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Оptimization of education for health activity and promoting of a healthy lifestyle in new socio-economical conditions


Author: Calmîc Varfolomei
Degree:doctor of medicine
Speciality: 14.00.33 - Social Medicine and Management
Year:2008
Scientific adviser: Constantin Eţco
doctor habilitat, professor, State University of Medicine and Pharmacy "Nicolae Testemitanu"
Scientific consultant: Ion Bahnarel
doctor habilitat, professor, National Center of Public Health
Institution:
Scientific council:

Status

The thesis was presented on the 28 November, 2007
Approved by NCAA on the 24 January, 2008

Abstract

Adobe PDF document0.34 Mb / in romanian

Thesis

CZU 614:005 (043.3)

Adobe PDF document 1.13 Mb / in romanian
163 pages


Keywords

promoting of health, public health education for health, promoting of a healthy life style, medicine of the patient, medicine of the healthy person, preventive medicine, personnel, public health, the Service of education for health and promoting of healthy lifestyle.

Summary

Population’s health depends greatly of conditions and its lifestyle, of the environmental factors, of demographic and epidemiological character of these processes. Reforming of prophylaxis activity, including of health activity and promoting of a healthy lifestyle (EH and PHLS) is dictated of the necessity to reduce unproductive costs, inclusively of the health system, the increasing of prophylactic measures efficiency.

The negative socio-economic changes, insufficient financing of the health system, has led to overestimation of the EH and PHLS at various levels of medical assistance and country level after the Republic of Moldova has obtained its state independence.

The morbidity dynamics of the population has been studied through main nozological forms based on medical-demographic indeces for a 10 years period, the level of spreading of harmful habits (bad) (tobacco, alcohol drinks consumption, drugs using, etc.) among the population. An estimation of the population’s knowledge (school-children, teachers, adult population and among gypsies) from the Republic of Moldova through questioning concerning risc factors, that may influence the health state, the main sources from which the population obtains information to appreciate priority directions in organizing of education measures for education of health and promoting of a healthy lifestyle.

The studies confirmed the severe situation concerning the population’s health and the high level of behavioural habits.

It was assessed and appreciated the role and determined the place of the Service for health education (SHE) and Promotion of a healthy lefestyle (PHLS) in achieving of health promoting strategies, and priority directions elaborated and reasoned the organizational basic principles of EHE and PHLS. It was assessed the structure and the function of education for health and promoting of the existent healthy lifestyle at various levels of medical assistance. A set of legislative papers of projects was worked out normative anes in EHE and PHLS, optimal models of the structure and normative functions of the SEH and PHLS.

The results of the study will serve as basis for the ongoing reforming of the activity of education for health and promoting of a healthy lifestyle at different levels. KEY WORDS: promoting of health, public health education for health, promoting of a healthy life style, medicine of the patient, medicine of the healthy person, preventive medicine, personnel, public health, the Service of education for health and promoting of healthy lifestyle.