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The assign­ment of neo­na­to­lo­gist Anto­nia Bar­tetz­ko las­ted a total of six weeks, mar­king the offi­ci­al start of the GZI “Cli­nic Part­ner­ships” pro­gram bet­ween Cha­ri­té Ber­lin and the Refer­ral Hos­pi­tal in Thim­phu, Bhu­tan. During her attach­ment, she accom­pa­nies her medi­cal col­le­ague – he is the coun­try­’s only neo­na­tal phy­si­ci­an! – in the pedia­tric inten­si­ve care unit. She par­ti­ci­pa­tes in mor­ning rounds and dis­cus­ses dise­a­se detec­tion and the­ra­py for cri­ti­cal­ly ill infants with her spe­cia­list col­le­agues. The Ber­lin doc­tor offers num­e­rous trai­ning cour­ses on various topics, in which dif­fe­rent resi­dent doc­tors repea­ted­ly par­ti­ci­pa­te to report on their dai­ly work and pre­sent spe­cial cases. The nur­sing staff in the wards are also invol­ved in the fur­ther trai­ning mea­su­res to impro­ve the medi­cal stan­dard of pre­ma­tu­re and neo­na­tal care.

A major pro­blem in Bhu­tan is the lack of fol­low-up care for pati­ents in the pro­vin­ces, as both infra­struc­tu­re and out­pa­ti­ent doc­tors are lack­ing in the coun­try. Curr­ent­ly, the­re are only 18 trai­ned pedia­tri­ci­ans in the enti­re coun­try.