Project BORDERNETwork 2010-2012

II.PROJECT

— Background and philosophy

 

Expanding Europe is accompanied by growing health gaps in east and west. Since the political transition in the 1990s, health inequalities have not decreased but worsened in Eastern Europe.

 

Taking up such analysis BORDERNETwork focuses on designated regions, background contexts and communities experiencing aggravated stage of numerous social determinants:
 

  • low socio-economic status,
  • stigmatization due to special group feature i.e. ethnic minority, sexual orientation, high risk behaviour HIV status etc.,
  • economical breakdown, 
  • lack of perspectives, 
  • recent migration and/or, frequent mobility,
  • lack of health and social insurance.  

 

The project is based on highly active prevention, using synergies of inter-disciplinary, -sectoral efforts in behavioural, biomedical and structural prevention (UNAIDS, Piot et al., The Lancet 2008).

 

The cornerstones of the philosophy are:

 

  • Address both direct disease causes and underlying social determinants of health (e.g. low social economic status, stigmatization, recent migration, frequent mobility) for behavioural change;
  • Enhance links between epidemiological and behavioural research and evidence-based interventions;
  • Integrating stand-alone measures in prevention, diagnostic, therapy and care into holistic approach;
  • Focus on affected and groups at risk, promoting equity, human rights and participation;
  • Mobilisation of civil society as major driving force of local response