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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


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


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


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


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


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


Students’ Lifestyle Survey

• Conducted in 2000• 1958 respondents• Major areas of interest- health-

related risk factors and behaviors


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


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


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


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


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).


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.


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.


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



• 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.



• 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.



• Patient Education• Sessions with individuals and groups in the clinic• Outreach work with students (lectures in the

dormitories, at the university)


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.


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


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


Thank You For Thank You For Your Attention!Your Attention!

Documents

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