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January 24, 2003


DECENTRALIZATION FOCUS IN USAID SALAJ HEALTH PROJECT

Minister of Health and Family Dr. Daniela Bartos will visit Zalau on Monday, January 27 for the official launch of a new community project focused on the decentralization of health facilities and services in Salaj County. Dr. Bartos will be joined by Professor Dan Georgescu, health counselor to Prime Minister Adrian Nastase; Dana Varlan from the Ministry of Local Public Administration; and representatives from the American Embassy, United States Agency for International Development (USAID), the World Bank, and World Learning.

The project will use a "Healthy Community" approach and mobilize citizens of Salaj County to develop decentralization plans that are responsive to local health priorities and needs. The primary objective of this 10-month project is a written plan for decentralized health services in Salaj County that brings local input to national plans for decentralization being developed by the Ministry of Health.

At the official launch, members of local government and the local community will discuss the key aspects of this important health project, which began this week in Zalau. During the first weeks of the project, a steering committee will be formed to initiate an assessment of local health service needs, including a series of community meetings and focus groups. This first step is in response to Ordinance 70, which recently conveyed ownership of hospitals and health facilities to local communities in Romania. According to Minister Bartos, "We hope to restructure the health system to provide more comprehensive services, better suited to our citizens' needs. Our hospitals are presently used for many social services, and we look for the local governments and health authorities to work with the community to plan how services can be provided in more appropriate settings. We hope the methods used in Salaj will be successful and will be a model for other counties."

The Salaj project is funded by the United States Agency for International Development, through World Learning's Romanian-American Sustainable Partnerships Program (RASP). During the course of the project, other counties will be invited to participate in workshops focused on the "Healthy Community" approach, and the methodology used to develop a plan for decentralized health services that is responsive to the needs of the population. Michael Mates, American Embassy Representative in Cluj, highlighted the importance of community participation: "Community involvement and local decision making is at the very fiber of a democratic society. Because health care and related social services touch the lives of all citizens, there is no better place to begin."

The RASP grant has been awarded to a partnership between the ACASA Foundation in Zalau and The Humana Foundation in Louisville, Kentucky, USA. Other contributed funds will leverage the grant support. The two foundations will lead activities, working closely with the Prefect, the County Council, the local Health Authority, mayors, local health facilities, and other members of civil society. The ACASA Foundation is a non-governmental organization that provides home health care for persons in need. It plans to open a rehabilitation center for the elderly and the handicapped in late 2003. The Humana Foundation, the philanthropic arm of Humana Inc., has been providing humanitarian and technical assistance to health professionals and institutions in Romania since 1990.
For more information, please contact:

in Zalau: Mr. Vasile Padurean, ACASA Foundation, 0744-533-178
in Bucharest: Dr. Gabriela Paleru, USAID/Romania, 0723-559-972


 
 
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