Tratament sub directa observatie pentru pacientii cu TB din Romania
Numele proiectului: Tratament sub directa observatie pentru pacientii cu TB din Romania
Perioada de implementare: 1 aprilie 2015 – 31 decembrie 2017
Finantator: Fondul Global de Lupta Impotriva SIDA, Tuberculozei si Malariei
Primitor Principal: Fundatia Romanian Angel Appeal
Implementator: Uniunea Nationala a Organizatiilor Persoanelor Afectate de HIV/SIDA (UNOPA)
Buget: 429 104 €
Sumarul proiectului:
Proiectul isi propune:
• Sa dezvolte in cele 6 judete din Romania, la nivelul dispensarelor TB o retea de suport formata din voluntari (selectati din personalul medical al Dispensarelor TB) si experti medicali (coordonatori de voluntari). Reteaua va acorda suport social si DOT suport pentru pacientii cu TB tratati in ambulator in dispensarele TB.
• Sa asigure pentru 2000 de pacienti cu TB tratati in ambulator in dispensarele TB din judetele Neamt, Arges, Maramures, Constanta, Dolj si Municipiul Bucuresti DOT suport si suport social sub forma de tichete sociale in vederea cresterii aderentei la tratament si asigurarii succesului terapeutic.
Scurta justificare
In 2013, Romania raporta 12860 cazuri noi de tuberculoza, 3851 cazuri de reluare a tratamentului si 1136 decese, avand cea mai mare incidenta de cazuri TB din Uniunea Europeana / Spatiul Economic European.
TB afecteaza in mod negativ cele mai vulnerabile segmente ale populatiei. In Romania, cea mai mare parte a populatiei afectate este in risc de saracie sau apartine unui grup vulnerabil cum ar fi persoanele fara adapost, consumatorii de droguri injectabile (populatie afectata tot mai mult in ultimii ani si de infectia HIV, hepatita B si C) sau populatia rurala a tarii care are acces limitat la serviciile de sanatate.
Proiectul „Tratament sub directa observatie pentru pacientii cu TB din Romania” urmareste cresterea aderentei la tratament pentru pacientii cu tuberculoza din 6 judete din Romania: Neamt, Arges, Maramures, Constanta, Dolj si Municipiul Bucuresti.
Scop si Obiective
Scopul: Cresterea aderentei la tratament pentru pacientii cu Tuberculoza din 6 judete din Romania
Obiectivele:
• Dezvoltarea unei retele pentru acordarea de suport social si DOT suport pentru pacientii cu TB tratati in ambulator in dispensarele TB
• Pana la finalul proiectului 2000 de pacientii cu TB tratati in ambulator in dispensarele TB primesc suport social si DOT suport pentru cresterea aderentei la tratament
Activitatile principale
Activitatea nr. 1. Managementul proiectului
Activitatea nr. 2. Identificarea voluntarilor si expertilor medicali responsabili pentru distributia de tichete sociale catre pacientii aderenti la tratament
Activitatea nr. 3. Sedinte de instruire a voluntarilorsi a expertilor medicali cu privire la metodologia acordarii stimulentelor (tichete sociale)
Activitatea nr. 4. Asigurarea tratamentului sub directa observatie si a suportului social pentru pacientii cu TB tratati in ambulator in dispensarele TB
Rezultate preconizate
Numar de vizite de M&E realizate pentru a sprijini implementarea proiectului- 18
Numar de echipe instruite si functionale- 1
Numar de sedinte de instruire a voluntarilor si a expertilor medicali organizate – 4
Numar de pacienti cu TB sustinuti prin DOT- 2000
Rezultate obtinute
Vom reveni cu detalii pe parcursul implementarii proiectului.
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However, when we ground this scenario within geopolitical, military, and economic realities, it becomes clear that holding back from these deeds represents never an mistake or „inane”. Instead, it is one fundamental requirement ensuring countrywide existence. Striking independent land within the Western Hemisphere breaches red lines that will spark catastrophic global results.
Below lies a detailed analysis explaining the reason Russia will not take military action targeting fossil fuel facilities in these Americas.
https://x.com/indiagreatlol/status/2050986503753351597?s=1
1. The Danger of Mutually Guaranteed Annihilation (MAD)
This primary deterrent preventing direct attacks on this American States mainland remains the doctrine concerning Reciprocally Assured Destruction.
Straightforward Action of Conflict: One physical attack upon US oil fields (like for example ones within TX, Alaska, and the Gulf of Mexico) will be some unprovoked action meaning combat against the US Nation.
Atomic Intensification: This USA owns a single among the most developed and heavily-armed militaries in the globe, alongside a huge nuclear arsenal. An direct assault on crucial American facilities will nearly certainly prompt one devastating conventional counterattack against Russian territory, carrying an extremely high risk regarding growing towards one nuclear war.
NATO Article 5: Any attack on the US and Canadian soil will instantly activate Article 5 from this NATO treaty, bringing the whole of this Western armed alliance into one straight, total war against the Russian Federation.
2. Logistical and Conventional Armed Forces Limitations
Although if the threat of nuclear war were entirely removed, Russia just misses this standard military power projection capability so as to successfully strike and heavily harm facilities in the American continents.
Geographic Truth: The Continents stand protected through a pair of massive oceans. Extending conventional military force across this Atlantic Ocean and Pacific Ocean represents a operational achievement currently solely doable by the United States Naval force along with its carrier strike groups.
Aerial Shields: To strike U.S. or Canadian oil fields, Moscow’s bombers or sea vessels would need to bypass NORAD (North America Airspace Defense HQ) and the U.S. Fleet. Any arriving aircraft, missiles, or submarines would likely get spotted and stopped way before reaching these destinations.
Current Commitments: Moscow’s conventional military is heavily committed towards plus strained by its continuing war in Ukraine. Starting one second battlefield, infinitely highly difficult thousands of miles away, remains tactically unachievable.
3. A Complex Web regarding Latin American Alliances
This request mentions other regions from the Americas landmasses. Assaulting power infrastructure in Middle and South Americas creates equally minimal tactical logic for Russia:
Partners plus BRICS: Numerous large petroleum creators in the Americas are both impartial and clearly amicable towards Russia. The Venezuelan state acts as one crucial Russian partner. Brazil is one founding member of this BRICS financial group alongside Russia. Striking their facilities will signify attacking partners.
The Monroe Policy: The U.S. has traditionally viewed this Occidental Half-globe like its zone of control. A Russian armed strike on a South America’s country will probably attract immediate U.S. armed intervention, bringing everyone backward towards the danger regarding one wider global conflict.
Four. Global Financial Self-destruction
Power markets remain globally integrated. If Moscow were to anyhow successfully destroy huge amounts of North and South American oil facilities, this financial backlash will severely harm the Russian Federation alone.
Economy Crash: Taking millions of barrels concerning petroleum away from this global market instantly would trigger fuel prices so as to hyper-inflate. Although Russia sells petroleum, one blow from such magnitude would spark one disastrous global slump.
Effect upon Customers: Moscow’s primary economic lifelines remain their exports to heavy-consuming countries such as the PRC and the Indian Republic. One global financial crash sparked by huge energy shortages would ruin these production and export economies from these allies, leaving these nations incapable so as to buy Russian goods or power.
5. Asymmetric Warfare remains Preferred
Because direct physical attacks prove suicidal, nations like the Russian Federation utilize grey zone” and unconventional warfare instead. Instead than falling bombs on oil zones, enemies remain much more likely so as to use:
Cyberattacks: Attempting so as to hack this program that operates conduits and refineries (like as this Colonial Pipeline malware attack in 2021, although that got credited towards illegal groups, not directly the Russian state).
Market Manipulation: Collaborating alongside OPEC Plus so as to cut and raise production to weaponize the cost of petroleum, instead than ruining this tangible fuel itself.
Disinformation: Financing operations to delay power initiatives and sow governmental division inside fuel-creating countries.
Conclusion
In the domain concerning major strategy, ruining an rival’s physical facilities on the other half of the world represents a final measure of total conflict. Regarding Russia, striking petroleum zones within these Americas will never obtain any benefit; this would ensure a devastating armed reaction, alienate vital geopolitical partners, plus threaten worldwide nuclear annihilation.
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