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Implementation of Youth-friendly Health Care Services Delivery Model to Klaipeda City Municipality


In 2015, adolescence aged 14-29 accounted for 19.4 percent (30 315) of the total Klaipeda’s city population (156 141). The project would include not only adolescence living in the Klaipeda city’s area, but also from many other Lithuanian cities, districts, and villages as vast number of young people arrive in the Klaipeda to study in the universities, colleges and vocational schools from all around the Lithuania. In order to justify the need for the deployment of algorithms, the statistical analysis of the data extracted by the algorithms was performed.

Based on the Hygiene Institute’s data, in 2014 there were 2 adolescents who were diagnosed having mental and behavioral disorders due to psychoactive substance use, while 1 adolescence had these problems due to the alcohol consumption in the Klaipeda’s city. For accidental drug and psychodysleptics (hallucinogens) poisoning and impact 4 persons (12-29 years old youth group) had died. The fact that the prevalence of psychoactive substance use is a significant problem is also supported by the European City Against Drugs (ECAD) research as well as drug testing.

Sexually transmitted diseases and unplanned pregnancies are not uncommon in Klaipeda’s city. Hygiene Institute’s data shows that sexually transmitted diseases are diagnosed quite frequently among young people under the age of 18. For instance, in 2014 – 5, 2013 – 2, 2012 – 6, 2011 -7, 2010 – 4 sexually transmitted disease cases were diagnosed in young people under 18 years of age.

Moreover, suicide and self-harm cases in Klaipeda city is also not decreasing. On the contrary- the age at which adolescence commit suicides is getting younger. Based on the Hygiene Institute’s data, among the 14-29 year olds in Klaipeda the number of suicides in 2010 where 5 people, where the youngest was 21 years old. In 2011, 5 young men committed suicides, where the youngest was 20 years old. In 2012, 8 young people committed suicides, where the youngest was 17 years old, and finally, in 2013, 5 young men committed suicides, where the youngest was 14 years old.

Furthermore, children in Klaipeda have problems with obesity, which was rapidly increasing up to 2013. In 2014 the number of obese children remains similar to 2013, however, the number of overweight and obese children still remains high.

Thus, the need to install algorithms in Klaipeda’s city Municipality is based statistically. This project would increase the availability of young people target groups to enhance public access to quality health care services as well as reduce uneven health care among young people living in the city and those, who come from the villages and other districts, also among young individuals with higher and lower incomes (who do not use paid health care services). The project would reduce the morbidity and mortality of adolescence, resulting in improved state’s economy, since fewer resources are needed to disability benefits, allowances, etc. Therefore, in turn, the project would benefit in reducing economic and social disparities in the European Economic Area.

“Development of the Model for the Strengthening of the Capacities to Identify and Reduce Health Inequalities”

The understanding of health is based not only of the absence of disease, but has a much broader social concept in which health is understood as a social process with a significant impact for the quality of life. In this concept, health is important for well-being of individuals and society and a healthy population is a necessary condition for each state‘s economic productivity and prosperity. In general, health is one of the main indicators reflecting socio-economic changes in the society. Global trends lead to the general health improvement, but different groups create different improvement rates which create significant health disparities in national and international level. These differences are one of the major issues in both Europe and the world. In this context the project is aimed at strengthening at the national and municipal levels the administrative capacities of persons participating in the policy making and implementation in different sectors (health and other sectors contributing to health) as well as specialists working in municipal public health bureaus in the field of reduction of social health inequalities and related fields of health equity and interpectoral cooperation which are relevant in public policy making promoting health equity oriented towards the complex reduction od socioeconomic inequalities in health. For this purpose, Norway’s experience in the field of identification and reduction of social inequalities in health and the practice of implementation of the Norwegian National Strategy to Reduce Social Inequalities in Health which is recognized by the World Health Organization as a model for other European countries, are of great importance. This project will seek to develop the respective fields intended for the improvement of public health and reduction of health inequalities in Lithuania by maintaining cooperation with the respective Norwegian institutions and strengthening bilateral relations. Lithuania University of Health Sciences (LUHS), Vilnius University inequalities‘ identification, measurement and reduction according to the international and national experience, legal documentation (national or international) analysis, human recourses potential analysis and training programme preparation. This model will be regularly used by the target groups thereby improving public health and reducing health inequalities in Lithuania.

“When Looks get in the Way: Optimizing patient outcomes through the training of health care professionals”

Body image dissatisfaction, resulting from disfigurement or the consequence of perceived social pressure to conform to unrealistic and narrow beauty (and ageist) ideals, indiscriminately affects the mental and physical health of a significant and growing proportion of the European population. Those with disfigurement also experience social discrimination that negatively impacts on personal aspirations, education and work opportunities. As medical advances improve the survival rates of those born with or who acquire a disfigurement, and the demand for cosmetic interventions and psychological support increases, professionals from diverse health and social care areas are increasingly being exposed to the challenges of identifying and addressing the needs of patients burdened by complex and unique psychosocial issues. These professionals are perfectly placed to target these issues but report that they often lack the necessary expertise to help and therefore patient access to expert support is inadequate.


The aim of the project is to develop an internationally transferable course for higher education about the impact of body image dissatisfaction, supported by a wide range of materials, for students and health professionals. This will enable them to understand and recognize the causes and consequences of disfigurement and/or appearance dissatisfaction in their clients and to appreciate the stigma and/or discrimination faced by these individuals. We expect this expertise will improve health care provision for people affected by disfigurement and more general body image dissatisfaction, which in the longer term has the potential to improve associated physical and mental health-related outcomes

This project has been funded with support from the European Commission.

“Healthcare English Language Programme


The quality of medical services highly depends on the communication skills of the professionals delivering those services.  HELP will deal with this challenge.

HELP is a comprehensive, modular digital media supported English language training programme specially designed for healthcare professionals. The resources are based on CEFR standards to satisfy the needs of learner-centered formal and informal learning approaches for the English levels B1/B2.

HELP will create a training programme integrating the latest developments regarding professional content. It will also address practical considerations such as the intercultural differences encountered whilst working in healthcare or the medical tourism sector throughout Europe. The HELP resources will come in various forms to support learning with mobile devices, audio-visual materials and online and paper brochures.


Baltic Sea Region Primary Health Care Research Network for prevention and Equity in Health

In order to provide better patient care outcomes, community-based primary care is promoting and one of the main indicators of its quality is the relationship between doctor and patient.

It is noticed that this relationship is paternalistic most often. That means doctors dominate and take all the essential decisions about patients’ healing.  This attitude determines patients’ low self-worth, especially when talking about elder age patients. Paternalistic communication and biomedical attitude have to be converted into holistic approach and patient-centered consultations.

Foreign countries (Great Britain, Sweden, Poland) have validated and integrated Patient Enablement Instruments. It is possible to validate and integrate them into Lithuanian primary health system also create patient-centered consultations.

It is intended in this project to analyze foreign countries’ know-how in validating and integrating Patient Enablement Instruments, to validate the instrument in Lithuania, to identify legislative and organization barriers for integrating the instrument and to propose recommendations for changing of consulting practice.

Preventable Hospitalization in the Baltic Sea Region: Organizational and technical innovations in primary healthcare for more cost-effective health systems performance


The number of people aged 60 and over is rising notably fast in the Baltic Sea region and, consequently, the demand for health care and social services is growing. One particular problem in all countries is the pressure on health budgets from hospital patient overload. This arises when patients are admitted to hospitals for conditions that could have been treated more cost-effectively at lower levels in the system.

The Seed Money project Partners anticipate the main project will be built upon this and other relevant studies, such as the EUSBSR Flagship Project ImPrim. In particular, the project will tie into other efforts in the region by:

– investigating main organizational and technical drivers and barriers for more advanced, based on international evidence management of patients with NCD at a community level;

– changing the organizational model of health care provision with introduction of innovative elements to have better response to NCD related needs at primary health care; investigating the potential for new digital technologies for health to manage care more efficiently;

– piloting the new model during the main project;

– developing policy suggestions.

The goal of the main project is to increase the effectiveness and efficiency of health systems by reduction of hospitalization rate for ambulatory care sensitive conditions. Special attention will be paid on strengthening of primary care, especially to strengthen the role of nurses in primary care teams, to enhance teamwork and cooperation with public health and social care sectors and to strengthen person centeredness to enable patients to better manage their health needs.


National Health Service, Latvia

Lund University, Sweden

Klaipėdos universitetas, Lithuania

Duration: 2016.02.19 – 2017.04.30

Contracted researches:

“The European School Survey Project on Alcohol and Other Drugs

ESPAD is a collaborative effort of independent research teams in more than forty European countries and the largest cross-national research project on adolescent substance use in the world.

The overall aim with the project is to repeatedly collect comparable data on substance use among 15–16 year old students in as many European countries as possible.

 “How Seniors Feels in Klaipeda City”

Klaipeda City Municipality charter sociological study


Assoc. prof. Faustas Stepukonis, PhD
Assoc. prof. Liutauras Kraniauskas, PhD
Assoc. prof. Sigita Kraniauskiene, PhD
Prof. Arnoldas Jurgutis, PhD