Jarosová D, Dusová B, Vrublová Y
Department of Nursing and Midwifery, University of Ostrava, Ostrava-Zábreh, Czech Republic.
Int Nurs Rev. 2009 Jun;56(2):264-8. doi: 10.1111/j.1466-7657.2008.00684.x.
This paper presents the Czech national pilot project - the first educational course of Romany health and social assistants for community work with the Romany population in excluded communities.
The Romany people are the biggest minority in the Czech Republic. The number is ever increasing because of the migration from South-East Europe. At the same time, the health and social problems of the Romany population are rising, too. To begin to address some of the health problems of this population, a pilot community project entitled Romany Health and Social Assistant was implemented in the years 2002-2004 in Ostrava. Ostrava is the third largest city and has the largest Romany population. Based on the outcomes of this project and as part of the national project SASTIPEN - Reduction of Health Inequalities in the Romany Community, the systematic education of selected Romany health and social assistants was carried out in 2005-2007.
These trained Romany assistants are now working in the regions of the Czech Republic where inhabitants live in large Romany communities. The project evaluation was based on a questionnaire investigation of 170 clients living in Romany communities and on the statements of Romany health assistants. They found positive outcomes in several areas: obtaining information on health, motivation to healthy lifestyle, concrete changes in lifestyle and boosting trust towards doctors. Following the end of the project and its evaluation, an educational course will be accredited and certified, and the education of Romany assistants will be widespread across the whole country.
本文介绍了捷克国家试点项目——首个针对罗姆族健康与社会助理的教育课程，该课程面向被排斥社区中与罗姆族居民开展社区工作。
罗姆族是捷克共和国最大的少数族裔。由于来自东南欧的移民，其数量不断增加。与此同时，罗姆族居民的健康和社会问题也在增多。为了着手解决该群体的一些健康问题，2002年至2004年在俄斯特拉发实施了一个名为“罗姆族健康与社会助理”的试点社区项目。俄斯特拉发是该国第三大城市，罗姆族人口最多。基于该项目的成果，并作为国家项目SASTIPEN（减少罗姆族社区健康不平等）的一部分，2005年至2007年对选定的罗姆族健康与社会助理进行了系统教育。
这些经过培训的罗姆族助理目前在捷克共和国罗姆族居民聚居的地区工作。项目评估基于对170名居住在罗姆族社区的客户的问卷调查以及罗姆族健康助理的陈述。他们在几个方面发现了积极成果：获取健康信息、对健康生活方式的积极性、生活方式的具体改变以及增强对医生的信任。项目结束并完成评估后，该教育课程将获得认证，罗姆族助理的教育将在全国推广。
