Activity 2a.1: needs assessment
Epidemiological evidence with relative certainty confirm the burden of lifestyle-related chronic non-communicable diseases (NCDs) and their risk factors, as well as the burden NCDs present for the entire society and healthcare system. Analyses show the weaknesses in organization, capacities and operation of the healthcare system on primary level regarding effective coping with non-communicable diseases with the emphasis on fairness and quality. The userâ€™s perspective has not yet been researched. Thus, the project primarily focuses on ensuring proofs and on mechanisms for the definition of special needs of vulnerable and disadvantaged adults. The aim is to ensure evidence-based development of models of preventive services, which would effectively and reasonably fulfil their needs. Needs assessment will help the decision makers to effectively use available sources, reduce discovered gaps and establish the healthcare system that will be more responsive to special needs of individual user groups. The cooperation of target groups will provide data, which will support the development of health education models.
Activity 2a.a: programme development and modellingThe project will focus on the development of guidelines, protocols and models for comprehensive prevention of lifestyle-related diseases in three segments of primary healthcare:
Â· Outpatient clinics of general/family physicians or referral clinics,
Â· Preventive centres, and
Â· Community nursing.
Activity 2a.3: preparation of a set of indicators and methodology for monitoring and evaluation of the preventive programmeWe will develop a set of indicators on the presence of CNDs and their risk factors in adults as well as the methodology for monitoring and evaluating programmes in the field of CNDs prevention in adults. We will develop methodological guidelines for data collection.
Because of their rich experiences in the field of data collection and indicator development, Norwegian Institute of Public Health will be closely cooperating in the development of outputs within this activity.
Activity 2a.4: piloting of new models
New approaches, tools, strategies, programmes and models of comprehensive prevention and treatment of lifestyle-related CNDs will be pilot tested and evaluated. We will test the indicators and methodology for data collection at national level as well as the monitoring and evaluation of preventive programmes of primary healthcare.
Activity 2a.5: pilot evaluation and programme adaptation
Experiences of pilot testing will be analysed and based on the results we will prepare supplements and upgrades of new programmesâ€™ and approachesâ€™ models. We will also attain feedback, which is needed for improvements, with the help of usersâ€™ satisfaction reports. Evaluation results will be included in the final output, which will present a professional basis for the upgrade of preventive programmes.
Activity 2a.6: coordination of results in widest professional public
The project is designed in a way that the representatives of interested publics (users as well as the providers of preventive healthcare for adults) are included in all project phases. In addition to that, the project includes an activity for disseminating results to all stakeholders, including those who are not directly involved in project activities. The results will be presented to professional publics on national and international events and conferences and published in professional publications, what will enable receiving direct proposals and coordination of results in widest professional public.
Activity 2b.1: preparation and implementation of public health courses
In the framework of the project, we will develop and implement training programmes for health workers in the field of comprehensive CNDs prevention with the emphasis on reducing inequalities in health. The training programmes will be developed for all new fields of preventive programme. Materials for the training will be designed and used in the pilot.