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

“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.

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.