dorica (noro) parternership for progress in
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Norwegian-Romanian (NoRo)
Partnership for Progress in RareDiseases
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SHARED AN INSPIRED VISIONIN RARE DISEASES
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Norwegian-Romanian (NoRo) Partnership
for Progress in Rare Diseases
Applicant : Romanian Prader Willi Association
Partners:
1. Romanian Prader Willi Association
2. Romanian National Alliance for Rare Diseases
3. Norwegian PWS Association 4. FRAMBU No Center for Rare Diseases
5. Ministry of Health Romania
6. Foundation ACASA
7. St. Family Church Zalau
8. City Hall Zalau/ DASC
9. County Council Salaj/ DGASPC 10. Medical University Timisoara
11. Romanian Society for Medical Genetics
Additional partners
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Project aim:
To improve the quality of life for people affected by
rare diseases in Romania by providing equal accessto early diagnosis, quality treatment and rehabilitation
services through a comprehensive and accessible
network of facilities and resources as set forth by the
National Plan for Rare Diseases.
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Objectives : 1. Establishing a Rare Diseases Task Force- RDTF:
The main criteria for selecting members of this working group
will include:
a. Familiarity and knowledge of the work through the
documentation: publications, training, grants;b. Had a contribution in creating protocols, recommendations;
shared (partnerships) expertise with other experts ;
d. Demonstrated open collaboration with organizations of
patients;
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The role of the RDTF
The role of the group: the evaluation of rare diseases inRomania (patient cases, treatments available, training needs andinformation) and propose actions (medical measures, educational andsocial, writing materials, guides to good practice, courses, curricula, etc.)and continuously updated knowledge of the role which the Ministry ofHealth has in connection with the activity;
Functioning: The group will meet quarterly (8 X two days meetingsper project) and will analyze situations presented by each member of thegroup, each member will propose measures and will be informing theMinistry of Health and other ministries involved in the management of rarediseases. The maximum number of group members is 20.
Budget: Each group member will have an allowance /meeting thatcover the costs of transportation, accommodation, meals. Also there will becovered the costs of communication in group, conference room formeetings, supplies, printings, publications, etc.
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Ob.2. New services for rare
diseases in Romania a. Developing and implementing a training network
for professionals and staff involved in the diagnosis,treatment and rehabilitation of people with rarediseases.
Organizing workshops, seminars, and training on specificareas:
Selection of a training team of trainers;
Creating curricula on specific jobs involved in RD, ex:genetic councilor;
Performing trainings;
b. The creation ofaccredited online training
courses (eUniversity) about rare diseases forprofessionals: social workers, psychologists, nurses,teachers, doctors, etc.
Creating curricula for specific training themes;
Purchasing the necessary soft to perform this trainings;
Authorization/ accreditation the trainings;
Organizing the first training courses;
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Training
Improving training capacity in the country for theprevention, diagnosis, treatment andrehabilitation of patients with rare diseases:
Rezults:
- a network of trainingspecialists and staff;
- accreditation / licensing of online courses (eUniversity)(on rare diseases, for professionals: social workers, psychologists,nurses, teachers, doctors, etc.)
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The Pilot Reference Centerfor personalized
intervention for those affected by rare diseases
3 main components + 1 external unit: a day center for patients with rare diseases (having
behaviors on the autistic spectrum)
a comprehensive training program for patients, families,caretakers and specialists involved in the management of rarediseases (FRAMBU model)
patients newly diagnosedand their families (to learn tocope with new situations more easily)
The external unit: A weight management unitin the Rehabilitation Hospital
ACASA for patients with neuromotor deficiencies.
We will plan so that patients who come to our coursescan come before or after the period of the rehabilitationtreatment that they take part in at ACASA Hospital
In addition, we willhave a national database of patients,along with ACASA Hospital, with various diseases andbe actively monitoring their progress.
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Ob.3 Shared best practice network
on RD (NoRo)
Organizing visits of the partners
Writing the final proposal of the project based on the best
practice of the partners and the shared values and experiences
in the field of RD
Organizing presentation of the projects results in the PW EEConference (April 2009 Romania), EURORDIS membership
meeting Greece 2009, IPWSO Conference Taiwan 2010, etc.
Permanent updating of the project results on the websites;
Writing articles in the newsletters and RD journals to promote
the projects results;
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The space received from the City
Hall
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The vision
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The model
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Achievements:
Relevant partnerships established during the seedmoney implementation;
Proper facilities for the new services;
Feasibility studies completed;
Grant offer letter signed;
A coordination team for the project implementationestablished at the Ministry of Health;
Official launching of the project at the 1st EasternEuropean Conference on PWS organized;
The first evaluation meeting of the potential membersof the RDTF at the conference in Timisoara;
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Pilot Centre for Rare Diseases:
Idea of the Centre: A residential part:
To provide help for families after experience of
diagnosing a RD;A place to learn how to face the new situation
and to dial with the disease in their every day
life;
A place to organize meetings and trainings ofpatients;
Support groups and counseling activities for
patients and families;
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Pilot Centre for Rare Diseases:
Hospitalization of the RD patients in ACASA hospital forrehabilitation;
Establishing a data base of patients that needsrehabilitation program in ACASA;
Specializing services of the center for RD patients:
weight management, individualized therapeuticallyapproach;
Day care activities:
Individualized therapeutically approach of autisticspectrum diseases;
Behavior intervention therapy;
Occupational Therapy and Educational activities;
Recreational activities;
Support groups and counseling activities;
Weight management
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Main interventions of the project:
To develop skills to approach the RD for patients, professionals andparents;
To maintain and improve the mental and physical capabilities ofpatients through individualized therapeutically approach;
To improve understanding and support of community;
To create a data base of patients with RD;
To establish protocols of assistance and care for different RD;
To start a model network in this field through the development of astrategic partnership: NGOs, national and international, Ministry ofHealth, Local Authorities, state departments, etc;
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Up to date results
23.10.2009 10.12.2009 Training for
personal assistants of people with severe
disabilities (first trainings, 41 personal
assistants from Crasna, and 25 from Balangraduated)
6 groups of patients / 75 patients included
in interdisciplinary recovery and intervention
program in ACASA Foundation (Multiple
Sclerosis, Prader Willi Syndrome, muscular
dystrophies and amyotrophic disorders).
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19 children with rare diseases from
autistic spectrum included in personalized
therapy at the Information Center for Rare
Diseases. 10 issues printed of the magazine Rare
People and Rare Diseases
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1 issue of the Journal of Rare Diseases,
dedicated to the Balkan Congress of Rare
Diseases Cluj-Napoca
Leaflets, flyers distributed through thenetwork of Info sanatate and with the
occasion of different events.
Printed curriculla (information support
material) for trainings;
Books for children;
Accredited trainings from MMSSF and CMR;
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Developing the structure ofwww.edubolirare.ro.
Information materials are prepared by Prof. Dr. Maria
Puiu, Dr. Mihai Gafencu from UMFT, Cristina
Skrypnyk from Oradea + APWR team. The IT part is
made by Istvn Dombi and Camelia Arion.
Management plan for the renovation and expansion
of the building is approved by Innovation Norway, the
technical project is completed, the public
procurement process have been passed and thebuilding construction is under development.
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We officially received the report of the visit
to Romania of the partners / specialists from
FRAMBU:
there was an overall positive assessment ofthe project, considering it necessary and
appropriate for patients with rare diseases
from Romania
The same opinion regarding our activity have
been received after the monitoring visit and
the first report.
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they appreciated how many social and
medical functions are aligned and
harmonized in the future Center for rare
diseases technical design and architectural solution
have been assessed as representing a
harmonious combination between new and
old, approaching in a friendly way the socio-medical and educational complex
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The project team decided to organize preparatory
meetings for the National Rare Diseases Task Force
meeting, to prepare the agenda and the materials
necessary for the committee's work, but also for
organizational development, "team building"
activities. The first meeting will be held in November.
Also, from the idea that the National Plan for Rare
Diseases is supposed to have the answer to the
needs of patients affected by rare diseases inRomania, we decided to organize workshops with
representatives of patients simultaneously with Rare
Diseases Task Force meetings.
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the idea of e-learning and e-University for
rare diseases was considered as an
innovative concept
To increase the visibility of the project wemade a media communication strategy. It was
also decided that before the end of the year
we need a selection for a PR specialist, and
the acquiring of two infochiosks (one will beinstalled in Zalau City Hall and the other at
ACASA Foundation).
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Analyzing the complexity of the project
activities and services that is going to be
developed in the Pilot Reference Center for
Rare Diseases, we resumed discussions onthe International Advisory Group, which
could come to support the team to develop
the services in the future centre.
Asked agreement of the partners on thisissue.
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Knowing that this Advisory Group was not
included in the project, we were looking for
complementary funds for it's meetings (we
received financial support from theorganization Kindness forKinds from
Germany).
Advisory committee formed, first two
meetings have been organized;
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Thank you!