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Human rights in patient care – A Practitioner’s Guide

The “Human rights in patient care – A Practitioner’s Guide” project aims to create accountability in the patient care process to prevent the breach of human rights and to promote the implementation of patient rights protection laws.

The main objective of the project – the set-up of a group of jurists with good understanding of the human rights aspects in patient care and of the relevant legal tools to promote the development of this legislative field.

The results of the project:

  • The project was kicked-off in Oct 2013 through a first meeting, with the participation of an US consultant alongside Romanian specialists. The agenda of the meeting included discussions on the Practitioner’s Guide content, the accountabilities of the main authors and co-authors for the chapters/topics of their respective competence, the duration of the preparation of each chapter, as well as a Q&A session. The participants have also agreed the internal communication strategy covering the various project deadlines.
  • The elaboration of each chapter has started with a research period, 6-8 weeks, the writing period is estimated to last for 5 months, while the editing process 4 months, just as the translation period.
  • The editing and translation periods will run in parallel. The documentation is bilingual and there will be two editing processes. The chapters written by foreign authors will be translated in Romanian, while the chapters written in Romanian will be edited by a Romanian editor and then translated in English, following the English layout and model.
  • The printing of the Guide covers July-Aug 2014.

 

The project period covers October 2013-October 2014 and the financing is provided by the Open Society Foundation – the Public Health Program.

 

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Health Workers for and All for Health Workers – HW4ALL

The “Health Workers for and All for Health Workers – HW4ALL” project has as general objective the strengthening of the collaboration and exchange of best practices, as well as the development of adequate tools to support the human resources policies for health workers in the EU member states, which will contribute to equal access to health care.

The specific objective of the project is enhancing the degree of awareness, understanding and involvement of the European decision makers in revising the policies and practices that have proven to be counterproductive for the health-care HR area, so that the acute staff shortages are properly addressed and the Millennium Development Goals are attained.

Everybody should have access to health services. If, however, the global health-care human resources deficit remains unchanged, 1 billion people around the world will not see any medical staff during their life time.

Currently, Romania has the smallest number of medical personnel in proportion to its population from the EU member states, and the migration phenomenon continues at an alarming pace. One needs to take common action at global level for the creation of a sustainable health-care work force and the strengthening of the health-care systems is needed at global level.

The “Health Workers for and All for Health Workers – HW4ALL” project has been launched with the opening of the “International Health-care Workers Week (April 8th-12th, 2013) and is actively supported by the World Health Organization (Who) - The European Region Bureau, which plays an important role in the efforts of the Global Health-Care Workers Alliance to develop a sustainable work force in the health-care area.

The project implementation partners are: African Medical and Research Foundation (Italy), CHPS (Romania), Humanitarian Aid Foundation Redemptoris Missio (Poland), Health Poverty Action (UK), Medicus Mundi International Network, Memisa Belgium (Belgium), Federation of Associations of Medicus Mundi (Spain), Terre des Hommes (Germany), and Wemos (The Netherlands) as coordinator.

 

2013 Results:

  • The development and preparation for publication of the operational set for users. This contains useful tools for the initiation of a constructive dialogue among the stakeholders for the identification of viable solutions, which to address both the issue of the current migration crisis of the medical staff from Romania, but also the same issue at European and global level. The key WHO reference materials, now also available in Romanian, are: the WHO Global Practice Code for the international recruitment of medical staff, A user’s guide for the European decision makers, the Kampala Declaration.
  • The development of a health-care human resources analysis at national level – comprehensive study based on a national survey, the running of semi-structured interviews, the consulting of the key stakeholders and experts in the area of health-care human resources, with the identification and write-up of recommendations that will contribute to developing and advocating for coherent and sustainable health policies, strategies and interventions, which would help ensure adequate levels of human resources in the long term at the national level, while also accounting for the European context and the global trends.
  • The launch, together with the project partners, of the on-line collaboration plaftform, an internet-based space, where all stakeholders are invited to collaborate, to exchange ideas and best practices and spell out proposals for addressing the health-care human resources issue at national, European and international levels. The users of this online collaboration platform will have the opportunity to join the efforts to change the current situation, directly contributing to increasing the coherence of the development and cooperation policies and of the health-care work force support and retainment policies at national and EU level.
  • The identification of best practices regarding the recruitment of medical staff – at local (operational) and central (decision-making) levels – is a constant process during the project implementation. In 2013, there were identified 4 cases that can be considered best practices and which are in process of being documented, after which they will be published, after validation, as per the eligibility criteria agreed among the multi-national partnership of the project.

 

The project takes place during January 2013 – December 2015.  The financing is provided by the EU/Europe Aid.

 

Regionalization of the Pediatric Emergency and Intensive Care Medical Services System in the Republic of Moldova

The Romanian-Swiss “Regionalization of the Pediatric Emergency and Intensive Care Medical Services System in the Republic of Moldova” (REPEMOL) project is a continuation of the programs started by the Swiss Government, through the Swiss Development and Cooperation Agency (SDC) to support the improvement of the mother and child health services in the Republic of Moldova.

The REPEMOL project is a complex, multi-dimensional intervention on the health system and the health condition of the population from the Republic of Moldova.

It has started in 2008, as a result of the direct request of the Rep. of Moldova Health Ministry to the SDC.

The project aims to increase the effectiveness and efficiency of the pediatric health care system, addressing the Health Ministry strategy on the regionalization of health care in the Rep. of Moldova.

The project has been developed in accordance with the SDC Cooperation strategy for the support of the health-system reform in Rep. of Moldova and for providing universal and equitable access for all mothers and children to adequate health services (perinatal assistance, pediatric care, sexual and reproductive health for young people).

 

The official inauguration of the Emergency Care Unit from the Cahul Regional Hospital

Source:http://www.swiss-cooperation.admin.ch/moldova/ro/Home/News/News_Detail?itemID=221105

The REPEMOL project foresees a decentralized, regionalized pediatric health-care system, with regional pediatric centers/hospitals that provide quality and non-discriminatory health-care services to all children of 0-18 years from the 3 virtual regions (North, Center and South). The project aims to strengthen the capacity of the regional pediatric centers and to support the development of an effective medical transport system for referring severe cases to the regional pediatric centers. Ideally, all infants and children from the Rep. of Moldova who have severe conditions will have equal access to emergency and intensive care in the regional centers.

Poster from the National Campaign for the prevention of domestic accidents among children of 0-5 years – “A household with no dangers for your child!”

The results and outputs from the previous project phases:

Result 1: At the administration policy level, improved financing and delivery of the emergency and intensive care services.

Output 1.1 – Regionalized pediatric emergency care system and regulated, implemented and monitored pediatric intensive care system

Result 2:  At the service provider level – the delivery of emergency and intensive care services available and accessible across the country.

Output 2.1 – Modern pediatric emergency and intensive care units are set-up and get the needed equipment.

Output 2.2 – Human resources are properly trained for the emergency and intensive care services.

Output 2.3 – Quality-assurance mechanisms are developed and implemented for the pediatric emergency and intensive care.

Result 3: At the community level – the communities, the mothers and fathers have improved the supervision of their children, have taken measures to prevent domestic accidents for their children and know when to use the emergency services.

Output 3.1  - Better awareness and information among the adults in a family regarding children’s domestic accidents and the available regional emergency services.

The project takes place during 2008-2017 (3 phases) and the financing is provided by SDC - Swiss Development and Cooperation Agency. 

The Salzburg Medical Seminars

CHPS, in collaboration with the American Austrian Foundation (AAF) and Open Society Institute New York (OSI) runs, in Romania, the The Salzburg Medical Seminars program.

The purpose of this program is to bring together physicians and professors from renown hospitals from the US and young physicians from Central and Eastern Europe, Central Asia and the ex-USSR countries so that the latter find out about the latest evolutions from the health-care area.

The Salzburg Medical Seminars program targets specialist physicians and last-year residents fluent in English. The transportation, accommodation and meals are covered by the American Austrian Foundation.

2013 results have covered:

  • 35 seminars for which 99 physicians have applied;
  • 33 physicians have been selected for and participated to the Medical Seminars

The project has started in 1999 and the financing is provided by Open Society Institute New York and  the American Austrian Foundation.