Dorica Norwegian Romanian (No Ro) Parternership For Progress In


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Dorica Norwegian Romanian (No Ro) Parternership For Progress In

  1. 1. Balkan Congress for Rare Diseases  Norwegian-Romanian (NoRo) Partnership for Progress in Rare Diseases  Dorica Dan – presindent RONARD  June 26-27, Cluj -Napoca
  3. 3. Norwegian-Romanian (NoRo) Partnership for Progress in Rare Diseases  Applicant : Romanian Prader Willi Association  Partners:  1. Romanian Prader Willi Association  2. Romanian National Alliance for Rare Diseases  3. Norwegian PWS Association  4. FRAMBU – No Center for Rare Diseases  5. Ministry of Health Romania  6. Foundation ACASA  7. St. Family Church Zalau  8. City Hall Zalau/ DASC  9. County Council Salaj/ DGASPC  10. Medical University Timisoara  11. Romanian Society for Medical Genetics Additional partners
  4. 4. Project aim:  To improve the quality of life for people affected by rare diseases in Romania by providing equal access to early diagnosis, quality treatment and rehabilitation services through a comprehensive and accessible network of facilities and resources as set forth by the National Plan for Rare Diseases.
  5. 5. The reality of the RD  Rare diseases are chronic, life-threatening diseases, with a low prevalence and high levels of complexity (5 in 10000).  In Romania, approximately 1,500,000 patients live, according to international statistics, most diagnosed incorrectly or living without a diagnosis.  Patients are particularly isolated and vulnerable.  The life expectancy is significantly reduced  many have disabilities associated with problem behaviors and obesity.  These behavioral and weight issues become a source of discrimination and reduce or destroy any educational, professional or social opportunities.
  6. 6. Objectives :  1. Establishing a Rare Diseases Task Force- RDTF:  The main criteria for selecting members of this working group will include: a. Familiarity and knowledge of the work through the documentation: publications, training, grants; b. Had a contribution in creating protocols, recommendations; shared (partnerships) expertise with other experts ; d. Demonstrated open collaboration with organizations of patients;
  7. 7. The role of the RDTF  The role of the group: the evaluation of rare diseases in Romania (patient cases, treatments available, training needs and information) and propose actions (medical measures, educational and social, writing materials, guides to good practice, courses, curricula, etc.) and continuously updated knowledge of the role which the Ministry of Health has in connection with the activity;  Functioning: The group will meet quarterly (8 X two days meetings per project) and will analyze situations presented by each member of the group, each member will propose measures and will be informing the Ministry of Health and other ministries involved in the management of rare diseases. The maximum number of group members is 20.  Budget: Each group member will have an allowance /meeting that cover the costs of transportation, accommodation, meals. Also there will be covered the costs of communication in group, conference room for meetings, supplies, printings, publications, etc.
  8. 8. Ob. 2. New services for RD a. A training network for specialists and staff involved in the diagnosis, treatment and rehabilitation of people with rare diseases. b. Accredited online training courses (eUniversity) about rare diseases for professionals: social workers, psychologists, nurses, teachers, doctors, etc. c. A Pilot Reference Center for personalized intervention for those affected by rare diseases.
  9. 9. Ob.2. New services for rare diseases in Romania  a. Developing and implementing a training network for professionals and staff involved in the diagnosis, treatment and rehabilitation of people with rare diseases.  Organizing workshops, seminars, and training on specific areas:  Selection of a training team of trainers;  Creating curricula on specific jobs involved in RD, ex: genetic councilor;  Performing trainings;  b. The creation of accredited online training courses (eUniversity) about rare diseases for professionals: social workers, psychologists, nurses, teachers, doctors, etc.  Creating curricula for specific training themes;  Purchasing the necessary soft to perform this trainings;  Authorization/ accreditation the trainings;  Organizing the first training courses;
  10. 10. Training  Improving training capacity in the country for the prevention, diagnosis, treatment and rehabilitation of patients with rare diseases: Rezults: - a network of training specialists and staff; - accreditation / licensing of online courses (eUniversity) (on rare diseases, for professionals: social workers, psychologists, nurses, teachers, doctors, etc.)
  11. 11. The Pilot Reference Center for personalized intervention for those affected by rare diseases  3 main components + 1 external unit:  a day center for patients with rare diseases (having behaviors on the autistic spectrum)  a comprehensive training program for patients, families, caretakers and specialists involved in the management of rare diseases (FRAMBU model)  patients newly diagnosed and their families (to learn to cope with new situations more easily) The external unit:  A weight management unit in the Rehabilitation Hospital “ACASA” – for patients with neuromotor deficiencies.  We will plan so that patients who come to our courses can come before or after the period of the rehabilitation treatment that they take part in at ACASA Hospital  In addition, we will have a national database of patients, along with ACASA Hospital, with various diseases and be actively monitoring their progress.
  12. 12. Ob.3 Shared best practice network on RD (NoRo)  Organizing visits of the partners  Writing the final proposal of the project based on the best practice of the partners and the shared values and experiences in the field of RD  Organizing presentation of the project’s results in the PW EE Conference (April 2009 Romania), EURORDIS membership meeting Greece 2009, IPWSO Conference Taiwan 2010, etc.  Permanent updating of the project results on the websites;  Writing articles in the newsletters and RD journals to promote the project’s results;
  13. 13. The space received from the City Hall
  14. 14. The vision
  15. 15. The model
  16. 16. Achievements:  Relevant partnerships established during the seed money implementation;  Proper facilities for the new services;  Feasibility studies completed;  Grant offer letter signed;  A coordination team for the project implementation established at the Ministry of Health;  Official launching of the project at the 1st Eastern European Conference on PWS organized;  The first evaluation meeting of the potential members of the RDTF at the conference in Timisoara;
  17. 17. Pilot Centre for Rare Diseases:  Idea of the Centre:  A residential part:  To provide help for families after experience of diagnosing a RD;  A place to learn how to face the new situation and to dial with the disease in their every day life;  A place to organize meetings and trainings of patients;  Support groups and counseling activities for patients and families;
  18. 18. Pilot Centre for Rare Diseases:  Hospitalization of the RD patients in ACASA hospital for rehabilitation;  Establishing a data base of patients that needs rehabilitation program in ACASA;  Specializing services of the center for RD patients: weight management, individualized therapeutically approach;  Day care activities:  Individualized therapeutically approach of autistic spectrum diseases;  Behavior intervention therapy;  Occupational Therapy and Educational activities;  Recreational activities;  Support groups and counseling activities;  Weight management
  19. 19. Main interventions of the project:  To develop skills to approach the RD for patients, professionals and parents;  To maintain and improve the mental and physical capabilities of patients through individualized therapeutically approach;  To improve understanding and support of community;  To create a data base of patients with RD;  To establish protocols of assistance and care for different RD;  To start a model network in this field through the development of a strategic partnership: NGOs, national and international, Ministry of Health, Local Authorities, state departments, etc;
  20. 20. Thank you!