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Project OMS

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Project:

Tobacco cessation among youth in schools and community

 

Tobacco consumption is a major public health problem, considered a risk factor responsible for the increase in cases of severe non-communicable diseases, such as lung cancer, cardiovascular and respiratory diseases, chronic obstructive lung disease, atherosclerosis, etc. Smoking also severely affects pregnant women, causing premature births and low birth weight, and in newborns, the risk of developing sudden infant death syndrome increases.

In the Republic of Moldova, tobacco consumption and exposure to tobacco smoke is the second of ten risk factors, contributing to the burden of non-communicable diseases among men, measured in DALY (life years adjusted for disability), and the seventh – among women. In recent years, there has been a 1.4-fold increase in cancer incidence. The prevalence of diseases is also increasing, where smoking is the predominant risk factor, such as cardio and cerebrovascular diseases, lung cancer, chronic obstructive respiratory diseases. Annually, there are about 5-6 thousand deaths (about 12-14% of all deaths) due to diseases caused by tobacco consumption, including over 60% of deaths are recorded in persons of working age (mortality among men being 2 times larger than women).

According to statistics, every second Moldovan begins to smoke until the age of 19. 8.% of children between the ages of 13-15 years smoke out of which 11% are boys 11% and 3.2% girls.

In all health systems, nurses play a key role in early identification and application of short-term smoking cessation interventions. In the Republic of Moldova nurses are the largest group of health specialists. There are approximately 21,000 nurses in the Republic of Moldova. If each nurse would only help one smoker to quit each year, it would mean 21,000 smokers less annually.

The project aims to train trainers to develop and implement activities at the level of schools and communities aimed at reducing the number of smokers among young people and students.

 

The overall objective of the project is to reduce the number of smokers among school and community students and to inform them about the harmful effects of smoking on health.

 

Three groups of 20 to 23 trainers will be trained, among nurses who work in schools and among community nurses, who work in primary health care to train young people in schools and the population in the community as part of the tobacco control program.

 

Specific objectives:

  1. Preparation of the training course for trainers
  2. Elaboration of the Training Guide for trainers
  3. Elaboration of the course support for participants
  4. Monitoring the training process through testing
  5. Evaluation of field activities
  6. Description of case studies
  7. Publication of case studies in Nursing magazine

 

The expected results:

  1. Trained trainers (Order of the Ministry of Health, Labor and Social Protection) with the issuing of Certificates of Obtaining the title of Trainer in short interventions to quit smoking
  2. Course support for participants
  3. Report on the evaluation of field activities
  4. Elaboration and publication of case studies in Nursing magazine
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Project Cehia

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Project

 

“Quality and accessibility of home socio-medical care services in Republic of Moldova 2019-2022”

 

Socio-medical care services (at home and within day centers) are an important component of the social protection system, in which the state and civil society are committed to preventing, limiting or eliminating the temporary or permanent effects of certain events. considered as social risks, which can generate marginalization, social exclusion of people and families in difficulty, as well as directly influence the quality of life and health.

The creation and development of an integrated system of quality socio-medical services and adapted to the real needs of the population is a permanent concern that seeks as a result the faster and more efficient solution of the situations of difficulty, as well as the return to the active social-economic circuit.

The Republic of Moldova is facing a series of long-term challenges and trends, both at national, regional and global levels, which will have significant consequences in the coming decades. Uncertainty and unpredictability are increasing and new development paradigms must therefore be applied, taking into account internal capabilities. Thus, in order to become a society adapted to changes, uncertainties and challenges, the Parliament of the Republic of Moldova at the end of 2018 adopted the National Development Strategy “Moldova 2030”

The project “Quality and accessibility of medical and social care services at home in the Republic of Moldova 2019-2022″, implemented by Caritas Czech Republic in collaboration with the Public Association Pro-Development and the Public Association HOMECARE, with the financial support of the Czech Republic through the Program ” Czech Development Cooperation ”, tends to contribute to the social welfare of vulnerable groups, and access to medical-social assistance in the Republic of Moldova.

 

The general objective of the program is:

Supporting and strengthening the role of non-governmental organizations involved in promoting integrated medical-social care at home.

 

The program has the following specific objectives:

  1. Supporting the local public administration authorities in order to develop community-based social-home care services based on the complex needs of the beneficiary.
  2. Increase the access of the integrated medical-social service providers at home in promoting the medical and social policies at different decision levels.
  3. Encourage the creation of networks of medical-social service providers with coverage at local / district / regional level, as well as promoting the exchange of experience and mutual learning.
  4. Raising the level of awareness of all actors regarding the importance of community care.
  5. Developing the capacities of non-governmental organizations regarding the process of developing and promoting social policies.
  6. Strengthening the role of integrated social-medical service providers by applying the cross-sectoral mechanisms of cooperation in the process of assisting beneficiaries.

 

Thus, between July 1 and December 31, 2019, the Nursing Association of the Republic of Moldova within the given project implemented the program of small grants with the topic: “Education – a chance for integrated quality community services”.

The overall objective of the program is to improve the quality of life of the beneficiaries and their families by training the trainers involved in integrated community care (carers, carers, social / medical workers) and practicing the practical skills.

 

The aim of this program is to train more people who do not have medical education to cover integrated community care services. The training of caregivers, caregivers, social workers / social workers and their involvement in the care of patients at home will contribute to improving the quality of life of the beneficiaries and their families.

At the same time, the program has the role of promoting the training of carers, caregivers, social workers / social workers and mobilizing people without medical studies but well trained in the process of providing integrated community care services throughout the territory of the Republic of Moldova.

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Nursing Now – campaign

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Nursing Now, a three-year global campaign (2018-2020), aims to improve health by raising the profile and status of nursing worldwide. Run in collaboration with the World Health Organization and the International Council of Nurses, Nursing Now seeks to empower nurses to take their place at the heart of tackling 21st Century health challenges and maximize their contribution to achieving Universal Health Coverage

The campaign will focus on five core areas: ensuring that nurses and midwives have a more prominent voice in health policy-making; encouraging greater investment in the nursing workforce; recruiting more nurses into leadership positions; conducting research that helps determine where nurses can have the greatest impact; and sharing of best nursing practices.

The campaign is based on the findings of the Triple Impact report. The report concluded that as well as improving health globally, empowering nurses would contribute to improved gender equality – as the vast majority of nurses are women – and build stronger economies.

The campaign is being run as a programme of the Burdett Trust for Nursing, an independent charitable trust based in the UK. The Campaign Board includes individuals from 16 countries alongside representatives from the International Council of Nurses and the Burdett Trust for Nursing as well as the Director of WHO’s Health Workforce Department, Jim Campbell. The campaign is co-chaired by Lord Nigel Crisp, co-chair of the UK All-Party Parliamentary Group on Global Health, and Professor Sheila Tlou, Co-Chair of the Global HIV Prevention Coalition.

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Nurses: o voice to lead – Health for all!

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Every year, on May 12, we celebrate the work of nurses whose role in the healthcare system is major. The International Nurses Day is celebrated worldwide to highlight the important role of this profession. May 12 marks the birthday of Florence Nightingale, the founder of this profession. She founded the first nursing school at “St. Thomas” in London in 1860.

Today nurses represent the largest category among healthcare professionals. This is understandable because they carry most of the work in a medical facility. We are a profession – a profession that deserves respect and distinction. We want nurses to participate actively in decision-making so that they can directly forward the messages to everyone and their voice to be heard.

The achievements and the problems faced by the nurses were discussed at the National Conference on the International Nurses Day with the title “Nurses – a leading voice in health for all”, which took place in Falesti. The organizers of the event are the Nursing Association of Moldova, Falesti rayon council,  Falesti Hospital and Falesti Health Center. The inauguration of the conference took place with an  ensemble of violinists and the folk ensemble “Favorit”. Dr. Viorel Babii – the district president, Mr. Iurie Osoianu – Director of the Hospital and Mrs. Nina Sciastlivii – head of Falesti Health Center, welcomed the participants with opening speeches. The works of the national conference continued with issues related to the health system in the Republic of Moldova, where presenters were Mrs. Elena Stempovscaia – the president of the Nursing Association of Moldova, Mrs. Virginia Salaru – vicedecan of Medicine University “Nicolae Testemitanu”, Mrs. Maria Munteanu – assistant professor, Vice-president of the Nursing Association, Mrs. Tatiana Dnestrean – Expert, HEALTHY LIFE Project, Mrs. Mariana Negrean – Deputy Director of Center of Excellence in Medicine and Pharmacy “Raisa Pacalo”, Mr. Andrei Esanu, Mrs. Svetlana Nojac – Representative of the Company “Nestle”.

For outstanding merit in the health area, nurses were granted with diplomas from the Ministry of Health, Labor and Social Protection and the National Union “HEALTH”. The National Conference is part of a large number of activities undertaken within the Nursing Now Campaign, including:

  1. Charity actions – nurses from two hospitals in Chisinau – Municipal Hospital for Children “V.Ignatenco” and Municipal Hospital for Children No.1 organized humanitarian aid and helped two vulnerable families.
  2. Participation in the Charity Concert “Helpful Hands” to support home care services, (attended by 100 nurses)
  3. In the medical institutions were organized flashmobs to support the “Nursing Now” campaign, the winners of this event were: I place – Institute of Urgent Medicine, II place – Institute of Neurology and Neurosurgery, III place – Dental Clinic for the children
  4. Contest for “Best Nurse” voted by patients at district, republican, municipal, and primary health care levels. The winners are: Angela Vieru – Glodeni District Hospital, Vera Busuioc – Municipal Clinical Hospital Nr.1, Elena Rosca – Oncological Institute and Olga Aga – IMSP Health Center Râşcani district, Chisinau
  5. Photo contest from the activity of nurses: I place – Institute of Urgent Medicine; II place – Hospital of the Ministry of Health, Labor and Social Protection and the Republican Clinical Hospital; III place – Mother and Child Institute and Municipal Children’s Clinical Hospital No.1
  6. Another contest was for the best essay “My choice to become a nurse” were written 118 essays. All essays were mentioned with the “Dedication to Profession” badge and the essays have been published in the book “Golden Files from the History of Nurses of the Republic of Moldova”.

We wish to congratulate all nurses with this professional holiday! Good luck should always accompany you, and dreams come true! We wish you health, peace and warmth in your families!

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EE-COE II End Project Meeting

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Tobacco consumption is one of the causes of preventable death. In the 20th century, tobacco consumption killed 100 million people. In 2015, more than 1.1 billion people were smokers. More than 600,000 people, over 25% of whom will die due to exposure to secondhand smoke. By 2030, the total deaths from tobacco use could increase to 8 million people annually.

On June 5, 2019, the Nursing Association of Moldova participated in the end project meeting which took place in Bled, Slovenia. Three people participated on behalf of the Nursing Association of Moldova. During the end project meeting, each participating country presented its final report on the project. Each country presented its planned activities, the problems, barriers encountered, and the lessons learned under the project. Under the EE-COE II project, the Nursing Association of Moldova has carried out a series of activities:

  1. Dissemination of project activities
    a) web page nursing94.org, Facebook social network
    b) monthly meetings of the Nursing Association Council
    c) publishing articles in NURSING magazine (total published – 15 articles)
  1. Informing the community by presenting a communication at the National Conferences on Tobacco Cessation
    a) National Conferences on International Nurses Day – 3 conferences with a total number of participants 1310
    b) Institutional Conferences – 3 conferences with a total number of participants 295
    c) Presentations at 2 International Conferences
  1. Distance learning (e-learning) with a result of 20 nurses who have completed all the learning stages.
  1. Flashmobs – 4 with a total of 335 participants
  1. Short seminars for different categories of nurses (from the hospital, health centers, schools, family nurses, etc.) and medical students – 5 short seminars with a total of 102 participants
  1. Publication of the Nurse’s Guide – Tobacco Control (information and interventions for nurses) distributed 800 copies
  1. In-person nursing workshops (training course)
    a) 1 year – 5 workshops with a total number of participants 114
    b) 2 year – 8 workshops with a total number of participants 233

Problems and difficulties

  • Lack of a statistical database at country level
  • Lack of knowledge in information technologies by nurses
  • Lack of access to computers and Internet in rural regions
  • Barriers and pressures from the tobacco industry

Lessons Learned

  • International experience in training strong leaders and fight against smoking
  • Obtaining leadership skills at European level
  • Creating examples of good practices for future projects.

On June 6, the team from Moldova had the opportunity to attend the 12th International Scientific Conference “Challenges and needs of the society in the area of prevention and promotion of health at all levels of health care”. At the conference participated nurses from various countries as Italy, Hungary, Slovenia, Kazakhstan, Canada, the UK, Kosovo and many others. The presentations were actual and very interesting for all nurses as were presented scientific data and research in nursing are.

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NURSING, GLOBAL HEALTH AND UNVERSAL HEALTH COVERAGE

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MESSAGE FROM THE ICN PRESIDENT

Every year, the International Council of Nurses chooses a theme for International Nurses Day, celebrated on 12 May, the birthday of Florence Nightingale. For the past two years we have celebrated the voice of nursing with the theme Nurses: A Voice to Lead. In 2017, we discussed the role of the nursing voice in achieving the Sustainable Development Goals, and in 2018, we looked at the human right to health. This year, we look at the nursing voice from the standpoint of Health for All.

Nurses all over the world every day are advocating for Health for All in the most challenging circumstances with limited resources to deliver health care to those most in need. This can be seen in Uganda (p. 20) where the nursing staff visit villages to teach basic health tips particularly related to personal and household hygiene and sanitation. The nurses build close relationships with the community and collaborate with the local Village Health Worker. It can also be seen in the USA (p. 6), where nurses are partnering with social workers to develop deep community relationships and local expertise to bring high-quality health care and coordinated services to individuals struggling with homelessness, addiction and transition from incarceration. And nurses, who are closest to the patient, are also helping to bring their voice to the policy table. The first ever UN High-Level Meeting (HLM) on Universal Health Coverage (UHC) will be held during the 2019 United Nations General Assembly (UNGA). This is an opportunity for nursing to let our voice be heard. We need to be prepared, and this resource and evidence document will help nurses around the globe understand the various aspects of universal health coverage and the role of nurses. ICN believes that nurses, as part of a multidisciplinary team, can create health systems that take into account the social, economic, cultural and political determinants of health.

We can address health inequalities and, through a refocusing on health promotion and illness prevention, using a population health approach, we can improve the health of everyone everywhere. And finally, we believe that the time is ripe for nurses to assert their leadership. As the largest health profession across the world, working in all areas where health care is provided, nursing has vast potential and value if appropriately harnessed to finally achieve the vision of Health for All.

Annette Kennedy
President International Council of Nurses

In order to download and see the whole document please click here.