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The Role of Universities in developing/developed world: Healthcare for homeless and orphans

The Role of Universities in developing/developed world: Healthcare for homeless and orphans. Vladimir Krcmery St. Elizabeth University, Shelters Bratislava, Dolná Krupá, Malacky, Slovaki a and St. Maximilian Kolbe Tropical programes, Cambodia 8.12. 2012 Warsaw. INTRODUCTION.

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The Role of Universities in developing/developed world: Healthcare for homeless and orphans

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  1. The Role of Universities in developing/developed world: Healthcare for homeless and orphans Vladimir Krcmery St. Elizabeth University, Shelters Bratislava, Dolná Krupá, Malacky, Slovakia and St. Maximilian Kolbe Tropical programes, Cambodia 8.12. 2012 Warsaw

  2. INTRODUCTION • 0,2 % of Slovaks are homeless • New phenomenonin Slovakia • The term „homeless“ is not recognized in Slovak law • Health and social care for the homeless is rather the domain of church and non-profit NGOs • Organizations targeting only homelessness do not exist

  3. DEFINITION OF HOMELESS PEOPLE Lost of housing → lack of „fixed“, regular, and adequate nighttime residence Social contacts Marginalization Isolation

  4. „HELP YOURSELF“ ACCOMODATION • „ ON THE STREET“ Homeless without any shelter, bus stations 2. „ SELF-MADE SHELTERS“ empty houses, tunnels, garden houses - living in small groups (migration) - specific rules - violence

  5. Lodging houses Hostels Warming centers Rehabilitation centers - drugs - alcohol Food, clothing and possibility of personal hygiene Health care, social counseling and prevention Internal rules Limited time Payments SHELTERS PROVIDED BY INSTITUTIONS

  6. GROUPS OF HOMELESS PEOPLE IN SLOVAKIA

  7. SHELTERS FOR HOMELESS PEOPLE • 48 homeless shelters, daily stationers, refugee houses, health centers and hygiene houses in 15 cities in Slovakia • St. Elisabeth University involved in the field of homelessness since 2003 • Provides -the only shelter in the capital city available for all homeless people -two asylum houses for battered woman with children

  8. SUPPORT OF HOMELESS PEOPLE PROVIDED BY THE UNIVERSITY OFST. ELISABETH

  9. MEA CULPA SHELTER, BRATISLAVA • No tolerance of alcohol • Fee 1€ per night • Stay: max. 2 months • Services: dinner, laundry, hygiene, counseling, law and social services inc. job search, primary health care • Education: failed primary education up to University • The most frequent age category 31 - 60 years • 12% of clients are women

  10. BETHANY, ASYL CENTRE MALACKY • Fee 15 USD / month • Target group: battered women with children, released from prison, from orphanages • Maximum 1 year • Accommodation, clothing, food, health care, counseling

  11. PUBLIC OPINION ABOUTHOMELESSNESS • Homeless people are satisfied with that what they do and do not want to change their life • There are transmitting serious diseases such as bacterial diseases, TB, HIV and hepatitis

  12. WE ARE BREAKING MYTHS Questionnaire: 634 homeless people during 6 months 14% satisfied with their life 26% would like to change what they do but they don't know how to do it 60% of homeless people decided to change their life None serious infection confirmed 104 homeless → 42 had positive cultivation of pathogens • 21 Staph. aureus • 13 Candida albicans • 3 Strept. pneumoniae • 3Klebsiela pneumoniae • 2 Staph. pyogenes

  13. STRATEGY OF THE UNIVERSITY OF THE ST. ELISABETH TO HELP HOMELESS • Educate social and health professionals to work with this targeted group • Connection of academic study of social work, nursing and health to support homeless people • Close cooperation with media helps breaking myths about homelessness

  14. HIV PROGRAM PRE SIROTY V Kambodži Clinic of St. Maximilian Kolbe, House of Family (2003) House of Smile (2006) Peter Pavol Gojdic Children’s Hospital (2007) Daniela’s House of Family (2008)

  15. Iniciálne diagnózy u hiv pozitívnych sirôt zaradených do hiv programu (neliečené n=137)

  16. Oportúnne infekcie a koinfekcie pozorované v súbore liečených pacientov, N=137 (2003 – 2011)

  17. 8 ročný monitoring spektra patogénov a rezistencie na antiinfektíva(N = 882 kmeňov)

  18. Prehľad multirezistentných kmeňov baktérií izolovaných od HIV-pozitívnych sirôt

  19. Záver • Potreba edukácie zdravotníckych pracovníkov v oblasti špecifických ochorení a zdravotných potrieb tejto cieľovej skupiny • Prepojenie akademického prostredia a praxe pri tvorbe projektov zameraných na riešenie zdravotných a sociálnych problémov

  20. „Maybe this is what it´s like being poor and ignored today“ Liu Bolin, China’s Invisible Man artist Ďakujem za pozornosť!

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