Here is the English translation of the medical institutions where one can receive hemodialysis medical care:

To receive hemodialysis medical care, it is necessary to apply to the following medical institutions:

In Yerevan:

• "Saint Gregory the Illuminator Medical Center"
• "Erebouni Medical Center"
• "Natalie Pharm" LLC Astghik Medical Center (MC)
• "Natalie Pharm" LLC Astghik MC (located on the premises of Mikayelyan Institute of Surgery)
• "Armenia Republican Medical Center"
• "Arabkir Medical Complex-Institute of Child and Adolescent Health"
• "Best Life" Armenian-Japanese Medical Center

In the Regions:

• "Vanadzor Medical Center"
• "Gyumri Medical Center"
• "Proftest" LLC (Hrazdan, Marshal Baghramyan Park 38)
• "Proftest" LLC (Artik, Marshal Baghramyan Building 2)
• "Proftest" LLC (Artashat, Aram Khachatryan 116)
• "Kapan Medical Center"
• "Goris Medical Center"
• "Armavir Medical Center named after Zharishat (Aram) Martini Mkrtchyan"
• "Noyemberyan Medical Center named after Nikolay Nasibyan"
• "Gavar Medical Center"
• "Martuni Medical Center"
• "Vayk Medical Association"
• "Ijevan Medical Organization"
• "Natalie Pharm" LLC Astghik MC (Stepanavan)

About the Program

The Hemodialysis (blood purification) support program covers the full scope of necessary measures for treatment: professional consultations, the conduction of laboratory and instrumental diagnostic investigations, provision of supplies necessary for carrying out scheduled hemodialysis sessions, including the initial placement of a short-term central venous double-lumen catheter, and provision of medications.

Requirements

To receive the service, the individual must be an RA citizen and must not have the following contraindications for hemodialysis:

• Malignant Neoplasms (Cancer) Stage 4: When anti-tumor treatment is no longer indicated for the patient, and only palliative medical care and service are indicated.
• Liver Cirrhosis: Terminal stage (F3-4).
• Active Pulmonary Tuberculosis (BK+).
• Two or more relative contraindications.
• Age over 80 years with the presence of at least one relative contraindication.

Relative Contraindications for Hemodialysis

The relative contraindications for performing hemodialysis are:

• Stroke or severe nervous system disorders: When the patient is in a severely hemodynamically unstable condition, has severe or complete loss of consciousness, or is in a bedridden, paralyzed state.
• Mental disorders: When, according to a psychiatrist's conclusion, the individual poses a danger to themselves or others.
• Blood clotting disorders that are not conditioned by uremia.
• The patient is in a severely hemodynamically unstable state due to heart failure (NYHA Functional Class IV), ventricular tachycardia, acute myocardial infarction, alcoholism or drug addiction.

Required Documents

To receive hemodialysis medical care, the following must be presented:

• Identification document,
• a conclusion provided by the physician who performs hemodialysis.

Delivery period and Procedure

Patients are included in the group receiving scheduled hemodialysis by the order of the director of the respective hospital, based on the conclusion of the physician performing hemodialysis, and taking into account the indications and contraindications for organizing scheduled hemodialysis.

The timeframes for providing the service are determined by the medical institutions mentioned above.

Reference to Legislation

Order No. 91-N of the Minister of Health of the Republic of Armenia (RA) dated December 9, 2021. 

The Order can be found at arlis.am.