∏ ¢È·Î‹Ú˘ÍË ÙÔ˘ ÕÌÛÙÂÚÓÙ·Ì ¶ÚÔ˜ ÓÔÛÔÎÔÌ›· ÊÈÏÈο ·¤Ó·ÓÙÈ Û ÌÂÙ·Ó¿ÛÙ˜ Û ÌÈ· ÂıÓÔÔÏÈÙÈÛÙÈο ÔÈÎÈÏfiÌÚÊË ∂˘ÚÒË ªÂÙ·Ó¿ÛÙ¢ÛË, ÔÈÎÈÏÔÌÔÚÊ›·, ˘Á›· Î·È ÓÔÛÔÎÔÌ›· ∏ ÌÂÙ·Ó¿ÛÙ¢ÛË, Ë ÂıÓÔÔÏÈÙÈÛÙÈ΋ ÔÈÎÈÏÔÌÔÚÊ›·, Ë ˘Á›· Î·È Ë ˘ÁÂÈÔÓÔÌÈ΋ ÂÚ›ı·Ï„Ë Â›Ó·È ÛÙÂÓ¿ Û˘Ó‰Â̤Ó˜ ·fi ÔÏϤ˜ ·fi„ÂȘ. §fiÁˆ Ù˘ ·ÁÎfiÛÌÈ·˜ ÌÂÙ·Ó¿ÛÙ¢Û˘, Ù˘ ·ÁÎÔÛÌÈÔÔ›ËÛ˘, ·ÏÏ¿ Î·È Ù˘ Â˘Úˆ·˚΋˜ ‰È‡ڢÓÛ˘, ÔÈ Â˘Úˆ·˚Τ˜ ÎÔÈӈӛ˜ Á›ÓÔÓÙ·È fiÏÔ ÂÚÈÛÛfiÙÂÚÔ ÂÙÂÚÔÁÂÓ›˜ Î·È ÛÙÔ ÙÔÈÎfi ›‰Ô. ∏ ηٿÛÙ·ÛË Ù˘ ˘Á›·˜ ÙˆÓ ÌÂÙ·Ó·ÛÙÒÓ Î·È ÙˆÓ ÂıÓÈÎÒÓ ÔÌ¿‰ˆÓ ÌÂÈÔÓÔÙ‹ÙˆÓ Â›Ó·È Û˘¯Ó¿ ¯ÂÈÚfiÙÂÚË ·fi ·˘Ù‹ ÙÔ˘ ̤ÛÔ˘ ÏËı˘ÛÌÔ‡. ∞˘Ù¤˜ ÔÈ ÔÌ¿‰Â˜ Â›Ó·È ÈÔ Â˘¿ÏˆÙ˜, ÏfiÁˆ Ù˘ ¯·ÌËÏfiÙÂÚ˘ ÎÔÈÓˆÓÈÎÔÔÈÎÔÓÔÌÈ΋˜ ı¤Û˘ ÙÔ˘˜, Î·È ÌÂÚÈΤ˜ ÊÔÚ¤˜ ÏfiÁˆ Ù˘ ÙÚ·˘Ì·ÙÈ΋˜ ÂÌÂÈÚ›·˜ ÌÂÙ·Ó¿ÛÙ¢Û˘ Î·È Ù˘ ¤ÏÏÂȄ˘ ·ÚÎÔ‡˜ ÎÔÈÓˆÓÈ΋˜ ˘ÔÛÙ‹ÚÈ͢. °È· Ù· Û˘ÛÙ‹Ì·Ù· Î·È ÙȘ ˘ËÚÂۛ˜ ˘Á›·˜, ·˘Ù‹ Ë ·˘Í·ÓfiÌÂÓË ÔÈÎÈÏÔÌÔÚÊ›· Â›Ó·È ¤Ó· ÛËÌ·ÓÙÈÎfi ˙‹ÙËÌ· Ô˘ ··ÈÙ› ÚÔÛ·ÚÌÔÁ‹ Î·È ÔÈÔÙÈ΋ ·Ó¿Ù˘ÍË1. √È ÔÌ¿‰Â˜ ÌÂÈÔÓÔÙ‹ÙˆÓ ‰È·ÙÚ¤¯Ô˘Ó ÙÔÓ Î›Ó‰˘ÓÔ Ó· ÌË Ï¿‚Ô˘Ó ÙÔ ›‰ÈÔ Â›Â‰Ô ˘ÁÂÈÔÓÔÌÈ΋˜ ÂÚ›ı·Ï„˘ ÛÙË ‰È¿ÁÓˆÛË, ıÂڷ›· Î·È ÛÙȘ ÚÔÏËÙÈΤ˜ ˘ËÚÂۛ˜ Ô˘ Ï·Ì‚¿ÓÂÈ Ô Ì¤ÛÔ˜ ÏËı˘ÛÌfi˜. √È ˘ËÚÂۛ˜ ˘ÁÂÈÔÓÔÌÈ΋˜ ÂÚ›ı·Ï„˘ ‰ÂÓ ·ÓÙ·ÔÎÚ›ÓÔÓÙ·È ·ÚÎÂÙ¿ ÛÙȘ Û˘ÁÎÂÎÚÈ̤Ó˜ ·Ó¿ÁΘ ÙˆÓ ÌÂÈÔÓÔًوÓ. À¿Ú¯Ô˘Ó ÔÏϤ˜ ÚÔÎÏ‹ÛÂȘ Ô˘ ·ÓÙÈÌÂÙˆ›˙Ô˘Ó ÙfiÛÔ ÔÈ ¯Ú‹ÛÙ˜ fiÛÔ Î·È ÔÈ ÚÔÌËıÂ˘Ù¤˜ ˘ËÚÂÛÈÒÓ, .¯. ÁψÛÛÈο ÂÌfi‰È·2 Î·È ÔÏÈÙÈÛÙÈ΋ ÔÈÎÈÏÔÌÔÚÊ›·, ÂÓÒ ¿ÏϘ Â›Ó·È ÔÈ ÂÏÏ›„ÂȘ ÛÙÔ˘˜ fiÚÔ˘˜ ÓÔÛÔÎÔÌ›ˆÓ, Ù· ¯·ÌËÏ¿ ›‰· Ù˘ ·ÁÔÚ·ÛÙÈ΋˜ ‰‡Ó·Ì˘ Î·È ÙˆÓ ‰ÈÎ·ÈˆÌ¿ÙˆÓ ÂȉfiÌ·ÙÔ˜ ÙˆÓ ÌÂÈÔÓÔًوÓ. ŸÏ· ·˘Ù¿ ı¤ÙÔ˘Ó Ó¤Â˜ ÚÔÎÏ‹ÛÂȘ ÁÈ· ÙËÓ ÂÍ·ÛÊ¿ÏÈÛË ÔÈfiÙËÙ·˜ Î·È ÙË ‚ÂÏÙ›ˆÛË ÙˆÓ ˘ÁÂÈÔÓÔÌÈÎÒÓ ˘ËÚÂÛÈÒÓ – ÂȉÈο ÁÈ· Ù· ÓÔÛÔÎÔÌ›· Ù· ÔÔ›· ‰È·‰Ú·Ì·Ù›˙Ô˘Ó ¤Ó·Ó ȉȷ›ÙÂÚ· ÛËÌ·ÓÙÈÎfi ÚfiÏÔ ÛÙËÓ Â͢ËÚ¤ÙËÛË ·˘ÙÔ‡ ÙÔ˘ ÙÌ‹Ì·ÙÔ˜ ÙÔ˘ ÏËı˘ÛÌÔ‡3. ∞ÏÏ¿ Î·È ¤Ó· ¯·ÌËÏfi Â›Â‰Ô ‚·ÛÈ΋˜ ˘ÁÂÈÔÓÔÌÈ΋˜ ÁÓÒÛ˘ Â›Ó·È ÛËÌ·›ÓÔÓ, ÂȉÈο ˆ˜ ÚÔ˜ ÙËÓ Î·Ù¿ÏÏËÏË ¯Ú‹ÛË ÙˆÓ Û˘ÛÙËÌ¿ÙˆÓ ˘ÁÂÈÔÓÔÌÈ΋˜ ÂÚ›ı·Ï„˘. √È ÌÂÙ·Ó¿ÛÙ˜ ÛÙËÓ ∂˘ÚÒË Û˘¯Ó¿ ‰ÂÓ Â›Ó·È ÂÓËÌÂڈ̤ÓÔÈ Û¯ÂÙÈο Ì ÙȘ ‰È·ı¤ÛÈ̘ ÓÔÛÔÎÔÌÂȷΤ˜ Î·È Â͈ÙÂÚÈΤ˜ ˘ËÚÂۛ˜ ÂÚ›ı·Ï„˘ ‹ ÁÈ· Ù· ÁÂÓÈο ı¤Ì·Ù· ˘Á›·˜ ÛÙÔ Û˘ÁÎÂÎÚÈ̤ÓÔ Ï·›ÛÈÔ ÙˆÓ Â˘Úˆ·˚ÎÒÓ ÎÔÈÓˆÓÈÒÓ. ∞˘Ùfi˜ Â›Ó·È ¤Ó·˜ ·fi ÙÔ˘˜ ÏfiÁÔ˘˜ Ô˘ Û˘¯Ó¿ ·Ó·Ê¤ÚÔ˘Ó ÌÂÙ·Ó¿ÛÙ˜ fiÙ·Ó ‰ÂÓ ¤¯Ô˘Ó ¯ÚËÛÈÌÔÔÈ‹ÛÂÈ ·ÔÙÂÏÂÛÌ·ÙÈο ÙȘ ˘ÁÂÈÔÓÔÌÈΤ˜ ˘ËÚÂۛ˜ Î·È ‰ÂÓ ¤¯Ô˘Ó ÔÈ ›‰ÈÔÈ Ï¿‚ÂÈ ÚÔÏËÙÈο ̤ÙÚ· ηٿ Ù˘ ·Ûı¤ÓÂÈ·˜4. ŒÙÛÈ Ë ÙÚ¤¯Ô˘Û· ηٿÛÙ·ÛË ı¤ÙÂÈ ÚÔÎÏ‹ÛÂȘ ÛÙ· ÓÔÛÔÎÔÌ›· Î·È ÛÙÔ ÚÔÛˆÈÎfi ÙÔ˘˜, ¤Ó· ÚÔÛˆÈÎfi Ô˘ ÙÔ ›‰ÈÔ Á›ÓÂÙ·È Û˘Á¯ÚfiÓˆ˜ ÈÔ ‰È·ÊÔÚÂÙÈÎfi, ηÙ' ·˘ÙfiÓ ÙÔÓ ÙÚfiÔ ·ÚÔ˘ÛÈ¿˙ÔÓÙ·˜ ÌÈ· ¢ηÈÚ›·, ¤Ó·Ó fiÚÔ Î·È ÌÈ· ÚfiÛıÂÙË ÚfiÎÏËÛË ÁÈ· ÙȘ ÔÚÁ·ÓÒÛÂȘ ÓÔÛÔÎÔÌ›ˆÓ. °È· Ó· ÂÚÁ·ÛÙÔ‡Ó ¿Óˆ Û ·˘Ù¤˜ ÙȘ ÚÔÎÏ‹ÛÂȘ, ÌÈ· ÔÌ¿‰· ÓÔÛÔÎÔÌ›ˆÓ ·fi 12 Â˘Úˆ·˚Τ˜ ¯ÒÚ˜ ÂÓÒıËΠÏÂÈÙÔ˘ÁÒÓÙ·˜ ˆ˜ ÈÏÔÙÈο ÓÔÛÔÎÔÌ›· Ô˘ Û˘ÌÌÂÙ¤¯Ô˘Ó ÛÙÔ ÊÈÏÈÎfi ÚÔ˜ ÙÔ˘˜ ÌÂÙ·Ó¿ÛÙ˜ ÚfiÁÚ·ÌÌ· ÓÔÛÔÎÔÌ›ˆÓ (ÁÈ· ÏÂÙÔ̤ÚÂȘ ‰Â›Ù ·Ú·Î¿Ùˆ). ∆· ÂıÓÈο Î·È ÂÚÈÊÂÚÂȷο ‰›ÎÙ˘· ÙÔ˘ Û˘Ó‰¤ÛÌÔ˘ ¶.√.À. «¢›ÎÙ˘Ô ¡ÔÛÔÎÔÌ›ˆÓ ¶ÚÔ·ÁˆÁ‹˜ ÀÁ›·˜» (HPH, Health Promoting Hospitals) ¤·ÈÍ·Ó ÛËÌ·ÓÙÈÎfi ÚfiÏÔ Ê¤ÚÓÔÓÙ·˜ ÙÔ˘˜ Û˘ÓÂÚÁ¿Ù˜ ·fi ∞˘ÛÙÚ›·, ¢·Ó›·, ºÈÓÏ·Ó‰›·, °·ÏÏ›·, °ÂÚÌ·Ó›·, ∂ÏÏ¿‰·, πÚÏ·Ó‰›·, πÙ·Ï›·, πÛ·Ó›·, ™Ô˘Ë‰›·, ÙȘ ∫¿Ùˆ ÃÒÚ˜ Î·È ÙÔ ∏ӈ̤ÓÔ µ·Û›ÏÂÈÔ Û ·ʋ. ∞˘Ù¿ Ù· ‰›ÎÙ˘· ·ÓÙÈÚÔÛˆÂ‡Ô˘Ó ¤Ó· ¢ڇ Ê¿ÛÌ· ÙˆÓ Ù‡ˆÓ ÓÔÛÔÎÔÌ›ˆÓ ÍÂÎÈÓÒÓÙ·˜ ·fi Ù· ÌÂÁ¿Ï· ÎÂÓÙÚÈο ·ÓÂÈÛÙËÌȷο ÓÔÛÔÎÔÌ›· ÊÙ¿ÓÔÓÙ·˜ ˆ˜ Ù· ·گȷο Î·È ÎÔÈÓÔÙÈο ÓÔÛÔÎÔÌ›·, ›Ù Û ÎÚ·ÙÈ΋ ·ÏÏ¿ Î·È Û ȉȈÙÈ΋-ÌË Î¤Ú‰ÔÛÎÔÈ΋ ȉÈÔÎÙËÛ›·. ªÂÚÈÎÔ› ·fi ÙÔ˘˜ Û˘ÓÂÚÁ¿Ù˜ ›¯·Ó ‹‰Ë Ì·ÎÚfi¯ÚÔÓ˜ ÂÌÂÈڛ˜ ÛÙËÓ Â͢ËÚ¤ÙËÛË ÙˆÓ ÔÈÎÈÏfiÌÔÚÊˆÓ ÎÔÈÓÔÙ‹ÙˆÓ ÚÈÓ ·fi ÙÔ ÚfiÁÚ·ÌÌ·, ÙfiÛÔ Û ÎÔÈÓfiÙËÙ˜ Ô˘ Â›Ó·È Ì¿ÏÏÔÓ Î·ıÈÂڈ̤Ó˜ Î·È ÔÌÔÈÔÁÂÓ›˜, fiÛÔ Î·È Û ¿ÏϘ Ô˘ Â›Ó·È Ôχ ‰È·ÊÔÚÂÙÈΤ˜ Î·È ÂÚÈÏ·Ì‚¿ÓÔ˘Ó ¤Ó· ÌÂÁ¿ÏÔ ·ÚÈıÌfi ·‰‹ÏˆÙˆÓ ÌÂÙ·Ó·ÛÙÒÓ. ªÂÚÈÎÔ› Û˘ÓÂÚÁ¿Ù˜ Â͢ËÚ¤ÙËÛ·Ó ÙȘ ÎÔÈÓfiÙËÙ¤˜ ÙÔ˘˜ ÛÙ· Ï·›ÛÈ· ÂÓfi˜ ηÏÔ‡ ÂÓÈ·›Ô˘ Û˘ÛÙ‹Ì·ÙÔ˜ ˘ÁÂÈÔÓÔÌÈ΋˜ ÂÚ›ı·Ï„˘, ÂÓÒ ¿ÏÏÔÈ ¤Ú ӷ Û˘Ì‚È‚·ÛÙÔ‡Ó Ì ̿ÏÏÔÓ ·Ó·ÚΛ˜ ‰Ô̤˜. ∆Ô ÚfiÁÚ·ÌÌ· ¤Ï·‚ ÔÈÎÔÓÔÌÈ΋ ÂÓ›Û¯˘ÛË ·fi ÙËÓ ∂˘Úˆ·˚΋ ∂ÈÙÚÔ‹ Î·È ÙËÓ ·˘ÛÙÚȷ΋ ΢‚¤ÚÓËÛË. ∂˘Úˆ·˚ÎÔ› Î·È ‰ÈÂıÓ›˜ ÔÚÁ·ÓÈÛÌÔ› ·ÎÔÏÔ‡ıËÛ·Ó ÙËÓ ÚˆÙÔ‚Ô˘Ï›· ˆ˜ ÂÓÈÛ¯˘ÙÈο ̤ÏË (‰Â›Ù ÙÔÓ Î·Ù¿ÏÔÁÔ ÛÙÔ Ù¤ÏÔ˜ ÙÔ˘ ÂÁÁÚ¿ÊÔ˘). ∆· ̤ÏË ÙÔ˘ ÚÔÁÚ¿ÌÌ·ÙÔ˜ Û˘ÌÊÒÓËÛ·Ó ÛÙȘ ‚·ÛÈΤ˜ ·Ú¯¤˜, ÔÈ Ôԛ˜ ·Ó·Ê¤ÚÔÓÙ·È ÛÙË Û¯ÂÙÈ΋ ‰‹ÏˆÛË Ù˘ ·ÔÛÙÔÏ‹˜ ÁÈ· «ÓÔÛÔÎÔÌ›· ÊÈÏÈο ÚÔ˜ ÌÂÙ·Ó¿ÛÙ˜» (MFH): ¡· ÂÎÙÈÌÔ‡Ó ÙËÓ ÔÈÎÈÏÔÌÔÚÊ›· Î·È Ó· ·Ô‰¤¯ÔÓÙ·È ÙÔ˘˜ ·ÓıÚÒÔ˘˜ Ì ‰È·ÊÔÚÂÙÈο ˘fi‚·ıÚ· ˆ˜ ηٿ ‚·ÛË ÈÛfiÙÈÌ· ̤ÏË Ù˘ ÎÔÈÓˆÓ›·˜Ø Ó· ÚÔÛ‰ÈÔÚ›˙Ô˘Ó ÙȘ ·Ó¿ÁΘ ÙˆÓ ·ÓıÚÒˆÓ Ì ‰È·ÊÔÚÂÙÈο ˘fi‚·ıÚ· Î·È Ó· ·Ú·ÎÔÏÔ˘ıÔ‡Ó Î·È Ó· ·Ó·Ù‡ÛÛÔ˘Ó ˘ËÚÂۛ˜ ·ÓÙ·ÔÎÚÈÓfiÌÂÓ˜ Û ·˘Ù¤˜ ÙȘ ·Ó¿ÁÎÂ˜Ø Î·È ÙÂÏÈο, Ó· ·ÓÙÈ·Ú¤Ú¯ÔÓÙ·È ÛÙ· ÌÂÈÔÓÂÎÙ‹Ì·Ù· Ô˘ ÚÔ·ÙÔ˘Ó ·fi Ù· ‰È·ÊÔÚÂÙÈο ˘fi‚·ıÚ·. ªÂ ‚¿ÛË ÌÈ· ·ÍÈÔÏfiÁËÛË ÙˆÓ ·Ó·ÁÎÒÓ, ÙÔ ÚfiÁÚ·ÌÌ· ηٿÊÂÚ ӷ ÚÔÛ‰ÈÔÚ›ÛÂÈ ÔÏÏ¿ ÎÔÈÓ¿ ÚÔ‚Ï‹Ì·Ù· ÙˆÓ ÌÂÙ·Ó·ÛÙÒÓ/ÂıÓÈÎÒÓ ÌÂÈÔÓÔÙ‹ÙˆÓ Î·È ÙÔ˘ ÚÔÛˆÈÎÔ‡ – ·Ú¿ ÙËÓ ÔÈÎÈÏÔÌÔÚÊ›· ÙˆÓ Û˘ÛÙËÌ¿ÙˆÓ ˘ÁÂÈÔÓÔÌÈ΋˜ ÂÚ›ı·Ï„˘ Î·È ÙˆÓ ÙÔÈÎÒÓ Î·Ù·ÛÙ¿ÛÂˆÓ ÛÙ· Â˘Úˆ·˚ο ÓÔÛÔÎÔÌ›·. °È· Ù· ÂÈÏÂÁ̤ӷ ˙ËÙ‹Ì·Ù·, ÔÈ ‚·ÛÈṲ̂Ó˜ ÛÙË ÁÓÒÛË ÚÔÙ¿ÛÂȘ ÂÊ·ÚÌfiÛÙËÎ·Ó ÂÈÙ˘¯Ò˜ Î·È ·ÍÈÔÏÔÁ‹ıËÎ·Ó ÛÙÔ˘˜ ÙÔÌ›˜ Ù˘ ÂÚÌËÓ›·˜, ÛÙËÓ Î·Ù¿ÚÙÈÛË ‰È·ÔÏÈÙÈÛÙÈÎÒÓ ÈηÓÔÙ‹ÙˆÓ ÁÈ· ÙÔ ÚÔÛˆÈÎfi ÓÔÛÔÎÔÌ›ˆÓ Î·È ÛÙËÓ ÂÓ‰˘Ó¿ÌˆÛË Ù˘ ÌËÙÚÈ΋˜ Î·È ·È‰È΋˜ ̤ÚÈÌÓ·˜. ∆· ÈÏÔÙÈο ÓÔÛÔÎÔÌ›· ÛÙfi¯Â˘Û·Ó ›Û˘ Ó· ‚ÂÏÙÈÒÛÔ˘Ó ÁÂÓÈο ÙÔÓ ÙÚfiÔ ¯ÂÈÚÈÛÌÔ‡ Ù˘ ÔÈÎÈÏÔÌÔÚÊ›·˜ ·Ó·Ù‡ÛÛÔÓÙ·˜ ÙȘ ÔÚÁ·ÓˆÙÈΤ˜ ÙÔ˘˜ ‰Ô̤˜ Î·È ÊÈÏÔÛÔʛ˜ ÒÛÙ ӷ Á›ÓÔ˘Ó ÊÈÏÈΤ˜ ÚÔ˜ ·Ô‰‹ÌÔ˘˜ Î·È ÔÏÈÙÈÛÙÈο ÈηӤ˜ ÔÚÁ·ÓÒÛÂȘ. °È· Ù· ̤ÏË, ÙÔ Ó· Á›ÓÔ˘Ó ÌÈ· ÔÚÁ¿ÓˆÛË (ÂÚÈÛÛfiÙÂÚÔ) ÊÈÏÈ΋ ÚÔ˜ ·Ô- ‰‹ÌÔ˘˜ ·Ô‰Â›¯ıËΠÂÊÈÎÙfi˜ ·ÏÏ¿ ÌË ÙÂÙÚÈÌ̤ÓÔ˜ ÛÙfi¯Ô˜: ÔÏÏÔ› Û˘Ì̤ÙÔ¯ÔÈ ÔÊ›ÏÔ˘Ó Ó· Û˘Ì‚¿ÏÔ˘Ó Û ·˘Ù¤˜ ÙȘ ‰È·‰Èηۛ˜ ·ÏÏ·Á‹˜. ∆· ·ÔÙÂϤÛÌ·Ù· Î·È ‰È¿ÊÔÚ· ÂÚÁ·Ï›· ÙÔ˘ ÚÔÁÚ¿ÌÌ·ÙÔ˜ Â›Ó·È ‰È·ı¤ÛÈÌ· ÛÙËÓ ÈÛÙÔÛÂÏ›‰· www.mfh-eu.net. °È· Ó· ÂÁÁ˘Ëı› Ë Û˘Ó¤¯ÂÈ· Ù˘ ÚˆÙÔ‚Ô˘Ï›·˜ ‰ËÌÈÔ˘ÚÁ‹ıËΠÛÙ· Ï·›ÛÈ· ÙÔ˘ ¢ÈÎÙ‡Ô˘ ¡ÔÛÔÎÔÌ›ˆÓ ¶ÚÔ·ÁˆÁ‹˜ ÀÁ›·˜ Ù˘ ¶.√.À. ∂˘ÚÒ˘ ÌÈ· «√Ì¿‰· ∂ÚÁ·Û›·˜ ÁÈ· Ù· ºÈÏÈο ÚÔ˜ ∞Ô‰‹ÌÔ˘˜ ¡ÔÛÔÎÔÌ›·». ∞˘Ù‹ Ë ÔÌ¿‰· ÂÚÁ·Û›·˜ ı· ·ÔÙÂϤÛÂÈ ÂÛÙ›· ÁÈ· ÂÚ·ÈÙ¤Úˆ ÚˆÙÔ‚Ô˘Ï›Â˜, ı· ÔÚÁ·ÓÒÛÂÈ ÂÚÁ·ÛÙ‹ÚÈ·, ı· ‰È·¯ÂÈÚ›˙ÂÙ·È ÙÔÓ ‰È·‰˘ÎÙÈ·Îfi ¯ÒÚÔ ÙÔ˘ MFH Î·È ı· ‰È¢ı‡ÓÂÈ ¿ÏϘ ‰Ú·ÛÙËÚÈfiÙËÙ˜. ™˘ÛÙ¿ÛÂȘ ªÂ ‚¿ÛË ÙËÓ ÂÌÂÈÚ›· ÙˆÓ Û˘ÓÂÚÁ·ÙÒÓ ÙÔ˘ ÚÔÁÚ¿ÌÌ·ÙÔ˜ MFH, ÙȘ ‰ÈÂıÓ›˜ Û˘˙ËÙ‹ÛÂȘ Î·È ÙËÓ ÂÈÛÙËÌÔÓÈ΋ ÏÔÁÔÙ¯ӛ·, ÌÔÚÔ‡Ó Ó· ÚÔÛ‰ÈÔÚÈÛÙÔ‡Ó Ù· ·ÎfiÏÔ˘ı· ÎÚ›ÛÈÌ· ÛËÌ›· ÁÈ· ÙËÓ ÂÈÙ˘¯‹ ·Ó¿Ù˘ÍË ÙˆÓ ˘ËÚÂÛÈÒÓ Î·È Ù˘ ÔÚÁ·ÓˆÙÈ΋˜ ÊÈÏÔÛÔÊ›·˜: 1 ∏ ·Ó¿Ù˘ÍË ÂÓfi˜ ÓÔÛÔÎÔÌ›Ԣ ÊÈÏÈÎÔ‡ ÚÔ˜ ·Ô‰‹ÌÔ˘˜ ·ÔÙÂÏ› ¤Ӊ˘ÛË Û ÂÍ·ÙÔÌÈÎÂ˘Ì¤Ó˜ Î·È ÂÚÈÛÛfiÙÂÚÔ ÚÔÛˆÔÎÂÓÙÚÈΤ˜ ˘ËÚÂۛ˜ ÁÈ· fiÏÔ˘˜ ÙÔ˘˜ ·ÛıÂÓ›˜ Î·È ÙÔ˘˜ ÂÏ¿Ù˜ ηıÒ˜ ›Û˘ Î·È ÁÈ· ÙȘ ÔÈÎÔÁ¤ÓÂȤ˜ ÙÔ˘˜. 2 ªÈ· ·˘Í·ÓfiÌÂÓË Û˘ÓÂȉËÙÔÔ›ËÛË ÁÈ· ÙËÓ ·Ô‰ËÌËÙÈ΋ ÂÌÂÈÚ›· ÏËı˘ÛÌÒÓ Î·È ÙȘ ˘¿Ú¯Ô˘Û˜ ·ÓÈÛfiÙËÙ˜ Î·È ·‰È˘ ˘Á›·˜, ÔÈ Ôԛ˜ Ô‰ËÁÔ‡Ó Û ·ÏÏ·Á¤˜ ÛÙËÓ ÂÈÎÔÈÓˆÓ›·, ÙȘ ÔÚÁ·ÓˆÙÈΤ˜ ‰Ô̤˜ Î·È ÛÙËÓ Î·Ù·ÓÔÌ‹ ÙˆÓ fiÚˆÓ, ı· Â›Ó·È ··Ú·›ÙËÙË. 3 ∏ ÂÛÙ›·ÛË ÛÙËÓ ÂıÓÔÔÏÈÙÈÛÙÈ΋ ÔÈÎÈÏÔÌÔÚÊ›· ÂÁ΢ÌÔÓ› ÙÔÓ Î›Ó‰˘ÓÔ Ó· Á›ÓÂÈ ÛÙÂÚÂfiÙ˘Ë – ·ÏÏ¿ Ë ı¤ÛË ÙˆÓ ·Ô‰‹ÌˆÓ, Ë ÂıÓÈ΋ ηٷÁˆÁ‹, ÙÔ ÔÏÈÙÈÛÙÈÎfi ˘fi‚·ıÚÔ Î·È ÙÔ ıÚ‹ÛÎÂ˘Ì· Â›Ó·È ÌfiÓÔ ÌÂÚÈΤ˜ ·fi ÙȘ ÔÏϤ˜ ‰È·ÛÙ¿ÛÂȘ Ù˘ ÔÏ˘ÏÔÎfiÙËÙ·˜ ÙˆÓ ·ÓıÚÒÈÓˆÓ fiÓÙˆÓ. 4 ∏ ·Ó¿Ù˘ÍË ÙˆÓ Û˘ÓÂÚÁ·ÛÈÒÓ Ì ÙȘ ÙÔÈΤ˜ ÎÔÈÓÔÙÈΤ˜ ÔÚÁ·ÓÒÛÂȘ Î·È ÙȘ ÔÌ¿‰Â˜ ˘ÂÚ¿ÛÈÛ˘ Ô˘ Â›Ó·È ÂÂÈڷ̤Ó˜ Û ˙ËÙ‹Ì·Ù· ÌÂÙ·Ó·ÛÙÒÓ Î·È ÛÙȘ ÂıÓÈΤ˜ ÔÌ¿‰Â˜ ÌÂÈÔÓÔÙ‹ÙˆÓ Â›Ó·È ÌÈ· ÛËÌ·ÓÙÈ΋ ÛÙÚ·ÙËÁÈ΋ Ô˘ ÌÔÚ› Ó· ‰È¢ÎÔχÓÂÈ ÙËÓ ·Ó¿Ù˘ÍË ÂÓfi˜ ÔÏÈÙÈÛÙÈο Î·È ÁψÛÛÔÏÔÁÈο ηٿÏÏËÏÔ˘ Û˘ÛÙ‹Ì·ÙÔ˜ ·ÚÔ¯‹˜ ˘ËÚÂÛÈÒÓ. Ÿˆ˜ ÔÔÈ·‰‹ÔÙ ¿ÏÏË ÌÔÚÊ‹ ÔÚÁ·ÓˆÙÈ΋˜ ·Ó¿Ù˘Í˘, Ë ÂÈÙ˘¯›· ÂÓfi˜ ÓÔÛÔÎÔÌ›Ԣ Ó· Á›ÓÂÈ ÊÈÏÈÎfi ÚÔ˜ ·Ô‰‹ÌÔ˘˜, ÙÔ ÔÔ›Ô Â›Ó·È Úfiı˘ÌÔ Î·È ÈηÓfi Ó· Â͢ËÚÂÙ‹ÛÂÈ ÙȘ ‰È·ÊÔÚÂÙÈΤ˜ ÎÔÈÓfiÙËÙ¤˜ ÙÔ˘ Ì ¤Ó·Ó ‰›Î·ÈÔ ÙÚfiÔ, ı· ÂÍ·ÚÙËı› ·fi ÙȘ Û˘ÌÏËڈ̷ÙÈΤ˜ Û˘ÓÂÈÛÊÔÚ¤˜ ÙˆÓ ‰È¿ÊÔÚˆÓ Û˘ÌÌÂÙfi¯ˆÓ. π‰ÈÔÎً٘ ÓÔÛÔÎÔÌ›ˆÓ – ¢È·¯Â›ÚÈÛË – ¢È·¯Â›ÚÈÛË ÔÈfiÙËÙ·˜ √È È‰ÈÔÎً٘ ÓÔÛÔÎÔÌ›ˆÓ, Ë ‰È·¯Â›ÚÈÛË Î·È Ë ‰È·¯Â›ÚÈÛË ÔÈfiÙËÙ·˜ Ú¤ÂÈ Ó· ÙÔÔıÂÙ‹ÛÔ˘Ó ÙËÓ ÔÈfiÙËÙ· ÙˆÓ ˘ËÚÂÛÈÒÓ ÁÈ· ÙÔ˘˜ ÌÂÙ·Ó¿ÛÙ˜ Î·È ÙȘ ÂıÓÈΤ˜ ÌÂÈÔÓfiÙËÙ˜ ÛÙËÓ ËÌÂÚ‹ÛÈ· ‰È¿Ù·ÍË Ù˘ ÔÚÁ¿ÓˆÛ˘ ÙˆÓ ÓÔÛÔÎÔÌ›ˆÓ: 5 £· Â›Ó·È ÛËÌ·ÓÙÈÎfi Ó· ηıÔÚÈÛÙÔ‡Ó ÔÈ ÛÙfi¯ÔÈ Î·È ÔÈ ÛÎÔÔ› (·ÔÛÙÔÏ‹, ‰‹ÏˆÛË ÔÚ¿Ì·ÙÔ˜ Î·È ·Í›·˜, ηٷÛÙ·ÙÈο Î·È ‰È·‰Èηۛ˜). 6 °È· Ó· ÂÈÙ¢¯ıÔ‡Ó Ú·ÁÌ·ÙÈΤ˜ ·ÏÏ·Á¤˜ ı· Ú¤ÂÈ Ó· ÂÍ·ÛÊ·ÏÈÛıÔ‡Ó Â·ÚΛ˜ fiÚÔÈ (¯ÚfiÓÔ˜ ··Û¯fiÏËÛ˘, ÔÈÎÔÓÔÌÈÎÔ› fiÚÔÈ, ηٿÚÙÈÛË). 7 ªÈ· ÔÚÁ·ÓˆÙÈ΋ ‰È·‰Èηۛ· ·Ó¿Ù˘Í˘ ı· Ú¤ÂÈ Ó· ÂÁηÈÓÈ·ÛÙ›, ˘ÔÛÙËÚÈÁ̤ÓË Î·È ÂÏÂÁ¯fiÌÂÓË ·fi ÙËÓ ËÁÂÛ›·, ÙË ‰È·¯Â›ÚÈÛË Î·È ÙË ‰È·¯Â›ÚÈÛË ÔÈfiÙËÙ·˜. 8 ™·Ó ÛËÌ·ÓÙÈÎfi ‚‹Ì·, ı· Ú¤ÂÈ Ó· ÂϤÁ¯ÔÓÙ·È ÔÈ ·Ó¿ÁΘ Î·È Ù· ÚÔÛfiÓÙ· ÙˆÓ Û˘ÌÌÂÙfi¯ˆÓ Î·È ÙˆÓ ¯ÚËÛÙÒÓ (·ÛıÂÓÒÓ, Û˘ÁÁÂÓÒÓ, ÎÔÈÓˆÓ›·˜) Î·È ÙˆÓ ÚÔÌËı¢ÙÒÓ (ÚÔÛˆÈÎfi). 9 √È Â΂¿ÛÂȘ ÙÔ˘ ÚÔÁÚ¿ÌÌ·ÙÔ˜ ηıÒ˜ ›Û˘ Î·È ÔÈ ‰Ô̤˜ Î·È ÔÈ ‰È·‰Èηۛ˜ Ô˘ ÂËÚ¿˙Ô˘Ó Ù· ·ÔÙÂϤÛÌ·Ù· ÔÊ›ÏÔ˘Ó Ó· ÂϤÁ¯ÔÓÙ·È. 10 ∞ÓËÛ˘¯›Â˜, ÔÈ Î·Ù·ÁÁÂϛ˜ Î·È ÔÈ ‰È·Ì·ÚÙ˘Ú›Â˜ Û¯ÂÙÈΤ˜ Ì ÙËÓ ·ÚÔ¯‹ ˘ËÚÂÛÈÒÓ Ú¤ÂÈ Ó· ÂÓÙÔÈÛıÔ‡Ó Î·È Ó· ÂÍÂÙ·ÛÙÔ‡Ó Î·Ù¿ÏÏËÏ·. 11 ∂›Û˘ Â›Ó·È ··Ú·›ÙËÙË Ë Â¤Ó‰˘ÛË ÛÙË ‰ËÌÈÔ˘ÚÁ›· ˘Ô‰ÔÌ‹˜ fiÛÔÓ ·ÊÔÚ¿ ÙËÓ ÔÏÈÙÈÛÙÈ΋ Î·È ÁψÛÛÈ΋ ÈηÓfiÙËÙ· ÙÔ˘ ÚÔÛˆÈÎÔ‡ (ÂÈÏÔÁ‹, ηٿÚÙÈÛË, ·ÍÈÔÏfiÁËÛË). ¶ÚÔÛˆÈÎfi – π·ÙÚÈο ·ÁÁ¤ÏÌ·Ù· ∆Ô ÚÔÛˆÈÎfi ÓÔÛÔÎÔÌ›ˆÓ, Ù· ·ÁÁ¤ÏÌ·Ù· ¿ÏÏ· Î·È ÔÈ ÔÚÁ·ÓÒÛÂȘ ·ÁÁÂÏÌ·ÙÈÒÓ ÙˆÓ ÔÔ›ˆÓ Â›Ó·È Ì¤ÏË Ú¤ÂÈ Ó· ·Ó·ÁÓˆÚ›ÛÔ˘Ó fiÙÈ ·˘Ù¿ Ù· ˙ËÙ‹Ì·Ù· Â›Ó·È ÛËÌ·ÓÙÈο Î·È Ú¤ÂÈ Ó· ÚÔÂÙÔÈÌ·ÛÙÔ‡Ó ÁÈ· Ó· ÂÂÓ‰‡ÛÔ˘Ó ÛÙËÓ Â›Ù¢ÍË ÈηÓÔًوÓ. 12 ŒÓ· ÛËÌ·ÓÙÈÎfi ‚‹Ì· ı· Â›Ó·È Ó· ‚ÚÂı› ÎÔÈÓ‹ Û˘Ó·›ÓÂÛË ÛÙ· ÎÚÈÙ‹ÚÈ· ÁÈ· ÙË ÊÈÏÈ΋ ‰È¿ıÂÛË ·¤Ó·ÓÙÈ Û ·Ô‰‹ÌÔ˘˜, ÙËÓ ‰È·ÔÏÈÙÈÛÌÈ΋ ÈηÓfiÙËÙ·, ÙÔÓ ÂÈÙ˘¯‹ ¯ÂÈÚÈÛÌfi Ù˘ ÔÈÎÈÏÔÌÔÚÊ›·˜, Ô˘ Ó· ÚÔÛ·ÚÌfi˙ÔÓÙ·È ÛÙË Û˘ÁÎÂÎÚÈ̤ÓË Î·Ù¿ÛÙ·Û‹ ÙÔ˘˜ Î·È fi¯È ÌfiÓÔ Ó· Ù· ÂÓۈ̷ÙÒÛÂÈ ÛÙ· ·ÁÁÂÏÌ·ÙÈο ÚfiÙ˘· ·ÏÏ¿ Î·È Ó· ÂÈ‚¿ÏÔ˘Ó ÙËÓ Î·ıËÌÂÚÈÓ‹ ÙÔ˘˜ Ú·ÎÙÈ΋ ÂÊ·ÚÌÔÁ‹. √È ·Ú¯¤˜ Ô˘ ‹‰Ë ÂÊ·ÚÌfi˙ÔÓÙ·È ÛÙÔ ÚfiÁÚ·ÌÌ· ÙÔ˘ MFH ÌÔÚÔ‡Ó Ó· ¯ÚËÛÈ̇ÛÔ˘Ó ˆ˜ ·ÊÂÙËÚ›· ÁÈ· ·˘Ù‹Ó ÙËÓ ·Ó¿Ù˘ÍË. 13 √È Â·ÁÁÂÏ̷ٛ˜ Î·È ÙÔ ÏÔÈfi ÚÔÛˆÈÎfi ı· Ú¤ÂÈ Ó· ÂÎ·È‰Â˘ÙÔ‡Ó ¿Óˆ ÛÙȘ ‰È·ÔÏÈÙÈÛÌÈΤ˜, ÂÈÎÔÈÓˆÓȷΤ˜ Î·È Û¯ÂÙÈΤ˜ Ì ÙËÓ ÔÈÎÈÏÔÌÔÚÊ›· ‰Ú·ÛÙËÚÈfiÙËÙ˜. 14 ∏ ÎÏÈÓÈ΋ Ú·ÎÙÈ΋, ÔÈ ÚÔÏËÙÈΤ˜ ˘ËÚÂۛ˜ Î·È Ë ‰Ú¿ÛË ÚÔÒıËÛ˘ ˘Á›·˜ Ú¤ÂÈ Ó· ÚÔÛ·ÚÌÔÛÙÔ‡Ó Î·Ù¿ÏÏËÏ· ÁÈ· ¯Ú‹ÛË Ì ÔÈÎÈÏfiÌÔÚÊÔ˘˜ ÏËı˘ÛÌÔ‡˜. ∏ ·ÔÙÂÏÂÛÌ·ÙÈÎfiÙËÙ· ÙˆÓ ÚÔÏËÙÈÎÒÓ ˘ËÚÂÛÈÒÓ Î·È Ù˘ ÚÔÒıËÛ˘ ˘Á›·˜, Ô˘ ‚·Û›˙ÔÓÙ·È Û ÂÈÎÔÈÓˆÓȷΤ˜ ·ÚÂÌ‚¿ÛÂȘ, ÂÍ·ÚÙ¿Ù·È Û ÌÂÁ¿ÏÔ ‚·ıÌfi ·fi ÙȘ ÔÏÈÙÈÛÙÈΤ˜ Î·È ÁψÛÛÈΤ˜ ÈηÓfiÙËÙ˜ ÙˆÓ Â·ÁÁÂÏÌ·ÙÈÒÓ. 15 µ·ÛÈ΋ ÚÔ¸fiıÂÛË ı· Â›Ó·È Ó· ÏËÊı› ˘fi„Ë Ë ‚·ÛÈ΋ Âη›‰Â˘ÛË Î·È Ë ‚·ÛÈ΋ Âη›‰Â˘ÛË ˘Á›·˜ ÙˆÓ ¯ÚËÛÙÒÓ Û fiÏ· Ù· ›‰· ˘ËÚÂÛÈÒÓ. ∞˘Ùfi ÛËÌ·›ÓÂÈ ·Ú·ÎÔÏÔ‡ıËÛË Ù˘ ·Ó¿Ù˘Í˘ ·ÚÎÒÓ Û˘ÛÙËÌ¿ÙˆÓ ÚÔÛ·Ó·ÙÔÏÈÛÌÔ‡, ÂÓËÌÂÚˆÙÈÎÒÓ ÂÓÙ‡ˆÓ ηıÒ˜ Î·È ÚÔÁÚ·ÌÌ¿ÙˆÓ Âη›‰Â˘Û˘ ·ÛıÂÓÒÓ. 16 ∏, ÂӉ¯Ô̤ӈ˜, ÙÚ·˘Ì·ÙÈ΋ ÂÌÂÈÚ›· ÌÈ·˜ ÌÂÙ·Ó¿ÛÙ¢Û˘ ··ÈÙ› ·˘ÍË̤ÓË ÚÔÛÔ¯‹ Û ˙ËÙ‹Ì·Ù· ‰È·ÓÔËÙÈ΋˜ ˘Á›·˜ ηٿ ÙË ÓÔÛÔÎÔÌÂȷ΋ ÂÚ›ı·Ï„Ë ÙˆÓ ÌÂÙ·Ó·ÛÙÒÓ. ÁÈ· ÙËÓ ˘Á›· ÙÔ˘ ÏËı˘ÛÌÔ‡ ÛÙÔ˘˜ ÁˆÁÚ·ÊÈÎÔ‡˜ ÙÔÌ›˜ Ù˘ ‰ÈηÈÔ‰ÔÛ›·˜ ÙÔ˘˜. ™ÙȘ ÂÚÈÛÛfiÙÂÚ˜ ¯ÒÚ˜ Â›Ó·È Â›Û˘ ·ÚÌfi‰ÈÔÈ ÁÈ· ÙË ¯ÚËÌ·ÙÔ‰fiÙËÛË ÙˆÓ ˘ËÚÂÛÈÒÓ ˘ÁÂÈÔÓÔÌÈ΋˜ ÂÚ›ı·Ï„˘ Î·È ¤ÙÛÈ ÂӉȷʤÚÔÓÙ·È ÁÈ· ÙËÓ ·ÔÙÂÏÂÛÌ·ÙÈÎfiÙËÙ· Î·È ÙËÓ ·Ô‰ÔÙÈÎfiÙËÙ· ·˘ÙÒÓ ÙˆÓ ˘ËÚÂÛÈÒÓ. 20 ∏ ÔÏÈÙÈ΋ ˘Á›·˜ Ú¤ÂÈ Ó· ·Ú¤¯ÂÈ ¤Ó· Ï·›ÛÈÔ ÁÈ· Ó· ηٷÛÙ‹ÛÂÈ ÙË ÊÈÏÈ΋ ÚÔ˜ ·Ô‰‹ÌÔ˘˜ ÔÈÔÙÈ΋ ·Ó¿Ù˘ÍË ÂÊ·ÚÌfiÛÈÌË Î·È ÂÊÈÎÙ‹ ÁÈ· οı ÓÔÛÔÎÔÌÂ›Ô (Ì ÓÔÌÈÎÔ‡˜, ÔÈÎÔÓÔÌÈÎÔ‡˜, Î·È ÔÚÁ·ÓˆÙÈÎÔ‡˜ ηÓÔÓÈÛÌÔ‡˜). 21 ŒÓ· Ï·›ÛÈÔ ÁÈ· ÙËÓ ÎÔÈÓÔÙÈ΋ ·Ó¿Ù˘ÍË Ì ÚÔÛ·Ó·ÙÔÏÈÛÌfi ÙËÓ ˘Á›· ÁÈ· ÙÔ˘˜ ÌÂÙ·Ó¿ÛÙ˜ Î·È ÙȘ ÂıÓÈΤ˜ ÌÂÈÔÓfiÙËÙ˜ ¤¯ÂÈ ÙË ‰˘Ó·ÙfiÙËÙ· Ó· ‚ÔËı‹ÛÂÈ ÛÙËÓ ·Ó¿Ù˘ÍË Ù˘ ‚·ÛÈ΋˜ Âη›‰Â˘Û˘ ˘Á›·˜ ·˘ÙÒÓ ÙˆÓ ÔÌ¿‰ˆÓ. 22 ∏ ÔÏÈÙÈ΋ Î·È Ë ‰ÈÔ›ÎËÛË ·›˙Ô˘Ó ÛËÌ·ÓÙÈÎfi ÚfiÏÔ ÛÙË ‰È¢ÎfiÏ˘ÓÛË Ù˘ ·Ó¿Ù˘Í˘ ÁÓÒÛÂˆÓ – ·Ú·‰Â›ÁÌ·ÙÔ˜ ¯¿ÚÈÓ ÛÙËÓ ¤Ó·ÚÍË Î·È ÙË ¯ÚËÌ·ÙÔ‰fiÙËÛË Ù˘ ¤Ú¢ӷ˜, ÙˆÓ ·Ó·ıˆڋÛˆÓ, Ù˘ ·Ó¿Ù˘Í˘ Î·È ‰È¿‰ÔÛ˘ ÚÔÙ‡ˆÓ (‰ÈÎÙ‡ˆÛË, Âη›‰Â˘ÛË, ·ÓÙ·ÏÏ·Á‹ ÂÌÂÈÚÈÒÓ). ∂ÈÛً̘ ˘Á›·˜ ÃÚ‹ÛÙ˜ (Ú·ÁÌ·ÙÈÎÔ› Î·È Èı·ÓÔ› ·ÛıÂÓ›˜, Û˘ÁÁÂÓ›˜) – ∞ÓÙÈÚfiÛˆÔÈ ÙˆÓ ÎÔÈÓÔÙÈÎÒÓ ÔÌ¿‰ˆÓ √ÚÁ·ÓÒÛÂȘ ÓÔÛËÏ¢fiÌÂÓˆÓ Î·È ÎÔÈÓÔÙÈΤ˜ ÔÌ¿‰Â˜ ÌÔÚÔ‡Ó Ó· Û˘ÓÂÈÛʤÚÔ˘Ó ÛËÌ·ÓÙÈο ÛÙË ‰È·‰Èηۛ· ÙÔÔıÂÙÒÓÙ·˜ ÙËÓ ÔÈÎÈÏÔÌÔÚÊ›· Î·È ÙËÓ ˘Á›· ·ÏÏ¿ Î·È ÙËÓ ˘ÁÂÈÔÓÔÌÈ΋ ÂÚ›ı·Ï„Ë ÛÙȘ ·ÓÙ›ÛÙÔȯ˜ ËÌÂÚ‹ÛȘ ‰È·Ù¿ÍÂȘ ÙÔ˘˜. 17 √È ÔÚÁ·ÓÒÛÂȘ ÓÔÛËÏ¢fiÌÂÓˆÓ ÔÊ›ÏÔ˘Ó Ó· ÂÓۈ̷ÙÒÛÔ˘Ó ÙËÓ ÔÈÎÈÏÔÌÔÚÊ›· Ù˘ ÂÏ·Ù›·˜ ÙÔ˘˜ ÛÙȘ ÛÙÚ·ÙËÁÈΤ˜ Î·È ÙË ‰È·¯Â›ÚÈÛ‹ ÙÔ˘˜ Î·È Ú¤ÂÈ Ó· ÂÓÂÚÁ‹ÛÔ˘Ó ˆ˜ Û˘Ó‹ÁÔÚÔÈ ÙˆÓ ·ÛıÂÓÒÓ ‰È·ÊfiÚˆÓ ÂıÓÈÎÔًوÓ. 18 √È ·ÓÙÈÚfiÛˆÔÈ ÌÂÙ·Ó·ÛÙÒÓ Î·È ÎÔÈÓÔÙ‹ÙˆÓ ÌÂÈÔÓfiÙËÙ·˜ ÌÔÚÔ‡Ó Ó· Û˘Ì‚¿ÏÏÔ˘Ó fi¯È ÌfiÓÔ ˘ÔÛÙËÚ›˙ÔÓÙ·˜, ·ÏÏ¿ Î·È ÌÂÛÔÏ·‚ÒÓÙ·˜. √Ê›ÏÔ˘Ó Ó· ÂÓÂÚÁ‹ÛÔ˘Ó ˆ˜ Û˘ÓËÁfiÚÔÈ ÁÈ· ÙËÓ Â·Ú΋ ÚfiÛ‚·ÛË Î·È ÔÈfiÙËÙ· ÙˆÓ ˘ËÚÂÛÈÒÓ Î·È Ú¤ÂÈ Â›Û˘ Ó· Á›ÓÔ˘Ó ÌÂÛ¿˙ÔÓÙ˜ ÁÈ· ÙËÓ ·Ó¿Ù˘ÍË Â˘Ú‡ÙÂÚ˘ ‚·ÛÈ΋˜ Âη›‰Â˘Û˘ ˘Á›·˜ ÂÓÙfi˜ ÙˆÓ ÎÔÈÓÔÙ‹ÙˆÓ ÙÔ˘˜. 19 ªÂ ÙËÓ Â¤Ó‰˘ÛË ÛÙȘ ‚ÂÏÙÈÒÛÂȘ Ù˘ ‚·ÛÈ΋˜ Âη›‰Â˘Û˘ ˘Á›·˜ ÙÔ˘˜, οı ̤ÏÔ˜ ÌÈ·˜ ÎÔÈÓfiÙËÙ·˜ ÌÂÙ·Ó·ÛÙÒÓ ‹ ÌÂÈÔÓÔÙ‹ÙˆÓ ÌÔÚ› Ó· Û˘Ì‚¿ÏÏÂÈ ÛÙËÓ Î·Ï‡ÙÂÚË ˘Á›· Î·È ÙËÓ Î·Ï‡ÙÂÚË ¯Ú‹ÛË ÙˆÓ ˘ÁÂÈÔÓÔÌÈÎÒÓ ˘ËÚÂÛÈÒÓ. ¶ÔÏÈÙÈ΋ ˘Á›·˜ Î·È ‰ÈÔ›ÎËÛË √È Û¯Â‰È·ÛÙ¤˜ Û˘ÛÙËÌ¿ÙˆÓ ˘Á›·˜ Î·È Ë ‰ÈÔ›ÎËÛË Î·ı›ÛÙ·ÓÙ·È ·ÚÌfi‰ÈÔÈ ÁÈ· Ù· ÔÈÔÙÈο ÚfiÙ˘· ÛÙËÓ ˘ÁÂÈÔÓÔÌÈ΋ ÂÚ›ı·Ï„Ë Î·È Ê¤ÚÔ˘Ó ÙËÓ ÙÂÏÈ΋ ¢ı‡ÓË ∏ ÂÈÛÙËÌÔÓÈ΋ ÁÓÒÛË, Ë ÂÍÂȉ›Î¢ÛË Î·È Ë Â›Ú· ÌÔÚÔ‡Ó Ó· Â›Ó·È Ôχ ¯Ú‹ÛÈ̘ ÛÙË ‰È·‰Èηۛ·. ∂ÈÛËÌ·›ÓÔÓÙ·˜ Ù· ˙ËÙ‹Ì·Ù· ÔÈÎÈÏÔÌÔÚÊ›·˜ ÛÙËÓ ˘Á›· Î·È ÙËÓ ˘ÁÂÈÔÓÔÌÈ΋ ÂÚ›ı·Ï„Ë ÛÙȘ ËÌÂÚ‹ÛȘ ‰È·Ù¿ÍÂȘ ÙÔ˘˜, Û˘ÌÂÚÈÏ·Ì‚¿ÓÔÓÙ¿˜ Ù· ÛÙÔ ıˆÚËÙÈÎfi ÙÔ˘˜ ÔÈÎÔ‰fiÌËÌ· Î·È Ì ÙËÓ ·Ó¿Ù˘ÍË Û˘ÛÙËÌ·ÙÈÎÒÓ ÛÙÔȯ›ˆÓ, ÔÈ ÙÔÌ›˜ ÂÈÛÙËÌÒÓ ˘Á›·˜ ÌÔÚÔ‡Ó Ó· ·Ú¤¯Ô˘Ó ÛËÌ·ÓÙÈΤ˜ Û˘ÓÂÈÛÊÔÚ¤˜. 23 µ·ÛÈΤ˜ ÏËÚÔÊÔڛ˜ Û¯ÂÙÈο Ì ÙȘ ÂıÓÈΤ˜ ÔÌ¿‰Â˜ Î·È ÙÔ˘˜ ÌÂÙ·Ó¿ÛÙ˜ Ú¤ÂÈ Ó· ÂÚÈÏËÊıÔ‡Ó ˆ˜ ·Ó¿ÏÔÁË Î·ÙËÁÔÚ›· ÁÈ· ÙËÓ ÂȉËÌÈÔÏÔÁÈ΋ Î·È ÎÏÈÓÈ΋ ¤Ú¢ӷ, ÙËÓ ¤Ú¢ӷ ÎÔÈÓˆÓÈ΋˜ Û˘ÌÂÚÈÊÔÚ¿˜ ηıÒ˜ Î·È ÙËÓ ¤Ú¢ӷ ˘ÁÂÈÔÓÔÌÈÎÒÓ ˘ËÚÂÛÈÒÓ Î·È Û˘ÛÙËÌ¿ÙˆÓ ˘Á›·˜. 24 √È ÂÈÛÙËÌÔÓÈÎÔ› ÂÌÂÈÚÔÁÓÒÌÔÓ˜ ÔÊ›ÏÔ˘Ó Ó· ÚÔÂÙÔÈÌ·ÛÙÔ‡Ó ÒÛÙ ӷ ‚ÔËı‹ÛÔ˘Ó ¿ÏÏÔ˘˜ Û˘ÌÌÂÙfi¯Ô˘˜ ÛÙÔÓ ÚÔÁÚ·ÌÌ·ÙÈÛÌfi, ÂϤÁ¯ÔÓÙ·˜ Î·È ·ÍÈÔÏÔÁÒÓÙ·˜ ÙȘ ÚÔÛ¿ıÂȤ˜ ÙÔ˘˜ ·Ú¤¯ÔÓÙ·˜ ·Ó·ıˆڋÛÂȘ, Û¯¤‰È· Î·È ÂÚÁ·Ï›· ·Ó¿Ï˘Û˘ Î·È ·ÍÈÔÏfiÁËÛ˘. 25 ∂ÈÛÙËÌÔÓÈο ‚·ÛÈ˙fiÌÂÓ˜ ÚÔÛ¿ıÂȘ ÌÔÚÔ‡Ó Ó· Û˘Ì‚¿ÏÏÔ˘Ó ÛÙÔÓ ·ÁÒÓ· ηٿ ÙÔ˘ Ú·ÙÛÈÛÌÔ‡, Ù˘ ÚÔηٿÏ˄˘, Ù˘ ‰È¿ÎÚÈÛ˘ Î·È ÙÔ˘ ·ÔÎÏÂÈÛÌÔ‡ ·Ú¤¯ÔÓÙ·˜ ÏËÚÔÊÔڛ˜ ÁÈ· ÙȘ ·ÚÓËÙÈΤ˜ ÙÔ˘˜ Û˘Ó¤ÂȘ. 26 ™˘ÏÏÔÁÈΤ˜ Î·È ÔÏ˘ÌÂıÔ‰ÈΤ˜ ÚÔÛ¿ıÂȘ ¤Ú¢ӷ˜ Î·È ·ÍÈÔÏfiÁËÛ˘ Ú¤ÂÈ Ó· Ú·ÁÌ·ÙÔÔÈËıÔ‡Ó ÛÂ Û˘ÓÂÚÁ·Û›· Î·È ‰È¿ÏÔÁÔ Ì ÙȘ ÎÔÈÓfiÙËÙ˜. ŸÏ· Ù· Â˘Úˆ·˚ο ÓÔÛÔÎÔÌ›· ηÏÔ‡ÓÙ·È Ó· ÂÊ·ÚÌfiÛÔ˘Ó ÙË ¢È·Î‹Ú˘ÍË ÙÔ˘ ÕÌÛÙÂÚÓÙ·Ì, ÒÛÙ ӷ Á›ÓÔ˘Ó ÊÈÏÈο ÚÔ˜ ·Ô‰‹ÌÔ˘˜ Î·È ÔÏÈÙÈÛÙÈο ÈηӤ˜ ÔÚÁ·ÓÒÛÂȘ Ô˘ ·Ó·Ù‡ÛÛÔ˘Ó ÂÍ·ÙÔÌÈÎÂ˘Ì¤Ó˜, ÚÔÛˆÈΤ˜ ˘ËÚÂۛ˜ ·fi ÙȘ Ôԛ˜ fiÏÔÈ ÔÈ ·ÛıÂÓ›˜ ˆÊÂÏÔ‡ÓÙ·È. ∂ÂÓ‰‡ÔÓÙ·˜ Û ÌÈ· ·˘ÍË̤ÓË ·ÓÙ·fiÎÚÈÛË ÛÙȘ ·Ó¿ÁΘ ÙˆÓ ÏËı˘ÛÌÒÓ Û ΛӉ˘ÓÔ ÙÂÏÂ›Ù·È ¤Ó· ÛËÌ·ÓÙÈÎfi ‚‹Ì· ÚÔ˜ ÙË ·Ó¿Ù˘ÍË Î·È ÙË ÁÂÓÈ΋ ÂÍ·ÛÊ¿ÏÈÛË ÔÈfiÙËÙ·˜. ¶ÂÚ·ÈÙ¤Úˆ ‰˘Ó·ÙfiÙËÙ˜ ·ʋ˜, ÂÈÎÔÈÓˆÓ›·˜ Î·È Û˘ÓÂÚÁ·Û›·˜ √Ì¿‰· ÂÚÁ·Û›·˜ ÙÔ˘ ¢ÈÎÙ‡Ô˘ ¡ÔÛÔÎÔÌ›ˆÓ ¶ÚÔ·ÁˆÁ‹˜ ÀÁ›·˜ (Health Promoting Hospitals Network, HPH) Ù˘ ¶.√.À. ∂˘ÚÒ˘, Û˘ÓÙÔÓÈṲ̂ÓË ·fi ÙÔ ÂÚÈÊÂÚÂÈ·Îfi ‰›ÎÙ˘Ô HPH Ù˘ ∂Ì›ÏÈ·˜-ƒˆÌ¿ÓÈ·˜, Antonio Chiarenza, Via Amendola 2 – 42100 Reggio Emilia, πÙ·Ï›·. ∏ÏÂÎÙÚÔÓÈÎfi Ù·¯˘‰ÚÔÌ›Ô: [email protected] πÛÙÔ¯ÒÚÔ˜: www.mfh-eu.net Bradford Teaching Hospitals NHS Foundation Trust, Dilshad Khan, BRI, Duckworth Lane Bradford BD96RJ. E-mail: [email protected] International Union for Health Promotion and Education (IUHPE), John Kenneth Davies (IUHPE Europe), Falmer, BN19PH Brighton, United Kingdom, E-mail: [email protected] ¶ÔÈÔ˜ ¤¯ÂÈ ·Ó·Ù‡ÍÂÈ ÙË ¢È·Î‹Ú˘ÍË ÙÔ˘ ÕÌÛÙÂÚÓÙ·Ì; ∏ ÔÌ¿‰· ÂÚÁ·Û›·˜ MFH ÛÙ· Ï·›ÛÈ· ÙÔ˘ ÚÔÁÚ¿ÌÌ·ÙÔ˜ Ù˘ ∂˘Úˆ·˚΋˜ ∂ÈÙÚÔ‹˜ «MFH – ÓÔÛÔÎÔÌ›· ÊÈÏÈο ·¤Ó·ÓÙÈ Û ÌÂÙ·Ó¿ÛÙ˜» (Migrant Friendly Hospitals). ¶ÚfiÎÂÈÙ·È ÁÈ· ÌÈ· Â˘Úˆ·˚΋ ÚˆÙÔ‚Ô˘Ï›· Ó· ÚÔÒıËı˘ ˘Á›·˜ Î·È ‚·ÛÈ΋˜ Âη›‰Â˘Û˘ ˘Á›·˜ ÁÈ· ÌÂÙ·Ó¿ÛÙ˜ Î·È ÂıÓÈΤ˜ ÌÂÈÔÓfiÙËÙ˜. ªÂ ÙËÓ ÔÈÎÔÓÔÌÈ΋ ˘ÔÛÙ‹ÚÈÍË ÙÔ˘ ¶ÚÔÁÚ¿ÌÌ·ÙÔ˜ ¢ËÌfiÛÈ·˜ ÀÁ›·˜ Ù˘ °ÂÓÈ΋˜ ¢È‡ı˘ÓÛ˘ ÀÁ›·˜ Î·È ¶ÚÔÛÙ·Û›·˜ ∫·Ù·Ó·ÏˆÙÒÓ Ù˘ ∂˘Úˆ·˚΋˜ ∂ÈÙÚÔ‹˜, Î·È Ì ÙË Û˘Á¯ÚËÌ·ÙÔ‰fiÙËÛË ·fi ÙÔ √ÌÔÛÔӉȷÎfi ÀÔ˘ÚÁÂ›Ô ∂η›‰Â˘Û˘, ∂ÈÛÙ‹Ì˘ Î·È ¶ÔÏÈÙÈÛÌÔ‡ ÙÔ˘ ·˘ÛÙÚÈ·ÎÔ‡ ÎÚ¿ÙÔ˘˜ Ì ¤‰Ú· ÙË µÈ¤ÓÓË, ηıÒ˜ Î·È Ù· ÙÔÈο ÈÏÔÙÈο ÓÔÛÔÎÔÌ›·. ∂˘Úˆ·˚ο ÈÏÔÙÈο ÓÔÛÔÎÔÌ›·: ∫aiser-Franz-Josef-Spital, µÈ¤ÓÓË, AT Immanuel-Krankenhaus GmbH, Rheumaklinik Berlin-Wannsee, µÂÚÔÏ›ÓÔ, DE Kolding Hospital, ∫fiÏÓÙÈÁÎ, DK ¡ÔÛÔÎÔÌÂ›Ô «™ËÏÈÔÔ‡ÏÂÈÔ ∞Á›· ∂ϤÓË», ∞ı‹Ó·, EL Hospital Punta de Europa, ∞ÏÁÂı›Ú·˜-∫¿ÓÙÈ˙, ES Turku University Hospital, ∆Ô‡ÚÎÔ˘, FI Hôpital Avicenne, ¶·Ú›ÛÈ, FR James Connolly Memorial Hospital, ¢Ô˘‚Ï›ÓÔ, IR Presidio Ospedaliero della Provincia Reggio Emilia, ƒ¤Ù˙ÈÔ ∂Ì›ÏÈ·, IT Academic Medical Center, ÕÌÛÙÂÚÓÙ·Ì, NL Uppsala University Hospital, Psychiatric Center, √˘„¿Ï·, SV Bradford Teaching Hospitals, ªÚ¿ÓÙÊÔÚÓÙ, UK5 ™˘ÓÙÔÓÈÛÙ‹˜ ÚÔÁÚ¿ÌÌ·ÙÔ˜: Ludwig Boltzmann-Institut ÁÈ· ÙËÓ ÎÔÈÓˆÓÈÔÏÔÁ›· ˘Á›·˜ Î·È È·ÙÚÈ΋˜ (LBISHM) ÛÙÔ ¶·ÓÂÈÛÙ‹ÌÈÔ Ù˘ µÈ¤ÓÓ˘, ™¯ÔÏ‹ ÙˆÓ ÎÔÈÓˆÓÈÎÒÓ ÂÈÛÙËÌÒÓ, ™˘ÓÂÚÁ·˙fiÌÂÓÔ Î¤ÓÙÚÔ ¶.√.À. ÁÈ· ÙËÓ ˘ÁÂÈÔÓÔÌÈ΋ ÂÚ›ı·Ï„Ë Î·È ÙËÓ ÚÔÒıËÛË ˘Á›·˜ ÛÙ· ÓÔÛÔÎÔÌ›· (WHO Collaborating Centre for Health Promotion in Hospitals and Health Care)6 πÛÙÔ¯ÒÚÔ˜ ÚÔÁÚ¿ÌÌ·ÙÔ˜: www.mfh-eu.net ªÂ ÙËÓ ˘ÔÛÙ‹ÚÈÍË: ªÈ·˜ ‰ÈÂıÓÔ‡˜ ÔÌ¿‰·˜ ÂÌÂÈÚÔÁÓˆÌfiÓˆÓ 7 ∂˘Úˆ·˚΋ ∂ÈÙÚÔ‹, °ÂÓÈ΋ ¢È‡ı˘ÓÛË ÀÁ›·˜ Î·È ¶ÚÔÛÙ·Û›·˜ ∫·Ù·Ó·ÏˆÙÒÓ ∞˘ÛÙÚÈ·Îfi √ÌÔÛÔӉȷÎfi ÀÔ˘ÚÁÂ›Ô ∂η›‰Â˘Û˘, ∂ÈÛÙ‹Ì˘ Î·È ¶ÔÏÈÙÈÛÌÔ‡ ∂˘Úˆ·˚ÎÔ›, ‰ÈÂıÓ›˜ Î·È ÂÈÛÙËÌÔÓÈÎÔ› ÔÚÁ·ÓÈÛÌÔ› Ô˘ ÂÓÂÚÁÔ‡Ó ˆ˜ ÂÓÈÛ¯˘ÙÈο ̤ÏË: International Alliance of Patients’ Organizations (IAPO), International Labour Organisation (ILO), International Organisation for Migration (IOM), International Union of health promotion and education (IUHPE), Migrants Rights International, Standing committee of the hospitals of the EU (HOPE), United for Intercultural Action, WHO Centre for Integrated Health Care, Barcelona, National and Regional Networks of the WHO Network for Health Promoting Hospitals (HPH) in the member states of the European Union, PaceMaker in Global Health, Andalucian School of Public Health (EASP) 1 ¶·ÁÎfiÛÌÈ· √ÚÁ¿ÓˆÛË ÀÁ›·˜ (WHO): Report International Migration, Health and Human Rights, Iss. No. 4, 2003 2 Bischoff, A.: Caring for migrant and minority patients in European hospitals A review of effective interventions, 2003, ∂Ï‚ÂÙÈÎfi ÊfiÚÔ˘Ì ÁÈ· ÌÂϤÙ˜ Û¯ÂÙÈΤ˜ Ì ÙË ÌÂÙ·Ó¿ÛÙ¢ÛË Î·È ÙÔÓ ÏËı˘ÛÌfi – ªÈ· ÌÂϤÙË Ô˘ ·Ó·Ù›ıÂÙ·È ·fi ÙÔ Ludwig Boltzmann-Institut ÁÈ· ÙËÓ ÎÔÈÓˆÓÈÔÏÔÁ›· ˘Á›·˜ Î·È È·ÙÚÈ΋˜, µÈ¤ÓÓË, «MFH – Migrant Friendly Hospitals» (¢›ÎÙ˘Ô ¡ÔÛÔÎÔÌ›ˆÓ ºÈÏÈο ÚÔ˜ ∞Ô‰‹ÌÔ˘˜), WHO 2003 3 Bischoff, 2003 4 WHO 2003, ÛÂÏ. 28 5 ∫ÂÓÙÚÈο ÚfiÛˆ·: Jette Ammentorp (Kolding), Olivier Bouchaud (¶·Ú›ÛÈ), Antonio Chiarenza (Reggio Emilia), Manuel Fernandez (√˘„¿Ï·), Hanneke Hartog (ÕÌÛÙÂÚÓÙ·Ì), Angela Hughes (¢Ô˘‚Ï›ÓÔ), Karoline Kandel (µÈ¤ÓÓË), Dilshad Khan (ªÚ¿ÓÙÊÔÚÓÙ), Maria-Leena Pulkkinen (∆Ô‡ÚÎÔ˘), Anne Mette Rasmussen (Kolding), Antonio Salceda de Alba (Algeciras), Werner Schmidt (µÂÚÔÏ›ÓÔ), Sotirios Zotos (∞ı‹Ó·) 6 ¢È¢ı˘ÓÙ‹˜ ÚÔÁÚ¿ÌÌ·ÙÔ˜: Jürgen M. Pelikan, √Ì¿‰·-˘Ú‹Ó·˜: Gabriele Bocek, Karl Krajic, Sonja Novak-Zezula, Ursula Trummer, Martha Wirtenberger 7 Alexander Bischoff (µ·ÛÈÏ›·), Sandro Cattacin (Neuchatel), Ilona Kickbusch (µ¤ÚÓË), Robert Like (¡ÈÔ˘ ªÚÔ‡ÓÛÁÔ˘ÈÎ), Lourdes Sanchez (µÔÛÙÒÓË). ¶ÔÏϤ˜ ¢¯·ÚÈÛٛ˜ ›Û˘ Û ¿ÏÏÔ˘˜ ÂÌÂÈÚÔÁÓÒÌÔÓ˜ Ô˘ Û˘Ó¤‚·Ï·Ó Ì ÙËÓ ˘ÔÛÙ‹ÚÈÍË Î·È ÙȘ Û˘Ì‚Ô˘Ï¤˜ ÙÔ˘˜ ÛÙÔ ÚfiÁÚ·ÌÌ· fiˆ˜ ÙÔ˘˜ Anita J. Arnold (Doylestown, PA.), Shani Dowd (µÔÛÙÒÓË), Î·È ÔÏÏÔ‡˜ ¿ÏÏÔ˘˜. Financially supported by the European Commission Co-funded by bm:bwk Federal Ministry for Education, Science and Culture (Austria) Supporting partners Co-ordinated by LBISHM, WHO Collaborating Centre for Health Promotion in Hospitals and Health Care, Institute for Sociology, University of Vienna Kaiser-FranzJosef-Spital, AT ImmanuelKrankenhaus GmbH, Rheumaklinik BerlinWannsee, DE Kolding Hospital, DK Hospital «Spiliopoulio Agia Eleni», EL Hospital Punta de Europa, ES Turku University Hospital, FI Hôptial Avicenne, FR James Connolly Memorial Hospital, IR Presidio Ospedaliero della Provincia di Reggio Emilia, IT Academic Medical Center, NL Uppsala University Hospital, Psychiatric Centre, SV Bradford Teaching Hospitals NHS Foundation Trust, UK