healthy seixal project

Transcription

healthy seixal project - Município do Seixal

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ic
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xal
Sei
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ípio d o S
HEALTHY SEIXAL PROJECT
All Together for Health
Every location of social life and activity,
such as the city, school, the workplace,
the residence place and the dwelling should
provide better opportunities for health promotion.
(WHO, 1991)
THE CITY COUNCIL OF SEIXAL
Dear Municipal Dwellers
Municipal Institutions
The Municipality of Seixal has been developing since 1991 programmes and initiatives in the context of
the Healthy Cities Project, having played, it is only fair to say so, a pioneer action in our country, together with
the Municipality of Amadora.
The Municipal Council of Seixal integrates the Association of the Healthy Cities, assuming responsibilities in its coordination and in the promotion of the national network.
We presented this year our application to the WHO - World Health Organisation - for our participation
in the European Network of the Healthy Cities, for the period 2000-2004.
A Healthy City is one that is constantly creating and improving the physical and social environment and
expanding the community resources. A Healthy City is one that allows the people to support one another in the
accomplishment and development of all the functions of life up to their maximum potential, building up solid
basis for a sustainable intervention and for a widespread participation from the community in search for solutions for health and urban environment problems.
In less than a quarter of a century of profound transformation, Seixal has evolved from a small, semi-rural municipality of the Southern bank of Tagus River into an important urban centre with one of the highest
demographic growth rates in Portugal, showing at the same time one of the highest development levels of the
country in such areas as education, culture, sport, social service, environment, economic activity.
In these almost 25 years of democracy, we have built, in dialogue and participation, a citizens’, families’, community’s and institutions’ local authority.
We have a rich, innovating and constantly renewed working experience in cooperation and partnership
with the Municipal Institutions, in all phases and levels of planning, decision and execution.
Health, as an essential component of living quality and as an indispensable element to the promotion of
the individual and society, presents itself as a vast intervention field.
Honouring its compromises with the Healthy Seixal Project, of which it is a promoting entity, the City
Council of Seixal has restated its support and has approved the Health Development Plan of the Municipality of
Seixal in April 1998.
The Health Development Plan of the Municipality of Seixal emerged thus in the logical sequence of our
collective experience.
The Plan is based upon a deepened study of the health situation and of the
issues concerning health in our municipality, and upon a very wide auscultation of
opinions and proposals for solutions. The Directive Committee of the Healthy
Seixal Project, of which it derives, allows a seat to a vast span of institutions and
sectors of our community.
We have given a step towards the future, at which we look confidently.
We will remain together. Brotherly closer to one another, for the promotion of health and living quality of the population of our municipality.
The Mayor of Seixal
Alfredo Monteiro
healthy seixal project
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HEALTHY SEIXAL PROJECT
What is the “Healthy Seixal” project?
The Healthy Seixal Project is a partnership project involving several institutions of the Municipality united by the
will of putting in motion a health development process in the Municipality of Seixal.
But what do we mean by health?
Health is far more than not being ill. It is a concept that entails not only the individual’s physical, psychological
and social well-being, but also all the aspects related to the environment that surrounds him / her.
Health is breathing fresh air, non-polluted water, an efficient transport system, employment, housing and a
healthy alimentation.
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The responsibility for an individual’s health starts at the very same individual and his / her life-style, it passes by
the Local Authorities, which in the assignment of their competence and available resources, take care of the social
environment, built up and natural, and ends up in the Central Authority that has to ensure the citizens’ basic rights
as written in the Portuguese Constitution, regarding the access to health, education, housing, social security. The
responsibility for health is forwarded to an entire hierarchy of shared responsibilities.
General socio-economic,
cultural and environmental conditions
Living and
working conditions
Social influences and
influences from the community
Life-styles
Age, gender and
hereditary factors
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Problems detected in the Health in
the Municipality of Seixal
In the diagnosis carried out and described in the Health Profile of the Municipality of Seixal we highlight as
problems:
Socio-cultural and Economic
- People receiving the Minimal Guaranteed Income;
- Unemployment Rate;
- Slum dwellings;
- Pensioners and elderly people with very low pensions;
- Children with alimentary deficiencies attending schools;
- An insufficient number of Pre-school education and Free-time Activities facilities, Creches and Kindergartens;
- Ill-treated and neglected children.
Regional and Environment Policy
- Volume of treated sewage still insufficient, 40% of the population comprised;
- Area of treated green spaces still insufficient;
- Insufficient selective collection of solid waste produced;
- Absence of controlled collection of industrial waste, hospital waste and clinical waste of private services;
- Great and fast demographic growth;
- Insufficient road and transport system and with insecure areas (namely in the National Routes).
Health
- Increase of the diseases of the circulatory system and of the malignant tumours as the main death causes;
- AIDS cases;
- Accidents as the main death cause up to the age of 24;
- Non-existence of mothers of age below or equal to 19;
- Non-existence of newly-born babies with low weight at birth,
- Low percentage of sexually active youth using contraceptive methods;
- Non-existence of professional diseases;
- Traffic and / or consumption of drugs;
- Great deficiency in the number of health professionals;
- Insufficient coverage of birth control among women at fertile age.
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A Survey on state of the health of the population
This survey was directed at leaders of Schools, Cultural and Recreational Collectivities, Private Institutions of
Social Solidarity, Pharmacies, at responsible agents of the Central Authority structures of local action in the areas
of Health, Social Service, Employment, Professional Training, Education and the Citizensí Security.
The factors with most impact upon the individual’s health are life-style and behaviour, poverty (including unemployment) and the health services.
With most impact upon the family’s health, the housing conditions, poverty (including unemployment), life-style
and behaviour were pointed out.
The environment, followed the health services and poverty (including unemployment) were pointed out as the
factors with most impact upon the community’s health.
Factors with most impact upon the individual’s health
Transport and road networks
Security
Access to education / training
36,9%
46,6%
Housing conditions
46,6%
Biological factors
Health services
Poverty (including unemployment)
Life-style and behaviour
5,8%
Working conditions
The environment
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5,8%
50,5%
56,3%
62,1%
65,0%
94,2%
Factors with most impact upon the family’s life
5,8%
Biological factors
22,3%
Security
23,3%
Working conditions
27,2%
48,5%
The environment
52,4%
Health services
68,9%
70,9%
76,7%
Housing conditions
78,6%
Factors with most impact upon the community’s / municipality’s health
Biological factors
Working conditions
Housing conditions
Security
Health services
The environment
7,5%
29,1%
34,0%
42,7%
45,6%
51,5%
53,4%
60,2%
71,8%
79,6%
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HEALTH PLAN OF THE
MUNICIPALITY OF SEIXAL
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What is the Health Plan of the Municipality of Seixal?
It is a series of actions to be developed with the objective of promoting the health of the municipality’s population.
The Health Plan of Seixal lies upon the guiding lines of the goals of “Health for All” of the World Health
Organisation and upon the Principles of Health Promotion of the Ottawa Charter, upon the Priorities of Health
Promotion defined by the Jakarta declaration and upon the UN Programme for the Sustainable Development -Agenda 21.
In the national and regional scenery, the Plan is articulated with the Health Strategies 1998-2002 of the Health
Ministry and the Regional Health Strategies of the Health Administration of the Sub-region of Setúbal.
What are the main bases of the Plan?
The objectives and the Health Plan of Seixal were defined in accordance with needs detected at the Health Profile.
The main bases followed in the conception of the Plan are:
- The development of the notion of equality of access to health;
- Health understood as a positive idea, so that people have the capacity of using in full their own physical,
intellectual and affective capabilities;
- Intervention upon the factors of environmental, social and behavioural origin which condition negatively health;
- The active participation of the community, as a fundamental element in the development of the Plan;
- The responses to the problems in an integrated way through an intersectoral partnership;
- The assumption of the assignments of the State in its central and local - and in the future - regional levels;
- The inclusion in the investment plans of the central administration of the projects and programmes of the Plan,
in its several facets.
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THE PROGRAMMES OF THE PLAN
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Fighting against the inequalities in health
- Proceeding and incrementing the Special Re-housing Programme;
- Ensuring the total coverage of the families affected by the presuppositions of the
Programme of the Minimal Guaranteed Income (RMG);
- Ensuring up to 2005 the total coverage of the public network of the pre-school education of the Municipality;
- Implementing the Second Opportunity School - integrating the European network - for young people without
the minimal compulsory education.
Guaranteeing a quality physical environment
- Proceeding the implementation of the Municipal Directive Plan in the sectoral level:
Road Circulation and Transport Plan, Integrated Plan of the Treatment of Solid Waste,
Integrated Plan of the Treatment of Sewage Water, Seixal Bay Improvement Plan, Green
Charter, School Charter, Sports Facilities Charter, Investors’ Charter, Health Charter
(being executed);
- Ensuring an efficient selective collection of solid waste;
- Increasing the areas of green spots in the urban centres of most population concentration;
- Making an awareness campaign among the business companies, so that they treat adequately their effluents and
waste;
- Promoting the Seixal Bay Improvement Plan;
- Creating an open line for the environment, connected to an operational team for the intervention in emergency
situations.
Improving accessibility and the housing conditions
- Executing the Road Circulation and Transport Plan of the Municipality;
- Besides the accomplishment of the Special Re-housing Programme, developing support
actions in the recuperation of run-down dwellings, namely in ancient centres and in state
controlled neighbourhoods.
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Fighting smoking
- Collaborating in the ESFA (European Smoking Prevention Framework Approach) in the
research and prevention of tobacco consumption up to 2001. The project involves 6
European countries and it is technically and administratively directed by the University
of Maastricht.
- Increasing the individual and collective awareness about the effects of passive smoking.
- Implementing a health service for helping the smoker to stop smoking.
Encouraging physical activity
- Proceeding with implementation of the Sports Development Plan;
- Continuing with the programme of endowment of Primary Schools with facilities for the
regular practice of sports activities;
- Endowing all Preparatory and Secondary Schools with facilities for the regular practice of sports activities;
- Proceeding with the dynamisation of specific programmes for the practice of swimming among the elderly
and handicapped population;
- Promoting regular activities in accordance with the European Programme CINDI (Prevention of chronic non-communicable diseases);
- Continuing the “Renascer” Programme - physiotherapy in the community - for the rendering of healthcare
directed at chronic patients, rendering of home healthcare in situations such as AVC and fracture of the neck
of femur, and prevention of problems related to the vertebral column and insufficient mobility.
Promoting alimentary hygiene and quality
- Creating incentives to promote the hygiene and quality of food in the restaurant and
catering industry;
- Developing the programme for the alimentary support in schools;
- Developing a support programme for the neediest families;
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Promoting mental health
- Publicising the “SOS” lines for imminent risk situations;
- Enlarging the intervention capacity of the Childrenís Protection Committee, for
ill-treated children situations;
- Promoting programmes for the accompaniment of isolated people.
Diminishing cardiovascular diseases
and mortality by cancer
- Promoting healthy Life-styles namely: diminishing smoking, increasing physical
exercise, healthy eating habits, inciting strategies to cope with stress;
- Promoting the patients’ mobilisation and rehabilitation as precociously as possible;
- Increasing the coverage and quality of home healthcare in the context of the extended healthcare, in articulation with community structures and the volunteers’ network;
- Promoting the information on and the intervention upon known risk factors;
- Promoting a systematic check-up of the mamma cancer among women between 45 and 70 years of age;
- Improving the capacity of precocious diagnosis.
Preventing accidents
- Reinforcing the epidemiological information and analysis system of accidents in the
Municipality of Seixal;
- Corrective measures in the critical spots;
- Improving the traffic signs and roads;
- Casting light towards the problem in its actual dimension as an awareness factor, using the local media;
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Promoting women’s, children’s and elderly people’s health
- Developing specific programmes in the geographic areas of the needy neighbourhoods,
through the use of mobile health units;
- Increasing the birth control coverage among women in fertile age and of higher risk;
- Reducing the number of cases of unwanted pregnancy in the 17-year-old age group, allowing a greater
accessibility to contraceptive methods;
- Guaranteeing accessible and quality healthcare services for the surveillance of children’s health;
- Augmenting the vaccination coverage of children and youth in the highest risk geo-demographic areas,
namely in run-down neighbourhoods;
- Responding to the cases of risk and ill-treated children identified by the Children’s Protection Committee;
- Ensuring the rendering of integrated home healthcare to elderly people who are dependent at home;
- Dynamise the intersectoral network for the help of the elderly;
- Promoting volunteers’ networks;
- Creating an ortoteses ward.
Fighting against drug addiction
- Increasing the number of attendance centres for adolescents in the community, with a
multidisciplinary health team, with specific training for the task;
- Improving the accessibility to the health services, establishing a phone line and E-mail
for the attendance of adolescents;
- Enlarging the methadone programme and making it accessible to those who look for it;
- Promoting the establishment of a CAT (Centre for the Attendance of the Drug-addicted) in the Municipality.
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Improving handicapped people’s life
- Materialising the programme for the elimination of architectonic barriers and
establishing the regulation conditions of the urban planning that promote accessibility;
- Promoting the “Incluir” Project, aiming the social inclusion of children and youth with
specific needs.
Promoting occupational health
- Making the information system operational in what concerns hygiene, security and
health at work;
- Creating incentives to foment the culture of the Model Business Company, in terms of
Hygiene and Security.
Promoting the health of the ethnic minorities and
of the population in run-down neighbourhoods
- Promoting local development projects in run-down neighbourhoods;
- Facilitating the accessibility to health services;
- Intervening upon the conditioning factors of the environment, thus improving its hygiene and salubrity
conditions.
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Augmenting the accessibility and the quality
of the healthcare rendering
- Building new facilities of the area of the primary healthcare, in accordance with the
needs already detected and with the health charter being elaborated, and re-organising
the emergency services;
- Installing permanent attendance services and an hospital unit;
- Reinforcing the citizens’ participation in the assessment of the healthcare rendering;
- Promoting the making of quality programmes in the healthcare rendering services;
- Elaborating a user’s guide for the utilisation of the health services system as an information support and
communication vehicle among the citizens.
Developing the human resources in health
- Identifying the personnel needs and establishing the functioning rules of the practice of
the various professions in the health area;
- Striving for the creation of incentives to reward the performance quality of the network
professionals;
- Identifying the potential health agents, teachers, community workers for cultural activities, community
leaders, volunteers, etc.; promoting their training and action in the network.
Promoting the multi-sectoral collaboration and
the citizens’ participation in health
- Reinforcing a dynamics of multi-sectoral collaboration oriented to health, namely
through their presence in the Project Directive Committee;
- Reinforcing the citizens’ participation in the decisions and execution of the project,
through the local system of information, audition and intervention.
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Fomenting the information and assessment systems in health
- Creating the project’s database;
- Establishing protocols with university institutions and others for the gathering and
processing of specific information, namely the support to research projects and as
external assessors outside the system;
- Creating an Internet page and maintaining it permanently updated;
- Creating quick and updated information mechanisms for the accompaniment of WHO health indicators in the
city.
Preventing communicable diseases
- For the Prevention and control of Tuberculosis: improving the information about the
tuberculosis cases and epidemiological surveillance; taking measures to avoid the
abandonment of the therapy; improving the information to the community concerning the
prevention of the disease;
- For the Prevention and control of HIV/AIDS: Raising the chemists’ awareness towards the syringe
exchange programme; developing programmes of HIV/AIDS prevention in the school community
(compulsory and secondary levels); stimulating good attitudes for the prevention of the disease;
- For the Prevention of Hepatitis B and other diseases preventable by vaccination: promoting the
vaccination of groups in accordance with the Health General-Directorate regulations; making special
vaccination programmes in areas of higher risk, using mobile units.
Promoting the investigation in health
- Collaborating in the ESFA Project (European Smoking Prevent Framework Approach)
directed by the University of Maastricht;
- Collaborating in the Investigation Project of adolescent pregnancy, conducted by the
Health General-Directorate;
- Promoting the investigation in the context of the assessment of the Project and of support to the intervention
and decision of the Directive Committee.
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How we are organised
There are several organisms working towards a Healthy Seixal.
Directive
Committee
Political
Cordinator
It is the Mayor of Seixal
- It establishes the philosophy
and strategy of the Project;
- It is supposed to ensure the
conduction and financing of
the Project, in accordance
with the orientation
defined by the Directive
Committee.
l Sa u d á
ei
xal
Sei
It is the Health
Authority of Seixal
l
ve
- It functions as the permanent executive organism of
the Directive Committee and
in its direct dependence;
ic
n
Coordination
Committee
xa
Mu
- It orientates and assesses the
activity of the Accompaniment
Groups for the several
intervention areas of the
Project and of the Technical
Accompaniment
Office of the Project.
Technical
Coordinator
ípio d o S
Seixal
Health Forum
- It is constituted by all the
entities of the Municipality
that express their adherence to
the principles and values of
the Project;
- With the Forum we hope to
involve some sectors of the
population in the assessment
of the Plan in what concerns
the strategic objectives
delineated and the
mobilisation of the
Community.
Technical
Accompaniment
Office
- It collects and generates
information about everything
that concerns the Project;
- It accompanies the elaboration and execution of the
strategic planning of the
Municipality by assessing the
impact of its policies and
programmes upon health;
- It presents the necessary
proposals for the safeguard
and promotion of health.
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The Members of the Directive Committee
* The Mayor of Seixal
* The Councillor responsible for the Cultural, educational, Sports, Social Service and Youth Areas in
the City Council of Seixal;
* The Councillor responsible for the Urbanistic Administration, Municipal Constructions and Social Housing Areas in
the City Council of Seixal.
* The Councillor responsible for the Health and Drug Addiction Prevention Areas in the City Council of Seixal.
* The Councillor responsible for the Environment and Urban Services Areas in the City Council of Seixal.
* The Councillor responsible for the Infrastructures and Accessibility Areas in the City Council of Seixal.
* The Councillor responsible for the Civil Protection and Consumer’s Defence Areas in the City Council of Seixal.
* The Director of the Local Administration and Finance Department in the City Council of Seixal.
* The Director of the Cultural, Educational, Sports and Youth department in the City Council of Seixal.
* The Director of the Sanitation, Infrastructures and Transport Department in the City Council of Seixal.
* The Director of Planning and Urbanism Department in the City Council of Seixal.
* The Director of the Collective Facilities in the City Council of Seixal.
* The Director of the Environment and Urban services in the City Council of Seixal.
* The Head of Division of the Municipal Directive Plan of the City Council of Seixal.
* The Coordinator of the Health Office in the City Council of Seixal.
* The Coordinator of the Social Service Office in the City Council of Seixal.
* The Coordinator of the Technical Accompaniment Office of the Healthy Seixal Project.
* The Responsible Officer for the Municipal Consumer’s Information Centre.
* The Chairwoman of the Municipal Parish Council of Amora.
* The Health Authority of Seixal and Technical Coordinator of the Healthy Seixal Project.
* The Directress of the Health Centre of Seixal.
* The Director of the Health Centre of Amora.
* The Directress of the Health Centre of Corroios.
* President of the Children’s Protection Committee in the Municipality of Seixal.
* The Coordinator of Social Service of Almada and Seixal of the Regional Social Security Centre.
* The Director of the Employment Centre of Seixal of the Employment and Professional Training Institute.
* The Director of the Professional Training Centre of Seixal of the Employment and Professional Training Institute.
* The Commander of the Police Station of Cruz de Pau.
* The President of the Directing Board of the Volunteer Firemen of Seixal.
* The President of the Red Cross Delegation of Seixal.
* The Delegate of the National Pharmacies Association in Seixal.
* The President of the Association of Sand Extractors and Autarchy for the Preservation of the Environment in Seixal.
* Representatives of the Educational Community, Environmentalist Movement, Trade Unions, Elderly People’s
Associations, Youth Associations, Handicapped People’s Organisations, Ethnic Minorities, Cultural and Recreational
Collectivities, Private Institutions of Social Solidarity, and of the Catholic Parishes.
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The Community is already participating
The process leading to a Healthy Seixal can only be developed with the actual participation and involvement of
the entire community, being of extreme importance not only the establishment of partnerships, but also the setting out of initiatives by the population itself.
The community and all local agents must undertake an active and intervening role.
How you can contact us
The contacts of the “Healthy Seixal” Project are:
Câmara Municipal do Seixal
Gabinete do Projecto Seixal Saudável
Rua Fernando de Sousa, nº 2 - 2840 Seixal
Telephone: +351 1 227 17 54 / +351 1 227 15 95 / +351 1 227 15 96
Fax: +351 1 227 19 07
E-mail: [email protected]
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TECHNICAL INDEX:
Title: Projecto Seixal Saudável - All together for Health
Edition: City Council of Seixal
Coordination of the Edition: Healthy Seixal Project Office
Graphic Design: Graphic and Edition Office of the City Council of Seixal
English Translation: Paulo Brasil
Circulation: 1000 copies
Printing: Grafema, Sociedade Gráfica Lda.
Date of Printing: January, 1999
Depósito Legal:
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healthy seixal project - Município do Seixal

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