HEPA WHO HEPA Europe WHO Move for HEPA Macedonia

Macedonia Health National Organization

for the promotion of
Health-Enhancing
Physical Activity

Date: 17.08.2011
Skopje

LETTER OF INTENT
To: University of Plymouth
Contact person’s name:
the promotion of Health-Enhancing Physical Activity

Prof. Anne de Looy

Address: School of Health Professions
HEPA Macedonia National Organization for

Faculty of Health & Social Work Penin-

sula Allied Health Care Derriford Road
Town/city: PLYMOUTH
Country: United Kingdom
Postcode: PL6 8BH
Tel: 0044 1752 588888

Project title: DIETS2 “Dietitians ensuring education, teaching and

professional quality”
Reference number: 2010 - 177201-LLP-1-2010-1-UK-ERASMUS-ENWA

Our organisation: HEPA Macedonia

Full name: HEPA Macedonia National Organization for the promotion President:
of Health-Enhancing Physical Activity Associate Professor Vera
Simovska, MD., Ph.D.
Address: Kozara 68-2/16
Kozara 68-2/16
Postcode: 1000 1000 Skopje
Town/city: Skopje Republic of Macedonia

Country: Republic of Macedonia Phone:

Tel: ++389 2 6090789 +389 2 6090789

Fax: ++389 2 3238670 Fax:

+389 2 2323 8670
Legal Representative: Vera Simovska
Contact person’s name: Vera Simovska E-mail:
vsimnutrit@hotmail.com

I confirm on behalf of our institution that my organisation has read and ap-
Secretary:
proved the proposal, the budget and the breakdown of work among partners, as Bojana Spasoska
submitted in the application form addressed to the Education, Audiovisual and E-mail:
Culture Executive Agency. We are fully committed to contribute to the project hepa@makedonija.com
budget with our own resources as specified in the budget and in line with the
tasks attributed to us. We confirm that the key staff involved in the project, as
presented in Part D of the application form, will be available to fulfil the role
outlined, and our organisation will do everything to cooperate efficiently.

I declare agreement to
(a) operating as a partner with University of Plymouth to carry out the project
identified above;
(b) undertaking the roles stipulated in Parts D and F of the application form;
(c) managing all grant money according to the conditions of the Grant Agreement.
Agreement number: 2010-3475 _177201-LLP-1-2010-1-UK-ERASMUS-ENWA

C. New / Replacement partner joining the project

Please provide detail on the partner that will join and explain why

Name of the partner in HEPA Makedonija Nacionalna organizacija za unapreduvanje na zdravjeto

national language so fizicka aktivnost
Country Code (see table 3) MK

Organisation type code NGO Public Health (Non-for-ptofit)

(Table 5)
Website http://www.cindi.makedonija.com
http://www.facebook.com/note.php?note_id=132008900194906

Contact Person
Name Mr□ Ms□x Associate Professor Vera Simovska, MD., PhD.

Street Kozara

Number 68-2/16

Post code 1000

Town/city Skopje

Telephone ++389 2/60 90 789

Fax ++389 2/32 38 670

E-mail hepa@makedonija.com, vsimnutrit@hotmail.com

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 About HEPA Macedonia is established on 11 October 2005 with aim to develop steps to
implement national policy, strategy and programme on physical activity, balanced nutrition and
other form of healthy lifestyle on population level in Macedonia.
There was a need for quick action to implement the strategies and programmes associated with
the implementation of the WHO Resolution WHA 57.16 on ”Health Promotion and Healthy
Lifestyle” and WHA 57.17 on “Global Strategy on Diet, Physical Activity and Health” as well as
with the A/RES/58/5 on “Sport as a means to promote Education, Health, Development and
Peace”
High important public health problem in Macedonia are high prevalence of biological (morph-
functional), behavioral (lifestyle) and environmental risk factors responsible for development of the
leading NCD:
- Macedonian people are increasingly overweight and obese: 41.2% were overweight in 1988 and
the percentage had increased up to 58.3% in 2000.
- High prevalence of other major biological risk factors such as high cholesterol, high blood
pressure and hyperglycemia.
- The health of 64.5% of Macedonian adult population is at risk from physical inactivity in 2002.
PA is declined in 50% of school-age girls from 7-12 years old.
Integrated preventive interventions are aimed to those risk factors that can be modified and are
common for several NCD such as lifestyle risk factors: physical inactivity, unhealthy diet, smoking
and social stress-WHO CINDI, http://www.cindi.makedonija.com

Vision
To achieve better health through increasing physical activity, balanced nutrition and other
healthier lifestyle among all people in Macedonia.

Main goals
1. To strengthen and support efforts and actions that increase participation and improve the
conditions favorable to a healthy lifestyle, in particular with respect to health-enhancing physical
activity (HEPA) and balanced nutrition.
2. The first step was made in collaboration between national coordinator of the CINDI Programme
in the Republic of Macedonia (Simovska Vera, MD.,PhD) and WHO/HQ Department for NCD
prevention and health promotion - “Move for Health 2003 Initiative Around the World” (Puska
Pekka, WHO/HQ, Geneva 2003) .
www.who.int/entity/moveforhealth/countries/en/mfh03_macedonia.pdf

Objectives
1. Develop, support and disseminate effective strategies, programmes, multi-sectoral approaches
and other examples of good practice in the promotion of health-enhancing physical activity and
healthy nutrition.
2. Promote a better understanding of health-enhancing physical activity and give a stronger voice to
physical activity promotion in health policy and in other relevant sectors in Macedonia, including
support for workforce development.
3. Foster the preservation and creation of social and physical environments as well as values and
lifestyles supportive of health-enhancing physical activity.
4. Together with other relevant institutions and organizations, improve coordination in physical
activity and nutrition promotion across sectors and administrative structures.
Network activities emphazise cooperation, partnerships and collaboration with other related sectors,
networks and approaches.

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 Guiding principles
1. Focus on population-based approaches for the promotion of health-enhancing physical activity
and healthy nutrition using the best available scientific evidence.
2. Emphasis on the importance of monitoring and evaluation; encouragement of the development of
standardized measurement methods and systematic research.
3. Encouragement of the ongoing exchange, dissemination and sharing of experience and
knowledge.
4. Support of cooperation, partnerships and collaboration with other related sectors, networks, and
approaches.

All activities of HEPA Europe are based on WHO policy statements, such as the Global
Strategy for Diet, Physical Activity and Health, the European Charter on Counteracting
Obesity, and on corresponding statements from the European Commission.

THE ROLE IN THE PROJECT DIETS2 :

Medical doctors (physicians), dietitians, sports pedagouges and other health professionals need to
make effective use of lifelong learning increasing their competence and attain a high quality of
performance, creativity and innovation.
Dietetics/Nutrition has been established as an autonomous graduate and postgraduate study (in
process of accrediatation) in Macedonia.
.
HEPA Macedonia as a partner of Standing Committee for the Advancement of healthcare
system at the Ministry of Health of Macedonia (2009-2011), successfully initiated first cycle
competences influencing higher education policy (HE) and the dietetic profession including
subspeciality of medical dietetics for physicians. http://sc-healthreform.org.mk/web

The aims are to:

- Work with higher education to create, define, embed lifelong learning thereby raising the expertise
of medical doctors (physicians), dietitians and other health professionals in Macedonia and become
a world quality reference (ПотА - Проценка на националните потреби - Превентивна и
клиничка нутриционистика - Вера Симовска (http://sc-healthreform.org.mk/webmk/komitet)
- Initiation to establish the National Dietetic Association in Macedonia ;
- Develop, in partnership with enterprise and others, work based learning/placements to embed
good and diverse practice.

Main goals:
Strategic areas of nutritional health on the population, e.g. health promotion, primary health care,
clinical/tertiary care, food service and industry.
The promotion of health-enhancing physical activity

Objectives:
- To support the realisation of a Macedonian higher education area for lifelong learning (LLP);
- To enhance educational and research opportunities for Macedonian physicians, dietitians and other
health care professionals (http://sc-healthreform.org.mk/web/committee/info-
submissions/index.4.html)
- LLL competences at 2nd cycle will be created and shared between higher education partners in 27
EU countries plus 6 non-EU countries and internationally;

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- To build coordination between HE and enterprise, society and employers and use the expertise of
the partners (research, education and enterprise) and international associated partners to form a new
structure to realise and release potential innovation.

Products:
- Systematic promotion of the role of HE in LLL and increased transparency of qualifications for
medical doctors on field of subspeciality of nutrition, as well as for dietitians and other health
professionals ;
- Innovative ICT-based education materials with the cooperation of HEIs and enterprise;
- Conferences, reports and guidelines;
- An e-block to promote an evidenced-based approach.

The role of HEPA Macedonia will play in the project:

Workpackage1 DEV
Supporting Work based/Placement Learning
1.2 – Support to database of courses/modules and other materials from Higher Education which will
be used or can be developed to support a high quality workplace learning experience
1.12 - Publish survey/data base of support materials and establish to materials that need to be
developed to inform practice placement/work based teachers to improve quality of learning
experiences.

Workpackage 2 DEV
Second and third cycle competences for dietitians
2.4 - To establish 2nd and 3rd cycle dietetic competences amongst dietitians in Macedonia
2.11 - Publish translated specific dietetic competences at second and third cycle.

Workpackage 3 DEV
Life Long Learning for Dietitians in Europe
3.3 – To describing the current status of HE courses, modules and programmes available in
Macedonia for dietitians and other nutrition experts;

Workpackage 9 DISSEMINATION
Alerting, Networking and Sharing
8.13 - V DIETS Conference
8.16 - Dietitians working in multi and interdisciplinary setting