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SLOVAK REPUBLIC INTIATIVES OF COMMUNITY IN PUBLIC HEALTH PROMOTION PARTNERSHIP AIHA project METROHEALTH SYSTEM, MEDICAL CENTER, CLEVELAND, OHIO, USA and.

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Presentation on theme: "SLOVAK REPUBLIC INTIATIVES OF COMMUNITY IN PUBLIC HEALTH PROMOTION PARTNERSHIP AIHA project METROHEALTH SYSTEM, MEDICAL CENTER, CLEVELAND, OHIO, USA and."— Presentation transcript:

1 SLOVAK REPUBLIC INTIATIVES OF COMMUNITY IN PUBLIC HEALTH PROMOTION PARTNERSHIP AIHA project METROHEALTH SYSTEM, MEDICAL CENTER, CLEVELAND, OHIO, USA and TOWN TURCIANSKE TEPLICE, SLOVAK REPUBLIC Conference AIHA 2001, Washington April 2001 Alena CHLAPIKOVA, MD vicemayor of town Turčianske Teplice

2 SLOVAK REPUBLIC Public health is what we, as a society, do collectively to assure the conditions in which people can be healthy. Institute of medicine GOAL OF PUBLIC HEALTH: IMPROVE HEALTH THROUGH PREVENTION: promote healthy behaviors protect the population from hazards in the environment prevent disease and injury

3 SLOVAK REPUBLIC

4 SUBJECT OF INTEREST: Environment (social, economical, physical) Healthy lifestyle Health care promotion (availability, quality) PARTNERSHIP established through AIHA financed by USAID Town Turčianske Teplice, SLOVAKIA MetroHealth System Medical Center Cleveland, OHIO Turčianske Teplice is a small district in Middle Slovakia with citizens, which center is a spa town Turčianske Teplice - a founding member of National Healthy Cities Network in Slovakia Definition of a healthy community partnership: “A relationship between equals that seeks to accomplish more by joint effort than can be accomplished by any single member alone.” SLOVAK REPUBLIC

5 STEPS: data collection and analysis of the current situation in health of inhabitants official signing of the MEMORANDUM OF UNDERSTANDING (JANUARY 1996) definition of regional problems study stay of the Slovak leaders of the project in MHS, OHIO, USA objectives short term and long term contacts with Slovak community in USA preparation of three concrete projects mobilization of all sectors of the community SLOVAK REPUBLIC

6 DEFINITION OF REGIONAL PROBLEMS: stress originating from present political and social changes alcoholism family dysfunction decreasing trend on the birth rate high presence of cardiovascular diseases unsatisfactory status of technical equipment in the health sector a late resuscitation due to a slow transport ! SLOVAK REPUBLIC

7 COOPERATION: local government elected by representative non-government organizations - public associations, Slovak Red Cross, sports clubs, Retired People´s club, Disabled People´s Associations state sector - health facilities, employment office schools profit organizations PROJECT PROMOTION: councils of the Municipal Parliament local massmedia art and literature school competition billboards, posters SLOVAK REPUBLIC

8 Mobilization of the public -by way of the Health council of the Municipal Parliament with different clubs, citizens, associations, committees Healthy lifestyle and cultural activities promotion - financial contributions for sport clubs, cultural agency, Primary Art School and other school- - 10% of the town budget, festivals for young people Health sector - sponsorship, support of blood donation, active support of privatisation in the health sector Intermunicipal collaboration - (for example - building of the dump with 16 viliges) SLOVAK REPUBLIC

9 PROJECTS AMBULANCE Participants: Foundation for the support of Horny Turiec Health Sector, AIHA, Turcianske Teplice, villages of Horny Turiec, profit organizations, particular inhabitants, Community of Slovak Origin in Cleveland Bratislava Sister City Public collection revenue = Sk Result: ambulance CITROEN mil. Sk January 1997 obtained for the use of the health sector October established Emergency Medical Service for district Turčianske Teplice in cooperation local government, employment office, Ministry of health and University Hospital in Martin SUCCESS SLOVAK REPUBLIC

10 FAMILY STRESS - pilot project Objectives: to determine the number of children with “risk profile” in the district to cooperate internationally in the data collection concerning the problems of today's young generation to identify the main problems, which should be the priority of interest in the future Subject of the research: Children and teenagers of the age between living in T.T. district, parents in 500 families Number of respondents: 1850 = 85% of all children and teenagers Professional leader of the project: Mrs. Elaine Borawski, behavioural epidemiologist, Medical Faculty of Case Western Reserve University, Cleveland, who analyses the results of this research. End of the project: august 1997 Results are used by schools, Municipal Health Advice OFFICE for healthy education teenagers: drugs, Alcohol and smoking teen pregnancy prevention - contraception sexually transmitted diseases cardiovascular and cancer diseases education for healthy life style SLOVAK REPUBLIC

11 MUNICIPAL HEALTH ADVICE OFFICE (HAO) In cooperation with the State Health Institute (SR), with a partner expert team of METROHEALTH SYSTEM, CLEVELAND, OHIO, USA, under the coordination of AIHA, Washington USA and USAID. Activities: - Health Advice Office aimed to: Limit the level of the health risk of the client with regarding risk factors of long-term non-infections diseases especially cardiovascular diseases and diabetes, using selected biochemical markers suitable for screening examinations Advise on interventions in all spheres having influence on life style Educate healthy lifestyles by means of lectures on proper diet at schools, aimed at groups of citizens, in enterprises, in massmedia and by providing health educational materials date of opening HAO: 24. November 1997 SLOVAK REPUBLIC

12 NORMAL AND INCREASED LEVELS OF THE BLOOD CHECKS (IN %) OF HAO CLIENTS CHOLESTEROL LEVELS GLUCOSE LEVELS LEVELS OF THE BLOOD PRESSURE OF THE HAO CLIENTS 67% Increased levels Normal levels 33% Normal levels 80% Increased levels 20% Normal levels 45% Increased levels 55% Number of visitors : 1998: : : 2309 Number of biochemical examinations: 1998: : : 1823 SLOVAK REPUBLIC

13 Educational Themes Number of Educated Children: 2246 First AidAge Drug Prevention Education Preventing of smoking Non-Smoking Promotion Consequences of Smoking Healthy Lifestyle Promotion Prevention of CVD, Diabetes etc. Importance Of Exercise For Health Healthy Eating Family Planning Education SLOVAK REPUBLIC

14 All three projects are the result of hundreds of hours of a hard work by both teams and a self sacrificing personal approach of partners from METROHEALTH SYSTEM Contribution of the partnership: acquirement of professional experience in the area of prevention qualified professional leadership from MHS acquirement of skills needed to mobilize the public knowledge concerning the willingness and charity principle leading to volunteerism computer equipment (computers, modem, internet ) creation of contacts and friendly relationships with the perspective of continuing to development creation of the basis for further cooperation in the wider region SLOVAK REPUBLIC

15 IN CONCLUSION I WOULD LIKE TO EXPRESS OUR HEARTY THANKS TO ALL PEOPLE FROM METROHEALTH SYSTEM MEDICAL CENTER IN CLEVELAND OHIO, TO AIHA, US AID, TO OUR FRIENDS FROM CLEVELAND-BRATISLAVA SISTER CITY ORGANIZATION AND ESPECIALLY TO OUR LOVELY FRIEND MRS MARY JO KESHOCK AIHA SLOVAKIA COUNTRY COORDINATOR, DURING THE PARTNERSHIP PROGRAM, ALSO TO MRS. BERNICE BENETT, AIHA HEALTHY COMMUNITIES PROJECT COORDINATOR, TO PRIYA CHANDRA FORMER SLOVAKIA COUNTRY COORDINATOR Dr. ELAINE BORAWSKI,DR. GEORGE WIENER AND ALL, WHO HELPED US TO SUCCESFULLY BRING OUR PROJECTS INTO LIFE. THE ROAD TO COMMUNITY CHANGE


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