{"id":3784,"date":"2022-10-24T09:32:39","date_gmt":"2022-10-24T07:32:39","guid":{"rendered":"https:\/\/cusens.md\/?p=3784"},"modified":"2022-10-24T09:32:43","modified_gmt":"2022-10-24T07:32:43","slug":"de-ce-nu-aud","status":"publish","type":"post","link":"https:\/\/cusens.md\/ro\/investigatii\/de-ce-nu-aud\/","title":{"rendered":"De ce nu aud?"},"content":{"rendered":"
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Cel pu\u021bin zece copii, care sufer\u0103 de deficien\u021be de auz, risc\u0103 s\u0103 piard\u0103 \u0219ansa de a deslu\u0219i sunete \u0219i de a \u00eenv\u0103\u021ba s\u0103 vorbeasc\u0103. Asta, deoarece institu\u021biile, responsabile de cump\u0103rarea implanturilor cohleare de care au ei nevoie, nu \u0219i-au f\u0103cut treaba la timp. \u00cen acest an, le-a luat mai bine de nou\u0103 luni ca s\u0103 duc\u0103 la bun sf\u00e2r\u0219it procedura de achizi\u021bie, \u00een condi\u021biile \u00een care, pentru ace\u0219ti copii, fiecare zi conteaz\u0103. Vorbim despre ni\u0219te aparate care, odat\u0103 implantate, reprezint\u0103 singura solu\u021bie de tratament. Problemele nu se opresc aici. Ulterior, ace\u0219ti copii trebuie s\u0103 urmeze un program lung de reabilitare, care este l\u0103sat de stat \u00een grija p\u0103rin\u021bilor. <\/strong><\/p>\n\n\n\n

La mijlocul lunii august, Mihaela Romaciuc b\u0103tea alarma pe re\u021belele de socializare c\u0103 Miroslava, feti\u021ba ei de doi ani \u0219i nou\u0103 luni, are nevoie urgent de opera\u021bie de implant cohlear. Copila are deficien\u021be de auz, iar o interven\u021bie chirurgical\u0103 ar ajuta-o s\u0103 aud\u0103 \u0219i, ulterior, s\u0103 \u00eenve\u021be s\u0103 vorbeasc\u0103. Verdictul c\u0103 Miroslava are surditate bilateral\u0103 neurosenzorial\u0103 sever\u0103, p\u0103rin\u021bii l-au aflat iarna trecut\u0103. <\/p>\n\n\n\n

MIHAELA ROMANCIUC, mama Miroslavei<\/strong>: Ni s-a spus c\u0103, copilul aude de la 90 de decibeli \u00een sus. Aude zgomotul avioanelor, a motocicletelor. \u0218i atunci ne-am g\u00e2ndit ce e de f\u0103cut, adic\u0103 care sunt \u0219ansele noastre ca ea s\u0103 aud\u0103. Medicul ne-a propus s\u0103 punem proteze auditive. Este o perioad\u0103 de testare de cinci-\u0219ase luni ca s\u0103 vad\u0103 dac\u0103 copilul cumva reac\u021bioneaz\u0103 \u0219i, dup\u0103 asta, merge vorba de implant.  <\/em><\/p><\/blockquote>\n\n\n\n

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Protezele, puse la sf\u00e2r\u0219itul lunii martie la Centrul Republican de Audiologie Protezare auditiv\u0103 \u015fi Reabilitare medico-pedagogic\u0103 din cadrul Clinicii \u201eEmilian Co\u021baga\u201d din Chi\u0219in\u0103u, sunt o prim\u0103 etap\u0103 a tratamentului. Pentru a-\u0219i recupera auzul, micu\u021ba are nevoie de o opera\u021bie de implant cohlear, care se efectueaz\u0103 la acela\u0219i spital – singura institu\u021bie medical\u0103 din Moldova care face astfel de interven\u021bii chirurgicale copiilor. <\/p>\n\n\n\n

MIHAELA ROMANCIUC, mama Miroslavei<\/strong>: Era la sf\u00e2r\u0219it de iulie, de fapt, c\u00e2nd eu am sunat la centru s\u0103 \u00eentreb. Am vorbit cu \u0219efa sec\u021biei. Am \u00eentrebat-o despre situa\u021bia cu implanturile \u0219i mi s-a spus c\u0103 au fost ni\u0219te licita\u021bii, c\u0103 ceva nu s-au \u00een\u021beles persoanele care trebuie s\u0103 se ocupe de cazul dat \u0219i nu s-au procurat. \u0218i eu zic: \u201eBine, dar ce facem \u00een cazul acesta, copilul are nevoie c\u00e2t mai urgent?\u201d \u201eNu putem noi, nu \u0219tim nu putem s\u0103 v\u0103 spunem nimic. C\u00e2nd vor fi noi o s\u0103 v\u0103 anun\u021b\u0103m\u201d. Zic: \u201e<\/em>Ok, este o list\u0103 acolo, pe ce loc este Miroslava?\u201d \u201e<\/em>Nu conteaz\u0103 c\u00e2\u021bi sunt pe list\u0103 sau pe care loc, to\u021bi copii vor beneficia \u00een momentul c\u00e2nd vor fi implanturi.<\/em>\u201d<\/p><\/blockquote>\n\n\n\n

Mihaela Romanciuc spune, \u00eens\u0103, c\u0103 pentru feti\u021ba ei fiecare zi conteaz\u0103. Cu c\u00e2t implantul este pus mai devreme, cu at\u00e2t \u0219ansele de recuperare ale copilului sunt mai mari. O confirm\u0103 \u0219i studiile cercet\u0103torilor americani.  <\/p>\n\n\n\n

MIHAELA ROMANCIUC, mama Miroslavei<\/strong>: Cu c\u00e2t mai mult a\u0219tept\u0103m cu at\u00e2t mai slabe sunt \u0219ansele de reabilitare ale copilului. Copilul are lumea t\u0103cerii, ea tr\u0103ie\u0219te \u00een lumea ei. <\/em><\/p><\/blockquote>\n\n\n\n

Licita\u021bia despre care a fost informat\u0103 mama Miroslavei a avut loc la sf\u00e2r\u0219itul anului trecut, iar \u00een august 2022, de\u0219i trecuser\u0103 aproape nou\u0103 luni, implanturile cohleare a\u0219a \u0219i nu erau cump\u0103rate. <\/p>\n\n\n\n

Iat\u0103 ce s-a \u00eent\u00e2mplat. \u00cen noiembrie 2021, Centrul pentru achizi\u021bii publice centralizate \u00een s\u0103n\u0103tate a anun\u021bat o licita\u021bie \u00een sum\u0103 de 9,5 milioane de lei pentru achizi\u021bia a 25 de implanturi cohleare. Cincisprezece implanturi erau destinate copiilor \u0219i urmau s\u0103 ajung\u0103 la Clinica \u201eEmilian Co\u021baga\u201d din Chi\u0219in\u0103u. La licita\u021bie au participat doar dou\u0103 companii. \u00cen ianuarie 2022 sunt anun\u021bate rezultatele \u0219i c\u00e2\u0219tig\u0103toare este desemnat\u0103 firma Global Premier Group SRL. Peste mai bine de o lun\u0103, cealalt\u0103 companie Alexia Implant SRL, care nu a luat contractul cu statul, a contestat rezultatele licita\u021biei. A acuzat c\u0103 \u201elicita\u021bia desf\u0103\u0219urat\u0103 a fost viciat\u0103 de erori grave, iar produsele din oferta desemnat\u0103 c\u00e2\u0219tig\u0103toare nu corespund specifica\u021biilor tehnice din anun\u021bul de participare\u201d<\/em>. Mai mult, a contestat \u0219i calitatea implanturilor cohleare, sus\u021bin\u00e2nd c\u0103 \u201epartea extern\u0103 ofertat\u0103 este de o genera\u021bie veche, cu un singur microfon\u201d<\/em>. <\/p>\n\n\n\n

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Totodat\u0103, \u00eentr-un r\u0103spuns \u00een scris, expediat la solicitarea CU SENS, reprezentantul firmei contestatoare subliniaz\u0103 faptul c\u0103 exist\u0103 studii care arat\u0103 ca \u201edou\u0103 microfoane sunt mai bune dec\u00e2t unul singur pentru a asigura o direc\u021bionalitate \u0219i inteligibilitate mai buna a vorbirii \u00een condi\u021bii de zgomot (foarte important pentru copiii care merg la \u0219coal\u0103)\u201d<\/em>. \u00cen urma contesta\u021biei, \u00een luna martie, a fost anulat\u0103 licita\u021bia pentru lotul destinat copiilor, urm\u00e2nd s\u0103 fie organizat\u0103 alta nou\u0103. Reprezentantul companiei Global Premier Group SRL se arat\u0103, \u00eens\u0103, nedumerit de decizia comisiei.  <\/p>\n\n\n\n

ANDREI TIMU\u0218, proprietarul Global Premier Group SRL<\/strong>: Noi am c\u00e2\u0219tigat \u00een 2021 cu acela\u0219i caiet de sarcini, nu a fost nicio \u00eentrebare, au fost pacien\u021bii implanta\u021bi \u0219i tot ok. Acum, asta-i o concuren\u021b\u0103 care o v\u0103d \u0219i eu \u00eentre dou\u0103 firme. Ei trebuiau s\u0103 g\u0103seasc\u0103 ceva \u0219i, la fel, noi am g\u0103sit \u00een caietul lor de sarcini, cu care ei au c\u00e2\u0219tigat \u00een 2020, am g\u0103sit mai multe neconcordan\u021be \u0219i am mers mai departe. C\u0103ci, dac\u0103 vrei s\u0103 g\u0103se\u0219ti – g\u0103se\u0219ti. Calitatea implanturilor Med-El, pute\u021bi s\u0103 v\u0103 informa\u021bi din oricare surs\u0103, este una de top, foarte bun\u0103. <\/em><\/p><\/blockquote>\n\n\n\n

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    VASILE TOMUZ, vicedirectorul Clinicii \u201eEmilian Co\u021baga\u201d<\/strong>: Eu a\u0219 spune c\u0103 nu este a\u0219a de grav, c\u00e2t situa\u021bia cu agen\u021bii economici care, pe parcursul ultimelor ani de zile, practic, cred c\u0103 nu au putut \u00eemp\u0103r\u021bi pia\u021ba, cel mai corect spus, deoarece sunt situa\u021bii c\u00e2nd nu depinde at\u00e2t de marja care este \u00een solu\u021bionarea acestor probleme, c\u00e2t de situa\u021bia de concuren\u021ba de pe pia\u021b\u0103. <\/em><\/p><\/blockquote>\n\n\n\n

    Vasile Tomuz este vicedirectorul Clinicii \u201eEmilian Co\u021baga\u201d. Dup\u0103 anularea licita\u021biei, institu\u021bia pe care o conduce, urma s\u0103 revad\u0103 specifica\u021biile tehnice ale implanturilor din caietul de sarcini, iar Centrul pentru achizi\u021bii publice centralizate \u00een s\u0103n\u0103tate s\u0103 organizeze o licita\u021bie nou\u0103. Doar c\u0103, \u00een august 2022, c\u00e2nd mama Miroslavei tr\u0103gea alarma, nici caietul de sarcini nu era gata \u0219i, respectiv, nici licita\u021bia nu avusese loc.<\/p>\n\n\n\n

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    VASILE TOMUZ, vicedirectorul Clinicii \u201eEmilian Co\u021baga\u201d<\/strong>: \u00cen aceast\u0103 perioad\u0103, practic, s-a tergiversat anume procurarea implanturilor, dar aceasta nu este la moment o problem\u0103. Au fost evaluate \u0219i monitorizate noile caiete de sarcini pentru a adapta condi\u021biile tehnice \u00eentr-un proces normal, pentru o bun\u0103 func\u021bionare mai departe at\u00e2t a achizi\u021biilor, c\u00e2t \u0219i a procur\u0103ri implanturilor cohleare care sunt programate pentru anul \u00een derulare. Practic, pe parcursul verii s-a lucrat anume asupra caietului de sarcini, care este, la momentul dat, finisat \u0219i cred c\u0103 \u00een urm\u0103toarele zile el va fi \u00eenaintat pentru achizi\u021bii publice.<\/em><\/p><\/blockquote>\n\n\n\n

    Caietul de sarcini a fost gata abia \u00een data de 6 septembrie 2022. Cu alte cuvinte, exper\u021bii de la Co\u021baga au avut nevoie de mai bine de cinci luni pentru a-l definitiva. Iar una din modific\u0103rile propuse a fost num\u0103rul de aparate solicitate, care a sc\u0103zut de la 15 la 10. Mai mult, institu\u021bia medical\u0103 a cerut Centrului pentru achizi\u021bii publice centralizate \u00een s\u0103n\u0103tate s\u0103 organizeze achizi\u021bia \u201e\u00een regim de urgen\u021b\u0103\u201d <\/em><\/strong>pentru a reu\u0219i s\u0103 fac\u0103 opera\u021biile, planificate pentru acest an, \u00een termen. Zis \u0219i f\u0103cut. \u00cen doar trei zile licita\u021bia a fost organizat\u0103, iar cele dou\u0103 companii care au participat la licita\u021bia anterioar\u0103, dar care a fost anulat\u0103, sunt invitate la negocieri directe. \u00cent\u00e2mpl\u0103tor sau nu, ambele companii au fost desemnate c\u00e2\u0219tig\u0103toare, \u00eemp\u0103r\u021bind \u00een mod egal contractul de circa 4 milioane de lei, bani publici. Respectiv, una s-a obligat s\u0103 livreze spitalului cinci implanturi cohlear pentru copii, cealalt\u0103 firm\u0103 – alte cinci. De altfel, aceste dou\u0103 companii sunt cele care, din 2020, de c\u00e2nd statul cump\u0103r\u0103 aceste implanturi, sunt singurele care c\u00e2\u0219tig\u0103 licita\u021biile. Pe l\u00e2ng\u0103 contractele c\u00e2\u0219tigate \u00een urma negocierilor directe din acest an, potrivit datelor publicate de Agen\u021bia Achizi\u021bii Publice, \u00eencep\u00e2nd cu 2020, Global Premier Group SRL a c\u00e2\u0219tigat alte trei licita\u021bii \u00een sum\u0103 total\u0103 de peste 10 milioane lei, iar Alexia Implant SRL –  o licita\u021bie de aproape 8 milioane lei. <\/p>\n\n\n\n

    Experta \u00een achizi\u021bii publice, Olga Diaconu, calific\u0103 acest lucru drept un management defectuos. <\/p>\n\n\n\n

    OLGA DIACONU, expert\u0103 \u00een achizi\u021bii publice, AGER: <\/strong>Aceast\u0103 procedur\u0103 de urgen\u021b\u0103 poate fi desf\u0103\u0219urat\u0103 c\u00e2nd e o necesitate stringent\u0103 \u0219i nu este timp pentru a desf\u0103\u0219ura o achizi\u021bie public\u0103, cum am v\u0103zut, de exemplu, c\u00e2nd a \u00eenceput epidemia de Covid-19. Evident c\u0103, la acel moment, nu puteau fi desf\u0103\u0219urate proceduri de achizi\u021bii publice. Erau necesare ni\u0219te achizi\u021bii de urgen\u021b\u0103 pentru a putea combate efectele pandemiei. Deci, acesta este un caz \u00eentemeiat sau \u00een situa\u021bia r\u0103zboiului. Nu putem vorbi de necesitate stringent\u0103 atunci c\u00e2nd a fost deja o licita\u021bie public\u0103 \u0219i dup\u0103 ce a fost anulat\u0103 licita\u021bia, tot dintr-o eroare a autorit\u0103\u021bii contractante, s-au a\u0219teptat 4-5 luni \u0219i, din lips\u0103 de timp, s-a ini\u021biat o procedur\u0103 de negociere f\u0103r\u0103 publicare prealabil\u0103. Aici nu vedem o necesitate stringent\u0103, aici vedem un management defectuos, pur \u0219i simplu. <\/em><\/p><\/blockquote>\n\n\n\n

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    Mai mult, experta sus\u021bine c\u0103 astfel de situa\u021bii sunt des \u00eent\u00e2lnite \u00een cazul achizi\u021biilor pe bani publici, doar c\u0103 rareori se \u00eent\u00e2mpl\u0103 ca cineva s\u0103 fie tras la r\u0103spundere.  <\/p>\n\n\n\n

    OLGA DIACONU, expert\u0103 \u00een achizi\u021bii publice, AGER<\/strong>: De mai mul\u021bi ani, de c\u00e2nd monitoriz\u0103m achizi\u021biile publice, observ\u0103m aceast\u0103 problem\u0103 \u0219i permanent o sesiz\u0103m. De\u0219i, sunt foarte multe \u00eenc\u0103lc\u0103ri, nimeni nu putea s\u0103 aplice sanc\u021biuni. \u0218i atunci c\u00e2nd o autoritate sau o persoan\u0103 nu vede riscul s\u0103 r\u0103spund\u0103, s\u0103 fie sanc\u021bionat\u0103 pentru ac\u021biunile sale, atunci este mai pu\u021bin motivat\u0103 s\u0103 se ab\u021bin\u0103 de la aceste \u00eenc\u0103lc\u0103ri.   <\/em><\/p><\/blockquote>\n\n\n\n

    Cum explic\u0103, \u00eens\u0103, reprezentan\u021bii Centrului pentru achizi\u021bii publice centralizate \u00een s\u0103n\u0103tate t\u0103r\u0103g\u0103narea achizi\u021biei implanturilor cohleare pentru copii, care a dus, \u00een cele din urm\u0103, la organizarea unei licita\u021bii de urgen\u021b\u0103? <\/p>\n\n\n\n

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    SERGIU BALTA, \u0219ef de sec\u021bie, Centrul pentru achizi\u021bii publice centralizate \u00een s\u0103n\u0103tate<\/strong>: A fost o decizie a grupul de lucru asumat\u0103, o decizie nu u\u0219oar\u0103. Prima procedur\u0103, care a fost organizat\u0103, a durat destul de mult. A durat, practic, patru luni p\u00e2n\u0103 la emiterea deciziei de anulare. A mai durat \u00eenc\u0103 1-2 luni ceea ce \u021bine de contesta\u021biile asupra deciziilor de anulare. A fost o procedur\u0103 destul de complicat\u0103. Din moment ce am primit demersul din partea Institutului Mamei \u0219i Copilului, \u00een demers a fost men\u021bionat\u0103 urgen\u021ba, necesitatea urgent\u0103 de a realiza procedura de achizi\u021bie.  <\/em><\/p>

    Reporter:<\/strong> Negocierile directe, potrivit legii, am v\u0103zut c\u0103 sunt \u00een cazuri urgente, excep\u021bionale. Am putea considera acest caz unul excep\u021bional? <\/em><\/p>

    SERGIU BALTA, \u0219ef de sec\u021bie, Centrul pentru achizi\u021bii publice centralizate \u00een s\u0103n\u0103tate<\/strong>: Eu nu pot s\u0103 m\u0103 expun. Or, sunt \u00een virtutea func\u021biei pe care o de\u021bin \u0219i atunci eu o s\u0103 fac trimitere la demersul pe care \u00eel am pe mas\u0103, demersul pe care l-am primit de la beneficiarul final \u0219i \u00een care scrie cu exactitate faptul c\u0103 \u201e\u00een regim de urgen\u021b\u0103 achizi\u021bionarea a zece implanturi”.  <\/em><\/p><\/blockquote>\n\n\n\n

    \u00cen consecin\u021b\u0103, implanturile achizi\u021bionate \u00een regim de urgen\u021b\u0103, c\u00e2te cinci de la fiecare dintre cele dou\u0103 companii invitate la negocieri directe, au fost cump\u0103rate la un pre\u021b mult mai mare fa\u021b\u0103 de cel propus la licita\u021bia anterioar\u0103, care a fost anulat\u0103 \u00een prim\u0103var\u0103. <\/p>\n\n\n\n

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    Reporter:<\/strong> Am v\u0103zut c\u0103 aceste cinci dispozitive cost\u0103 1,9 milioane de lei. Dac\u0103 ne uit\u0103m la cele 15, pe care le-a\u021bi propus \u00een lotul \u00eent\u00e2i, ele cost\u0103 4,9 milioane. Reiese c\u0103 unul ar fi mai ieftin cu 60 mii de lei. Pute\u021bi s\u0103 ne explica\u021bi aceast\u0103 diferen\u021b\u0103 de pre\u021b? <\/em><\/p>

    ANDREI TIMU\u0218, proprietarul Global Premier Group SRL: <\/strong>S\u0103 nu uit\u0103m care este situa\u021bia, la moment, energetic\u0103 mondial\u0103. S\u0103 nu uit\u0103m infla\u021bia. Putem s\u0103 le ad\u0103ug\u0103m pe toate. Dar problema cea mai mare a fost oferta. Pentru cinci buc\u0103\u021bi e un pre\u021b, pentru 15 – pre\u021bul un pic difer\u0103. Nu depinde doar de mine, noi venim cu oferta care ne-o propune. Noi doar \u00eenaint\u0103m cererea mai departe. <\/em><\/p><\/blockquote>\n\n\n\n

    Acela\u0219i argument ni l-a prezentat, \u00eentr-un r\u0103spuns \u00een scris, \u0219i reprezentan\u021bii celei de-a doua firme. \u00centrebat de ce, \u00een cazul licita\u021biei repetate, pre\u021bul pentru un dispozitiv de implant cohlear a crescut, \u00een cazul lor, cu 19.500 de lei, ne-a comunicat c\u0103 \u201ediferen\u021ba de pre\u021b se explic\u0103, \u00een primul r\u00e2nd, \u00een num\u0103rul de buc\u0103\u021bi achizi\u021bionate\u201d<\/em>.<\/p>\n\n\n\n

    SERGIU BALTA, \u0219ef de sec\u021bie, Centrul pentru achizi\u021bii publice centralizate \u00een s\u0103n\u0103tate<\/strong>: La depunerea ofertelor, operatorii economici nu au o negociere cu noi asupra pre\u021bului. Noi, ca Centru pentru achizi\u021bii, nu avem tangen\u021b\u0103 \u0219i acest lucru este contrar prevederilor legale. <\/em><\/p>

    Reporter:<\/strong> Scopul licita\u021biilor este ca statul s\u0103 ob\u021bin\u0103 produse \u0219i servicii la un pre\u021b c\u00e2t mai bun, c\u00e2t mai mic. \u00cen cazul dat s-a \u00eent\u00e2mplat tocmai invers. Pre\u021bul a crescut. Cum explica\u021bi acest lucru? <\/em><\/p>

    SERGIU BALTA, \u0219ef de sec\u021bie, Centrul pentru achizi\u021bii publice centralizate \u00een s\u0103n\u0103tate: <\/strong>De fapt, noi c\u00e2nd compar\u0103m pre\u021burile \u00eentre oferte, mereu lu\u0103m \u00een calcul faptul c\u0103 ambele proceduri, ambele oferte urmeaz\u0103 s\u0103 corespund\u0103 cerin\u021belor tehnice \u0219i atunci noi facem o analiz\u0103 economico-financiar\u0103 asupra acesteia. \u00cen cazul dat, noi avem dou\u0103 situa\u021bii diferite. <\/em><\/p><\/blockquote>\n\n\n\n

    OLGA DIACONU, expert\u0103 \u00een achizi\u021bii publice, AGER<\/strong>: De obicei, \u00een cadrul procedurilor de achizi\u021bie necompetitive, cum este negocierea f\u0103r\u0103 publicare, exist\u0103 \u0219ansa c\u0103 autoritatea contractant\u0103 va pl\u0103ti un pre\u021b mai mare. Atunci c\u00e2nd avem o licita\u021bie, o procedur\u0103 competitiv\u0103 \u0219i particip\u0103 mai mul\u021bi operatori economici, ace\u0219tia sunt tenta\u021bi s\u0103 ofere pre\u021buri mai avantajoase. Atunci c\u00e2nd este vorba despre o achizi\u021bie necompetitiv\u0103 \u0219i particip\u0103 un anumit num\u0103r de operatori economici, sunt \u0219anse mai mari c\u0103 ei vor oferi pre\u021buri mai mari. <\/em><\/p><\/blockquote>\n\n\n\n

    Opera\u021biile de implant cohlear au \u00eenceput s\u0103 fie efectuate gratuit, din banii statului, \u00eencep\u00e2nd cu anul 2020. P\u00e2n\u0103 atunci, p\u0103rin\u021bii, ai c\u0103ror copii erau diagnostica\u021bi cu deficien\u021be de auz, erau l\u0103sa\u021bi pe cont propriu. Unii mergeau peste hotare pentru tratamentul chirurgical. Este \u0219i cazul lui Marius Cupceanu, \u00een v\u00e2rst\u0103 de 7 ani. Pe c\u00e2nd avea patru luni, i-a fost pus\u0103 diagnoza surditate bilaterat\u0103 neurosenzorial\u0103. P\u0103rin\u021bii lui au fost nevoi\u021bi s\u0103 mearg\u0103 \u00een Rom\u00e2nia pentru a-i face opera\u021bia de implant cohlear. Interven\u021bia a fost gratuit\u0103, deoarece sunt \u0219i cet\u0103\u021beni rom\u00e2ni.<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    ELENA CUPCEANU, pre\u0219edinta Asocia\u021biei Persoanelor cu Deficien\u021be de auz \u201eAud \u0219i Vorbesc\u201d<\/strong>: \u00cen 2016, astfel de opera\u021bii \u00een Republica Moldova nu se efectuau. Erau doar la solicitare \u0219i cu achitare integral\u0103 a costului implantului care dep\u0103\u0219ea suma de 20.000 de euro. Deci, \u00een 2014 s-au f\u0103cut primele implanturi cohleare \u00een Republica Moldova, la fel, au fost sponsorizate de diferi\u021bi agen\u021bi economici, parteneri interna\u021bionali \u0219i, deja, p\u00e2n\u0103 \u00een 2017, nu au mai fost efectuate astfel de opera\u021bii.<\/em><\/p><\/blockquote>\n\n\n\n

    Dup\u0103 opera\u021bie, copilul s-a \u00eentors acas\u0103, la Chi\u0219in\u0103u, unde urma s\u0103 treac\u0103 printr-un program \u00eendelungat de reabilitare, sub supravegherea unui logoped. Doar astfel putea s\u0103 \u00eenve\u021be s\u0103 vorbeasc\u0103. \u00cens\u0103, nici la aceast\u0103 etap\u0103, statul nu i-a oferit vreun ajutor. A\u0219a c\u0103, peste un an, \u00een 2017, mama b\u0103iatului, Elena Cupceanu, \u00eempreun\u0103 cu al\u021bi p\u0103rin\u021bi, care se aflau \u00een aceea\u0219i situa\u021bie, au \u00eenfiin\u021bat Asocia\u021bia Persoanelor cu Deficien\u021be de auz \u201eAud \u0219i Vorbesc\u201d. <\/p>\n\n\n\n

    ELENA CUPCEANU, pre\u0219edinta Asocia\u021biei Persoanelor cu Deficien\u021be de auz \u201eAud \u0219i Vorbesc\u201d<\/strong>: Este o asocia\u021bie a p\u0103rin\u021bilor. Majoritatea p\u0103rin\u021bilor facem voluntariat, nu avem un spa\u021biu, nu avem o loca\u021bie, nu avem un centru. De multe ori ne \u00eent\u00e2lnim \u00een parcuri unde discut\u0103m problemele, provoc\u0103rile pe care le avem, inclusiv \u00een tratament, \u00een reabilitarea auditiv-verbal\u0103. \u00cen cadrul asocia\u021biei \u201eAud \u0219i Vorbesc”, p\u0103rin\u021bi vin pentru consiliere, pentru informare, pentru o sus\u021binere reciproc\u0103. <\/em><\/p><\/blockquote>\n\n\n\n

    Grav este c\u0103, de\u0219i din 2020, statul acoper\u0103 cheltuielile pentru opera\u021bia de implant cohleare, majoritatea copiilor cu probleme de auz a\u0219a \u0219i nu ajung s\u0103 vorbeasc\u0103, sus\u021bine Elena Cupceanu. Motivul: \u00cen \u021bara noastr\u0103, nu exist\u0103 programe, sprijinite de stat, de reabilitare a acestor copii. Nu exist\u0103 nici suficien\u021bi logopezi, nici la stat – nici la privat, preg\u0103ti\u021bi pentru a lucra cu astfel de copii.<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    ELENA CUPCEANU, pre\u0219edinta Asocia\u021biei Persoanelor cu Deficien\u021be de auz \u201eAud \u0219i Vorbesc\u201d<\/strong>: \u00cen Republica Moldova, la momentul, avem 129 de copii cu implanturi cohleare. Anual se depisteaz\u0103 un num\u0103r de la 80-100 de copii cu deficien\u021b\u0103 de auz \u0219i num\u0103rul este \u00een cre\u0219tere, din p\u0103cate. La moment, \u021binem leg\u0103tura \u0219i monitoriz\u0103m 60 de familii cu copii purt\u0103tori de implanturi cohleare. Din p\u0103cate, rata reabilit\u0103ri \u00een r\u00e2ndul acestor copii este mic\u0103. Maximum ajungem la 20% din copii total reabilita\u021bi auditiv-verbal. La prezent, \u00een Republica Moldova implantarea cohlear\u0103 este efectuat\u0103 doar par\u021bial, adic\u0103 partea medical\u0103 este acoperit\u0103, iar ceea ce \u021bine de reabilitare r\u0103m\u00e2ne pe cont propriu al p\u0103rin\u021bilor. <\/em><\/p><\/blockquote>\n\n\n\n

    Prin urmare, la <\/strong>Centrul Republican de Audiologie Protezare auditiv\u0103 \u015fi Reabilitare medico-pedagogic\u0103, din cadrul Clinicii <\/strong>\u201eEmilian Co\u021baga\u201d din Chi\u0219in\u0103u, micu\u021bilor cu probleme auditive le este pus diagnosticul \u0219i, ulterior, protezele auditive. Cu alte cuvinte, medicii de aici au grij\u0103 de pacien\u021bi p\u00e2n\u0103 acestora li se pun implanturile cohleare. Pe l\u00e2ng\u0103 faptul c\u0103 este singurul centru din \u00eentreaga republic\u0103 care ofer\u0103 astfel de servicii, are doar doi speciali\u0219ti otorinolaringologi-audiologi care se ocup\u0103 de circa 5.000 de pacien\u021bi.<\/p>\n\n\n\n

    ANGHELINA CHIABURU,  \u0219efa Centrului Republican de Audiologie, Protezare Auditiv\u0103 \u0219i Reabilitare Medico-Pedagogic\u0103<\/strong>: Tot timpul ne re\u021binem \u00een afara orelor de lucru. \u00cencerc\u0103m s\u0103 facem fa\u021b\u0103, asta este. Cred c\u0103 sunt perioade c\u00e2nd \u00eencepem s\u0103 avem simptome de burnout, epuizare profesional\u0103. Dac\u0103 \u00een nordul republicii, la sud \u0219i pentru Chi\u0219in\u0103u s-ar mai deschide minimul opt cadre pentru \u00eenceput, deja ar fi mai lejer. <\/em><\/p><\/blockquote>\n\n\n\n

    \u0218efa Centrului confirm\u0103 c\u0103 tratamentul chirurgical nu poate avea rezultatele a\u0219teptate, f\u0103r\u0103 o reabilitarea ulterioar\u0103, sub supravegherea unui logoped, care are preg\u0103tirea necesar\u0103 s\u0103 lucreze cu micu\u021bii cu implanturi cohleare.<\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    ANGHELINA CHIABURU,  \u0219efa Centrului Republican de Audiologie, Protezare Auditiv\u0103 \u0219i Reabilitare Medico-Pedagogic\u0103<\/strong>: Tot timpul \u00een\u021belegeam c\u0103, uite, care este rostul de a face o depistare precoce, care este rostul ca s\u0103 se cheltuie bani statului pentru aparate auditive performante, dac\u0103 nu este o continuitate. <\/em><\/p><\/blockquote>\n\n\n\n

    Problema reabilit\u0103rii copiilor cu deficien\u021be de auz a ajuns \u0219i \u00een vizorul Comisiei parlamentare Protec\u021bie Social\u0103, S\u0103n\u0103tate \u0219i Familie, care a organizat mai multe \u0219edin\u021be ale unui grup de lucru, din care fac parte, inclusiv: medici, p\u0103rin\u021bi, dar \u0219i reprezentan\u021bi ai Ministerului S\u0103n\u0103t\u0103\u021bii \u0219i cel al Educa\u021biei. Pre\u0219edintele Comisiei, deputatul Partidului Ac\u021biune \u0219i Solidaritate, Dan Perciun, recunoa\u0219te gravitatea problemei \u0219i sus\u021bine c\u0103 sunt abia la etapa \u00een care se caut\u0103 solu\u021bii. <\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    DAN PERCIUN, deputat PAS<\/strong>: Dac\u0103 noi am decide s\u0103 punem aceast\u0103 responsabilitate integral pe umerii sistemului educa\u021bional, probabil, ar trebui s\u0103 o facem \u00een cadrul Centrul Republican de Asisten\u021b\u0103 Psihopedagogic\u0103<\/em> (CRAP), care r\u0103spunde de ceea ce \u00eenseamn\u0103 \u00eenv\u0103\u021b\u0103m\u00e2nt psiho-pedagogic \u00een Moldova \u0219i de suport pentru copiii cu dizabilit\u0103\u021bi, copiii cu nevoi educa\u021bionale speciale. O op\u021biune ar fi ca acea institu\u021bie s\u0103 presteze acest serviciu de reabilitare, pentru c\u0103 ei au, cumva, \u0219i o re\u021bea regional\u0103. O alt\u0103 solu\u021bie, totu\u0219i, ar fi centrele de s\u0103n\u0103tate, care sunt la nivelul fiec\u0103rui raion, s\u0103 preia aceast\u0103 func\u021bie. Exist\u0103 un ONG \u00een Chi\u0219in\u0103u care are ni\u0219te competen\u021be \u0219i istorie \u00een acest domeniu. O solu\u021bie ar fi, temporar, s\u0103 ac\u021bioneze ca un fel de centru de resurse na\u021bional pe acest subiect. Dar nu a\u0219 vrea s\u0103 facem aici unele angajamente pentru c\u0103 nu este foarte clar care este solu\u021bia \u0219i atunci, neav\u00e2nd o claritate privind solu\u021bia, mi-e greu \u0219i s\u0103 zic care sunt termenii sau resursele necesare pentru a face lucrul acesta. <\/em><\/p><\/blockquote>\n\n\n\n

    ELENA CUPCEANU, pre\u0219edinta Asocia\u021biei Persoanelor cu Deficien\u021be de auz \u201eAud \u0219i Vorbesc\u201d<\/strong>: Marius la v\u00e2rsta de \u0219apte ani aude \u0219i vorbe\u0219te datorit\u0103 implic\u0103rii anume a noastr\u0103 ca p\u0103rin\u021bi. Ca mam\u0103 mi-am l\u0103sat \u0219i job-ul, \u0219i m-am dedicat doar copilului. <\/em><\/p><\/blockquote>\n\n\n\n

    MIHAELA ROMANCIUC, mama Miroslavei<\/strong>: Nu e o problem\u0103 care are timp s\u0103 a\u0219tepte. Dar noi nu putem face nimic. Noi putem doar s\u0103 vorbim, ca lumea s\u0103 aud\u0103 \u0219i, cumva, s\u0103 mi\u0219te procesul dat. A\u0219tept\u0103m s\u0103 vedem ce vor face cei de sus, dac\u0103 \u00eentr-adev\u0103r le pas\u0103 de copii no\u0219tri sau a\u0219tept\u0103m a\u0219a mult \u0219i bine.  <\/em><\/p><\/blockquote>\n\n\n\n

    Acest subiect a fost produs \u00een cadrul proiectului \u201eUrm\u0103rim banii publici\u201d, desf\u0103\u0219urat de A.O. Proiectul media \u201eCU SENS\u201d, \u00een calitate de beneficiar de sub-grant al proiectului \u201eConsolidarea integrit\u0103\u021bii \u00een achizi\u021biile publice\u201d. Proiectul este implementat de c\u0103tre Institutul pentru Dezvoltare \u0219i Ini\u021biative Sociale (IDIS) \u201eViitorul\u201d, \u00een parteneriat cu Fondul de Parteneriat pentru Transparen\u021b\u0103 (SUA).<\/em> Responsabilitatea pentru con\u021binutul acestei \u00eenregistr\u0103ri le revine \u00een exclusivitate A.O. Proiectul media \u201eCU SENS\u201d \u0219i nu reflect\u0103 neap\u0103rat opinia IDIS \u201eViitorul\u201d \u0219i a donatorului.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

    Cel pu\u021bin zece copii, care sufer\u0103 de deficien\u021be de auz, risc\u0103 s\u0103 piard\u0103 \u0219ansa de a deslu\u0219i sunete \u0219i de a \u00eenv\u0103\u021ba s\u0103 vorbeasc\u0103. Asta, deoarece institu\u021biile, responsabile de cump\u0103rarea implanturilor cohleare de care au ei nevoie, nu \u0219i-au f\u0103cut treaba la timp. \u00cen acest an, le-a luat mai bine de nou\u0103 luni ca s\u0103 […]<\/p>\n","protected":false},"author":22,"featured_media":3825,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"video","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[9],"tags":[],"coauthors":[123],"class_list":["post-3784","post","type-post","status-publish","format-video","has-post-thumbnail","hentry","category-investigatii","post_format-post-format-video"],"acf":[],"featured_image_src":"https:\/\/cusens.md\/wp-content\/uploads\/2022\/10\/cover_ancheta-implant_clean.jpg","author_info":{"display_name":"Adela \u0218evciuc","author_link":"https:\/\/cusens.md\/ro\/author\/adela_sevciuc\/"},"yoast_head":"\nDe ce nu aud? - Cu Sens<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cusens.md\/ro\/investigatii\/de-ce-nu-aud\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"De ce nu aud? - Cu Sens\" \/>\n<meta property=\"og:description\" content=\"Cel pu\u021bin zece copii, care sufer\u0103 de deficien\u021be de auz, risc\u0103 s\u0103 piard\u0103 \u0219ansa de a deslu\u0219i sunete \u0219i de a \u00eenv\u0103\u021ba s\u0103 vorbeasc\u0103. Asta, deoarece institu\u021biile, responsabile de cump\u0103rarea implanturilor cohleare de care au ei nevoie, nu \u0219i-au f\u0103cut treaba la timp. \u00cen acest an, le-a luat mai bine de nou\u0103 luni ca s\u0103 […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cusens.md\/ro\/investigatii\/de-ce-nu-aud\/\" \/>\n<meta property=\"article:author\" content=\"https:\/\/www.facebook.com\/adela.sevciuc\" \/>\n<meta property=\"article:published_time\" content=\"2022-10-24T07:32:39+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-24T07:32:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cusens.md\/wp-content\/uploads\/2022\/10\/cover_ancheta-implant_clean.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Adela \u0218evciuc\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Adela \u0218evciuc\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"17 minute\" \/>\n\t<meta name=\"twitter:label3\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data3\" content=\"Adela \u0218evciuc\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/cusens.md\\\/ro\\\/investigatii\\\/de-ce-nu-aud\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/cusens.md\\\/ro\\\/investigatii\\\/de-ce-nu-aud\\\/\"},\"author\":{\"name\":\"Adela \u0218evciuc\",\"@id\":\"https:\\\/\\\/cusens.md\\\/ro\\\/#\\\/schema\\\/person\\\/4b73d2ed2f7500450ba5dde03fa23e22\"},\"headline\":\"De ce nu aud?\",\"datePublished\":\"2022-10-24T07:32:39+00:00\",\"dateModified\":\"2022-10-24T07:32:43+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/cusens.md\\\/ro\\\/investigatii\\\/de-ce-nu-aud\\\/\"},\"wordCount\":3746,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/cusens.md\\\/ro\\\/investigatii\\\/de-ce-nu-aud\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/cusens.md\\\/wp-content\\\/uploads\\\/2022\\\/10\\\/cover_ancheta-implant_clean.jpg\",\"articleSection\":[\"Investiga\u021bii\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/cusens.md\\\/ro\\\/investigatii\\\/de-ce-nu-aud\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/cusens.md\\\/ro\\\/investigatii\\\/de-ce-nu-aud\\\/\",\"url\":\"https:\\\/\\\/cusens.md\\\/ro\\\/investigatii\\\/de-ce-nu-aud\\\/\",\"name\":\"De ce nu aud? 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