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Operational Experience of Odessa Women’s Health Center, Ukraine

Operational Experience of Odessa Women’s Health Center, Ukraine. Svetlana Posokhova Director of the Center, Deputy Chief Physician of the Regional Clinical Hospital for obstetrics and gynecology. Strengths of the Center:.

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Operational Experience of Odessa Women’s Health Center, Ukraine

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  1. Operational Experience ofOdessa Women’s Health Center, Ukraine Svetlana Posokhova Director of the Center, Deputy Chief Physician of the Regional Clinical Hospital for obstetrics and gynecology

  2. Strengths of the Center: • The Center is located on the facilities of the regional general hospital thus offering greater range of available specialists for outpatient consultations (therapist, cardiologist, neurologist, oculist, surgeon, etc.), which are not available in ordinary women’s centers.

  3. Strengths of the Center: • The Center is part of the hospital’s obstetric-gynecological complex, which includes a maternity ward, gynecology department, neonatal resuscitation unit, Center for emergency obstetrics, and Breast Health Center. If necessary, the Center’s patients are hospitalized in these or other hospital’s departments.

  4. Strengths of the Center: • The Center employs highly qualified specialists (85% physicians are grade 1 and 2); Medical University specialists are available for consultations. • Comfortable environment. • Modern diagnostic equipment. • Multifunctional diagnostic laboratory.

  5. Strengths of the Center: • Medical services are provided free of charge. • The Center offers facilities for education of physicians, obstetricians, and nurses. • Informational and educational center is available to patients. • The Center maintains a computer database for patient records.

  6. Weaknesses of the Center: • Location on the city outskirts. • Inconvenient and costly travel from other city districts. • The Center is a non-profit organization funded by government and charitable contributions.

  7. Structure of the Women’s Health Center: • Reception • Statistical unit with computer data base • Family planning center • Breast health center • Clinical diagnostic and bacteriological laboratories • Mammography suite

  8. Structure of the Women’s Health Center: • Ultrasound examination suite • Physical therapy suite. • Manipulation and Procedures suites. • Small operating room. • Histology laboratory. • Patient information center.

  9. Services offered by the Center • Obstetrical and gynecological consultations, diagnosis, and treatment. • Consultations on reproductive health and family planning. • Consultations and treatment of female patients with endocrine disorders and infertility. • Medical services for young girls and adolescents.

  10. Services offered by the Center • Prenatal consultations and preparation of pregnant women to delivery, promotion of breast feeding. • Follow-up services for pregnant women from high-risk and HIV groups. • Medico-genetical consultations. • Detection and prevention of sexually transmitted diseases, including HIV (AIDS). • Breast diseases consultations, diagnosis, and treatment.

  11. Services offered by the Center • Psychological consultations. • Sanitary education on mental health, alcoholism, drug addiction, and smoking; detection of the signs of abuse and teaching quitting techniques. • Promotion of older women’s health, including sanitary education on aging and hormone replacement therapy. • Detection of chronic diseases and therapy of anemia, diabetes, hypertension, and other conditions.

  12. Services offered by the Center • Education of the general population and patients. • Implementation of special health promotion programs for rural population. • Creation of a computer data base for the Center’s patient records. • Organizational and methodological assistance to other areas to improve the health of the population. • Preparation of specialists (physicians, obstetricians, and nurses) at the Center jointly with the Odessa State Medical Institute.

  13. Services offered by the Center • Interaction with the nongovernmental organization “Health, Woman, Longevity” in promotion of healthy lifestyles, outreach to patients, and specialist training. • Interaction with mass media.

  14. Center Achievements: • Number of visits: 1998: 58409 (24181 patients) 1999: 61654 (34706) 2000: 62090 (33160) • Patients structure

  15. Patient Structure: • Pregnant, 26% • Gynecology, 38% • Family planning, 8% • Adolescents, 6% • Breast health center, 12% • Prophylactic visits, 4% • Psychological counseling, 2% • Therapeutic patients, 3% • Other, 1%

  16. Patient structure

  17. Breast Health Center (per annum): • Number of visits, 4280 • Mammography procedures, 1684 • Ultrasound breast examination, 2200 • Clinical examination, 2985 female patients.

  18. Cases Detected : • Breast cancer, 5.5% • Suspected cancer, 9% • Benign tumors, 18% • Dyshormonal hyperplasia, 52% • Healthy, 15% • Male gynecomastia, 0.5%

  19. Detection Rates of Different Stages of Breast Cancer

  20. Detection Rates of Different Stages of Breast Cancer

  21. Center Achievements: • Increased numbers of patients and visits due to higher quality of services and growing popularity. • Development of an integrated approach to health services for women, especially for rural population. • Decreased abortion rate to 32.2 per 1000 women in reproductive age (down from 36 per 1000 in 1999).

  22. Center Achievements: • Increased number of female users of hormonal contraceptives (107.7 per 1000 women of reproductive age, up from 84.1 in 1998) • The Center’s educational programs, mass media campaign and the efforts of the nongovernmental organization stimulated patient visits for prophylactic and family planning purposes and visits to the Breast Health Center.

  23. Center Achievements: • Breast cancer rate dropped to 47 per 100,000 people. • Successful work of the Breast Health Center allows early detection of breast diseases including cancer. The Center offers biopsy, cyst aspiration, and surgery. • Over 60% of the Center’s patients visit the information room for educational meetings and discussions on topics of interest; special programs are designed for pregnant women, adolescents, and high-risk groups of young people.

  24. Center Achievements: • Telephone hot line helps build the trust of the population and provide psychological assistance in times of trouble. • Specialist training, including obstetricians and paramedics for rural out-patient medical facilities, serves to improve the quality of medical services offered to women in remote locations, allows the spread of simple and easy to use diagnostic methods, promote healthy lifestyles, and increase the role of women in rural communities.

  25. Center Achievements: More than 300 obstetricians and nurses were trained over two years to work in rural locations as counselors on family planning, contraception, and early diagnostics of STD. Women were trained to perform breast self-examination and received recommendations on healthy lifestyles.

  26. The Center’s mission is to promote health and improve the quality of life for women and their families.

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