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Kharkiv - LaCrosse Partnership
Students’ Health Students’ Health in Primary Health Care in Primary Health Care
Setting Setting
Liudmila PatokaKharkiv-La Crosse Partnership
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Kharkiv - LaCrosse Partnership
Students’ Health StatusStudents’ Health Status
Factors, effecting students’ health:
• Instability in society• Environmental hazards• Increase in infectious diseases and
tuberculosis• High stress level• Rapid increase in STI’s, AIDS,
alcoholism, substance abuse, domestic and overall violence
• Low awareness of healthy lifestyle principles
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Kharkiv - LaCrosse Partnership
Prevalence of Central and Autonomic Nervous System Prevalence of Central and Autonomic Nervous System Diseases Among Students (1991 - 2000)Diseases Among Students (1991 - 2000)
0
10
20
30
40
50
60
70
AutonomicNervousSystemDiseases
CentralNervousSystemDiseases
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Kharkiv - LaCrosse Partnership
Prevalence of Digestive System Diseases Prevalence of Digestive System Diseases Among Kharkiv Univeristy Students Among Kharkiv Univeristy Students
(1991 - 2000)(1991 - 2000)
0
5
10
15
20
25
30
35
40
45
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000
Gastritis, gastroduodenitis Ulcer GID's
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Kharkiv - LaCrosse Partnership
General Morbidity Dynamics for Kharkiv General Morbidity Dynamics for Kharkiv University Students (1995 - 2000)University Students (1995 - 2000)
0
50
100
150
200
250
CNS Diseases VNS Diseases Respiratory Diseases Digestive SystemDiseases
Urogenital SystemDiseases
1995 1996 1997 1998 1999 2000
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Kharkiv - LaCrosse Partnership
Students’ Health Status Based on Survey Results
(1958 respondents) in 2000
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
improved became worse did not change
Year 1Year 2Year 3Year 4Year 5
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Kharkiv - LaCrosse Partnership
Students’ Lifestyle Survey
• Conducted in 2000• 1958 respondents• Major areas of interest- health-
related risk factors and behaviors
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Kharkiv - LaCrosse Partnership
Emotional and Psychological Risk Factors Emotional and Psychological Risk Factors
1. 68.3% - are unsatisfied with their life, partially or completely
2. 76% - have been under stress
3. Over 80% - are depressed or irritated
62.0
64.0
66.0
68.0
70.0
72.0
74.0
76.0
78.0
80.0
82.0
1 2 3
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Kharkiv - LaCrosse Partnership
Substance abuseSubstance abuse
1. 46.6% - smoke
2. 83.4% - use alcohol
3. 29.4% - tried drugs in the past or take drugs now
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
1 2 3
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Kharkiv - LaCrosse Partnership
Sexual behavior
1. 67.6% - start active sexual life before 18
2. 68.3% - have more than one sexual partner
40.0
45.0
50.0
55.0
60.0
65.0
70.0
1 2
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Kharkiv - LaCrosse Partnership
Diet and ExerciseDiet and Exercise
1. Diet of majority students (from 77.6 to 98.3%) is based on food with high carbohydrate content
2. 40% - do not eat regularly
3. 32% - do not exercise0.0
20.0
40.0
60.0
80.0
100.0
120.0
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Kharkiv - LaCrosse Partnership
Primary Health Care Clinic for Primary Health Care Clinic for StudentsStudents
• Students’ PHC Clinic opened at Kharkiv Aerospace University on January 22, 2001.
Population served – 6309 students, including: - 2257 women (35.8%), and - 969 adolescents (15.5%). 3939 people (62.4%) live in dormitories (not with
their family).
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Kharkiv - LaCrosse Partnership
Specific Issues Specific Issues
Remote location of Kharkiv Aerospace University students’ community from Oblast Students’ Hospital;
Intensive and complicated training process of technical university students;
Students’ low awareness of healthy lifestyle principles and infectious disease prevention.
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Kharkiv - LaCrosse Partnership
Personnel of PHC Clinic Personnel of PHC Clinic at Kharkiv Aerospace Universityat Kharkiv Aerospace University
director 3 general practitioners dentist patient education instructor primary exam feldsher obstetrician feldsher-lab worker 4 nurses registration nurse.
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Kharkiv - LaCrosse Partnership
Health Services Available at PHC Clinic of Health Services Available at PHC Clinic of Kharkiv Aerospace UniversityKharkiv Aerospace University
• Emergency care• Preventive care
• Preventive examinations• Immunization
• Laboratory tests• General blood test• General urine test• Phlegm test
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Kharkiv - LaCrosse Partnership
Health Services Available at PHC Clinic of Health Services Available at PHC Clinic of Kharkiv Aerospace UniversityKharkiv Aerospace University
• Medical Services• Internal medicine - treatment of patients with acute
and chronic diseases• Neurology – diagnostics and treatment of emergency
conditions, follow-up treatment after consultation by neuropathologist
• Dentistry – preventive examinations, treatment of dental and mouth cavity diseases.
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Kharkiv - LaCrosse Partnership
Health Services Available at PHC Clinic of Health Services Available at PHC Clinic of Kharkiv Aerospace UniversityKharkiv Aerospace University
• Medical services • Ophthalmology – diagnostics, acuity of vision and
color perception, treatment of conjunctivitis, blepharitis, keratitis, emergency care.
• Surgery – primary surgical wound treatment. Treatment of uncomplicated skin and hypodermic cellular tissue diseases.
• Gynecology – preventive examinations. Diagnostics, treatment of simplest non-specific diseases, family planning, cytology.
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Kharkiv - LaCrosse Partnership
Health Services Available at PHC Clinic of Health Services Available at PHC Clinic of Kharkiv Aerospace UniversityKharkiv Aerospace University
• Patient Education• Sessions with individuals and groups in the clinic• Outreach work with students (lectures in the
dormitories, at the university)
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Kharkiv - LaCrosse Partnership
Our Achievements Our Achievements • Health education curriculum developed for the first-
year students• Health education needs survey conducted• Rectors’ Council permission granted to include health
education program into the students’ time-table• Physicians and nurses trained using Information
Resource Center capacities• Individual and group education sessions conducted on
the following topics:• family planning;• STI and AIDS prevention;• detection and prevention of substance abuse.
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Kharkiv - LaCrosse Partnership
Plans for the futurePlans for the future• Improve health education programs• Develop strategies for community mobilization
through the involvement of NGOs, volunteers, and mass media
• Establish students’ counseling center at Oblast Students’ Polyclinic
• Conduct regular surveys in order to improve the delivery of PHC services
• Open similar PHC Clinics at other Universities of Kharkiv oblast
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Kharkiv - LaCrosse Partnership
Student’s Adaptation and Counseling Center
Psychological Adaptation
SubstanceAbuse.
Crisis Situations
Lecture club«Me and My Health»
Hotline
STIPrevention
Prenatal Counseling
Family Planning
Exercises and Sports
Healthy Diet
Social Services
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Kharkiv - LaCrosse Partnership
Thank You For Thank You For Your Attention!Your Attention!