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Public Health

ShowUp4Health - Building Trust in Roma Communities and Internally Displaced People for NCD Prevention

Social and environmental health determinants impact the health ecosystem of vulnerable groups. In Central and Eastern Europe, Roma communities are among the most vulnerable and segregated groups. Cultural characteristics, poverty, and a distrust of systemic structures lead Roma groups to face widespread health inequalities, such as low health literacy and a low willingness to adhere to medical protocols. These health determinants then directly contribute to the Roma community’s increased risk for developing non-communicable diseases (NCDs).

ShowUp4Health believes that communities that synergise medical and social interventions can use this as a tool to build trust and facilitate higher levels of health literacy in vulnerable groups like the Roma. Cross-sectoral partnerships of stakeholders in support of vulnerable communities can also bring expertise, cooperation and resources to address complex NCD strands.

The general objective of ShowUp4Health aims to address social and environmental health determinants, which contribute to the increased risk of NCDs in vulnerable groups (primarily Roma communities and secondarily internally displaced people (IDPs)).

The Specific Objectives of ShowUp4Health are the following:

- Decrease health inequalities in vulnerable groups (i.e., Roma communities) focusing on the combination of social and environmental health determinants through the targeting of the entire patient pathway in NCD prevention.

- Bridge the fields of social work and healthcare within a single Integrated Social-Healthcare Methodology to establish trust, facilitate health literacy, and build adherence to health protocols within vulnerable groups.

- Understand the adaptability of the Integrated Social-Healthcare Methodology in reducing health inequalities within other vulnerable groups in Europe.

EU4health - Projects
  • Prevention
30 JANUARY 2024
Factsheet - ShowUp4Health

Results

Short-term Impact:

More effective NCD and healthy lifestyle related communication to and with vulnerable people in pilot areas

  • More vulnerable people are participating in NCD screening
  • More vulnerable people with high NCD risk factors and with NCD (cardio-vascular diseases, diabetes, chronic respiratory diseases and mental health (in Ukraine)) will be identified, and directed to specialists for medical treatment
  • More vulnerable people with medical follow-up discipline and medication adherence
  • More balanced work of healthcare workers
  • Increased knowledge and sensitivity among both medical and social actors
  • Improved public health

 Medium term (3-5 years):

  • The Integrated Methodology is adopted in all settlements, where beneficiary organisations are operating
  • The Integrated Methodology is adopted by other civic organisations in Member States of pilot projects
  • Health mediator as a new or extended role is integrated into the healthcare system of Member States of pilot projects.
  • Strengthened national health systems in HU, RO, BG, SI
  • Improved public health in the partnering Member States
  • Transformation into a more integrated social and health system is starting.
  • Same methodology adopted for NCD screening (process description, testing, standards, type of test necessary) by the national authorities in HU, RO, BG, SI.
  • The Integrated Methodology is adopted by civic organisations working with other vulnerable communities in other Member States.

Long-term Impacts (10-15 years)

  • Improved health indicators of vulnerable groups of HU, RO, BG, SI

Improved social health determinants of vulnerable people of HU, RO, BG, SI

Funding

Stakeholders

Coordinators

Hungarian Charity Service of the Order of Malta, HCSOM, 1125 Szarvas Gábor út 58-60. Budapest Hungary

Contact

Mara Kovács

Name
Mara Kovács
Website
https://maltai.hu/
Email
kovacs [dot] mariaatmaltai [dot] hu
Phone number
+36703865363