1. ROMANIA MINISTRY OF HEALTH GENERAL DIRECTORATE OF PUBLIC HEALTH Health Promotion Unit Cristina Padeanu, MSc.

2. 29.11.2003 Cristina PADEANU 2 DRUG SOCIAL INTERVENTION PROGRAMMES: A VIEW FROM THE PUBLIC HEALTH SERVICES MADRID 28 - 29TH OF NOVEMBER 2003 28 - 29TH OF NOVEMBER 2003

3. 29.11.2003 Cristina PADEANU 3 Romania - health system reform - decentralisation and privatisation - national programs for health follow the enforcement of E.U. decisions Main objectives - 2003: Improving the population health status - Improving the population health status prevention and control of the communicable and non-communicable diseases and health promotion measures - NO DISCRIMINATION ON ETHNICITY -Institutional capacity building and professional development according to the implementation of the Community acquis.

4. 29.11.2003 Cristina PADEANU 4 NATIONAL PROGRAMS OF PUBLIC HEALTH GENERAL DIRECTORATE OF PUBLIC HEALTH HEALTH PROMOTION SUBPROGRAM INFORMATION AND EDUCATION CAMPAIGNS, INCLUDING DRUG USE PREVENTION INCLUDING DRUG USE PREVENTION INVOLVING DECISION MAKERS, MASS MEDIA, PARENTS SCHOOL, TEACHERS AND STUDENTS

5. 29.11.2003 Cristina PADEANU 5 MINISTRY OF HEALTH GENERAL DIRECTORATE OF PUBLIC HEALTH HEALTH PROMOTION UNIT 42 HEALTH PROMOTION UNITS WITHIN THE DISTRICT PUBLIC HEALTH DIRECTORATES NATIONAL CENTER OF HEALTH PROMOTION NATIONAL NETWORK OF HEALTH PROMOTION UNITS SupervisionTechnical support

6. 29.11.2003 Cristina PADEANU 6 HEALTH PROMOTION A strategy for mediation between individuals and their environment A strategy for mediation between individuals and their environment A health policy A health policy An approach through health education An approach through health education

7. 29.11.2003 Cristina PADEANU 7 PROMOTING …HEALTH PROMOTION Ottawa Declaration in 1986: Ottawa Declaration in 1986: -setting up public health policies -setting up public health policies - establishing favourable environments for health - strenghtening the community action - developing the individual abilities - changing the objectives of heatlh services

8. 29.11.2003 Cristina PADEANU 8 EU Strategy and Action Plan on Drugs 2000 - 2004 has been transposed by: ADOPTED IN FEBRUARY 2003 National Strategy on Drugs 2002 - 2004 ACTION PLANS OF THE GOVERNMENTAL PARTNERS INCLUDES: DRUG DEMAND REDUCTION SUPPLY REDUCTION DRUG PREVENTION ACQUIS

9. 29.11.2003 Cristina PADEANU 9 OTHER ORGANISATIONS THAT DEVELOP ACTIVITIES IN THE FIELD ANTIDRUG NATIONAL AGENCY ANTIDRUG NATIONAL AGENCY MINISTRY OF EDUCATION MINISTRY OF EDUCATION NGOS NGOS Governmental Decision on financial support for NGOs which develop activites in the public health field - in action starting with 2004 Governmental Decision on financial support for NGOs which develop activites in the public health field - in action starting with 2004

10. 29.11.2003 Cristina PADEANU 10 PREVENTION PROGRAMMES Health Education Curricula with topics on prevention of drug use Health Education Curricula with topics on prevention of drug use Adapting the successful program “Barbacana” Adapting the successful program “Barbacana” Involving professionals in the health field, especially family doctors (“gate-keepers”) Involving professionals in the health field, especially family doctors (“gate-keepers”) Surveying the behaviour and attitudes of students toward drug use Surveying the behaviour and attitudes of students toward drug use

11. 29.11.2003 Cristina PADEANU 11 MEDICAL INTERVENTION, PSYCHOLOGICAL SUPPORT AND REHABILITATION Preparing curricula on drug use treatment and rehabilitation for undergraduate medical students Preparing curricula on drug use treatment and rehabilitation for undergraduate medical students Specialisation in the field of addictions organised by “Aliat” and EATI (Ne) with support from MoH Specialisation in the field of addictions organised by “Aliat” and EATI (Ne) with support from MoH more treatment centres proposed for financing from the state budget more treatment centres proposed for financing from the state budget

12. 29.11.2003 Cristina PADEANU 12 HARM REDUCTION PROGRAMS NGOs develop harm reduction activities other than MM based on a ministerial order NGOs develop harm reduction activities other than MM based on a ministerial order HIV testing and counselling available for drug users, based on free will and confidentiality HIV testing and counselling available for drug users, based on free will and confidentiality Organising the activity of hepatitis B and C testing for drug users Organising the activity of hepatitis B and C testing for drug users

13. 29.11.2003 Cristina PADEANU 13 ARE THE PROGRAMMES EFFECTIVE FOR THE ROMA COMMUNITY AND HOW SHOULD WE ADDRESS THE PROBLEM OF DRUG USE AMONG ROMA PEOPLE?

14. 29.11.2003 Cristina PADEANU 14 IS IT DRUG USE A PROBLEM FOR ROMA COMMUNITY? Statistical data: a small number of Roma people asking for treatment but Statistical data: a small number of Roma people asking for treatment but Almost 50% in harm reduction programs belong to Roma community Almost 50% in harm reduction programs belong to Roma community The importance of being accepted in the “group” The importance of being accepted in the “group”

15. 29.11.2003 Cristina PADEANU 15 ROMA COMMUNITY INVOLVEMENT IN PREVENTION PARTNERSHIP PROGRAMS REACHING TO THOSE WHO ARE NOT IN SCHOOLS REACHING TO THOSE WHO ARE NOT AWARE RAISING AWARENESS OF POPULATION: THIS IS A MATTER THAT ALL OF US SHOULD CARE ABOUT

16. 29.11.2003 Cristina PADEANU 16 PLANNED: Involvement of health mediator who has responsibilities for health promotion campaigns SPECIFIC PREVENTION PROGRAMMES

17. 29.11.2003 Cristina PADEANU 17 CONCLUSION Public health programmes are in place for the entire population Public health programmes are in place for the entire population More programs on prevention and treatment of drug use, especially addressed to those groups in need, but More programs on prevention and treatment of drug use, especially addressed to those groups in need, but the roma community involvement is essential the roma community involvement is essential

18. 29.11.2003 Cristina PADEANU 18 THANK YOU FOR ATTENTION!