INTEGRATED RESPONSE FOR MEDICAL ASSISTANCE IN THE CROSS-BORDER REGION

Our project addresses some of the weaknesses identified in the Romanian-Hungarian territory in relation to the healthcare system (inadequate linkages between complementary services; poor understanding regarding the pacient's needs; inequalities in healthcare infrastructure; failure to create proper administrative conditions for small communities healthcare services etc). Partners in this joint initiative are Commune of Moftin (Romania, Satu Mare County) and Nyíradony Town Self-Government (Hungary, Nyíradony Town Self-Government). The inadequate infrastructure for primary medical services in Moftin and the lack of the ambulance service in Nyíradony affect the quality of living in both target localities and surroundings. Moreover, the target area is full of small communities where people have little information or interest in adopting preventive behaviour from the healthcare point of view. People suffer of many chronic diseases which often alter their quality of life and bring higher costs for them and for the state. Our project’s overall objective is to increase the quality of health services in Moftin and Nyíradony and their surroundings with a complex infrastructure investment and special equipment purchasing, which contributes to the establishment of adequate community health services in the border area. Our project main objective fits with the Program specific objective due to the fact that our proposal contributes to the local development, reduces the inequalities in health status and creates the transition from institutional to community-based health services. The project will contribute to the improvement of the life-quality of people living in the area, to increase competitive potential of these localities and its middle-term result is the increase of the number of healthier citizens. At the end of the project, the medical care for cross-border health problems shall be improved by identifying the best ways to promote medical competence. A total number of 54.828 people from Moftin and Nyradony (and surrounding communities that will benefit of the Ambulance Station) will be positivelly affected by this project. In Moftin, at least 2.256 inhabitants will benefit of improved health services in terms of diagnosis, treatment, prevention (90 people will benefit directly of the health prevention meetings that are to be organised in Moftin; at least 1000 people will benefit of prevention information through the thematic leaflets elaborated through this project; 900 people will directly benefit of the screening events that will be conducted in Moftin (500 adults at the diabetes screening; 200 children benefiting of a screening for common dental disease - aged 6 to 9; 200 children benefiting of spinal screening - aged between 10-14); 200 people that will be visited by two sanitary mediators; 16 participants to the basic life support training; 50 participants to the workshops. In Hungary, the total of population who will benefit of the project results is 52.572 people (Nyíradony 7768, Biri 1407, Bököny 3080, Geszteréd 1718, Szakoly 2902, Nyírmihálydi 1995, Nyírlugos 2699, Penészlek 1037, Nyírbéltek 2949, Nyíracsád 3800, Nyírmártonfalva 2034, Vámospércs 5362, Fülőp 1748, Nyírgelse 1112, Hajdúsámson 12961). A total of 8 medical departments will be modernised due to the investment proposed through this project. In Moftin 6 health care departments will be positively affected. These are: 3 family medicine departments (1 in Moftinu Mic, 1 in Moftinu Mare, 1 in Domăneşti), 1 functional explorations department, 1 laboratory medicine department, 1 stomatology department. In Nyradony - emergency medicine; specialized medical transportation service The investments proposed in our project will considerably increase the quality of health care services in Moftin by the development of a rural healthcare network (formed of 3 rural healthcare centers in 3 of the largest villages of the Moftin commune) and the acquisition of medical equipment. In the same time, through the development of services that are missing at the moment in Nyíradony, i.e. the Ambulance Service, the quality of the entire area’s health care service level will be increased, as the ambulances will intervene not only in Nyíradony but also in all the surrounding localities in case of emergencies. For dealing the identified territorial challenges, partners have chosen an integrated approach based on the precept that health concerns us all no matter the category we represent - health professionals or patients, or decisions makers, we all expect the health care system to be of good quality, affordable and accessible. Thus, our project will involve the support and partnership of a wide range of players: local authorities, health professions and medico-social institutions, administrative staff, and last but by no means least the patients themselves. Our integrated approach brings in front of communities innovative methods that are expected to support the implementation of the project. For example, during the implementation phase a Study (health-barometer like study) will be conducted in both partner communities to scan the health status of the citizens. Generally, such studies are made on lager regions, even countries, and do not reveal the local features of population in terms of health indicators and status. A rural or a small community can’t find itself between such macro-analysis. Thus, the study PP1 intends to conduct along with LP will help decision makers to find solutions that are precisely focused on the communities’ needs. Moreover, one of the methods used for gathering data will be a custom made questionnaire; thus, local community will be actively involved in creating a relevant and real medical data base; also medical practitioners will be involved to facilitate the population’s awareness raising process and the better use of existing medical services in the border area. Another example is that of the medical network that LP will build, especially that one from the Moftinu Mic (the largest village of Moftin commune); it will offer a positive model for other local authorities because it will serve as a real medical community centre, offering additional medical services (laboratory, stomatology, prevention, functional explorations). Total budget project is 1.251.969 euro.

Project ROHU-392 aimed to improve the quality of health infrastructure in Moftin and to develop emergency health services in Nyíradony by building an Ambulance station. The partnership strengthened crossborder relations between public health institutions and partners. The main activities implemented within the project: Modernizing 8 medical departments: in Moftin, 6 healthcare departments: 3 family medicine departments (1 in Moftinu Mic, 1 in Moftinu Mare, 1 in Domăneşti), 1 functional explorations department, 1 laboratory medicine department, 1 stomatology department. In Nyradony 1 emergency medicine department; specialized medical transportation service; Development of a rural healthcare network (formed of 3 rural healthcare centres in 3 of the largest villages of the Moftin commune) and the Ambulance Service in Nyradoni; Acquisition of medical equipment. 12 events regarding healthcare measures for the population (6 health prevention meetings in Moftin and 6 health days in Nyíradony). Organizing 3 screening actions, 2 cross border workshops on prevention and 1 first aid training event in Moftin. 1 Rural Health Care Network Web Page containing information on how to prevent several illnesses, advice for a healthy life behaviour etc. On April 30, 2022, the project was successfully finalized. All activities provided in the project were completed (100%). The Programme Output Indicators are „9/a 1 Population having access to improved health services” and „9/a 2 Number of healthcare departments affected by modernized equipment”. Through project ROHU – 392, 56,623 persons are benefiting from improved healthcare services and 7 healthcare departments are more efficient using modernized equipment purchased through the project. The main results of the project are: - 56,623 persons are benefiting from improved healthcare services. - a Rural Healthcare Network in Moftin, formed of 3 new and equipped rural healthcare centres. - the Ambulance Service from Nyíradony (1 building with the related facilities) which offers emergency medical services. - the Basic Life Support training organized for medical personnel. - 2 cross-border workshops on prevention in Moftin for 25 participants. - the Cross-Border Community Health Study in both languages. - 6 Healthy Days organized on the following topics: 2 on Health screening, 2 on Consultancy in Nutrition and 2 on Healthy lifestyle through sport and regular physical activity Website/webpage: https://your.cloudy.ro/index.php/s/ALqoG6Pq95532ns?path=%2F

The investments proposed in our project contributes to the programme result indicator “Average service level in health care institutions in eligible area”. As our project main result, we can expect to considerably increase the quality of health care services in Moftin by the development of a rural healthcare network (formed of 3 rural healthcare centers in 3 of the largest villages of the Moftin commune) and the acquisition of medical equipment. In the same time, through the development of services that are missing at the moment in Nyíradony, i.e. the Ambulance Service, the quality of the entire area’s health care service level will be increased, as the ambulances will intervene not only in Nyíradony but also in all the surrounding localities in case of emergencies. With the proposed soft activities (elaboration of a Study-Health Barometer, spreading out health prevention leaflets, screening programs, consultancy in nutrition, “Healthy Days” etc.) we will contribute to the increase of the general health of the citizens living in the target area of the project. The newly built health infrastructure in Moftin, the new health equipment and the new health service created in Nyíradony will have as an important result a complex intervention that positively affects a total number of 16 localities from Romania and from Hungary. The direct beneficiaries who can use the modernized health services will be the more than 54.000 citizens of the relevant project area. Our project positively affects several types of preventive and curative health-care services across the eligible area, like the following medical branches: family medicine (developing a Rural Healthcare Network in Moftin); functional explorations; laboratory medicine; stomatology; emergency medicine; specialized medical transportation service.