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KAUNAS CITY IDENTITY FROM HEALTH PERSPECTIVE: POSSIBILITIES OF INTERSECTORIAL CO-OPERATION

Why Kaunas city?What lessons were learnt from the past?What is the importance of the research?What is the role of the University for the health programmes development and intersectorial collaboration at municipality level ?. Why Kaunas?. Kaunas University of Medicine is the largest educationa

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KAUNAS CITY IDENTITY FROM HEALTH PERSPECTIVE: POSSIBILITIES OF INTERSECTORIAL CO-OPERATION

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    1. KAUNAS CITY IDENTITY FROM HEALTH PERSPECTIVE: POSSIBILITIES OF INTERSECTORIAL CO-OPERATION Irena Miseviciene Vice-Rector, Kaunas University of Medicine “University - City Co-operation”, 8th BSRUA seminar 2007 05 11-12, Kaunas

    2. Why Kaunas city? What lessons were learnt from the past? What is the importance of the research? What is the role of the University for the health programmes development and intersectorial collaboration at municipality level ?

    3. Why Kaunas?

    4. Kaunas University of Medicine is the largest educational institution of health professionals in Lithuania WHO collaborating centre for CVD and other NCD epidemiology, control and training since 1982 is acting in Kaunas University of Medicine The largest University hospital with high tech is situated in Kaunas

    5. What lessons were learnt from the past?

    6. UNITED SYSTEM OF CHD CONTROL (Academician Z.Januškevicius, 1976) EPIDEMIOLOGICAL STUDIES EARLY DIAGNOSIS AND TREATMENT PREVENTION OF COMPLICATIONS, TREATMENT AND REHABILITATION

    9. What is the importance of the research?

    10. Factors which are increasing the risk of CHD, cancer and all causes of deaths among Kaunas male population (MONICA - 10 year follow-up) FACTORS CHD CANCER ALL Smoking + + + Systolic BP + - + Physical inactivity + - + Alcohol - - + S.Domarkiene and all, 2000. “+” - p<O,O5

    11. Factors which are increasing the risk of CHD, cancer and all causes of deaths among Kaunas female population (MONICA - 10 year follow-up) FACTORS CHD CANCER ALL Smoking + + + BMJ<20 - - + BMJ>30 - - + S.Domarkiene and all, 2000. “+” - p<O,O5; BMJ - body mass index

    12. Health behaviour changes of 20 - 64 year old Lithuanian female and male population* FINBALT study - 1994-2006 LYFESTYLE FEMALE MALE Smoking Strong alcohol consumption Beer consumption J. Klumbiene, 2006. * increase of only statistical significant changes are shown

    13. Nutrition habits changes among 20 - 64 year old Lithuanian female and male population* FINBALT study - 1994-2006 NUTRITION HABITS FEMALE MALE Vegetable oil Fruits and vegetable Animal fat J. Klumbiene, 2006. * increase of only statistical changes are shown

    14. Factors which are increasing the risk of juvenile hypertention (Juveniline hypertention study - 20 year follow-up) FACTORS FEMALE MALE SBP at childhood - + DBP at childhood + - BMJ + + Heart rate + - Skinfold thickness + - L. Šileikiene 2000, “+” - p<0.05

    15. Health behaviour changes among 11-15 year old schoolchildren* HBMSch study - 1994-2004 LYFESTYLE GIRLS BOYS Clean teeth regularly Physicaly 0 inactive Use alcohol 0 0 Smoke A. Zaborskis, 2004. - increase, - decrease, * - only statistical signifant changes are shown

    16. IMPORTANCE OF THE RESEARCH: EVIDENCE-BASED DATA 1. High prevalence of CHD risk factors and importance of RF for CHD development. 2. RF could be controled at population level (multifactorial CHD study). 3. Smoking, alcohol, overweight, physical inactivity -are common RF of NCD. 4. Integrated prevention of NCD (CINDI).

    17. What is the role of University for the health programmes development and intersectorial collaboration at municipality level?

    18. THE ROLE OF THE UNIVERSITY Health profiling of the population Initiation of new undergraduate and postgraduate programmes of studies- development of human resources Integration and coordination of health programmes Intersectorial collaboration

    19. THE ROLE OF THE UNIVERSITY: DEVELOPMENT OF HUMAN RESOURCES (1) 1. Undergraduate studies - creation of new programmes and their improvement: * Foundations of preventive medicine (MF since 1992); * Public health (PHF since 1994 bachelour studies);

    20. THE ROLE OF THE UNIVERSITY: DEVELOPMENT OF HUMAN RESOURCES (2) 2. Postgraduate studies - creation of new programmes and their improvement: * Management of PH (PHF since 1996 Master programme studies); * PH ecology, educology, kinesiology (PHF since 1998 Master programme studies).

    21. THE ROLE OF THE UNIVERSITY: DEVELOPMENT OF HUMAN RESOURCES (3) 3. Professional development: * Prevention at Primary Health Care (qualifications of family doctors, since 1996); * PH specialists education (since 1996).

    22. THE ROLE OF THE UNIVERSITY: INTERSECTORIAL COLLABORATION (4) 4. Implementation of NCD prevention in practice (CINDI): * Health promoting kindergardens; * Health promoting schools; * Health promoting universities; * Health promoting hospitals.

    23. EXAMPLE INSTEAD OF CONCLUSION: UNIVERSITY=Research+Studies +Collaboration with educational, social, environmental and other services at municipality level within Healthy City project and for implementation of other health programmes

    24. INTEGRATED ACTIONS AND INTERSECTORALITY FOR HEALTH PROMOTION (HP) AND NCD PREVENTION: IMPLEMENTATION OF WHO PROGRAMMES IN LITHUANIA

    25. Thank You for attention!

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