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Healthy Communities Programs in Slovakia
The greater Cleveland community—through The MetroHealth System—collaborated with Turcianske Teplice, a town in the Turiec Region of central Slovakia to form the Turcianske Teplice/Cleveland partnership. In 1997, this partnership expanded the health planning process to the nearby communities of Martin and Banska Bystrica to help direct capacity development for health system planning and decision-making, including:
- defining the role of local government and community-based organizations in health policy;
- conducting health assessments; and
- mobilizing and empowering citizens from diverse sectors of the community to focus on health and to effect change at the local level.
These three elements form a strong foundation for the work of any successful Healthy Communities Program.
The Turcianske Teplice partners assembled a multi-disciplinary task force comprised of the town officials including the mayor, deputies, and environmental engineer, as well as a teacher, a priest, a coach, a social worker, and other interested residents. Group leaders engaged citizens in an open dialogue to learn different perspectives on community problems. Together with their American partners, they systematically compiled a list of health priorities and the resources available to the community to address these problems. Partners developed a community survey, which was administered to 1,620 school-age children to assess the impact that the transformation was having on families in the town. Residents drew on the expertise of US partners at Cleveland’s MetroHealth System to initiate a fund-raising drive to purchase a badly needed ambulance, open a town Health Advisory and Education Center, and carry out a comprehensive survey on "family stress" to determine health and behavioral patterns that contribute to the breakdown of the family.
In the nearby towns of Martin and Banska Bystrica, where a burgeoning elderly population was straining the already overburdened healthcare system, community leaders worked to develop home care and hospice services as a cost-effective alternative to hospital care for the chronically ill. Residents collaborated with their US partners from The MetroHealth System to address the health and social problems of local youth, focusing on educating teens about the risks of smoking and creating better leisure activities and job opportunities for them.
Petrzalka (Slovakia)/Kansas City (Missouri) Partnership
In AIHA’s Petrzalka/Kansas City partnership, the Kansas City community—led by Truman Medical Center—served as a model for the urban district of Petrzalka, a densely populated district of Bratislava, the Slovak capital. Petrzalka faces severe overcrowding, pollution, and a high unemployment rate.
In Petrzalka, lead Slovak partner the Aid to Children at Risk Foundation administered a groundbreaking assessment survey to more than 800 young adults between the ages of 12 and 18 to develop a demographic portrait of Petrzalka's teen drug and alcohol use patterns and related risk factors. Partners then analyzed the data collected to better determine community needs.

The Petrzalka partners adapted a planning strategy developed by the Missouri State Health Department to combat the sharp increases in drug and alcohol abuse among youth revealed by the survey. The strategy provides a community with information that enables it to shift its focus from responding to acute crises to designing systems that plan for health, promote healthy behaviors and provide health services that are appropriate for its needs.
Foundation leaders began holding monthly drug forums where parents, children, and other community members meet to discuss drug prevention and treatment strategies. They provided a safe haven with opportunities to participate in extracurricular activities, peer discussion groups, and other counseling and support to keep youth at risk out of harm's way.
Tools and Resources:
Additional Reading:
- Petrzalka Woman Escapes Abusive Relationship / Giving Women the Strength to
Break the Cycle of Violence (AIHA Success Story, English / Russian)
- Introducing Hospice Care in Central Slovakia (AIHA Success Story, English / Russian)
- Turcianske Teplice-Cleveland Partnership presentation (PowerPoint: English / Russian; also in PDF, English / Russian)
- Slovak Republic: Key Issues of Healthcare Reform presentation
- Beyond Hospital Walls: Creating Healthy Communities (AIHA CommonHealth, Spring 1996)
- Assessing Community Health (AIHA CommonHealth, Spring 1996)
- Prevention of Drug Abuse in Petrzalka (AIHA CommonHealth, Spring 1996)
- A Visit to Kansas City (AIHA CommonHealth, Spring 1996)
- Mayor Mobilizes Community Change (AIHA CommonHealth, Spring 1996)
- A Visit to Cleveland (AIHA CommonHealth, Spring 1996)
- Mobilizing for Healthy Communities (AIHA CommonHealth, Summer 1996)
- Slovak Town Targets Traffic Injuries (AIHA CommonHealth, Spring 1997)
- Study Assesses Risky Behaviors of Slovak Teens (AIHA CommonHealth, Spring 1997)
- Reaching Out to Patients and Communities (AIHA CommonHealth, Summer 1997)
- Slovak Partners Study Effects of Stress on Family (AIHA CommonHealth, Fall 1997)
- CEE Conference Disseminates Healthy Communities Successes (AIHA CommonHealth, Winter 1998)
- Community Health Center Opens in Turcianske Teplice
(AIHA CommonHealth, Winter 1998)
- Slovak Non-Smoking Promotion Center Opens (AIHA Connections, June 1999)
- Slovak Partners Suggest Educating Kindergarteners on Smoking Prevention (AIHA Connections, October 2000)
- Stopping the Tobacco Industry's Influence on Our Children and Young Adults (AIHA Connections, May 2003)
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