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WEDworks: Enhancingparticipatorydrugresearchandpreventionwithresourcesofthe Roma community: A community-basedintervention model in ‚Fakulteta‘, Sofia5th EUPHA European Conference on Migrant and Ethnic Minority Health, EASP, Granada, 10 -12 April 2014SPI Forschung gGmbH, BerlinTzvetinaArsovaNetzelmann, Dr. Joyce Dreezens-Fuhrke, Silvia Vassileva, HESED, Sofia With financial support from the DPIP programme of the European Union
WEDworks in ethnicminoritycommunities • Participatoryapproach in primarydrugpreventionandresearch • Roma youth in Central and Eastern Europe: Bulgaria, Romania, SlovakRepublic, Latvia, Estonia • Case study: Roma-community „Fakulteta“ in Sofia, Bulgaria • Cooperation partner: HESED (Health and Social Development Foundation)
Background • Vulnerabilitytohealthproblemsanddruguse -relatedharms due to: • Socialdeterminants • Poverty • Low education • Unemployment • Discrimination • Lack ofhealth/socialinsurance • Behaviourrisks • Early ageatstartofmarihuana (10-14 years) • Early ageatstartofcigarettes (7-8 years) • Earyageatstartofamphetamine (10 years)
Ressourcesandpillars • Long-term setting approach embedded in community-based Centre for Health and Social Support for Roma • Effectiveparticipatoryethnicminorityhealthinterventions • Needs-drivenresponse • Inclusion • Empowerment • Holistic intervention on diverse levels • Individual • Family • Social network • Community
Target groupsandmethods • Interactive focusgroupswith Roma teenagers(10-14, 14-18 years), parentsandhealthexperts • Semi-structuredinterviewswithdrugusingyoungpeople • Behaviouralchangemethods • Peer drama • Life-skillstrainings • Popular-opinion-leader (POL) • Creative method „photovoicing“
Practice results • Conjunctionofparticipatoryresearchwithprevention in an equitablemanner • Teenagers exploreextent, ownexperience, subjectivesignificanceandconsequencesofdruguse in theirowncommunity • All interactiveactivitiesareconductedbycommunitymembersforcommunitymembers • Beneficiariesbecomeco-authorsofchangeandmobilizeresourcesofsocialnetworks • Sustainablequalityimprovementofhealthprograms • Fosteringofsocialinclusionof Roma communities With financial support from the DPIP programme of the European Union
Withmanythanksto all colleagues, in particularfrom HESED, andcommunitymembersinvolved in theproject! Thankyouforyourattention! With financial support from the DPIP programme of the European Union