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Общи :: Bulgaria and North Macedonia together to support and develop the Health Mediators program

Bulgaria and North Macedonia together to support and develop the Health Mediators program

Group photoBlagoevgrad, October 7-9, 2019

Study visit of health mediators, NGO representatives and state institutions from the Republic of North Macedonia took place in October 7-9 in Blagoevgrad. The Bulgarian Family Planning and Sexual Health Association (BFPA) with the support of the National Network of Health Mediators (NNHM) hosted the three days visit and gave an opportunity for the representatives of HERA – Health Education and Research Association, health mediators from Skopje and Prilep and the Ministry of Health of our neighbor country to understand in details how in years was institutionalized and functions the system of health mediation in Bulgaria. Field visit to the Roma neighborhood Predel Mahala was included in the programme and the guests could see how the work of health mediators Antoaneta Eftimova and Katya Kirilova is going on everyday basis – with institutions, as well with people who need and receive their support.

Predel quarterFrom the Bulgarian side, on top of the representatives of BFPA and NNHM we invited representatives of the Municipality and the Regional Health Inspectorate of Blagoevgrad, experts from the Ministry of Health, the Bulgarian-Swiss Program for Development Cooperation and the Bulgarian Platform for International Development (BPID). All of them came to share key activities and findings in their work on the field.
The study visit is a part of the project of HERA „Institutionalization of the Health Mediators Model of work”, supported by the Bulgarian Development Aid. We plan as a further step exchange visit in November 2019 of the health mediators of Blagoevgrad to their colleagues in Skopje and Prilep.

 

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‘My Body, My Rights’: Health Mediators form Yambol Municipality about their work in State of Emergency Conditions

Yambol, May 2020

The parents are unemployed. Several days ago one of the brothers has come from abroad, unfortunately with no money. All the family does not have the right to go out of home. They all are quarantined. One day while she is working in her cabinet Kina Asenova is hearing a kid crying on the street. She is going out to see what is happening and sees the family’s six-year old child shaking on the ground and screaming. She finds out that the boy wants a snack very much and the family cannot afford that kind of expense... She goes to the shop, buys a box of the snacks and gives it them. ‘The next day we started distributing food. We gave it away without judging people’s race. We give as well for mentally disabled and people with different diseases’.
Kina is health mediator from 2008, but she works with people on different projects from the 2000s. People trust her. Her colleagues – Atanaska Mutafova, Asen Stoyanov, Atanas Atanasov, Ivan Ivanov and the mediators from Tundja Municipality daily do work in the villages Kukorevo, Kozarevo, Veselinovo, Drazhevo, Hadjidimovo. They work all day long, even on weekends. ‘Since Bulgaria declared state of emergency because of the Covid pandemic we are every day on the field, we give information on the infection, explain them why it’s important to stay at home. We are tracking people who came back from abroad and we make sure that they follow the quarantine guidelines. We have such people in almost every village.’

 
‘My Body, My Rights’ – Successes and Challenges

Health mediators from Montana, Bulgaria, and their work in state of emergency
Montana, March-May 2020

Peter Cvetanov, Sonya Rumenova and Valya Alexandrova are health mediators in Montana Municipality. The three of them as a team are implementing activities part of the project of Bulgarian Family Planning and Sexual Health Association (BFPA) – ‘My Body, My Rights’ (2018–2021). In addition to their municipality, pilot work is being done in two other locations in Bulgaria: Yambol and Sofia. The project is implemented in partnership with organizations from Serbia and Romania, with the coordinating role of International Planned Parenthood Federation and is supported by the programme for social responsible business of the company MSD via their campaign ‘MSD for Mothers’. Main goal of the initiative is to improve the conditions for ensuring quality of family planning services for vulnerable communities and to build capacity and civil responsibility within the communities.
Sonya in a health mediator from 2013. She graduated economics, married with two children: a boy and a girl: ‘Several years ago Roma women from the neighborhood didn’t see doctors for prophylactics. Part of them were not insured, others simply were living with their prejudices and fears. We had two obstetrics-gynecologists as part of the Bulgarian-swiss cooperation program ZOV. They were visiting the health center in the neighborhood according to schedule. Then we decided to form local women’s group for self support, where initially timidly, but afterwards more confidently we started talking about examinations, contraception, family planning, prevention of sexually transmitted infections... The women from the group started little by little to shake off their fears.’ They just made progress and the activities on project ended. Only  mediators remained in the health center. And then for them new opportunity arose via the project ‘My Body, My Rights’. ‘It gave us the opportunity to continue just on time. The group for self support is developing; the health center in the neighborhood is alive again.’ Sonya succeeded to motivate a poor mother of nine children for IUD insertion. Before that she tried many times, but without any success. ‘I think that she was mostly afraid of being damaged by IUD. Now I know for sure that my long-term working with this woman was not in vain.”

 
Learning Action Partnership: Efforts for Guaranteed Sustainability

Sofia, February 12, 2020

The first for 2020 meeting of the Learning Action Partnership took place in Sofia on February 12, 2020. The agenda included review of activities done on project up to the moment, fixing of concrete future activities and defining small working groups for the different strategic directions.
Representatives of organizations and institutions who participated shared their working plans and the possibility of inclusion of other LAP members in joint activities. Part of the feedback was connected with the increase of fake news, including on priorities of the Partnership. The atmosphere of the event was businesslike, but with extremely well expressed solidarity and good collaboration feeling. In the debates during the meeting important actual topics were covered, such as increasing media and digital literacy of children and challenges, which we are meeting in our work with teachers with long practice on certain age and with burnout. Forming network of children and young people with innovative model of managing was discussed, which will aim decreasing the aggression of children under residential care. How to focus our work so that the efforts put to have guaranteed sustainability; science and research approach and regional and national level partnerships; the need to work together to change the environment – were among topics discussed during the event.

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Общи :: Bulgaria and North Macedonia together to support and develop the Health Mediators program