1999-2003
Focus: Community Health, Women's Health
The Partners
US Partner: The US Partner was a collaboration between the University of Kentucky, the University of Kentucky Center for Excellence for Rural Health, and the Kentucky Department of Public Health.
NIS Partner: The Khabarovsk Krai Health Department and Pereyaslavka Rayon Hospital and Polyclinic were the partner members.
Partnership Objectives
The partnership's overall goal was to improve the health status of the residents of the Lazo Region, Khabarovsk Krai, through educational and clinical training initiatives, telemedicine, the purchase of medical equipment, and targeted interventions to vulnerable groups. Specific objectives were to:
- Establish a Women's Wellness Center in Pereyaslavka.
- Develop and implement a school-based educational program to address risk behaviors of youth 12-18 years old in the Lazo Region.
- Conduct clinical lab educational training for 70% of lab personnel in the Lazo Region.
- Provide educational and clinical training programs for 75% of medical personnel who will be participating in a new program, "A School for Diabetic People."
- Replicate a community-initiated decision making process involving community leaders and residents in the development of a health education and promotion.
Adolescent Health
- The US and NIS partners signed a Memorandum of Understanding to develop a Youth Health Promotion Center in February 2001. The center was opened in August 2001 and promotes healthy lifestyle behaviors among youth.
- Approximately 838 youths were surveyed in the youth risk behavior survey completed in the third quarter of 2001; questions concerning lifestyle, drug and alcohol use, cigarette use and violence were included. Sample survey results indicate that of the respondents: 60% had smoked cigarettes, nearly 75% had consumed alcohol, over 10% had smoked marijuana, and over 14% had carried a weapon during the past month. Survey data is being used to guide program decisions.
- The US coordinator lead focus groups with local youths to discuss the behavior survey results and potential program interventions. A group of students in Khor are working to disseminate health promotion information to their peers. US partners also conducted a peer-to-peer training workshop on healthy lifestyle behaviors for groups of teens.
- Televisions, VCRs, and health education videos (translated into Russian) were distributed to health education outreach sites including schools, orphanages, and a teen center. Personnel from each of these locations have been involved in partnership community program planning.
- Two partners attended the substance abuse train the trainers workshop in Moscow in July 2001. The workshop included faculty from the US Substance Abuse and Mental Health Services Administration (SAMHSA).
- NIS partners met with representatives from Planned Parenthood and discussed pregnancy and STI prevention techniques for teenage girls. Brochures on these prevention techniques were translated for the WWC and the Youth Health Promotion Center.
- The partners hosted a three-day conference, Helping Children-at-Risk Through Community-Based Initiatives, in Pereyaslavka in August 2000. The Lexington partners have founded a charity called The Children's Forget-Me-Not Foundation and the Foundation hosted a community awareness and fund-raising event at the Lexington Art Museum in the summer of 2000. The partners also began an intergenerational pilot program involving residents of the Veteran's Home and orphanage #2.
Community Health
- The partners held community meetings in five rural villages in Khabarovsk Krai in August 2000 to learn about local health needs and to demonstrate a method for community-based planning. Focus groups continue to be held when developing new program objectives.
- Twenty-four community stakeholders participated in the AIHA sponsored four-day community development workshop in January 2002. Participants developed plans for new programs and/or changed business practices as part of the workshop. Within the year, two programs drafted at the workshop were implemented. A multidisciplinary team created an STI education program for students at a vocational school and drug abuse prevention program for secondary school students.
- A series of diabetic care (treatment and maintenance) workshops for medical personnel were conducted for NIS partners in December 2001. US partners used the Community Health Education Center to give a public health education presentation on diabetes to interested community members. Approximately 40 people attended the workshops.
- In September 2002, four Khabarovsk partners attended a smoking cessation conference in Moscow. They were introduced to a systematic approach to tobacco cessation through the instruction and practice of intervention techniques. Partners created community-specific action plans for smoking cessation that would be implemented through the Khor district hospital. It gave the partners the opportunity to work in small groups and brainstorm ideas for how to tackle smoking in Khabarovsk. Examples were presented for effective population based treatments, including clinical and community treatments.
Women's Health
- Partners signed a Memorandum of Understanding for the WWC in February 2001. The WWC was officially opened in May 2002. Over 30 people attended the opening ceremony, including several US partners. Renovations included the expansion of the current clinic to provide extra rooms. The center serves a catchment population of 16,000 females and provides services in family planning, STD prevention, and pregnancy classes. Renovations and equipment purchases were funded through the partnership.
- NIS partners observed clinical practices in a rural hospital in Kentucky similar to the Central Regional Hospital in the Lazo region. They discussed the Chief of Staff's role in ensuring efficiency in administering hospital services. Partners have also observed physical therapy practices, allowing them to compare their own practices to the American model.
- NIS partners have learned about the principles of a patient-centered approach to medical services, namely the addition of family support, support networks of community volunteers, and networking among patients.
- In March 2002, the US Coordinator co-led a management training workshop for 13 WWC directors and administrators. The workshop's curriculum used relevant case studies and current policies practiced at current WWCs. A gynecologist from Khor and another from Pereyaslavka attended the training. The Khabarovsk partners have participated in numerous other AIHA-sponsored workshops and conferences, including contraceptive technology, WWC dissemination, and HIV/AIDS patient counseling.
- In December 2001, a US partner delivered laboratory science workshops for 12 laboratory personnel. Additionally, the personnel were introduced to relevant Internet sites where they can obtain information on laboratory services and supplies.
- The partners held aging and long-term care education training to 70% of the personnel working at the Veteran's Home in Pereyaslavka.
- The chair of the Department of Family Medicine at Khabarovsk Medical University was given an adjunct appointment to the College of Medicine at the University of Kentucky; a medical student exchange between the universities is being planned.
Participating Institutions
- Khabarovsk Krai Health Department
- Pereyaslavka Rayon Hospital and Polyclinic, Pereyaslavka
- University of Kentucky
- U. Kentucky Center of Excellence for Rural Health
- Kentucky Department for Public Health
Contact Information for Khabarovsk, Russia / Lexington, Kentucky
Dr. Zubanenko, Igor MD
Head Physician
Pereyaslavka Rayon Hospital and Polyclinic
Pereyaslavka, Russia
Email: medical@lazo.khv.ru
NIS/CEE Partners
Information Coordinator
Goryunova, Antonina
Pereyaslavka Rayon Hospital and Polyclinic
Pereyaslavka, Russia
Email: medical@lazo.khv.ru
Information Coordinator
Asachenko, Evgeniy
Pereyaslavka Rayon Hospital and Polyclinic
Pereyaslavka, Russia
Email: medical@lazo.khv.ru
CEE Partnership Representative
Ostanina, Lyubov MD
Head of the Public Health Department
Pereyaslavka Rayon Hospital and Polyclinic
Pereyaslavka, Russia
Email: medical@lazo.khv.ru
US Partners
US Partnership Representative
Domatov, Elena
University of Kentucky
Lexington, KY, United States
Email: domatov@uky.edu
US Partnership Coordinator
Dr. Robinson, Thomas
Dean, College of Allied Health Professions
University of Kentucky
Lexington, KY, United States
Email: tcrobi01@uky.edu
Updated on May 23, 2004
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