Association ESE

ESE

   Association for Emancipation, Solidarity and Equality of Women.

Analysis of the implementation of a part of the Programme for Early Detection of Malignant Diseases for 2011

The Government has been adopting prevention programmes to cover free measures for early detection, prevention and treatment of cervical cancer and breast cancer for women in RM, however, only some use planned free services.

This analysis provides a brief overview of the findings from the monitoring of the implementation of programme activities and funds planned in the Programme for Early Detection of Malignant Diseases in RM for 2011, with a special focus on two programme components for early detection and prevention of the diseases of female reproductive organs (pilot screening for cervical cancer) and the component for organized screening for breast cancer.

Full text of the analysis...

Protection of patients’ rights - with focus on Roma rights

Right to health is an internationally recognized right. For the first time it was defined by the World Health Organization as “right of every person to the best attainable physical and mental health“. The right to health is most closely related to the protection of patients’ rights which represents a sum of rights, responsibilities and obligations according to which patients request and receive health care.

Roma have equal right to access and use of the services which are provided within the network of medical institutions like any other citizen in Republic of Macedonia. Their marginalization in the societal and public life has also negative impact on the extent to which the rights regulated by the health laws are realized, among which priority is given to the Law on Health Care, Law on Health Insurance and Law on Protection of Patients’ Rights.

Protection of patients’ rights – with focus on drug users

Right to health is an internationally recognized right. For the first time it was defined by the World Health Organization as “right of every person to the best attainable physical and mental health“. The right to health is most closely related to the protection of patients’ rights which represents a sum of rights, responsibilities and obligations according to which patients request and receive health care.

People who use drugs and people who are addicted to drugs should have equal access to quality and available health service, like all other citizens. The health of these people is at high risk, which includes overdose and death, spread of infectious diseases (HIV, Hepatitis B and C) and somatic and mental health disorders. Furthermore, as result of their marginalization, they do not have sufficient capacity to fight for the realization of their rights, and therefore it is necessary to take activities about information, protection and promotion of their rights as patients.

Assessment of the situation with regard to the sexual and reproductive health and the rights of the population in RM

The survey about the sexual and reproductive health and the rights of the population aims to analyze the situation related to the sexual and reproductive health of both women and men in RM, such as the knowledge, behavior and attitudes of the population, access to to health services for sexual and reproductive health, quality of offered health services and the satisfaction thereof. In addition, the survey aims to examine the determinants that influence the reproductive health of the population in RM.

The survey represents a prospective cross-sectional study and was carried out in the course of 2009 and 2010, on a representative sample comprised of 2691 respondents aged 15 to 49 from total of 8 statistical regions in Macedonia, out of which 1346 were female respondents and 1345 were male respondents. Stratified systemic samples were used for the two samples, whereby the units of the sample were selected within certain strata in a systematic manner.

The survey enabled us to collect data with regard to the following areas:

- demographic and socio-economic characteristics;

- sexual intercourse, including data about the first sexual intercourse, sexual behavior and use of protection in sexual intercourse;

- contraception, including knowledge of the respondents about contraception, use of contraception and factors that make influence and the attitudes regarding the use of contraception;

- condoms,that is, knowledge and attitudes of the respondents regarding the use of condoms, the actual use as well as factors that influence the use of condoms;

- STD and HIV/AIDS, including the knowledge and attitudes of the respondents with regard to these matters;

- family planning, including the knowledge, attitudes and behavior of the respondents regarding the family planning as well as the behavior of the respondents when concluding the first marriage and formation of family;

- care in the course of pregnancy, delivery and postnatal care, including the behavior of women during the first pregnancy, the scope of health care during the first pregnancy, satisfaction of the women from the received health services during the control check-ups and delivery in the first pregnancy, the scope of services of the patronage nurses during the first pregnancy and after delivery, behavior of the women during the breastfeeding of their first child and behavior of men during the first pregnancy of their wives (partners);

- abortion, including data about the abortion rate, health services related to the abortion as well as knowledge and attitudes of both women and men related to abortion;

- health services related to the reproductive health and reproductive rights, including the coverage of women with family gynecologist, satisfaction from the health services provided by the family gynecologist, as well as knowledge, attitudes and behavior of the women respondents regarding the preventive gynecological examinations and preventive breast examinations.

 

 

 

 

Findings from the conducted monitoring of the implementation and budget for early detection of malignant diseases

The right to preventive health care of each citizen is guaranteed by the Constitution and the laws of Republic of Macedonia. The type and the manner of implementing the measures for preventive health care are regulated in the Programs for preventive health care of the population. These programs are adopted by the Government of RM every year, and are implemented by the Ministry of health. Part of the preventive programs is also the Program for early detection of malign diseases, which having three components stipulates a range of preventive health services for early detection of cervical cancer, breast cancer and colorectal cancer.

Driven by the long-termed mission of the Association ESE for promotion of women’s health and improvement of the transparency and accountability of state institutions, ESE conducted an analysis about the extent to which planned program activities and funding were implemented as foreseen with the program for early detection of malign diseases in R.Macedonia for 2011 (01.01.2011 to 31.12.2011).

Subject of the analysis are the activities foreseen within the two components of the program – component for early detection and prevention of diseases in female reproductive organs (pilot screening for cervical cancer) and component for organized screening of breast cancer.

The purpose of this analysis is to establish whether the activities were conducted in the planned type and scope, as well as to establish whether the funds from the budget for the Program were spent for the planned purpose or whether unspent funds remained.

Furthermore, this analysis provides an overview of the trend of movement of the planned funds from the Program for early detection of malign diseases in the period from 2008 to 2012, as well as the share of these funds in the central budget, the budget of the Ministry of health and the budget for health care for prevention for the respective period. Also, the same approach was used to give a more detailed representation of the movement of funds for the implementation of activities for screening of cervical cancer and breast cancer.

 

Findings from the conducted monitoring of the implementation and budget for early detection of malignant diseases (en)

 

 
 
     
 
 
       

 

 

 

 

Fiscal Transparency

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Health Rights

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