"Active Rural Communities in providing and monitoring home care services - Increasing the access to medico-social services for elderly in 5 rural communities"
Short description of the project:
The project aims to contribute to:
• the reduction of disparities between urban and rural remote areas in Romania
• by promoting social inclusion, equal rights and opportunities.
Romania finds itself on the last places in Europe with regard to its low provision of long term care services for elderly and dependent persons.
Following a needs assessment at the level of TON communities, TON has designed in 2015 a Master Plan for Medico-Social Services that have proven to be mostly needed by the population in rural areas. The home care services represent one of the priorities of this Master Plan.
The project aims to respond to communities needs, and also aims to increase the institutional capacity of the applicant NGO and to catalyse the creation of new structures –both informal and formal- in 5 rural communities from 5 different Regions of Romania that will increase the access to home care services for the dependent persons.
The working methodology is an innovative one:
• proactive creation at the level of each locality of an informal structure with a role to increase transparency in cases identification, participatory monitoring of the services provided (Local Health Committees).
• a community facilitator that will identify informal leadership and shall support the process to define the local services planning/ monitoring plans/ fund raising plans.
• formal local NGO’s, providers of home care services, are to be developed (ADAM)
• coaching for achieving this new formal structure through all bureaucratic steps,
• the coaching shall aim at supporting the organizational knowhow to create the organization (NGO),
• payment through the project of a part-time home care nurse during 12 months in each community (the minimum legal period before any possible accreditation and contracting of public funds in order to ensure financial sustainability),
• throughout the project period, TON shall perform networking and advocacy activities with local public administrations, associative structures of local administrations, Crucea Alb-Galbenă, Caritas, SENIORNET, Omenia, etc.,
• at the end of the project: Final Project Conference . (Sept. 2017).
Achievements needed at the end and way to reach them:
• Set up of the community teams.
• Supervision ADR Steering group with Belgian partners of each pilot community and specialized organizations. The kick-off meeting was at 30/03/2016 Mechelen (B).
• Working methodologies defined for community facilitation, definition of services plans, monitoring plans, fundraising plans.
• Set up of institutional structures (NGO home care providers).
• Training of at least 5 professionals/volunteers per each pilot community during a 4 days training in home care management (1-2 additional communities may join these trainings at their own costs).
• 5 functional providers that fulfill criteria of the MoH (Ministry of Health) and apply for NHIH (National Insurance House) accreditation.
• At least 2 funding applications/community (public & private funding).
• 100 dependent persons served with home care services at the level of each community.
• One national conference organized / advocacy for sustainable funding performed at national level.
Pilot places defined in the project:
The proposed pilot communities and regions within the project are: (selected on their TON membership and health structures or -activities in the past and from different regions in Romania)
1. Community of Bunești, village Viscri, County of Brașov (Glabbeek)
2. Community of Batăr, village Tăut, County of Bihor (Bertem)
3. Community of Armeniș, County of Caras-Severin (Geel)
4. Community of Moldovița, County of Suceava (Kruibeke)
5. Community of Dumitrești, County of Vrancea (Tessenderlo-Limpro)
Possibility of 2 extra communities with own contribution (Partially):
6. Community of Hodora, County of Iasi (Nijlen)
People that will be involved:
• Project manager: Cristina Vladu • Deputy project manager: Ioan Suru
• Facilitators: 1 facilitator/community steering up the community, support the creation of local organizations / providers, local plans for services, etc.
• Nurse: to identify: follow the home care training and contracted by the project (12 months part time salaries within 5 pilot communities).
• Volunteers: at least 5 volunteers per community shall be identified and shall be included within the home care training and home care services delivery. Also VIZIDOM.
Concrete Institutional setup:
• A methodology for community facilitation shall be set up and shall be implemented by the 5 community facilitators (+ potential newcomers).
• A Local Social Health Committee (LHC) shall be first created as an informal structure; where formal institutional structures do not exist (Viscri, Dumitresti, Armenis, Hodora), formal NGO’s shall be created (i.e. ADAM structures).
• The formal NGOS shall define dossiers for MoH approval and NHIH (CNAS) accreditation. Leader of the project:
• The leader of the project is TON; it formally implements the project in partnership with ADAMSlatina-Timis. The leadership should be ensured by a board with representatives from RO-BE members deriving from the 5 pilot communities.
Finances:
• The project’s budget is 74.050 CHF (68.034 Euro), to which a minimum contribution of 8.250 CHF (7.580 Euro) is to be provided by the applicant (and its partners). Total budget: 82.300 CHF (75.614 Euro).
Project Duration:
• 20 months: 01/03/2016 – 31/10/2017
Press
April 20th, 2016
In the medical centre of ADAMSlatina-Timis:
article in the Express de Banat: click here
article in Stiriong: click here