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HBA Foundation program - "In care about children"
POSTURE DEFECTS of child and youths still constitute a huge social problem, mostly because of their numerous appearance and negative health results in the future.
Having it in regard, HBA Foundation wants to show to the local authorities the conception of complex systems of preventive treatments, diagnostics, correction and treatment of pose defects, in purpose of initiating it in the commune, city, district and province field. Program was created by specialists who work with this problems for many years on the country field. Drawing up the project one was driven by the following rationales:
National Operation Plan in Favor of Children 2004 - 2012 'Poland for Children' is a kind of commitment of Polish Republic in favor of children, what is a result of, among others, rulings enclosed in Declaration and Operation Plan placed in this document.
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'World Friendly for Children' accepted during the 27th Special Session of General Assembly of United Nations devoted to children's affairs and Polish Republic Constitution (article 68 section 3) stands that among persons, for whom public authorities have special commitments about providing health care, are children. It means that children have rights for 'special health care', article 32, point 2 states that 'nobody can be discriminated for any reason'. Protection of those goods belongs to the local authorities' duties.
On base on article 131 section 1, act constituted 30th of June 2005 about public finances (Official Journal No. 249, position 2104) and article 5 act 1 point 1 and article 4 act constituted 23rd of April 2003 about activity of public benefit and volunteer work (Official Journal No. 96, position 873 with later changes) organs of public administrations can lean or entrust units unincluded for sector of public finance realization of public task.
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Civilization progress force us to incur victims for which we all have to pay with something that is most important - our health.
Currently one of the most frequent cause of sick leave and bearing, sometimes significant, expenditures for treatment are pain syndromes among which spinal aches are in the lead. There are a lot of causes and everyone perfectly know that we are working for it during our life already from our childhood. Despite the unavoidable sicknesses of different cause those complexes are also one of the product of civilization development, mostly because of the current lifestyle. Domination of sitting way of life and also subconscious shaping of incorrect motor habits, working in so called
unergonomic positions and overcoming of significant loads by unprepared persons. Situation is getting worse because of the improper nutrition and overwhelming stress. The problem concern not only adults but also children at who mentioned pain syndromes appear rather rarely but - through improper lifestyle - 'they work for future pain'. Direct result is usually the limitation of organism proficiency and efficiency and outward signs are, among others, incorrect body position.
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Incorrect body position, circulating defined as 'pose defect' is not only cosmetic defect. Health results of it are unfortunately visible only after many years, what mostly is the result of negligence in the earliest period of posture defect development. To those results one can number, among others: serious breathing and circulatory system disorders, girl's gynaecological problems and mentioned spinal aches. Connected psychological problems are also very meaningful. Sometimes surgical treatment is also needed and earlier negligence generate mostly meaningful costs for treatment in the future. It is also worrying by the fact that posture defects present serious social problems, even by virtue of numerous appearance.
Preventive treatment is most important
In the current medicine meaningful emphasis is being put on the preventive treatment. It is not only about preventing of many sicknesses (primary preventive treatment) but also about preventing of unfavourable and difficult effects for treatment in future, effects of those sicknesses and different irregularities (secondary preventive treatment). From this follows the idea of earlier rehabilitation, which is now one of the superior rule. Posture defects are no exceptions here.
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In the area of primary preventive treatments shaping proper social attitude in view of own health and children's health is the key issue. Unfortunately parents' knowledge about the posture defects is in general - narrow, and on addition it is often wrong. So called current opinions and views are dominant, and the lack of good information system makes the situation getting worse. Next elements of such preventive treatment are sufficient movement activities for children and youths and also versatile and well lead studies of physical education. So called back schools in which the main element is a study of 'spinal friendly' behaviours, have gained big popularity. Such schools, separate for adults and children, serve in the same way in the preventive treatment for spinach aches and pose defects.
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The problem of secondary preventive treatment is much more complex. So that it can be effective the primary case is an early recognition of sickness and proper correction or medicinal behaviour in the earliest stage of dysfunction development. Unfortunately - until now - both of the elements are fallible. The case is difficult because the beginning of development of many posture defects is usually difficult to notice. So called health balances in the current form does not meet the expectations, which in fact those defects are being recognized mostly too late and with effect difficult to cure. Second weak link is the lack of general ability of correction of posture defects. In light of current regulations, system of school correction gymnastics in fact does not exist. It was left in the competence of communes which are not always interested in this problem and sometimes it is difficult to save up funds for it. National Health Fund does not contract every of pose defects but only those which (because of the lack of secondary preventive treatment) developed to such stage that can not be defined as a sickness. In such cases often they are already incurable and sometimes results in the necessity of using the orthopaedic objects (corsets) or surgery treatment which is expensive and in fact it does not bring satisfactory results. So it is economically unfounded and - to put it mildly - not ethical because in such way it 'products' physically handicapped persons. The third weak element is the quality of correction behaviour but it is a separate problem, although, negatively projecting on the achieved effects.
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Lack of professional care and satisfactory effects cause the appearance of alternative solutions, sometimes essentially unjustified, what makes the situation getting worse. Solutions were also searched in swimming and school sport. They are undoubtedly great measures of shaping the general children and youth fitness, sometimes supporting the correction behaviour but they can not be replaced. One also have to remember that not every sport disciplines favour in shaping of good posture, and tendency to obtain the best sport results for any price in many cases can be harmful for health. Moreover, in case of posture defect, sport practice and even making some of exercises are unadvisable.
System solution as a problem.
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Problem lie in, among others, that Poland did not elaborated any system solution that will assure general and proper care for every children who need it. Sighting the importance of the problem, one take up a periodic actions, sometimes expensive ones. They mostly bring short-term effects and problem is still unsolved. The need of elaborating such system solution appears, where there will be proper conditions for early diagnostics, correction behaviour and treatment of all children with posture defects, and every person responsible for the young generation pose, will behave according to obligatory canons. It is a difficult work to do but it is real. HBA Foundation took up such work inviting others to Partnership. Program of HBA Foundation requires supporting other initiatives realized in the area of schools and beyond them. We think that actions realized locally within the framework of health promotion can be coherent with Academy and create a support of school process of health education in the though of WHO.
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Foundation included in realization of delineated Program 'In Care of Children' intends to appoint Program Board to realization such a respectable project. We assume that realization of shown program will contributes in raising the level of education and abilities in the range of health promotion and specially persons healthy endangered - from various causes: congenital, acquired and social.
'you found what you are looking for, you lose what you neglect' !!!
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We encourage you to familiarize with full Foundation program 'In Care of Children'.
Foundation Program (file pdf, 626 kb)
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