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National School for Public Health and Health Services Management (NSPHHSM)

ASPHER - Deans and Directors’ Retreat Friday 25 and Saturday 26 May 2007 Bucharest, Romania. Romanian Public Health System and Training in Public Health. National School for Public Health and Health Services Management (NSPHHSM). Presentation Content. Public Health Organization

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National School for Public Health and Health Services Management (NSPHHSM)

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  1. ASPHER - Deans and Directors’ Retreat Friday 25 and Saturday 26 May 2007 Bucharest, Romania Romanian Public Health System and Training in Public Health National School for Public Health and Health Services Management (NSPHHSM)

  2. Presentation Content • Public Health Organization • Public Health Structures • Training in Public Health • Challenges for the Future

  3. Public Health Organization (I) • Regulated by the new Health Reform Law (2006) • The highest authority – Ministry of Public Health • The funding of the Public Health Services: • State Budget via Ministry of Public Health • Local Budgets • Health Insurance House Budget • Other sources

  4. Public Health Organization (II) • Main fields of intervention of Public Health Services: • Prevention and Control of Communicable and Non-Communicable Diseases • Health Status Monitorization • Health Promotion and Health Education • Labor Health • Environmental Health • Development of Regulations • Public Health Management

  5. Public Health Organization (III) • Other Specific Public Health Services: • Educational Health • Emergency in disasters and calamites • Public Health Laboratories • Family Planning • Screening • Pre and post-natal care • Counseling in Public Health • Public Health in transportations

  6. Public Health Organization (IV) • Principles of Public Health Services: • Society Responsibility for Public Health • Focus on population and primary prevention • Multidisciplinary and Intersectorial Approach • Evidence-based Public Health decisions • Decisions based on caution • Decentralization • Integrated information system for Public Health Management

  7. Public Health Organization (V) • Implementation of Principles of Public Health Services through: • Development of regulations • Activities of inspection • Activities done within the National Public Health Programs • Authorization/evaluation/notification of products and activities with impact on population’s health • Evaluation of the impact of other sectors policies on population’s health

  8. Public Health Structures (I) • Ministry of Public Health (MoPH) • District Public Health Authorities (DPHA) = deconcentrated public health structures of MoPH • Public Health Institutes or Centers = public institutions at national or regional level which technically coordinate the public health activities • Research and Development Institutes on Public Health (Victor Babeş, Cantacuzino) • National Center for the Organization of Information Health System = provide the MIS

  9. Public Health Structures (II) • State Sanitary Inspection = provide the control of compliance with public health regulations • State Sanitary Inspectionis organized as follows: • Pharmaceutics Inspection • Medical devices Inspection • Inspection for Health Services Quality Control • Public Health Inspection

  10. Training in Public Health (I) • The personnel employed in Public Health structures is divided in: • Public Employees (at the level of MOPH and DPHA) • Contractual civil servants of different specialties: • Physicians • Nurses • Biologists • Engineers • Statisticians etc.

  11. Training in Public Health (II) • For Public Employees (at the level of MOPH and DPHA), there are not clear requirements of training in Public Health, but specific conditions for the career of Public Employee (PE) • Continuous Training is requested for Public Employees, based on National Institute for Administration (INA) requirements • National School for Public Health and Health Services Management role in training of PE

  12. Training in Public Health (III) • For Physicians there are three main specialties covering the area: • Public Health and Management • Epidemiology • Hygiene • All 3 require a 4 years training residency program • The training for residency programs is done at the level of Universities of Medicine or the public health structures from the field

  13. Training in Public Health (IV) • There are several Master-type courses in the field of Health (Public Health) Management (Administration), • Post-graduate training (“Atestat”) is done in Health Services Management by NSPHHSM and Universities of Medicine • Short courses on various public health aspects are delivered by different providers

  14. Challenges for the Future • Getting more technical in public health when occupying civil servant jobs; • Enhancing training in Public Health for Physicians (one or several specialties) and other professionals; • Promoting more Evidence-based Public Health decisions • Driving public health expertise closer to communities

  15. At the end • Thanks for your attention • Waiting for comments and questions • Contact: • office@snspms.ro • pcradu@snspms.ro

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