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MS Power Point

  1. 1. Students’ Health in Primary Health Care Setting <ul><li>Liudmila Patoka </li></ul><ul><li>Kharkiv-La Crosse Partnership </li></ul>
  2. 2. Students’ Health Status <ul><li>Factors, effecting students’ health: </li></ul><ul><li>Instability in society </li></ul><ul><li>Environmental hazards </li></ul><ul><li>Increase in infectious diseases and tuberculosis </li></ul><ul><li>High stress level </li></ul><ul><li>Rapid increase in STI’s, AIDS, alcoholism, substance abuse, domestic and overall violence </li></ul><ul><li>Low awareness of healthy lifestyle principles </li></ul>
  3. 3. Prevalence of Central and Autonomic Nervous System Diseases Among Students (1991 - 2000)
  4. 4. Prevalence of Digestive System Diseases Among Kharkiv Univeristy Students (1991 - 2000)
  5. 5. General Morbidity Dynamics for Kharkiv University Students (1995 - 2000)
  6. 6. Students’ Health Status Based on Survey Results (1958 respondents) in 2000
  7. 7. Students’ Lifestyle Survey <ul><li>Conducted in 2000 </li></ul><ul><li>1958 respondents </li></ul><ul><li>Major areas of interest- health-related risk factors and behaviors </li></ul>
  8. 8. Emotional and Psychological Risk Factors <ul><li>1. 68.3% - are unsatisfied with their life, partially or completely </li></ul><ul><li>2. 76% - have been under stress </li></ul><ul><li>3. Over 80% - are depressed or irritated </li></ul>
  9. 9. Substance abuse <ul><li>1. 46.6% - smoke </li></ul><ul><li>2. 83.4% - use alcohol </li></ul><ul><li>3. 29.4% - tried drugs in the past or take drugs now </li></ul>
  10. 10. Sexual behavior <ul><li>1. 67.6% - start active sexual life before 18 </li></ul><ul><li>2. 68.3% - have more than one sexual partner </li></ul>
  11. 11. Diet and Exercise <ul><li>1. Diet of majority students (from 77.6 to 98.3%) is based on food with high carbohydrate content </li></ul><ul><li>2. 40% - do not eat regularly </li></ul><ul><li>3. 32% - do not exercise </li></ul>
  12. 12. Primary Health Care Clinic for Students <ul><li>Students’ PHC Clinic opened at Kharkiv Aerospace University on January 22, 2001.  </li></ul><ul><li>Population served – 6309 students, including: </li></ul><ul><li>- 2257 women (35.8%), and </li></ul><ul><li>- 969 adolescents (15.5%). </li></ul><ul><li>  3939 people (62.4%) live in dormitories (not with their family). </li></ul>
  13. 13. Specific Issues <ul><li>Remote location of Kharkiv Aerospace University students’ community from Oblast Students’ Hospital; </li></ul><ul><li>Intensive and complicated training process of technical university students; </li></ul><ul><li>Students’ low awareness of healthy lifestyle principles and infectious disease prevention . </li></ul>
  14. 14. Personnel of PHC Clinic at Kharkiv Aerospace University <ul><li>director </li></ul><ul><li>3 general practitioners </li></ul><ul><li>dentist </li></ul><ul><li>patient education instructor </li></ul><ul><li>primary exam feldsher </li></ul><ul><li>obstetrician </li></ul><ul><li>feldsher-lab worker </li></ul><ul><li>4 nurses </li></ul><ul><li>registration nurse . </li></ul>
  15. 15. Health Services Available at PHC Clinic of Kharkiv Aerospace University <ul><li>Emergency care </li></ul><ul><li>Preventive care </li></ul><ul><ul><li>Preventive examinations </li></ul></ul><ul><ul><li>Immunization </li></ul></ul><ul><li>Laboratory tests </li></ul><ul><ul><li>General blood test </li></ul></ul><ul><ul><li>General urine test </li></ul></ul><ul><ul><li>Phlegm test </li></ul></ul>
  16. 16. Health Services Available at PHC Clinic of Kharkiv Aerospace University <ul><li>Medical Services </li></ul><ul><ul><li>Internal medicine - treatment of patients with acute and chronic diseases </li></ul></ul><ul><ul><li>Neurology – diagnostics and treatment of emergency conditions, follow-up treatment after consultation by neuropathologist </li></ul></ul><ul><ul><li>Dentistry – preventive examinations, treatment of dental and mouth cavity diseases. </li></ul></ul>
  17. 17. Health Services Available at PHC Clinic of Kharkiv Aerospace University <ul><li>Medical services </li></ul><ul><ul><li>Ophthalmology – diagnostics, acuity of vision and color perception, treatment of conjunctivitis, blepharitis, keratitis, emergency care. </li></ul></ul><ul><ul><li>Surgery – primary surgical wound treatment. Treatment of uncomplicated skin and hypodermic cellular tissue diseases. </li></ul></ul><ul><ul><li>Gynecology – preventive examinations. Diagnostics, treatment of simplest non-specific diseases, family planning, cytology. </li></ul></ul>
  18. 18. Health Services Available at PHC Clinic of Kharkiv Aerospace University <ul><li>Patient Education </li></ul><ul><ul><li>Sessions with individuals and groups in the clinic </li></ul></ul><ul><ul><li>Outreach work with students (lectures in the dormitories, at the university) </li></ul></ul>
  19. 19. Our Achievements <ul><li>Health education curriculum developed for the first-year students </li></ul><ul><li>Health education needs survey conducted </li></ul><ul><li>Rectors’ Council permission granted to include health education program into the students’ time-table </li></ul><ul><li>Physicians and nurses trained using Information Resource Center capacities </li></ul><ul><li>Individual and group education sessions conducted on the following topics: </li></ul><ul><ul><li>family planning; </li></ul></ul><ul><ul><li>STI and AIDS prevention; </li></ul></ul><ul><ul><li>detection and prevention of substance abuse. </li></ul></ul>
  20. 20. Plans for the future <ul><li>Improve health education programs </li></ul><ul><li>Develop strategies for community mobilization through the involvement of NGOs, volunteers, and mass media </li></ul><ul><li>Establish students’ counseling center at Oblast Students’ Polyclinic </li></ul><ul><li>Conduct regular surveys in order to improve the delivery of PHC services </li></ul><ul><li>Open similar PHC Clinics at other Universities of Kharkiv oblast </li></ul>
  21. 21. Student’s Adaptation and Counseling Center Psychological Adaptation Substance Abuse . Crisis Situations Lecture club «Me and My Health» Hotline STI Prevention Prenatal Counseling Family Planning Exercises and Sports Healthy Diet Social Services
  22. 22. Thank You For Your Attention! <ul><li>    </li></ul>