ï³ÛùáõÙ ¿, ÇëÏ ÃáõÛÉ ï»ëáÕáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ ·»ñ³½³ÝóáõÙ »Ý ¹ñ³ í»ñÇÝ »½ñÁ 1.2 ïáÏáë³ÛÇÝ Ï»ïáí: î»ëáÕáõÃÛ³Ý Ë³Ã³ñáõÙÝ ³é³í»É³å»ë Ù»Í ï³ñ³Íí³ÍáõÃÛáõÝ áõÝÇ »ñÏñÇ 50 ¨ ³í»ÉÇ ï³ñ»Ï³Ý μݳÏãáõÃÛ³Ý ßñç³ÝáõÙ: î»ëáÕáõÃÛ³Ý Ë³Ã³ñÙ³Ùμ ³Ëïáñáßí³Í ½ÝÝí³ÍÝ»ñÇ ½·³ÉÇ Ù³ëÁ` ßáõñç Ï»ëÁ, 50 ¨ ³í»ÉÇ ï³ñ»Ï³Ý »Ý: ÎáõñáõÃÛ³Ý ï³ñ³Íí³ÍáõÃÛáõÝÁ 50 ¨ ³í»ÉÇ ï³ñ»Ï³ÝÝ»ñÇ ßñç³ÝáõÙ ¿³å»ë μ³ñÓñ ¿: ²Ûëå»ë` 2007-2009 ÃÃ. вÜ-Ç ïíÛ³ÉÝ»ñÇ Ñ³Ù³Ó³ÛÝ` 2.7 ³Ý·³Ù, ÇëÏ ÃáõÛÉ ï»ëáÕáõÃÛ³Ý ï³ñ³Íí³ÍáõÃÛáõÝÁ` 1.6 ³Ý·³Ù μ³ñÓñ ¿ »Õ»É »ñÏñÇ ÁݹѳÝáõñ ÙÇçÇÝÇó (ï»°ë ·Í³å³ïÏ»ñ 7):


вÜ-Ç Ñ³í³ù³Í ïíÛ³ÉÝ»ñÇ ÏßéáõÙÁ (ѳٳå³ï³ë˳ݻóáõÙÁ ÐÐ μݳÏãáõÃÛ³Ý ë»é³-ï³ñÇù³ÛÇÝ Ï³éáõóí³ÍùÇÝ) ¨ ï³ñ³ÍáõÙÁ Ñݳñ³íáñáõÃÛáõÝ »Ý ïí»É ëï³Ý³Éáõ ݳ¨ »ñÏñáõÙ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñ (ï»°ë ³ÕÛáõë³Ï 6): ê³Ï³ÛÝ ¹ñ³Ýù ѳßí³ñÏí»É »Ý вÜ-Ç »ññáñ¹` 2007-2009 ÃÃ. ßñç³ÛóÇ ïíÛ³ÉÝ»ñÇ ÑÇÙ³Ý íñ³` ÝϳïÇ áõݻݳÉáí ³ÛÝ, áñ вÜ-Ç Ñ»ï³½áïáõÃÛáõÝÝ»ñÇ Ñ³ñó³Ã»ñÃÁ ß³ñáõݳϳμ³ñ μ³ñ»É³íí»É áõ »ññáñ¹ ßñç³ÛóÇ ÁÝóóùáõÙ Ñݳñ³íáñáõÃÛáõÝ ¿ ïí»É ëï³Ý³É ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ³é³í»É μ³ñ»É³íí³Í ó³ÝÏ, ÇÝãå»ë ݳ¨ ³ÛÝ, áñ ³Ûë ßñç³ÛóÇ ïíÛ³ÉÝ»ñÇÁ ³é³í»É óñÙ »Ý: Àëï ³Û¹ ·Ý³Ñ³ï³Ï³ÝÝ»ñÇ` ÐÐ μݳÏãáõÃÛ³Ý ßñç³ÝáõÙ ³é³í»É ï³ñ³Íí³Í ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÝ »Ý ϳï³ñ³ÏïÁ (8.4%) ¨ ³Ïݳѳï³ÏÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÁ (7.9%):

é»ïÇÝáå³Ãdz é»ïÇÝáå³Ãdz

гïϳå»ë ϳñ¨áñ »Ý ÏáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ (·É³áõÏáÙ³, ϳï³ñ³Ïï, »Õç»ñ³Ã³Õ³ÝÃÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ, ¹Ç³μ»ïÇÏ é»ïÇÝáå³Ãdz ¨ Ù³ÏáõÉÛ³ñ ¹»·»Ý»ñ³ódz) ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÁ: ²ÕÛáõë³Ï 6-Çó »ñ¨áõÙ ¿, áñ ÏáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ³éÝí³½Ý Ù»Ï ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝ áõÝ»óáÕ μݳÏãáõÃÛ³Ý ï»ë³Ï³ñ³ñ ÏßÇéÁ »ñÏñÇ μݳÏãáõÃÛ³Ý ßñç³Ýáõ٠ϳ½ÙáõÙ ¿ 13.3%, ¨ ¹ñ³ÝóÇó ³Ù»Ý³ï³ñ³Íí³ÍÁ ϳï³ñ³ÏïÝ ¿ (8.4%):

36


37 ÎáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÇ Ù³ñ½³ÛÇÝ å³ïÏ»ñÁ μ»ñí³Í ¿ ù³ñ﻽ 6-áõÙ, áñÇó »ñ¨áõÙ ¿, áñ ÏáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ³éÝí³½Ý Ù»Ï ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝ áõÝ»óáÕ μݳÏãáõÃÛ³Ý ï»ë³Ï³ñ³ñ ÏßÇéÝ ³é³í»É Ù»Í ¿ î³íáõßÇ, ²ñ³ñ³ïÇ áõ ²ñÙ³íÇñÇ Ù³ñ½»ñáõÙ (16.3, 16 ¨ 15.5 %` ѳٳå³ï³ë˳ݳμ³ñ), ÇëÏ ³Ù»Ý³ó³ÍñÁ` êÛáõÝÇùáõÙ áõ ì³Ûáó ÓáñáõÙ:

ÎáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ³é³ÝÓÇÝ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý ·Ý³Ñ³ï³Ï³ÝÝ»ñÇ Ù³ñ½³ÛÇÝ Ñ³Ù»Ù³ï³Ï³Ý å³ïÏ»ñÁ μ»ñí³Í ¿ ³ÕÛáõë³Ï 7-áõÙ:

é»ïÇÝáå³Ãdz


ÆÝãå»ë ѳÛïÝÇ ¿, 50 ¨ ³í»ÉÇ ï³ñ»Ï³Ý μݳÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÁ ³í»ÉÇ ï³ñ³Íí³Í »Ý: ÆÝãå»ë »ñ¨áõÙ ¿ ²ÕÛáõë³Ï 8-Çó, ÏáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ï³ñ³Íí³ÍáõÃÛáõÝÁ ÐÐ 50 ¨ ³í»ÉÇ ï³ñ»Ï³Ý μݳÏãáõÃÛ³Ý ÃíáõÙ ¿³å»ë ³í»ÉÇ μ³ñÓñ ¿ ù³Ý ÁݹѳÝáõñ ³éÙ³Ùμ μݳÏãáõÃÛ³Ý ßñç³ÝáõÙ ¨ ϳ½ÙáõÙ ¿ 37% (μݳÏãáõÃÛ³Ý` 13.3%-Ç ¹ÇÙ³ó):

ÑÇí³Ý¹áõÃÛáõÝÝ»ñ

é»ïÇÝáå³Ãdz

вÜ-Ç ÏáÕÙÇó Ùß³Ïí»É áõ ѳßí³ñÏí»É ¿ ½ÝÝí³Í 50 ¨ ³í»ÉÇ ï³ñ»Ï³Ý μݳÏãáõÃÛ³Ý ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý Ëáó»ÉÇáõÃÛ³Ý Ñ³Ù³ÃÇíÁ (²²ÊÐ): вÜ-Ç ÏáÕÙÇó ½ÝÝí³Í 50 ¨ ³í»ÉÇ ï³ñ»Ï³Ý ³ÛÝ Ù³ñ¹ÇÏ, áñáÝù ³Ëïáñáßí»É »Ý ÏáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ³éÝí³½Ý Ù»Ï ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛ³Ùμ (·É³áõÏáÙ³, ϳï³ñ³Ïï, »Õç»ñ³Ã³Õ³ÝÃÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ, ¹Ç³μ»ïÇÏ é»ïÇÝáå³ïdz ¨ Ù³ÏáõÉÛ³ñ ¹»·»Ý»ñ³ódz), ѳٳñí»É »Ý Ëáó»ÉÇ` ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý ï»ë³ÝÏÛáõÝÇó: ²²ÊÐ-Ý ³Û¹åÇëÇ μݳÏãáõÃÛ³Ý ï»ë³Ï³ñ³ñ ÏßÇéÝ ¿ 50 ¨ ³í»ÉÇ ï³ñ»Ï³Ý μݳÏãáõÃÛ³Ý ÁݹѳÝáõñ ÃíáõÙ: вÜ-Ç ïíÛ³ÉÝ»ñÁ íϳÛáõÙ »Ý, áñ ÐÐ 50 ¨ ³í»ÉÇ ï³ñ»Ï³ÝÝ»ñÇ 37%-Ý áõÝÇ Ëáó»ÉÇ ³ÏݳÛÇÝ ³éáÕçáõÃÛáõÝ: ê³ Ý߳ݳÏáõÙ ¿, áñ ÐÐ-Ç ³Û¹ ï³ñÇùÇ Ñ³Ù³ñÛ³ Ûáõñ³ù³ÝãÛáõñ ãáññáñ¹ μݳÏÇã ÏáõñáõÃÛ³Ý Ñ³Ý·»óÝáÕ ³éÝí³½Ý Ù»Ï ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝ áõÝÇ: Àݹ áñáõÙ, ÐÐ Ù³ñ½³ÛÇÝ Ïïñí³Íùáí ³Ù»Ý³μ³ñÓñ ³ÏݳÛÇÝ ³éáÕçáõÃÛ³Ý Ëáó»ÉÇáõÃÛ³Ý Ñ³Ù³Ãí»ñÁ ëï³óí»É »Ý ²ñ³ñ³ïÇ, ²ñÙ³íÇñÇ áõ ²ñ³·³ÍáïÝÇ Ù³ñ½»ñáõÙ (ï»°ë ù³ñ﻽ 7): 38


39

5. 2003-2009 ÃÃ. вÜ-Ç ºðºø Þðæ²ÚòºðÆ ÀܲòøàôØ ÐÐ ´Ü²ÎâàôÂÚ²ÜÀ îð²Ø²¸ð²Ì ²Îܲ´àôÄ²Î²Ü Ì²è²ÚàôÂÚàôÜܺðÀ` زð¼²ÚÆÜ Îîðì²Ìàì ²Ûë μ³ÅÇÝÁ Ý»ñϳ۳óÝáõÙ ¿ вÜ-Ç §ÈáõÛë ѳÛÇ ³ãù»ñÇݦ ݳ˳ӻéÝáõÃÛ³Ý ßñç³Ý³ÏÝ»ñáõÙ 2003-2009 Ãà ÐÐ Ù³ñ½»ñáõÙ Çñ³Ï³Ý³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñÇ áõ μáõÅû·ÝáõÃÛ³Ý ³ß˳ï³ÝùÝ»ñÇ ³Ù÷á÷ å³ïÏ»ñÁ` Ûáõñ³ù³ÝãÛáõñ Ù³ñ½Ç Ïïñí³Íùáí:

5.1.

²ð²¶²ÌàîÜÆ Ø²ð¼

´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2003, 2005 ¨ 2007 Ãí³Ï³ÝÝ»ñÇÝ §Ð³ÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍǦ ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É ²ñ³·³ÍáïÝÇ Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñáõÙ: ²Û¹ ÁÝóóùáõ٠вÜ-Á ÁݹѳÝáõñ ³éÙ³Ùμ ѻﳽáï»É ¿ Ù³ñ½Ç 20,750 μݳÏãÇ, áñáÝó Ï»ëÇó ùÇã ³í»ÉÇÝ` 52.8%-Á, ã³÷³Ñ³ë μݳÏãáõÃÛáõÝ ¿ »Õ»É, ÇëÏ 47.2%-Á` »ñ»Ë³:


вÜ-Ç ³ß˳ï³ÝùÝ»ñÝ áõ Ù³ïáõó³Í ͳé³ÛáõÃÛáõÝÝ»ñÁ áõÕÕí³Í »Ý »Õ»É ·ÛáõÕ³Ï³Ý μݳÏãáõÃÛ³ÝÁ, áñÇ Ñ³Ù³ñ ³ÏݳμáõÅ³Ï³Ý ËáñÁ ѻﳽáïáõÃÛáõÝÝ»ñÝ ³é³í»É³å»ë ¹Åí³ñ ѳë³Ý»ÉÇ »Ý: ¶ÛáõÕ³μݳÏÝ»ñÁ ϳ½ÙáõÙ »Ý Ù³ñ½áõÙ ½ÝÝí³Í μݳÏãáõÃÛ³Ý 68.2%-Á:

вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ 2003-2007 ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿ ³Ýó»É Ù³ñ½Ç 1,319 μݳÏÇã, áñáÝóÇó 552-Á íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É:

вÜ-Á 1,924 ³Ýí׳ñ ³ÏÝáó ¿ ïñ³Ù³¹ñ»É Ù³ñ½Ç` ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ¨ ëáódzɳå»ë Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ μݳÏãáõÃÛ³ÝÁ:

40


41

5.2.

²ð²ð²îÆ Ø²ð¼

´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2004, 2006 ¨ 2008 ÃÃ. вÜ-Ç ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É ²ñ³ñ³ïÇ Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñáõÙ: ²Û¹ ÁÝóóùáõ٠вÜ-Á ѻﳽáï»É ¿ ÁݹѳÝáõñ ³éÙ³Ùμ Ù³ñ½Ç 23,870 μݳÏãÇ, áñáÝó ßáõñç 51%-Á ã³÷³Ñ³ë μݳÏãáõÃÛáõÝ ¿ »Õ»É, ÇëÏ 49%-Á` »ñ»Ë³:

вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ 2004-2008 ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿ ³Ýó»É Ù³ñ½Ç 2,504 μݳÏÇã, áñáÝóÇó 865-Á íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É:

вÜ-Á 2,732 ³Ýí׳ñ ³ÏÝáó ¿ ïñ³Ù³¹ñ»É Ù³ñ½Ç` ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ¨ ëáódzɳå»ë Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ μݳÏãáõÃÛ³ÝÁ:


5.3.

²ðزìÆðÆ Ø²ð¼

´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2003, 2006 ¨ 2008 ÃÃ, вÜ-Ç ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É ²ñÙ³íÇñÇ Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñáõÙ: ²Û¹ ÁÝóóùáõ٠вÜ-Á ѻﳽáï»É ¿ ÁݹѳÝáõñ ³éÙ³Ùμ Ù³ñ½Ç 25,115 μݳÏãÇ, áñáÝó ßáõñç 53%-Á ã³÷³Ñ³ë μݳÏãáõÃÛáõÝ ¿ »Õ»É, ÇëÏ 47%-Á` »ñ»Ë³:

вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ 2003-2008 ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿³Ýó»É Ù³ñ½Ç 2,405 μݳÏÇã, áñáÝóÇó 1,084-Á íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É:

вÜ-Á 1,518 ³Ýí׳ñ ³ÏÝáó ¿ ïñ³Ù³¹ñ»É Ù³ñ½Ç` ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ¨ ëáódzɳå»ë Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ μݳÏãáõÃÛ³ÝÁ: 42


43

5.4.

Îàî²ÚøÆ Ø²ð¼

´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2005, 2007 ¨ 2009 ÃÃ. вÜ-Ç ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É Îáï³ÛùÇ Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñáõÙ: ²Û¹ ÁÝóóùáõ٠вÜ-Á ѻﳽáï»É ¿ ÁݹѳÝáõñ ³éÙ³Ùμ Ù³ñ½Ç 18,949 μݳÏãÇ, áñáÝó ßáõñç 50%-Á ã³÷³Ñ³ë μݳÏãáõÃÛáõÝ ¿ »Õ»É:

вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ 2005-2009 ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿ ³Ýó»É Ù³ñ½Ç 2,051 μݳÏÇã, áñáÝóÇó 893-Á íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É:

вÜ-Á 2,270 ³Ýí׳ñ ³ÏÝáó ¿ ïñ³Ù³¹ñ»É Ù³ñ½Ç` ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ¨ ëáódzɳå»ë Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ μݳÏãáõÃÛ³ÝÁ:


5.5.

Èàèàô زð¼

´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2005-2009 ÃÃ. ÁÝóóùáõÙ §Ð³ÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍǦ ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É Èáéáõ Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñáõÙ: ²Û¹ ÁÝóóùáõ٠вÜ-Á ѻﳽáï»É ¿ ÁݹѳÝáõñ ³éÙ³Ùμ Ù³ñ½Ç 18,569 μݳÏãÇ, áñáÝó ßáõñç 68%-Á ã³÷³Ñ³ë μݳÏãáõÃÛáõÝ ¿ »Õ»É, ÇëÏ 32%-Á` »ñ»Ë³:

вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ 2005-2009 ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿ ³Ýó»É Ù³ñ½Ç 2,815 μݳÏÇã, áñáÝóÇó 1,165-Á íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É:

вÜ-Á 4,653 ³Ýí׳ñ ³ÏÝáó ¿ ïñ³Ù³¹ñ»É Ù³ñ½Ç` ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ¨ ëáódzɳå»ë Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ μݳÏãáõÃÛ³ÝÁ: 44


45

5.6.

ÞÆð²ÎÆ Ø²ð¼

´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2005-2009 ÃÃ. ÁÝóóùáõÙ §Ð³ÛÏ³Ï³Ý ²ÏݳμáõÅáõÃÛ³Ý Ü³Ë³·ÍÇ ³ÏݳμáõÛÅÝ»ñÝ áõ ²ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É ÞÇñ³ÏÇ Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñáõÙ: ²Û¹ ÁÝóóùáõ٠вÜ-Á ÁݹѳÝáõñ ³éÙ³Ùμ ѻﳽáï»É ¿ Ù³ñ½Ç 16,834 μݳÏãÇ, áñáÝó ßáõñç 86%-Á ã³÷³Ñ³ë μݳÏãáõÃÛáõÝ ¿ »Õ»É, ÇëÏ 14%-Á` »ñ»Ë³Ý»ñ: âÝ³Û³Í Ýñ³Ý, áñ Ù³ñ½Ç μݳÏãáõÃÛáõÝÁ ÑÇÙݳϳÝáõÙ ù³Õ³ù³μÝ³Ï ¿, вÜ-Ç ³ß˳ï³ÝùÝ»ñÝ áõ Ù³ïáõó³Í ͳé³ÛáõÃÛáõÝÝ»ñÁ ٻͳå»ë áõÕÕí³Í »Ý »Õ»É ¹»åÇ ·ÛáõÕ³Ï³Ý μݳÏãáõÃÛáõÝÁ, áñÇ Ñ³Ù³ñ ³ÏݳμáõÅ³Ï³Ý ËáñÁ ѻﳽáïáõÃÛáõÝÝ»ñÝ ³é³í»É³å»ë ¹Åí³ñ ѳë³Ý»ÉÇ »Ý: гßíÇ ³éÝ»Éáí, áñ ¶ÛáõÙñÇáõ٠û° ³é³çݳÛÇÝ ¨ û° »ñÏñáñ¹³ÛÇÝ Ù³Ï³ñ¹³ÏÇ ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÝ ³éϳ »Ý, вÜ-Ç »ññáñ¹ ßñç³ÛóÇ ÁÝóóùáõÙ ¶ÛáõÙñÇ ù³Õ³ùÁ Áݹ·ñÏí³Í ãÇ »Õ»É: ²ÛëåÇëáí, Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý μݳÏãáõÃÛ³Ý Áݹ·ñÏí³ÍáõÃÛáõÝÁ вÜ-Ç ïñ³Ù³¹ñ³Í ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñáí ß³ï ãÇ ï³ñμ»ñíáõÙ` ѳٳå³ï³ë˳ݳμ³ñ Ùáï 53 ¨ 47% (ÙÇÝã¹»é Áëï ²ìÌ ïíÛ³ÉÝ»ñÇ` Ù³ñ½Ç ù³Õ³ù³μÝ³Ï μݳÏãáõÃÛ³Ý Ù³ëݳμ³ÅÇÝÁ ϳ½ÙáõÙ ¿ ßáõñç 63%):

вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ 2005-2009 ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿ ³Ýó»É Ù³ñ½Ç 2,724 μݳÏÇã, áñáÝóÇó 1,153-Á íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É:


Æñ »ñÏñáñ¹ ¨ »ññáñ¹ ßñç³Ûó»ñÇ ÁÝóóùáõ٠вÜ-Á ³Ýí׳ñ ³ÏÝáó ¿ ïñ³Ù³¹ñ»É ÁݹѳÝáõñ ³éÙ³Ùμ ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ¨ ëáódzɳå»ë Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ 3,948 Ù³ñ¹áõ:

5.7.

êÚàôÜÆøÆ Ø²ð¼

´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2004, 2006 ¨ 2008 ÃÃ. ÁÝóóùáõ٠вÜ-Ç ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É êÛáõÝÇùÇ Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñáõÙ: ²Û¹ ÁÝóóùáõ٠вÜ-Á ѻﳽáï»É ¿ ÁݹѳÝáõñ ³éÙ³Ùμ Ù³ñ½Ç 12,928 μݳÏãÇ, áñáÝó ßáõñç 56%-Á ã³÷³Ñ³ë μݳÏãáõÃÛáõÝ ¿ »Õ»É, ÇëÏ 44%-Á` »ñ»Ë³:

вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ 2004-2008 ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿ ³Ýó»É Ù³ñ½Ç 1,264 μݳÏÇã, áñáÝóÇó 502-Á íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É: 46


47

вÜ-Á 1,739 ³Ýí׳ñ ³ÏÝáó ¿ ïñ³Ù³¹ñ»É Ù³ñ½Ç` ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ¨ ëáódzɳå»ë Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ μݳÏãáõÃÛ³ÝÁ:

5.8.

î²ìàôÞÆ Ø²ð¼

´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2004, 2007 ¨ 2009 ÃÃ. ÁÝóóùáõ٠вÜ-Ç ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É î³íáõßÇ Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñáõÙ: ²Û¹ ÁÝóóùáõ٠вÜ-Á ѻﳽáï»É ¿ ÁݹѳÝáõñ ³éÙ³Ùμ Ù³ñ½Ç 14,210 μݳÏãÇ, áñáÝó ßáõñç 65%-Á ã³÷³Ñ³ë μݳÏãáõÃÛáõÝ ¿ »Õ»É, ÇëÏ 35%-Á` »ñ»Ë³:


вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ 2004-2009 ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿ ³Ýó»É Ù³ñ½Ç 1,497 μݳÏÇã, áñáÝóÇó 606-Á íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É:

вÜ-Á 3,171 ³Ýí׳ñ ³ÏÝáó ¿ ïñ³Ù³¹ñ»É Ù³ñ½Ç` ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ¨ ëáódzɳå»ë Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ μݳÏãáõÃÛ³ÝÁ:

5.9.

ì²Úàò ÒàðÆ Ø²ð¼

´Ý³ÏãáõÃÛ³Ý ßñç³ÝáõÙ ³ÏݳÛÇÝ ½ÝÝáõÙÝ»ñ Çñ³Ï³Ý³óÝ»Éáõ Ýå³ï³Ïáí 2003, 2006 ¨ 2008 ÃÃ. ÁÝóóùáõ٠вÜ-Ç ³ÏݳμáõÛÅÝ»ñÝ áõ ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóÁ »ñ»ù ßñç³Ûó »Ý ϳï³ñ»É ì³Ûáó ÓáñÇ Ù³ñ½Ç ù³Õ³ù³ÛÇÝ áõ ·ÛáõÕ³Ï³Ý Ñ³Ù³ÛÝùÝ»ñáõÙ: ²Û¹ ÁÝóóùáõ٠вÜ-Á ѻﳽáï»É ¿ ÁݹѳÝáõñ ³éÙ³Ùμ Ù³ñ½Ç 10,047 μݳÏãÇ, áñáÝó ßáõñç 62%-Á ã³÷³Ñ³ë μݳÏãáõÃÛáõÝ ¿ »Õ»É, ÇëÏ 38%-Á` »ñ»Ë³:

48


49 вÜ-Ç ³ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ 2003-2008ÃÃ. ÁÝóóùáõÙ Ëáñ³óí³Í ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¿ ³Ýó»É Ù³ñ½Ç 1,071 μݳÏÇã, áñáÝóÇó 452-Á íÇñ³Ñ³ïí»É áõ ɳ½»ñ³ÛÇÝ μáõÅáõÙ »Ý ëï³ó»É:

вÜ-Á 549 ³Ýí׳ñ ³ÏÝáó ¿ ïñ³Ù³¹ñ»É Ù³ñ½Ç` ¹ñ³ ϳñÇùÝ áõÝ»óáÕ ¨ ëáódzɳå»ë Ëáó»ÉÇ ËÙμ»ñÇÝ å³ïϳÝáÕ μݳÏãáõÃÛ³ÝÁ:


вìºÈì²Ìܺð вìºÈì²Ì 1 AECP /вÜ/ §Ð³ÛÏ³Ï³Ý ²ÏݳáõÅáõÃÛ³Ý Ý³Ë³·Çͦ ³ñ»·áñÍ³Ï³Ý ÑÇÙݳ¹ñ³Ù

------------------------------------------------------------------------------------´Ý³ÏãáõÃÛ³Ý ï»ëáÕáõÃÛ³Ý ÁݹѳÝáõñ ѻﳽáïáõÃÛ³Ý Ñ³ñó³Ã»ñà гñó³Ã»ñÃÇ Ñ³Ù³ñÁ лﳽáïáõÃÛ³Ý ³Ùë³ÃÇíÁ ûñ

³ÙÇë

ï³ñ»ÃÇí

лﳽáïáõÃÛ³Ý ³ÝóϳóÙ³Ý í³ÛñÁ` 1. سñ½ ___________________________________(³ÝáõÝÁ) 2. гٳÛÝù_________________________________(³ÝáõÝÁ) 3. гٳÛÝùÇ ïÇåÁ

ø³Õ³ù

¶ÛáõÕ

лﳽáïíáÕÇ` ²ÝáõÝÁ_____________________________________ гÛñ³ÝáõÝÁ_________________________________ ²½·³ÝáõÝÁ__________________________________ ê»éÁ

³ñ³Ï³Ý

Ç·³Ï³Ý

ÌÝÝ¹Û³Ý ï³ñ»ÃÇíÁ ²ÝÓݳ·ñÇ ë»ñÇ³Ý ¨ ѳٳñÁ ´Ý³ÏáõÃÛ³Ý í³ÛñÁ` 1. سñ½ _________________ 2. гٳÛÝù________________ 3. гëó»________________________

³ÝáõÝÁ

³ÝáõÝÁ

÷áÕáó, ïáõÝ, Ý³Ï.

лé³ËáëÁ_____________________________ гßí³éí³±Í ¿ ÁÝï³Ý»Ï³Ý Ýå³ëïÝ»ñÇ Ñ³Ù³Ï³ñ·áõÙ (Ýß»ù §³Ûᦠå³ï³ë˳ÝÁ) ä³ïϳÝáõ±Ù ¿ å»ïå³ïí»ñÇó û·ïíáÕ Ëáó»ÉÇ Ëُ»ñÇó áñ¨¿ Ù»ÏÇÝ (Ýß»ù §³Ûᦠå³ï³ë˳ÝÁ) ܳËÏÇÝáõÙ ³Ûó»É»±É ¿ Ð²Ü ÅÇßÏÝ»ñÇÝ ._____________________________

1. ²Ûá 2. àã

ºÃ» ³Ûá, DZÝã û·ÝáõÃÛáõÝ ¿ ëï³ó»É Ýñ³ÝóÇó (Ýß»ù §³Ûᦠå³ï³ë˳ÝÝ»ñÁ). 1. î»ëáÕáõÃÛ³Ý ëïáõ·áõÙ

4. êïáõ·áõÙ ²ÞÐ-áõÙ

2. ²ÏÝáóÇ Ý߳ݳÏáõÙ

5. ȳ½»ñ³ÛÇÝ ÙÇç³ÙïáõÃÛáõÝ ²ÞÐ-áõÙ

3. ²ÏÝáó

6. ìÇñ³Ñ³ïáõÃÛáõÝ ²ÞÐ-áõÙ 1

50


51 ´³ÅÇÝ A. ²ÝÓÝ³Ï³Ý ³éáÕçáõÃÛáõÝ ¨ ¹ñ³ å³Ñå³ÝáõÙ A_1. ì»ñçÇÝ 12 ³ÙÇëÝ»ñÇ ÁÝóóùáõÙ áñ¨¿ ÅßÏÇ ³Ûó»É»É ϳ٠ÅßÏ³Ï³Ý ËáñÑñ¹³ïíáõÃÛáõÝ ëï³ó»±É »ù.______________________________

1. ²ÛáÆ A_3 2. àã

A_2. ºÃ» áã, ³å³ í»ñçÇÝ ³Ý·³Ù »±ñ »ù ³Ûó»É»É áñ¨¿ ÅßÏÇ, ϳ٠ËáñÑñ¹³ïíáõÃÛáõÝ ëï³ó»É. _______________________________________ 1. Ø»ÏÇó 1,5 ï³ñÇ ³é³ç 2. 2-2,5 ï³ñÇ ³é³ç 3. 3-4 ï³ñÇ ³é³ç 4. 5 ¨ ³í»ÉÇ ï³ñÇÝ»ñ ³é³ç 5. ºñ»ù

A_3. Ò»½ Ùáï »ñ¨¿ ³Ëïáñáßí»±É »Ý Ñ»ï¨Û³É ÑÇí³Ý¹áõÃÛáõÝÝ»ñÁ (Ýᯐ “³Ûá” å³ï³ë˳ÝÝ»ñÁ). 1. êñï³ÝáóÛÇÝ 2. ²ñÛ³Ý 3. ì³Ñ³Ý³·»ÕÓÇ 4. ²Õ»-ëï³Ùáùë³ÛÇÝ

5 ºñÇϳÙÝ»ñÇ 6. Âáù»ñÇ ¨/ϳ٠ßÝãáõÕÇÝ»ñÇ 7. Ðá¹»ñÇ/³ñÃñÇï 8. ²ÛÉ________________________(Ýß»É)

A_4. ¸áõù áõÝ»±ù ³ñÛ³Ý ³ñÓñ ×ÝßáõÙ/ÑÇå»ñïáÝdz.__________________________

1. ²Ûá 2. àãÆ A 9

A_5. ºÃ» ³Ûá, ù³ÝDZ ï³ñÇ ¿ áñ áõÝ»ù ³ñÛ³Ý ³ñÓñ ×ÝßáõÙ. (ï³ñÇÝ»ñÇ ÃÇíÁ) A_6. ºÃ» áõÝ»ù ³ñÛ³Ý ³ñÓñ ×ÝßáõÙ , ³ñ¹Ûá±ù ³ÛÝ ³Ëïáñáᯐ ¿ ÅÇßÁ._______

1. ²Ûá 2. àãÆ A 9

A_7. ºÃ» ³Ûá, ³ËïáñáßáÕ ÅÇßÏÁ áõÕ»·ñ»±É ¿ Ò»½ ³ÏݳáõÛÅÇ Ùáï._________

1. ²Ûá 2. àãÆ A 9

A_8. ÆëÏ ¸áõù ³Û¹ áõÕ»·ñٳُ ¹ÇÙ»±É »ù ³ÏݳáõÛÅÇ.______________________

1. ²Ûá 2. àã

A_9. ºñ¨¿ ÅÇßÏÁ Ò»½ Ùáï ³Ëïáñáß»±É ¿ ß³ù³ñ³Ëï________________________

1. ²Ûá 2. àãÆ A_13

A_10. ºÃ» ³Ûá, ³å³ ù³ÝDZ ï³ñÇ ³é³ç (ï³ñÇÝ»ñÇ ÃÇíÁ).________________ A_11. ºÃ» ³Ûá, ³ËïáñáßáÕ ÅÇßÏÁ áõÕ»·ñ»±É ¿ Ò»½ ³ÏݳáõÛÅÇ Ùáï._______

1. ²Ûá 2. àãÆ A 13

A_12. ÆëÏ ¸áõù ³Û¹ áõÕ»·ñٳُ ¹ÇÙ»±É »ù ³ÏݳáõÛÅÇ.____________________

1. ²Ûá 2. àã

A_13. ¸áõù Ýϳïáõ±Ù »ù áñ áõÝ»ù Ñ»ï¨Û³É »ñ¨áõÛÃÝ»ñÁ (Ýᯐ “³Ûá” å³ï³ë˳ÝÝ»ñÁ). 1. êáíáñ³Ï³ÝÇó ³í»ÉÇ Ñ³×³Ë³ÏÇ Í³ñ³íÇ ½·³óáõÙ

4. ̳ÏÍÏáóÝ»ñ ¨ ÃÙñ³ÍáõÃÛáõÝ í»ñçáõÛÃÝ»ñáõÙ

2. êáíáñ³Ï³ÝÇó ³í»ÉÇ Ñ³×³Ë³ÏÇ Ùǽ»Éáõ å³Ñ³Ýç

5. ²ÝÁݹѳï Ñá·Ý³ÍáõÃÛ³Ý ½·³óáõÙ

3. ø³ßÇ ÏïñáõÏ ¨ ½·³ÉÇ ³í»É³óáõ٠ϳ٠Ïáñáõëï

6. â»Ù Ýϳï»É ëñ³ÝóÇó áã Ù»ÏÁ

A_14. àõÝ»±ù ³ñÛáõݳÏÇó ѳñ³½³ïÝ»ñ, áñáÝó Ùáï ³Ëïáñáßí»É ¿ Ýßí³ÍÁ (Ýᯐ “³Ûá” å³ï³ë˳ÝÝ»ñÁ). ÀݹѳÝáõñ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ ²ãùÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ Þ³ù³ñ³Ëï ¶É³áõÏáÙ³ γï³ñ³Ïï 1 àã, ãáõݻ٠³Û¹åÇëÇ Ñ³ñ³½³ï 2 ²Ûá, ÍÝáÕÝ»ñë/ÍÝáÕë 3 ²Ûá, ѳñ³½³ï ùáõÛñë/»Õ³Ûñë 4 ²Ûá, ï³ïë/å³åë 5 ²Ûá, ³ÛÉ ÙáïÇÏ Ñ³ñ³½³ï A_15. ÆÝãå»±ë Ϸݳѳï»ù Ò»ñ ÁݹѳÝáõñ ³éáÕç³Ï³Ý íÇ׳ÏÁ Ý»ñϳÛáõÙë.______

1.Þ³ï í³ï 2.ì³ï 3.´³í³ñ³ñ 4.ȳí 5.Þ³ï ɳí

2


1. ²Ûá 2. àã

A_16. ¸áõù ÍËáõ±Ù »ù._______________________________________________________

1. ²Ûá 2. àã

A_17. ¸áõù ³ÉÏáÑáÉ Ñ³×³Ë (ß³³ÃÁ 4-5 ³Ý·³Ù) û·ï³·áñÍáõ±Ù »ù._______________

´³ÅÇÝ B. ²ÏݳÛÇÝ ³éáÕçáõÃÛáõÝ ¨ ¹ñ³ å³Ñå³ÝáõÙ B_1. ì»ñçÇÝ 12 ³ÙÇëÝ»ñÇ ÁÝóóùáõÙ ³ãù»ñÇ Ï³Ù ï»ëáÕáõÃÛ³Ý Ñ»ï ϳåí³Í ËݹÇñÝ»ñ/·³Ý·³ïÝ»ñ áõÝ»ó»±É »ù._____________________________

1. ²Ûá 2. àãÆ B_4

B_2. ºÃ» ³Ûá, ¹ÇÙ»±É »ù ³ÏݳáõÛÅÇ._________________________________________

1. ²ÛáÆ B_5 2. àã

B_3. ºÃ» ·³Ý·³ï »ù áõÝ»ó»É ¨ ã»ù ¹ÇÙ»É ³ÏݳáõÛÅÇ, ³å³ á±ñÝ ¿ ¹ñ³ å³ï׳éÁ. 1. Øáï³Ï³ ³ÏݳáõÅÁ ß³ï Ñ»éáõ ¿ 2. Ä³Ù³Ý³Ï ãáõݻ٠3. ÜÛáõÃ³Ï³Ý ÙÇçáóÝ»ñ ãáõݻ٠4. â»Ù íëï³ÑáõÙ ï»ÕÇ Ù³ëݳ·»ïÇÝ 5. ²ÛÉ_______________________/Ýß»É/

B_4. ì»ñçÇÝ ³Ý·³Ù »±ñ »ù ³Ûó»É»É ³ÏݳáõÛÅÇ. _______________________________ 1. ì»ñçÇÝ 12 ³ÙÇëÝ»ñÇ ÁÝóóùáõÙ 2. Ø»ÏÇó 1,5 ï³ñÇ ³é³ç 3. 2-2.5 ï³ñÇ ³é³ç 4. 3-4 ï³ñÇ ³é³ç 5. 5 ¨ ³í»ÉÇ ï³ñÇÝ»ñ ³é³ç 6. ºñ»ù ã»Ù »Õ»É ³ÏݳáõÛÅÇ ÙáïÆ B _6

B _5. ì»ñçÇÝ ³Ý·³Ù DZÝã Ýå³ï³Ïáí »ù ³Ûó»É»É ³ãùÇ ÅßÏÇ._________________ 1. γÝ˳ñ·»ÉÇã ëïáõ·Ù³Ý 2. ´áõÅÙ³Ý/ËáñÑñ¹³ïíáõÃÛ³Ý 3. ìÇñ³Ñ³ïáõÃÛ³Ý/ÙÇç³ÙïáõÃÛ³Ý 4. ²ÏÝáóÇ ¹»Õ³ïáÙëÇ 5. ²ÛÉ____________________________/Ýß»É/

B _6. Ò»½ Ùáï »ñ¨¿ ³ÏݳÛÇÝ ÑÇí³Ý¹áõÃÛáõÝ Ï³Ù ï»ëáÕáõÃÛ³Ý åñáÉ»Ù ³Ëïáñáßí»±É ¿ ._________1. ²Ûá

2. àãÆ B 8

B _7. ºÃ» ³Ûá, ³å³ ÇÝãåÇëDZ (Ýᯐ “³Ûá” å³ï³ë˳ÝÝ»ñÁ). 1. ¶É³áõÏáÙ³ /³ãùÇ ×ÝßáõÙ/ 2. γï³ñ³Ïï /÷³é/ 3. ²ãùÇ áñáùáõÙ 4. Øë³ÙáÉ /¹ñëÇ ÷³é/ 5. ²Ïݳѳï³ÏÇ ÑÇí./³ãùÇ Ý»ñëÇ ÑÇí./

6. ò³Íñ ï»ëáÕáõÃÛáõÝ 7. γñ׳ï»ëáõÃÛáõÝ 8. лé³ï»ëáõÃÛáõÝ 9. ÞÉáõÃÛáõÝ 10. ²ÛÉ___________________/Ýß»É/

B _8. ¸áõù ³ãùÇ íÇñ³Ñ³ïáõÃÛáõÝ »ñ¨¿ áõÝ»ó»±É »ù.___________________________ B _9. Ò»½ »ñ¨¿ ³ÏÝáó Ý߳ݳÏí»±É ¿._____________________________________

1. ²Ûá 2. àã 1. ²Ûá, Ñ»éáõÝ ï»ëÝ»Éáõ 2. ²Ûá, ÙáïÇÏÁ ï»ëÝ»Éáõ 3. ²Ûá, »ñÏáõëÝ ¿É 4. àã

B _10. ¸áõù ³ÏÝáó Ïñáõ±Ù »ù._____________________________________________

1. ²Ûá 2. àã

B _11. ºÃ» Ò»½ ³ÏÝáó »Ý Ýß³Ý³Ï»É ¨ ¹áõù ã»ù ÏñáõÙ, ³å³ ÇÝãáõ± ._____________

1. âÇ û·ÝáõÙ 2. ²ÝѳñÙ³ñ³í»ï ¿ 3. ²Ù³ãáõÙ »Ù 4. ØÇçáóÝ»ñ ãáõݻ٠5. ²ÛÉ

B _12. ÆÝãá±í ¿ å³Ûٳݳíáñí³Í Ð²Ü Ò»ñ ³Ûó»ÉáõÃÛáõÝÝ ³Ûëûñ .______________

1. ¶³Ý·³ï ãáõÝ»Ù, áõ½áõÙ »Ù ϳÝ˳ñ·»ÉÇã ëïáõ·í»É Æ ³í³ñï 2. àõݻ٠·³Ý·³ïÝ»ñ ³ãù»ñÇó/ï»ëáÕáõÃÛáõÝÇó

B _13. ºÃ» áõÝ»ù ·³Ý·³ïÝ»ñ ³ãù»ñÇ Ñ»ï ϳåí³Í, ³å³ ÇÝãåÇëDZ (Ýß»ù §³Ûᦠå³ï³ë˳ÝÝ»ñÁ). 1. γñ¹³Éáõ ¹Åí³ñáõÃÛáõÝÝ»ñ 2. î»ëáÕáõÃÛ³Ý í³ï³óáõÙ 3. ´áñáùí³ÍáõÃÛáõÝ 4. øáñ 5. ²ñï³¹ñáõÃÛáõÝ ³ãùÇó

52

6. ²ãùÇ ó³í 7. ²ñóáõÝù³ÑáëáõÃÛáõÝ 8. ²ÏÝáóÇ Ï³Ù ¹ñ³ ¹»Õ³ïáÙëÇ Ï³ñÇù 9. úï³ñ Ù³ñÙÝÇ (³í³½Ç) ½·³óáÕáõÃÛáõÝ 10. îÑ³× ½·³óáõÙ ³ãù»ñáõÙ 11. ²ÛÉ ·³Ý·³ï_________________/Ýß»É/

3


53 вÜ-Ç ´ÄÞÎ²Î²Ü ¶ð²èàôØܺð Î³Û³Ý 1: î»ëáÕáõÃÛáõÝ ²Ïݳ·Ý¹Ç ³ó³Ï³ÛáõÃÛáõÝ

OD

OD

OS

OD

OS

No Globe/Anophtalm

OS

OD

OS

î»ëáÕáõÃÛáõÝÝ ³é³Ýó î»ëáÕáõÃÛáõÝÁ î»ëáÕáõÃÛáõÝÝ ³ÏÝáóÇ ÷ÇÝÑáÉáí ³ÏÝáóáí ------------------------------------------------------------------------------------------------------------------------------------------------

OD è»ýñ³ÏódzÛÇ Ë³Ý·³ñáõÙ

OS

R

------------------------------------------------------------------------------------------------------------------------------------------------

Î³Û³Ý 2: ²ãùÇ ×ÝßáõÙ

OD

OS

OD

OS

îáÝáå»ÝÇ ã³÷áõÙÁ ä³Éå³óÇ³Ý ÝáñÙ³ÛÇó ³ñÓñ ¿ PN IOP ¶É³áõÏáÙ³ÛÇ Ï³ëÏ³Í G1 ------------------------------------------------------------------------------------------------------------------------------------------------

Î³Û³Ý 3:

OD

OS

ÎáåÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ E ÞÉáõÃÛáõÝ S ²Ïݳ·Ý¹Ç ³å³×, ÷á÷áËáõÃÛáõÝ Gl ÎáÝÛáõÏïÇíÇï Con äï»ñÇ·ÇáõÙ P ºÕç»ñ³Ã³Õ³ÝÃÇ ³Ëï³Ñ³ñáõÙ/ÑÇí³Ý¹áõÃÛáõÝ K γï³ñ³Ïï, ³Û¹ ÃíáõÙ` C гëáõÝ Ï³ï³ñ³Ïï CC -----------------------------------------------------------------------------------------------------------------------------------------------

Î³Û³Ý 4: ܳËÏÇÝ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñ

OD

²ÏݳÛÇÝ Ý³ËÏÇÝ íÇñ³Ñ³ïáõÃÛáõÝ, ³Û¹ ÃíáõÙ` ìÇñ³Ñ³ïí³Í ϳï³ñ³Ïï, ³Û¹ ÃíáõÙ` ²ý³Ïdz öë»í¹á³ý³Ïdz/²ñïÇý³Ïdz лïÇÝ å³ïÇ×Ç ýǏñá½ ìÇñ³Ñ³ïí³Í ·É³áõÏáÙ³ ìÇñ³Ñ³ïí³Í »Õç»ñ³Ã³Õ³ÝÃ

OS

SP Cp A PA Fib Gp Kp

Î³Û³Ý 4:

вÜ-ÇÝ å³ïíÇñí³Í ³ÏÝáóÇ ¹»Õ³ïáÙë

²ç ³ãù êý.

OD

OS

òÇÉ.

²é.

Ò³Ë ³ãù

¶É³áõÏáÙ³ G î»ë³ÝÛ³ñ¹Ç á㠷ɳáõÏáÙ³ïá½ ³Ëï³Ñ³ñáõÙ N ²Ïݳѳï³ÏÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñ, ³Û¹ ÃíáõÙ` F ¸Ç³»ïÇÏ é»ïÇÝáå³ïdz DR ÐÇå»ñïáÝÇÏ é»ïÇÏáå³ïdz HR ´³ñÓñ ϳñ׳ï»ëáõÃÛáõÝ M سÏáõÉÛ³ñ ¹»·»Ý»ñ³ódz MD ²ÛÉ_________________________________________Ýß»É

êý.

òÇÉ.

²é.

DPP ÙÙ

´áõÅáõÙ` Ü߳ݳÏí»É ¿ áõÅáõÙ___________________________________________________________ àõÕ»·ñáõÙ` àôÕ»·Çñ ²ÞÐ

¸ÇÙ»É ï³ñ³Íù. ³ÏݳáõÛÅÇÝ

¸ÇÙ»É ºñ¨³Ý` ³ÏݳÛÇÝ ÏÉÇÝÇϳ

¸ÇÙ»É ï³ñ³Íù. ¿Ý¹áÏñÇÝáÉá·ÇÝ

¸ÇÙ»É ï³ñ³Íù. ÝÛ³ñ¹³³ÝÇÝ ¸ÇÙ»É ï³ñ³Íù. ûñ³å»íïÇÝ

лﳽáï³Ï³Ý Ëáõُ ÅÇßÏ /³½·³ÝáõÝ/

ÏÉ.ûñ¹/³½·³ÝáõÝ/

ùáõÛñ/³½·³ÝáõÝ/ 4


вìºÈì²Ì 2 §ìÇÅÁÝ-2020¦-Á, áñÝ ²éáÕç³å³ÑáõÃÛ³Ý Ñ³Ù³ß˳ñѳÛÇÝ Ï³½Ù³Ï»ñåáõÃÛ³Ý (World Health Organization/WHO) ¨ ÎáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ÙÇç³½·³ÛÇÝ ·áñͳϳÉáõÃÛ³Ý (International Agency for the Prevention of Blindness / IAPB) ݳ˳ӻéÝáõÃÛáõÝÝ ¿, Ïáã ¿ ³ÝáõÙ ÙÇÝ㨠2020 Ãí³Ï³ÝÁ ½·³ÉÇáñ»Ý Ýí³½»óÝ»É Ï³Ý˳ñ·»ÉÇ ÏáõñáõÃÛáõÝÁ ³ß˳ñÑáõÙ: ²ÛÝ Ñáñ¹áñáõÙ ¿ »ñÏñÝ»ñÇ Ï³é³í³ñáõÃÛáõÝÝ»ñÇÝ Ùß³Ï»É ÏáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ³½·³ÛÇÝ é³½Ù³í³ñáõÃÛáõÝÝ»ñ ¨ Ó»éݳÙáõË ÉÇÝ»É ¹ñ³Ýó Çñ³Ï³Ý³óÙ³ÝÁ: Æ å³ï³ëË³Ý §ìÇÅÁÝ-2020¦-Ç ÏáãÇÝ, ÐÐ ³éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñáõÃÛáõÝÁ, г۳ëï³ÝÇ ³Ù»ñÇÏÛ³Ý Ñ³Ù³Éë³ñ³ÝÇ Î³ñá Ø»ÕñÇÏÛ³ÝÇ ³ãùÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ Ï³Ý˳ñ·»ÉÙ³Ý Ï»ÝïñáÝÇ Ý³Ë³Ó»éÝáõÃÛ³Ùμ, ëÏë»ó г۳ëï³ÝÇ ÏáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ³½·³ÛÇÝ Íñ³·ñÇ /ÐÎβÌ/ Ùß³ÏÙ³Ý ³ß˳ï³ÝùÝ»ñÁ: ÎáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ³½·³ÛÇÝ ÏáÙÇï»Ý ëï»ÕÍí»ó 2004 Ã.: г۳ëï³ÝÇ ÏáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ³½·³ÛÇÝ Íñ³·ÇñÝ ³Ý¹ñ³¹³éÝáõÙ ¿ §ìÇÅÁÝ-2020¦-Ç ÑÇÙÝ³Ï³Ý Ýå³ï³ÏÝ»ñÇÝ ¨ ³é³çݳÛÝáõÃÛáõÝÝ»ñÇÝ` ï»Õ³ÛݳóÝ»Éáí ¹ñ³Ýù ѳÛÏ³Ï³Ý Çñ³Ï³ÝáõÃÛ³ÝÁ: ÐÎβÌ-Á áõÕÕí³Í ¿ ѳٳϳñ·»Éáõ ÐÐ-áõÙ å»ï³Ï³Ý ¨ ѳë³ñ³Ï³Ï³Ý Ù³ñÙÇÝÝ»ñÇ ·áñÍáõÝ»áõÃÛáõÝÁ, ÇÝãÇ ßÝáñÑÇí Ñݳñ³íáñ ÏÉÇÝÇ ½³ñ·³óÝ»É ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»��Á ¨ ³ñ¹Ûáõݳí»ï Ï»ñåáí Ýí³½»óÝ»É ÏáõñáõÃÛáõÝÁ ѳÝñ³å»ïáõÃÛáõÝáõÙ: г۳ëï³ÝÇ ÏáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ³½·³ÛÇÝ Íñ³·ÇñÝ Ñ³ëï³ïí»ó ÐРϳé³í³ñáõÃÛ³Ý ÏáÕÙÇó 02/11/2006 Ã. /N-43-Ü áñáßáõÙ/: Ìñ³·ÇñÁ Ý»ñ³éáõÙ ¿ ÙdzÛÝ 2006-2010 ÃÃ. ųٳݳϳѳïí³ÍÁ: гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÇÍÁ ³ÛÝ Ï³½Ù³Ï»ñåáõÃÛáõÝÝ»ñÇ ÃíáõÙ ¿, áñáÝù Ù³ëݳÏó»É »Ý ÐÎβÌ-Ç Çñ³Ï³Ý³óÙ³ÝÁ: вÜ-Ç Ñ³Ù³å³ñ÷³Ï Íñ³·ñÇ ·áñÍáõÝ»áõÃÛáõÝÁ ٻͳå»ë Ýå³ëï»É ¿ ÐÎβÌ-Ç Ûáõñ³ù³ÝãÛáõñ ¨ μáÉáñ Ýå³ï³ÏÝ»ñÇ Çñ³Ï³Ý³óÙ³ÝÁ: ¸ñ³ Ù³ëÇÝ ¿ íϳÛáõÙ ¿ ÐÎβÌ-Ç ³í³ñïÇ Ï³å³ÏóáõÃÛ³Ùμ ÐÐ ³éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñáõÃÛ³Ý å³ïñ³ëï³Í ï»Õ»Ï³ÝùÁ: ՏԵՂԵԿԱՆՔ ÐРϳé³í³ñáõÃÛ³Ý 2006 Ãí³Ï³ÝÇ 02.11.2006 Ãí³Ï³ÝÇ N 43 -Ü áñáßÙ³Ý կատարման վերաբերյալ ԸՆԴՀԱՆՈՒՐ ԱՌՄԱՄԲ 2007-2010ÃÃ. ²ØÜ Ø¼¶ Հայկական ակնաբուժության նախագծի (ՀԱՆ) և ՀՀ ԱՆ համագործակցության շրջանակներում տարվել է ծավալուն ³ß˳ï³ÝùÝ»ñ ÐÐ Ù³ñ½»ñáõÙ ¨ ÈÐÔ-áõÙ, áñոնց ³ñ¹ÛáõÝùÝ»ñÁ Ñ»ï¨Û³ÉÝ »Ý. - Կատարվել են ըݹѳÝáõñ ³ÏݳÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ, որոնցում ընդգրկվել է 131790 մարդ, այդ թվում 72147 »ñ»Ë³

54


55 - Հայտնաբերված հիվանդներից աãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³Ýáó են áõÕ»·ñí»É 11026 ÑÇí³Ý¹ - ²ãùÇ ß³ñÅ³Ï³Ý ÑÇí³Ý¹³ÝáóáõÙ íÇñ³Ñ³ïí»É »Ý 4961 ÑÇí³Ý¹, որոնցից ɳ½»ñ³ÛÇÝ ÙÇç³ÙïáõÃÛ³Ý »Ý »ÝóñÏí»É 1434 –ը - Անվճար տրամադրվել ¿ 24106 ³ÏÝáó - ì»ñ³å³ïñ³ëïí»É ¿ 326 ÁÝï³Ý»Ï³Ý μÅÇßÏ - ì»ñ³å³ïñ³ëïí»É ¿ 773 ÁÝï³Ý»Ï³Ý/գյուղական և 133 դպրոցական բուժքույր - ÎñÏݳÏÇ í»ñ³å³ïñ³ëïáõÙ »Ý ³Ýó»É 57 ÁÝï³Ý»Ï³Ý μÅÇßÏ - سëݳ·Çï³Ï³Ý í»ñ³å³ïñ³ëïáõÙ ¿ ³Ýó»É 61 Ù³ñ½³ÛÇÝ ³ÏݳμáõõÛÅ - سëݳ·Çï³Ï³Ý í»ñ³å³ïñ³ëïáõÙ ¿ ³Ýó»É 37 Ù³ñ½³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý բուժùáõÛñ - ²Ýóϳóí»É ¿ ѳÝñ³ÛÇÝ ÏñÃáõÃÛ³Ý 349 ¹³ëÁÝóó - гÝñ³ÛÇÝ ÏñÃáõÃÛ³Ý ¹³ëÁÝóóÝ»ñÇÝ Ù³ëݳÏó»É ¿ 8814 ¹åñáó³Ï³Ý - вÜ-Ç μÅßÏ³Ï³Ý ËÙμ»ñÁ ³Ûó»É»É »Ý 841 ѳٳÛÝù - ÀݹѳÝáõñ ³éÙ³Ùμ Ù³ñ½»ñáõÙ ³ß˳ï»É »Ý 903 ûñ - Նախաձեռնվել է մշակել և ներդնել Անհաս ռետինոպատիայի ազգային ծրագիրը, որի նպատակով 2010 թ. հáõÝÇëÇ 28-29-ÇÝ, гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÇÍÁ, ÐÐ ³éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñáõÃÛ³Ý ¨ ²ØÜ ØÇç³½·³ÛÇÝ ½³ñ·³óÙ³Ý ·áñͳϳÉáõÃÛ³Ý Ñ»ï ѳٳï»Õ, ³Ýó ¿ Ï³óնելու ÙÇç³½·³ÛÇÝ ÏáÝý»ñ³Ýë` §²ÝѳëáõÃÛ³Ý é»ïÇÝáå³ÃdzÛÇ Ï³Ý˳ñ·»ÉáõÙÁ г۳ëï³ÝáõÙ¦ ûٳÛáí: ²Ûë ÙÇç³½·³ÛÇÝ ÏáÝý»ñ³ÝëÁ ëÏÇ½μ ¿ ѳݹÇë³ÝáõÙ ³ÝѳëáõÃÛ³Ý é»ïÇÝáå³ÃdzÛÇ Ï³Ý˳ñ·»ÉÙ³Ý ¨ μáõÅÙ³Ý Íñ³·ñÇ Ñ³Ù³ñ: ²ñ¹»Ý ÇëÏ Ó»éù »Ý μ»ñí»É ³ÝÑñ³Å»ßï ë³ñù³íáñáõÙÝ»ñÁ: ØÇç³½·³ÛÇÝ ÏáÝý»ñ³ÝëÇ ÁÝóóùáõÙ ÏÇñ³Ï³Ý³óíÇ Ñ³Û Ù³ëݳ·»ïÝ»ñÇ í»ñ³å³ïñ³ëïáõÙ: àÉáñïÇ ³ñï³ë³ÑÙ³ÝÛ³Ý ÷áñÓ³·»ïÝ»ñÁ ³ß˳ï»Éáõ »Ý Ñ³Û Ù³ëݳ·»ïÝ»ñÇ Ñ»ï ³éÝí³½Ý í»ó ³ÙÇë Ñ»é³μÅßÏáõÃÛ³Ý (telemedicine) ÙÇçáóáí: Ìñ³·ÇñÁ ÃáõÛÉ Ïï³ ³Ù»Ý ï³ñÇ Ùáï 100 ³Ýѳë Ýáñ³ÍÝÇ ÷ñÏ»É ÏáõñáõÃÛ³Ý íï³Ý·Çó: -ՀՀ ԱՆ ԱԱԻ բազան հանդիսացող Քանաքեռ – Զեյթուն ԲԿ –ում բացվել է ò³Íñ ï»ëáÕáõÃÛ³Ý Ï»ÝïñáÝ, որը համապատասխանում է ÙÇç³½·³ÛÇÝ ã³÷áñáßÇãÝ»ñÇն և հնարավորություն է ընձեռում անվճար սպասարկել նման խնդիրներ ունեցող բազմաթիվ ՀՀ քաղաքացիների:


- Ստեղծվել է վիրահատական հմտությունների զարգացման կենտրոն (Վետ-լաբ): - Պատրաստվել և հրատարակվել է ուսումնական ձեռնարկներ և կլինիկական ուղեցույցեր ակնաբույժների, ընտանեկան բժիշկների և համայնքային բուժքույրերի համար: - Իրականացվել է կատարակտի վիրահատության մոնիտորինգ Աչքի շարժական հիվանդանոցում: Կատարակտի վիրահատության մոնիտորինգի փորձնական ծրագիր ներդրվում է Մալայանի անվան ակնաբուժական կենտրոնում:

Ըստ ՀՀ կառավարության որոշմամբ սահմանված նպատակների կատարված աշխատանքներն են. Üå³ï³Ï I. 50-Çó μ³ñÓñ ï³ñÇùÇ μݳÏãáõÃÛ³Ý Ùáï »ñÏÏáÕÙ³ÝÇ ÏáõñáõÃÛ³Ý ï³ñ³Íí³ÍáõÃÛáõÝÁ 0.5%-Çó ѳëóÝ»É 0.2 %-Ç: ºÝóÝå³ï³ÏÝ»ñ: γï³ñ³Ïï: г۳ëï³ÝÇ Ð³Ýñ³å»ïáõÃÛáõÝáõ٠ϳï³ñ³ÏïÇ íÇñ³Ñ³ï³Ï³Ý óáõó³ÝÇßÁ 1000-Çó μ³ñÓñ³óÝ»É ÙÇÝ㨠3000-Ç` Ù»Ï ÙÇÉÇáÝ μݳÏãáõÃÛ³Ý Ñ³ßíáí سñ½³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÝ»ñáõÙ Ý»ñ³ÏݳÛÇÝ áëåÝÛ³ÏÇ ï»Õ³¹ñÙ³Ùμ ϳï³ñ³ÏïÇ ¿ùëïñ³Ï³åëáõÉÛ³ñ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÇ ÁݹѳÝáõñ ÃÇíÁ 0.03%-Çó ѳëóÝ»É 80%-Ç: Àëï ²éáÕç³å³ÑáõÃÛ³Ý Ð³Ù³ß˳ñѳÛÇÝ Î³½Ù³Ï»ñåáõÃÛ³Ý ÎáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ÏáÙÇï»Ç ã³÷áñáßÇãÝ»ñÇ, μáõÅÙ³Ý ³ÝѳçáÕ »Éù»ñÇ ÃÇíÁ 23% -Çó ѳëóÝ»É 5%-Ç: ¶É³áõÏáÙ³: ÎñÏݳå³ïÏ»É ÑÇí³Ý¹áõÃÛ³Ý í³Õ ÷áõÉ»ñáõ٠ѳÛïݳμ»ñí³Í ·É³áõÏáÙ³Ûáí ÑÇí³Ý¹Ý»ñÇ ã³÷³μ³ÅÇÝÁ: ¶É³áõÏáÙ³ÛÇ ï³ñ»Ï³Ý íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÇ ÃÇíÁ ³í»É³óÝ»É 30%-áí ¸Ç³μ»ïÇÏ é»ïÇÝáå³ïdz: ȳ½»ñ³ÛÇÝ μáõÅáõÙ ëï³óáÕ ¹Ç³μ»ïÇÏ é»ïÇÝáå³ÃdzÛáí ÑÇí³Ý¹Ý»ñÇ ÃÇíÁ ï³ñ»Ï³Ý 120-Çó ѳëóÝ»É 500-Ç: Þ³ù³ñ³ÛÇÝ ¹Ç³μ»ïáí ·ñ³Ýóí³Í μáÉáñ ÑÇí³Ý¹Ý»ñÇÝ ³å³Ñáí»É ³Ýí׳ñ ³ÏݳμáõÅ³Ï³Ý Ñ»ï³½áïáõÃÛáõÝÝ»ñ` ÏÛ³ÝùÇ Ñ³Ù³ñ íï³Ý· ëå³éݳóáÕ é»ïÇÝá峬ÃdzÛÇ í³Õ ѳÛïݳμ»ñÙ³Ý Ñ³Ù³ñ: 1. ÐÐ Ù³ñ½»ñÇ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÝ»ñÇ ½³ñ·³óÙ³ÝÝ աջակցելու պարտավորությունը հանձն է առել ²ØÜ Ø¼¶ гÛÏ³Ï³Ý ³ÏݳμáõÅության ݳ˳·ÇÍÁ, áñÁ ÙÇÝã ûñë ß³ñáõݳÏáõÙ է Çñ ·áñÍáõÝ»áõÃÛáõÝÁ: 2. γï³ñ³ÏïÇ μáõÅÙ³Ý ¨ ÑëÏáÕáõÃÛ³Ý ³ñ¹Ûáõݳí»ï Ùáï»óáõÙÝ»ñÇ ÏÇñ³éÙ³Ý Ýå³ï³Ïáí ϳï³ñ³ÏïÇ íÇñ³Ñ³ïáõÃÛáõÝÁ ϳï³ñíáõÙ ¿ ³ÏݳμáõÅ³Ï³Ý ÏÉÇÝÇϳݻñáõ٠ϳ٠³ÛÝ μ³½Ù³åñáýÇÉ ÑÇí³Ý¹³ÝáóÝ»ñÇ ³ÏݳμáõÅ³Ï³Ý μ³Å³ÝÙáõÝùÝ»ñáõÙ, áñáÝù áõÝ»Ý Ñ³Ù³å³ï³ëË³Ý ÉÇó»Ý½³íáñáõÙ, ³Û¹åÇëáí

56


57 ³å³Ñáí»Éáí íÇñ³Ñ³ïáõÃÛ³Ý ¨ ÑëÏáÕáõÃÛ³Ý Ù³ëݳ·Çï³Ï³Ý áñ³ÏÁ: ÐÇßÛ³É Ñ³ëï³ïáõÃÛáõÝÝ»ñáõ٠ϳï³ñ³ÏïÇ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÁ ϳï³ñíáõÙ »Ý ³Ýí׳ñ` §ëáódzɳå»ë ³Ý³å³Ñáí ¨ ѳïáõÏ ËÙμ»ñում¦ Áݹ·ñÏí³Í ³ÝÓ³Ýó ѳٳñ: Ընտանեկան նպաստի 30 և բարձր միավոր ունեցող ընտանիքների անդամները, ինչպես նաև պետպատվերի համակարգով նախատեսված կատեգորիաների ներկայացուցիչների ինչպես նաև հատուկ խմբերում չընդգրկված բայց սոցիալապես խոցելի անձանց ³Ýí׳ñ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÁ ՀՀ մարզերում ϳï³ñíáõÙ են նաև ²ØÜ Ø¼¶ §Ð³ÛÏ³Ï³Ý ³ÏݳμáõÅության ݳ˳·ÍǦ աչքի շարժական հիվանդանոցում, ÇÝãå»ë ݳ¨ §Ø³É³Û³ÝÇ ³Ýí³Ý¦ ÏÉÇÝÇϳÛÇ ÏáÕÙÇó` μ³ñ»·áñÍ³Ï³Ý ³ÏódzÛÇ ßñç³Ý³ÏÝ»ñáõÙ: ²é³ÝÓÇÝ ¹»åù»ñáõÙ /μ³ó³éáõÃÛ³Ý Ï³ñ·áí/, ëáóÇ³É³Ï³Ý ËÙμ»ñáõÙ ãÁݹ·ñÏí³Í ³ÝÓ³Ýó ³Ýí׳ñ íÇñ³Ñ³ïáõÃÛáõÝÁ ϳï³ñíáõÙ ¿ ÐÐ ³éáÕç³å³ÑáõÃÛ³Ý Ý³Ë³ñ³ñÇ ÃáõÛÉïíáõÃÛ³Ùμ` ÐÐ ²Ü áõÕ»·ñÙ³Ùμ: 3. ÐÐ Ù³ñ½³ÛÇÝ Ï»ÝïñáÝÝ»ñÇ Ù³ëݳ·»ïÝ»ñÇ ÏáÕÙÇó å³ñï³¹Çñ ³Ûó»ñ ÐÐ Ù³ñ½»ñÇ ·ÛáõÕ³Ï³Ý μݳϳí³Ûñ»ñ (Ýí³½³·áõÛÝÁ ³ÙÇëÁ 1 ³Ý·³Ù) ¨ §μ³ó ¹éÝ»ñÇ ûñ»ñ¦ (ï³ñ»Ï³Ý ³éÝí³½Ý 2 ³Ý·³Ù) ϳ½Ù³Ï»ñå»Éáõ Ýå³ï³Ïáí, ëÏë³Í 2007Ã. – Çó /ÐÐ ²Ü 29.12.2006Ã. ÃÇí 1565-² Ññ³Ù³Ýáí/, ë³ÑÙ³Ýí»É ¿ å³ñï³¹Çñ ³Ûó»ÉáõÃÛáõÝÝ»ñ ·ÛáõÕ³Ï³Ý í³Ûñ»ñ /ãѳßí³Í μ³ó ¹éÝ»ñÇ ûñ»ñÁ/: ´³óÇ ¹ñ³ÝÇó, ëÏë³Í 2006 Ãí³Ï³ÝÇó, ÐÐ Ù³ñ½»ñÇ åáÉÇÏÉÇÝÇϳݻñÇ ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÁ ¹³ñÓ»É ¿ ³Ýí׳ñ` μݳÏãáõÃÛ³Ý μáÉáñ ËÙμ»ñÇ Ñ³Ù³ñ: 4. 2007-2010ÃÃ. ÁÝóóùáõÙ ²ØÜ Ø¼¶ <<гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ>> ÏáÕÙÇó ³Ûó»ñ են ϳï³ñվ»É ÐÐ μáÉáñ Ù³ñ½»ñÇ ÁݹѳÝáõñ ³éÙ³Ùμ 850 ·ÛáõÕ³Ï³Ý μݳϳí³Ûñ»ñ, áñï»Õ Ð²Ü ³ÏݳμáõÛÅÝ»ñÁ μ³ó ÁݹáõÝ»ÉáõÃÛ³Ý Å³Ù³Ý³Ï ½ÝÝ»É »Ý ÁݹѳÝáõñ ³éÙ³Ùμ 41000 ·ÛáõÕ³Ï³Ý μݳÏãÇ: ÐÐ μáÉáñ Ù³ñ½»ñáõÙ ²ØÜ Ø¼¶ Ð²Ü ²ÞÐ-áõÙ /աչքի շարժական հիվանդանոց/ ϳï³ñí»É ¿ 3612 ϳï³ñ³ÏïÇ íիրահատáõÃÛáõÝ ¨/կամ լազերային միջամտությáõÝ : ՄǨÝáõÛÝ Å³Ù³Ý³Ï Ï³ï³ñí»É ¿ ï»ÕÇ Ù³ëݳ·»ïÝ»ñÇ áõëáõóáõÙ` ÏÉÇÝÇÏ³Ï³Ý ÑÙïáõÃÛáõÝÝ»ñÇ ³éáõÙáí, Ù³ëݳÏÇó ¹³ñÓÝ»Éáí μáõÅÙ³ÝÁ ¨ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÇÝ: 5. Ü»ñ³ÏݳÛÇÝ áëåÝÛ³ÏÇ ï»Õ³¹ñÙ³Ùμ ϳï³ñ³ÏïÇ ¿ùëïñ³Ï³åëáõÉÛ³ñ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÁ Ù³ñ½³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÝ»ñáõÙ ¹³ñÓ»É է å³ñï³¹Çñ, »Ã» ¹³ ѳϳóáõóí³Í ã¿ ³ÛÉ ÑÇí³Ý¹áõÃÛ³Ý ³éϳÛáõÃÛ³Ý ¹»åùáõÙ: Ներակնային ոëåÝÛ³ÏÝ»ñÁ ïñ³Ù³¹ñíáõÙ »Ý ëáódzɳå»ë ³Ý³å³Ñáí ¨ ѳïáõÏ ËÙμ»ñáõÙ Áݹ·ñÏí³Í ³ÝÓ³Ýó, ÐÐ ²Ü կողմից բարեգործական խողովակներով ստացված, ինչպես նաև ԱՄՆ ՄԶԳ гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ կողմից` բարեգործական հիմունքներով: Ü»ñ³ÏݳÛÇÝ áëåÝÛ³ÏÇ ï»Õ³¹ñÙ³Ùμ ϳï³ñ³ÏïÇ ¿ùëïñ³Ï³åëáõÉÛ³ñ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÁ ѳÝñ³å»ïáõÃÛáõÝáõÙ ÏÇñ³éíáõÙ ¿ ողջ հանրապետությունում ³Û¹ Ãíáõ٠ݳ¨ ÐÐ Ù³ñ½»ñáõÙ: Տեղադրման տոկոսը մոտ է 100-ի:


6. Որակի ապահովում: Համաձայն ÐРϳé³í³ñáõÃÛ³Ý 18.09.2009Ã. ÃÇí 35 ³ñӳݳ·ñ³ÛÇÝ áñáßÙ³ն, Ùß³Ïí»Éáõ ¨ ՀՀ կառավարության հաստատմանն է ներկայացվել Ոñ³ÏÇ ·Ý³Ñ³ïÙ³Ý Ñ³յեցակարգը, áñÁ Ñݳñ³íáñáõÃÛáõÝ ÏÁÝÓ»éÇ í»ñ³ÑëÏ»É μáõÅû·ÝáõÃÛ³Ý ¨ Ù³ïáõóíáÕ Í³é³ÛáõÃÛáõÝÝ»ñÇ áñ³ÏÁ` բուժօգնության բոլոր մակարդակներում /³Û¹ ÃíáõÙ ³ÏݳμáõÅáõÃÛ³Ý μݳ·³í³éáõÙ/: Մասնագետների գիտելիքների բարձրացման նպատակով, ԱՄՆ ՄԶԳ гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ կողմից պատրաստվել է հրատարակվել է ուսումնական ձեռնարկ Ակնաբուժության ընտրանի: Որակի ապահովմանն է ուղղված նաև ÐРϳé³í³ñáõÃÛ³Ý 05.12.2002Ã. ÃÇí 1936-Ü áñáßÙ³Ý å³Ñ³Ýçը, ըստ որի` Ûáõñ³ù³ÝãÛáõñ 5 ï³ñÇÝ Ù»Ï μÅÇßÏÝ»ñÇ Ù³ëݳ·Çï³Ï³Ý í»ñ³å³ïñ³ëïáõÙÁ պարտադիր է: ՈõëïÇ, ³ÏݳμáõÛÅÝ»ñÁ ¨ë ³ÝóÝáõÙ »Ý ß³ñáõÝ³Ï³Ï³Ý ÏñÃáõÃÛáõÝ í»ñ³Ý³Ûí³Í ÏñÃ³Ï³Ý Íñ³·ñáí: ´áÉáñ åáÉÇÏÉÇÝÇϳݻñÇ ³ÏݳμáõÅ³Ï³Ý Ï³μÇÝ»ïÝ»ñÝ áõÝ»Ý Ý»ñ³ÏݳÛÇÝ ×ÝßáõÙÁ ã³÷»Éáõ ¨ ³Ïݳѳï³ÏÁ ½ÝÝ»Éáõ Ñݳñ³íáñáõÃÛáõÝ: ԱՄՆ ՄԶԳ гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ կողմից իրականացվել է կատարակտի վիրահատության մոնիտորինգ Աչքի շարժական հիվանդանոցում: Կատարակտի վիրահատության մոնիտորինգի փորձնական ծրագիր ներդրվում է Մալայանի անվան ակնաբուժական կենտրոնում: 7. Գլաուկոմա: êÏë³Í 2008Ã.-ից, ÐÐ ²Ü Ññ³Ù³Ýáí ѳëï³տí³Í ã³÷áñáßիãáí /áñÁ å»ï³Ï³Ý å³ïí»ñÇ ï»Õ³¹ñÙ³Ý Ý³Ë³å³ÛÙ³Ý ¿/, ë³ÑÙ³Ýí»É ¿, áñ å³ñï³¹Çñ ϳÝ˳ñ·»ÉÇã ³ÛóÇ ßñç³Ý³ÏÝ»ñáõÙ Çñ³Ï³Ý³óí»Éáõ ¿ ·É³áõÏáÙ³ÛÇ í³Õ ѳÛïݳμ»ñÙ³Ý ëÏñÇÝÇÝ·: 2007-2010ÃÃ. ÁÝóóùáõÙ ԱՄՆ ՄԶԳ – ՀԱՆ-ի կողմից Çñ»Ý ¹ÇÙ³Í μݳÏãáõÃÛ³Ý ßñç³ÝáõÙ ¹Çïí»É ¿ ·É³áõÏáÙ³ÛÇ 1,653 ¹»åù, áñÇó 622-Á հայտնաբերվել է ³é³çÇÝ ³Ý·³Ù: ԲáÉáñ μÅßÏ³Ï³Ý ³ÙμáõɳïáñdzݻñÁ, ÁÝï³Ý»Ï³Ý μÅßÏÇ ·ñ³ë»ÝÛ³ÏÝ»ñÁ ¨ åáÉÇÏÉÇÝÇϳݻñÇ ³ÏݳμáõÅ³Ï³Ý Ï³μÇÝ»ïÝ»ñÁ áõÝ»Ý ûýï³ÉÙáëÏáå/ տոնոմետր, Ù³ëݳ·»ïÝ»ñÁ í»ñ³å³ïñ³ëïí»É ¨ ß³ñáõݳÏáõÙ »Ý í»ñ³å³ïñ³ëïí»É ²ØÜ Ø¼¶ вÜ-Ç ÏáÕÙÇó, áñáÝó ÁݹѳÝáõñ ÃÇíÁ ϳ½ÙáõÙ ¿ -1600 մասնագետ: ¸Ç³μ»ïÇÏ é»ïÇÝáå³ïdz: ԱՄՆ ՄԶԳ гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ կողմից իրականացվել է դիաբետիկ ռետինոպատիայի 400 լազերային միջամտություն: 2008 Ã.ϳ½Ù³Ï»ñåí»É ¿ ë»ÙÇݳñ §¸Ç³μ»ïÁ ¨ ÏáõñáõÃÛáõÝÁ¦ ûٳÛáí, áñÇÝ Ù³ëݳÏó»É »Ý ³ÏݳμáõÛÅÝ»ñÁ ¨ Ý»ñ½³ï³μ³ÝÝ»ñÁ: Øß³Ïí»É ¨ å³ñμ»ñ³μ³ñ í»ñ³Ý³Ûí»É »Ý ¹Ç³μ»ïÇ í³ñÙ³Ý áõÕ»óáõÛóÝ»ñÁ ³é³çݳÛÇÝ ûÕ³ÏÇ Ù³ëݳ·»ïÝ»ñÇ Ñ³Ù³ñ: ì»ñçÇÝ í»ñ³Ý³Ûí³Í ¨ Éñ³Ùß³Ïí³Í ï³ñμ»ñ³ÏÁ ѳëï³ïí»É ¿ ÐÐ ²Ü Ññ³Ù³Ýáí:

58


59 Üå³ï³Ï II. Üí³½»óÝ»É Ù³ÝÏ³Ï³Ý ÏáõñáõÃÛ³Ý ¹»åù»ñÇ ù³Ý³ÏÁ ¨ μ³ñ»É³í»É »ñ»Ë³Ý»ñÇ ³ãù»ñÇ ³éáÕçáõÃÛáõÝÁ: ºÝóÝå³ï³ÏÝ»ñ: ´áÉáñ ¹åñáó³Ñ³ë³Ï »ñ»Ë³Ý»ñÇÝ ³å³Ñáí»É ³Ýí׳ñ ³ÏݳμáõÅ³Ï³Ý Ñ»ï³½áïáõÃÛáõÝÝ»ñ` é»ýñ³ÏóÇáÝ Ë³Ý·³ñáõ٬ݻñÇ Ñ³Ûïݳμ»ñÙ³Ý ¨ ³é³í»É ϳñÇù³íáñÝ»ñÇÝ ³ÏÝáóÝ»ñáí ³å³ÑáíÙ³Ý Ýå³ï³Ïáí: гÝñ³å»ïáõÃÛáõÝáõÙ ëï»ÕÍ»É ³Ýѳë Ýáñ³ÍÇÝÝ»ñÇ é»ïÇÝáå³ÃdzÛÇ ÑëÏáÕáõÃÛ³Ý ³ñ¹Ûáõݳí»ï ѳٳϳñ·: 1. ՀՀ մարզերում, կապված մասնագիտական ներուժի դիֆիցիտի հետ, երեխաների ակնաբուժական խնդիրներով զբաղվում եմ մեծերի մասնագետները, որոնց հետ, մանկության խնդիրների վերաբերյալ ուսուցման աշխատանք է տանում Հայկական ակնաբուժական նախագիծը: 2. ¸åñáó³Ñ³ë³Ï »ñ»Ë³Ý»ñÇ ßñç³Ýáõ٠ϳï³ñíáõÙ »Ý ϳÝ˳ñ·»ÉÇã μÅßÏ³Ï³Ý ùÝÝáõÃÛáõÝÝ»ñ, áñÇ Å³Ù³Ý³Ï Ñ³Ûïݳμ»ñí³Í é»ýñ³ÏóÇáÝ Ë³Ý·³ñáõÙÝ»ñÇ ¹»åùáõÙ ³é³ç³ñÏíáõÙ ¿ Ù³ëݳ·Çï³Ï³Ý μáõÅáõÙ, ïñ³Ù³¹ñíáõÙ »Ý ³ÏÝáóÝ»ñ /Ù³ñ¹³ëÇñ³Ï³Ý ׳ݳå³ñÑáí ëï³óí³Í, ÇÝãå»ë ݳ¨ Ô³ñ³·Ûá½Û³Ý ÑÇÙݳ¹ñ³ÙÇ ÏáÕÙÇó ºñ¨³ÝáõÙ, êÛáõÝÇùÇ, Èáéáõ ¨ ÞÇñ³ÏÇ Ù³ñ½»ñáõÙ/: 3. Երեխաների մասնագիտական աÏݳμáõÅ³Ï³Ý Ñ»ï³½áïáõÃÛáõÝÝ»ñը ¨ μáõÅáõÙը Ù³ÝÏ³Ï³Ý ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñ ãáõÝ»óáÕ Ù³ñ½»ñÇ Ñ»é³íáñ μݳϳí³Ûñ»ñáõÙ ³åñáÕ é»ýñ³ÏóÇáÝ Ë³Ý·³ñáõÙÝ»ñáí ¹åñáó³Ñ³ë³Ï »ñ»Ë³Ý»ñÇÝ իñ³Ï³Ý³óí»É ¿ ²ØÜ Ø¼¶ гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ ÏáÕÙÇց: Կ³ï³ñí»É »Ý ³Ûó»ñ ÐÐ Ù³ñ½»ñ` ßñçÇÏ ³ÏݳμáõÅ³Ï³Ý խմբերի ÏáÕÙÇó ստուգվել է 72147 երեխա` ՀՀ մարզերում և Երևանում: 4. è»ýñ³ÏóÇáÝ Ë³Ý·³ñáõÙÝ»ñ áõÝ»óáÕ »ñ»Ë³Ý»ñÇ ÍÝáÕÝ»ñÇÝ ïñ³Ù³¹ñ»É ѳٳå³ï³ëË³Ý ÏñÃ³Ï³Ý ÝÛáõûñ, ÇëÏ ³Û¹åÇëÇ »ñ»Ë³Ý»ñÇÝ` ËáñÑñ¹³ïíáõÃÛáõÝ Æñ³Ï³Ý³óí»É ¿ ²ØÜ Ø¼¶ Ð²Ü ÏáÕÙÇó – ծնողների համար կազմակերպած հանրային կրթության դասերում մասնակցել է 843 ծնող, նաև տարածվել են 4 անուն բրյոշյուր, ներառյալ ռեֆրակցիոն խանգարումների մասին` ծնողների համար: 5. Նախատեսվում է կ³½Ù³Ï»ñå»É Ûáõñ³ù³ÝãÛáõñ Ù³ñ½Çó Ù»Ï ³ÏݳμáõÛÅÇ í»ñ³å³ïñ³ëïáõÙ ³Ýѳë Ýáñ³ÍÇÝÝ»ñÇ é»ïÇÝáå³ÃdzÛÇ í³Õ ³ËïáñáßÙ³Ý ¨ μáõÅÙ³Ý í»ñ³μ»ñÛ³É` гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ աջակցությամբ: 6. ²Ýѳë Ýáñ³ÍÇÝÝ»ñÇ é»ïÇÝáå³ÃdzÛÇ μáõÅÙ³Ý Ýå³ï³Ïáí ºñ¨³ÝÇ ØËÇóñ лñ³óáõ ³Ýí³Ý å»ï³Ï³Ý μÅßÏ³Ï³Ý Ñ³Ù³Éë³ñ³Ý äà²Î-Ç Ð³Ù³Éë³ñ³Ý³Ï³Ý ³ÏݳμáõÅ³Ï³Ý ÏÉÇÝÇÏ³Ï³Ý ÑÇí³Ý¹³ÝáóÇÝ ïñ³Ù³¹ñ»É ɳ½»ñ³ÛÇÝ ë³ñù³íáñáõÙÝ»ñ: гÝñ³å»ïáõÃÛ³Ý μáÉáñ åáÉÇÏÉÇÝÇÏ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ Ù³ÝÏ³Ï³Ý ³ÏݳμáõÛÅÝ»ñÇ Ñ³Ù³ñ Ùß³Ï»É ¨ Çñ³Ï³Ý³óÝ»É í»ñ³å³ïñ³ëïÙ³Ý


¹³ëÁÝóó` ³Ýѳë Ýáñ³ÍÇÝÝ»ñÇ é»ïÇÝáå³ÃdzÛÇ í³Õ ³ËïáñáßÙ³Ý ¨ μáõÅÙ³Ý, ÇÝãå»ë ݳ¨ é»ýñ³ÏóÇáÝ Ë³Ý·³ñáõÙÝ»ñÇ í»ñ³μ»ñÛ³É: ՀԱՆ-ը ձեռք է բերել երկու ռետինալ ֆոտոխցիկ և դիոդային լազեր` անհաս ռետինոպաթիայի ախտորոշման և բուժման համար: 7. Անհաս ϳ٠ó³Íñ ù³ßáí »ñ»Ë³Ý»ñÇ ³ÏݳμáõÅ³Ï³Ý Ñ»ï³½áïáõÃÛ³Ý ¨ μáõÅÙ³Ý Ñ³ÙÁݹѳÝáõñ ÁÝóó³Ï³ñ·»ñը և դրա իրականացման ²½·³ÛÇÝ Íñ³·ñÇ Ý³Ë³·ÇÍÁ նախաå³ïñ³ëïí»É ¿ Հայկական ակնաբուժության նախագծի ÏáÕÙÇó, հաստատվել է ÐÐ ²Ü-ի կողմից: ȳÛݳͳí³É ³ß˳ï³ÝùÝ»ñÁ »Ýó¹ñíáõÙ ¿ ëÏë»É 2010 ë»åï»Ùμ»ñÇó: Üå³ï³Ï III. гÝñ³å»ïáõÃÛáõÝáõÙ ½³ñ·³óÝ»É ÏáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³ÝÁ Ýå³ëïáÕ »Ýóϳéáõóí³ÍùÝ»ñÁ: ºÝóÝå³ï³ÏÝ»ñ: ¼³ñ·³óÝ»É ³ÏݳμáõÅáõÃÛ³Ý ³é³çݳÛÇÝ ûÕ³ÏÁ ·ÛáõÕ³Ï³Ý μݳϳí³Ûñ»ñáõÙ: ´³ñ»É³í»É ³ÏݳμáõÅáõÃÛ³Ý ³é³çݳÛÇÝ ûÕ³ÏÁ åáÉÇÏÉÇÝÇÏ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñáõÙ: ²ñ¹Ç³Ï³Ý³óÝ»É ¨ ë³ñù³íáñáõÙÝ»ñáí ѳٳÉñ»É ·áÛáõÃÛáõÝ áõÝ»óáÕ Ù³ñ½³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÝ»ñÁ: ²ñ¹Ç³Ï³Ý³óÝ»É Ð³Û³ëï³ÝáõÙ ³ÏݳμáõÅáõÃÛ³Ý »ññáñ¹³ÛÇÝ ûÕ³ÏÁ: 1. Նախատեսվել էր ըÝïñí³Í ·ÛáõÕ³Ï³Ý ³Ùμáõɳïáñdzݻñáõ٠ϳ٠ÁÝï³Ý»Ï³Ý μÅßÏÇ ·ñ³ë»ÝÛ³ÏÝ»ñáõÙ ëï»ÕÍ»É ·ÛáõÕ³Ï³Ý μáõÅÏ»ï»ñ (20,000 μݳÏãÇ Ñ³ßíáí Ù»Ï Ï»ÝïñáÝ), áñáÝù Ïͳé³Û»Ý áñå»ë ³é³çݳÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÝ»ñ: Üáñ Ï»ÝïñáÝÝ»ñÇ ëï»ÕÍÙ³Ý Ñ»ï ϳåí³Í é»ëáõñëÝ»ñÇ ËݳÛáÕáõÃÛ³Ý Ýå³ï³Ïáí áñå»ë ³Û¹åÇëÇù ¹Çï³ñÏíáõÙ ¿ ï³ñ³Í³ßñջ³Ý³ÛÇÝ åáÉÇÏÉÇÝÇϳݻñÇ Ï³Ù μáõÅÙdzíáñáõÙÝ»ñÇ åáÉÇÏÉÇÝÇÏ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ ³ÏݳμáõÅ³Ï³Ý Ï³μÇÝ»ïÝ»ñÁ, որոնք հագեցվել են սարքավորումներով ՀԲ առողջապահական վարկային ծրագրի շրջանակներում կամ ëï³ó»É »Ý ³ç³ÏóáõÃÛáõÝ ÙÇç³½·³ÛÇÝ Ï³½Ù³Ï»ñåáõÃÛáõÝÝ»ñÇ /մասնավորապես ԱՄՆ ՄԶԳ/ ÏáÕÙÇó: 2. Գլաուկոմայի կանխարգելման նպատակով, սÏë³Í 2008Ã. –ից, ÐÐ ²Ü Ññ³Ù³Ýáí ѳëï³տí³Í ã³÷áñáßիãáí /áñÁ å»ï³Ï³Ý å³ïí»ñÇ ï»Õ³¹ñÙ³Ý Ý³Ë³å³ÛÙ³Ý ¿/, ë³ÑÙ³Ýí»É ¿, áñ å³ñï³¹Çñ ϳÝ˳ñ·»ÉÇã ³ÛóÇ ßñç³Ý³ÏÝ»ñáõÙ Çñ³Ï³Ý³óí»Éáõ ¿ ·É³áõÏáÙ³ÛÇ í³Õ ѳÛïݳμ»ñÙ³Ý ëÏñÇÝÇÝ·, áñÁ »Ýó¹ñáõÙ ¿ ݳ¨ Ý»ñ³ÏݳÛÇÝ ×ÝßÙ³Ý ã³÷áõÙ: Պոլիկլինիկաների և ԱՄՆ ՄԶԳ гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÍÇ կողմից ընդհանուր ստուգումների

60


61 ժամանակ վեր է հանվել ակնային ճնշման կասկած ունեցող 1730 հիվանդ: 3. سñ½³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÝ»ñÇ հագեցումը ակնաբուժական սարքավորումներով /այդ թվում լազերային/, նախատեսվել և իրականացվում է ՀԲ առողջապահական ՎԾ շրջանակներում <<Մարզային հիվանդանոցների արդիականացման ծրագրի ենթատեքստում: 4. ì»ñ³Ýáñá·»É ¨ ³ñ¹Ç³Ï³Ý ë³ñù³íáñáõÙÝ»ñáí ѳ·»óÝ»É ì³Ý³ÓáñÇ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÁ: Վանաձորում կենտրոնի ստեղծումը չի իրականացվել, դրա փոխարեն ստեղծվել է Գեղարքունիքի մարզի Սևան քաղաքում Հայաստանի Ամերիկյան համալսարանի և Լայոնս Ակումբի աջակցությամբ: Կենտրոնը ունի լավ շենքային պայմաններ, հագեցված է ժամանակակից սարքավորումներով: 2008թ. լիցենզավորվել է ՀՀ ԱՆ կողմից: 5. §²Ï³¹»ÙÇÏáë ê.²í¹³Éμ»ÏÛ³ÝÇ ³Ýí³Ý ³éáÕç³å³ÑáõÃÛ³Ý ³½·³ÛÇÝ ÇÝëïÇïáõï¦ ö´À-Ç ³ãùÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ³ÙμÇáÝÇÝ ÏÇó ëï»ÕÍվել է ò³Íñ ï»ëáÕáõÃÛ³Ý Ï»ÝïñáÝ, որը համապատասխանում է ÙÇç³½·³ÛÇÝ ã³÷áñáßÇãÝ»ñÇն: Այն ստեղծված է ԱՄՆ ՄԶԳ Հայկական ակնաբուժության նախագծի աջակցությամբ` Քանաքեռ-Զեյթուն ԲԿ-ի կազմում, որը հանդիսանում է §²Ï³¹»ÙÇÏáë ê.²í¹³Éμ»ÏÛ³ÝÇ ³Ýí³Ý ³éáÕç³å³ÑáõÃÛ³Ý ³½·³ÛÇÝ ÇÝëïÇïáõï¦ ö´À-Ç ³ãùÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ ³ÙμÇáÝÇ բազան: Üå³ï³Ï IV. ´Ý³ÏãáõÃÛ³ÝÁ å³ïß³× ³ÏݳμáõÅ³Ï³Ý Í³é³ÛáõÃÛáõÝÝ»ñÇ Ù³ïáõóÙ³Ý Ñ³Ù³ñ ½³ñ·³óÝ»É Ù³ñ¹Ï³ÛÇÝ/կադրային/ é»ëáõñëÝ»ñÁ: ºÝóÝå³ï³ÏÝ»ñ: ´³ñÓñ³óÝ»É Ñ³Ýñ³å»ïáõÃÛáõÝáõÙ ³ÏݳμáõÅáõÃÛ³Ý ³é³çݳÛÇÝ ûÕ³ÏÇ μáõųß˳ïáÕÝ»ñÇ ÏñÃáõÃÛ³Ý Ù³Ï³ñ¹³ÏÁ: ´³ñÓñ³óÝ»É Ù³ñ½³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÝ»ñÇ ³ÏݳμáõÛÅÝ»ñÇ ·Çï»ÉÇùÝ»ñÇ Ù³Ï³ñ¹³ÏÁ: ²ÏݳμáõÅáõÃÛ³Ý áõëáõóÙ³Ý Ù³Ï³ñ¹³ÏÁ ѳëóÝ»É ²ÏݳμáõÅ³Ï³Ý ÙÇç³½·³ÛÇÝ ËáñÑñ¹Ç ¨ ²ÏݳμáõÅ³Ï³Ý Ï³½Ù³Ï»ñåáõÃÛáõÝÝ»ñÇ ÙÇç³½·³ÛÇÝ ý»¹»ñ³ódzÛÇ ÏáÕÙÇó ë³ÑÙ³Ýí³Í ã³÷³ÝÇßÝ»ñÇÝ 1. гÝñ³å»ïáõÃÛ³Ý μáÉáñ Ù³ñ½»ñÇ ·ÛáõÕ³Ï³Ý ³ÙμáõɳïáñdzݻñÇ ¨ ÁÝï³Ý»Ï³Ý μáõÅùáõÛñ»ñն Áݹ·ñÏվ»É են ³é³çݳÛÇÝ ûÕ³ÏáõÙ ³ÏݳμáõÅáõÃ¬Û³Ý í»ñ³μ»ñÛ³É »ռûñÛ³ í»ñ³å³ïñ³ëïÙ³Ý ¹³ëÁÝóóÝ»ñում, որի շրջանակներում ԱՄՆ ՄԶԳ Հայկական ակնաբուժության նախագծի աջակցությամբ վերապատրաստվել է 1600 մասնագետ: Կրկնակի վերապատրաստում են անցել 57 ընտանեկան բժիշկ մարզերում, վերապատրաստվել է նաև 37 ակնաբուժական բուժքույր:


2. ²ØÜ Ø¼¶ Հայկական ակնաբուժության նախագծի աջակցությամբ ՀՀ մ³ñ½³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÝ»ñÇ 61 ³ÏݳμáõÛÅÝ»ր í»ñ³å³ïñ³ëïվ»É են ÷áùñ Ïïñí³Íùáí ¨ Ý»ñ³ÏݳÛÇÝ áëåÝÛ³ÏÇ ï»Õ³¹ñÙ³Ùμ ϳï³ñ³ÏïÇ ¿ùëïñ³Ï³åëáõÉÛ³ñ íÇñ³Ñ³ïáõÃÛáõÝÝ»ñÇ ï»ËÝÇϳÛÇ, ·É³áõÏáÙ³ÛÇ ½³Ý·í³Í³ÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñÇ ¨ μáõÅÙ³Ý, ÇÝãå»ë ݳ¨ ¹Ç³μ»ïÇÏ é»ïÇÝáå³ÃdzÛÇ É³½»ñ³ÛÇÝ μáõÅÙ³Ý áõÕÕáõÃÛ³Ùμ: 3. ²ÏݳμáõÅáõÃÛáõÝ áõëáõó³ÝáÕ áõëáõÙÝ³Ï³Ý Ñ³ëï³ïáõÃÛáõÝÝ»ñÇ áõëáõÙÝ³Ï³Ý Íñ³·ñ»ñը ÙÇç³½·³ÛÇÝÇ Ù³Ï³ñ¹³ÏÇÝ Ñ³Ù³å³ï³ë˳ݻóÝ»Éու պահանջը կատարվում է սկսած 2009 թվականից, համաձայն ՀՀ կառավարության որոշման, ըստ որի` բոլոր կրթական ծրագրերը, այդ թվում նաև ակնաբուժական, համապատասխանեցվում է միջազգային չափանիշներին: Üå³ï³Ï V. ´³ñÓñ³óÝ»É ÏáõñáõÃÛ³Ý, áñå»ë ϳñ¨áñ³·áõÛÝ Ñ³Ýñ³ÛÇÝ ³éáÕç³å³Ñ³Ï³Ý ÑÇÙݳѳñóÇ í»ñ³μ»ñÛ³É μݳÏãáõÃÛ³Ý Çñ³½»ÏáõÃÛáõÝÁ: ºÝóÝå³ï³ÏÝ»ñ: ²ÝóϳóÝ»É μݳÏãáõÃÛ³Ý Çñ³½»ÏáõÃÛ³Ý μ³ñÓñ³óÙ³Ý ½³Ý·í³Í³ÛÇÝ ÙÇçáó³éáõÙÝ»ñ ϳï³ñ³ÏïÇ, ·É³áõÏáÙ³ÛÇ ¨ ¹Ç³μ»ïÇÏ é»ïÇÝáå³ÃdzÛÇ í»ñ³μ»ñÛ³É: Øß³Ï»É ¨ ³ÝóϳóÝ»É ³ãùÇ ³éáÕçáõÃÛ³Ý í»ñ³μ»ñÛ³É ½³Ý·í³Í³ÛÇÝ ÏñÃ³Ï³Ý ÙÇçáó³éáõÙÝ»ñ ¹åñáó³Ñ³ë³Ï »ñ»Ë³Ý»ñÇ ¨ Ýñ³Ýó ÍÝáÕÝ»ñÇ ßñç³ÝáõÙ: 1. ÀÝï³Ý»Ï³Ý μÅÇßÏÝ»ñÇ áõëáõÙÝ³Ï³Ý Íñ³·ñáõÙ ÁݹɳÛÝվ»É է ³ÏݳμáõÅáõÃÛ³Ý μ³ÅÇÝÁ, թ³ñÙ³óվ»É է հանրության առողջապահական ÏñÃությանն ուղղված Íñ³·ñ»ñÇ í»ñ³μ»ñÛ³É ·áÛáõÃÛáõÝ áõÝ»óáÕ ÝÛáõûñÁ: 2. ԲݳÏãáõÃÛ³Ý Çñ³½»ÏáõÃÛ³Ý μ³ñÓñ³ó¬Ù³Ý ½³Ý·í³Í³ÛÇÝ ÙÇçáó³éáõÙÝ»ñն իրականացվում են ԱՄՆ ՄԶԳ ԱԱՊԲ և ԱՄՆ ՄԶԳ ՀԱՆ ծրագրերի կողմից: Պատրաստվել և բաժանվել են հանրային կրթության 12 անվանում բրոշյուրներ ` ընդհանուր 600 000 քանակով: 3. гÝñ³å»ïáõÃÛáõÝáõÙ ՀԱՆ-ի ջանքերով նշվում է î»ëáÕáõÃÛ³Ý Ñ³Ù³ß˳ñѳÛÇÝ ûñÁ ուրաքանչյուր տարվա հոկտեմբերի երկրորդ շաբաթվա հինգշաբթին: Üå³ï³Ï VI. ÎáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý áÉáñïáõÙ Çñ³Ï³Ý³óÝ»É Ñ»ï³½áïáõÃÛáõÝÝ»ñ ¨ ½³ñ·³óÙ³Ý Íñ³·ñ»ñ: ºÝóÝå³ï³ÏÝ»ñ: Øß³Ï»É ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ í»ñ³ÑëÏÙ³Ý, ³éáÕç³å³ÑáõÃÛ³Ý Ï³é³í³ñÙ³Ý ¨ ͳé³ÛáõÃÛáõÝÝ»ñÇ Ù³ïáõóÙ³Ý Ó»éݳñÏÝ»ñ ¨ áõÕ»óáõÛóÝ»ñ: Æñ³Ï³Ý³óÝ»É Ñ³Ù³×³ñ³Ï³μ³Ý³Ï³Ý ¨ ÏÉÇÝÇÏ³Ï³Ý Ñ»ï³½áïáõÃÛáõÝÝ»ñ:

62


63 ²ÝóϳóÝ»É ÏáõñáõÃÛ³Ý Ï³Ý˳ñ·»ÉÙ³Ý ³½·³ÛÇÝ é³½Ù³í³ñ³Ï³Ý Íñ³·ñÇ Çñ³Ï³Ý³óÙ³Ý ·Ý³Ñ³ïáõÙ ¨ ³ÝÑñ³Å»ßïáõÃÛ³Ý ¹»åùáõ٠ϳï³ñ»É ѳٳå³ï³ëË³Ý áõÕÕáõÙÝ»ñ: 1. γï³ñվում է ß³ù³ñ³Ëïáí ·ñ³Ýóí³Í ÑÇí³Ý¹Ý»ñÇ ïíÛ³ÉÝ»ñÇ áõëáõÙݳëÇñáõÃÛáõÝÝ»ñ` որպես ÏáõñáõÃÛ³Ý å³ï׳é ѳݹÇë³óáÕ ³ãùÇ ÑÇí³Ý¹áõÃÛáõÝÝ»ñÇ éÇëϳÛÇÝ ·áñÍáÝի: Այդ նպատակով ՀՀ ԱՆ կողմից 2010 թվականից ներդրվել է Միդաս-3 ավտոմատացված հաշվետվական համակարգը` լրացվում է 002 ձևը, որում ներառվել է շաքարային դիաբետը: 2. ՀՀ ԱՆ և ԱՄՆ ՄԶԳ Հայկական ակնաբուժության նախագծի կողմից մß³Ïվ»É են ·ÛáõÕ³Ï³Ý ³Ùμáõɳïá¬ñdzݻñÇ ¨ Ù³ñ½³ÛÇÝ ³ÏݳμáõÅ³Ï³Ý Ï»ÝïñáÝÝ»ñÇ μáõųß˳-ïáÕÝ»ñÇ ëï³Ý¹³ñï³óí³Í ³ß˳ï³Ï³ñ·»ñ/ չափորոշիչներ: Այդպիսի չափորոշիչներ մշակվում և հասցվում են համակարգին ամեն տարի: Դրանցում ներառվում են նաև ամբուլատոր – պոլիկլինիակական հաստատությունների կողմից ակնաբուժական ծառայության մատուցման կազմակերպչական մոտեցումները: 3. Նախատեսվել է իñ³Ï³Ý³óÝ»É Ù³ÝÏ³Ï³Ý ÏáõñáõÃÛ³Ý ¨ ¹åñáó³Ñ³ë³Ï »ñ»Ë³Ý»ñÇ Ùáï é»ýñ³ÏóÇáÝ Ë³Ý·³ñáõÙÝ»ñÇ ï³ñ³Íí³ÍáõÃÛ³Ý í»ñ³μ»ñÛ³É ³½·³ÛÇÝ Ñ»ï³½áïáõÃÛáõÝÝ»ñ, որի վերաբերյալ համագործակցության առաջարկներ են ներկայացվել միջազգային կազմակերպություններին, այդ թվում ԱՄՆ ՄԶԳ -ին:


65

MINISTRY OF HEALTH REPUBLIC OF ARMENIA

COUNTDOWN TOWARDS 2020 ACTIVITIES AND STATISTICS ACTIVITIES CARRIED OUT BY THE ARMENIAN EYECARE PROJECT AND THE EYE HEALTH SITUATION ANALYSIS IN THE REPUBLIC OF ARMENIA

This publication was made possible with the support of the American People through the U.S. Agency for International Development (USAID) and the Armenian EyeCare Project (AECP). The contents of this publication are the sole responsibility of the authors and do not necessarily reflect the views of USAID or the U.S. Government.

YEREVAN 2010


Group of Authors Author Nairuhi Jrbashyan Roger Ohanesian Alexander Malayan Nune Yeghiazaryan Varvara Kalashyan

Data Analysis by Nairuhi Jrbashyan Design by Minas Hambardzumyan

This pubication presents the activities carried out by the Armenian EyeCare Project (AECP) in Armenia and services provided to the population during 2003-2009. At the same time, it presents the estimates of main indicators of eye health and incidence of main eye diseases in Armenia. These indicators will serve as a basis for policy makers to analyze the eye health situation and estimate the demand of eye care services in the country.

Copyright 2010 The Armenian EyeCare Project Print Run - 500 Printed by Velas Print Ltd. ISBN 978-99941-2-463-3

66


67

CONTENTS INTRODUCTION.....................................................................................................................................68 68 1. THE ARMENIAN EYECARE PROJECT: OBJECTIVE AND PRESENT ACHIEVEMENTS.................................................................................69 59 1.1. THE 0BJECTIVE, ESSENCE AND PARTNERS OF THE PROJECT.........................................69 69 1.2. MAIN ACHIEVEMENTS OF THE PROJECT...............................................................................71 71 2. THE AECP INITIATIVE “BRINGING SIGHT TO ARMENIAN EYES”, ITS COMPONENTS AND RESULTS....................................................................................................71 71 2.1. THE ESSENCE AND MAIN RESULTS OF THE INITIATIVE.....................................................71 71 2.2. GENERAL DESCRIPTION OF THE INITIATIVE COMPONENTS...........................................72 72 • General screening and medical aid.......................................................................................72 72 • Data analysis and scientific-practical activities................................................................7373 • Medical education and training.............................................................................................74 74 • Public education..........................................................................................................................74 74 • Capacity building.........................................................................................................................75 75 3. BRIEF DESCRIPTION OF THE EYECARE SERVICES PROVIDED BY THE AECP TO THE ARMENIAN POPULATION IN THE PERIOD OF 2003-2009........................................80 80 3.1. BRIEF DESCRIPTION OF THE AECP EYECARE SERVICES RENDERED DURING THREE MEDICAL TOURS IN THE PERIOD OF 2003-2009..........................................................80 80 3.2. BRIEF DESCRIPTION OF THE AECP ACTIVITIES DURING THE THIRD MEDICAL TOUR IN THE PERIOD OF 2007-2009....................................................84 84 4. SUMMARY OF THE AECP DATABASE ANALYSES..................................................................85 85 4.1. METHODOLOGY OF COLLECTION AND PROCESSING OF THE EYE HEALTH DATA AMONG THE POPULATION SCREENED BY THE AECP..................................86 86 4.2. EYE DISEASES DIAGNOSED AMONG THE RA POPULATION DURING THE AECP THREE MEDICAL TOURS IN THE PERIOD OF 2003-2009......................................87 87 4.3. ESTIMATES OF THE EYE DISEASES PREVALENCE AMONG THE RA POPULATION ACCORDING TO THE AECP DATA...........................................................91 91 5. EYECARE SERVICES RENDERED TO THE RA POPULATION BY THE AECP DURING THREE MEDICAL TOURS IN THE PERIOD OF 2003-2009 AT THE MARZ LEVEL.............................................................................................................................9595 5.1. 5.2. 5.3. 5.4. 5.5. 5.6. 5.7. 5.8. 5.9.

THE ARAGATSOTN MARZ................................................................................................95 95 THE ARARAT MARZ ...........................................................................................................96 96 THE ARMAVIR MARZ.........................................................................................................9797 THE KOTAYK MARZ............................................................................................................9898 THE LORI MARZ..................................................................................................................99 99 THE SHIRAK MARZ.............................................................................................................100 100 THE SYUNIK MARZ.............................................................................................................101 101 THE TAVOUSH MARZ.........................................................................................................102 102 THE VAYOTS DZOR MARZ................................................................................................103 103

APPENDICES..........................................................................................................................................105 105


INTRODUCTION The pain and suffering of blindness is incalculable. The restoration of sight is priceless. Vision problems worldwide as well as in Armenia are ranked among public health issues. A large portion of the population, especially after 50, is in the risk group for blindness. Vision 2020, a worldwide initiative of the World Health Organization and International Agency for the Prevention of Blindness / IAPB/ calls for more active actions to reach the goal of reducing preventable blindness worldwide by 100, 000 persons by 2020. The World Sight Day, celebrated annually since 1999 in many countries at the Vision2020 initiative is meant to voice the problems of those who have eye problems and remind the world of its commitments. The motto of this year’s World Sight Day is “Countdown towards 2020”. It calls for a sum-up of the activities and accomplishments in this field and for reasonable planning of the work to be done before 2020, including the implementation process of National Blindness Prevention Strategies. The Armenian EyeCare Project (AECP) is one of the organizations largely involved in eyecare in Armenia. The AECP mission is to eliminate preventable blindness in Armenia and to make 21st Century eye care accessible to every Armenian child and adult. Following its mission and the priorities of the Vision2020, the AECP is pleased to mark the celebration of the World Sight Day, 2010 with the publication of its analytical report “Countdown towards 2020: Activities and Statistics”, in cooperation with the RA Ministry of Health and the United States Agency for International Development. The publication is very much in line with the motto of this year’s World Sight Day “Countdown to 2020”. It sums up the results of the work done by the AECP since its establishment in 1992, touches upon the main initiatives and achievements, and presents the results of its scientific research, which would allow estimating the eye health of the population and evaluating the eye care demand for the country. In addition, following the logic of the “Countdown towards 2020” the brochure provides certain information on the accomplishments of the National Blindness Prevention Strategy in Armenia and the AECP contribution in reaching the goals set up in the Strategy (the Information note was kindly provided by the RA Ministry of Health and is presented in the Annex 2) . Impressive results are reached thanks to the coordinated work of the AECP comprehensive program “Bringing Sight to Armenian Eyes”, the USAID/AECP “Primary and Ophthalmologic Health Care Alliance” as well as its numerous partners and donors. 68


69 The beauty of the statistics presented to you is also in its uniqueness for Armenia. For many years any comprehensive information on the eye care and eye diseases has been very limited. The brochure has introduced the Index of Eye Health Vulnerability for the population of 50+, cataract surgery coverage rate among the population, the prevalence of the main widespread diseases causing blindness and blindness as well as blindness and visual impairment estimates. All mentioned estimates were calculated at the country and marz level for the first time. We hope that this analytical report will be useful for healthcare decision makers, scientists and practitioners dealing with eye care services planning and implementation at the country and regional level. The authors would like to thank the partners, the AECP staff and medical teams involved in the preparation of this work, for their support and assistance.

1. THE ARMENIAN EYECARE PROJECT: OBJECTIVE AND PRESENT ACHIEVEMENTS 1.1

THE OBJECTIVE OF THE PROJECT, ITS ESSENCE AND PARTNERS

The Armenian EyeCare Project (hereafter AECP) is a US-based charity organization founded in 1992 by Armenian-American ophthalmologist Dr. Roger Ohanesian. Its mission is to eliminate preventable blindness and make eye care accessible to all people in Armenia. To this end, many highly qualified American academic ophthalmologistshave been invited to visit Armenia to treat patients and share the knowledge with their Armenian colleagues. As well, large quantities of medication and equipment have been brought during this time to Armenia. The AECP carries out its activities in the Republic of Armenia in close cooperation with it partners in Armenia and outside. The main partners of the AECP are as follows: • Ministry of Health • Ministry of Labor and Social Issues • Governors offices in all the marzes of Armenia, Yerevan municipality, community councils,, • S. Malayan Ophthalmologic Center • Kanaker Zeitun Medical Center • Yerevan State Medical University #1 eye clinic, • Regional medical centers, health centers and FAPs (village health points), • United States Agency for International Development and relevant medical and educational programs • Numerous organizations and individuals in the Diaspora • Embassies of a number of countries in Armenia • Numerous non-governmental and international organizations


1.2.

MAIN ACHIEVEMENTS OF THE PROGRAM

During the entire course of its operations in Armenia starting 1992, the AECP has carried out large- scale activities, resulting in impressive achievements. Some of such achievements are listed below.

• • • • • • • • •

• • • 70

Organized and carried out 36 U.S. medical missions to Armenia, with the participation of 55 U.S. academic ophthalmologists. The latter have traveled to Armenia, at their own expense, to teach and treat patients. Initiated $18,5 million worth donations of medical equipment and supplies to Armenian hospitals and clinics by American pharmaceutical and medical manufacturing companies and private individuals Initiated. Developed ophthalmology residency literature to improve teaching methods in compliance with Western standards, as well as authored and published two books “Eye Diseases” (2005) and “Essentials of Ophthalmology” (2007) for primary health care providers and ophthalmologists respectively. Developed legislation for an Eye Bank that was approved by the Government in February 1998. Sponsored 8 ophthalmology fellowships in the United States for Armenian physicians and 3 observerships. Sponsored and organized 11 International Ophthalmology Teaching Conferences in Yerevan. Sponsored 15 patients requiring specialized surgical care in the U.S. and provided services at no charge. Established and equipped five specialty clinics in the Malayan Ophthalmologic Center: • Vitreo-Retinal Disorders Clinic & Operating Room, 1998 • Glaucoma Clinic & Operating Room, 2000 • Corneal & Uveitis Disorders Clinic, 2001 • Neuro-ophthalmology and Orbital Surgery, 2004 • Eye Bank, 2005 The Mobile Eye Hospital was designed and built with American donations and delivered to Armenia in 2002 to travel throughout regions of the country. Up to date, it has accomplished three medical tours in the marzes of Armenia. The fourth tour started in October of 2009. Launched country-wide comprehensive program “Bringing Sight to Armenian Eyes” in June 2003 Launched country-wide public education and awareness campaign in 2005. Published 12 handouts (total of 600.000 copies) on eye care, safety and eye diseases of children and adults. Established and equipped USAID/AECP Education & Diagnostic Center in partnership with the Malayan Ophthalmology Center in May 2006.


71

• • •

Established and equipped USAID/AECP Low Vision Center in the Kanaker Zeitun Medical Center. Established and equipped a Wet Lab thanks to the generous donation of the Pfizer company, with the purpose to provide doctors and students with opportunities for surgical practice, 2007. Launched a Screening and Treatment Program on Retinopathy of Prematurity (ROP) in Armenia, 2010.

On the whole, the AECP activities have greatly contributed to the implementation of the “Armenian National Strategy of Blindness Prevention program” which was put into effect in 2006 (see appendix 2, which presents a document prepared by the Ministry of Health on the implementation of the National Strategy Blindness Prevention program , approved by the 02.11.2006 #43-N decree of the Government of the Republic of Armenia).

2. THE AECP INITIATIVE “BRINGING SIGHT TO ARMENIAN EYES”, ITS COMPONENTS AND RESULTS 2.1.

THE ESSENCE AND MAIN RESULTS OF THE INITIATIVE

Having established as “The Armenian EyeCare Project” Charitable Foundation in Armenia, the AECP launched a comprehensive program “Bringing Sight to Armenian Eyes” in 2003. It is aimed at strengthening the eye care delivery system and reducing preventable blindness in Armenia. Since October 2004 the USAID and the AECP has started cooperation within “Primary and Ophthalmologic Health Care Alliance” in the framework of the Global Development Alliance. The main objective of the Initiative is realized in five inter-linked directions, which make up the main components of the AECP work.

• • • • •

Screening of the population and direct patient care, Data analysis and scientific-practical research, Medical education and training, Public education and awareness, Capacity building.

The donations received from various individuals and companies, as well as the USAID Global development Alliance resources, has enabled the AECP, with its Mobile Eye Hospital and medical screening groups, to carry out regular visits to all Marzes (regions) of Armenia, including Yerevan. The AECP field missions provide


people with full-scale services – general screening, referral, surgery and laser treatment in MEH, prescription and provision of eye-glasses. In 2006, 2007, 2008 and 2010 as a separate project, the AECP visited Nagorno-Karabakh to provide high quality eye services there too. The main results achieved through all the components of the Initiative “Bringing Sight to Armenian Eyes” since June 2003 to September 2010 are as follows:

• • • • •

• • •

2.2.

264,568 people (including 128,933 children) were screened by the AECP medical groups in their villages or in adjacent settlements 27,091 people underwent thorough examination on the MEH 11,303 patients were operated on and treated on the MEH 29,546 eyeglasses were provided The created database incorporates data on the people screened by the AECP medical groups. Scientific-practical analyses of the data have allowed drawing estimates on the prevalence of eye diseases and visual impairment among the RA population. 1,684 health care providers, including 61 regional ophthalmologists and 37 ophthalmic nurses, were trained in eye diseases 501,156 public education handouts were distributed 360 public education classes for 9000 children and 900 parents and health activists were delivered.

GENERAL DESCRIPTION OF THE INITIATIVE COMPONENTS

Screening of the population and direct patient care The main objective of the Initiative “Bringing Sight to Armenian Eyes” is to make the quality eye care accessible to population in all the regions of Armenia which will help to prevent avoidable blindness in the country. Within the scope of the project the AECP Medical teams and the state-of-the-art Mobile Eye Hospital (MEH) travel to rural and urban communities throughout Armenia to render the following services:

• • •

72

General screening of children and adults Refraction for all and provision of eyeglasses to the socially vulnerable population On the Mobile Eye Hospital - detailed eye examination and laser treatment for all as well as surgery for vulnerable population


73 For timely prevention and treatment of eye diseases, special emphasis is placed on detection of diseases leading to blindness such as the cataract, glaucoma, diabetic retinopathy, macular degeneration etc. After general screening the patients get referrals to the MEH for detailed examination, laser treatment or surgery as needed. To secure more accessibility, the MEH is stationed in all central cities and towns of Armenia. Since June 2003 up to September 2009 the AECP completed three tours throughout Armenia. The fourth tour of the AECP field mission started in October of 2009 and is expected to be completed in September of 2011.

Data Analysis and Research Data analysis and scientific-practical research is a cornerstone of the AECP activities. As a result of the AECP outreach activities carried out since 2003, a database was created incorporating data on around 160,000 screened patients. The data processed in concordance with internationally accepted methodologies has allowed coming up with important indicators on the prevalence of eye diseases as well as drawing comparative analyses of the general ophthalmic health situation in the regions of Armenia. The collected data allows detecting the main causes of eye disorders and evaluating prevalence rate of diseases among the population such as the cataract, glaucoma, retina and eye fundus diseases. Based on the prevalence of the main eye diseases, the eye health vulnerability index for the AECP beneficiaries above 50 years was calculated. The latter, in fact, describes the risk factor of blindness in Armenia. The AECP has conducted two other surveys to evaluate patient satisfaction level with the AECP services. According to the research results, 94% of the patients who used the AECP services rated those as either good or excellent. To assess productivity of the eye surgeries performed on the Mobile Eye Hospital, the AECP conducted a follow-up survey in 2007 among the beneficiaries in the Armavir marz who were operated in the period of 2003-2006. The survey revealed that particularly the results of the 2006 are in conformity with international standards: for 91.5% of cataract surgeries good or borderline result was recorded. In addition, jointly with the Malayan Ophthalmic Center, the AECP has introduced a pilot monitoring system for cataract surgery outcomes based on the methodology and recommendations of the WHO. It is expected that the system will be incorporated in other health care institutions all over Armenia as well.


Medical Education and Training Medical training provides physicians at the primary, secondary and tertiary levels with up-to-date knowledge and skills to secure quality services to the population country-wide. The AECP has organized and conducted many training courses for regional ophthalmologists and family medicine doctors. Our partners in this sphere are the USAID contractors “Primary Health Care Reform” and “Academy for Educational Development” (AED). As of today, more than 1,600 primary healthcare providers in Yerevan and the regions were trained. Two books —the “Eye Diseases” and the “Essentials of Ophthalmology” authored by AECP, are the first textbooks on ophthalmology in the Armenian language, are in the core of the training. These books serve as a reference for the professional upgrade of the primary healthcare specialists and ophthalmologists. In addition, the regional primary health care workers and ophthalmologists have an opportunity to enrich their experiences by participating in the AECP screenings in the hometowns as well as to familiarize themselves with modern ophthalmic equipment by undertaking observership on the MEH during its visits to the regions. With the financial support of the USAID and assistance from the Ophthalmologic Center after S. Malayan, the Armenian EyeCare Project opened the Education and Diagnostic Center furnished with state-of-the-art equipment in 2006. Thanks to this Center, the Armenian physicians and students can familiarize themselves with the latest ophthalmologic achievements and developments in electronic and print formats. The Center incorporates Haik Babikian memorial library thus providing access to one of the richest collection of the specialized ophthalmologic literature in Armenia. Thanks to the generous donation of the US-based company Pfizer, the AECP brought Wet Lab to Armenia where the Armenian ophthalmologists improve their surgical skills.

Public Education The main goal of the Public Education program is educating the population about the measures for the prevention of eye diseases as well as highlighting the importance of using eye care services. By raising awareness through Public Education program, the AECP aims at integrating healthy eye care and safety practices into everyday life of the general public and particularly the children. In order to disseminate information about common eye diseases, eye care and 74


75 safety practices to a wider audience, the AECP published six hundred thousand copies of 12 educational brochures targeting different groups of population. The brochures are disseminated in the regions and communities where the AECP works. To raise public awareness, the AECP works with different target groups. Thematic talks on eye care and safety are conducted for schoolchildren, parents, teachers and medical personnel of the schools. During the talks they receive information about childhood and adult eye diseases, symptoms as well as safety measures and injury prevention. Thematic performances such as puppet shows and pantomime performances were organized for schoolchildren. In cooperation with local and international organizations, the AECP conducts training of trainers sessions with active community groups and healthcare providers, who disseminate the eye care related information in their respective communities, thus making the basic knowledge available for a larger number of people.

Capacity Building The AECP and its partners aim at turning Armenia into a Center of Excellence in Ophthalmology in the Caucasus region. Building blocks of the “Capacity building” are the transfer of knowledge and institutionalization of services. Since 1992, American physicians have been visiting Armenia on a semi-annual basis to transfer the know-how and skills in ophthalmology to their Armenian colleagues. In addition, 11 international training conferences were organized. By the initiative of the AECP, six specialty clinics were established and equipped/ revamped in the major ophthalmic centers of Armenia - S. Malayan Ophthalmologic Center and Kanaker – Zeitun Medical Center. These specialty clinics are -Retina, Glaucoma, Cornea and Uveitis, Neuro-orbital, Eye bank, and Low vision. These clinics are led by the Armenian ophthalmologists who had their fellowship in the finest eye care institutions of the US thanks to the AECP sponsorship. The AECP fellows now transfer their knowledge to their colleagues and students. As a separate direction, the AECP continues its program of the “Prevention and Treatment of the Prematurity of Retinopathy in Armenia”. It was launched in June of 2010 with the AECP medical mission and International Conference devoted on the prevention of the Retinopathy of Prematurity (ROP). In accordance with the respective instruction of the RoA Ministry of Health, the AECP-trained physicians regularly screen all premature infants in the Neonatal Intensive Care Units. Those in need of treatment undergo laser procedure. Annually, the program is expected to save about 100 premature infants in the risk group from lifelong blindness.


3. BRIEF DESCRIPTION OF THE EYECARE SERVICES PROVIDED BY THE AECP TO THE ARMENIAN POPULATION IN THE PERIOD OF 2003-2009 The AECP impressive results are reached thanks to the coordinated work of all components and partners, nonetheless, prior to presenting the results of the AECP data analysis and scientific research, we would like to single out the component of medical outreach. The latter can be considered as the “base” of the Project due to its widespread nature, direct target to the population and immediate results. Analysis of the information gathered through this component allows coming up with important indicators charactering the eye health of the country. The ultimate goal of the AECP is the elimination of avoidable blindness and securing increased access to modern eye care for every citizen of Armenia. The AECP Initiative “Bringing Sight to Armenian Eyes”, launched in 2003 is meant to reach this goal. General screenings among the population of rural and urban communities in Armenia, thorough examination, surgery and laser procedures performed on the Mobile Eye Hospital bring the high quality eye care services to the population at large. The AECP completed three medical tours all over Armenia within the Initiative “Bringing Sight to Armenian Eyes” in the period from 2003-2009 and we will present a brief summary of their logistic, organizational and medical aspects with an emphasis on the third tour in 2007-2009.

3.1. BRIEF DESCRIPTION OF THE AECP EYECARE SERVICES RENDERED DURING THREE MEDICAL TOURS IN THE PERIOD OF 2003-2009 Since 2003 through 2009, the AECP medical groups and the Mobile Eye Hospital (MEH) engaged the overwhelming majority of urban and rural communities in the general screening. Despite certain variations, the logistical protocols, medical approaches and orientations are quite similar in all three medical tours. During the mentioned time period, the AECP medical groups, on the whole, have visited 841 rural and urban communities of the country (nearly 90% of the RA communities)1. Well in advance, the AECP screening and MEH activities were widely advertised in the local media (television and radio announcements). Announcements were placed in all public places (polyclinics, mayor’s offices, post offices, banks, etc). In 1 In this section, the analysis of the data received due to screening in nine marzes (excluding the marz of Gegharkunik and Yerevan) during 2003-2009 is presented.

80


81 addition, local health professionals and social workers encouraged visits of the patients with specific problems as well as the population at large. Screenings were mainly carried out in local polyclinics, ambulatories and health posts. All services rendered by the AECP are free of charge - screening, eye glasses prescription and laser treatment were available to everyone. Surgeries were performed only for the most needy (eligibility verified against the vulnerability lists of the Ministry of Labor and Social Issues) while other patients identified with problems were referred to tertiary care facilities. This approach stimulated significant interest among the population at large. Eye screening and examination were conducted by a trained team of ophthalmologists and clinical residents from Yerevan’s tertiary care clinics. A standard protocol and eye examination record was used. Examination included testing of visual acuity using Landolt charts and Sivtsev-Golovin charts. Pinhole vision was taken for those individuals with a vision of <6/18 (either eye). Assessment of cause of vision loss was undertaken using a standard protocol with a direct ophthalmoscope. Causes of vision loss in cases that needed further examination or treatment (surgery or laser treatment) were referred to the MEH. Eye pressure was measured by a tonopen or Maklakov . For more complicated cases, when a patient needed a thorough diagnosis or future treatment (surgery or laser procedure), s/he was referred to the MEH for a more detailed examination and/or treatment. In such cases, children were referred to the Yerevan eyecare institutions. Patients needing continuous treatment or care, were referred to the local ophthalmologist. Due to the mentioned large-scale activities in the period from 2003-2009, the AECP had screened and rendered eye services to 156,688 people (around 5% of country’s population). The overwhelming majority of them were adults (61%), while children constituted 39% (up to 16 year olds), the women exceeded in numbers and made up 57% of those screened. Early detection and timely prevention of eye diseases among children greatly contributes to the prevention of blindness and low vision among the population. For that reason, the AECP, during its second tour, had attempted to pay more attention to school screenings. In the second medical tour, more than half of the population screened by the AECP – 55%, where children from 320 schools in 245 rural communities. This fact explains the high representation of children – 39% in the structure of the AECP screened population, in comparison with the demographic structure of the population of the country (24%). Taking into consideration the poor access of primary and secondary eye care services for the rural


communities, the AECP screenings were geared towards the rural population, constituting 58% of the screened population. The AECP had prescribed and prepared 29,549 eyeglasses for those in need from the socially vulnerable layers of the population.

The regional distribution of the screened population shows that the residents of the marzes of Ararat, Armavir, Kotayk and Lori were more represented in the total numbers.

In the period of 2003-2009, the AECP Mobile Eye Hospital (MEH) had rendered detailed examination to 16,518 persons in need of help (17.3% of the total screened), out of whom, 7,939 patents (8.3% of the screened adults) underwent a surgery or a laser procedure.

82


83

On the whole, in the period from 2003-2009, 8,394 surgeries and laser procedures were performed on the MEH. Most of them (70%) were cataract- related various surgeries.


3.2 BRIEF DESCRIPTION OF THE AECP ACTIVITIES DURING THE THIRD MEDICAL TOUR IN THE PERIOD OF 2007-2009 During the third medical tour in 2007-2009, the AECP screening groups and the Mobile Eye Hospital have visited nine marzes of Armenia (with the exception of Yerevan, where the AECP services targeted special groups of the population and schools) and the marz of Gegharkunik 1. During the third tour, the AECP medical groups have carried out screening activities in 490 communities of the country, or in other words, in 54% of Armenia’s communities. The AECP has screened the people from 615 different communities, mainly from rural areas. On the whole, the majority of the screened - 68% were from the rural communities, where health and eye care services are especially inaccessible. The AECP has screened 26,711 people (or around 0.9% of country’s population), out of which 16,837, or 63% were women, while 1,195 were children (up to 16 years old): More than half (52%) of those screened by the AECP were from poor, vulnerable or special layers of the population.

The overwhelming majority of the screened population by the AECP were above the reproductive age, i.e. those above 49 made up 72.3% of the screened, while people of 70 years of age and above made up one third of the screened – 31%. The age distribution of the screened population is presented below in Graph 2. 1 The AECP has restricted its activities in the marz of Gegharkunik since there is a modern eye clinic renovated and equipped with sponsorship of Garo Meghrigian Eye Institute for Preventive Ophthalmology within the American University of Armenia and the Lions Club International.

84


85

The MEH, while stationed in the Armenian cities and towns, has received and examined 3,943 previously screened people in need of thorough diagnosis (15.5% of the screened adults). Thus, the access to high quality care was made closer not only to the residents of those towns but also for the people of the adjacent settlements. Nearly half of those people â&#x20AC;&#x201C; 1893 (or 7.4% of the screened adults) underwent surgery or laser procedure on the Mobile Eye Hospital. The AECP has prescribed, prepared and provided with eyeglasses to 9,793 people belonging to vulnerable and special groups.

4.

SUMMARY OF THE AECP DATABASE ANALYSES RESULTS

Since 2003, the AECP has combined general screenings of the population with information collection and analysis. The data of the around 160,000 screened people were assembled in the AECP database, while the results of scientific analyses has made it possible to receive data on the eye health and prevalence of eye disease among the Armenian population in accordance with internationally accepted methodology and indicators. The received data also allow comparisons at the regional level. Hereafter, we will present scientific estimates of the eye health and eye disease prevalence among the population of the Republic of Armenia, which will enable the decision makers to evaluate eye care situation among the population as well as determine the demand for eye care services in the country. The mentioned estimates are based on the AECP screening and MEH activities carried out in nine marzes during the third medical mission, in the period from 2007-2009, since it contains the freshest data with extensive and detailed information on the screened people1. In addition, we will present dynamic time series on the main diseases from all three tours. 1 With the exception of Yerevan, where the AECP had confined its activities only to schools and social institutions (childrenâ&#x20AC;&#x2122;s homes, nursing homes, soup kitchens, detention places, etc.) and the marz of Gegharkunik, which has more access to modern eye care.


4.1. METHODOLOGY OF COLLECTION AND PROCESSING OF THE EYE HEALTH DATA AMONG THE POPULATION SCREENED BY THE AECP Parallel to general screening, the Armenian Eye Project has gathered certain information on those screened. Each person referred to the AECP for screening had filled in a questionnaire which included sets of questions related to the general health status (with an emphasis on common medical problems that affect vision: diabetes, hypertension, and infectious diseases); healthcare, frequency of visits to eye doctors, as well as perceptions of the population regarding healthy lifestyles and attitudes. On the last (fourth) page, the AECP medical team inserted results of eye examination, diagnostics, as well as necessary or proposed medical intervention. The data of the filled-in questionnaire was entered in a special software, which made up the AECP database. Please, see the Annex 1 for the modified questionnaire, used in the tours of 2007-2009, and 2010. Monitoring and evaluation, as well as regular feedback in the logistical, organizational and conceptual aspects have allowed the AECP to work towards improvement during the entire process of the work. A large number of protocols, guidelines, standards were prepared to facilitate the work of the screening groups in the field, as well as standardize the reporting process. The AECP questionnaire has been modified, which allowed having a more detailed breakdown of diseases and keeping comparability with the previous data at the same time. For this reason, the analysis of the available data presented in this brochure is more geared towards the third round. It is worth mentioning that the AECP database is not a result of sample survey, since the participation of the population in the AECP screening has been of a voluntary nature. The screening groups have rendered services to all those who elected to come to the AECP screening. For that reason, the age-gender as well as geographic (rural-urban and marzes) proportion of the screened population had not corresponded to the demographic and geographic characteristics of the country. Therefore, to receive reliable estimates on the prevalence of eye diseases, the received data have been weighed. Thus, the mentioned proportions were rectified to comply with the countryâ&#x20AC;&#x2122;s overall demographic characteristics. In this survey, estimations and indicators have been calculated mainly for the adult population (16 years old and above) and particularly, 50+, due to the fact that the latter are the main age group in risk. In addition, the database contains dynamic time series which correspond to the two-year-long three tours that the AECP has accomplished in nine marzes of Armenia in 2003-2005, 2005-2007 and 2007-2009. Therefore, the comparison of results in dynamics has certain specifics, which the reader should approach with caution. 86


87

4.2. EYE DISEASES DIAGNOSED AMONG THE RA POPULATION DURING THE AECP THREE MEDICAL TOURS IN THE PERIOD OF 2003-2009 The RA Ministry of Health, in its statistical yearbooks, officially publishes two main indicators characterizing the eye health of the country’s population: the number of first time revealed diseases of eye and adnexa as well as general morbidity of the population related to eye diseases and adnexa, with a specification of glaucoma cases. The cases of population’s morbidity are registered when people refer for eye care or during mandatory preventive examinations1 . The dynamics of these indicators show that the number of population registered with diseases of eye and adnexa in our country has increased almost twofold in the period of 2004-2008, summing up to 2,610 persons per 100,000 persons in 2008 (total of 68,544 persons). Starting 2005, almost 47% of the patients who have mentioned diseases, were diagnosed for the first time.

The official statistics, however, specifies only on the glaucoma cases among all the eye diseases and adnexa. According to the RA Ministry of Health, as of 2008, 5,320 people were diagnosed with glaucoma, out of whom 1,274 were diagnosed for the first time this year. The official statistics on other diseases of the eye and adnexa is non-existent. Graph 4 demonstrates the number of diseases of eye and adnexa (assorted in certain groups) diagnosed among the adults (16 years and above) by the AECP medical teams during the three medical tours in 2003-2009. The graph evidences that on the whole, during all that period, the AECP has diagnosed 27,032 cases 1 See: “Statistical yearbook of 2008”, Republican information-analytical center of the RA Ministry of Health, National Institute of Health, 2008


of cataract, while its majority - 60%, were revealed for the first time. In the same period, the AECP medical groups have revealed 14, 437 various cases of fundus diseases, out of which 62% were revealed for the first time; 6, 877 various cases of cornea diseases, out of which 62% - for the first time; 5,411 cases of glaucoma, out of which 54.5% were revealed for the first time. On the whole, during six years of work in the regions, the AECP has diagnosed 53,757 cases of the mentioned diseases (one person can have various diseases) out of which 32, 456 or 60.4% were revealed for the first time in life. Early detection of diseases causing blindness, or first time diagnoses can enable the patients to timely refer to the second and third level ophthalmologic services and prevent blindness through receiving eye care there. Hence, the AECP activities in terms of revealing potentially blinding diseases greatly contribute to the prevention of blindness in the country.

The distribution of the above mentioned diseases registered by the AECP in 20032009 on the regional level is presented below:

Source: AECP database 88


89

Source: AECP database Out of the 95,607 adult population (16+) screened in the period of 2003-2009, the AECP medical teams have diagnosed some 40,000 persons with at least one disease of the eye and adnexa. It makes up 42% of those screened. However, taking into consideration the specifics of the screened populationâ&#x20AC;&#x2122;s demographics, this indicator cannot be considered an indicator of eye disease prevalence. The prevalence of different eye diseases were estimated after having weighed the AECP database results and are presented in the next paragraph. The regional distribution of the population screened by the AECP who have at least one disease is presented in the map below.

Source: AECP database


Since 2003 through 2009, on the whole, the AECP s diagnosed 16, 520 persons with visual impairment, out of whom 3,173 were blind, while 13, 347 had low vision2 .

The visual impairment cases are mainly caused by cataract. More than half (50%) of the adults who underwent the AECP screening and were diagnosed with visual impairment, had cataract; 8% had glaucoma; 22% had fundus problems, and 15% had corneal diseases.

2 According to the definition of the World Health Organization, blind is considered a person whose visual acuity in the better seeing eye with best possible correction is 3/60 (less than 0.05). A person whose visual acuity in the better seeing eye, with best possible correction, is in the interval of 3/60-6/18 (0.05-0.33) has low vision, while people with visual impairment are those who belong to either of the described groups (visual acuity is 0.0- 0.33).

90


91 As already stated, blindness caused by cataract can be prevented by timely surgery. According to the results of the AECP third tour, 2.3% of the RoA adult population (16+), have had cataract surgery in one eye and another 0.7% in both eyes. While the cataract surgical coverage (the proportion of people with bilateral cataract who have received cataract surgery at least in one eye in the total number of people with bilateral cataract) makes up only 23.8%3 . This means that only 24% of those who have cataract in two eyes have had cataract surgery at least in one eye.

4.3. ESTIMATES OF THE EYE DISEASE PREVALENCE AMONG THE RA POPULATION ACCORDING TO THE AECP DATA After having weighed the AECP data against the sex, age and geographical characteristics of the country, which allowed adjusting and spreading the available data, we developed median estimates for blindness, including low vision, for the two-year-long periods of 2003-2005, 2005-2007 and 2007-2009.

3 For comparison, it is worth mentioning that even developing countries have higher indicators of cataract surgery coverage. It is 63% for India and 44% for Pakistan.


In the Republic of Armenia, as of 2007-2009, blind were on average 0.7% of the population, 4.1% had low vision, according to the presented estimates. On the whole, 4.8% of countryâ&#x20AC;&#x2122;s population had visual impairment. Over time, the blindness prevalence estimates have altered - decreasing from 1.3% to 0.7%, while the estimates of low vision have increased. The latter solely has contributed to the increase in the visual impairment indicators in the country. Nonetheless, for 2007-2009, the blindness prevalence estimates for Armenia are in between the lower and upper thresholds set by the World Health Organization for the Caucasus, while the low vision estimates exceed the upper threshold by 1.2%. Visual impairment is more prevalent among the population of 50 years old and above. A significant portion of people with visual impairment are 50 years old or more. Prevalence of blindness among this age group is essentially higher. According to the AECP data, in 2007-2009, the prevalence of blindness in this age group had been higher than that of the average country by 2.7% and the low vision by 1.6% (see graph 7).

Weighing of the data collected by the AECP (adjustment to the age-sex structure of the population of the Republic of Armenia) and spreading have allowed receiving estimates for the prevalence of eye diseases in the country (see table 6). The latter, however, has been calculated based on the data of the AECP third tour, taking into consideration two reasons: 1) regular upgrades of the AECP questionnaires secured a more detailed breakdown of eye diseases, 2) these data are fresher. 92


93 According to these estimates, most widespread eye diseases among the RA population are cataract (8.4%) and fundus diseases (7.9%).

Prevalence estimates are especially important for eye diseases causing blindness (glaucoma, cataract, corneal diseases, diabetic retinopathy and macular degeneration). Table 6 evidences that the portion of the population who have at least one eye disease causing blindness in countryâ&#x20AC;&#x2122;s population makes up 13.3% and cataract is the most widespread one (8.4%). The regional picture of the prevalence of eye diseases causing blindness is presented in Map 6. It shows that the portion of the population which has at least one eye disease causing blindness is the highest in the marzes of Tavoush, Ararat and Armavir (16.3, 16 and 15.5 respectively) and the lowest are in Syunik and Vayots Dzor.


As already noted, eye diseases are more prevalent among the population of 50+. Table 8 demonstrates that the prevalence of eye diseases causing blindness among the population of the Republic of Armenia of 50+ is significantly higher than among the population on the whole and makes up 37% as opposed to 13.3% for the general population.

The AECP has developed and calculated the Index of Eye Health Vulnerability (EHV) among the RA population of 50 years old and above. Those persons of 50+ who were screened by the AECP and were diagnosed with at least one eye disease (glaucoma, cataract, cornea diseases, diabetic retinopathy and macular degeneration) were considered vulnerable from the eye health point of view. The EHV is the percentage of people having at least one of the mentioned diseases and disorders in the total number of population above the age of 50. The AECP data evidence, that 37% of the 50+ population has vulnerable eye health. This means that each fourth citizen of the Republic of Armenia has at least one disease causing blindness. Moreover, on the marz level, the highest EHV indicators were identified in the Ararat, Armavir and Aragatsotn marzes (see Map 7).

94


95

5. THE 2003-2009 AECP SREENING AND TREATMENT SERVICES RENDERED TO THE POPULATION OF ARMENIA THROUGH THREE MEDICAL TOURS AT A MARZ LEVEL This section presents the activities of the Armenian Eye Care Project within the Initiative “Bringing Sight to Armenian Eyes” in the period of 2003-2009. It summarizes the AECP screening and treatment work carried out through three medial tours at a marz level.

5.1.

THE ARAGATSOTN MARZ

To carry out screening and treatment, the AECP medical teams and the Mobile Eye Hospital have accomplished three tours in the urban and rural communities of the Aragatsotn marz in 2003, 2005 and 2007. During that time, the AECP on the whole screened 20,750 persons, out of which 52.8 % was the adult population, while 47.2 % were children. In this marz, the screening has been significantly geared towards children. The AECP services target the rural population who are more deprived of eye care services. The rural population constitutes 68.2 % of the screened.

In the period of 2003-2007, 1,319 persons underwent thorough examination on the AECP Mobile Eye Hospital. Out of them, 552 patients received treatment and laser procedure.


The AECP has provided 1,924 eyeglasses to the representatives of the vulnerable population and special groups in the Aragatsotn marz.

5.2.

THE ARARAT MARZ

To carry out screening and treatment, the AECP medical teams and the Mobile Eye Hospital have accomplished three tours in the urban and rural communities of the Ararat marz in 2004, 2006 and 2008. During that time, the AECP on the whole has screened 23,870 persons, out of which 51 % was the adult population, while 49 % were children.

In the period of 2003-2008, 2,504 persons underwent thorough examination on the AECP Mobile Eye Hospital. Out of them, 865 patients received treatment and laser procedure. 96


97

The AECP has provided 2,732 eyeglasses to the representatives of the vulnerable population and special groups in the Ararat marz.

5.3.

THE ARMAVIR MARZ

To carry out screening and treatment, the AECP medical teams and the Mobile Eye Hospital have accomplished three tours in the urban and rural communities of the Kotayk marz in 2003, 2006 and 2008. During that time, the AECP on the whole has screened 25,115 persons, out of which 53 % was the adult population, while 47% were children.

In the period of 2003-2008, 2,405 persons underwent thorough examination on the AECP Mobile Eye Hospital. Out of them, 1,084 patients received treatment and laser procedure.


The AECP has provided 1,518 eyeglasses to the representatives of the vulnerable population and special groups in the Armavir marz.

5.4.

THE KOTAYK MARZ

To carry out screening and treatment, the AECP medical teams and the Mobile Eye Hospital have accomplished three tours in the urban and rural communities of the Kotayk marz in 2005, 2007 and 2009. During that time, the AECP on the whole has screened 18,949 persons, out of which 50 % was the adult population.

In the period of 2005-2009, 2,051 persons underwent thorough examination on the AECP Mobile Eye Hospital. Out of them, 893 patients received treatment and laser procedure. 98


99

The AECP has provided 2,270 eyeglasses to the representatives of the vulnerable population and special groups in the Kotayk marz.

5.5.

THE LORI MARZ

To carry out screening and treatment, the AECP medical teams and the Mobile Eye Hospital have accomplished three tours in the urban and rural communities of the Lori marz in 2005, 2007 and 2009. During that time, the AECP on the whole has screened 18,569 persons, out of which 68 % was the adult population, while 32 % were children.

In the period of 2005-2009, 2,815 persons underwent thorough examination on the AECP Mobile Eye Hospital. Out of them, 1,165 patients received treatment and laser procedure.


During the second and third tours, the AECP has provided 4,653 eyeglasses to the representatives of the vulnerable population and special groups in the Lori marz.

5.6.

THE SHIRAK MARZ

To carry out screening and treatment the AECP medical teams and the Mobile Eye Hospital have accomplished three tours in the urban and rural communities of the Shirak marz in 2005, 2007 and 2009. During that time, the AECP on the whole has screened 16,834 persons, out of which 86 % was the adult population, while 14 % were children. Though the population of the marz is main urban, the AECP activities and rendered services have been significantly targeted towards the rural residents, who are more deprived or eye care services. Given that Gyumri â&#x20AC;&#x201C; the capital of the Shirak marz, has primary, secondary and tertiary level eye care services, Gyumri was not included in the AECP schedule during the third tour. Hence, the coverage of the marzâ&#x20AC;&#x2122;s urban and rural population do not deviate from the usual proportion, making up 53 and 47% (while the urban population of the marz constitutes around 63 %, according to the National Statistical Service of the Republic of Armenia).

100


101 In the period of 2005-2009, 2,724 persons underwent thorough examination on the AECP Mobile Eye Hospital. Out of them, 1,153 patients received treatment and laser procedure.

During the second and third tours, the AECP has provided 3,948 eyeglasses to the representatives of the vulnerable population and special groups in the Shirak marz.

5.7.

THE SYUNIK MARZ

To carry out screening and treatment the AECP medical teams and the Mobile Eye Hospital have accomplished three tours in the urban and rural communities of the Syunik marz in 2004, 2006 and 2008. During that time, the AECP on the whole has screened 12,928 persons, out of which 56 % was the adult population, while 44 % were children.

In the period of 2004-2008, 1,264 persons underwent thorough examination on the AECP Mobile Eye Hospital. Out of them, 502 patients received treatment and laser procedure.


The AECP has provided 1.739 eyeglasses to the representatives of the vulnerable population and special groups in the Syunik marz.

5.8.

THE TAVOUSH MARZ

To carry out screening and treatment the AECP medical teams and the Mobile Eye Hospital have accomplished three tours in the urban and rural communities of the Tavoush marz in 2004, 2007 and 2009. During that time, the AECP on the whole has screened 14,210 persons, out of which 65% was the adult population, while 35% were children.

In the period of 2003-2008, 1,497 persons underwent thorough examination on the AECP Mobile Eye Hospital. Out of them, 606 patients received treatment and laser procedure. 102


103

The AECP has provided 3,171 eyeglasses to the representatives of the vulnerable population and special groups in the Tavoush marz.

5.9

THE VAYOTS DZOR MARZ

To carry out screening and treatment the AECP medical teams and the Mobile Eye Hospital have accomplished three tours in the urban and rural communities of the Vayots Dzor marz in 2003, 2006 and 2008. During that time, the AECP on the whole has screened 10,047 persons, out of which 62% was the adult population, while 38% were children.

In the period of 2003-2008, 1,071 persons underwent thorough examination on the AECP Mobile Eye Hospital. Out of them 452 patients received treatment and laser procedure.


The AECP has provided 549 eyeglasses to the representatives of the vulnerable population and special groups in the Vayots Dzor marz.

104


105

APPENDICES APPENDIX 1 AECP Armenian EyeCare Project

------------------------------------------------------------------------------------Eye Screening Questionnaire Questionnaire number Date day

month

year

Location: 1. Region ___________________________________(name) 2. Community________________________________(name) 3. Community type

City

Village

Patient’s characteristics: Name_____________________________________ Father’s Name______________________________ Surname___________________________________ Gender :

male

female

Year of birth:

Passport serial number: Residency: 1. Region _________________ 2. Community________________ 3. Address________________________ name name street, house, appartment Tel. number_____________________________ Registered in the Family Allowance System? (mark the answer “Yes”) Belongs to the list of officially supported vulnerable groups? (mark the answer “Yes”) Visited AECP doctors during the previous screenings?_____________________________

1. Yes 2. No

If yes, what kinds of services were provided to the patient by AECP? (mark the answers “Yes”) 1. Eye Screening

4. Examination on MEH

2. Eyeglasses Prescription

5. LASER on MEH

3. Eyeglasses

6. Surgery on MEH

1


Section A. Personal Health and Health Care 1. YesÆ A_3 2. No

A_1. During the last 12 months did you visit a doctor or consult a health professional? A_2. If no, then when did you you visit a doctor or consult a health professional the last time?

1. 1-1,5 years ago 2. 2-2,5 years ago 3. 3-4 years ago 4. 5 and more years ago 5. Never

A_3. Have you ever been diagnosed having the following types of diseases/disorders? (mark the answers “Yes”) 1. Cardiovascular 5 Kidney 2. Blood 6. Lungs/respiratory tract 3. Ɍhyroid gland 7. Arthritis 4. Gastrointestinal 8. Other________________________(specify)

A_4. Do you have hypertension/high blood pressure? _________________________________

1. Yes 2. NoÆ A 9

A_5. If you have it, then for how many years?_________________________ A_6. Have your hypertension been diagnosed by doctor?__________________

1. Yes 2. NoÆ A 9

A_7. If yes, did the doctor refer you to the ophthalmologist?_____________

1. Yes 2. NoÆ A 9

A_8. If yes, did you apply to the ophthalmologist according to the referral?

1. Yes 2. No

A_9. Have you ever been diagnosed having diabetes? _________________________________

1. Yes 2. NoÆ A 13

A_10. If yes, how many years ago? (number of years) _____________________ A_11. If yes, did the doctor refer you to the ophthalmologist?____________

1. Yes 2. NoÆ A 13

A_12. If yes, did you apply to the ophthalmologist according to the referral?_

1. Yes 2. No

A_13. Do you observe the following symptoms? (mark the answers “Yes”) 1. Excessive thirst

4. Tingling or numbness of extremities

2. Excessive urination

5. Persistent tiredness

3. Weight gain or loss

6. No, didn’t observe any of above mentioned symptoms

A_14. Do you have blood relatives diagnosed with the following diseases? (mark the answers “Yes”) General Diseases Eye Diseases Diabetes Glaucoma Cataract 1 No, I haven’t a relative having this disease 2 Yes, my parents/parent 3 Yes, my brother/sister 4 Yes, my grandparents/grandparent 5 Yes, other close blood relative A_15. Please describe your general health condition.____________________________

A_16. Do you smoke?._______________________________________________________

1.Very bad 2.Bad 3.Satisfactory 4.Good 5.Very good 1. Yes 2. No

2

106


1. Yes 2. No

A_17. Do you drink alcohol systematically? ( 4-5 times per week).__________________

Section B. Eye Health and Eye Care B_1. During the last 12 months have you had any problems or complaints related to your eyes or vision?___________________________________________________

1. Yes 2. NoÆ B_4

B_2. If yes, did you applied to an ophthalmologist?____________________________________

1. YesÆ B_5 2. No

B_3. If you had any ophthalmic complaints and didn’t apply to an ophthalmologist, then why? 1. The nearest ophthalmologist is too far 2. No time 3. No money 4. Don’t trust in local ophthalmologist 5. Other_______________________/specify/ B_4. When did you you visit an ophthalmologist last time? ______________________________ 1. During the last 12 months 2. 1-1,5 years ago 3. 2-2.5 years ago 4. 3-4 years ago 5. 5 and more years ago 6. NeverÎB 6

B _5. For what purposes did you visit an ophthalmologist last time?._________________ 1. Preventive checking 2. Treatment/consulting 3. Surgery 4. Eyeglasses prescription 5. Other________________________(specify)

B _6. Have you ever been diagnosed having an eye disease or disorder?________________ B _7. If yes, what disease or disorder? (mark the answers “Yes”) 6. Low vision 1. Glaucoma 4. Pterygium 7. Nearsightedness 2. Cataract 5. Fundus 8. Farsightedness 3. Inflammation

1. Yes 2. NoÆ B 8

9. Strabismus 10. Other______________/specify/

B _8. Have you ever had an eye surgery?________________________________________ B _9. Have you ever told by a doctor, that you have to ware glasses?________________

B _10. Do you wear glasses?_________________________________________________

B _11. If you have an eyeglasses prescription and don’t wear them, then why?_____________ B _12. Why did you come to the screening today?_______________________________

1. Yes 2. No 1. Yes, for far vision 2. Yes, for near vision 3. Yes, both 4. No 1. Yes 2. No 1. Don’t help 2. Discomfort 3. Feel shy 4. No money to buy 5. Other

1. No complaints, just want to be checked preventively Æ finish 2. Have complaints related to my eyes/vision

B _13. If you have complaints, then what type of complaints exactly? (mark the answers “Yes”) 1. Difficulties in reading 2. Worsening of vision 3. Inflammation 4. Eye itch 5. Discharge from the eyes

6. Eye pain 7. Eye watering 8. Need eyeglasses prescription/eyeglasses 9. Filling of foreign body in eye(s) 10. Filling of discomfort in eye(s) 11. Other__________________________/specify/ 3


AECP Medical Records Station 1: Visual acuity (VA)

OD

OS

No Globe

OD

OS

OD

OS

OD

OS

VA without glasses VA with pinhole VA with glasses ------------------------------------------------------------------------------------------------------------------------------------------------

OD

OS

OD

OS

Refractive error No R R ------------------------------------------------------------------------------------------------------------------------------------------------

Station 2: IOP

OD

Palpation is higher than normal

OS

OD

PN

Tonophen measurement

OS

IOP

1

Glaucoma suspect G ------------------------------------------------------------------------------------------------------------------------------------------------

Station 3: Globe, eyelids, cornea and cataract

OD

OS

Disorders of Eyelids E Strabismus S Disorders of the Globe Gl Conjunctivitis Con Pterygium P Corneal disorders K Cataract, of which: C Total or mature cataract CC -----------------------------------------------------------------------------------------------------------------------------------------------

Station 4: Previous eye surgeries

OD

Previous eye surgery, of which: Operated Cataract, of which: Aphakia Pseudoaphakia Fibrosis Operated Glaucoma Operated Cornea

OS

SP Cp A PA Fib Gp Kp

Station 4: Glaucoma, Optic Nerve and Fundus

AECP will prepare Glasses

Right eye Sph.

OD

OS

Glaucoma G Non-glaucomatic disorders of optic nerve N Fundus disorders, of which: F Diabetic retinopathy DR Hypertonic retinopathy HR High myopia M Macular degeneration MD Other___________________________________Specify

Cyl.

Ax.

Left Eye Sph. .

Cyl.

Ax.

DPP mm

Treatment: The treatment was suggested to the patient__________________________________________ Refracted

Refraction and Glasses: AECP will prepare and provide glasses AECP provided glasses Referrals to:

MEH for further examination Yerevan, ophthalmologic clinics

Local neurologist Local therapeutist

Local ophthalmologist

Local endocrinologist

Screening team doctor

Clinical ordin.

Nurse 4

108


109

APPENDIX 2 The “Vision2020” initiated by the World Health Organization and the International Agency for Blindness Prevention, is aimed at significantly reducing avoidable blindness worldwide by 2020. It urges the governments of countries worldwide to elaborate and put into implementation national blindness prevention strategies. In response to the “Vision2020” call, the RA Ministry of Health, in collaboration with the American University of Armenia and Garo Meghrikian Eye Institute of Preventive Ophthalmology, started the development of the National Blindness Prevention Program (NBPP) for Armenia. To facilitate this process, the Blindness Prevention National Committee was created in 2004. The Armenian national blindness prevention program reiterates the priorities and goals set in Vision2020 with the consideration of the Armenian reality. It is aimed at coordinating the activities of the governmental and non-governmental bodies and institutions active in eye care delivery, which would allow development of eye care services and effective reduction of blindness in the country. The Program was approved by the Armenian Government in 2006 (02/11/2006, decision # 43-N) and covers the period from 2006-2010. The Armenian EyeCare Program is among the organizations that have contributed to the implementation of the NBPP in Armenia. The activities of the AECP comprehensive program refer to each and all of the goals set by the Program. This is documented in the Information Note marking the completion of the NBPP implementation period prepared by the RA Ministry of Health.

INFORMATION NOTE ON THE IMPLEMENTATION OF THE 02.11.2006 #43-N DECREE OF THE GOVERNMENT OF ARMENIA PREPARED BY THE RA MINISTRY OF HEALTH OVERVEW In 2007-2010, in cooperation with the Ministry of Health, the Armenian EyeCare Project, in the framework of the USAID/ACE “Primary and Healthcare Alliance”, has carried out large scale activities, in the regions of the RA marzes, as well as the Republic of Nagorno Karabagh. The results are as follows:


• • • • • • • • • • • • •

• •

• • 110

131, 790 people (including 72,147 children) were screened, Out of the screened population, 11, 026 persons were referred to the Mobile Eye Hospital 4961 surgeries (including 1434 laser procedures) were performed on the Mobile Eye Hospital 24106 eyeglasses were provided to the vulnerable population 773 family nurses, village and school nurses were re-trained in basics of ophthalmology 57 family medicine doctors were retrained in basics of ophthalmology 61 regional ophthalmologists underwent intensive professional re-training 37 regional ophthalmologist underwent intensive professional re-training 349 public education sessions were carried out 8814 schoolchildren participated in the public education sessions on eyecare 841 communities were visited by the AECP medical teams AECP medical mission has been in the marzes for 903 days on the whole. The Initiative has developed “National program of the Prematurity of Retinopathy”. To start the nationwide program, the AECP is planning international conference “Prevention and Treatment of the Prematurity of Retinopathy in Armenia” on June 28-29, 2010, in cooperation with the RA Ministry of Health, and the United States Agency for International Development (USAID). This international conference will mark the start of the nationwide ROP prevention and treatment program. The AECP has already imported the necessary equipment. During the international conference, the selected Armenian specialists will undergo special training. The renowned ROP specialists will train the Armenian specialists through telemedicine. Thanks to the program, around 100 premature infants will be saved of blindness. A “Low vision center”, was established in the Kanaker - Zeitun Medical Center (teaching base of the National Institute of Health). The center complies with international standards and allows rendering various services to the RA citizens with visual impairment problems. A “Wet Lab” was established and equipped to provide doctors and students with opportunities for surgical practice. Developed ophthalmology residency programs and books, as well as improved teaching methods to meet Western standards, as well as authored and published two books “Eye Diseases” (2005) and “Essentials of Ophthalmology” (2007) for primary health care providers and ophthalmologists respectively. Prepared guidelines for ophthalmologists, family medicine doctors and village nurses. Carried out a cataract surgery monitoring survey in the Mobile Eye Hospital.


111 A pilot system of cataract monitoring system was introduced in the Malayan Ophthalmological Center.

The works accomplished in line with the objectives defined by the RA government decree are: Goal 1. Decrease the prevalence of bilateral blindness in population 50 years old and over from 0.5 to 0.2 % • • • • • • •

CATARACT: Increase cataract surgical rate in Armenia from 1,000 surgeries per million population to 3,000 surgeries per million population Increase the total number of ECCE+IOL surgeries in the ROUs from 0.03% to 80% Decrease % of poor outcomes from 23% to 5 % as per WHO PBL standards GLAUCOMA: Double the proportion of glaucoma patients diagnosed at early stages of the disease. Increase yearly number of glaucoma surgeries by 30% DIABETIC RETINOPATHY: Increase yearly number of diabetic retinopathy patients receiving laser treatment from 120/year to 500/year Achieve full coverage of registered diabetic patients with free ophthalmic screening for early diagnostics of life threatening retinopathy.

1.The AECP/USAID Alliance has committed itself to supporting the regional ophthalmological centers and continues its work up to date. 2. To secure effective approaches in the treatment and follow-up of cataract, surgery is performed in the ophthalmologic clinics or the eyecare departments of multi-profile hospitals which have respective license. That secures the professional quality of surgery and follow-up. In the mentioned institutions the cataract surgery is performed free of charge for the representatives of various vulnerable and special groups. Members of the families that have vulnerability points of 30 and above (family benefit system scoring), persons eligible for free of charge healthcare since they belong to special groups, as well as those solicited by the regional authorities as extremely poor (even though they may not be registered in any of the social systems) are treated on the AECP Mobile Eye Hospital in the regions. The Malayan Ophthalmological Center also renders free services to them as part of charity actions. In special cases, as exception, free of charge surgery for the persons not enlisted in the social groups is carried out at the permission of the RA Minister of Health, with the referral of the RA Ministry of Health.


3. The RA Ministry of Health issued order of #1565- A, dated 29.12.2006, to organize mandatory visits of the specialists from regional/marz centers to villages and settlements (minimum once per month) and “ open door days”(minimum twice per year). The schedule of mandatory visits to the villages has been put into effect . In addition, primary health care became free for all groups of the population in all the polyclinics all over Armenia starting 2006. 4. In the period from 2007-2010, the AECP/USAID Alliance has visited total of 850 rural communities, where the AECP medical groups screened total of 41.000 rural residents. During the visits in the marzes, 3,612 cataract surgeries and/or laser procedures were performed on the AECP Mobile Eye Hospital. At the same time, local specialists participated in the AECP activities in screening and on the MEH, to improve their clinical skills. 5. Extracapsular surgeries with the implantation of the intraocular lens has become mandatory in the regional/marz eyecare centers, if it is not counter-indicated by other diseases. IOLs are provided to the representatives of vulnerable and social groups by the Ministry of Health through various humanitarian sources. The AECP/USAID Alliance provides all services, including the IOLs for free. Extracapsular surgeries with IOL implantation is carried out in all marzes of Armenia. The percent of IOL implants is close to 100%. 6. In accordance with the RA Government # 35 order of 18.09.2009, the “Concept of quality assurance” was developed and submitted for RA Government approval. The Concept would allow overseeing the quality of medical care and all rendered services at all levels (including eyecare). The AECP has prepared and published a teaching manual “Essentials of Ophthalmology” to improve the knowledge of the specialists. The requirement of the Government # 1639-N decision is aimed at securing adequate quality, according to which retraining of physicians is mandatory each 5 years. Therefore, ophthalmologists also undergo continuous education with a revised educational program. Ophthalmologists’ offices in all polyclinics are have equipment to measure intraocular pressure and examine fundus of the eye. The AECP/USAID Alliance carried out cataract surgery monitoring survey on the Mobile Eye Hospital. The pilot program of cataract surgery monitoring system has been introduced in the Malayan Ophthalmologic Center.

112


113 7. Glaucoma: Starting 2008, in accordance with the standards described in the decree of the RA Ministry of Health, (which is a precondition for the state order) it has been defined that screening for early detection of glaucoma should be performed in the framework of mandatory preventive visit. During the screenings in 2007-2010, the AECP had diagnosed 1,653 cases of glaucoma, 622 out of which were revealed for the first time. All medical ambulatories, offices of family medicine doctors and ophthalmologic offices of polyclinics have an ophthalmoscope, tonometer, the specialists are continuously being retrained and their number makes up total of 1600 specialists. 8 . Diabetic retinopathy The AECP has performed 400 laser procedures for diabetic retinopathy. In 2008, a seminar “Diabetes and Blindness” was organized with the participation of ophthalmologists and endocrinologists. Guidelines for the management of diabetes for the primary health care level have been elaborated and are regularly updated. The last modified version has been approved by the RA Ministry of Health.

Goal 2. Reduce childhood blindness and improve children’s eye health. REFRACTIVE ERROR: Achieve full coverage of school age children with free eye screening to detect refractive errors and provide prescribed eyeglasses for those in need ROP :Establish effective ROP control system in Armenia 1. In the marzes of Armenia, due to the lack of pediatric ophthalmologists there, general ophthalmologists deal with children’s issues as well. 2. Preventive school screenings are carried out at schools. Parents and teachers of children identified with refraction problems during screenings are alerted of the problem. If the child comes from a vulnerable family, s/he is offered treatment and eyeglasses (received through charity pipelines as well as by the Karageozyan foundation in Yerevan, Syunik, Lori and Shirak marzes). 3. Children’s screenings in the marzes that do not have specialized pediatric ophthalmologic services is carried out by the AECP. The AECP medical groups have screened 72,147 children in the RA marzes and Yerevan. .The ophthalmologists and optometrists of «Union Médicale Arménienne de France» (UMAF) have


been working in the remote regions of Armenia and Karabagh providing quality screening and eyeglasses to children. 4. Provision of respective information to the parents whose children have refractive problems - The AECP/USAID Alliance has conducted public education sessions, with the participation of 843 parents, disseminated four types of brochures related to childrenâ&#x20AC;&#x2122;s eye disorders and diseases, including refraction. 5. It is expected to organize the training of one ophthalmologist per marz related to retinopathy of prematurity by the AECP/USAID Alliance. 6. The AECP/USAID Alliance has acquired two retinal cameras and diode laser for the detection and treatment of the retinopathy of prematurity. 7. Protocols for the screening and treatment of premature and/or low weigh infants have been prepared by the AECP/USAID Alliance and adopted by the RA Ministry of Health. Large scale activities are expected to start in September of 2010.

Goal 3. Strengthen the infrastructure to support blindness prevention efforts throughout the country PRIMARY EYE CARE: Strengthen primary eye care in the rural areas Improve primary eye care at the polyclinical level SECONDARY EYE CARE : Upgrade and equip existing ROUs according to the WHO List*TERTIARY EYE CARE: Modernize the tertiary eye care in Armenia 1. The program has envisioned establishment of village health points in selected village ambulatories or family medicine offices that would serve as primary ophthalmologic centers (one center per 20,000 inhabitants). For the purpose of saving resources, ophthalmologic offices in the regional polyclinics or medical units, which are furnished with equipment within the World Bank loan program or have received certain support from international organizations (namely the USAID) are viewed as an option of such centers . 2. Starting 2008, in accordance with the standards described in the decree of the RA Ministry of Health, (which is a precondition for the state order) it was defined that screening for early detection of glaucoma should be performed in the framework of mandatory preventive visit. During general screenings in the regional polyclinics, the AECP/USAID Alliance has identified 1730 cases of glaucoma suspect.

114


115 3. The upgrade and provision of equipment (including lasers) to the ophthalmic offices in regional polyclinics (RP) is carried out within the framework of the World Bank Health program “Modernization program of regional hospitals”. 4. The American University of Armenia, in cooperation with the Lions Club and the Ministry of Health has renovated and equipped an Eye Center in the city of Sevan. It received a MOH license in 2008 and covers the needs of the Gegharkunik population. The renovation of the Vanadazor ophthalmologic center has not taken place. 5. A low vision center was established in the Kanaker-Zeitun Medical Center, which is the teaching base of the National Health Institute. The Low vision Center established by the AECP/USAID Alliance, corresponds to international standards.

Goal 4. Develop human resources to provide appropriate eye care to the population PRIMARY EYE CARE Reinvigorate primary eye care education in the country; SECONDARY EYE CARE Strengthen training of ROU ophthalmologists TERTIARY EYE CARE Upgrade training in ophthalmology to correspond to the standards of International Council of Ophthalmology /International Federation of Ophthalmic Societies (ICO/IFOS)Within the educational component of the AECP/ USAID alliance, family medicine and village ambulatory/FAP nurses) from all the marzes of Armenia took a three-day training course on the basics of ophthalmology; refresher courses were organized for 57 family medicine doctors in the regions; 37 ophthalmic nurses underwent a one week intensive course. 2. The AECP/USAID conducted, in cooperation with the AED, two –week intensive courses for 61 regional ophthalmologists on theory and practical needs, as well as general screening technique for cataract, glaucoma and diabetic retinopathy. 3. The requirement of the NSP to revise curricula of the academic institutions providing education in eye care to correspond to ICO/IFOS standards, is implemented since 2009, in accordance with the decision of the RA Government, whereby all educational programs, including the ophthalmological one, should be in line with international standards.

Goal 5. Increase awareness of blindness as a major public health issue Conduct a public awareness campaign regarding cataract, glaucoma and diabetic retinopathy for general public. Design and deliver an eye health education campaign for school age children and their parents.


1.The ophthalmology part in the curricula of the family medicine doctors has been enhanced, public awareness materials have been reviewed and revised. 2.The AECP/USAID Alliance has prepared and published total of 600,000 copies of 12 brochures on adults’ and children’s eye diseases, eyecare and eye safety at home and workplace. The brochures are being distributed during screenings and public education sessions. 3. World Sight Day (second Thursday of October) is being celebrated in Armenia since 2003 thanks to the efforts of the AECP.

Goal 6. Initiate research and development in the field of blindness prevention Develop tools and guidelines for disease control, health care management, and service delivery Initiate epidemiological and clinical research. Conduct evaluation of the National Plan and develop policy recommendations for the Government of RA. 1. Data of the patients with diabetes is analyzed as a risk factor for blindness. For this purpose, the RA Ministry of Health has introduced automated registering system “Midas 3”, form #02 including diabetes is being filled in. 2. The AECP/USAID Alliance and the RA Ministry of Health have elaborated standards/protocols for village ambulatories and offices of regional ophthalmologists. Such standards are being developed and revised on a yearly basis. They also include organizational aspects of the eye care delivery. The draft of the guideline has been presented by the AECP/USAID Alliance and the RA Ministry of Health. 3. National research on children’s blindness and refractive error prevalence among the children of school age is expected to be conducted. The RA MOH has applied to international organizations, including USAID for cooperation in this matter.

116


гÛÏ³Ï³Ý ³ÏݳμáõÅáõÃÛ³Ý Ý³Ë³·ÇÍ §ÈáõÛë ѳÛÇ ³ãù»ñÇݦ Íñ³·Çñ гëó»` ²Û·»ëï³Ý 5-ñ¹ ÷., ïáõÝ 7, ºñ¨³Ý 0070, г۳ëï³Ý лé.`(374 10) 55 90 68; ü³ùëª (374 10) 57 76 94; ¿É-÷áëï` aecp@cornet.am; www.eyecareproject.com The Armenian EyeCare Project Bringing Sight to Armenian Eyes Aygestan 5th str., house 7; Yerevan; Armenia Phone (374 10) 55 90 68; Fax (374 10) 57 76 94 E-mail: aecp@cornet.am; Web: www.eyecareproject.com


AECP brochure “Countdown towards 2020: Activities and Statistics”