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ROMANIAROMANIAMINISTRY OF HEALTHMINISTRY OF HEALTH
GENERAL DIRECTORATE OF GENERAL DIRECTORATE OF PUBLIC HEALTHPUBLIC HEALTH
Health Promotion UnitHealth Promotion Unit
Cristina Padeanu, MSc. Cristina Padeanu, MSc.
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 22
DRUG SOCIAL INTERVENTION DRUG SOCIAL INTERVENTION PROGRAMMES: A VIEW FROM THE PROGRAMMES: A VIEW FROM THE
PUBLIC HEALTH SERVICESPUBLIC HEALTH SERVICES
MADRIDMADRID
28 - 29TH OF NOVEMBER 200328 - 29TH OF NOVEMBER 2003
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 33
Romania - health system reform - decentralisation and privatisation - national programs for health follow the enforcement of E.U. decisions
Main objectives - 2003:
- Improving the population health statusImproving the population health status prevention and control of the communicable and
non-communicable diseases and health promotion measures - NO DISCRIMINATION ON ETHNICITY-Institutional capacity building and professional development according to the implementation of the Community acquis.
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 44
NATIONAL PROGRAMS OF PUBLIC NATIONAL PROGRAMS OF PUBLIC HEALTHHEALTH
GENERAL DIRECTORATE OF PUBLIC HEALTH HEALTH PROMOTION SUBPROGRAM
INFORMATION AND EDUCATION CAMPAIGNS,INFORMATION AND EDUCATION CAMPAIGNS, INCLUDING DRUG USE PREVENTION INCLUDING DRUG USE PREVENTION
INVOLVING DECISION MAKERS, MASS MEDIA , PARENTS INVOLVING DECISION MAKERS, MASS MEDIA , PARENTS SCHOOL , TEACHERS AND STUDENTSSCHOOL , TEACHERS AND STUDENTS
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 55
MINISTRY OF HEALTH MINISTRY OF HEALTH GENERAL DIRECTORATE OF PUBLIC HEALTH
HEALTH PROMOTION UNIT
42 HEALTH PROMOTION UNITS WITHIN THE DISTRICT PUBLIC
HEALTH DIRECTORATES
NATIONAL CENTER OF HEALTH PROMOTION
NATIONAL NETWORK OF NATIONAL NETWORK OF HEALTH PROMOTION UNITSHEALTH PROMOTION UNITS
Supervision Technical support
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 66
HEALTH PROMOTIONHEALTH PROMOTION
A strategy for mediation between A strategy for mediation between individuals and their environmentindividuals and their environment
A health policyA health policy
An approach through health An approach through health educationeducation
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 77
PROMOTING …HEALTH PROMOTING …HEALTH PROMOTIONPROMOTION
Ottawa Declaration in 1986: Ottawa Declaration in 1986:
-setting up public health policies-setting up public health policies
- establishing favourable environments - establishing favourable environments for healthfor health
- strenghtening the community action- strenghtening the community action
- developing the individual abilities- developing the individual abilities
- changing the objectives of heatlh - changing the objectives of heatlh servicesservices
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 88
EU Strategy and Action Plan on
Drugs
2000 - 2004
has been transposed
by:
ADOPTED IN FEBRUARY 2003
National Strategy on Drugs 2002 - 2004
ACTION PLANS OF THE GOVERNMENTAL PARTNERS
INCLUDES: DRUG DEMAND REDUCTION
SUPPLY REDUCTION
DRUG PREVENTION ACQUIS
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 99
OTHER ORGANISATIONS THAT OTHER ORGANISATIONS THAT DEVELOP ACTIVITIES IN THE FIELDDEVELOP ACTIVITIES IN THE FIELD
ANTIDRUG NATIONAL AGENCY ANTIDRUG NATIONAL AGENCY MINISTRY OF EDUCATIONMINISTRY OF EDUCATION NGOSNGOS Governmental Decision on financial Governmental Decision on financial
support for NGOs which develop support for NGOs which develop activites in the public health field - in activites in the public health field - in action starting with 2004action starting with 2004
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 1010
PREVENTION PROGRAMMESPREVENTION PROGRAMMES
Health Education Curricula with topics on Health Education Curricula with topics on prevention of drug useprevention of drug use
Adapting the successful program Adapting the successful program “Barbacana”“Barbacana”
Involving professionals in the health Involving professionals in the health field, especially family doctors (“gate-field, especially family doctors (“gate-keepers”)keepers”)
Surveying the behaviour and attitudes of Surveying the behaviour and attitudes of students toward drug usestudents toward drug use
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 1111
MEDICAL INTERVENTION, MEDICAL INTERVENTION, PSYCHOLOGICAL SUPPORT AND PSYCHOLOGICAL SUPPORT AND
REHABILITATIONREHABILITATION Preparing curricula on drug use Preparing curricula on drug use
treatment and rehabilitation for treatment and rehabilitation for undergraduate medical studentsundergraduate medical students
Specialisation in the field of addictions Specialisation in the field of addictions organised by “Aliat” and EATI (Ne) organised by “Aliat” and EATI (Ne) with support from MoHwith support from MoH
more treatment centres proposed for more treatment centres proposed for financing from the state budgetfinancing from the state budget
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 1212
HARM REDUCTION PROGRAMSHARM REDUCTION PROGRAMS
NGOs develop harm reduction NGOs develop harm reduction activities other than MM based on a activities other than MM based on a ministerial order ministerial order
HIV testing and counselling available HIV testing and counselling available for drug users, based on free will and for drug users, based on free will and confidentialityconfidentiality
Organising the activity of hepatitis B Organising the activity of hepatitis B and C testing for drug usersand C testing for drug users
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 1313
ARE THE PROGRAMMES EFFECTIVE ARE THE PROGRAMMES EFFECTIVE FOR THE ROMA COMMUNITY AND FOR THE ROMA COMMUNITY AND HOW SHOULD WE ADDRESS HOW SHOULD WE ADDRESS THE PROBLEM OF DRUG USE THE PROBLEM OF DRUG USE AMONG ROMA PEOPLE?AMONG ROMA PEOPLE?
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 1414
IS IT DRUG USE A PROBLEM FOR IS IT DRUG USE A PROBLEM FOR ROMA COMMUNITY?ROMA COMMUNITY?
Statistical data: a small number of Statistical data: a small number of Roma people asking for treatment Roma people asking for treatment butbut
Almost 50% in harm reduction Almost 50% in harm reduction programs belong to Roma communityprograms belong to Roma community
The importance of being accepted in The importance of being accepted in the “group” the “group”
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 1515
ROMA COMMUNITY INVOLVEMENT IN PREVENTION
PARTNERSHIP PROGRAMSPARTNERSHIP PROGRAMS
REACHING TO THOSE WHO ARE NOT IN SCHOOLSREACHING TO THOSE WHO ARE NOT IN SCHOOLS
REACHING TO THOSE WHO ARE NOT AWAREREACHING TO THOSE WHO ARE NOT AWARE
RAISING AWARENESS OF POPULATION: THIS IS A RAISING AWARENESS OF POPULATION: THIS IS A
MATTER THAT ALL OF US SHOULD CARE ABOUTMATTER THAT ALL OF US SHOULD CARE ABOUT
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 1616
PLANNED:PLANNED:
Involvement of health mediator who has responsibilities for health promotion
campaigns
SPECIFIC PREVENTION PROGRAMMES
29.11.200329.11.2003 Cristina PADEANUCristina PADEANU 1717
CONCLUSIONCONCLUSION
Public health programmes are in Public health programmes are in place for the entire populationplace for the entire population
More programs on prevention and More programs on prevention and treatment of drug use, especially treatment of drug use, especially addressed to those groups in need, addressed to those groups in need, but but
the roma community involvement is the roma community involvement is essential essential