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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
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
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
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
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
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
Kharkiv - LaCrosse Partnership
Students’ Lifestyle Survey
• Conducted in 2000• 1958 respondents• Major areas of interest- health-
related risk factors and behaviors
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
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
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
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
1 2 3
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).
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.
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.
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
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.
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.
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)
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.
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
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
Kharkiv - LaCrosse Partnership
Thank You For Thank You For Your Attention!Your Attention!