Eliana Z. 2-year-old patient diagnosed with Ventricular Septal Defect (VSD) + Pulmonary Artery (PA) Band and is scheduled for Hybrid Procedure (VSD Device Closure and PA debanding). The patient resides in “Kebaa” - Matn district, with her twin brother Alexi, and parents, in their own house. The father is self-employed and works as an aluminum installer, for an irregular income. He neither benefits from NSSF nor other health insurance. The mother does not work. The patient can benefit from MOH.