Norwegian Financial Mechanism and the European Economic Area Financial Mechanism, i.e. EEA and Norway Grants, are a form of foreign aid granted by Norway, Iceland and Liechtenstein to new UE Member States. The funds are connected with the Polish accession to the European Union and the simultaneous accession to the European Economic Area (EU + Iceland, Liechtenstein, Norway). Donor countries benefit from access to the internal market of the European despite the fact that they are non-EU members. Currently, the second edition of the grants is being implemented; it covers the period 2009-2014 The previous edition covered the period 2004-2009.

FINANCIAL MECHANISM

OBJECTIVESThe main objectives of the EEA and Norway Grants are: to contribute to the reduction of economic and social disparities in the European Economic Area and strengthening the bilateral relations between the donor and the beneficiary states.

BENEFICIARY STATESThe recipients of EEA and Norway Grants are 16 EU countries: 12 countries that joined the common market in 2004 and 2007, as well as Spain, Portugal, Greece and Croatia.

ALLOCATION

The total amount of the second edition of the Norway and EEA Grants amounts to EUR 1.798 billion

Allocation for Poland amounts to EUR 578.1 million, including management costs incurred by the Donors and the Polish side Allocation for PL Programme Operator „Development and better adaptation of health care to demographic and epidemiological trends.

NORWAYICELAND

LIECHTENSTEIN

EU 1, 798 billion EUR

POLAND 578,1 million EUR

PL0758 million EUR

RECIPIENTS OF SUPPORT

Generally, applicants may be private or public, commercial or non-commercial, and non-governmental organizations established as legal entities in Poland, as well as intergovernmental organizations operating in Poland. For each program a list of eligible applicants will be established.

AREAS OF SUPPORTENVIRONMENT PROTECTION RENEWALBLE ENERGYSOCIAL AND REGIONAL DEVELOPMENTCULTURAL HERITAGERESEARCH AND SCHOLARSHIPSSTREGHTENING CIVIL SOCIETYDECENT WORK AND TRIPARTITE DIALOGUESCHENGEN AND HOME AFFAIRSGREEN INDUSTRY INNOVATIONS

Programme llocation Programme Operator

Protection of the biological diversity and ecosystems 20 000 000 €Ministry of Environment with support from the National Fund for Environmental Protection and Water Management

Improving environmental monitoring and inspection 15 000 000 €Ministry of Environment with support from the National Fund for Environmental Protection and Water Management

Saving energy and promoting renewable energy sources 145 000 000 € Ministry of Environment with support from the National Fund for Environmental Protection and Water Management

Fund for Non governmental Organisations 37 000 000 € Open call for proposals

Urban development by strengthening the competence of self-government units social dialogue and cooperation with civil society representatives

9 544 500 € Ministry of Infrastructure and Development

Development and better adaption of health care to demographic and epidemiological trends 58 000 000 € Ministry of Health

Reducing social inequalities in health 18 000 000 € Ministry of Health

Conservation and Revitalisation of Cultural and Natural Heritage 70 000 000 € Ministry of Culture and National Heritage

Promotion of Diversity in Culture and Arts within European Cultural Heritage

10 000 000 € Ministry of Culture and National Heritage

Scholarship and Training Fund 15 000 000 € Foundation for the Development of the Education System

Norwegian-Polish Research Programme 62 830 000 € National Centre for Research and Development

Domestic and Gender-based Violence 3 000 000 € Ministry of Labour and Social Policy

Schengen Cooperation and Combating Cross-border and Organised Crime, including Trafficking and Itinerant Criminal Groups 10 000 000 € Ministry of Interior

Judicial Capacity-building and Cooperation/Improvement of the efficiency of justice

14 000 000 € Ministry of Justice

Correctional Services including Non-custodial Sanctions 13 000 000 € European Funds Team in the Central Board of Prison Service

Global fund for Decent Work and Tripartite Dialogue 3 112 000 € Innovation Norway

Green Industry Innovation 20 000 000 € Innovation Norway

PROGRAMMES

"The oncology screening program of cancer of the digestive system in the zawierciański and myszkowski districts as a chance

of living longer in good health”

Total value: PLN 2 345 980,00 including support from the EEA FM and NFM 80 % - PLN 1 876 778,00

The aim of the project is to reduce the rate of morbidity and mortality from cancers of the digestive system through the implementation of the screening population Zawiercie and

Myszków county, aged 40 years and above 40 years of age.

Supported by a grant from Iceland, Liechtenstein and Norway through funding from the EEA Financial Mechanism and the

Norwegian Financial Mechanism

PROCESS OF DIAGNOSING THE ONCOLOGY SCREENING PROGRAM OF CANCER

OF THE DIGESTIVE SYSTEM IN THE ZAWIERCIAŃSKI AND MYSZKOWSKI DISTRICTS AS A CHANCE OF LIVING LONGER

Olga MaroszekEpidemiological Nurse

PROJECT GOALS

The aim of the project is to improve the detection of neoplastic diseases of the digestive system and undertaking immediate treatment

The project is a response to the diagnosis of the situation and the needs of the inhabitants of the area

The project involves the implementation of screening for cancers of the digestive system in the districts of Zawiercie and Myszków

Gastrointestinal prevention programs are aimed at people aged 40 years and above 40 years of age, and so to all people at risk.

SCOPE OF THE PROJECT INCLUDES

screening, including the purchase of highly specialized equipment for testing

health education and training of medical personnel

purchase of laparoscopic equipment, ultrasound scanner, endoscopic video set, surgical tables to endoscopy and a special test site

MEDICAL TRAININGS WILL INCLUDE

new methods for the detection and diagnosis of cancer of the digestive system. In this case, the trainings for doctors will include operating of duodenoscope and testing the bile and pancreatic ducts

abdominal ultrasonography for doctors

instruments and assisting endoscopic procedures performed on biliary and pancreatic ducts for nurses

SCREENING TEST CHART

PATIENT REGISTRATION AND MEDICAL CONSULTATION(the doctor specialist interviews the patient and refers him to the basic examination)

Number of patients participating: 1800Doctor decides to refer the patient to a

module 1 and module II and/or module III and/or module IV

preliminary test

The number of patients in the module I – 1800, module II – 340, module III – 180, module IV - 80

scope of the examination:Module I: blood count and differential, INR,

bilirubin, OB, CEA, creatinine, ALAT, ASPAT, GGTPModule II: amylase in blood and amylase in urine

Module III: Ca 19.9,IV module AFP

MEDICAL CONSULTATION(specialist physician interprets the results and refers the patient to one of the 5 testing

schemes in 90 cases the doctor finds that the patient does not need to continue research due to the health condition so the patient ends his participation in the project)

scheme 1(50 patients) scope

of research: electrolytes,

abdominal ultrasonography,

computed tomography of the

abdomen with contrast, ERCP,

biopsy, histopathology

scheme 2(20 patients) scope of research: alkaline

phosphatase, abdominal

ultrasonography, computed

tomography of the abdomen with

contrast, ERCP, biopsy,

histopathology (in 15 cases)

scheme 3(800 patients) scope

of research: gastroscopy,

biopsy (in 120 cases), histopathology (in 120 cases)

scheme 4(500 patients) scope

of research: colonoscopy under anesthesia, biopsy

(in 200 cases), histopathilogy (in 200 cases)

scheme 5(340 patients) scope

of research: abdominal

ultrasonography

MEDICAL CONSULTATION(doctor interprets the results and refers the patient to treatment or thanks him for the

participation in the project)

MEDICAL CONSULTATION(specialist physician interprets the results and refers the patient to one of the 5 testing

schemes in 90 cases the doctor finds that the patient does not need to continue research due to the health condition so the patient ends his participation in the project)

scheme 1(50 patients) scope

of research: electrolytes,

abdominal ultrasonography,

computed tomography of the

abdomen with contrast, ERCP,

biopsy, histopathology

scheme 2(20 patients) scope of research: alkaline

phosphatase, abdominal

ultrasonography, computed

tomography of the abdomen with

contrast, ERCP, biopsy,

histopathology (in 15 cases)

scheme 3(800 patients) scope

of research: gastroscopy,

biopsy (in 120 cases), histopathology (in 120 cases)

scheme 4(500 patients) scope

of research: colonoscopy under anesthesia, biopsy

(in 200 cases), histopathilogy (in 200 cases)

scheme 5(340 patients) scope

of research: abdominal

ultrasonography

MEDICAL CONSULTATION(doctor interprets the results and refers the patient to treatment or thanks him for the

participation in the project)

THE ONCOLOGY SCREENING PROGRAM OF CANCER OF THE DIGESTIVE SYSTEM INCLUDE EXAMINATIONS AIMED

AT DETECTION OF THE FOLLOWING TYPES OF CANCER

C15. Malignant neoplasm of the esophagus;C16. Malignant neoplasm of stomach;C17. Malignant neoplasm of small intestine;C18. Malignant neoplasm of the colon;C19. Malignant neoplasm of bending distal segment - rectal;C20. Malignant neoplasm of rectum;C21. Malignant neoplasm of rectum and anal canal;C22. Malignant neoplasm of liver and intrahepatic bile ducts;C23. Malignant neoplasm of the gallbladder;C24. Malignant neoplasm of other and not specific parts of the bile ducts;C25. Malignant neoplasm of the pancreas;C45. Mesothelioma;C46. Kaposi’s sarcoma.

REASONS FOR THE PROJECT gastrointestinal tract is one of the main locations of malignant cancers;

cancers of the digestive system are extremely dangerous - 5-year survival when the disease is detected at an advanced stage is kept below 5%;

detection of neoplastic diseases of the digestive system in the early stages of the disease is very low;

a significant increase in the incidence of cancer of the digestive system - particularly the large intestine in recent years forecasts of the National Cancer Registry show that the incidence of this type of cancer in the coming years will continue to increase;

gastrointestinal cancer mainly affects people over 40 years of age, in the face of a rapidly aging population can claim that the problem of cancer in this location will continue to grow;

cancers of the digestive system mainly affects people over 40 years of age, in the face of a rapidly aging population can claim that the problem of cancer in this location will continue to grow;

HEALTH EDUCATIONOngoing project also provides health education and health promotion connected with preventive examinations and a healthy lifestyle. Meetings with potential participants in the project and the project participants and their families will be held in all municipalities of Zawiercie and Myszków districts. The meetings will consist of two parts - a meeting with the oncologist and nutritionist, aimed at enhancing knowledge of the early signs of cancer, risk factors and proceeding in case of the suspicion of the disease and the role of physical activity and a proper diet in reducing the risk of cancer. Project will last from the signing the agreement till April 2016.

THE ONCOLOGY SCREENING PROGRAM OF CANCER OF THE DIGESTIVE SYSTEM IN THE

ZAWIERCIAŃSKI AND MYSZKOWSKI DISTRICTS AS A CHANCE OF LIVING LONGER

Renata DuszaRegistered dietitian

HEALTH EDUCATION MODULE

ONCOLOGIST DIETICIAN

PREVENTION

DISEASE PREVENTION BY ITS EARLY DETECTION AND TREATMENT

PRIMARYPRIMARY

SECONDARYPRIMARY TERTIARY

Primary prevention of malignant tumors is based on the identification of risk

factors, eliminating or reducing exposure to them, which should result in a

decrease in the incidence of cancer

THE RISK FACTORS FOR CANCERS THAT MAY BE REDUCED:

smoking

excessive alcohol consumption

bad eating habits / excessive consumption of alcohol, animal fats, salt, red processed meat

low physical activity

overweight and obesity

environmental and occupational carcinogens

biological carcinogens

RISK FACTORS

Obesity and overweight combined with low physical activity has a significant

impact on the onset of cancer

Analysis of the body mass indexes presented in the report “Current Status of the Anti-Cancer activities

in Poland” developed by the Polish Society of Oncology published in May 2014

PRIMARY PREVENTION

Principles of rational nutrition. The ability to implement a rational nutrition pyramid

Patient estimating the possibility of overweight / obesity

Dietary factors that increase and reduce the risk of cancer

The role of physical activity in preventing the formation of malignant tumors

SECONDARY PREVENTION

The importance of nutrition during cancer - general dietary recommendations

Diet after surgery

The diet in the period of chemotherapy and radiotherapy

Principles of diet after recovering cancer patients

Changing eating habits,increasing physical activity,

participation in screening, taking action to reduce exposure to risk factors increase the

effectiveness of cancer prevention anddetection at an early stage

„We need to think about the big things, do small, not afraid of failure and

quickly take action”

Lucien Engelen