MINISTRY OF HEALTH             INCREASING ACCESS TO HIGH QUALITY              PRIMARY PREVENTION SERVICES FOR             ...
Health status in Romania,            compared to EU•   Poorer•   Shorter LE•   Higher mortality•   NCDs Morbidity ?•   Low...
General mortality                   Men aged 0+                                              Wom en aged 0+1200           ...
Cardiovascular Mortality                         Males                                                     Fem ales700    ...
Life expectancy in Romania vs. EU15, EU 10 2002                Males             Females EU15                 76,0        ...
LE gap by causes of death,             Romania vs. EU 15                             InfectionAge group    CVD    Cancer  ...
From the real situation to the          project                    Increasing                      threat of              ...
Aim:• To build capacity for implementing  interventions for healthy nutrition and  physical activity in children and  adol...
Project partnersRO, National              Norway, National                  MoERS        MoH                              ...
Family         10
Components:1.   Research2.   Public awareness3.   Capacity building4.   Legal improvements                           11
1. Research component- Analysis of the current situation in  school children behaviors (the on-  going HBSC study) – What ...
Target behaviors•   Drinking water instead of juice•   Eating 5 portions of fruits, vegetables daily•   Eating breakfast d...
2. Public awareness campaign•   Logo VIATA (LIFE)•   TV and Radios spots•   Printed materials•   Project website•   Link f...
http://www.comunitate-   sanatoasa.ms.ro                         15
3. Capacity building - local• Eight facilitators acted in  the field• Local partnerships among  stakeholders• Local action...
3. Capacity building (2)            • Evidence on healthy              nutrition and PA            • Communication tool   ...
Tools:         18
Activities             19
Main results– 42 Partnership agreements signed among  stakeholders– County action plans - developed in all the  counties a...
Main challengesStrengthens:                     Weaknesses• Target population              • Project duration (20• Good su...
Thank you very much!                       22
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Poster presentation f furtunescu

  1. 1. MINISTRY OF HEALTH INCREASING ACCESS TO HIGH QUALITY PRIMARY PREVENTION SERVICES FOR CHILDREN AND ADOLESCENTS IN ROMANIA FL FURTUNESCU , MM ARMANU, CD DOMNARIU, I VESTEMEAN Budapest, 31st of May, 2011 PREVACT Conference 1
  2. 2. Health status in Romania, compared to EU• Poorer• Shorter LE• Higher mortality• NCDs Morbidity ?• Lower health expenditure per inhabitant 2
  3. 3. General mortality Men aged 0+ Wom en aged 0+1200 12001000 1000800 800600 600400 400200 200 0 0 1969 1974 1979 1984 1989 1994 1999 2004 1969 1974 1979 1984 1989 1994 1999 2004 EU15 Romania EU15 Romania Source: HEM Project 3
  4. 4. Cardiovascular Mortality Males Fem ales700 700600 600500 500400 400300 300200 200100 100 0 0 1969 1974 1979 1984 1989 1994 1999 2004 1969 1974 1979 1984 1989 1994 1999 2004 EU15 România EU15 România Source: HEM Project 4
  5. 5. Life expectancy in Romania vs. EU15, EU 10 2002 Males Females EU15 76,0 81,8 EU10 69,1 77,2Romania 67,3 74,7EU15+ 8,7 7,2EU10+ 1,8 2,5 5
  6. 6. LE gap by causes of death, Romania vs. EU 15 InfectionAge group CVD Cancer Others Accidents s 20-64 2,16 0,64 0,24 1,02 0,85 % 44% 13% 5% 21% 17% total 4,70 0,48 0,36 1,99 1,14 % 54% 6% 4% 23% 13% 20-64 1,24 0,35 0,05 0,50 0,16 % 54% 15% 2% 22% 7% total 5,48 0,20 0,13 1,07 0,31 % 76% 3% 2% 15% 4% 6
  7. 7. From the real situation to the project Increasing threat of overweight and Opportunity of obesity in the NorwegianHealth Cooperation children at EUstatus Programme level INCREASING ACCESS TO HIGH QUALITY PRIMARY PREVENTION SERVICES FOR CHILDREN AND ADOLESCENTS IN ROMANIA 7
  8. 8. Aim:• To build capacity for implementing interventions for healthy nutrition and physical activity in children and adolescents (age: 3 – 19) at national and local level 8
  9. 9. Project partnersRO, National Norway, National MoERS MoH researchers RAHP Y4Y IPH, Oslo 9
  10. 10. Family 10
  11. 11. Components:1. Research2. Public awareness3. Capacity building4. Legal improvements 11
  12. 12. 1. Research component- Analysis of the current situation in school children behaviors (the on- going HBSC study) – What is wrong?- Social marketing analysis - children and families - Why are they acting like this? – ACTIONS & TOOLS- Pilot intervention in schools and kindergartens –to test the appropriateness of the tools 12
  13. 13. Target behaviors• Drinking water instead of juice• Eating 5 portions of fruits, vegetables daily• Eating breakfast daily• Having at least one hour of vigorous PA/day 13
  14. 14. 2. Public awareness campaign• Logo VIATA (LIFE)• TV and Radios spots• Printed materials• Project website• Link from MoH site 14
  15. 15. http://www.comunitate- sanatoasa.ms.ro 15
  16. 16. 3. Capacity building - local• Eight facilitators acted in the field• Local partnerships among stakeholders• Local action plans for healthy nutrition and physical activity in children• Micro-projects in schools / kindergartens• Training for local stakeholders• Coaching 16
  17. 17. 3. Capacity building (2) • Evidence on healthy nutrition and PA • Communication tool • Community based interventions • Specific interventions in: – schools, – kindergartens, – family doctors 17
  18. 18. Tools: 18
  19. 19. Activities 19
  20. 20. Main results– 42 Partnership agreements signed among stakeholders– County action plans - developed in all the counties and endorsed by the local stakeholders– More than 500 micro projects - started in schools and kindergartens with a small financing from the project and a local contribution.– A guideline about how to plan, implement and evaluate local interventions– TV, Radio spots, website with resources– All the tools can be used freely from the project site http://www.comunitate-sanatoasa.ms.ro/ 20
  21. 21. Main challengesStrengthens: Weaknesses• Target population • Project duration (20• Good subject, easy to months) implement • No time to implement the• Good international micro-projects (they will evidence be implemented by the• Interdisciplinary team local teams)• Bottom-up strategy • No outcome evaluation, just process evaluation• Good transfer of the results to the institutions 21
  22. 22. Thank you very much! 22

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