The Democratic Republic of Timor-Leste (East Timor) has one national hospital, Guido Valadares National Hospital (HNGV), which is located in Dili and serves as East Timor's only referral hospital providing primary and secondary care to patients from all over the country.[1]: 28 [2] East Timor also has five other referral hospitals covering secondary health care needs;[3]: 10 these are able to carry out some surgical procedures, including appendectomies and caesarean section deliveries.[4]: 5
HNGV is the nation's only tertiary referral hospital.[5]: 2 [6] However, not all of the tertiary care organised for East Timorese patients is carried out at HNGV; most such care is administered overseas, under a limited number of overseas referrals.[7] According to Júlio Sarmento da Costa (also known by his nom de guerreMeta Mali), who was appointed Minister for the Affairs of National Liberation Combatants in May 2020 [translation]:
"Many seriously ill people including veterans have to be referred to overseas hospitals to have their health checked because in Timor Leste there is no international standard hospital including Guido Valadares National Hospital (HNGV)".[8]
Meta Mali went on to observe that the government through the Ministry of Health is therefore forced to spend a lot of money to pay for aeroplanes, hospital fees and accommodation costs for the safety of its people.[8]
As of 2011, East Timor's hospitals were supported by 65 community health centres and 187 health centres, together with 507 Servisu Integrado du Saude Comunidade (transl. Integrated Community Health Service) (SISCa) outposts serving villages and sucos to which access was difficult.[3]: 10 [9] By 2016, the number of community health centres had increased to 66, and the number of health posts to 193.[7] As of 2021[update], there were 71 community health centres, 318 health posts, seven treatment posts serving as mini health posts, and 600 SISCa outposts.[4]: 5