01 February 2024

AURORA

What is Aurora?, Aurora is a real-time evaluation and monitoring tool that helps community workers and authorities. Aurora records data about people, households, communes, and cities (town halls) collected over time by community workers and field operators. On-site activity is monitored by county coordinators at General Directorate for Social Assistance and Child…, How is Aurora working?, A mobile app that is used in field work by local field professionals for case management. The application collects data about all members of the household, generates a diagnosis of vulnerabilities of children and women, and then suggests a basic service package.   A web platform that aggregates data at local, county and national level. With this…, Evolution of the Aurora project over the years, 2011, The "First Priority: No Visible Child" project was launched to recommend: "There should be a methodology for fully diagnosing vulnerabilities based on a grid of indicators to be applied uniformly to all children and all communities. methodology, correlation of vulnerabilities diagnosed with the individual intervention plan. The new methodologies,…, 2013, The Risk and Vulnerability Identification Methodology was developed with the support of CERME and CPSS. The methodology records data about all members of the household and involves the collection of widely accepted indicators for relevance to the situation of children and their families and measures 17 vulnerabilities and 37 sub-vulnerabilities.…, 2014, The software tool, comprised of the mobile application and the web platform, was developed with the support of the ATTA Systems team. The system is implemented and tested in 32 rural localities of the most vulnerable communities in 8 counties, with the support of over 90 community workers and county coordinators. Within one year of the project,…, 2015, The evaluation of the project "Social inclusion through the provision of integrated services at the community level" shows the first results of using Aurora to provide the minimum service package. The adjacent graph shows the dynamics of the households monitored during the project. The first data collection for a household is recorded as T0 and…, 2017, With the support of the ATTA Systems team, the Health and Social Services Map of Bacau County has been developed to support the Bacau County Council in planning support measures for children and families in situations of vulnerability, marginalization and exclusion. The social and medical service map is integrated with Aurora to enable field…, 2018, Aurora is only used as a data collection tool for the last component of the project to deinstitutionalize children in institutions and ensure the transition of their care in the community. The system is used to review all households with children from 30 communes located in 29 counties in Romania with the help of 400 community workers. 8,865…, 2019, The evaluation of the project "Social inclusion through the provision of integrated services at the community level" shows the first results of using Aurora to provide the minimum service package. The adjacent graph shows the dynamics of the households monitored during the project. The first data collection for a household is recorded as T0 and…, 2020, Following the UNICEF modelling project, the Government of Romania enacted Law No. 231, mandating the use of the Minimum Package of Services (MPS) model nationwide, which supports the provision of services for vulnerable children and families, provided at a local level, with the aid of Aurora.  , 2021, A Memorandum of Understanding was signed between the National Authority for the Protection of Children's Rights and Adoption and UNICEF Romania, with the scope of handing over Aurora for national scale-up and future integration within the national management information system for children (SINA - National Integrated Systems for Adoption).  , 2022, The technical development on SINA continues, supported by the Competitiveness Operational Programme (POC) 2014/2020, under the framework of a National Strategy for the Digital Agenda and the Integrated Plan for simplifying administrative procedures. Concurrently, the UNICEF's programme and case management activities - relying on continuous use of…, 2023, By enactment of Law No. 156 on prevention of separation of children from their families, the National Child Observatory is established and regulated embedding Aurora as SINA's prevention component, and the activities of identifying vulnerabilities, initiating case management for children, and providing the minim package of social services for…, The current situation, Aurora contains data about Children 29,800 CHILDREN People 172,352 PEOPLE Households 57,568 HOUSEHOLDS Vulnerabilities 160,017 VULNERABLE PEOPLE *The displayed data reflects the real-time status, featuring the most recent household information as of December 31, 2023., What type of data Aurora provides, Unregistered child with family doctor Unregistered child with family doctor, Unregistered child with family doctor. The adjacent graph shows the dynamics of the households monitored during the project. The first data collection for a household is recorded as T0 and shows the situation at the initial time. After every 9 months, according to the methodology, data collection is recorded at T1, T2, ..., Tn and shows the…, UNICEF Unvaccinated child Unvaccinated child, Unvaccinated child. The adjacent graph shows the dynamics of the households monitored during the project. The first data collection for a household is recorded as T0 and shows the situation at the initial time. After every 9 months, according to the methodology, data collection is recorded at T1, T2, ..., Tn and shows the dynamics of the household…, UNICEF Child without identity papers Child without identity papers, Child without identity papers. The adjacent graph shows the dynamics of the households monitored during the project. The first data collection for a household is recorded as T0 and shows the situation at the initial time. After every 9 months, according to the methodology, data collection is recorded at T1, T2, ..., Tn and shows the dynamics of…, UNICEF Child at risk of school drop-out Child at risk of school drop-out, Child at risk of school drop-out. The adjacent graph shows the dynamics of the households monitored during the project. The first data collection for a household is recorded as T0 and shows the situation at the initial time. After every 9 months, according to the methodology, data collection is recorded at T1, T2, ..., Tn and shows the dynamics of…, UNICEF Children living in poverty Children living in poverty, Children living in poverty by municipalities within one district/county., UNICEF Aurora Case Management App Aurora Case Management App, The information about the individuals in the image is fictional and provided as an example, UNICEF Aurora data reporting on children vulnerability Aurora data reporting on children vulnerability, The information about the individuals in the image is fictional and provided as an example, UNICEF Unregistered child with family doctor Unvaccinated child Child without identity papers Child at risk of school drop-out Children living in poverty Aurora Case Management App Aurora data reporting on children vulnerability, VIDEOS, Find out more about Aurora, If you're interested in understanding how Aurora improves the lives of vulnerable children, reach out to us at:  bucharest@unicef.org or vtomus@unicef.org . A set of relevant documentation is available at all times in Aurora and can be tailored to match different humanitarian and country-specific contexts. This customizable repository includes…
12 September 2022

Building the primary healthcare workforce in Romania to promote child and adolescent: National overview and county case-study

Even if infant mortality dropped over the years, Romania still ranks first in the European Union in terms of infant mortality rates, with significant differences between urban and rural areas. Romania’s maternal mortality is one of the highest in the European Union, and teenage pregnancies are placing Romania second in the European Union. UNICEF data show that as many as 33% of children from urban and 15% of children from rural areas have at least one chronic health problem (the most frequent ones: visual disorders and obesity). Moreover, Romania has lower immunization rates for vaccine-preventable diseases (measles, rubella, diphtheria-tetanus-pertussis) than other countries in the region. According to the Euro Health Consumer Index 2018, Romania occupies the penultimate place in the health system ranking (34th out of 35). High rates of adolescent pregnancy, caesarean section, infant and maternal mortality, institutional discrimination of marginalized groups, difficulties in accessing health services for particular groups, and fragmentation of national data are just some of the barriers to improving services at both institutional and human level. In order to properly monitor and prevent the conditions mentioned above, a well-trained health workforce in the primary care sector is needed in Romania. Thorough monitoring and disease prevention measures may considerably lower morbidity and mortality rates in children, mothers, and vulnerable groups. This report aims to contribute to strengthening the Primary Healthcare workforce in Romania, to provide high-quality health promotion and disease prevention, health education and healthcare services to children, adolescents, youth, and mothers, with a special focus on the most vulnerable (poor, in rural areas, Roma, with disabilities). The document provides an overview of the current state of the workforce involved in delivering primary healthcare services to children, adolescents, youth, and mothers in Romania. The three main categories of personnel which were explored are family doctors and nurses, community health workers and school doctors and nurses. Authors: MĂDĂLINA-ADINA COMAN DIANA NEMEȘ GABRIEL GATI LIGIA PAINA MONICA GEORGIANA BRÎNZAC MARIUS IONUȚ UNGUREANU Published in June 2022.