{"id":12545,"date":"2023-01-31T11:47:33","date_gmt":"2023-01-31T10:47:33","guid":{"rendered":"https:\/\/hera.org.mk\/?p=12545"},"modified":"2024-11-05T12:51:21","modified_gmt":"2024-11-05T11:51:21","slug":"jtf-project-case-study","status":"publish","type":"post","link":"https:\/\/hera.org.mk\/en\/jtf-project-case-study\/","title":{"rendered":"Case Study: Integrating Contraception and Reproductive Health Care into the Service Package Offered by Family Doctors in North Macedonia"},"content":{"rendered":"<p><em>\u201cI am visiting my doctor\u2019s office today to do my Pap smear &#8211; for the <\/em><em>first time. If this service were not available in my home city, I would <\/em><em>have to travel to Shtip or Strumica, cities 30 km away from my <\/em><em>village. I have also learned from my family doctor that she is now <\/em><em>providing contraception services and menopause consultations, <\/em><em>services that I currently need. I can easily discuss any women health <\/em><em>issues with my family doctor and feel free to share my concerns. She <\/em><em>really understands me and builds my self-confidence. I really want <\/em><em>to see these services continuing to be a part of my family doctor\u2019s <\/em><em>services and even expanded with others, such us ultrasound checkups. <\/em><em>We, the women in this region, are facing challenges because of <\/em><em>the lack of gynecologists, and having <a href=\"https:\/\/hera.org.mk\/reproduktivnoto-zdravje-pred-se\/\" target=\"_blank\" rel=\"noopener noreferrer\">family doctors to take care of our reproductive health<\/a><\/em><em> really makes a difference in our lives\u201d.<\/em><\/p>\n<p>These are the words of 39-year-old Emel from Konche, a village half an hour\u2019s drive from Radovish. She has a 19-years-old daughter and both she and her daughter are patients of Dr. Jeliz who has been a family doctor in Radovish for 15 years.<\/p>\n<p><a href=\"https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/Dr.-Jeliz-and-Emel.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-12547 size-full\" src=\"https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/Dr.-Jeliz-and-Emel.png\" alt=\"\" width=\"560\" height=\"361\" srcset=\"https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/Dr.-Jeliz-and-Emel.png 560w, https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/Dr.-Jeliz-and-Emel-300x193.png 300w\" sizes=\"auto, (max-width: 560px) 100vw, 560px\" \/><\/a><\/p>\n<p>Dr. \u00a0Jeliz, who has come to understand firsthand the challenges and needs of women living in rural areas, was one of the 24 providers that were trained at the University Clinic of Obstetrics and Gynecology to deliver essential sexual and reproductive health services. This training was only one of the activities carried out as planned with the project \u201cFamily doctors \u2013 Partners in improving sexual and reproductive health\u201d that HERA implemented together with the Family Medical Center and with support of the Japan Trust Fund.<\/p>\n<p>Trained according to the accredited Practical Guide for family doctors in delivering basic SRH services that was developed by the Macedonian Association of Ob&amp;Gyn and the Family Medical Center, she nowadays provides vaginal check-ups, PAP screening and STI\/RTIs testing in the gynecological office in the local Medical center \u2013 one of the four fully equipped gynecological offices within the project, <a href=\"https:\/\/hera.org.mk\/hera-i-centarot-za-semejna-medicina-so-poddrshka-na-javnoto-zdravstvo\/?lang=en\" target=\"_blank\" rel=\"noopener noreferrer\">in four different cities<\/a>.<\/p>\n<p><a href=\"https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/1-INFOGRAFIK-Semejni-lekari-seksualno-zdravje.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-12548 size-large\" src=\"https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/1-INFOGRAFIK-Semejni-lekari-seksualno-zdravje-1024x819.png\" alt=\"\" width=\"640\" height=\"512\" srcset=\"https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/1-INFOGRAFIK-Semejni-lekari-seksualno-zdravje-1024x819.png 1024w, https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/1-INFOGRAFIK-Semejni-lekari-seksualno-zdravje-300x240.png 300w, https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/1-INFOGRAFIK-Semejni-lekari-seksualno-zdravje-768x614.png 768w, https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/1-INFOGRAFIK-Semejni-lekari-seksualno-zdravje.png 1350w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p>As a result, in the period April \u2013 November 2022, a total of 2.777 women have obtained sexual and reproductive health services, 1.847 of them coming from socially vulnerable groups (Roma women, women from rural areas and women with disabilities). More than 2.600 contraception services were also provided to women, including counseling and distribution of free oral pills and condoms.<\/p>\n<p>Summarizing the results as well as the best practices established with the project, this case study shows how the State can improve access to sexual and reproductive health services throughout the entire country which, in turn, positively affects the well-being of all women and girls. The case study is available <a href=\"https:\/\/hera.org.mk\/wp-content\/uploads\/2023\/01\/Japan-Trust-Fund-Project-Case-Study.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a>, only in English.<\/p>","protected":false},"excerpt":{"rendered":"<p>\u201cI am visiting my doctor\u2019s office today to do my Pap smear &#8211; for the first time. If this service were not available in my [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":12549,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[62,1089],"tags":[1698,1697,1699,291,899,1696,1700],"class_list":["post-12545","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hera-aktuelno","category-seksualni-i-reproduktivni-prava","tag-japonska-vlada","tag-japonski-fond-na-doverba","tag-partneri","tag-291","tag-899","tag-studija-na-sluchaj","tag-unapreduvane"],"_links":{"self":[{"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/posts\/12545","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/comments?post=12545"}],"version-history":[{"count":6,"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/posts\/12545\/revisions"}],"predecessor-version":[{"id":13825,"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/posts\/12545\/revisions\/13825"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/media\/12549"}],"wp:attachment":[{"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/media?parent=12545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/categories?post=12545"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hera.org.mk\/en\/wp-json\/wp\/v2\/tags?post=12545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}