Nga p\u00ebrfshirja te p\u00ebrjashtimi? Sfida e modelit bio-psiko-social p\u00ebr personat me aft\u00ebsi t\u00eb kufizuara n\u00eb Shqip\u00ebri<\/h2><\/div><\/div>N\u00eb vitin 2019, Shqip\u00ebria nd\u00ebrmori nj\u00eb reform\u00eb t\u00eb r\u00ebnd\u00ebsishme n\u00eb sistemin e vler\u00ebsimit t\u00eb aft\u00ebsis\u00eb s\u00eb kufizuar, duke kaluar nga modeli tradicional mjek\u00ebsor n\u00eb modelin bio-psiko-social. Kjo reform\u00eb, e paraprir\u00eb nga nj\u00eb faz\u00eb pilot e nisur n\u00eb vitin 2017, u prezantua si nj\u00eb hap drejt nd\u00ebrtimit t\u00eb nj\u00eb sistemi m\u00eb t\u00eb drejt\u00eb dhe gjith\u00ebp\u00ebrfshir\u00ebs, q\u00eb vendos individin n\u00eb qend\u00ebr.\r\n\r\n\r\n\r\nQasja e re synon t\u00eb vler\u00ebsoj\u00eb jo vet\u00ebm gjendjen sh\u00ebndet\u00ebsore, por edhe faktor\u00ebt social\u00eb, psikologjik\u00eb dhe mjedisor\u00eb q\u00eb ndikojn\u00eb n\u00eb jet\u00ebn e p\u00ebrditshme t\u00eb personave me aft\u00ebsi t\u00eb kufizuara. N\u00eb teori, ky model p\u00ebrfaq\u00ebson nj\u00eb standard m\u00eb t\u00eb avancuar dhe t\u00eb harmonizuar me praktikat nd\u00ebrkomb\u00ebtare.\r\n\r\n\r\n\r\nMegjithat\u00eb, zbatimi i modelit bio-psiko-social ka nxjerr\u00eb n\u00eb pah sfida t\u00eb konsiderueshme. Ndryshe nga vler\u00ebsimi i thjesht\u00eb mjek\u00ebsor, kjo qasje k\u00ebrkon ekspertiz\u00eb t\u00eb specializuar dhe nj\u00eb analiz\u00eb t\u00eb thelluar t\u00eb situat\u00ebs s\u00eb individit.\r\n\r\n\r\n\r\nN\u00eb praktik\u00eb, ky proces shpesh \u00ebsht\u00eb reduktuar n\u00eb procedura formale. N\u00eb disa raste, vler\u00ebsimet jan\u00eb kryer n\u00eb m\u00ebnyr\u00eb t\u00eb thjeshtuar, pa nj\u00eb analiz\u00eb t\u00eb plot\u00eb t\u00eb kushteve reale t\u00eb jetes\u00ebs s\u00eb individ\u00ebve. Si\u00e7 tregon edhe rasti i nj\u00eb p\u00ebrfitueseje, e cila u kontaktua vet\u00ebm telefonikisht nga komisioni p\u00ebr rivler\u00ebsim, procesi jo gjithmon\u00eb arrin t\u00eb reflektoj\u00eb realitetin konkret t\u00eb personave me aft\u00ebsi t\u00eb kufizuara.\r\n\r\n\r\n\r\nSfida n\u00eb akses dhe trajtim dinjitoz\r\n\r\n\r\n\r\nNj\u00eb nga problemet m\u00eb t\u00eb ndjeshme lidhet me m\u00ebnyr\u00ebn se si personat me aft\u00ebsi t\u00eb kufizuara trajtohen gjat\u00eb procesit t\u00eb vler\u00ebsimit. Ka raste kur individ\u00ebve me gjendje t\u00eb r\u00ebnd\u00eb u k\u00ebrkohet t\u00eb paraqiten fizikisht pran\u00eb komisioneve, pavar\u00ebsisht pamund\u00ebsis\u00eb s\u00eb tyre reale p\u00ebr t\u00eb l\u00ebvizur.\r\n\r\n\r\n\r\nRr\u00ebfimet e familjar\u00ebve tregojn\u00eb p\u00ebr situata t\u00eb v\u00ebshtira, ku mungesa e fleksibilitetit institucional r\u00ebndon m\u00eb tej jet\u00ebn e p\u00ebrditshme t\u00eb tyre. K\u00ebto raste ngren\u00eb pik\u00ebpyetje serioze mbi ndjeshm\u00ebrin\u00eb dhe p\u00ebrshtatjen e sistemit ndaj nevojave reale t\u00eb p\u00ebrfituesve .\r\n\r\n\r\n\r\n\u201cM\u00eb telefonuan nga komisioni dhe m\u00eb pyet\u00ebn si jam. Si mund t\u00eb jem pas 30 vitesh n\u00eb karroc\u00eb?\u201d, tregon Shpresa, nj\u00eb grua paraplegjike. Rasti i saj ilustron nj\u00eb sistem q\u00eb n\u00eb vend t\u00eb nj\u00eb vler\u00ebsimi t\u00eb plot\u00eb dhe t\u00eb drejtp\u00ebrdrejt\u00eb, shpesh mb\u00ebshtetet n\u00eb procedura t\u00eb thjeshtuara q\u00eb nuk reflektojn\u00eb realitetin e individit.\r\n\r\n\r\n\r\nN\u00eb raste t\u00eb tjera, situata b\u00ebhet edhe m\u00eb e v\u00ebshtir\u00eb. Familjar\u00eb t\u00eb personave n\u00eb gjendje t\u00eb r\u00ebnd\u00eb sh\u00ebndet\u00ebsore raportojn\u00eb k\u00ebrkesa absurde p\u00ebr paraqitje fizike p\u00ebrpara komisionit. \u201cBashk\u00ebshorti im ka 15 vite n\u00eb shtrat. M\u00eb k\u00ebrkuan ta \u00e7oja para komisionit, ndryshe do t\u2019i hiqnin kempin\u201d, tregon nj\u00eb bashk\u00ebshorte, duke v\u00ebn\u00eb n\u00eb dukje munges\u00ebn e fleksibilitetit dhe ndjeshm\u00ebris\u00eb s\u00eb sistemit.\r\n\r\n\r\n\r\nNj\u00eb tjet\u00ebr sfid\u00eb lidhet me q\u00ebndrueshm\u00ebrin\u00eb e vendimmarrjes. P\u00ebr shkak t\u00eb natyr\u00ebs s\u00eb modelit bio-psiko-social, i cili p\u00ebrfshin edhe element\u00eb subjektiv\u00eb, vler\u00ebsimet mund t\u00eb ndryshojn\u00eb nga nj\u00eb rast n\u00eb tjetrin. P\u00ebrfituesit dhe familjar\u00ebt e tyre edhe pas shtat\u00eb vitesh t\u00eb zbatimit t\u00eb modelit t\u00eb ri, mbeten t\u00eb paqart\u00eb dhe ndjehen t\u00eb pasigurt.\r\n\r\n\r\n\r\nKjo ka sjell\u00eb riklasifikime, ulje t\u00eb nivelit t\u00eb p\u00ebrfitimeve dhe n\u00eb disa raste edhe p\u00ebrjashtim nga skema. Nd\u00ebrkoh\u00eb, t\u00eb dh\u00ebnat tregojn\u00eb se numri i p\u00ebrfituesve ka r\u00ebn\u00eb, pavar\u00ebsisht rritjes s\u00eb fondeve, duke shtuar pasigurit\u00eb mbi efektivitetin e reform\u00ebs.\r\n\r\n\r\n\r\n\u201cNe n\u00eb familje jemi tre persona me aft\u00ebs t\u00eb kufizuara, me t\u00eb nj\u00ebjt\u00ebn s\u00ebmundje me t\u00eb nj\u00ebjt\u00ebn r\u00ebndes\u00eb t\u00eb s\u00ebmundjes, megjithat\u00eb, komisioni na ka vler\u00ebsuar ndryshe. Pagesa dhe mb\u00ebshtetja q\u00eb p\u00ebrfitojm\u00eb jan\u00eb t\u00eb ndryshme. Nuk e kuptojm\u00eb pse dhe askush nuk na ka sqaruar deri tani.\r\n\r\n\r\n\r\nNj\u00eb nga dob\u00ebsit\u00eb m\u00eb t\u00eb m\u00ebdha t\u00eb reform\u00ebs mbetet mungesa e transparenc\u00ebs. Informacioni mbi rezultatet konkrete t\u00eb zbatimit, ndikimin real dhe sfidat mbetet i kufizuar.\r\n\r\n\r\n\r\nMungesa e raporteve t\u00eb rregullta dhe e treguesve t\u00eb qart\u00eb t\u00eb performanc\u00ebs e b\u00ebn t\u00eb v\u00ebshtir\u00eb vler\u00ebsimin objektiv t\u00eb reform\u00ebs dhe pengon nd\u00ebrhyrjet e nevojshme p\u00ebr p\u00ebrmir\u00ebsim.\r\n\r\n\r\n\r\nP\u00ebrtej vler\u00ebsimit: mungesa e mb\u00ebshtetjes afatgjat\u00eb\r\n\r\n\r\n\r\nReforma nuk kishte p\u00ebr q\u00ebllim vet\u00ebm ndryshimin e m\u00ebnyr\u00ebs s\u00eb vler\u00ebsimit, por edhe krijimin e nj\u00eb sistemi m\u00eb t\u00eb integruar mb\u00ebshtet\u00ebs. Megjithat\u00eb, n\u00eb praktik\u00eb, shum\u00eb persona me aft\u00ebsi t\u00eb kufizuara vazhdojn\u00eb t\u00eb p\u00ebrballen me munges\u00eb t\u00eb mund\u00ebsive p\u00ebr arsimim cil\u00ebsor, trajnim dhe ve\u00e7an\u00ebrisht pun\u00ebsim t\u00eb q\u00ebndruesh\u00ebm.\r\n\r\n\r\n\r\nRastet e t\u00eb rinjve q\u00eb p\u00ebrfitojn\u00eb pun\u00ebsim vet\u00ebm p\u00ebrmes projekteve t\u00eb p\u00ebrkohshme dhe m\u00eb pas mbeten s\u00ebrish jasht\u00eb tregut t\u00eb pun\u00ebs tregojn\u00eb munges\u00ebn e politikave afatgjata dhe t\u00eb q\u00ebndrueshme n\u00eb k\u00ebt\u00eb drejtim.\r\n\r\n\r\n\r\nPor sfidat nuk ndalen vet\u00ebm tek vler\u00ebsimi. Shum\u00eb familje kishin shpresa se modeli i ri do t\u00eb sillte m\u00eb shum\u00eb mund\u00ebsi p\u00ebr rehabilitim dhe integrim, ve\u00e7an\u00ebrisht n\u00eb arsim dhe pun\u00ebsim. Megjithat\u00eb, realiteti shpesh \u00ebsht\u00eb zhg\u00ebnjyes.\r\n\r\n\r\n\r\n\u201cDjali im me sindrom\u00ebn Do\u00ebn p\u00ebrfundoi shkoll\u00ebn dhe nj\u00eb kurs profesional, por sapo mbaroi projekti, e pushuan nga puna\u201d, tregon nj\u00eb prind, duke ngritur shqet\u00ebsimin p\u00ebr munges\u00ebn e politikave t\u00eb q\u00ebndrueshme t\u00eb pun\u00ebsimit.\r\n\r\n\r\n\r\nNevoja p\u00ebr rishkim dhe p\u00ebrmir\u00ebsim\r\n\r\n\r\n\r\nModeli bio-psiko-social edhe pse n\u00eb teori p\u00ebrfaq\u00ebson nj\u00eb qasje moderne dhe t\u00eb drejt\u00eb, zbatimi i tij n\u00eb Shqip\u00ebri tregon se reformat strukturore k\u00ebrkojn\u00eb m\u00eb shum\u00eb sesa ndryshime ligjore. Ato k\u00ebrkojn\u00eb kapacitete, burime, koordinim dhe mbi t\u00eb gjitha, nj\u00eb fokus t\u00eb vazhduesh\u00ebm tek individi.\r\n\r\n\r\n\r\nSot, disa vite pas startimit t\u00eb reform\u00ebs s\u00eb re, ajo mbetet n\u00eb nj\u00eb pik\u00eb kritike: mes potencialit p\u00ebr p\u00ebrfshirje dhe rrezikut p\u00ebr p\u00ebrjashtim. N\u00ebse institucionet nuk arrijn\u00eb t\u00eb adresojn\u00eb sfidat e evidentuara, rrezikohet q\u00eb nj\u00eb reform\u00eb e nd\u00ebrtuar p\u00ebr t\u00eb garantuar dinjitet dhe barazi t\u00eb prodhoj\u00eb t\u00eb kund\u00ebrt\u00ebn.\r\n\r\n\r\n\r\nN\u00eb fund, pyetja mbetet e hapur: A jan\u00eb t\u00eb vet\u00ebdijshme institucionet se kjo reform\u00eb para s\u00eb gjithash duhet t\u00eb funksionoj\u00eb si nj\u00eb mekaniz\u00ebm real p\u00ebr p\u00ebrfshirje sociale dhe jo t\u00eb mbetet thjesht dhe vet\u00ebm nj\u00eb ndryshim konceptual q\u00eb nuk arrin t\u00eb prek\u00eb jet\u00ebn e p\u00ebrditshme t\u00eb atyre q\u00eb kan\u00eb m\u00eb shum\u00eb nevoj\u00eb?\r\n\r\n\r\n\r\n* Ky publikim \u00ebsht\u00eb p\u00ebrgatitur nga Together for Life n\u00eb kuad\u00ebr t\u00eb Programit t\u00eb Mb\u00ebshtetjes Themelore, i mb\u00ebshtetur financiarisht nga Ambasada Suedeze n\u00eb Tiran\u00eb. P\u00ebrgjegj\u00ebsia p\u00ebr p\u00ebrmbajtjen i takon vet\u00ebm Together for Life dhe nuk pasqyron domosdoshm\u00ebrisht pik\u00ebpamjet e Ambasad\u00ebs Suedeze n\u00eb Tiran\u00eb.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt \u201cForcimi i politikave p\u00ebr mb\u00ebshtetjen dhe fuqizimin e personave me aft\u00ebsi t\u00eb kufizuara\u201d<\/h2><\/div><\/div>Gjetjet e raportit \u201cEfektet e zbatimit t\u00eb skem\u00ebs s\u00eb vler\u00ebsimit t\u00eb aft\u00ebsis\u00eb s\u00eb kufizuar bazuar n\u00eb modelin bio-psiko-social\u201d, realizuar nga shoqata Together for Life me mb\u00ebshtetjen financiare t\u00eb Ambasad\u00ebs s\u00eb Suedis\u00eb n\u00eb Tiran\u00eb, u prezantuan n\u00eb nj\u00eb tryez\u00eb t\u00eb rrumbullak\u00ebt me pjes\u00ebmarrjen e p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve qendrore, institucioneve t\u00eb pavarura t\u00eb t\u00eb drejtave t\u00eb njeriut, Sh\u00ebrbimit Social Shtet\u00ebror, Inspektoratit Shtet\u00ebror t\u00eb Pun\u00ebs dhe Sh\u00ebrbimeve Shoq\u00ebrore, Agjencis\u00eb Komb\u00ebtare t\u00eb Pun\u00ebsimit dhe Aft\u00ebsive, Bashkis\u00eb Tiran\u00eb, Bashkis\u00eb Kam\u00ebz, si dhe organizatave t\u00eb shoq\u00ebris\u00eb civile q\u00eb punojn\u00eb n\u00eb fush\u00ebn e aft\u00ebsis\u00eb s\u00eb kufizuar.\r\n\r\nGjat\u00eb fjal\u00ebs s\u00eb tij p\u00ebrsh\u00ebndet\u00ebse, Zv. Ambasadori i Suedis\u00eb dhe Shefi i Zyr\u00ebs s\u00eb Bashk\u00ebpunimit p\u00ebr Zhvillim, z. Erik Illes, theksoi se procesi i integrimit t\u00eb Shqip\u00ebris\u00eb n\u00eb BE mbetet nj\u00eb nga shtyt\u00ebsit kryesor\u00eb t\u00eb reformave n\u00eb vend. Ai n\u00ebnvizoi se raporti prek thelbin e k\u00ebtyre p\u00ebrpjekjeve: forcimin e t\u00eb drejtave t\u00eb njeriut, p\u00ebrmir\u00ebsimin e qeverisjes dhe ofrimin e sh\u00ebrbimeve publike q\u00eb i p\u00ebrgjigjen realisht nevojave t\u00eb qytetar\u00ebve.\r\n\r\n\u201cRaporti i prezantuar sjell prova t\u00eb qarta se, pavar\u00ebsisht progresit t\u00eb arritur, mbeten ende sfida t\u00eb r\u00ebnd\u00ebsishme n\u00eb koordinim, aksesueshm\u00ebri, p\u00ebrdorimin e t\u00eb dh\u00ebnave dhe zbatimin praktik t\u00eb reformave\u201d, n\u00ebnvizoi Illes.\r\n\r\n\r\n\r\nKomisioneri p\u00ebr Mbrojtjen nga Diskriminimi, z. Robert Gajda, u shpreh se aft\u00ebsia e kufizuar mbetet nj\u00eb nga shkaqet m\u00eb t\u00eb shpeshta t\u00eb ankesave pran\u00eb institucionit t\u00eb tij, duke reflektuar sfidat e vazhdueshme q\u00eb p\u00ebrballin personat me aft\u00ebsi t\u00eb kufizuara n\u00eb jet\u00ebn e p\u00ebrditshme. Ai theksoi se nj\u00eb nga kritikat kryesore ndaj zbatimit t\u00eb vler\u00ebsimit bio-psiko-social lidhet me faktin se nuk \u00ebsht\u00eb punuar me t\u00eb nj\u00ebjtin intensitet n\u00eb dy drejtimet kryesore q\u00eb kjo qasje duhet t\u00eb kishte pasur: nga nj\u00ebra an\u00eb klasifikimin dhe nga ana tjet\u00ebr garantimi i sh\u00ebrbimeve mb\u00ebshtet\u00ebse.\r\n\r\n\r\n\r\nRaporti thekson se, megjith\u00ebse modeli bio-psiko-social synon nj\u00eb qasje m\u00eb t\u00eb plot\u00eb dhe m\u00eb dinjitoze ndaj aft\u00ebsis\u00eb s\u00eb kufizuar, n\u00eb praktik\u00eb vijojn\u00eb t\u00eb evidentohen boshll\u00ebqe t\u00eb r\u00ebnd\u00ebsishme n\u00eb koordinimin nd\u00ebrinstitucional, transparenc\u00ebn, cil\u00ebsin\u00eb e t\u00eb dh\u00ebnave, ofrimin e sh\u00ebrbimeve dhe mb\u00ebshtetjen reale p\u00ebr personat me aft\u00ebsi t\u00eb kufizuara. Ka ardhur koha q\u00eb qeveria shqiptare t\u00eb njoh\u00eb dhe vler\u00ebsoj\u00eb kontributet e personave me aft\u00ebsi t\u00eb kufizuar, si dhe t\u00eb d\u00ebgjoj\u00eb dhe t\u00eb p\u00ebrgjigjet denj\u00ebsisht ndaj nevojave t\u00eb tyre.\r\n\r\n\r\n\r\n***\r\n\r\nThe findings of the report\u00a0\u201cEffects of the implementation of the disability assessment scheme based on the bio-psycho-social model\u201d, prepared by Together for Life with the financial support of the Embassy of Sweden in Tirana, were presented during a roundtable discussion with the participation of representatives from central institutions, independent human rights institutions, the State Social Service, the State Inspectorate of Labor and Social Services, the National Employment and Skills Agency, the Municipality of Tirana, the Municipality of Kam\u00ebz, as well as civil society organizations working in the field of disability.\r\n\r\nIn his welcoming remarks, the Deputy Ambassador of Sweden and Head of Development Cooperation, Mr. Erik Illes, emphasized that Albania\u2019s EU integration process remains one of the main drivers of reforms in the country.\r\n\r\nHe underlined that the report addresses the core of these efforts: strengthening human rights, improving governance, and ensuring that public services respond effectively to the needs of citizens.\r\n\r\n\u201cThe presented report provides clear evidence that, despite the progress achieved, significant challenges remain in coordination, accessibility, data use, and the practical implementation of reforms,\u201d Illes noted.\r\n\r\nThe Commissioner for Protection from Discrimination, Mr. Robert Gajda, stated that disability remains one of the most frequent grounds for complaints submitted to his institution, reflecting the ongoing challenges faced by persons with disabilities in their daily lives.\r\n\r\nHe highlighted that one of the main criticisms regarding the implementation of the bio-psycho-social assessment relates to the lack of equal focus on its two key components: on one hand, classification, and on the other, the provision of supportive services.\r\n\r\nThe report highlights that, although the bio-psycho-social model aims to promote a more comprehensive and dignified approach to disability, in practice significant gaps persist in inter-institutional coordination, transparency, data quality, service provision and real support for persons with disabilities. The time has come for the Albanian government to recognize and value the contributions of persons with disabilities, as well as to listen to and respond adequately to their needs.<\/div><\/article>Raport – Mbi efektet e zbatimit t\u00eb skem\u00ebs s\u00eb vler\u00ebsimit t\u00eb aft\u00ebsis\u00eb s\u00eb kufizuar bazuar n\u00eb modelin bio-psiko-social<\/h2><\/div><\/div><\/div><\/article>Sexual harassment at workplace – Toolkit for legal and empirical research<\/h2><\/div><\/div>Title: Sexual harassment at workplace - toolkit for legal and empirical\r\nresearch\r\n\r\nPublisher: Slovak National Centre for Human Rights, 2026\r\n\r\nEditors: Michaela Ujh\u00e1zyov\u00e1, Anna M\u00e1ri\u00e1ssyov\u00e1\r\n\r\nGraphic design: Kamila \u010cern\u00e1kov\u00e1, Jakub Kov\u00e1\u010d\r\n\r\nThis publication was created within the project VIOLET - Towards workplaces without sexual harassment and violence No. 101195098 CERV2024-DAPHNE. Co-authors are members of the Expert group consisting of legal and sociological research experts from partner countries (Albania, Czech Republic, Latvia, North Macedonia, Portugal and Slovakia): Sofia Cabral Lopes, Neda Chalovska Dimovska, Mari\u00e1n Fil\u010d\u00edk,\r\nElvin Gjevori, Rudina Hoxha, Ma\u017evydas Karalius, Alma Lahe, Anna M\u00e1ri\u00e1ssyov\u00e1, Magdal\u00e9na Musilov\u00e1, Eriselda Ndreca, Goran Neshevski, Lucie Novotn\u00e1, Aleksandar Ristovski, Anita Sares, Carlota Santos Silva, Michaela \u0160ina\u013e, Ersida Teliti, Suela Topi, Michaela Ujh\u00e1zyov\u00e1, Renata Vanag\u0117lien\u0117, Kire Vasilev, Laima Vengal\u0117-Dits, Diamanta Vito<\/div><\/article>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb shp\u00ebton pacient\u00ebt, por rrezikon t\u00eb ndalet!<\/h2><\/div><\/div>Nga Ida Ismalaj Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb \u00ebsht\u00eb nj\u00eb nevoj\u00eb jetike p\u00ebr mij\u00ebra t\u00eb moshuar dhe pacient\u00eb kronik\u00eb n\u00eb Shqip\u00ebri, t\u00eb cil\u00ebt p\u00ebr shkak t\u00eb problemeve sh\u00ebndet\u00ebsore apo kushteve t\u00eb v\u00ebshtira t\u00eb transportit e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore. \u201cTogether for Life\u201d thekson\u00a0p\u00ebrmes nj\u00eb raporti gjithp\u00ebrfshir\u00ebs\u00a0se ky sh\u00ebrbim ka p\u00ebrmir\u00ebsuar ndjesh\u00ebm aksesin n\u00eb kujdes p\u00ebr mij\u00ebra pacient\u00eb gjat\u00eb viteve t\u00eb fundit, por paralajm\u00ebron se mungesa e nj\u00eb financimi t\u00eb q\u00ebndruesh\u00ebm rrezikon vazhdim\u00ebsin\u00eb e tij.\r\n\r\n\r\n\r\nKy sh\u00ebrbim u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 si nj\u00eb tipologji e re e kujdesit sh\u00ebndet\u00ebsor n\u00eb vend dhe synon t\u2019u ofroj\u00eb pacient\u00ebve nj\u00eb gam\u00eb m\u00eb t\u00eb gjer\u00eb sh\u00ebrbimesh n\u00eb sht\u00ebpi, p\u00ebrmes infermier\u00ebve t\u00eb trajnuar. Projekti ka mb\u00ebshtetur 150 qendra sh\u00ebndet\u00ebsore dhe vet\u00ebm gjat\u00eb vitit t\u00eb fundit kan\u00eb p\u00ebrfituar rreth 4800 pacient\u00eb nga sh\u00ebrbimi n\u00eb banes\u00eb. Megjithat\u00eb, vler\u00ebsohet se 15-20 mij\u00eb qytetar\u00eb kan\u00eb nevoj\u00eb p\u00ebr k\u00ebt\u00eb kujdes.\r\n\r\n\r\n\r\nT\u00eb moshuarit p\u00ebrballen me barriera t\u00eb m\u00ebdha p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim\r\n\r\n\r\nN\u00eb takimin e sot\u00ebm gjat\u00eb t\u00eb cilit u shpalos\u00ebn edhe gjetjet e vler\u00ebsimit, u theksua se nj\u00eb pjes\u00eb e madhe e t\u00eb moshuarve n\u00eb Shqip\u00ebri p\u00ebrballen me probleme t\u00eb theksuara t\u00eb l\u00ebvizshm\u00ebris\u00eb. Sipas vler\u00ebsimeve, rreth 35% e personave mbi 70 vje\u00e7 kan\u00eb v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje, nd\u00ebrsa kjo p\u00ebrqindje rritet ndjesh\u00ebm mbi mosh\u00ebn 85 vje\u00e7.\r\n\r\n\r\n\r\nS\u00ebmundje si artriti, osteoporoza, frakturat nga rr\u00ebzimet, goditja n\u00eb tru dhe s\u00ebmundja e parkinsonit jan\u00eb nd\u00ebr shkaqet m\u00eb t\u00eb zakonshme q\u00eb kufizojn\u00eb l\u00ebvizjen e t\u00eb moshuarve. Si pasoj\u00eb, shum\u00eb prej tyre e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr t\u00eb marr\u00eb sh\u00ebrbimin.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb vizituar nj\u00eb qend\u00ebr sh\u00ebndet\u00ebsore, shumica e pacient\u00ebve kan\u00eb nevoj\u00eb p\u00ebr ndihm\u00ebn e familjar\u00ebve ose p\u00ebr transport t\u00eb paguar, q\u00eb shpesh \u00ebsht\u00eb i pap\u00ebrballuesh\u00ebm. Kjo situat\u00eb sjell kosto t\u00eb konsiderueshme financiare p\u00ebr familjet.\r\n\r\n\r\n\r\nNj\u00eb pacient nga Dibra e p\u00ebrshkruan k\u00ebshtu v\u00ebshtir\u00ebsin\u00eb p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim:\r\n\r\n\r\n\r\n\u201cQendr\u00ebn Sh\u00ebndet\u00ebsore e kemi larg nj\u00eb or\u00eb e gjysm\u00eb n\u00eb k\u00ebmb\u00eb. Nuk kam fuqi t\u00eb shkoj deri atje n\u00eb k\u00ebmb\u00eb dhe detyrohem t\u00eb p\u00ebrdor ndonj\u00eb mjet k\u00ebtu n\u00eb lagje q\u00eb m\u00eb \u00e7on kundrejt pages\u00ebs sepse makina punon me naft\u00eb dhe nafta kushton.\u201d\r\n\r\n\r\n\r\nNga ana tjet\u00ebr, edhe vet\u00eb stafet sh\u00ebndet\u00ebsore p\u00ebrballen me munges\u00eb pajisjesh p\u00ebr pacient\u00ebt me nevoja t\u00eb ve\u00e7anta.\r\n\r\n\r\n\r\n\u201cN\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore kemi dy dyshek\u00eb ajri dhe dy karroca. Ua kemi shp\u00ebrndar\u00eb pacient\u00ebve. K\u00ebrkesa kemi, por nuk i plot\u00ebsojm\u00eb dot\u201d shprehet nj\u00eb infermier nga Dibra.\r\n\r\n\r\n\r\nT\u00eb dh\u00ebnat e projektit Health for All (HAP) tregojn\u00eb se vet\u00ebm 8.9% e pacient\u00ebve invalid\u00eb raportojn\u00eb se mund t\u00eb vizitojn\u00eb ndonj\u00ebher\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore pa ndihm\u00eb.\r\n\r\n\r\n\r\nBarriera kryesore p\u00ebr pacient\u00ebt me v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje mbetet pamund\u00ebsia p\u00ebr t\u00eb arritur fizikisht n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore. N\u00eb vitin 2023, 63.8% e pacient\u00ebve raportuan se nuk mund t\u00eb ecnin deri n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore dhe 38.7% deklaruan se nuk mund t\u00eb p\u00ebrballonin kostot e transportit.\r\n\r\n\r\n\r\nTogether for Life evidentoi gjithashtu probleme me munges\u00ebn e mjek\u00ebve dhe infermier\u00ebve n\u00eb zonat rurale dhe t\u00eb thella. N\u00eb shum\u00eb raste, bluzat e bardha nuk pranojn\u00eb t\u00eb punojn\u00eb n\u00eb k\u00ebto zona, duke kufizuar m\u00eb tej aksesin e pacient\u00ebve n\u00eb sh\u00ebrbime.\r\n\r\n\r\n\r\nSipas analiz\u00ebs, \u00e7do sh\u00ebrbim i ri k\u00ebrkon financim t\u00eb dedikuar. Aktualisht, kostoja minimale p\u00ebr nj\u00eb infermier q\u00eb ofron sh\u00ebrbim n\u00eb banes\u00eb \u00ebsht\u00eb rreth:\r\n\r\n\r\n\r\n\r\n2700 lek\u00eb n\u00eb muaj p\u00ebr materiale,\r\n\r\n\r\n\r\n3000 lek\u00eb n\u00eb muaj p\u00ebr transport.\r\n\r\n\r\n\r\n\r\nMirela Rrumbullaku, nga Komisioneri p\u00ebr Mbrojtjen nga Diskriminimi tha se pacient\u00ebt me pamund\u00ebsi l\u00ebvizjeje jan\u00eb nd\u00ebr grupet m\u00eb t\u00eb margjinalizuara.\r\n\r\n\r\n\r\n\u201cAnkesat b\u00ebhen nul sepse pacient\u00ebt k\u00ebrkojn\u00eb zgjidhje emergjente. N\u00eb baz\u00eb t\u00eb ligjit, procedura k\u00ebrkon koh\u00ebn e vet dhe nuk ka m\u00eb vler\u00eb.\u201d\r\n\r\n\r\n\r\nAjo shton se n\u00eb shum\u00eb qendra sh\u00ebndet\u00ebsore mungojn\u00eb edhe mekanizmat baz\u00eb p\u00ebr t\u00eb paraqitur nj\u00eb ankes\u00eb: \u201cN\u00eb qendrat sh\u00ebndet\u00ebsore nuk ke nj\u00eb der\u00eb po t\u00eb duash t\u00eb b\u00ebsh nj\u00eb ankes\u00eb p\u00ebr sh\u00ebrbimin aty. Nuk duhet ta k\u00ebrkoj\u00eb qytetari sh\u00ebrbimin, por duhet t\u2019i ofrohet atij.\u201d\r\n\r\n\r\n\r\nInstitucionet: Financimi \u00ebsht\u00eb i mundur\r\n\r\n\r\nNga ana e Fondit t\u00eb Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor, zv.drejtori Markens Shllaku deklaroi se financimi i kujdesit par\u00ebsor \u00ebsht\u00eb rritur ndjesh\u00ebm n\u00eb vitet e fundit,\r\n\r\n\r\n\r\n\u201cFinancimi i sh\u00ebrbimit par\u00ebsor nga viti 2013 q\u00eb ishte 50 milion\u00eb euro, n\u00eb vitin 2025 \u00ebsht\u00eb 140 milion\u00eb euro. \u00cbsht\u00eb financuar af\u00ebrsisht 3 her\u00eb m\u00eb shum\u00eb,\u201d u shpreh ai.\r\n\r\n\r\n\r\nSipas tij, vet\u00ebm gjat\u00eb vitit 2025 jan\u00eb kryer rreth 390 mij\u00eb sh\u00ebrbime n\u00eb kujdesin par\u00ebsor. Ai theksoi gjithashtu se Shqip\u00ebria ka kapacitete financiare p\u00ebr t\u00eb mb\u00ebshtetur sh\u00ebrbimin, q\u00eb t\u00eb mos ndaloj\u00eb edhe pas p\u00ebrfundimit t\u00eb financimit nga projekti.\r\n\r\n\r\n\r\n\u201cRekomandimi i Bank\u00ebs Bot\u00ebrore p\u00ebr Shqip\u00ebrin\u00eb \u00ebsht\u00eb 50 euro\/ banor\u00eb. Ne kemi 75 euro\/banor\u00eb financimin, pra i kemi mund\u00ebsit\u00eb e financimit.\u201d\r\n\r\n\r\n\r\nRaporti i Together for Life paraqiti disa rekomandime kryesore p\u00ebr institucionet shtet\u00ebrore, nd\u00ebr t\u00eb cilat nevoj\u00ebn p\u00ebr nj\u00eb qasje m\u00eb t\u00eb strukturuar dhe t\u00eb q\u00ebndrueshme n\u00eb organizimin dhe financimin e sh\u00ebrbimeve sh\u00ebndet\u00ebsore, ve\u00e7an\u00ebrisht p\u00ebr kategorit\u00eb m\u00eb t\u00eb prekura t\u00eb popullsis\u00eb.\r\n\r\n\r\n\r\nMinistria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale duhet t\u00eb marr\u00eb n\u00eb konsiderat\u00eb financimin e sh\u00ebrbimit t\u00eb Kujdesit Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb, me q\u00ebllim garantimin e aksesit t\u00eb pacient\u00ebve t\u00eb moshuar dhe t\u00eb invalidizuar n\u00eb sh\u00ebrbime cil\u00ebsore dhe t\u00eb vazhdueshme.\r\n\r\n\r\n\r\nN\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, n\u00ebnvizohet r\u00ebnd\u00ebsin\u00eb e rritjes s\u00eb transparenc\u00ebs n\u00eb menaxhimin e financave t\u00eb sektorit sh\u00ebndet\u00ebsor. Rekomandohet konsolidimi dhe publikimi i t\u00eb dh\u00ebnave financiare p\u00ebr sh\u00ebndet\u00ebsin\u00eb, duke p\u00ebrfshir\u00eb t\u00eb gjitha burimet e financimit dhe analiza m\u00eb t\u00eb detajuara t\u00eb shpenzimeve, n\u00eb m\u00ebnyr\u00eb q\u00eb publiku dhe institucionet mbik\u00ebqyr\u00ebse t\u00eb ken\u00eb nj\u00eb pasqyr\u00eb m\u00eb t\u00eb qart\u00eb mbi p\u00ebrdorimin e fondeve.\r\n\r\n\r\n\r\nNj\u00eb tjet\u00ebr problem i evidentuar lidhet me munges\u00ebn e specialist\u00ebve n\u00eb qendrat sh\u00ebndet\u00ebsore. Raporti sugjeron plot\u00ebsimin e strukturave me profesionist\u00eb t\u00eb till\u00eb si psikolog\u00eb dhe fizioterapist\u00eb, t\u00eb cil\u00ebt konsiderohen thelb\u00ebsor\u00eb p\u00ebr t\u00eb adresuar n\u00eb m\u00ebnyr\u00eb m\u00eb gjith\u00ebp\u00ebrfshir\u00ebse nevojat e pacient\u00ebve.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb p\u00ebrmir\u00ebsuar menaxhimin e k\u00ebtij sh\u00ebrbimi, ekspert\u00ebt rekomandojn\u00eb gjithashtu q\u00eb Kujdesi Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb t\u00eb p\u00ebrfshihet si nj\u00eb produkt i ve\u00e7ant\u00eb n\u00eb buxhetin e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Kjo do t\u00eb mund\u00ebsonte gjurmimin m\u00eb t\u00eb qart\u00eb t\u00eb shpenzimeve dhe investimeve t\u00eb dedikuara p\u00ebr k\u00ebt\u00eb sh\u00ebrbim, duke rritur p\u00ebrgjegjshm\u00ebrin\u00eb institucionale.\r\n\r\n\r\n\r\nN\u00eb aspektin e motivimit t\u00eb personelit sh\u00ebndet\u00ebsor, Together for Life propozoi krijimin e nj\u00eb sistemi pagese q\u00eb kombinon pag\u00ebn baz\u00eb me nj\u00eb shp\u00ebrblim shtes\u00eb, t\u00eb lidhur me numrin e pacient\u00ebve q\u00eb mbulon \u00e7do infermier, dhe nevoj\u00ebn p\u00ebr rritjen e transparenc\u00ebs n\u00eb procesin e vler\u00ebsimit t\u00eb cil\u00eb<\/div><\/article>Nevoja n\u00eb rritje p\u00ebr Kujdes Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb k\u00ebrkon angazhim t\u00eb menj\u00ebhersh\u00ebm buxhetor nga Ministria e Sh\u00ebndet\u00ebsis\u00eb<\/h2><\/div><\/div>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb (KSHB) p\u00ebrb\u00ebn nj\u00eb sh\u00ebrbim jetik p\u00ebr pacient\u00ebt q\u00eb nuk mund t\u00eb aksesojn\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr shkak t\u00eb pamund\u00ebsis\u00eb s\u00eb p\u00ebrkohshme ose t\u00eb p\u00ebrhershme p\u00ebr t\u00eb l\u00ebvizur, p\u00ebrfshir\u00eb t\u00eb moshuarit, pacient\u00ebt me s\u00ebmundje kronike, pacient\u00ebt terminal\u00eb apo ata n\u00eb periudh\u00eb post-operator\u00eb. Ky sh\u00ebrbim, si nj\u00eb tipologji e re n\u00eb sistemin sh\u00ebndet\u00ebsor shqiptar, ofron nj\u00eb gam\u00eb t\u00eb gjer\u00eb kujdesi n\u00eb sht\u00ebpi p\u00ebrmes infermier\u00ebve t\u00eb trajnuar n\u00eb procedura t\u00eb avancuara, duke e sjell\u00eb sh\u00ebrbimin m\u00eb pran\u00eb pacientit dhe duke rritur ndjesh\u00ebm aksesin n\u00eb kujdes.\r\n\r\nKSHB u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 nga projekti \u201cHealth for All\u201d (HAP), me mb\u00ebshtetjen e Agjencis\u00eb Zvicerane p\u00ebr Zhvillim dhe Bashk\u00ebpunim (SDC), n\u00eb disa qendra sh\u00ebndet\u00ebsore n\u00eb qarqet Dib\u00ebr dhe Fier. Deri n\u00eb vitin 2026, mb\u00ebshtetja \u00ebsht\u00eb zgjeruar n\u00eb rreth 150 qendra sh\u00ebndet\u00ebsore, nd\u00ebrsa n\u00eb shtator 2024 Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale nd\u00ebrmori hapin p\u00ebr shtrirjen e k\u00ebtij sh\u00ebrbimi n\u00eb nivel komb\u00ebtar, duke e konsideruar at\u00eb pjes\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb reformave n\u00eb kujdesin par\u00ebsor.\r\n\r\nMegjithat\u00eb, p\u00ebrtej k\u00ebtij angazhimi politik t\u00eb Ministris\u00eb p\u00ebrgjegj\u00ebse, sfida kryesore mbetet mungesa e nj\u00eb financimi t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm. Aktualisht, ofruesit e sh\u00ebrbimit p\u00ebrballen me kufizime t\u00eb konsiderueshme, p\u00ebrfshir\u00eb munges\u00ebn e pajisjeve dhe materialeve baz\u00eb, kostot e pambuluara t\u00eb transportit p\u00ebr vizitat n\u00eb terren, munges\u00ebn e incentivave p\u00ebr personelin sh\u00ebndet\u00ebsor, si dhe nevoj\u00ebn p\u00ebr forcimin e kapaciteteve profesionale t\u00eb stafit infermieror.\r\n\r\nNd\u00ebrkoh\u00eb, k\u00ebrkesa p\u00ebr k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb n\u00eb rritje t\u00eb vazhdueshme. T\u00eb dh\u00ebnat e CENSUS-it 2023 tregojn\u00eb se rreth 6.5% e popullsis\u00eb n\u00eb Shqip\u00ebri vet\u00eb-identifikohet si persona me aft\u00ebsi t\u00eb kufizuara, nd\u00ebrsa mbi 4.3% raportojn\u00eb v\u00ebshtir\u00ebsi serioze n\u00eb l\u00ebvizje. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, plakja e popullsis\u00eb dhe fakti q\u00eb rreth 20% e saj \u00ebsht\u00eb mbi 65 vje\u00e7, s\u00eb bashku me numrin e lart\u00eb t\u00eb t\u00eb moshuarve q\u00eb jetojn\u00eb vet\u00ebm, rrisin ndjesh\u00ebm nevoj\u00ebn p\u00ebr sh\u00ebrbime t\u00eb kujdesit n\u00eb banes\u00eb.\r\n\r\nPavar\u00ebsisht k\u00ebtyre treguesve dhe nevoj\u00ebs n\u00eb rritje p\u00ebr sh\u00ebrime sh\u00ebndet\u00ebsore n\u00eb banes\u00eb, Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale ende nuk ka nd\u00ebrmarr\u00eb hapa konkret\u00eb p\u00ebr t\u00eb siguruar nj\u00eb financim t\u00eb strukturuar p\u00ebr k\u00ebt\u00eb sh\u00ebrbim. Kjo vjen n\u00eb nj\u00eb koh\u00eb kur vet\u00eb dokumentet strategjike t\u00eb ministris\u00eb parashikojn\u00eb rritjen e financimit p\u00ebr kujdesin par\u00ebsor dhe alokimin progresiv t\u00eb fondeve p\u00ebr KSHB deri n\u00eb 2% t\u00eb buxhetit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb sh\u00ebndet\u00ebsis\u00eb, nj\u00eb objektiv q\u00eb mbetet ende i pap\u00ebrmbushur.\r\n\r\nAnalizat financiare tregojn\u00eb se investimi n\u00eb k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb jo vet\u00ebm i realizuesh\u00ebm, por edhe ekonomikisht i leverdish\u00ebm. Sipas dy skenar\u00ebve t\u00eb financimit t\u00eb p\u00ebrgatitur nga shoqata Together for Life, kostoja e implementimit n\u00eb shkall\u00eb t\u00eb gjer\u00eb p\u00ebr vitin e par\u00eb varion nga rreth 297.5 milion\u00eb lek\u00eb deri n\u00eb 970.8 milion\u00eb lek\u00eb, n\u00eb var\u00ebsi t\u00eb modelit t\u00eb zgjedhur. P\u00ebr m\u00eb tep\u00ebr, ky investim pritet t\u00eb gjeneroj\u00eb kursime t\u00eb qen\u00ebsishme p\u00ebr sistemin sh\u00ebndet\u00ebsor, duke reduktuar nevoj\u00ebn p\u00ebr shtrime spitalore dhe duke ulur kostot deri n\u00eb 1.6 miliard\u00eb lek\u00eb n\u00eb vit.\r\n\r\nN\u00eb k\u00ebt\u00eb kuad\u00ebr, financimi i kujdesit sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet par\u00eb vet\u00ebm si nj\u00eb detyrim social ndaj kategorive m\u00eb vulnerab\u00ebl, por edhe si nj\u00eb zgjedhje strategjike dhe e q\u00ebndrueshme p\u00ebr p\u00ebrmir\u00ebsimin e eficienc\u00ebs s\u00eb sistemit sh\u00ebndet\u00ebsor. Shoqata Together for Life ka ngritur vazhdimisht k\u00ebt\u00eb shqet\u00ebsim gjat\u00eb vitit t\u00eb fundit, duke e adresuar at\u00eb si n\u00eb Komisionin Parlamentar t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Mir\u00ebqenies Sociale, ashtu edhe pran\u00eb Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb.\r\n\r\nP\u00ebr t\u00eb garantuar q\u00ebndrueshm\u00ebrin\u00eb afatgjat\u00eb t\u00eb k\u00ebtij sh\u00ebrbimi, k\u00ebrkohet nd\u00ebrmarrja e masave konkrete nga institucionet p\u00ebrgjegj\u00ebse. K\u00ebto p\u00ebrfshijn\u00eb sigurimin e financimit t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm p\u00ebr KSHB si nj\u00eb linj\u00eb t\u00eb ve\u00e7ant\u00eb buxhetore n\u00eb programet e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Nj\u00ebkoh\u00ebsisht, edhe nga Parlamenti k\u00ebrkohet q\u00eb t\u00eb ushtroj\u00eb n\u00eb m\u00ebnyr\u00eb aktive funksionin e tij mbik\u00ebqyr\u00ebs p\u00ebr t\u00eb garantuar alokimin dhe p\u00ebrdorimin efektiv t\u00eb burimeve publike n\u00eb k\u00ebt\u00eb drejtim.\r\n\r\nKujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet t\u00eb mbetet nj\u00eb iniciativ\u00eb e p\u00ebrkohshme e varur nga mb\u00ebshtetja e donator\u00ebve. Ai duhet t\u00eb konsolidohet si nj\u00eb sh\u00ebrbim i integruar, i q\u00ebndruesh\u00ebm dhe plot\u00ebsisht i financuar nga shteti, n\u00eb funksion t\u00eb nj\u00eb sistemi sh\u00ebndet\u00ebsor m\u00eb gjith\u00ebp\u00ebrfshir\u00ebs, m\u00eb efikas dhe m\u00eb t\u00eb drejt\u00eb p\u00ebr t\u00eb gjith\u00eb qytetar\u00ebt, ve\u00e7an\u00ebrisht p\u00ebr ata q\u00eb jan\u00eb m\u00eb n\u00eb nevoj\u00eb.<\/div><\/article>Ngacmimi seksual n\u00eb pun\u00eb, \u00e7\u00ebshtje e barazis\u00eb gjinore<\/h2><\/div><\/div>\u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual?\r\n\r\n\"Kur ndodh ndonj\u00eb form\u00eb e sjelljes s\u00eb pad\u00ebshiruar verbale, joverbale ose fizike me natyr\u00eb seksuale, me q\u00ebllim ose pasoj\u00eb shkeljen e dinjitetit t\u00eb nj\u00eb personi, ve\u00e7an\u00ebrisht kur krijohet nj\u00eb mjedis k\u00ebrc\u00ebnues, armiq\u00ebsor, degradues, posht\u00ebrues ose ofendues.\" - Direktiva e BE-s\u00eb 2002\/73\/KE\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje e barazis\u00eb gjinore\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb prek kryesisht grat\u00eb. Edhe pse \u00ebsht\u00eb nj\u00eb problem n\u00eb vendin e pun\u00ebs, ngacmimi seksual \u00ebsht\u00eb kryesisht nj\u00eb \u00e7\u00ebshtje gjinore e nxitur nga ata burra q\u00eb ndihen t\u00eb autorizuar t'i seksualizojn\u00eb grat\u00eb p\u00ebrmes prekjes, avancimeve t\u00eb pap\u00ebrshtatshme n\u00eb mediat sociale, emaileve ose mesazheve, shakave seksuale ose ekspozimit ndaj imazheve seksualisht eksplicite. K\u00ebto sjellje t\u00eb pad\u00ebshiruara d\u00ebmtojn\u00eb dinjitetin e viktimave dhe krijojn\u00eb nj\u00eb mjedis pune toksik.\r\n\r\nGrat\u00eb p\u00ebrjetojn\u00eb ngacmim seksual kryesisht nga burrat, ku koleg\u00ebt jan\u00eb shkel\u00ebsit m\u00eb t\u00eb zakonsh\u00ebm.\r\n\r\nBurrat gjithashtu p\u00ebrjetojn\u00eb ngacmim seksual n\u00eb pun\u00eb (DHP). N\u00eb t\u00eb 11 shtetet an\u00ebtare p\u00ebr t\u00eb cilat Sondazhi i BE-s\u00eb p\u00ebr Dhun\u00ebn me Gj\u00ebra t\u00eb Barabarta mblodhi t\u00eb dh\u00ebna edhe mbi dhun\u00ebn ndaj burrave, rezultatet tregojn\u00eb nj\u00eb prevalenc\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb DHP krahasuar me grat\u00eb.\r\n\r\nNgacmimi seksual mund t\u00eb marr\u00eb shum\u00eb forma\r\n\r\nN\u00eb t\u00eb gjith\u00eb BE-n\u00eb, normat e ngacmimit seksual q\u00eb p\u00ebrjetojn\u00eb grat\u00eb n\u00eb pun\u00eb ndryshojn\u00eb shum\u00eb: nga 55% n\u00eb Suedi, 54% n\u00eb Finland\u00eb, 53% n\u00eb Sllovaki dhe shkojn\u00eb deri n\u00eb 12% n\u00eb Portugali dhe Bullgari, dhe 11% n\u00eb Letoni.\r\n\r\nSi pjes\u00eb e anket\u00ebs s\u00eb BE-s\u00eb mbi dhun\u00ebn me baz\u00eb gjinore, grat\u00eb ndan\u00eb p\u00ebrvojat e tyre t\u00eb ngacmimit seksual, duke zgjedhur nga nj\u00eb list\u00eb aktesh q\u00eb i b\u00ebn\u00eb t\u00eb ndiheshin t\u00eb ofenduara, t\u00eb posht\u00ebruara ose t\u00eb frik\u00ebsuara:\r\n\r\n \tV\u00ebshtrim i pap\u00ebrshtatsh\u00ebm\r\n \tShaka seksuale t\u00eb pahijshme ose v\u00ebrejtje fyese n\u00eb lidhje me trupin ose jet\u00ebn e tyre private\r\n \tKontakt fizik i pad\u00ebshiruar, p.sh. af\u00ebrsi, prekje e pjes\u00ebve t\u00eb trupit, puthje\/p\u00ebrqafime ose di\u00e7ka tjet\u00ebr t\u00eb pad\u00ebshiruar\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr t\u00eb dal\u00eb n\u00eb nj\u00eb takim\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr \u00e7do aktivitet seksual\r\n \tPropozime t\u00eb pap\u00ebrshtatshme n\u00eb faqet e rrjeteve sociale\r\n \tEmail-e ose mesazhe me tekst t\u00eb pap\u00ebrshtatshme me p\u00ebrmbajtje seksuale eksplicite, t\u00eb cilat jan\u00eb t\u00eb pap\u00ebrshtatshme.\r\n \tEkspozimi ndaj imazheve me p\u00ebrmbajtje seksuale eksplicite\r\n \tK\u00ebrc\u00ebnime me pasoja t\u00eb pak\u00ebndshme n\u00ebse refuzonin propozime ose avancime seksuale\r\n\r\nNevoj\u00eb urgjente p\u00ebr veprim\r\n\r\nGjetjet nxjerrin n\u00eb pah nevoj\u00ebn urgjente p\u00ebr veprime t\u00eb synuara q\u00eb pranojn\u00eb ngacmimin seksual n\u00eb pun\u00eb si nj\u00eb \u00e7\u00ebshtje gjinore, njohin dob\u00ebsit\u00eb unike me t\u00eb cilat p\u00ebrballen grat\u00eb e reja dhe adresojn\u00eb dimensionin online. Nevojiten mbrojtje m\u00eb t\u00eb fort\u00eb dhe sisteme mb\u00ebshtet\u00ebse m\u00eb t\u00eb arritshme p\u00ebr t\u00eb parandaluar dhun\u00ebn dhe ngacmimin me baz\u00eb gjinore n\u00eb vendin e pun\u00ebs. Ne duhet t'i japim p\u00ebrpar\u00ebsi z\u00ebrave dhe p\u00ebrvojave t\u00eb grave, ve\u00e7an\u00ebrisht grave t\u00eb reja, duke siguruar mjedise m\u00eb t\u00eb sigurta ku t\u00eb drejtat e tyre respektohen dhe mb\u00ebshteten.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr<\/h2><\/div><\/div>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr\r\n\r\n\r\n\r\nShoqata Together for Life, organizoi n\u00eb Dib\u00ebr tryez\u00ebn e rrumbullak\u00ebt \u201cDialog publik p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor cil\u00ebsor dhe t\u00eb aksesuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb\u201d, me pjes\u00ebmarrjen e deputetes Alma Selami, p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve vendore, ekspert\u00ebve dhe aktor\u00ebve t\u00eb shoq\u00ebris\u00eb civile.\r\n\r\n\r\n\r\nDeputetja Selami si nj\u00eb nga z\u00ebrat p\u00ebrfaq\u00ebsues t\u00eb qytetit t\u00eb Dibr\u00ebs n\u00ebnvizoi r\u00ebnd\u00ebsin\u00eb e sektorit sh\u00ebndet\u00ebsor p\u00ebr mir\u00ebqenien e qytetar\u00ebve t\u00eb Dibr\u00ebs dhe mir\u00ebpriti shqet\u00ebsimet dhe propozimet e qytetar\u00ebve, duke u angazhuar p\u00ebr t\u2019i adresuar ato tek institucionet p\u00ebrgjegj\u00ebse n\u00eb nivel qendror.\r\n\r\n\r\n\r\nTryeza sh\u00ebrbeu si nj\u00eb platform\u00eb ky\u00e7e dialogu, duke mund\u00ebsuar identifikimin e sfidave q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb transparenc\u00eb, koordinim dhe v\u00ebmendje institucionale, n\u00eb funksion t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb dhe aksesit n\u00eb sh\u00ebrbimet sh\u00ebndet\u00ebsore.\r\n\r\nKy aktivitet u organizua n\u00eb kuad\u00ebr t\u00eb projektit \u201cTransparenca dhe Llogaridh\u00ebnia n\u00eb Sektorin e Sh\u00ebndet\u00ebsis\u00eb\u201d, mb\u00ebshtetur nga NED \u2013 National Endo\u00ebment for Democracy.\r\n\r\n\r\n\r\n\r\n\r\n***\r\n\r\n\u00a0Roundtable in Dib\u00ebr\r\n\r\n\r\n\r\nThe association Together for Life held a roundtable in Dib\u00ebr titled \u201cPublic Dialogue for a Quality and Accessible Healthcare System for All\u201d, with the participation of Member of Parliament Alma Selami, representatives of local institutions, experts, and civil society actors.\r\n\r\n\r\n\r\nMP Selami, as one of the representative voices of the Dib\u00ebr community, emphasized the importance of the healthcare sector for citizens\u2019 well-being and welcomed citizens\u2019 concerns and proposals, committing to address them with the responsible institutions at the central level.\r\n\r\n\u00a0The roundtable served as a key platform for dialogue, enabling the identification of challenges requiring greater transparency, coordination, and institutional attention, with the aim of improving the quality and accessibility of healthcare services.\r\n\r\n\r\n\r\n\r\n\r\nThis activity was organized within the framework of the project \u201cTransparency and Accountability in the Healthcare Sector\u201d, supported by National Endowment for Democracy (NED).<\/div><\/article>Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div><\/div>Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
N\u00eb vitin 2019, Shqip\u00ebria nd\u00ebrmori nj\u00eb reform\u00eb t\u00eb r\u00ebnd\u00ebsishme n\u00eb sistemin e vler\u00ebsimit t\u00eb aft\u00ebsis\u00eb s\u00eb kufizuar, duke kaluar nga modeli tradicional mjek\u00ebsor n\u00eb modelin bio-psiko-social. Kjo reform\u00eb, e paraprir\u00eb nga nj\u00eb faz\u00eb pilot e nisur n\u00eb vitin 2017, u prezantua si nj\u00eb hap drejt nd\u00ebrtimit t\u00eb nj\u00eb sistemi m\u00eb t\u00eb drejt\u00eb dhe gjith\u00ebp\u00ebrfshir\u00ebs, q\u00eb vendos individin n\u00eb qend\u00ebr.\r\n\r\n\r\n\r\nQasja e re synon t\u00eb vler\u00ebsoj\u00eb jo vet\u00ebm gjendjen sh\u00ebndet\u00ebsore, por edhe faktor\u00ebt social\u00eb, psikologjik\u00eb dhe mjedisor\u00eb q\u00eb ndikojn\u00eb n\u00eb jet\u00ebn e p\u00ebrditshme t\u00eb personave me aft\u00ebsi t\u00eb kufizuara. N\u00eb teori, ky model p\u00ebrfaq\u00ebson nj\u00eb standard m\u00eb t\u00eb avancuar dhe t\u00eb harmonizuar me praktikat nd\u00ebrkomb\u00ebtare.\r\n\r\n\r\n\r\nMegjithat\u00eb, zbatimi i modelit bio-psiko-social ka nxjerr\u00eb n\u00eb pah sfida t\u00eb konsiderueshme. Ndryshe nga vler\u00ebsimi i thjesht\u00eb mjek\u00ebsor, kjo qasje k\u00ebrkon ekspertiz\u00eb t\u00eb specializuar dhe nj\u00eb analiz\u00eb t\u00eb thelluar t\u00eb situat\u00ebs s\u00eb individit.\r\n\r\n\r\n\r\nN\u00eb praktik\u00eb, ky proces shpesh \u00ebsht\u00eb reduktuar n\u00eb procedura formale. N\u00eb disa raste, vler\u00ebsimet jan\u00eb kryer n\u00eb m\u00ebnyr\u00eb t\u00eb thjeshtuar, pa nj\u00eb analiz\u00eb t\u00eb plot\u00eb t\u00eb kushteve reale t\u00eb jetes\u00ebs s\u00eb individ\u00ebve. Si\u00e7 tregon edhe rasti i nj\u00eb p\u00ebrfitueseje, e cila u kontaktua vet\u00ebm telefonikisht nga komisioni p\u00ebr rivler\u00ebsim, procesi jo gjithmon\u00eb arrin t\u00eb reflektoj\u00eb realitetin konkret t\u00eb personave me aft\u00ebsi t\u00eb kufizuara.\r\n\r\n\r\n\r\nSfida n\u00eb akses dhe trajtim dinjitoz\r\n\r\n\r\n\r\nNj\u00eb nga problemet m\u00eb t\u00eb ndjeshme lidhet me m\u00ebnyr\u00ebn se si personat me aft\u00ebsi t\u00eb kufizuara trajtohen gjat\u00eb procesit t\u00eb vler\u00ebsimit. Ka raste kur individ\u00ebve me gjendje t\u00eb r\u00ebnd\u00eb u k\u00ebrkohet t\u00eb paraqiten fizikisht pran\u00eb komisioneve, pavar\u00ebsisht pamund\u00ebsis\u00eb s\u00eb tyre reale p\u00ebr t\u00eb l\u00ebvizur.\r\n\r\n\r\n\r\nRr\u00ebfimet e familjar\u00ebve tregojn\u00eb p\u00ebr situata t\u00eb v\u00ebshtira, ku mungesa e fleksibilitetit institucional r\u00ebndon m\u00eb tej jet\u00ebn e p\u00ebrditshme t\u00eb tyre. K\u00ebto raste ngren\u00eb pik\u00ebpyetje serioze mbi ndjeshm\u00ebrin\u00eb dhe p\u00ebrshtatjen e sistemit ndaj nevojave reale t\u00eb p\u00ebrfituesve .\r\n\r\n\r\n\r\n\u201cM\u00eb telefonuan nga komisioni dhe m\u00eb pyet\u00ebn si jam. Si mund t\u00eb jem pas 30 vitesh n\u00eb karroc\u00eb?\u201d, tregon Shpresa, nj\u00eb grua paraplegjike. Rasti i saj ilustron nj\u00eb sistem q\u00eb n\u00eb vend t\u00eb nj\u00eb vler\u00ebsimi t\u00eb plot\u00eb dhe t\u00eb drejtp\u00ebrdrejt\u00eb, shpesh mb\u00ebshtetet n\u00eb procedura t\u00eb thjeshtuara q\u00eb nuk reflektojn\u00eb realitetin e individit.\r\n\r\n\r\n\r\nN\u00eb raste t\u00eb tjera, situata b\u00ebhet edhe m\u00eb e v\u00ebshtir\u00eb. Familjar\u00eb t\u00eb personave n\u00eb gjendje t\u00eb r\u00ebnd\u00eb sh\u00ebndet\u00ebsore raportojn\u00eb k\u00ebrkesa absurde p\u00ebr paraqitje fizike p\u00ebrpara komisionit. \u201cBashk\u00ebshorti im ka 15 vite n\u00eb shtrat. M\u00eb k\u00ebrkuan ta \u00e7oja para komisionit, ndryshe do t\u2019i hiqnin kempin\u201d, tregon nj\u00eb bashk\u00ebshorte, duke v\u00ebn\u00eb n\u00eb dukje munges\u00ebn e fleksibilitetit dhe ndjeshm\u00ebris\u00eb s\u00eb sistemit.\r\n\r\n\r\n\r\nNj\u00eb tjet\u00ebr sfid\u00eb lidhet me q\u00ebndrueshm\u00ebrin\u00eb e vendimmarrjes. P\u00ebr shkak t\u00eb natyr\u00ebs s\u00eb modelit bio-psiko-social, i cili p\u00ebrfshin edhe element\u00eb subjektiv\u00eb, vler\u00ebsimet mund t\u00eb ndryshojn\u00eb nga nj\u00eb rast n\u00eb tjetrin. P\u00ebrfituesit dhe familjar\u00ebt e tyre edhe pas shtat\u00eb vitesh t\u00eb zbatimit t\u00eb modelit t\u00eb ri, mbeten t\u00eb paqart\u00eb dhe ndjehen t\u00eb pasigurt.\r\n\r\n\r\n\r\nKjo ka sjell\u00eb riklasifikime, ulje t\u00eb nivelit t\u00eb p\u00ebrfitimeve dhe n\u00eb disa raste edhe p\u00ebrjashtim nga skema. Nd\u00ebrkoh\u00eb, t\u00eb dh\u00ebnat tregojn\u00eb se numri i p\u00ebrfituesve ka r\u00ebn\u00eb, pavar\u00ebsisht rritjes s\u00eb fondeve, duke shtuar pasigurit\u00eb mbi efektivitetin e reform\u00ebs.\r\n\r\n\r\n\r\n\u201cNe n\u00eb familje jemi tre persona me aft\u00ebs t\u00eb kufizuara, me t\u00eb nj\u00ebjt\u00ebn s\u00ebmundje me t\u00eb nj\u00ebjt\u00ebn r\u00ebndes\u00eb t\u00eb s\u00ebmundjes, megjithat\u00eb, komisioni na ka vler\u00ebsuar ndryshe. Pagesa dhe mb\u00ebshtetja q\u00eb p\u00ebrfitojm\u00eb jan\u00eb t\u00eb ndryshme. Nuk e kuptojm\u00eb pse dhe askush nuk na ka sqaruar deri tani.\r\n\r\n\r\n\r\nNj\u00eb nga dob\u00ebsit\u00eb m\u00eb t\u00eb m\u00ebdha t\u00eb reform\u00ebs mbetet mungesa e transparenc\u00ebs. Informacioni mbi rezultatet konkrete t\u00eb zbatimit, ndikimin real dhe sfidat mbetet i kufizuar.\r\n\r\n\r\n\r\nMungesa e raporteve t\u00eb rregullta dhe e treguesve t\u00eb qart\u00eb t\u00eb performanc\u00ebs e b\u00ebn t\u00eb v\u00ebshtir\u00eb vler\u00ebsimin objektiv t\u00eb reform\u00ebs dhe pengon nd\u00ebrhyrjet e nevojshme p\u00ebr p\u00ebrmir\u00ebsim.\r\n\r\n\r\n\r\nP\u00ebrtej vler\u00ebsimit: mungesa e mb\u00ebshtetjes afatgjat\u00eb\r\n\r\n\r\n\r\nReforma nuk kishte p\u00ebr q\u00ebllim vet\u00ebm ndryshimin e m\u00ebnyr\u00ebs s\u00eb vler\u00ebsimit, por edhe krijimin e nj\u00eb sistemi m\u00eb t\u00eb integruar mb\u00ebshtet\u00ebs. Megjithat\u00eb, n\u00eb praktik\u00eb, shum\u00eb persona me aft\u00ebsi t\u00eb kufizuara vazhdojn\u00eb t\u00eb p\u00ebrballen me munges\u00eb t\u00eb mund\u00ebsive p\u00ebr arsimim cil\u00ebsor, trajnim dhe ve\u00e7an\u00ebrisht pun\u00ebsim t\u00eb q\u00ebndruesh\u00ebm.\r\n\r\n\r\n\r\nRastet e t\u00eb rinjve q\u00eb p\u00ebrfitojn\u00eb pun\u00ebsim vet\u00ebm p\u00ebrmes projekteve t\u00eb p\u00ebrkohshme dhe m\u00eb pas mbeten s\u00ebrish jasht\u00eb tregut t\u00eb pun\u00ebs tregojn\u00eb munges\u00ebn e politikave afatgjata dhe t\u00eb q\u00ebndrueshme n\u00eb k\u00ebt\u00eb drejtim.\r\n\r\n\r\n\r\nPor sfidat nuk ndalen vet\u00ebm tek vler\u00ebsimi. Shum\u00eb familje kishin shpresa se modeli i ri do t\u00eb sillte m\u00eb shum\u00eb mund\u00ebsi p\u00ebr rehabilitim dhe integrim, ve\u00e7an\u00ebrisht n\u00eb arsim dhe pun\u00ebsim. Megjithat\u00eb, realiteti shpesh \u00ebsht\u00eb zhg\u00ebnjyes.\r\n\r\n\r\n\r\n\u201cDjali im me sindrom\u00ebn Do\u00ebn p\u00ebrfundoi shkoll\u00ebn dhe nj\u00eb kurs profesional, por sapo mbaroi projekti, e pushuan nga puna\u201d, tregon nj\u00eb prind, duke ngritur shqet\u00ebsimin p\u00ebr munges\u00ebn e politikave t\u00eb q\u00ebndrueshme t\u00eb pun\u00ebsimit.\r\n\r\n\r\n\r\nNevoja p\u00ebr rishkim dhe p\u00ebrmir\u00ebsim\r\n\r\n\r\n\r\nModeli bio-psiko-social edhe pse n\u00eb teori p\u00ebrfaq\u00ebson nj\u00eb qasje moderne dhe t\u00eb drejt\u00eb, zbatimi i tij n\u00eb Shqip\u00ebri tregon se reformat strukturore k\u00ebrkojn\u00eb m\u00eb shum\u00eb sesa ndryshime ligjore. Ato k\u00ebrkojn\u00eb kapacitete, burime, koordinim dhe mbi t\u00eb gjitha, nj\u00eb fokus t\u00eb vazhduesh\u00ebm tek individi.\r\n\r\n\r\n\r\nSot, disa vite pas startimit t\u00eb reform\u00ebs s\u00eb re, ajo mbetet n\u00eb nj\u00eb pik\u00eb kritike: mes potencialit p\u00ebr p\u00ebrfshirje dhe rrezikut p\u00ebr p\u00ebrjashtim. N\u00ebse institucionet nuk arrijn\u00eb t\u00eb adresojn\u00eb sfidat e evidentuara, rrezikohet q\u00eb nj\u00eb reform\u00eb e nd\u00ebrtuar p\u00ebr t\u00eb garantuar dinjitet dhe barazi t\u00eb prodhoj\u00eb t\u00eb kund\u00ebrt\u00ebn.\r\n\r\n\r\n\r\nN\u00eb fund, pyetja mbetet e hapur: A jan\u00eb t\u00eb vet\u00ebdijshme institucionet se kjo reform\u00eb para s\u00eb gjithash duhet t\u00eb funksionoj\u00eb si nj\u00eb mekaniz\u00ebm real p\u00ebr p\u00ebrfshirje sociale dhe jo t\u00eb mbetet thjesht dhe vet\u00ebm nj\u00eb ndryshim konceptual q\u00eb nuk arrin t\u00eb prek\u00eb jet\u00ebn e p\u00ebrditshme t\u00eb atyre q\u00eb kan\u00eb m\u00eb shum\u00eb nevoj\u00eb?\r\n\r\n\r\n\r\n* Ky publikim \u00ebsht\u00eb p\u00ebrgatitur nga Together for Life n\u00eb kuad\u00ebr t\u00eb Programit t\u00eb Mb\u00ebshtetjes Themelore, i mb\u00ebshtetur financiarisht nga Ambasada Suedeze n\u00eb Tiran\u00eb. P\u00ebrgjegj\u00ebsia p\u00ebr p\u00ebrmbajtjen i takon vet\u00ebm Together for Life dhe nuk pasqyron domosdoshm\u00ebrisht pik\u00ebpamjet e Ambasad\u00ebs Suedeze n\u00eb Tiran\u00eb.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt \u201cForcimi i politikave p\u00ebr mb\u00ebshtetjen dhe fuqizimin e personave me aft\u00ebsi t\u00eb kufizuara\u201d<\/h2><\/div>
Tryez\u00eb e rrumbullak\u00ebt \u201cForcimi i politikave p\u00ebr mb\u00ebshtetjen dhe fuqizimin e personave me aft\u00ebsi t\u00eb kufizuara\u201d<\/h2><\/div><\/div>Gjetjet e raportit \u201cEfektet e zbatimit t\u00eb skem\u00ebs s\u00eb vler\u00ebsimit t\u00eb aft\u00ebsis\u00eb s\u00eb kufizuar bazuar n\u00eb modelin bio-psiko-social\u201d, realizuar nga shoqata Together for Life me mb\u00ebshtetjen financiare t\u00eb Ambasad\u00ebs s\u00eb Suedis\u00eb n\u00eb Tiran\u00eb, u prezantuan n\u00eb nj\u00eb tryez\u00eb t\u00eb rrumbullak\u00ebt me pjes\u00ebmarrjen e p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve qendrore, institucioneve t\u00eb pavarura t\u00eb t\u00eb drejtave t\u00eb njeriut, Sh\u00ebrbimit Social Shtet\u00ebror, Inspektoratit Shtet\u00ebror t\u00eb Pun\u00ebs dhe Sh\u00ebrbimeve Shoq\u00ebrore, Agjencis\u00eb Komb\u00ebtare t\u00eb Pun\u00ebsimit dhe Aft\u00ebsive, Bashkis\u00eb Tiran\u00eb, Bashkis\u00eb Kam\u00ebz, si dhe organizatave t\u00eb shoq\u00ebris\u00eb civile q\u00eb punojn\u00eb n\u00eb fush\u00ebn e aft\u00ebsis\u00eb s\u00eb kufizuar.\r\n\r\nGjat\u00eb fjal\u00ebs s\u00eb tij p\u00ebrsh\u00ebndet\u00ebse, Zv. Ambasadori i Suedis\u00eb dhe Shefi i Zyr\u00ebs s\u00eb Bashk\u00ebpunimit p\u00ebr Zhvillim, z. Erik Illes, theksoi se procesi i integrimit t\u00eb Shqip\u00ebris\u00eb n\u00eb BE mbetet nj\u00eb nga shtyt\u00ebsit kryesor\u00eb t\u00eb reformave n\u00eb vend. Ai n\u00ebnvizoi se raporti prek thelbin e k\u00ebtyre p\u00ebrpjekjeve: forcimin e t\u00eb drejtave t\u00eb njeriut, p\u00ebrmir\u00ebsimin e qeverisjes dhe ofrimin e sh\u00ebrbimeve publike q\u00eb i p\u00ebrgjigjen realisht nevojave t\u00eb qytetar\u00ebve.\r\n\r\n\u201cRaporti i prezantuar sjell prova t\u00eb qarta se, pavar\u00ebsisht progresit t\u00eb arritur, mbeten ende sfida t\u00eb r\u00ebnd\u00ebsishme n\u00eb koordinim, aksesueshm\u00ebri, p\u00ebrdorimin e t\u00eb dh\u00ebnave dhe zbatimin praktik t\u00eb reformave\u201d, n\u00ebnvizoi Illes.\r\n\r\n\r\n\r\nKomisioneri p\u00ebr Mbrojtjen nga Diskriminimi, z. Robert Gajda, u shpreh se aft\u00ebsia e kufizuar mbetet nj\u00eb nga shkaqet m\u00eb t\u00eb shpeshta t\u00eb ankesave pran\u00eb institucionit t\u00eb tij, duke reflektuar sfidat e vazhdueshme q\u00eb p\u00ebrballin personat me aft\u00ebsi t\u00eb kufizuara n\u00eb jet\u00ebn e p\u00ebrditshme. Ai theksoi se nj\u00eb nga kritikat kryesore ndaj zbatimit t\u00eb vler\u00ebsimit bio-psiko-social lidhet me faktin se nuk \u00ebsht\u00eb punuar me t\u00eb nj\u00ebjtin intensitet n\u00eb dy drejtimet kryesore q\u00eb kjo qasje duhet t\u00eb kishte pasur: nga nj\u00ebra an\u00eb klasifikimin dhe nga ana tjet\u00ebr garantimi i sh\u00ebrbimeve mb\u00ebshtet\u00ebse.\r\n\r\n\r\n\r\nRaporti thekson se, megjith\u00ebse modeli bio-psiko-social synon nj\u00eb qasje m\u00eb t\u00eb plot\u00eb dhe m\u00eb dinjitoze ndaj aft\u00ebsis\u00eb s\u00eb kufizuar, n\u00eb praktik\u00eb vijojn\u00eb t\u00eb evidentohen boshll\u00ebqe t\u00eb r\u00ebnd\u00ebsishme n\u00eb koordinimin nd\u00ebrinstitucional, transparenc\u00ebn, cil\u00ebsin\u00eb e t\u00eb dh\u00ebnave, ofrimin e sh\u00ebrbimeve dhe mb\u00ebshtetjen reale p\u00ebr personat me aft\u00ebsi t\u00eb kufizuara. Ka ardhur koha q\u00eb qeveria shqiptare t\u00eb njoh\u00eb dhe vler\u00ebsoj\u00eb kontributet e personave me aft\u00ebsi t\u00eb kufizuar, si dhe t\u00eb d\u00ebgjoj\u00eb dhe t\u00eb p\u00ebrgjigjet denj\u00ebsisht ndaj nevojave t\u00eb tyre.\r\n\r\n\r\n\r\n***\r\n\r\nThe findings of the report\u00a0\u201cEffects of the implementation of the disability assessment scheme based on the bio-psycho-social model\u201d, prepared by Together for Life with the financial support of the Embassy of Sweden in Tirana, were presented during a roundtable discussion with the participation of representatives from central institutions, independent human rights institutions, the State Social Service, the State Inspectorate of Labor and Social Services, the National Employment and Skills Agency, the Municipality of Tirana, the Municipality of Kam\u00ebz, as well as civil society organizations working in the field of disability.\r\n\r\nIn his welcoming remarks, the Deputy Ambassador of Sweden and Head of Development Cooperation, Mr. Erik Illes, emphasized that Albania\u2019s EU integration process remains one of the main drivers of reforms in the country.\r\n\r\nHe underlined that the report addresses the core of these efforts: strengthening human rights, improving governance, and ensuring that public services respond effectively to the needs of citizens.\r\n\r\n\u201cThe presented report provides clear evidence that, despite the progress achieved, significant challenges remain in coordination, accessibility, data use, and the practical implementation of reforms,\u201d Illes noted.\r\n\r\nThe Commissioner for Protection from Discrimination, Mr. Robert Gajda, stated that disability remains one of the most frequent grounds for complaints submitted to his institution, reflecting the ongoing challenges faced by persons with disabilities in their daily lives.\r\n\r\nHe highlighted that one of the main criticisms regarding the implementation of the bio-psycho-social assessment relates to the lack of equal focus on its two key components: on one hand, classification, and on the other, the provision of supportive services.\r\n\r\nThe report highlights that, although the bio-psycho-social model aims to promote a more comprehensive and dignified approach to disability, in practice significant gaps persist in inter-institutional coordination, transparency, data quality, service provision and real support for persons with disabilities. The time has come for the Albanian government to recognize and value the contributions of persons with disabilities, as well as to listen to and respond adequately to their needs.<\/div><\/article>Raport – Mbi efektet e zbatimit t\u00eb skem\u00ebs s\u00eb vler\u00ebsimit t\u00eb aft\u00ebsis\u00eb s\u00eb kufizuar bazuar n\u00eb modelin bio-psiko-social<\/h2><\/div><\/div><\/div><\/article>Sexual harassment at workplace – Toolkit for legal and empirical research<\/h2><\/div><\/div>Title: Sexual harassment at workplace - toolkit for legal and empirical\r\nresearch\r\n\r\nPublisher: Slovak National Centre for Human Rights, 2026\r\n\r\nEditors: Michaela Ujh\u00e1zyov\u00e1, Anna M\u00e1ri\u00e1ssyov\u00e1\r\n\r\nGraphic design: Kamila \u010cern\u00e1kov\u00e1, Jakub Kov\u00e1\u010d\r\n\r\nThis publication was created within the project VIOLET - Towards workplaces without sexual harassment and violence No. 101195098 CERV2024-DAPHNE. Co-authors are members of the Expert group consisting of legal and sociological research experts from partner countries (Albania, Czech Republic, Latvia, North Macedonia, Portugal and Slovakia): Sofia Cabral Lopes, Neda Chalovska Dimovska, Mari\u00e1n Fil\u010d\u00edk,\r\nElvin Gjevori, Rudina Hoxha, Ma\u017evydas Karalius, Alma Lahe, Anna M\u00e1ri\u00e1ssyov\u00e1, Magdal\u00e9na Musilov\u00e1, Eriselda Ndreca, Goran Neshevski, Lucie Novotn\u00e1, Aleksandar Ristovski, Anita Sares, Carlota Santos Silva, Michaela \u0160ina\u013e, Ersida Teliti, Suela Topi, Michaela Ujh\u00e1zyov\u00e1, Renata Vanag\u0117lien\u0117, Kire Vasilev, Laima Vengal\u0117-Dits, Diamanta Vito<\/div><\/article>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb shp\u00ebton pacient\u00ebt, por rrezikon t\u00eb ndalet!<\/h2><\/div><\/div>Nga Ida Ismalaj Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb \u00ebsht\u00eb nj\u00eb nevoj\u00eb jetike p\u00ebr mij\u00ebra t\u00eb moshuar dhe pacient\u00eb kronik\u00eb n\u00eb Shqip\u00ebri, t\u00eb cil\u00ebt p\u00ebr shkak t\u00eb problemeve sh\u00ebndet\u00ebsore apo kushteve t\u00eb v\u00ebshtira t\u00eb transportit e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore. \u201cTogether for Life\u201d thekson\u00a0p\u00ebrmes nj\u00eb raporti gjithp\u00ebrfshir\u00ebs\u00a0se ky sh\u00ebrbim ka p\u00ebrmir\u00ebsuar ndjesh\u00ebm aksesin n\u00eb kujdes p\u00ebr mij\u00ebra pacient\u00eb gjat\u00eb viteve t\u00eb fundit, por paralajm\u00ebron se mungesa e nj\u00eb financimi t\u00eb q\u00ebndruesh\u00ebm rrezikon vazhdim\u00ebsin\u00eb e tij.\r\n\r\n\r\n\r\nKy sh\u00ebrbim u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 si nj\u00eb tipologji e re e kujdesit sh\u00ebndet\u00ebsor n\u00eb vend dhe synon t\u2019u ofroj\u00eb pacient\u00ebve nj\u00eb gam\u00eb m\u00eb t\u00eb gjer\u00eb sh\u00ebrbimesh n\u00eb sht\u00ebpi, p\u00ebrmes infermier\u00ebve t\u00eb trajnuar. Projekti ka mb\u00ebshtetur 150 qendra sh\u00ebndet\u00ebsore dhe vet\u00ebm gjat\u00eb vitit t\u00eb fundit kan\u00eb p\u00ebrfituar rreth 4800 pacient\u00eb nga sh\u00ebrbimi n\u00eb banes\u00eb. Megjithat\u00eb, vler\u00ebsohet se 15-20 mij\u00eb qytetar\u00eb kan\u00eb nevoj\u00eb p\u00ebr k\u00ebt\u00eb kujdes.\r\n\r\n\r\n\r\nT\u00eb moshuarit p\u00ebrballen me barriera t\u00eb m\u00ebdha p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim\r\n\r\n\r\nN\u00eb takimin e sot\u00ebm gjat\u00eb t\u00eb cilit u shpalos\u00ebn edhe gjetjet e vler\u00ebsimit, u theksua se nj\u00eb pjes\u00eb e madhe e t\u00eb moshuarve n\u00eb Shqip\u00ebri p\u00ebrballen me probleme t\u00eb theksuara t\u00eb l\u00ebvizshm\u00ebris\u00eb. Sipas vler\u00ebsimeve, rreth 35% e personave mbi 70 vje\u00e7 kan\u00eb v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje, nd\u00ebrsa kjo p\u00ebrqindje rritet ndjesh\u00ebm mbi mosh\u00ebn 85 vje\u00e7.\r\n\r\n\r\n\r\nS\u00ebmundje si artriti, osteoporoza, frakturat nga rr\u00ebzimet, goditja n\u00eb tru dhe s\u00ebmundja e parkinsonit jan\u00eb nd\u00ebr shkaqet m\u00eb t\u00eb zakonshme q\u00eb kufizojn\u00eb l\u00ebvizjen e t\u00eb moshuarve. Si pasoj\u00eb, shum\u00eb prej tyre e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr t\u00eb marr\u00eb sh\u00ebrbimin.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb vizituar nj\u00eb qend\u00ebr sh\u00ebndet\u00ebsore, shumica e pacient\u00ebve kan\u00eb nevoj\u00eb p\u00ebr ndihm\u00ebn e familjar\u00ebve ose p\u00ebr transport t\u00eb paguar, q\u00eb shpesh \u00ebsht\u00eb i pap\u00ebrballuesh\u00ebm. Kjo situat\u00eb sjell kosto t\u00eb konsiderueshme financiare p\u00ebr familjet.\r\n\r\n\r\n\r\nNj\u00eb pacient nga Dibra e p\u00ebrshkruan k\u00ebshtu v\u00ebshtir\u00ebsin\u00eb p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim:\r\n\r\n\r\n\r\n\u201cQendr\u00ebn Sh\u00ebndet\u00ebsore e kemi larg nj\u00eb or\u00eb e gjysm\u00eb n\u00eb k\u00ebmb\u00eb. Nuk kam fuqi t\u00eb shkoj deri atje n\u00eb k\u00ebmb\u00eb dhe detyrohem t\u00eb p\u00ebrdor ndonj\u00eb mjet k\u00ebtu n\u00eb lagje q\u00eb m\u00eb \u00e7on kundrejt pages\u00ebs sepse makina punon me naft\u00eb dhe nafta kushton.\u201d\r\n\r\n\r\n\r\nNga ana tjet\u00ebr, edhe vet\u00eb stafet sh\u00ebndet\u00ebsore p\u00ebrballen me munges\u00eb pajisjesh p\u00ebr pacient\u00ebt me nevoja t\u00eb ve\u00e7anta.\r\n\r\n\r\n\r\n\u201cN\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore kemi dy dyshek\u00eb ajri dhe dy karroca. Ua kemi shp\u00ebrndar\u00eb pacient\u00ebve. K\u00ebrkesa kemi, por nuk i plot\u00ebsojm\u00eb dot\u201d shprehet nj\u00eb infermier nga Dibra.\r\n\r\n\r\n\r\nT\u00eb dh\u00ebnat e projektit Health for All (HAP) tregojn\u00eb se vet\u00ebm 8.9% e pacient\u00ebve invalid\u00eb raportojn\u00eb se mund t\u00eb vizitojn\u00eb ndonj\u00ebher\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore pa ndihm\u00eb.\r\n\r\n\r\n\r\nBarriera kryesore p\u00ebr pacient\u00ebt me v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje mbetet pamund\u00ebsia p\u00ebr t\u00eb arritur fizikisht n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore. N\u00eb vitin 2023, 63.8% e pacient\u00ebve raportuan se nuk mund t\u00eb ecnin deri n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore dhe 38.7% deklaruan se nuk mund t\u00eb p\u00ebrballonin kostot e transportit.\r\n\r\n\r\n\r\nTogether for Life evidentoi gjithashtu probleme me munges\u00ebn e mjek\u00ebve dhe infermier\u00ebve n\u00eb zonat rurale dhe t\u00eb thella. N\u00eb shum\u00eb raste, bluzat e bardha nuk pranojn\u00eb t\u00eb punojn\u00eb n\u00eb k\u00ebto zona, duke kufizuar m\u00eb tej aksesin e pacient\u00ebve n\u00eb sh\u00ebrbime.\r\n\r\n\r\n\r\nSipas analiz\u00ebs, \u00e7do sh\u00ebrbim i ri k\u00ebrkon financim t\u00eb dedikuar. Aktualisht, kostoja minimale p\u00ebr nj\u00eb infermier q\u00eb ofron sh\u00ebrbim n\u00eb banes\u00eb \u00ebsht\u00eb rreth:\r\n\r\n\r\n\r\n\r\n2700 lek\u00eb n\u00eb muaj p\u00ebr materiale,\r\n\r\n\r\n\r\n3000 lek\u00eb n\u00eb muaj p\u00ebr transport.\r\n\r\n\r\n\r\n\r\nMirela Rrumbullaku, nga Komisioneri p\u00ebr Mbrojtjen nga Diskriminimi tha se pacient\u00ebt me pamund\u00ebsi l\u00ebvizjeje jan\u00eb nd\u00ebr grupet m\u00eb t\u00eb margjinalizuara.\r\n\r\n\r\n\r\n\u201cAnkesat b\u00ebhen nul sepse pacient\u00ebt k\u00ebrkojn\u00eb zgjidhje emergjente. N\u00eb baz\u00eb t\u00eb ligjit, procedura k\u00ebrkon koh\u00ebn e vet dhe nuk ka m\u00eb vler\u00eb.\u201d\r\n\r\n\r\n\r\nAjo shton se n\u00eb shum\u00eb qendra sh\u00ebndet\u00ebsore mungojn\u00eb edhe mekanizmat baz\u00eb p\u00ebr t\u00eb paraqitur nj\u00eb ankes\u00eb: \u201cN\u00eb qendrat sh\u00ebndet\u00ebsore nuk ke nj\u00eb der\u00eb po t\u00eb duash t\u00eb b\u00ebsh nj\u00eb ankes\u00eb p\u00ebr sh\u00ebrbimin aty. Nuk duhet ta k\u00ebrkoj\u00eb qytetari sh\u00ebrbimin, por duhet t\u2019i ofrohet atij.\u201d\r\n\r\n\r\n\r\nInstitucionet: Financimi \u00ebsht\u00eb i mundur\r\n\r\n\r\nNga ana e Fondit t\u00eb Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor, zv.drejtori Markens Shllaku deklaroi se financimi i kujdesit par\u00ebsor \u00ebsht\u00eb rritur ndjesh\u00ebm n\u00eb vitet e fundit,\r\n\r\n\r\n\r\n\u201cFinancimi i sh\u00ebrbimit par\u00ebsor nga viti 2013 q\u00eb ishte 50 milion\u00eb euro, n\u00eb vitin 2025 \u00ebsht\u00eb 140 milion\u00eb euro. \u00cbsht\u00eb financuar af\u00ebrsisht 3 her\u00eb m\u00eb shum\u00eb,\u201d u shpreh ai.\r\n\r\n\r\n\r\nSipas tij, vet\u00ebm gjat\u00eb vitit 2025 jan\u00eb kryer rreth 390 mij\u00eb sh\u00ebrbime n\u00eb kujdesin par\u00ebsor. Ai theksoi gjithashtu se Shqip\u00ebria ka kapacitete financiare p\u00ebr t\u00eb mb\u00ebshtetur sh\u00ebrbimin, q\u00eb t\u00eb mos ndaloj\u00eb edhe pas p\u00ebrfundimit t\u00eb financimit nga projekti.\r\n\r\n\r\n\r\n\u201cRekomandimi i Bank\u00ebs Bot\u00ebrore p\u00ebr Shqip\u00ebrin\u00eb \u00ebsht\u00eb 50 euro\/ banor\u00eb. Ne kemi 75 euro\/banor\u00eb financimin, pra i kemi mund\u00ebsit\u00eb e financimit.\u201d\r\n\r\n\r\n\r\nRaporti i Together for Life paraqiti disa rekomandime kryesore p\u00ebr institucionet shtet\u00ebrore, nd\u00ebr t\u00eb cilat nevoj\u00ebn p\u00ebr nj\u00eb qasje m\u00eb t\u00eb strukturuar dhe t\u00eb q\u00ebndrueshme n\u00eb organizimin dhe financimin e sh\u00ebrbimeve sh\u00ebndet\u00ebsore, ve\u00e7an\u00ebrisht p\u00ebr kategorit\u00eb m\u00eb t\u00eb prekura t\u00eb popullsis\u00eb.\r\n\r\n\r\n\r\nMinistria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale duhet t\u00eb marr\u00eb n\u00eb konsiderat\u00eb financimin e sh\u00ebrbimit t\u00eb Kujdesit Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb, me q\u00ebllim garantimin e aksesit t\u00eb pacient\u00ebve t\u00eb moshuar dhe t\u00eb invalidizuar n\u00eb sh\u00ebrbime cil\u00ebsore dhe t\u00eb vazhdueshme.\r\n\r\n\r\n\r\nN\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, n\u00ebnvizohet r\u00ebnd\u00ebsin\u00eb e rritjes s\u00eb transparenc\u00ebs n\u00eb menaxhimin e financave t\u00eb sektorit sh\u00ebndet\u00ebsor. Rekomandohet konsolidimi dhe publikimi i t\u00eb dh\u00ebnave financiare p\u00ebr sh\u00ebndet\u00ebsin\u00eb, duke p\u00ebrfshir\u00eb t\u00eb gjitha burimet e financimit dhe analiza m\u00eb t\u00eb detajuara t\u00eb shpenzimeve, n\u00eb m\u00ebnyr\u00eb q\u00eb publiku dhe institucionet mbik\u00ebqyr\u00ebse t\u00eb ken\u00eb nj\u00eb pasqyr\u00eb m\u00eb t\u00eb qart\u00eb mbi p\u00ebrdorimin e fondeve.\r\n\r\n\r\n\r\nNj\u00eb tjet\u00ebr problem i evidentuar lidhet me munges\u00ebn e specialist\u00ebve n\u00eb qendrat sh\u00ebndet\u00ebsore. Raporti sugjeron plot\u00ebsimin e strukturave me profesionist\u00eb t\u00eb till\u00eb si psikolog\u00eb dhe fizioterapist\u00eb, t\u00eb cil\u00ebt konsiderohen thelb\u00ebsor\u00eb p\u00ebr t\u00eb adresuar n\u00eb m\u00ebnyr\u00eb m\u00eb gjith\u00ebp\u00ebrfshir\u00ebse nevojat e pacient\u00ebve.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb p\u00ebrmir\u00ebsuar menaxhimin e k\u00ebtij sh\u00ebrbimi, ekspert\u00ebt rekomandojn\u00eb gjithashtu q\u00eb Kujdesi Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb t\u00eb p\u00ebrfshihet si nj\u00eb produkt i ve\u00e7ant\u00eb n\u00eb buxhetin e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Kjo do t\u00eb mund\u00ebsonte gjurmimin m\u00eb t\u00eb qart\u00eb t\u00eb shpenzimeve dhe investimeve t\u00eb dedikuara p\u00ebr k\u00ebt\u00eb sh\u00ebrbim, duke rritur p\u00ebrgjegjshm\u00ebrin\u00eb institucionale.\r\n\r\n\r\n\r\nN\u00eb aspektin e motivimit t\u00eb personelit sh\u00ebndet\u00ebsor, Together for Life propozoi krijimin e nj\u00eb sistemi pagese q\u00eb kombinon pag\u00ebn baz\u00eb me nj\u00eb shp\u00ebrblim shtes\u00eb, t\u00eb lidhur me numrin e pacient\u00ebve q\u00eb mbulon \u00e7do infermier, dhe nevoj\u00ebn p\u00ebr rritjen e transparenc\u00ebs n\u00eb procesin e vler\u00ebsimit t\u00eb cil\u00eb<\/div><\/article>Nevoja n\u00eb rritje p\u00ebr Kujdes Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb k\u00ebrkon angazhim t\u00eb menj\u00ebhersh\u00ebm buxhetor nga Ministria e Sh\u00ebndet\u00ebsis\u00eb<\/h2><\/div><\/div>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb (KSHB) p\u00ebrb\u00ebn nj\u00eb sh\u00ebrbim jetik p\u00ebr pacient\u00ebt q\u00eb nuk mund t\u00eb aksesojn\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr shkak t\u00eb pamund\u00ebsis\u00eb s\u00eb p\u00ebrkohshme ose t\u00eb p\u00ebrhershme p\u00ebr t\u00eb l\u00ebvizur, p\u00ebrfshir\u00eb t\u00eb moshuarit, pacient\u00ebt me s\u00ebmundje kronike, pacient\u00ebt terminal\u00eb apo ata n\u00eb periudh\u00eb post-operator\u00eb. Ky sh\u00ebrbim, si nj\u00eb tipologji e re n\u00eb sistemin sh\u00ebndet\u00ebsor shqiptar, ofron nj\u00eb gam\u00eb t\u00eb gjer\u00eb kujdesi n\u00eb sht\u00ebpi p\u00ebrmes infermier\u00ebve t\u00eb trajnuar n\u00eb procedura t\u00eb avancuara, duke e sjell\u00eb sh\u00ebrbimin m\u00eb pran\u00eb pacientit dhe duke rritur ndjesh\u00ebm aksesin n\u00eb kujdes.\r\n\r\nKSHB u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 nga projekti \u201cHealth for All\u201d (HAP), me mb\u00ebshtetjen e Agjencis\u00eb Zvicerane p\u00ebr Zhvillim dhe Bashk\u00ebpunim (SDC), n\u00eb disa qendra sh\u00ebndet\u00ebsore n\u00eb qarqet Dib\u00ebr dhe Fier. Deri n\u00eb vitin 2026, mb\u00ebshtetja \u00ebsht\u00eb zgjeruar n\u00eb rreth 150 qendra sh\u00ebndet\u00ebsore, nd\u00ebrsa n\u00eb shtator 2024 Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale nd\u00ebrmori hapin p\u00ebr shtrirjen e k\u00ebtij sh\u00ebrbimi n\u00eb nivel komb\u00ebtar, duke e konsideruar at\u00eb pjes\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb reformave n\u00eb kujdesin par\u00ebsor.\r\n\r\nMegjithat\u00eb, p\u00ebrtej k\u00ebtij angazhimi politik t\u00eb Ministris\u00eb p\u00ebrgjegj\u00ebse, sfida kryesore mbetet mungesa e nj\u00eb financimi t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm. Aktualisht, ofruesit e sh\u00ebrbimit p\u00ebrballen me kufizime t\u00eb konsiderueshme, p\u00ebrfshir\u00eb munges\u00ebn e pajisjeve dhe materialeve baz\u00eb, kostot e pambuluara t\u00eb transportit p\u00ebr vizitat n\u00eb terren, munges\u00ebn e incentivave p\u00ebr personelin sh\u00ebndet\u00ebsor, si dhe nevoj\u00ebn p\u00ebr forcimin e kapaciteteve profesionale t\u00eb stafit infermieror.\r\n\r\nNd\u00ebrkoh\u00eb, k\u00ebrkesa p\u00ebr k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb n\u00eb rritje t\u00eb vazhdueshme. T\u00eb dh\u00ebnat e CENSUS-it 2023 tregojn\u00eb se rreth 6.5% e popullsis\u00eb n\u00eb Shqip\u00ebri vet\u00eb-identifikohet si persona me aft\u00ebsi t\u00eb kufizuara, nd\u00ebrsa mbi 4.3% raportojn\u00eb v\u00ebshtir\u00ebsi serioze n\u00eb l\u00ebvizje. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, plakja e popullsis\u00eb dhe fakti q\u00eb rreth 20% e saj \u00ebsht\u00eb mbi 65 vje\u00e7, s\u00eb bashku me numrin e lart\u00eb t\u00eb t\u00eb moshuarve q\u00eb jetojn\u00eb vet\u00ebm, rrisin ndjesh\u00ebm nevoj\u00ebn p\u00ebr sh\u00ebrbime t\u00eb kujdesit n\u00eb banes\u00eb.\r\n\r\nPavar\u00ebsisht k\u00ebtyre treguesve dhe nevoj\u00ebs n\u00eb rritje p\u00ebr sh\u00ebrime sh\u00ebndet\u00ebsore n\u00eb banes\u00eb, Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale ende nuk ka nd\u00ebrmarr\u00eb hapa konkret\u00eb p\u00ebr t\u00eb siguruar nj\u00eb financim t\u00eb strukturuar p\u00ebr k\u00ebt\u00eb sh\u00ebrbim. Kjo vjen n\u00eb nj\u00eb koh\u00eb kur vet\u00eb dokumentet strategjike t\u00eb ministris\u00eb parashikojn\u00eb rritjen e financimit p\u00ebr kujdesin par\u00ebsor dhe alokimin progresiv t\u00eb fondeve p\u00ebr KSHB deri n\u00eb 2% t\u00eb buxhetit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb sh\u00ebndet\u00ebsis\u00eb, nj\u00eb objektiv q\u00eb mbetet ende i pap\u00ebrmbushur.\r\n\r\nAnalizat financiare tregojn\u00eb se investimi n\u00eb k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb jo vet\u00ebm i realizuesh\u00ebm, por edhe ekonomikisht i leverdish\u00ebm. Sipas dy skenar\u00ebve t\u00eb financimit t\u00eb p\u00ebrgatitur nga shoqata Together for Life, kostoja e implementimit n\u00eb shkall\u00eb t\u00eb gjer\u00eb p\u00ebr vitin e par\u00eb varion nga rreth 297.5 milion\u00eb lek\u00eb deri n\u00eb 970.8 milion\u00eb lek\u00eb, n\u00eb var\u00ebsi t\u00eb modelit t\u00eb zgjedhur. P\u00ebr m\u00eb tep\u00ebr, ky investim pritet t\u00eb gjeneroj\u00eb kursime t\u00eb qen\u00ebsishme p\u00ebr sistemin sh\u00ebndet\u00ebsor, duke reduktuar nevoj\u00ebn p\u00ebr shtrime spitalore dhe duke ulur kostot deri n\u00eb 1.6 miliard\u00eb lek\u00eb n\u00eb vit.\r\n\r\nN\u00eb k\u00ebt\u00eb kuad\u00ebr, financimi i kujdesit sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet par\u00eb vet\u00ebm si nj\u00eb detyrim social ndaj kategorive m\u00eb vulnerab\u00ebl, por edhe si nj\u00eb zgjedhje strategjike dhe e q\u00ebndrueshme p\u00ebr p\u00ebrmir\u00ebsimin e eficienc\u00ebs s\u00eb sistemit sh\u00ebndet\u00ebsor. Shoqata Together for Life ka ngritur vazhdimisht k\u00ebt\u00eb shqet\u00ebsim gjat\u00eb vitit t\u00eb fundit, duke e adresuar at\u00eb si n\u00eb Komisionin Parlamentar t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Mir\u00ebqenies Sociale, ashtu edhe pran\u00eb Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb.\r\n\r\nP\u00ebr t\u00eb garantuar q\u00ebndrueshm\u00ebrin\u00eb afatgjat\u00eb t\u00eb k\u00ebtij sh\u00ebrbimi, k\u00ebrkohet nd\u00ebrmarrja e masave konkrete nga institucionet p\u00ebrgjegj\u00ebse. K\u00ebto p\u00ebrfshijn\u00eb sigurimin e financimit t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm p\u00ebr KSHB si nj\u00eb linj\u00eb t\u00eb ve\u00e7ant\u00eb buxhetore n\u00eb programet e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Nj\u00ebkoh\u00ebsisht, edhe nga Parlamenti k\u00ebrkohet q\u00eb t\u00eb ushtroj\u00eb n\u00eb m\u00ebnyr\u00eb aktive funksionin e tij mbik\u00ebqyr\u00ebs p\u00ebr t\u00eb garantuar alokimin dhe p\u00ebrdorimin efektiv t\u00eb burimeve publike n\u00eb k\u00ebt\u00eb drejtim.\r\n\r\nKujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet t\u00eb mbetet nj\u00eb iniciativ\u00eb e p\u00ebrkohshme e varur nga mb\u00ebshtetja e donator\u00ebve. Ai duhet t\u00eb konsolidohet si nj\u00eb sh\u00ebrbim i integruar, i q\u00ebndruesh\u00ebm dhe plot\u00ebsisht i financuar nga shteti, n\u00eb funksion t\u00eb nj\u00eb sistemi sh\u00ebndet\u00ebsor m\u00eb gjith\u00ebp\u00ebrfshir\u00ebs, m\u00eb efikas dhe m\u00eb t\u00eb drejt\u00eb p\u00ebr t\u00eb gjith\u00eb qytetar\u00ebt, ve\u00e7an\u00ebrisht p\u00ebr ata q\u00eb jan\u00eb m\u00eb n\u00eb nevoj\u00eb.<\/div><\/article>Ngacmimi seksual n\u00eb pun\u00eb, \u00e7\u00ebshtje e barazis\u00eb gjinore<\/h2><\/div><\/div>\u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual?\r\n\r\n\"Kur ndodh ndonj\u00eb form\u00eb e sjelljes s\u00eb pad\u00ebshiruar verbale, joverbale ose fizike me natyr\u00eb seksuale, me q\u00ebllim ose pasoj\u00eb shkeljen e dinjitetit t\u00eb nj\u00eb personi, ve\u00e7an\u00ebrisht kur krijohet nj\u00eb mjedis k\u00ebrc\u00ebnues, armiq\u00ebsor, degradues, posht\u00ebrues ose ofendues.\" - Direktiva e BE-s\u00eb 2002\/73\/KE\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje e barazis\u00eb gjinore\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb prek kryesisht grat\u00eb. Edhe pse \u00ebsht\u00eb nj\u00eb problem n\u00eb vendin e pun\u00ebs, ngacmimi seksual \u00ebsht\u00eb kryesisht nj\u00eb \u00e7\u00ebshtje gjinore e nxitur nga ata burra q\u00eb ndihen t\u00eb autorizuar t'i seksualizojn\u00eb grat\u00eb p\u00ebrmes prekjes, avancimeve t\u00eb pap\u00ebrshtatshme n\u00eb mediat sociale, emaileve ose mesazheve, shakave seksuale ose ekspozimit ndaj imazheve seksualisht eksplicite. K\u00ebto sjellje t\u00eb pad\u00ebshiruara d\u00ebmtojn\u00eb dinjitetin e viktimave dhe krijojn\u00eb nj\u00eb mjedis pune toksik.\r\n\r\nGrat\u00eb p\u00ebrjetojn\u00eb ngacmim seksual kryesisht nga burrat, ku koleg\u00ebt jan\u00eb shkel\u00ebsit m\u00eb t\u00eb zakonsh\u00ebm.\r\n\r\nBurrat gjithashtu p\u00ebrjetojn\u00eb ngacmim seksual n\u00eb pun\u00eb (DHP). N\u00eb t\u00eb 11 shtetet an\u00ebtare p\u00ebr t\u00eb cilat Sondazhi i BE-s\u00eb p\u00ebr Dhun\u00ebn me Gj\u00ebra t\u00eb Barabarta mblodhi t\u00eb dh\u00ebna edhe mbi dhun\u00ebn ndaj burrave, rezultatet tregojn\u00eb nj\u00eb prevalenc\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb DHP krahasuar me grat\u00eb.\r\n\r\nNgacmimi seksual mund t\u00eb marr\u00eb shum\u00eb forma\r\n\r\nN\u00eb t\u00eb gjith\u00eb BE-n\u00eb, normat e ngacmimit seksual q\u00eb p\u00ebrjetojn\u00eb grat\u00eb n\u00eb pun\u00eb ndryshojn\u00eb shum\u00eb: nga 55% n\u00eb Suedi, 54% n\u00eb Finland\u00eb, 53% n\u00eb Sllovaki dhe shkojn\u00eb deri n\u00eb 12% n\u00eb Portugali dhe Bullgari, dhe 11% n\u00eb Letoni.\r\n\r\nSi pjes\u00eb e anket\u00ebs s\u00eb BE-s\u00eb mbi dhun\u00ebn me baz\u00eb gjinore, grat\u00eb ndan\u00eb p\u00ebrvojat e tyre t\u00eb ngacmimit seksual, duke zgjedhur nga nj\u00eb list\u00eb aktesh q\u00eb i b\u00ebn\u00eb t\u00eb ndiheshin t\u00eb ofenduara, t\u00eb posht\u00ebruara ose t\u00eb frik\u00ebsuara:\r\n\r\n \tV\u00ebshtrim i pap\u00ebrshtatsh\u00ebm\r\n \tShaka seksuale t\u00eb pahijshme ose v\u00ebrejtje fyese n\u00eb lidhje me trupin ose jet\u00ebn e tyre private\r\n \tKontakt fizik i pad\u00ebshiruar, p.sh. af\u00ebrsi, prekje e pjes\u00ebve t\u00eb trupit, puthje\/p\u00ebrqafime ose di\u00e7ka tjet\u00ebr t\u00eb pad\u00ebshiruar\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr t\u00eb dal\u00eb n\u00eb nj\u00eb takim\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr \u00e7do aktivitet seksual\r\n \tPropozime t\u00eb pap\u00ebrshtatshme n\u00eb faqet e rrjeteve sociale\r\n \tEmail-e ose mesazhe me tekst t\u00eb pap\u00ebrshtatshme me p\u00ebrmbajtje seksuale eksplicite, t\u00eb cilat jan\u00eb t\u00eb pap\u00ebrshtatshme.\r\n \tEkspozimi ndaj imazheve me p\u00ebrmbajtje seksuale eksplicite\r\n \tK\u00ebrc\u00ebnime me pasoja t\u00eb pak\u00ebndshme n\u00ebse refuzonin propozime ose avancime seksuale\r\n\r\nNevoj\u00eb urgjente p\u00ebr veprim\r\n\r\nGjetjet nxjerrin n\u00eb pah nevoj\u00ebn urgjente p\u00ebr veprime t\u00eb synuara q\u00eb pranojn\u00eb ngacmimin seksual n\u00eb pun\u00eb si nj\u00eb \u00e7\u00ebshtje gjinore, njohin dob\u00ebsit\u00eb unike me t\u00eb cilat p\u00ebrballen grat\u00eb e reja dhe adresojn\u00eb dimensionin online. Nevojiten mbrojtje m\u00eb t\u00eb fort\u00eb dhe sisteme mb\u00ebshtet\u00ebse m\u00eb t\u00eb arritshme p\u00ebr t\u00eb parandaluar dhun\u00ebn dhe ngacmimin me baz\u00eb gjinore n\u00eb vendin e pun\u00ebs. Ne duhet t'i japim p\u00ebrpar\u00ebsi z\u00ebrave dhe p\u00ebrvojave t\u00eb grave, ve\u00e7an\u00ebrisht grave t\u00eb reja, duke siguruar mjedise m\u00eb t\u00eb sigurta ku t\u00eb drejtat e tyre respektohen dhe mb\u00ebshteten.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr<\/h2><\/div><\/div>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr\r\n\r\n\r\n\r\nShoqata Together for Life, organizoi n\u00eb Dib\u00ebr tryez\u00ebn e rrumbullak\u00ebt \u201cDialog publik p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor cil\u00ebsor dhe t\u00eb aksesuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb\u201d, me pjes\u00ebmarrjen e deputetes Alma Selami, p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve vendore, ekspert\u00ebve dhe aktor\u00ebve t\u00eb shoq\u00ebris\u00eb civile.\r\n\r\n\r\n\r\nDeputetja Selami si nj\u00eb nga z\u00ebrat p\u00ebrfaq\u00ebsues t\u00eb qytetit t\u00eb Dibr\u00ebs n\u00ebnvizoi r\u00ebnd\u00ebsin\u00eb e sektorit sh\u00ebndet\u00ebsor p\u00ebr mir\u00ebqenien e qytetar\u00ebve t\u00eb Dibr\u00ebs dhe mir\u00ebpriti shqet\u00ebsimet dhe propozimet e qytetar\u00ebve, duke u angazhuar p\u00ebr t\u2019i adresuar ato tek institucionet p\u00ebrgjegj\u00ebse n\u00eb nivel qendror.\r\n\r\n\r\n\r\nTryeza sh\u00ebrbeu si nj\u00eb platform\u00eb ky\u00e7e dialogu, duke mund\u00ebsuar identifikimin e sfidave q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb transparenc\u00eb, koordinim dhe v\u00ebmendje institucionale, n\u00eb funksion t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb dhe aksesit n\u00eb sh\u00ebrbimet sh\u00ebndet\u00ebsore.\r\n\r\nKy aktivitet u organizua n\u00eb kuad\u00ebr t\u00eb projektit \u201cTransparenca dhe Llogaridh\u00ebnia n\u00eb Sektorin e Sh\u00ebndet\u00ebsis\u00eb\u201d, mb\u00ebshtetur nga NED \u2013 National Endo\u00ebment for Democracy.\r\n\r\n\r\n\r\n\r\n\r\n***\r\n\r\n\u00a0Roundtable in Dib\u00ebr\r\n\r\n\r\n\r\nThe association Together for Life held a roundtable in Dib\u00ebr titled \u201cPublic Dialogue for a Quality and Accessible Healthcare System for All\u201d, with the participation of Member of Parliament Alma Selami, representatives of local institutions, experts, and civil society actors.\r\n\r\n\r\n\r\nMP Selami, as one of the representative voices of the Dib\u00ebr community, emphasized the importance of the healthcare sector for citizens\u2019 well-being and welcomed citizens\u2019 concerns and proposals, committing to address them with the responsible institutions at the central level.\r\n\r\n\u00a0The roundtable served as a key platform for dialogue, enabling the identification of challenges requiring greater transparency, coordination, and institutional attention, with the aim of improving the quality and accessibility of healthcare services.\r\n\r\n\r\n\r\n\r\n\r\nThis activity was organized within the framework of the project \u201cTransparency and Accountability in the Healthcare Sector\u201d, supported by National Endowment for Democracy (NED).<\/div><\/article>Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div><\/div>Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
Gjetjet e raportit \u201cEfektet e zbatimit t\u00eb skem\u00ebs s\u00eb vler\u00ebsimit t\u00eb aft\u00ebsis\u00eb s\u00eb kufizuar bazuar n\u00eb modelin bio-psiko-social\u201d, realizuar nga shoqata Together for Life me mb\u00ebshtetjen financiare t\u00eb Ambasad\u00ebs s\u00eb Suedis\u00eb n\u00eb Tiran\u00eb, u prezantuan n\u00eb nj\u00eb tryez\u00eb t\u00eb rrumbullak\u00ebt me pjes\u00ebmarrjen e p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve qendrore, institucioneve t\u00eb pavarura t\u00eb t\u00eb drejtave t\u00eb njeriut, Sh\u00ebrbimit Social Shtet\u00ebror, Inspektoratit Shtet\u00ebror t\u00eb Pun\u00ebs dhe Sh\u00ebrbimeve Shoq\u00ebrore, Agjencis\u00eb Komb\u00ebtare t\u00eb Pun\u00ebsimit dhe Aft\u00ebsive, Bashkis\u00eb Tiran\u00eb, Bashkis\u00eb Kam\u00ebz, si dhe organizatave t\u00eb shoq\u00ebris\u00eb civile q\u00eb punojn\u00eb n\u00eb fush\u00ebn e aft\u00ebsis\u00eb s\u00eb kufizuar.\r\n\r\nGjat\u00eb fjal\u00ebs s\u00eb tij p\u00ebrsh\u00ebndet\u00ebse, Zv. Ambasadori i Suedis\u00eb dhe Shefi i Zyr\u00ebs s\u00eb Bashk\u00ebpunimit p\u00ebr Zhvillim, z. Erik Illes, theksoi se procesi i integrimit t\u00eb Shqip\u00ebris\u00eb n\u00eb BE mbetet nj\u00eb nga shtyt\u00ebsit kryesor\u00eb t\u00eb reformave n\u00eb vend. Ai n\u00ebnvizoi se raporti prek thelbin e k\u00ebtyre p\u00ebrpjekjeve: forcimin e t\u00eb drejtave t\u00eb njeriut, p\u00ebrmir\u00ebsimin e qeverisjes dhe ofrimin e sh\u00ebrbimeve publike q\u00eb i p\u00ebrgjigjen realisht nevojave t\u00eb qytetar\u00ebve.\r\n\r\n\u201cRaporti i prezantuar sjell prova t\u00eb qarta se, pavar\u00ebsisht progresit t\u00eb arritur, mbeten ende sfida t\u00eb r\u00ebnd\u00ebsishme n\u00eb koordinim, aksesueshm\u00ebri, p\u00ebrdorimin e t\u00eb dh\u00ebnave dhe zbatimin praktik t\u00eb reformave\u201d, n\u00ebnvizoi Illes.\r\n\r\n\r\n\r\nKomisioneri p\u00ebr Mbrojtjen nga Diskriminimi, z. Robert Gajda, u shpreh se aft\u00ebsia e kufizuar mbetet nj\u00eb nga shkaqet m\u00eb t\u00eb shpeshta t\u00eb ankesave pran\u00eb institucionit t\u00eb tij, duke reflektuar sfidat e vazhdueshme q\u00eb p\u00ebrballin personat me aft\u00ebsi t\u00eb kufizuara n\u00eb jet\u00ebn e p\u00ebrditshme. Ai theksoi se nj\u00eb nga kritikat kryesore ndaj zbatimit t\u00eb vler\u00ebsimit bio-psiko-social lidhet me faktin se nuk \u00ebsht\u00eb punuar me t\u00eb nj\u00ebjtin intensitet n\u00eb dy drejtimet kryesore q\u00eb kjo qasje duhet t\u00eb kishte pasur: nga nj\u00ebra an\u00eb klasifikimin dhe nga ana tjet\u00ebr garantimi i sh\u00ebrbimeve mb\u00ebshtet\u00ebse.\r\n\r\n\r\n\r\nRaporti thekson se, megjith\u00ebse modeli bio-psiko-social synon nj\u00eb qasje m\u00eb t\u00eb plot\u00eb dhe m\u00eb dinjitoze ndaj aft\u00ebsis\u00eb s\u00eb kufizuar, n\u00eb praktik\u00eb vijojn\u00eb t\u00eb evidentohen boshll\u00ebqe t\u00eb r\u00ebnd\u00ebsishme n\u00eb koordinimin nd\u00ebrinstitucional, transparenc\u00ebn, cil\u00ebsin\u00eb e t\u00eb dh\u00ebnave, ofrimin e sh\u00ebrbimeve dhe mb\u00ebshtetjen reale p\u00ebr personat me aft\u00ebsi t\u00eb kufizuara. Ka ardhur koha q\u00eb qeveria shqiptare t\u00eb njoh\u00eb dhe vler\u00ebsoj\u00eb kontributet e personave me aft\u00ebsi t\u00eb kufizuar, si dhe t\u00eb d\u00ebgjoj\u00eb dhe t\u00eb p\u00ebrgjigjet denj\u00ebsisht ndaj nevojave t\u00eb tyre.\r\n\r\n\r\n\r\n***\r\n\r\nThe findings of the report\u00a0\u201cEffects of the implementation of the disability assessment scheme based on the bio-psycho-social model\u201d, prepared by Together for Life with the financial support of the Embassy of Sweden in Tirana, were presented during a roundtable discussion with the participation of representatives from central institutions, independent human rights institutions, the State Social Service, the State Inspectorate of Labor and Social Services, the National Employment and Skills Agency, the Municipality of Tirana, the Municipality of Kam\u00ebz, as well as civil society organizations working in the field of disability.\r\n\r\nIn his welcoming remarks, the Deputy Ambassador of Sweden and Head of Development Cooperation, Mr. Erik Illes, emphasized that Albania\u2019s EU integration process remains one of the main drivers of reforms in the country.\r\n\r\nHe underlined that the report addresses the core of these efforts: strengthening human rights, improving governance, and ensuring that public services respond effectively to the needs of citizens.\r\n\r\n\u201cThe presented report provides clear evidence that, despite the progress achieved, significant challenges remain in coordination, accessibility, data use, and the practical implementation of reforms,\u201d Illes noted.\r\n\r\nThe Commissioner for Protection from Discrimination, Mr. Robert Gajda, stated that disability remains one of the most frequent grounds for complaints submitted to his institution, reflecting the ongoing challenges faced by persons with disabilities in their daily lives.\r\n\r\nHe highlighted that one of the main criticisms regarding the implementation of the bio-psycho-social assessment relates to the lack of equal focus on its two key components: on one hand, classification, and on the other, the provision of supportive services.\r\n\r\nThe report highlights that, although the bio-psycho-social model aims to promote a more comprehensive and dignified approach to disability, in practice significant gaps persist in inter-institutional coordination, transparency, data quality, service provision and real support for persons with disabilities. The time has come for the Albanian government to recognize and value the contributions of persons with disabilities, as well as to listen to and respond adequately to their needs.<\/div><\/article>Raport – Mbi efektet e zbatimit t\u00eb skem\u00ebs s\u00eb vler\u00ebsimit t\u00eb aft\u00ebsis\u00eb s\u00eb kufizuar bazuar n\u00eb modelin bio-psiko-social<\/h2><\/div>
Raport – Mbi efektet e zbatimit t\u00eb skem\u00ebs s\u00eb vler\u00ebsimit t\u00eb aft\u00ebsis\u00eb s\u00eb kufizuar bazuar n\u00eb modelin bio-psiko-social<\/h2><\/div><\/div><\/div><\/article>Sexual harassment at workplace – Toolkit for legal and empirical research<\/h2><\/div><\/div>Title: Sexual harassment at workplace - toolkit for legal and empirical\r\nresearch\r\n\r\nPublisher: Slovak National Centre for Human Rights, 2026\r\n\r\nEditors: Michaela Ujh\u00e1zyov\u00e1, Anna M\u00e1ri\u00e1ssyov\u00e1\r\n\r\nGraphic design: Kamila \u010cern\u00e1kov\u00e1, Jakub Kov\u00e1\u010d\r\n\r\nThis publication was created within the project VIOLET - Towards workplaces without sexual harassment and violence No. 101195098 CERV2024-DAPHNE. Co-authors are members of the Expert group consisting of legal and sociological research experts from partner countries (Albania, Czech Republic, Latvia, North Macedonia, Portugal and Slovakia): Sofia Cabral Lopes, Neda Chalovska Dimovska, Mari\u00e1n Fil\u010d\u00edk,\r\nElvin Gjevori, Rudina Hoxha, Ma\u017evydas Karalius, Alma Lahe, Anna M\u00e1ri\u00e1ssyov\u00e1, Magdal\u00e9na Musilov\u00e1, Eriselda Ndreca, Goran Neshevski, Lucie Novotn\u00e1, Aleksandar Ristovski, Anita Sares, Carlota Santos Silva, Michaela \u0160ina\u013e, Ersida Teliti, Suela Topi, Michaela Ujh\u00e1zyov\u00e1, Renata Vanag\u0117lien\u0117, Kire Vasilev, Laima Vengal\u0117-Dits, Diamanta Vito<\/div><\/article>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb shp\u00ebton pacient\u00ebt, por rrezikon t\u00eb ndalet!<\/h2><\/div><\/div>Nga Ida Ismalaj Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb \u00ebsht\u00eb nj\u00eb nevoj\u00eb jetike p\u00ebr mij\u00ebra t\u00eb moshuar dhe pacient\u00eb kronik\u00eb n\u00eb Shqip\u00ebri, t\u00eb cil\u00ebt p\u00ebr shkak t\u00eb problemeve sh\u00ebndet\u00ebsore apo kushteve t\u00eb v\u00ebshtira t\u00eb transportit e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore. \u201cTogether for Life\u201d thekson\u00a0p\u00ebrmes nj\u00eb raporti gjithp\u00ebrfshir\u00ebs\u00a0se ky sh\u00ebrbim ka p\u00ebrmir\u00ebsuar ndjesh\u00ebm aksesin n\u00eb kujdes p\u00ebr mij\u00ebra pacient\u00eb gjat\u00eb viteve t\u00eb fundit, por paralajm\u00ebron se mungesa e nj\u00eb financimi t\u00eb q\u00ebndruesh\u00ebm rrezikon vazhdim\u00ebsin\u00eb e tij.\r\n\r\n\r\n\r\nKy sh\u00ebrbim u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 si nj\u00eb tipologji e re e kujdesit sh\u00ebndet\u00ebsor n\u00eb vend dhe synon t\u2019u ofroj\u00eb pacient\u00ebve nj\u00eb gam\u00eb m\u00eb t\u00eb gjer\u00eb sh\u00ebrbimesh n\u00eb sht\u00ebpi, p\u00ebrmes infermier\u00ebve t\u00eb trajnuar. Projekti ka mb\u00ebshtetur 150 qendra sh\u00ebndet\u00ebsore dhe vet\u00ebm gjat\u00eb vitit t\u00eb fundit kan\u00eb p\u00ebrfituar rreth 4800 pacient\u00eb nga sh\u00ebrbimi n\u00eb banes\u00eb. Megjithat\u00eb, vler\u00ebsohet se 15-20 mij\u00eb qytetar\u00eb kan\u00eb nevoj\u00eb p\u00ebr k\u00ebt\u00eb kujdes.\r\n\r\n\r\n\r\nT\u00eb moshuarit p\u00ebrballen me barriera t\u00eb m\u00ebdha p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim\r\n\r\n\r\nN\u00eb takimin e sot\u00ebm gjat\u00eb t\u00eb cilit u shpalos\u00ebn edhe gjetjet e vler\u00ebsimit, u theksua se nj\u00eb pjes\u00eb e madhe e t\u00eb moshuarve n\u00eb Shqip\u00ebri p\u00ebrballen me probleme t\u00eb theksuara t\u00eb l\u00ebvizshm\u00ebris\u00eb. Sipas vler\u00ebsimeve, rreth 35% e personave mbi 70 vje\u00e7 kan\u00eb v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje, nd\u00ebrsa kjo p\u00ebrqindje rritet ndjesh\u00ebm mbi mosh\u00ebn 85 vje\u00e7.\r\n\r\n\r\n\r\nS\u00ebmundje si artriti, osteoporoza, frakturat nga rr\u00ebzimet, goditja n\u00eb tru dhe s\u00ebmundja e parkinsonit jan\u00eb nd\u00ebr shkaqet m\u00eb t\u00eb zakonshme q\u00eb kufizojn\u00eb l\u00ebvizjen e t\u00eb moshuarve. Si pasoj\u00eb, shum\u00eb prej tyre e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr t\u00eb marr\u00eb sh\u00ebrbimin.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb vizituar nj\u00eb qend\u00ebr sh\u00ebndet\u00ebsore, shumica e pacient\u00ebve kan\u00eb nevoj\u00eb p\u00ebr ndihm\u00ebn e familjar\u00ebve ose p\u00ebr transport t\u00eb paguar, q\u00eb shpesh \u00ebsht\u00eb i pap\u00ebrballuesh\u00ebm. Kjo situat\u00eb sjell kosto t\u00eb konsiderueshme financiare p\u00ebr familjet.\r\n\r\n\r\n\r\nNj\u00eb pacient nga Dibra e p\u00ebrshkruan k\u00ebshtu v\u00ebshtir\u00ebsin\u00eb p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim:\r\n\r\n\r\n\r\n\u201cQendr\u00ebn Sh\u00ebndet\u00ebsore e kemi larg nj\u00eb or\u00eb e gjysm\u00eb n\u00eb k\u00ebmb\u00eb. Nuk kam fuqi t\u00eb shkoj deri atje n\u00eb k\u00ebmb\u00eb dhe detyrohem t\u00eb p\u00ebrdor ndonj\u00eb mjet k\u00ebtu n\u00eb lagje q\u00eb m\u00eb \u00e7on kundrejt pages\u00ebs sepse makina punon me naft\u00eb dhe nafta kushton.\u201d\r\n\r\n\r\n\r\nNga ana tjet\u00ebr, edhe vet\u00eb stafet sh\u00ebndet\u00ebsore p\u00ebrballen me munges\u00eb pajisjesh p\u00ebr pacient\u00ebt me nevoja t\u00eb ve\u00e7anta.\r\n\r\n\r\n\r\n\u201cN\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore kemi dy dyshek\u00eb ajri dhe dy karroca. Ua kemi shp\u00ebrndar\u00eb pacient\u00ebve. K\u00ebrkesa kemi, por nuk i plot\u00ebsojm\u00eb dot\u201d shprehet nj\u00eb infermier nga Dibra.\r\n\r\n\r\n\r\nT\u00eb dh\u00ebnat e projektit Health for All (HAP) tregojn\u00eb se vet\u00ebm 8.9% e pacient\u00ebve invalid\u00eb raportojn\u00eb se mund t\u00eb vizitojn\u00eb ndonj\u00ebher\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore pa ndihm\u00eb.\r\n\r\n\r\n\r\nBarriera kryesore p\u00ebr pacient\u00ebt me v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje mbetet pamund\u00ebsia p\u00ebr t\u00eb arritur fizikisht n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore. N\u00eb vitin 2023, 63.8% e pacient\u00ebve raportuan se nuk mund t\u00eb ecnin deri n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore dhe 38.7% deklaruan se nuk mund t\u00eb p\u00ebrballonin kostot e transportit.\r\n\r\n\r\n\r\nTogether for Life evidentoi gjithashtu probleme me munges\u00ebn e mjek\u00ebve dhe infermier\u00ebve n\u00eb zonat rurale dhe t\u00eb thella. N\u00eb shum\u00eb raste, bluzat e bardha nuk pranojn\u00eb t\u00eb punojn\u00eb n\u00eb k\u00ebto zona, duke kufizuar m\u00eb tej aksesin e pacient\u00ebve n\u00eb sh\u00ebrbime.\r\n\r\n\r\n\r\nSipas analiz\u00ebs, \u00e7do sh\u00ebrbim i ri k\u00ebrkon financim t\u00eb dedikuar. Aktualisht, kostoja minimale p\u00ebr nj\u00eb infermier q\u00eb ofron sh\u00ebrbim n\u00eb banes\u00eb \u00ebsht\u00eb rreth:\r\n\r\n\r\n\r\n\r\n2700 lek\u00eb n\u00eb muaj p\u00ebr materiale,\r\n\r\n\r\n\r\n3000 lek\u00eb n\u00eb muaj p\u00ebr transport.\r\n\r\n\r\n\r\n\r\nMirela Rrumbullaku, nga Komisioneri p\u00ebr Mbrojtjen nga Diskriminimi tha se pacient\u00ebt me pamund\u00ebsi l\u00ebvizjeje jan\u00eb nd\u00ebr grupet m\u00eb t\u00eb margjinalizuara.\r\n\r\n\r\n\r\n\u201cAnkesat b\u00ebhen nul sepse pacient\u00ebt k\u00ebrkojn\u00eb zgjidhje emergjente. N\u00eb baz\u00eb t\u00eb ligjit, procedura k\u00ebrkon koh\u00ebn e vet dhe nuk ka m\u00eb vler\u00eb.\u201d\r\n\r\n\r\n\r\nAjo shton se n\u00eb shum\u00eb qendra sh\u00ebndet\u00ebsore mungojn\u00eb edhe mekanizmat baz\u00eb p\u00ebr t\u00eb paraqitur nj\u00eb ankes\u00eb: \u201cN\u00eb qendrat sh\u00ebndet\u00ebsore nuk ke nj\u00eb der\u00eb po t\u00eb duash t\u00eb b\u00ebsh nj\u00eb ankes\u00eb p\u00ebr sh\u00ebrbimin aty. Nuk duhet ta k\u00ebrkoj\u00eb qytetari sh\u00ebrbimin, por duhet t\u2019i ofrohet atij.\u201d\r\n\r\n\r\n\r\nInstitucionet: Financimi \u00ebsht\u00eb i mundur\r\n\r\n\r\nNga ana e Fondit t\u00eb Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor, zv.drejtori Markens Shllaku deklaroi se financimi i kujdesit par\u00ebsor \u00ebsht\u00eb rritur ndjesh\u00ebm n\u00eb vitet e fundit,\r\n\r\n\r\n\r\n\u201cFinancimi i sh\u00ebrbimit par\u00ebsor nga viti 2013 q\u00eb ishte 50 milion\u00eb euro, n\u00eb vitin 2025 \u00ebsht\u00eb 140 milion\u00eb euro. \u00cbsht\u00eb financuar af\u00ebrsisht 3 her\u00eb m\u00eb shum\u00eb,\u201d u shpreh ai.\r\n\r\n\r\n\r\nSipas tij, vet\u00ebm gjat\u00eb vitit 2025 jan\u00eb kryer rreth 390 mij\u00eb sh\u00ebrbime n\u00eb kujdesin par\u00ebsor. Ai theksoi gjithashtu se Shqip\u00ebria ka kapacitete financiare p\u00ebr t\u00eb mb\u00ebshtetur sh\u00ebrbimin, q\u00eb t\u00eb mos ndaloj\u00eb edhe pas p\u00ebrfundimit t\u00eb financimit nga projekti.\r\n\r\n\r\n\r\n\u201cRekomandimi i Bank\u00ebs Bot\u00ebrore p\u00ebr Shqip\u00ebrin\u00eb \u00ebsht\u00eb 50 euro\/ banor\u00eb. Ne kemi 75 euro\/banor\u00eb financimin, pra i kemi mund\u00ebsit\u00eb e financimit.\u201d\r\n\r\n\r\n\r\nRaporti i Together for Life paraqiti disa rekomandime kryesore p\u00ebr institucionet shtet\u00ebrore, nd\u00ebr t\u00eb cilat nevoj\u00ebn p\u00ebr nj\u00eb qasje m\u00eb t\u00eb strukturuar dhe t\u00eb q\u00ebndrueshme n\u00eb organizimin dhe financimin e sh\u00ebrbimeve sh\u00ebndet\u00ebsore, ve\u00e7an\u00ebrisht p\u00ebr kategorit\u00eb m\u00eb t\u00eb prekura t\u00eb popullsis\u00eb.\r\n\r\n\r\n\r\nMinistria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale duhet t\u00eb marr\u00eb n\u00eb konsiderat\u00eb financimin e sh\u00ebrbimit t\u00eb Kujdesit Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb, me q\u00ebllim garantimin e aksesit t\u00eb pacient\u00ebve t\u00eb moshuar dhe t\u00eb invalidizuar n\u00eb sh\u00ebrbime cil\u00ebsore dhe t\u00eb vazhdueshme.\r\n\r\n\r\n\r\nN\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, n\u00ebnvizohet r\u00ebnd\u00ebsin\u00eb e rritjes s\u00eb transparenc\u00ebs n\u00eb menaxhimin e financave t\u00eb sektorit sh\u00ebndet\u00ebsor. Rekomandohet konsolidimi dhe publikimi i t\u00eb dh\u00ebnave financiare p\u00ebr sh\u00ebndet\u00ebsin\u00eb, duke p\u00ebrfshir\u00eb t\u00eb gjitha burimet e financimit dhe analiza m\u00eb t\u00eb detajuara t\u00eb shpenzimeve, n\u00eb m\u00ebnyr\u00eb q\u00eb publiku dhe institucionet mbik\u00ebqyr\u00ebse t\u00eb ken\u00eb nj\u00eb pasqyr\u00eb m\u00eb t\u00eb qart\u00eb mbi p\u00ebrdorimin e fondeve.\r\n\r\n\r\n\r\nNj\u00eb tjet\u00ebr problem i evidentuar lidhet me munges\u00ebn e specialist\u00ebve n\u00eb qendrat sh\u00ebndet\u00ebsore. Raporti sugjeron plot\u00ebsimin e strukturave me profesionist\u00eb t\u00eb till\u00eb si psikolog\u00eb dhe fizioterapist\u00eb, t\u00eb cil\u00ebt konsiderohen thelb\u00ebsor\u00eb p\u00ebr t\u00eb adresuar n\u00eb m\u00ebnyr\u00eb m\u00eb gjith\u00ebp\u00ebrfshir\u00ebse nevojat e pacient\u00ebve.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb p\u00ebrmir\u00ebsuar menaxhimin e k\u00ebtij sh\u00ebrbimi, ekspert\u00ebt rekomandojn\u00eb gjithashtu q\u00eb Kujdesi Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb t\u00eb p\u00ebrfshihet si nj\u00eb produkt i ve\u00e7ant\u00eb n\u00eb buxhetin e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Kjo do t\u00eb mund\u00ebsonte gjurmimin m\u00eb t\u00eb qart\u00eb t\u00eb shpenzimeve dhe investimeve t\u00eb dedikuara p\u00ebr k\u00ebt\u00eb sh\u00ebrbim, duke rritur p\u00ebrgjegjshm\u00ebrin\u00eb institucionale.\r\n\r\n\r\n\r\nN\u00eb aspektin e motivimit t\u00eb personelit sh\u00ebndet\u00ebsor, Together for Life propozoi krijimin e nj\u00eb sistemi pagese q\u00eb kombinon pag\u00ebn baz\u00eb me nj\u00eb shp\u00ebrblim shtes\u00eb, t\u00eb lidhur me numrin e pacient\u00ebve q\u00eb mbulon \u00e7do infermier, dhe nevoj\u00ebn p\u00ebr rritjen e transparenc\u00ebs n\u00eb procesin e vler\u00ebsimit t\u00eb cil\u00eb<\/div><\/article>Nevoja n\u00eb rritje p\u00ebr Kujdes Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb k\u00ebrkon angazhim t\u00eb menj\u00ebhersh\u00ebm buxhetor nga Ministria e Sh\u00ebndet\u00ebsis\u00eb<\/h2><\/div><\/div>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb (KSHB) p\u00ebrb\u00ebn nj\u00eb sh\u00ebrbim jetik p\u00ebr pacient\u00ebt q\u00eb nuk mund t\u00eb aksesojn\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr shkak t\u00eb pamund\u00ebsis\u00eb s\u00eb p\u00ebrkohshme ose t\u00eb p\u00ebrhershme p\u00ebr t\u00eb l\u00ebvizur, p\u00ebrfshir\u00eb t\u00eb moshuarit, pacient\u00ebt me s\u00ebmundje kronike, pacient\u00ebt terminal\u00eb apo ata n\u00eb periudh\u00eb post-operator\u00eb. Ky sh\u00ebrbim, si nj\u00eb tipologji e re n\u00eb sistemin sh\u00ebndet\u00ebsor shqiptar, ofron nj\u00eb gam\u00eb t\u00eb gjer\u00eb kujdesi n\u00eb sht\u00ebpi p\u00ebrmes infermier\u00ebve t\u00eb trajnuar n\u00eb procedura t\u00eb avancuara, duke e sjell\u00eb sh\u00ebrbimin m\u00eb pran\u00eb pacientit dhe duke rritur ndjesh\u00ebm aksesin n\u00eb kujdes.\r\n\r\nKSHB u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 nga projekti \u201cHealth for All\u201d (HAP), me mb\u00ebshtetjen e Agjencis\u00eb Zvicerane p\u00ebr Zhvillim dhe Bashk\u00ebpunim (SDC), n\u00eb disa qendra sh\u00ebndet\u00ebsore n\u00eb qarqet Dib\u00ebr dhe Fier. Deri n\u00eb vitin 2026, mb\u00ebshtetja \u00ebsht\u00eb zgjeruar n\u00eb rreth 150 qendra sh\u00ebndet\u00ebsore, nd\u00ebrsa n\u00eb shtator 2024 Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale nd\u00ebrmori hapin p\u00ebr shtrirjen e k\u00ebtij sh\u00ebrbimi n\u00eb nivel komb\u00ebtar, duke e konsideruar at\u00eb pjes\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb reformave n\u00eb kujdesin par\u00ebsor.\r\n\r\nMegjithat\u00eb, p\u00ebrtej k\u00ebtij angazhimi politik t\u00eb Ministris\u00eb p\u00ebrgjegj\u00ebse, sfida kryesore mbetet mungesa e nj\u00eb financimi t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm. Aktualisht, ofruesit e sh\u00ebrbimit p\u00ebrballen me kufizime t\u00eb konsiderueshme, p\u00ebrfshir\u00eb munges\u00ebn e pajisjeve dhe materialeve baz\u00eb, kostot e pambuluara t\u00eb transportit p\u00ebr vizitat n\u00eb terren, munges\u00ebn e incentivave p\u00ebr personelin sh\u00ebndet\u00ebsor, si dhe nevoj\u00ebn p\u00ebr forcimin e kapaciteteve profesionale t\u00eb stafit infermieror.\r\n\r\nNd\u00ebrkoh\u00eb, k\u00ebrkesa p\u00ebr k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb n\u00eb rritje t\u00eb vazhdueshme. T\u00eb dh\u00ebnat e CENSUS-it 2023 tregojn\u00eb se rreth 6.5% e popullsis\u00eb n\u00eb Shqip\u00ebri vet\u00eb-identifikohet si persona me aft\u00ebsi t\u00eb kufizuara, nd\u00ebrsa mbi 4.3% raportojn\u00eb v\u00ebshtir\u00ebsi serioze n\u00eb l\u00ebvizje. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, plakja e popullsis\u00eb dhe fakti q\u00eb rreth 20% e saj \u00ebsht\u00eb mbi 65 vje\u00e7, s\u00eb bashku me numrin e lart\u00eb t\u00eb t\u00eb moshuarve q\u00eb jetojn\u00eb vet\u00ebm, rrisin ndjesh\u00ebm nevoj\u00ebn p\u00ebr sh\u00ebrbime t\u00eb kujdesit n\u00eb banes\u00eb.\r\n\r\nPavar\u00ebsisht k\u00ebtyre treguesve dhe nevoj\u00ebs n\u00eb rritje p\u00ebr sh\u00ebrime sh\u00ebndet\u00ebsore n\u00eb banes\u00eb, Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale ende nuk ka nd\u00ebrmarr\u00eb hapa konkret\u00eb p\u00ebr t\u00eb siguruar nj\u00eb financim t\u00eb strukturuar p\u00ebr k\u00ebt\u00eb sh\u00ebrbim. Kjo vjen n\u00eb nj\u00eb koh\u00eb kur vet\u00eb dokumentet strategjike t\u00eb ministris\u00eb parashikojn\u00eb rritjen e financimit p\u00ebr kujdesin par\u00ebsor dhe alokimin progresiv t\u00eb fondeve p\u00ebr KSHB deri n\u00eb 2% t\u00eb buxhetit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb sh\u00ebndet\u00ebsis\u00eb, nj\u00eb objektiv q\u00eb mbetet ende i pap\u00ebrmbushur.\r\n\r\nAnalizat financiare tregojn\u00eb se investimi n\u00eb k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb jo vet\u00ebm i realizuesh\u00ebm, por edhe ekonomikisht i leverdish\u00ebm. Sipas dy skenar\u00ebve t\u00eb financimit t\u00eb p\u00ebrgatitur nga shoqata Together for Life, kostoja e implementimit n\u00eb shkall\u00eb t\u00eb gjer\u00eb p\u00ebr vitin e par\u00eb varion nga rreth 297.5 milion\u00eb lek\u00eb deri n\u00eb 970.8 milion\u00eb lek\u00eb, n\u00eb var\u00ebsi t\u00eb modelit t\u00eb zgjedhur. P\u00ebr m\u00eb tep\u00ebr, ky investim pritet t\u00eb gjeneroj\u00eb kursime t\u00eb qen\u00ebsishme p\u00ebr sistemin sh\u00ebndet\u00ebsor, duke reduktuar nevoj\u00ebn p\u00ebr shtrime spitalore dhe duke ulur kostot deri n\u00eb 1.6 miliard\u00eb lek\u00eb n\u00eb vit.\r\n\r\nN\u00eb k\u00ebt\u00eb kuad\u00ebr, financimi i kujdesit sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet par\u00eb vet\u00ebm si nj\u00eb detyrim social ndaj kategorive m\u00eb vulnerab\u00ebl, por edhe si nj\u00eb zgjedhje strategjike dhe e q\u00ebndrueshme p\u00ebr p\u00ebrmir\u00ebsimin e eficienc\u00ebs s\u00eb sistemit sh\u00ebndet\u00ebsor. Shoqata Together for Life ka ngritur vazhdimisht k\u00ebt\u00eb shqet\u00ebsim gjat\u00eb vitit t\u00eb fundit, duke e adresuar at\u00eb si n\u00eb Komisionin Parlamentar t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Mir\u00ebqenies Sociale, ashtu edhe pran\u00eb Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb.\r\n\r\nP\u00ebr t\u00eb garantuar q\u00ebndrueshm\u00ebrin\u00eb afatgjat\u00eb t\u00eb k\u00ebtij sh\u00ebrbimi, k\u00ebrkohet nd\u00ebrmarrja e masave konkrete nga institucionet p\u00ebrgjegj\u00ebse. K\u00ebto p\u00ebrfshijn\u00eb sigurimin e financimit t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm p\u00ebr KSHB si nj\u00eb linj\u00eb t\u00eb ve\u00e7ant\u00eb buxhetore n\u00eb programet e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Nj\u00ebkoh\u00ebsisht, edhe nga Parlamenti k\u00ebrkohet q\u00eb t\u00eb ushtroj\u00eb n\u00eb m\u00ebnyr\u00eb aktive funksionin e tij mbik\u00ebqyr\u00ebs p\u00ebr t\u00eb garantuar alokimin dhe p\u00ebrdorimin efektiv t\u00eb burimeve publike n\u00eb k\u00ebt\u00eb drejtim.\r\n\r\nKujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet t\u00eb mbetet nj\u00eb iniciativ\u00eb e p\u00ebrkohshme e varur nga mb\u00ebshtetja e donator\u00ebve. Ai duhet t\u00eb konsolidohet si nj\u00eb sh\u00ebrbim i integruar, i q\u00ebndruesh\u00ebm dhe plot\u00ebsisht i financuar nga shteti, n\u00eb funksion t\u00eb nj\u00eb sistemi sh\u00ebndet\u00ebsor m\u00eb gjith\u00ebp\u00ebrfshir\u00ebs, m\u00eb efikas dhe m\u00eb t\u00eb drejt\u00eb p\u00ebr t\u00eb gjith\u00eb qytetar\u00ebt, ve\u00e7an\u00ebrisht p\u00ebr ata q\u00eb jan\u00eb m\u00eb n\u00eb nevoj\u00eb.<\/div><\/article>Ngacmimi seksual n\u00eb pun\u00eb, \u00e7\u00ebshtje e barazis\u00eb gjinore<\/h2><\/div><\/div>\u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual?\r\n\r\n\"Kur ndodh ndonj\u00eb form\u00eb e sjelljes s\u00eb pad\u00ebshiruar verbale, joverbale ose fizike me natyr\u00eb seksuale, me q\u00ebllim ose pasoj\u00eb shkeljen e dinjitetit t\u00eb nj\u00eb personi, ve\u00e7an\u00ebrisht kur krijohet nj\u00eb mjedis k\u00ebrc\u00ebnues, armiq\u00ebsor, degradues, posht\u00ebrues ose ofendues.\" - Direktiva e BE-s\u00eb 2002\/73\/KE\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje e barazis\u00eb gjinore\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb prek kryesisht grat\u00eb. Edhe pse \u00ebsht\u00eb nj\u00eb problem n\u00eb vendin e pun\u00ebs, ngacmimi seksual \u00ebsht\u00eb kryesisht nj\u00eb \u00e7\u00ebshtje gjinore e nxitur nga ata burra q\u00eb ndihen t\u00eb autorizuar t'i seksualizojn\u00eb grat\u00eb p\u00ebrmes prekjes, avancimeve t\u00eb pap\u00ebrshtatshme n\u00eb mediat sociale, emaileve ose mesazheve, shakave seksuale ose ekspozimit ndaj imazheve seksualisht eksplicite. K\u00ebto sjellje t\u00eb pad\u00ebshiruara d\u00ebmtojn\u00eb dinjitetin e viktimave dhe krijojn\u00eb nj\u00eb mjedis pune toksik.\r\n\r\nGrat\u00eb p\u00ebrjetojn\u00eb ngacmim seksual kryesisht nga burrat, ku koleg\u00ebt jan\u00eb shkel\u00ebsit m\u00eb t\u00eb zakonsh\u00ebm.\r\n\r\nBurrat gjithashtu p\u00ebrjetojn\u00eb ngacmim seksual n\u00eb pun\u00eb (DHP). N\u00eb t\u00eb 11 shtetet an\u00ebtare p\u00ebr t\u00eb cilat Sondazhi i BE-s\u00eb p\u00ebr Dhun\u00ebn me Gj\u00ebra t\u00eb Barabarta mblodhi t\u00eb dh\u00ebna edhe mbi dhun\u00ebn ndaj burrave, rezultatet tregojn\u00eb nj\u00eb prevalenc\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb DHP krahasuar me grat\u00eb.\r\n\r\nNgacmimi seksual mund t\u00eb marr\u00eb shum\u00eb forma\r\n\r\nN\u00eb t\u00eb gjith\u00eb BE-n\u00eb, normat e ngacmimit seksual q\u00eb p\u00ebrjetojn\u00eb grat\u00eb n\u00eb pun\u00eb ndryshojn\u00eb shum\u00eb: nga 55% n\u00eb Suedi, 54% n\u00eb Finland\u00eb, 53% n\u00eb Sllovaki dhe shkojn\u00eb deri n\u00eb 12% n\u00eb Portugali dhe Bullgari, dhe 11% n\u00eb Letoni.\r\n\r\nSi pjes\u00eb e anket\u00ebs s\u00eb BE-s\u00eb mbi dhun\u00ebn me baz\u00eb gjinore, grat\u00eb ndan\u00eb p\u00ebrvojat e tyre t\u00eb ngacmimit seksual, duke zgjedhur nga nj\u00eb list\u00eb aktesh q\u00eb i b\u00ebn\u00eb t\u00eb ndiheshin t\u00eb ofenduara, t\u00eb posht\u00ebruara ose t\u00eb frik\u00ebsuara:\r\n\r\n \tV\u00ebshtrim i pap\u00ebrshtatsh\u00ebm\r\n \tShaka seksuale t\u00eb pahijshme ose v\u00ebrejtje fyese n\u00eb lidhje me trupin ose jet\u00ebn e tyre private\r\n \tKontakt fizik i pad\u00ebshiruar, p.sh. af\u00ebrsi, prekje e pjes\u00ebve t\u00eb trupit, puthje\/p\u00ebrqafime ose di\u00e7ka tjet\u00ebr t\u00eb pad\u00ebshiruar\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr t\u00eb dal\u00eb n\u00eb nj\u00eb takim\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr \u00e7do aktivitet seksual\r\n \tPropozime t\u00eb pap\u00ebrshtatshme n\u00eb faqet e rrjeteve sociale\r\n \tEmail-e ose mesazhe me tekst t\u00eb pap\u00ebrshtatshme me p\u00ebrmbajtje seksuale eksplicite, t\u00eb cilat jan\u00eb t\u00eb pap\u00ebrshtatshme.\r\n \tEkspozimi ndaj imazheve me p\u00ebrmbajtje seksuale eksplicite\r\n \tK\u00ebrc\u00ebnime me pasoja t\u00eb pak\u00ebndshme n\u00ebse refuzonin propozime ose avancime seksuale\r\n\r\nNevoj\u00eb urgjente p\u00ebr veprim\r\n\r\nGjetjet nxjerrin n\u00eb pah nevoj\u00ebn urgjente p\u00ebr veprime t\u00eb synuara q\u00eb pranojn\u00eb ngacmimin seksual n\u00eb pun\u00eb si nj\u00eb \u00e7\u00ebshtje gjinore, njohin dob\u00ebsit\u00eb unike me t\u00eb cilat p\u00ebrballen grat\u00eb e reja dhe adresojn\u00eb dimensionin online. Nevojiten mbrojtje m\u00eb t\u00eb fort\u00eb dhe sisteme mb\u00ebshtet\u00ebse m\u00eb t\u00eb arritshme p\u00ebr t\u00eb parandaluar dhun\u00ebn dhe ngacmimin me baz\u00eb gjinore n\u00eb vendin e pun\u00ebs. Ne duhet t'i japim p\u00ebrpar\u00ebsi z\u00ebrave dhe p\u00ebrvojave t\u00eb grave, ve\u00e7an\u00ebrisht grave t\u00eb reja, duke siguruar mjedise m\u00eb t\u00eb sigurta ku t\u00eb drejtat e tyre respektohen dhe mb\u00ebshteten.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr<\/h2><\/div><\/div>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr\r\n\r\n\r\n\r\nShoqata Together for Life, organizoi n\u00eb Dib\u00ebr tryez\u00ebn e rrumbullak\u00ebt \u201cDialog publik p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor cil\u00ebsor dhe t\u00eb aksesuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb\u201d, me pjes\u00ebmarrjen e deputetes Alma Selami, p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve vendore, ekspert\u00ebve dhe aktor\u00ebve t\u00eb shoq\u00ebris\u00eb civile.\r\n\r\n\r\n\r\nDeputetja Selami si nj\u00eb nga z\u00ebrat p\u00ebrfaq\u00ebsues t\u00eb qytetit t\u00eb Dibr\u00ebs n\u00ebnvizoi r\u00ebnd\u00ebsin\u00eb e sektorit sh\u00ebndet\u00ebsor p\u00ebr mir\u00ebqenien e qytetar\u00ebve t\u00eb Dibr\u00ebs dhe mir\u00ebpriti shqet\u00ebsimet dhe propozimet e qytetar\u00ebve, duke u angazhuar p\u00ebr t\u2019i adresuar ato tek institucionet p\u00ebrgjegj\u00ebse n\u00eb nivel qendror.\r\n\r\n\r\n\r\nTryeza sh\u00ebrbeu si nj\u00eb platform\u00eb ky\u00e7e dialogu, duke mund\u00ebsuar identifikimin e sfidave q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb transparenc\u00eb, koordinim dhe v\u00ebmendje institucionale, n\u00eb funksion t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb dhe aksesit n\u00eb sh\u00ebrbimet sh\u00ebndet\u00ebsore.\r\n\r\nKy aktivitet u organizua n\u00eb kuad\u00ebr t\u00eb projektit \u201cTransparenca dhe Llogaridh\u00ebnia n\u00eb Sektorin e Sh\u00ebndet\u00ebsis\u00eb\u201d, mb\u00ebshtetur nga NED \u2013 National Endo\u00ebment for Democracy.\r\n\r\n\r\n\r\n\r\n\r\n***\r\n\r\n\u00a0Roundtable in Dib\u00ebr\r\n\r\n\r\n\r\nThe association Together for Life held a roundtable in Dib\u00ebr titled \u201cPublic Dialogue for a Quality and Accessible Healthcare System for All\u201d, with the participation of Member of Parliament Alma Selami, representatives of local institutions, experts, and civil society actors.\r\n\r\n\r\n\r\nMP Selami, as one of the representative voices of the Dib\u00ebr community, emphasized the importance of the healthcare sector for citizens\u2019 well-being and welcomed citizens\u2019 concerns and proposals, committing to address them with the responsible institutions at the central level.\r\n\r\n\u00a0The roundtable served as a key platform for dialogue, enabling the identification of challenges requiring greater transparency, coordination, and institutional attention, with the aim of improving the quality and accessibility of healthcare services.\r\n\r\n\r\n\r\n\r\n\r\nThis activity was organized within the framework of the project \u201cTransparency and Accountability in the Healthcare Sector\u201d, supported by National Endowment for Democracy (NED).<\/div><\/article>Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div><\/div>Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
<\/div><\/article>Sexual harassment at workplace – Toolkit for legal and empirical research<\/h2><\/div>
Sexual harassment at workplace – Toolkit for legal and empirical research<\/h2><\/div><\/div>Title: Sexual harassment at workplace - toolkit for legal and empirical\r\nresearch\r\n\r\nPublisher: Slovak National Centre for Human Rights, 2026\r\n\r\nEditors: Michaela Ujh\u00e1zyov\u00e1, Anna M\u00e1ri\u00e1ssyov\u00e1\r\n\r\nGraphic design: Kamila \u010cern\u00e1kov\u00e1, Jakub Kov\u00e1\u010d\r\n\r\nThis publication was created within the project VIOLET - Towards workplaces without sexual harassment and violence No. 101195098 CERV2024-DAPHNE. Co-authors are members of the Expert group consisting of legal and sociological research experts from partner countries (Albania, Czech Republic, Latvia, North Macedonia, Portugal and Slovakia): Sofia Cabral Lopes, Neda Chalovska Dimovska, Mari\u00e1n Fil\u010d\u00edk,\r\nElvin Gjevori, Rudina Hoxha, Ma\u017evydas Karalius, Alma Lahe, Anna M\u00e1ri\u00e1ssyov\u00e1, Magdal\u00e9na Musilov\u00e1, Eriselda Ndreca, Goran Neshevski, Lucie Novotn\u00e1, Aleksandar Ristovski, Anita Sares, Carlota Santos Silva, Michaela \u0160ina\u013e, Ersida Teliti, Suela Topi, Michaela Ujh\u00e1zyov\u00e1, Renata Vanag\u0117lien\u0117, Kire Vasilev, Laima Vengal\u0117-Dits, Diamanta Vito<\/div><\/article>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb shp\u00ebton pacient\u00ebt, por rrezikon t\u00eb ndalet!<\/h2><\/div><\/div>Nga Ida Ismalaj Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb \u00ebsht\u00eb nj\u00eb nevoj\u00eb jetike p\u00ebr mij\u00ebra t\u00eb moshuar dhe pacient\u00eb kronik\u00eb n\u00eb Shqip\u00ebri, t\u00eb cil\u00ebt p\u00ebr shkak t\u00eb problemeve sh\u00ebndet\u00ebsore apo kushteve t\u00eb v\u00ebshtira t\u00eb transportit e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore. \u201cTogether for Life\u201d thekson\u00a0p\u00ebrmes nj\u00eb raporti gjithp\u00ebrfshir\u00ebs\u00a0se ky sh\u00ebrbim ka p\u00ebrmir\u00ebsuar ndjesh\u00ebm aksesin n\u00eb kujdes p\u00ebr mij\u00ebra pacient\u00eb gjat\u00eb viteve t\u00eb fundit, por paralajm\u00ebron se mungesa e nj\u00eb financimi t\u00eb q\u00ebndruesh\u00ebm rrezikon vazhdim\u00ebsin\u00eb e tij.\r\n\r\n\r\n\r\nKy sh\u00ebrbim u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 si nj\u00eb tipologji e re e kujdesit sh\u00ebndet\u00ebsor n\u00eb vend dhe synon t\u2019u ofroj\u00eb pacient\u00ebve nj\u00eb gam\u00eb m\u00eb t\u00eb gjer\u00eb sh\u00ebrbimesh n\u00eb sht\u00ebpi, p\u00ebrmes infermier\u00ebve t\u00eb trajnuar. Projekti ka mb\u00ebshtetur 150 qendra sh\u00ebndet\u00ebsore dhe vet\u00ebm gjat\u00eb vitit t\u00eb fundit kan\u00eb p\u00ebrfituar rreth 4800 pacient\u00eb nga sh\u00ebrbimi n\u00eb banes\u00eb. Megjithat\u00eb, vler\u00ebsohet se 15-20 mij\u00eb qytetar\u00eb kan\u00eb nevoj\u00eb p\u00ebr k\u00ebt\u00eb kujdes.\r\n\r\n\r\n\r\nT\u00eb moshuarit p\u00ebrballen me barriera t\u00eb m\u00ebdha p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim\r\n\r\n\r\nN\u00eb takimin e sot\u00ebm gjat\u00eb t\u00eb cilit u shpalos\u00ebn edhe gjetjet e vler\u00ebsimit, u theksua se nj\u00eb pjes\u00eb e madhe e t\u00eb moshuarve n\u00eb Shqip\u00ebri p\u00ebrballen me probleme t\u00eb theksuara t\u00eb l\u00ebvizshm\u00ebris\u00eb. Sipas vler\u00ebsimeve, rreth 35% e personave mbi 70 vje\u00e7 kan\u00eb v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje, nd\u00ebrsa kjo p\u00ebrqindje rritet ndjesh\u00ebm mbi mosh\u00ebn 85 vje\u00e7.\r\n\r\n\r\n\r\nS\u00ebmundje si artriti, osteoporoza, frakturat nga rr\u00ebzimet, goditja n\u00eb tru dhe s\u00ebmundja e parkinsonit jan\u00eb nd\u00ebr shkaqet m\u00eb t\u00eb zakonshme q\u00eb kufizojn\u00eb l\u00ebvizjen e t\u00eb moshuarve. Si pasoj\u00eb, shum\u00eb prej tyre e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr t\u00eb marr\u00eb sh\u00ebrbimin.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb vizituar nj\u00eb qend\u00ebr sh\u00ebndet\u00ebsore, shumica e pacient\u00ebve kan\u00eb nevoj\u00eb p\u00ebr ndihm\u00ebn e familjar\u00ebve ose p\u00ebr transport t\u00eb paguar, q\u00eb shpesh \u00ebsht\u00eb i pap\u00ebrballuesh\u00ebm. Kjo situat\u00eb sjell kosto t\u00eb konsiderueshme financiare p\u00ebr familjet.\r\n\r\n\r\n\r\nNj\u00eb pacient nga Dibra e p\u00ebrshkruan k\u00ebshtu v\u00ebshtir\u00ebsin\u00eb p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim:\r\n\r\n\r\n\r\n\u201cQendr\u00ebn Sh\u00ebndet\u00ebsore e kemi larg nj\u00eb or\u00eb e gjysm\u00eb n\u00eb k\u00ebmb\u00eb. Nuk kam fuqi t\u00eb shkoj deri atje n\u00eb k\u00ebmb\u00eb dhe detyrohem t\u00eb p\u00ebrdor ndonj\u00eb mjet k\u00ebtu n\u00eb lagje q\u00eb m\u00eb \u00e7on kundrejt pages\u00ebs sepse makina punon me naft\u00eb dhe nafta kushton.\u201d\r\n\r\n\r\n\r\nNga ana tjet\u00ebr, edhe vet\u00eb stafet sh\u00ebndet\u00ebsore p\u00ebrballen me munges\u00eb pajisjesh p\u00ebr pacient\u00ebt me nevoja t\u00eb ve\u00e7anta.\r\n\r\n\r\n\r\n\u201cN\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore kemi dy dyshek\u00eb ajri dhe dy karroca. Ua kemi shp\u00ebrndar\u00eb pacient\u00ebve. K\u00ebrkesa kemi, por nuk i plot\u00ebsojm\u00eb dot\u201d shprehet nj\u00eb infermier nga Dibra.\r\n\r\n\r\n\r\nT\u00eb dh\u00ebnat e projektit Health for All (HAP) tregojn\u00eb se vet\u00ebm 8.9% e pacient\u00ebve invalid\u00eb raportojn\u00eb se mund t\u00eb vizitojn\u00eb ndonj\u00ebher\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore pa ndihm\u00eb.\r\n\r\n\r\n\r\nBarriera kryesore p\u00ebr pacient\u00ebt me v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje mbetet pamund\u00ebsia p\u00ebr t\u00eb arritur fizikisht n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore. N\u00eb vitin 2023, 63.8% e pacient\u00ebve raportuan se nuk mund t\u00eb ecnin deri n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore dhe 38.7% deklaruan se nuk mund t\u00eb p\u00ebrballonin kostot e transportit.\r\n\r\n\r\n\r\nTogether for Life evidentoi gjithashtu probleme me munges\u00ebn e mjek\u00ebve dhe infermier\u00ebve n\u00eb zonat rurale dhe t\u00eb thella. N\u00eb shum\u00eb raste, bluzat e bardha nuk pranojn\u00eb t\u00eb punojn\u00eb n\u00eb k\u00ebto zona, duke kufizuar m\u00eb tej aksesin e pacient\u00ebve n\u00eb sh\u00ebrbime.\r\n\r\n\r\n\r\nSipas analiz\u00ebs, \u00e7do sh\u00ebrbim i ri k\u00ebrkon financim t\u00eb dedikuar. Aktualisht, kostoja minimale p\u00ebr nj\u00eb infermier q\u00eb ofron sh\u00ebrbim n\u00eb banes\u00eb \u00ebsht\u00eb rreth:\r\n\r\n\r\n\r\n\r\n2700 lek\u00eb n\u00eb muaj p\u00ebr materiale,\r\n\r\n\r\n\r\n3000 lek\u00eb n\u00eb muaj p\u00ebr transport.\r\n\r\n\r\n\r\n\r\nMirela Rrumbullaku, nga Komisioneri p\u00ebr Mbrojtjen nga Diskriminimi tha se pacient\u00ebt me pamund\u00ebsi l\u00ebvizjeje jan\u00eb nd\u00ebr grupet m\u00eb t\u00eb margjinalizuara.\r\n\r\n\r\n\r\n\u201cAnkesat b\u00ebhen nul sepse pacient\u00ebt k\u00ebrkojn\u00eb zgjidhje emergjente. N\u00eb baz\u00eb t\u00eb ligjit, procedura k\u00ebrkon koh\u00ebn e vet dhe nuk ka m\u00eb vler\u00eb.\u201d\r\n\r\n\r\n\r\nAjo shton se n\u00eb shum\u00eb qendra sh\u00ebndet\u00ebsore mungojn\u00eb edhe mekanizmat baz\u00eb p\u00ebr t\u00eb paraqitur nj\u00eb ankes\u00eb: \u201cN\u00eb qendrat sh\u00ebndet\u00ebsore nuk ke nj\u00eb der\u00eb po t\u00eb duash t\u00eb b\u00ebsh nj\u00eb ankes\u00eb p\u00ebr sh\u00ebrbimin aty. Nuk duhet ta k\u00ebrkoj\u00eb qytetari sh\u00ebrbimin, por duhet t\u2019i ofrohet atij.\u201d\r\n\r\n\r\n\r\nInstitucionet: Financimi \u00ebsht\u00eb i mundur\r\n\r\n\r\nNga ana e Fondit t\u00eb Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor, zv.drejtori Markens Shllaku deklaroi se financimi i kujdesit par\u00ebsor \u00ebsht\u00eb rritur ndjesh\u00ebm n\u00eb vitet e fundit,\r\n\r\n\r\n\r\n\u201cFinancimi i sh\u00ebrbimit par\u00ebsor nga viti 2013 q\u00eb ishte 50 milion\u00eb euro, n\u00eb vitin 2025 \u00ebsht\u00eb 140 milion\u00eb euro. \u00cbsht\u00eb financuar af\u00ebrsisht 3 her\u00eb m\u00eb shum\u00eb,\u201d u shpreh ai.\r\n\r\n\r\n\r\nSipas tij, vet\u00ebm gjat\u00eb vitit 2025 jan\u00eb kryer rreth 390 mij\u00eb sh\u00ebrbime n\u00eb kujdesin par\u00ebsor. Ai theksoi gjithashtu se Shqip\u00ebria ka kapacitete financiare p\u00ebr t\u00eb mb\u00ebshtetur sh\u00ebrbimin, q\u00eb t\u00eb mos ndaloj\u00eb edhe pas p\u00ebrfundimit t\u00eb financimit nga projekti.\r\n\r\n\r\n\r\n\u201cRekomandimi i Bank\u00ebs Bot\u00ebrore p\u00ebr Shqip\u00ebrin\u00eb \u00ebsht\u00eb 50 euro\/ banor\u00eb. Ne kemi 75 euro\/banor\u00eb financimin, pra i kemi mund\u00ebsit\u00eb e financimit.\u201d\r\n\r\n\r\n\r\nRaporti i Together for Life paraqiti disa rekomandime kryesore p\u00ebr institucionet shtet\u00ebrore, nd\u00ebr t\u00eb cilat nevoj\u00ebn p\u00ebr nj\u00eb qasje m\u00eb t\u00eb strukturuar dhe t\u00eb q\u00ebndrueshme n\u00eb organizimin dhe financimin e sh\u00ebrbimeve sh\u00ebndet\u00ebsore, ve\u00e7an\u00ebrisht p\u00ebr kategorit\u00eb m\u00eb t\u00eb prekura t\u00eb popullsis\u00eb.\r\n\r\n\r\n\r\nMinistria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale duhet t\u00eb marr\u00eb n\u00eb konsiderat\u00eb financimin e sh\u00ebrbimit t\u00eb Kujdesit Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb, me q\u00ebllim garantimin e aksesit t\u00eb pacient\u00ebve t\u00eb moshuar dhe t\u00eb invalidizuar n\u00eb sh\u00ebrbime cil\u00ebsore dhe t\u00eb vazhdueshme.\r\n\r\n\r\n\r\nN\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, n\u00ebnvizohet r\u00ebnd\u00ebsin\u00eb e rritjes s\u00eb transparenc\u00ebs n\u00eb menaxhimin e financave t\u00eb sektorit sh\u00ebndet\u00ebsor. Rekomandohet konsolidimi dhe publikimi i t\u00eb dh\u00ebnave financiare p\u00ebr sh\u00ebndet\u00ebsin\u00eb, duke p\u00ebrfshir\u00eb t\u00eb gjitha burimet e financimit dhe analiza m\u00eb t\u00eb detajuara t\u00eb shpenzimeve, n\u00eb m\u00ebnyr\u00eb q\u00eb publiku dhe institucionet mbik\u00ebqyr\u00ebse t\u00eb ken\u00eb nj\u00eb pasqyr\u00eb m\u00eb t\u00eb qart\u00eb mbi p\u00ebrdorimin e fondeve.\r\n\r\n\r\n\r\nNj\u00eb tjet\u00ebr problem i evidentuar lidhet me munges\u00ebn e specialist\u00ebve n\u00eb qendrat sh\u00ebndet\u00ebsore. Raporti sugjeron plot\u00ebsimin e strukturave me profesionist\u00eb t\u00eb till\u00eb si psikolog\u00eb dhe fizioterapist\u00eb, t\u00eb cil\u00ebt konsiderohen thelb\u00ebsor\u00eb p\u00ebr t\u00eb adresuar n\u00eb m\u00ebnyr\u00eb m\u00eb gjith\u00ebp\u00ebrfshir\u00ebse nevojat e pacient\u00ebve.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb p\u00ebrmir\u00ebsuar menaxhimin e k\u00ebtij sh\u00ebrbimi, ekspert\u00ebt rekomandojn\u00eb gjithashtu q\u00eb Kujdesi Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb t\u00eb p\u00ebrfshihet si nj\u00eb produkt i ve\u00e7ant\u00eb n\u00eb buxhetin e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Kjo do t\u00eb mund\u00ebsonte gjurmimin m\u00eb t\u00eb qart\u00eb t\u00eb shpenzimeve dhe investimeve t\u00eb dedikuara p\u00ebr k\u00ebt\u00eb sh\u00ebrbim, duke rritur p\u00ebrgjegjshm\u00ebrin\u00eb institucionale.\r\n\r\n\r\n\r\nN\u00eb aspektin e motivimit t\u00eb personelit sh\u00ebndet\u00ebsor, Together for Life propozoi krijimin e nj\u00eb sistemi pagese q\u00eb kombinon pag\u00ebn baz\u00eb me nj\u00eb shp\u00ebrblim shtes\u00eb, t\u00eb lidhur me numrin e pacient\u00ebve q\u00eb mbulon \u00e7do infermier, dhe nevoj\u00ebn p\u00ebr rritjen e transparenc\u00ebs n\u00eb procesin e vler\u00ebsimit t\u00eb cil\u00eb<\/div><\/article>Nevoja n\u00eb rritje p\u00ebr Kujdes Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb k\u00ebrkon angazhim t\u00eb menj\u00ebhersh\u00ebm buxhetor nga Ministria e Sh\u00ebndet\u00ebsis\u00eb<\/h2><\/div><\/div>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb (KSHB) p\u00ebrb\u00ebn nj\u00eb sh\u00ebrbim jetik p\u00ebr pacient\u00ebt q\u00eb nuk mund t\u00eb aksesojn\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr shkak t\u00eb pamund\u00ebsis\u00eb s\u00eb p\u00ebrkohshme ose t\u00eb p\u00ebrhershme p\u00ebr t\u00eb l\u00ebvizur, p\u00ebrfshir\u00eb t\u00eb moshuarit, pacient\u00ebt me s\u00ebmundje kronike, pacient\u00ebt terminal\u00eb apo ata n\u00eb periudh\u00eb post-operator\u00eb. Ky sh\u00ebrbim, si nj\u00eb tipologji e re n\u00eb sistemin sh\u00ebndet\u00ebsor shqiptar, ofron nj\u00eb gam\u00eb t\u00eb gjer\u00eb kujdesi n\u00eb sht\u00ebpi p\u00ebrmes infermier\u00ebve t\u00eb trajnuar n\u00eb procedura t\u00eb avancuara, duke e sjell\u00eb sh\u00ebrbimin m\u00eb pran\u00eb pacientit dhe duke rritur ndjesh\u00ebm aksesin n\u00eb kujdes.\r\n\r\nKSHB u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 nga projekti \u201cHealth for All\u201d (HAP), me mb\u00ebshtetjen e Agjencis\u00eb Zvicerane p\u00ebr Zhvillim dhe Bashk\u00ebpunim (SDC), n\u00eb disa qendra sh\u00ebndet\u00ebsore n\u00eb qarqet Dib\u00ebr dhe Fier. Deri n\u00eb vitin 2026, mb\u00ebshtetja \u00ebsht\u00eb zgjeruar n\u00eb rreth 150 qendra sh\u00ebndet\u00ebsore, nd\u00ebrsa n\u00eb shtator 2024 Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale nd\u00ebrmori hapin p\u00ebr shtrirjen e k\u00ebtij sh\u00ebrbimi n\u00eb nivel komb\u00ebtar, duke e konsideruar at\u00eb pjes\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb reformave n\u00eb kujdesin par\u00ebsor.\r\n\r\nMegjithat\u00eb, p\u00ebrtej k\u00ebtij angazhimi politik t\u00eb Ministris\u00eb p\u00ebrgjegj\u00ebse, sfida kryesore mbetet mungesa e nj\u00eb financimi t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm. Aktualisht, ofruesit e sh\u00ebrbimit p\u00ebrballen me kufizime t\u00eb konsiderueshme, p\u00ebrfshir\u00eb munges\u00ebn e pajisjeve dhe materialeve baz\u00eb, kostot e pambuluara t\u00eb transportit p\u00ebr vizitat n\u00eb terren, munges\u00ebn e incentivave p\u00ebr personelin sh\u00ebndet\u00ebsor, si dhe nevoj\u00ebn p\u00ebr forcimin e kapaciteteve profesionale t\u00eb stafit infermieror.\r\n\r\nNd\u00ebrkoh\u00eb, k\u00ebrkesa p\u00ebr k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb n\u00eb rritje t\u00eb vazhdueshme. T\u00eb dh\u00ebnat e CENSUS-it 2023 tregojn\u00eb se rreth 6.5% e popullsis\u00eb n\u00eb Shqip\u00ebri vet\u00eb-identifikohet si persona me aft\u00ebsi t\u00eb kufizuara, nd\u00ebrsa mbi 4.3% raportojn\u00eb v\u00ebshtir\u00ebsi serioze n\u00eb l\u00ebvizje. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, plakja e popullsis\u00eb dhe fakti q\u00eb rreth 20% e saj \u00ebsht\u00eb mbi 65 vje\u00e7, s\u00eb bashku me numrin e lart\u00eb t\u00eb t\u00eb moshuarve q\u00eb jetojn\u00eb vet\u00ebm, rrisin ndjesh\u00ebm nevoj\u00ebn p\u00ebr sh\u00ebrbime t\u00eb kujdesit n\u00eb banes\u00eb.\r\n\r\nPavar\u00ebsisht k\u00ebtyre treguesve dhe nevoj\u00ebs n\u00eb rritje p\u00ebr sh\u00ebrime sh\u00ebndet\u00ebsore n\u00eb banes\u00eb, Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale ende nuk ka nd\u00ebrmarr\u00eb hapa konkret\u00eb p\u00ebr t\u00eb siguruar nj\u00eb financim t\u00eb strukturuar p\u00ebr k\u00ebt\u00eb sh\u00ebrbim. Kjo vjen n\u00eb nj\u00eb koh\u00eb kur vet\u00eb dokumentet strategjike t\u00eb ministris\u00eb parashikojn\u00eb rritjen e financimit p\u00ebr kujdesin par\u00ebsor dhe alokimin progresiv t\u00eb fondeve p\u00ebr KSHB deri n\u00eb 2% t\u00eb buxhetit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb sh\u00ebndet\u00ebsis\u00eb, nj\u00eb objektiv q\u00eb mbetet ende i pap\u00ebrmbushur.\r\n\r\nAnalizat financiare tregojn\u00eb se investimi n\u00eb k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb jo vet\u00ebm i realizuesh\u00ebm, por edhe ekonomikisht i leverdish\u00ebm. Sipas dy skenar\u00ebve t\u00eb financimit t\u00eb p\u00ebrgatitur nga shoqata Together for Life, kostoja e implementimit n\u00eb shkall\u00eb t\u00eb gjer\u00eb p\u00ebr vitin e par\u00eb varion nga rreth 297.5 milion\u00eb lek\u00eb deri n\u00eb 970.8 milion\u00eb lek\u00eb, n\u00eb var\u00ebsi t\u00eb modelit t\u00eb zgjedhur. P\u00ebr m\u00eb tep\u00ebr, ky investim pritet t\u00eb gjeneroj\u00eb kursime t\u00eb qen\u00ebsishme p\u00ebr sistemin sh\u00ebndet\u00ebsor, duke reduktuar nevoj\u00ebn p\u00ebr shtrime spitalore dhe duke ulur kostot deri n\u00eb 1.6 miliard\u00eb lek\u00eb n\u00eb vit.\r\n\r\nN\u00eb k\u00ebt\u00eb kuad\u00ebr, financimi i kujdesit sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet par\u00eb vet\u00ebm si nj\u00eb detyrim social ndaj kategorive m\u00eb vulnerab\u00ebl, por edhe si nj\u00eb zgjedhje strategjike dhe e q\u00ebndrueshme p\u00ebr p\u00ebrmir\u00ebsimin e eficienc\u00ebs s\u00eb sistemit sh\u00ebndet\u00ebsor. Shoqata Together for Life ka ngritur vazhdimisht k\u00ebt\u00eb shqet\u00ebsim gjat\u00eb vitit t\u00eb fundit, duke e adresuar at\u00eb si n\u00eb Komisionin Parlamentar t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Mir\u00ebqenies Sociale, ashtu edhe pran\u00eb Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb.\r\n\r\nP\u00ebr t\u00eb garantuar q\u00ebndrueshm\u00ebrin\u00eb afatgjat\u00eb t\u00eb k\u00ebtij sh\u00ebrbimi, k\u00ebrkohet nd\u00ebrmarrja e masave konkrete nga institucionet p\u00ebrgjegj\u00ebse. K\u00ebto p\u00ebrfshijn\u00eb sigurimin e financimit t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm p\u00ebr KSHB si nj\u00eb linj\u00eb t\u00eb ve\u00e7ant\u00eb buxhetore n\u00eb programet e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Nj\u00ebkoh\u00ebsisht, edhe nga Parlamenti k\u00ebrkohet q\u00eb t\u00eb ushtroj\u00eb n\u00eb m\u00ebnyr\u00eb aktive funksionin e tij mbik\u00ebqyr\u00ebs p\u00ebr t\u00eb garantuar alokimin dhe p\u00ebrdorimin efektiv t\u00eb burimeve publike n\u00eb k\u00ebt\u00eb drejtim.\r\n\r\nKujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet t\u00eb mbetet nj\u00eb iniciativ\u00eb e p\u00ebrkohshme e varur nga mb\u00ebshtetja e donator\u00ebve. Ai duhet t\u00eb konsolidohet si nj\u00eb sh\u00ebrbim i integruar, i q\u00ebndruesh\u00ebm dhe plot\u00ebsisht i financuar nga shteti, n\u00eb funksion t\u00eb nj\u00eb sistemi sh\u00ebndet\u00ebsor m\u00eb gjith\u00ebp\u00ebrfshir\u00ebs, m\u00eb efikas dhe m\u00eb t\u00eb drejt\u00eb p\u00ebr t\u00eb gjith\u00eb qytetar\u00ebt, ve\u00e7an\u00ebrisht p\u00ebr ata q\u00eb jan\u00eb m\u00eb n\u00eb nevoj\u00eb.<\/div><\/article>Ngacmimi seksual n\u00eb pun\u00eb, \u00e7\u00ebshtje e barazis\u00eb gjinore<\/h2><\/div><\/div>\u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual?\r\n\r\n\"Kur ndodh ndonj\u00eb form\u00eb e sjelljes s\u00eb pad\u00ebshiruar verbale, joverbale ose fizike me natyr\u00eb seksuale, me q\u00ebllim ose pasoj\u00eb shkeljen e dinjitetit t\u00eb nj\u00eb personi, ve\u00e7an\u00ebrisht kur krijohet nj\u00eb mjedis k\u00ebrc\u00ebnues, armiq\u00ebsor, degradues, posht\u00ebrues ose ofendues.\" - Direktiva e BE-s\u00eb 2002\/73\/KE\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje e barazis\u00eb gjinore\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb prek kryesisht grat\u00eb. Edhe pse \u00ebsht\u00eb nj\u00eb problem n\u00eb vendin e pun\u00ebs, ngacmimi seksual \u00ebsht\u00eb kryesisht nj\u00eb \u00e7\u00ebshtje gjinore e nxitur nga ata burra q\u00eb ndihen t\u00eb autorizuar t'i seksualizojn\u00eb grat\u00eb p\u00ebrmes prekjes, avancimeve t\u00eb pap\u00ebrshtatshme n\u00eb mediat sociale, emaileve ose mesazheve, shakave seksuale ose ekspozimit ndaj imazheve seksualisht eksplicite. K\u00ebto sjellje t\u00eb pad\u00ebshiruara d\u00ebmtojn\u00eb dinjitetin e viktimave dhe krijojn\u00eb nj\u00eb mjedis pune toksik.\r\n\r\nGrat\u00eb p\u00ebrjetojn\u00eb ngacmim seksual kryesisht nga burrat, ku koleg\u00ebt jan\u00eb shkel\u00ebsit m\u00eb t\u00eb zakonsh\u00ebm.\r\n\r\nBurrat gjithashtu p\u00ebrjetojn\u00eb ngacmim seksual n\u00eb pun\u00eb (DHP). N\u00eb t\u00eb 11 shtetet an\u00ebtare p\u00ebr t\u00eb cilat Sondazhi i BE-s\u00eb p\u00ebr Dhun\u00ebn me Gj\u00ebra t\u00eb Barabarta mblodhi t\u00eb dh\u00ebna edhe mbi dhun\u00ebn ndaj burrave, rezultatet tregojn\u00eb nj\u00eb prevalenc\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb DHP krahasuar me grat\u00eb.\r\n\r\nNgacmimi seksual mund t\u00eb marr\u00eb shum\u00eb forma\r\n\r\nN\u00eb t\u00eb gjith\u00eb BE-n\u00eb, normat e ngacmimit seksual q\u00eb p\u00ebrjetojn\u00eb grat\u00eb n\u00eb pun\u00eb ndryshojn\u00eb shum\u00eb: nga 55% n\u00eb Suedi, 54% n\u00eb Finland\u00eb, 53% n\u00eb Sllovaki dhe shkojn\u00eb deri n\u00eb 12% n\u00eb Portugali dhe Bullgari, dhe 11% n\u00eb Letoni.\r\n\r\nSi pjes\u00eb e anket\u00ebs s\u00eb BE-s\u00eb mbi dhun\u00ebn me baz\u00eb gjinore, grat\u00eb ndan\u00eb p\u00ebrvojat e tyre t\u00eb ngacmimit seksual, duke zgjedhur nga nj\u00eb list\u00eb aktesh q\u00eb i b\u00ebn\u00eb t\u00eb ndiheshin t\u00eb ofenduara, t\u00eb posht\u00ebruara ose t\u00eb frik\u00ebsuara:\r\n\r\n \tV\u00ebshtrim i pap\u00ebrshtatsh\u00ebm\r\n \tShaka seksuale t\u00eb pahijshme ose v\u00ebrejtje fyese n\u00eb lidhje me trupin ose jet\u00ebn e tyre private\r\n \tKontakt fizik i pad\u00ebshiruar, p.sh. af\u00ebrsi, prekje e pjes\u00ebve t\u00eb trupit, puthje\/p\u00ebrqafime ose di\u00e7ka tjet\u00ebr t\u00eb pad\u00ebshiruar\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr t\u00eb dal\u00eb n\u00eb nj\u00eb takim\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr \u00e7do aktivitet seksual\r\n \tPropozime t\u00eb pap\u00ebrshtatshme n\u00eb faqet e rrjeteve sociale\r\n \tEmail-e ose mesazhe me tekst t\u00eb pap\u00ebrshtatshme me p\u00ebrmbajtje seksuale eksplicite, t\u00eb cilat jan\u00eb t\u00eb pap\u00ebrshtatshme.\r\n \tEkspozimi ndaj imazheve me p\u00ebrmbajtje seksuale eksplicite\r\n \tK\u00ebrc\u00ebnime me pasoja t\u00eb pak\u00ebndshme n\u00ebse refuzonin propozime ose avancime seksuale\r\n\r\nNevoj\u00eb urgjente p\u00ebr veprim\r\n\r\nGjetjet nxjerrin n\u00eb pah nevoj\u00ebn urgjente p\u00ebr veprime t\u00eb synuara q\u00eb pranojn\u00eb ngacmimin seksual n\u00eb pun\u00eb si nj\u00eb \u00e7\u00ebshtje gjinore, njohin dob\u00ebsit\u00eb unike me t\u00eb cilat p\u00ebrballen grat\u00eb e reja dhe adresojn\u00eb dimensionin online. Nevojiten mbrojtje m\u00eb t\u00eb fort\u00eb dhe sisteme mb\u00ebshtet\u00ebse m\u00eb t\u00eb arritshme p\u00ebr t\u00eb parandaluar dhun\u00ebn dhe ngacmimin me baz\u00eb gjinore n\u00eb vendin e pun\u00ebs. Ne duhet t'i japim p\u00ebrpar\u00ebsi z\u00ebrave dhe p\u00ebrvojave t\u00eb grave, ve\u00e7an\u00ebrisht grave t\u00eb reja, duke siguruar mjedise m\u00eb t\u00eb sigurta ku t\u00eb drejtat e tyre respektohen dhe mb\u00ebshteten.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr<\/h2><\/div><\/div>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr\r\n\r\n\r\n\r\nShoqata Together for Life, organizoi n\u00eb Dib\u00ebr tryez\u00ebn e rrumbullak\u00ebt \u201cDialog publik p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor cil\u00ebsor dhe t\u00eb aksesuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb\u201d, me pjes\u00ebmarrjen e deputetes Alma Selami, p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve vendore, ekspert\u00ebve dhe aktor\u00ebve t\u00eb shoq\u00ebris\u00eb civile.\r\n\r\n\r\n\r\nDeputetja Selami si nj\u00eb nga z\u00ebrat p\u00ebrfaq\u00ebsues t\u00eb qytetit t\u00eb Dibr\u00ebs n\u00ebnvizoi r\u00ebnd\u00ebsin\u00eb e sektorit sh\u00ebndet\u00ebsor p\u00ebr mir\u00ebqenien e qytetar\u00ebve t\u00eb Dibr\u00ebs dhe mir\u00ebpriti shqet\u00ebsimet dhe propozimet e qytetar\u00ebve, duke u angazhuar p\u00ebr t\u2019i adresuar ato tek institucionet p\u00ebrgjegj\u00ebse n\u00eb nivel qendror.\r\n\r\n\r\n\r\nTryeza sh\u00ebrbeu si nj\u00eb platform\u00eb ky\u00e7e dialogu, duke mund\u00ebsuar identifikimin e sfidave q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb transparenc\u00eb, koordinim dhe v\u00ebmendje institucionale, n\u00eb funksion t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb dhe aksesit n\u00eb sh\u00ebrbimet sh\u00ebndet\u00ebsore.\r\n\r\nKy aktivitet u organizua n\u00eb kuad\u00ebr t\u00eb projektit \u201cTransparenca dhe Llogaridh\u00ebnia n\u00eb Sektorin e Sh\u00ebndet\u00ebsis\u00eb\u201d, mb\u00ebshtetur nga NED \u2013 National Endo\u00ebment for Democracy.\r\n\r\n\r\n\r\n\r\n\r\n***\r\n\r\n\u00a0Roundtable in Dib\u00ebr\r\n\r\n\r\n\r\nThe association Together for Life held a roundtable in Dib\u00ebr titled \u201cPublic Dialogue for a Quality and Accessible Healthcare System for All\u201d, with the participation of Member of Parliament Alma Selami, representatives of local institutions, experts, and civil society actors.\r\n\r\n\r\n\r\nMP Selami, as one of the representative voices of the Dib\u00ebr community, emphasized the importance of the healthcare sector for citizens\u2019 well-being and welcomed citizens\u2019 concerns and proposals, committing to address them with the responsible institutions at the central level.\r\n\r\n\u00a0The roundtable served as a key platform for dialogue, enabling the identification of challenges requiring greater transparency, coordination, and institutional attention, with the aim of improving the quality and accessibility of healthcare services.\r\n\r\n\r\n\r\n\r\n\r\nThis activity was organized within the framework of the project \u201cTransparency and Accountability in the Healthcare Sector\u201d, supported by National Endowment for Democracy (NED).<\/div><\/article>Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div><\/div>Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
Title: Sexual harassment at workplace - toolkit for legal and empirical\r\nresearch\r\n\r\nPublisher: Slovak National Centre for Human Rights, 2026\r\n\r\nEditors: Michaela Ujh\u00e1zyov\u00e1, Anna M\u00e1ri\u00e1ssyov\u00e1\r\n\r\nGraphic design: Kamila \u010cern\u00e1kov\u00e1, Jakub Kov\u00e1\u010d\r\n\r\nThis publication was created within the project VIOLET - Towards workplaces without sexual harassment and violence No. 101195098 CERV2024-DAPHNE. Co-authors are members of the Expert group consisting of legal and sociological research experts from partner countries (Albania, Czech Republic, Latvia, North Macedonia, Portugal and Slovakia): Sofia Cabral Lopes, Neda Chalovska Dimovska, Mari\u00e1n Fil\u010d\u00edk,\r\nElvin Gjevori, Rudina Hoxha, Ma\u017evydas Karalius, Alma Lahe, Anna M\u00e1ri\u00e1ssyov\u00e1, Magdal\u00e9na Musilov\u00e1, Eriselda Ndreca, Goran Neshevski, Lucie Novotn\u00e1, Aleksandar Ristovski, Anita Sares, Carlota Santos Silva, Michaela \u0160ina\u013e, Ersida Teliti, Suela Topi, Michaela Ujh\u00e1zyov\u00e1, Renata Vanag\u0117lien\u0117, Kire Vasilev, Laima Vengal\u0117-Dits, Diamanta Vito<\/div><\/article>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb shp\u00ebton pacient\u00ebt, por rrezikon t\u00eb ndalet!<\/h2><\/div>
Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb shp\u00ebton pacient\u00ebt, por rrezikon t\u00eb ndalet!<\/h2><\/div><\/div>Nga Ida Ismalaj Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb \u00ebsht\u00eb nj\u00eb nevoj\u00eb jetike p\u00ebr mij\u00ebra t\u00eb moshuar dhe pacient\u00eb kronik\u00eb n\u00eb Shqip\u00ebri, t\u00eb cil\u00ebt p\u00ebr shkak t\u00eb problemeve sh\u00ebndet\u00ebsore apo kushteve t\u00eb v\u00ebshtira t\u00eb transportit e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore. \u201cTogether for Life\u201d thekson\u00a0p\u00ebrmes nj\u00eb raporti gjithp\u00ebrfshir\u00ebs\u00a0se ky sh\u00ebrbim ka p\u00ebrmir\u00ebsuar ndjesh\u00ebm aksesin n\u00eb kujdes p\u00ebr mij\u00ebra pacient\u00eb gjat\u00eb viteve t\u00eb fundit, por paralajm\u00ebron se mungesa e nj\u00eb financimi t\u00eb q\u00ebndruesh\u00ebm rrezikon vazhdim\u00ebsin\u00eb e tij.\r\n\r\n\r\n\r\nKy sh\u00ebrbim u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 si nj\u00eb tipologji e re e kujdesit sh\u00ebndet\u00ebsor n\u00eb vend dhe synon t\u2019u ofroj\u00eb pacient\u00ebve nj\u00eb gam\u00eb m\u00eb t\u00eb gjer\u00eb sh\u00ebrbimesh n\u00eb sht\u00ebpi, p\u00ebrmes infermier\u00ebve t\u00eb trajnuar. Projekti ka mb\u00ebshtetur 150 qendra sh\u00ebndet\u00ebsore dhe vet\u00ebm gjat\u00eb vitit t\u00eb fundit kan\u00eb p\u00ebrfituar rreth 4800 pacient\u00eb nga sh\u00ebrbimi n\u00eb banes\u00eb. Megjithat\u00eb, vler\u00ebsohet se 15-20 mij\u00eb qytetar\u00eb kan\u00eb nevoj\u00eb p\u00ebr k\u00ebt\u00eb kujdes.\r\n\r\n\r\n\r\nT\u00eb moshuarit p\u00ebrballen me barriera t\u00eb m\u00ebdha p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim\r\n\r\n\r\nN\u00eb takimin e sot\u00ebm gjat\u00eb t\u00eb cilit u shpalos\u00ebn edhe gjetjet e vler\u00ebsimit, u theksua se nj\u00eb pjes\u00eb e madhe e t\u00eb moshuarve n\u00eb Shqip\u00ebri p\u00ebrballen me probleme t\u00eb theksuara t\u00eb l\u00ebvizshm\u00ebris\u00eb. Sipas vler\u00ebsimeve, rreth 35% e personave mbi 70 vje\u00e7 kan\u00eb v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje, nd\u00ebrsa kjo p\u00ebrqindje rritet ndjesh\u00ebm mbi mosh\u00ebn 85 vje\u00e7.\r\n\r\n\r\n\r\nS\u00ebmundje si artriti, osteoporoza, frakturat nga rr\u00ebzimet, goditja n\u00eb tru dhe s\u00ebmundja e parkinsonit jan\u00eb nd\u00ebr shkaqet m\u00eb t\u00eb zakonshme q\u00eb kufizojn\u00eb l\u00ebvizjen e t\u00eb moshuarve. Si pasoj\u00eb, shum\u00eb prej tyre e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr t\u00eb marr\u00eb sh\u00ebrbimin.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb vizituar nj\u00eb qend\u00ebr sh\u00ebndet\u00ebsore, shumica e pacient\u00ebve kan\u00eb nevoj\u00eb p\u00ebr ndihm\u00ebn e familjar\u00ebve ose p\u00ebr transport t\u00eb paguar, q\u00eb shpesh \u00ebsht\u00eb i pap\u00ebrballuesh\u00ebm. Kjo situat\u00eb sjell kosto t\u00eb konsiderueshme financiare p\u00ebr familjet.\r\n\r\n\r\n\r\nNj\u00eb pacient nga Dibra e p\u00ebrshkruan k\u00ebshtu v\u00ebshtir\u00ebsin\u00eb p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim:\r\n\r\n\r\n\r\n\u201cQendr\u00ebn Sh\u00ebndet\u00ebsore e kemi larg nj\u00eb or\u00eb e gjysm\u00eb n\u00eb k\u00ebmb\u00eb. Nuk kam fuqi t\u00eb shkoj deri atje n\u00eb k\u00ebmb\u00eb dhe detyrohem t\u00eb p\u00ebrdor ndonj\u00eb mjet k\u00ebtu n\u00eb lagje q\u00eb m\u00eb \u00e7on kundrejt pages\u00ebs sepse makina punon me naft\u00eb dhe nafta kushton.\u201d\r\n\r\n\r\n\r\nNga ana tjet\u00ebr, edhe vet\u00eb stafet sh\u00ebndet\u00ebsore p\u00ebrballen me munges\u00eb pajisjesh p\u00ebr pacient\u00ebt me nevoja t\u00eb ve\u00e7anta.\r\n\r\n\r\n\r\n\u201cN\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore kemi dy dyshek\u00eb ajri dhe dy karroca. Ua kemi shp\u00ebrndar\u00eb pacient\u00ebve. K\u00ebrkesa kemi, por nuk i plot\u00ebsojm\u00eb dot\u201d shprehet nj\u00eb infermier nga Dibra.\r\n\r\n\r\n\r\nT\u00eb dh\u00ebnat e projektit Health for All (HAP) tregojn\u00eb se vet\u00ebm 8.9% e pacient\u00ebve invalid\u00eb raportojn\u00eb se mund t\u00eb vizitojn\u00eb ndonj\u00ebher\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore pa ndihm\u00eb.\r\n\r\n\r\n\r\nBarriera kryesore p\u00ebr pacient\u00ebt me v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje mbetet pamund\u00ebsia p\u00ebr t\u00eb arritur fizikisht n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore. N\u00eb vitin 2023, 63.8% e pacient\u00ebve raportuan se nuk mund t\u00eb ecnin deri n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore dhe 38.7% deklaruan se nuk mund t\u00eb p\u00ebrballonin kostot e transportit.\r\n\r\n\r\n\r\nTogether for Life evidentoi gjithashtu probleme me munges\u00ebn e mjek\u00ebve dhe infermier\u00ebve n\u00eb zonat rurale dhe t\u00eb thella. N\u00eb shum\u00eb raste, bluzat e bardha nuk pranojn\u00eb t\u00eb punojn\u00eb n\u00eb k\u00ebto zona, duke kufizuar m\u00eb tej aksesin e pacient\u00ebve n\u00eb sh\u00ebrbime.\r\n\r\n\r\n\r\nSipas analiz\u00ebs, \u00e7do sh\u00ebrbim i ri k\u00ebrkon financim t\u00eb dedikuar. Aktualisht, kostoja minimale p\u00ebr nj\u00eb infermier q\u00eb ofron sh\u00ebrbim n\u00eb banes\u00eb \u00ebsht\u00eb rreth:\r\n\r\n\r\n\r\n\r\n2700 lek\u00eb n\u00eb muaj p\u00ebr materiale,\r\n\r\n\r\n\r\n3000 lek\u00eb n\u00eb muaj p\u00ebr transport.\r\n\r\n\r\n\r\n\r\nMirela Rrumbullaku, nga Komisioneri p\u00ebr Mbrojtjen nga Diskriminimi tha se pacient\u00ebt me pamund\u00ebsi l\u00ebvizjeje jan\u00eb nd\u00ebr grupet m\u00eb t\u00eb margjinalizuara.\r\n\r\n\r\n\r\n\u201cAnkesat b\u00ebhen nul sepse pacient\u00ebt k\u00ebrkojn\u00eb zgjidhje emergjente. N\u00eb baz\u00eb t\u00eb ligjit, procedura k\u00ebrkon koh\u00ebn e vet dhe nuk ka m\u00eb vler\u00eb.\u201d\r\n\r\n\r\n\r\nAjo shton se n\u00eb shum\u00eb qendra sh\u00ebndet\u00ebsore mungojn\u00eb edhe mekanizmat baz\u00eb p\u00ebr t\u00eb paraqitur nj\u00eb ankes\u00eb: \u201cN\u00eb qendrat sh\u00ebndet\u00ebsore nuk ke nj\u00eb der\u00eb po t\u00eb duash t\u00eb b\u00ebsh nj\u00eb ankes\u00eb p\u00ebr sh\u00ebrbimin aty. Nuk duhet ta k\u00ebrkoj\u00eb qytetari sh\u00ebrbimin, por duhet t\u2019i ofrohet atij.\u201d\r\n\r\n\r\n\r\nInstitucionet: Financimi \u00ebsht\u00eb i mundur\r\n\r\n\r\nNga ana e Fondit t\u00eb Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor, zv.drejtori Markens Shllaku deklaroi se financimi i kujdesit par\u00ebsor \u00ebsht\u00eb rritur ndjesh\u00ebm n\u00eb vitet e fundit,\r\n\r\n\r\n\r\n\u201cFinancimi i sh\u00ebrbimit par\u00ebsor nga viti 2013 q\u00eb ishte 50 milion\u00eb euro, n\u00eb vitin 2025 \u00ebsht\u00eb 140 milion\u00eb euro. \u00cbsht\u00eb financuar af\u00ebrsisht 3 her\u00eb m\u00eb shum\u00eb,\u201d u shpreh ai.\r\n\r\n\r\n\r\nSipas tij, vet\u00ebm gjat\u00eb vitit 2025 jan\u00eb kryer rreth 390 mij\u00eb sh\u00ebrbime n\u00eb kujdesin par\u00ebsor. Ai theksoi gjithashtu se Shqip\u00ebria ka kapacitete financiare p\u00ebr t\u00eb mb\u00ebshtetur sh\u00ebrbimin, q\u00eb t\u00eb mos ndaloj\u00eb edhe pas p\u00ebrfundimit t\u00eb financimit nga projekti.\r\n\r\n\r\n\r\n\u201cRekomandimi i Bank\u00ebs Bot\u00ebrore p\u00ebr Shqip\u00ebrin\u00eb \u00ebsht\u00eb 50 euro\/ banor\u00eb. Ne kemi 75 euro\/banor\u00eb financimin, pra i kemi mund\u00ebsit\u00eb e financimit.\u201d\r\n\r\n\r\n\r\nRaporti i Together for Life paraqiti disa rekomandime kryesore p\u00ebr institucionet shtet\u00ebrore, nd\u00ebr t\u00eb cilat nevoj\u00ebn p\u00ebr nj\u00eb qasje m\u00eb t\u00eb strukturuar dhe t\u00eb q\u00ebndrueshme n\u00eb organizimin dhe financimin e sh\u00ebrbimeve sh\u00ebndet\u00ebsore, ve\u00e7an\u00ebrisht p\u00ebr kategorit\u00eb m\u00eb t\u00eb prekura t\u00eb popullsis\u00eb.\r\n\r\n\r\n\r\nMinistria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale duhet t\u00eb marr\u00eb n\u00eb konsiderat\u00eb financimin e sh\u00ebrbimit t\u00eb Kujdesit Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb, me q\u00ebllim garantimin e aksesit t\u00eb pacient\u00ebve t\u00eb moshuar dhe t\u00eb invalidizuar n\u00eb sh\u00ebrbime cil\u00ebsore dhe t\u00eb vazhdueshme.\r\n\r\n\r\n\r\nN\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, n\u00ebnvizohet r\u00ebnd\u00ebsin\u00eb e rritjes s\u00eb transparenc\u00ebs n\u00eb menaxhimin e financave t\u00eb sektorit sh\u00ebndet\u00ebsor. Rekomandohet konsolidimi dhe publikimi i t\u00eb dh\u00ebnave financiare p\u00ebr sh\u00ebndet\u00ebsin\u00eb, duke p\u00ebrfshir\u00eb t\u00eb gjitha burimet e financimit dhe analiza m\u00eb t\u00eb detajuara t\u00eb shpenzimeve, n\u00eb m\u00ebnyr\u00eb q\u00eb publiku dhe institucionet mbik\u00ebqyr\u00ebse t\u00eb ken\u00eb nj\u00eb pasqyr\u00eb m\u00eb t\u00eb qart\u00eb mbi p\u00ebrdorimin e fondeve.\r\n\r\n\r\n\r\nNj\u00eb tjet\u00ebr problem i evidentuar lidhet me munges\u00ebn e specialist\u00ebve n\u00eb qendrat sh\u00ebndet\u00ebsore. Raporti sugjeron plot\u00ebsimin e strukturave me profesionist\u00eb t\u00eb till\u00eb si psikolog\u00eb dhe fizioterapist\u00eb, t\u00eb cil\u00ebt konsiderohen thelb\u00ebsor\u00eb p\u00ebr t\u00eb adresuar n\u00eb m\u00ebnyr\u00eb m\u00eb gjith\u00ebp\u00ebrfshir\u00ebse nevojat e pacient\u00ebve.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb p\u00ebrmir\u00ebsuar menaxhimin e k\u00ebtij sh\u00ebrbimi, ekspert\u00ebt rekomandojn\u00eb gjithashtu q\u00eb Kujdesi Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb t\u00eb p\u00ebrfshihet si nj\u00eb produkt i ve\u00e7ant\u00eb n\u00eb buxhetin e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Kjo do t\u00eb mund\u00ebsonte gjurmimin m\u00eb t\u00eb qart\u00eb t\u00eb shpenzimeve dhe investimeve t\u00eb dedikuara p\u00ebr k\u00ebt\u00eb sh\u00ebrbim, duke rritur p\u00ebrgjegjshm\u00ebrin\u00eb institucionale.\r\n\r\n\r\n\r\nN\u00eb aspektin e motivimit t\u00eb personelit sh\u00ebndet\u00ebsor, Together for Life propozoi krijimin e nj\u00eb sistemi pagese q\u00eb kombinon pag\u00ebn baz\u00eb me nj\u00eb shp\u00ebrblim shtes\u00eb, t\u00eb lidhur me numrin e pacient\u00ebve q\u00eb mbulon \u00e7do infermier, dhe nevoj\u00ebn p\u00ebr rritjen e transparenc\u00ebs n\u00eb procesin e vler\u00ebsimit t\u00eb cil\u00eb<\/div><\/article>Nevoja n\u00eb rritje p\u00ebr Kujdes Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb k\u00ebrkon angazhim t\u00eb menj\u00ebhersh\u00ebm buxhetor nga Ministria e Sh\u00ebndet\u00ebsis\u00eb<\/h2><\/div><\/div>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb (KSHB) p\u00ebrb\u00ebn nj\u00eb sh\u00ebrbim jetik p\u00ebr pacient\u00ebt q\u00eb nuk mund t\u00eb aksesojn\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr shkak t\u00eb pamund\u00ebsis\u00eb s\u00eb p\u00ebrkohshme ose t\u00eb p\u00ebrhershme p\u00ebr t\u00eb l\u00ebvizur, p\u00ebrfshir\u00eb t\u00eb moshuarit, pacient\u00ebt me s\u00ebmundje kronike, pacient\u00ebt terminal\u00eb apo ata n\u00eb periudh\u00eb post-operator\u00eb. Ky sh\u00ebrbim, si nj\u00eb tipologji e re n\u00eb sistemin sh\u00ebndet\u00ebsor shqiptar, ofron nj\u00eb gam\u00eb t\u00eb gjer\u00eb kujdesi n\u00eb sht\u00ebpi p\u00ebrmes infermier\u00ebve t\u00eb trajnuar n\u00eb procedura t\u00eb avancuara, duke e sjell\u00eb sh\u00ebrbimin m\u00eb pran\u00eb pacientit dhe duke rritur ndjesh\u00ebm aksesin n\u00eb kujdes.\r\n\r\nKSHB u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 nga projekti \u201cHealth for All\u201d (HAP), me mb\u00ebshtetjen e Agjencis\u00eb Zvicerane p\u00ebr Zhvillim dhe Bashk\u00ebpunim (SDC), n\u00eb disa qendra sh\u00ebndet\u00ebsore n\u00eb qarqet Dib\u00ebr dhe Fier. Deri n\u00eb vitin 2026, mb\u00ebshtetja \u00ebsht\u00eb zgjeruar n\u00eb rreth 150 qendra sh\u00ebndet\u00ebsore, nd\u00ebrsa n\u00eb shtator 2024 Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale nd\u00ebrmori hapin p\u00ebr shtrirjen e k\u00ebtij sh\u00ebrbimi n\u00eb nivel komb\u00ebtar, duke e konsideruar at\u00eb pjes\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb reformave n\u00eb kujdesin par\u00ebsor.\r\n\r\nMegjithat\u00eb, p\u00ebrtej k\u00ebtij angazhimi politik t\u00eb Ministris\u00eb p\u00ebrgjegj\u00ebse, sfida kryesore mbetet mungesa e nj\u00eb financimi t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm. Aktualisht, ofruesit e sh\u00ebrbimit p\u00ebrballen me kufizime t\u00eb konsiderueshme, p\u00ebrfshir\u00eb munges\u00ebn e pajisjeve dhe materialeve baz\u00eb, kostot e pambuluara t\u00eb transportit p\u00ebr vizitat n\u00eb terren, munges\u00ebn e incentivave p\u00ebr personelin sh\u00ebndet\u00ebsor, si dhe nevoj\u00ebn p\u00ebr forcimin e kapaciteteve profesionale t\u00eb stafit infermieror.\r\n\r\nNd\u00ebrkoh\u00eb, k\u00ebrkesa p\u00ebr k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb n\u00eb rritje t\u00eb vazhdueshme. T\u00eb dh\u00ebnat e CENSUS-it 2023 tregojn\u00eb se rreth 6.5% e popullsis\u00eb n\u00eb Shqip\u00ebri vet\u00eb-identifikohet si persona me aft\u00ebsi t\u00eb kufizuara, nd\u00ebrsa mbi 4.3% raportojn\u00eb v\u00ebshtir\u00ebsi serioze n\u00eb l\u00ebvizje. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, plakja e popullsis\u00eb dhe fakti q\u00eb rreth 20% e saj \u00ebsht\u00eb mbi 65 vje\u00e7, s\u00eb bashku me numrin e lart\u00eb t\u00eb t\u00eb moshuarve q\u00eb jetojn\u00eb vet\u00ebm, rrisin ndjesh\u00ebm nevoj\u00ebn p\u00ebr sh\u00ebrbime t\u00eb kujdesit n\u00eb banes\u00eb.\r\n\r\nPavar\u00ebsisht k\u00ebtyre treguesve dhe nevoj\u00ebs n\u00eb rritje p\u00ebr sh\u00ebrime sh\u00ebndet\u00ebsore n\u00eb banes\u00eb, Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale ende nuk ka nd\u00ebrmarr\u00eb hapa konkret\u00eb p\u00ebr t\u00eb siguruar nj\u00eb financim t\u00eb strukturuar p\u00ebr k\u00ebt\u00eb sh\u00ebrbim. Kjo vjen n\u00eb nj\u00eb koh\u00eb kur vet\u00eb dokumentet strategjike t\u00eb ministris\u00eb parashikojn\u00eb rritjen e financimit p\u00ebr kujdesin par\u00ebsor dhe alokimin progresiv t\u00eb fondeve p\u00ebr KSHB deri n\u00eb 2% t\u00eb buxhetit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb sh\u00ebndet\u00ebsis\u00eb, nj\u00eb objektiv q\u00eb mbetet ende i pap\u00ebrmbushur.\r\n\r\nAnalizat financiare tregojn\u00eb se investimi n\u00eb k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb jo vet\u00ebm i realizuesh\u00ebm, por edhe ekonomikisht i leverdish\u00ebm. Sipas dy skenar\u00ebve t\u00eb financimit t\u00eb p\u00ebrgatitur nga shoqata Together for Life, kostoja e implementimit n\u00eb shkall\u00eb t\u00eb gjer\u00eb p\u00ebr vitin e par\u00eb varion nga rreth 297.5 milion\u00eb lek\u00eb deri n\u00eb 970.8 milion\u00eb lek\u00eb, n\u00eb var\u00ebsi t\u00eb modelit t\u00eb zgjedhur. P\u00ebr m\u00eb tep\u00ebr, ky investim pritet t\u00eb gjeneroj\u00eb kursime t\u00eb qen\u00ebsishme p\u00ebr sistemin sh\u00ebndet\u00ebsor, duke reduktuar nevoj\u00ebn p\u00ebr shtrime spitalore dhe duke ulur kostot deri n\u00eb 1.6 miliard\u00eb lek\u00eb n\u00eb vit.\r\n\r\nN\u00eb k\u00ebt\u00eb kuad\u00ebr, financimi i kujdesit sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet par\u00eb vet\u00ebm si nj\u00eb detyrim social ndaj kategorive m\u00eb vulnerab\u00ebl, por edhe si nj\u00eb zgjedhje strategjike dhe e q\u00ebndrueshme p\u00ebr p\u00ebrmir\u00ebsimin e eficienc\u00ebs s\u00eb sistemit sh\u00ebndet\u00ebsor. Shoqata Together for Life ka ngritur vazhdimisht k\u00ebt\u00eb shqet\u00ebsim gjat\u00eb vitit t\u00eb fundit, duke e adresuar at\u00eb si n\u00eb Komisionin Parlamentar t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Mir\u00ebqenies Sociale, ashtu edhe pran\u00eb Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb.\r\n\r\nP\u00ebr t\u00eb garantuar q\u00ebndrueshm\u00ebrin\u00eb afatgjat\u00eb t\u00eb k\u00ebtij sh\u00ebrbimi, k\u00ebrkohet nd\u00ebrmarrja e masave konkrete nga institucionet p\u00ebrgjegj\u00ebse. K\u00ebto p\u00ebrfshijn\u00eb sigurimin e financimit t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm p\u00ebr KSHB si nj\u00eb linj\u00eb t\u00eb ve\u00e7ant\u00eb buxhetore n\u00eb programet e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Nj\u00ebkoh\u00ebsisht, edhe nga Parlamenti k\u00ebrkohet q\u00eb t\u00eb ushtroj\u00eb n\u00eb m\u00ebnyr\u00eb aktive funksionin e tij mbik\u00ebqyr\u00ebs p\u00ebr t\u00eb garantuar alokimin dhe p\u00ebrdorimin efektiv t\u00eb burimeve publike n\u00eb k\u00ebt\u00eb drejtim.\r\n\r\nKujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet t\u00eb mbetet nj\u00eb iniciativ\u00eb e p\u00ebrkohshme e varur nga mb\u00ebshtetja e donator\u00ebve. Ai duhet t\u00eb konsolidohet si nj\u00eb sh\u00ebrbim i integruar, i q\u00ebndruesh\u00ebm dhe plot\u00ebsisht i financuar nga shteti, n\u00eb funksion t\u00eb nj\u00eb sistemi sh\u00ebndet\u00ebsor m\u00eb gjith\u00ebp\u00ebrfshir\u00ebs, m\u00eb efikas dhe m\u00eb t\u00eb drejt\u00eb p\u00ebr t\u00eb gjith\u00eb qytetar\u00ebt, ve\u00e7an\u00ebrisht p\u00ebr ata q\u00eb jan\u00eb m\u00eb n\u00eb nevoj\u00eb.<\/div><\/article>Ngacmimi seksual n\u00eb pun\u00eb, \u00e7\u00ebshtje e barazis\u00eb gjinore<\/h2><\/div><\/div>\u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual?\r\n\r\n\"Kur ndodh ndonj\u00eb form\u00eb e sjelljes s\u00eb pad\u00ebshiruar verbale, joverbale ose fizike me natyr\u00eb seksuale, me q\u00ebllim ose pasoj\u00eb shkeljen e dinjitetit t\u00eb nj\u00eb personi, ve\u00e7an\u00ebrisht kur krijohet nj\u00eb mjedis k\u00ebrc\u00ebnues, armiq\u00ebsor, degradues, posht\u00ebrues ose ofendues.\" - Direktiva e BE-s\u00eb 2002\/73\/KE\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje e barazis\u00eb gjinore\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb prek kryesisht grat\u00eb. Edhe pse \u00ebsht\u00eb nj\u00eb problem n\u00eb vendin e pun\u00ebs, ngacmimi seksual \u00ebsht\u00eb kryesisht nj\u00eb \u00e7\u00ebshtje gjinore e nxitur nga ata burra q\u00eb ndihen t\u00eb autorizuar t'i seksualizojn\u00eb grat\u00eb p\u00ebrmes prekjes, avancimeve t\u00eb pap\u00ebrshtatshme n\u00eb mediat sociale, emaileve ose mesazheve, shakave seksuale ose ekspozimit ndaj imazheve seksualisht eksplicite. K\u00ebto sjellje t\u00eb pad\u00ebshiruara d\u00ebmtojn\u00eb dinjitetin e viktimave dhe krijojn\u00eb nj\u00eb mjedis pune toksik.\r\n\r\nGrat\u00eb p\u00ebrjetojn\u00eb ngacmim seksual kryesisht nga burrat, ku koleg\u00ebt jan\u00eb shkel\u00ebsit m\u00eb t\u00eb zakonsh\u00ebm.\r\n\r\nBurrat gjithashtu p\u00ebrjetojn\u00eb ngacmim seksual n\u00eb pun\u00eb (DHP). N\u00eb t\u00eb 11 shtetet an\u00ebtare p\u00ebr t\u00eb cilat Sondazhi i BE-s\u00eb p\u00ebr Dhun\u00ebn me Gj\u00ebra t\u00eb Barabarta mblodhi t\u00eb dh\u00ebna edhe mbi dhun\u00ebn ndaj burrave, rezultatet tregojn\u00eb nj\u00eb prevalenc\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb DHP krahasuar me grat\u00eb.\r\n\r\nNgacmimi seksual mund t\u00eb marr\u00eb shum\u00eb forma\r\n\r\nN\u00eb t\u00eb gjith\u00eb BE-n\u00eb, normat e ngacmimit seksual q\u00eb p\u00ebrjetojn\u00eb grat\u00eb n\u00eb pun\u00eb ndryshojn\u00eb shum\u00eb: nga 55% n\u00eb Suedi, 54% n\u00eb Finland\u00eb, 53% n\u00eb Sllovaki dhe shkojn\u00eb deri n\u00eb 12% n\u00eb Portugali dhe Bullgari, dhe 11% n\u00eb Letoni.\r\n\r\nSi pjes\u00eb e anket\u00ebs s\u00eb BE-s\u00eb mbi dhun\u00ebn me baz\u00eb gjinore, grat\u00eb ndan\u00eb p\u00ebrvojat e tyre t\u00eb ngacmimit seksual, duke zgjedhur nga nj\u00eb list\u00eb aktesh q\u00eb i b\u00ebn\u00eb t\u00eb ndiheshin t\u00eb ofenduara, t\u00eb posht\u00ebruara ose t\u00eb frik\u00ebsuara:\r\n\r\n \tV\u00ebshtrim i pap\u00ebrshtatsh\u00ebm\r\n \tShaka seksuale t\u00eb pahijshme ose v\u00ebrejtje fyese n\u00eb lidhje me trupin ose jet\u00ebn e tyre private\r\n \tKontakt fizik i pad\u00ebshiruar, p.sh. af\u00ebrsi, prekje e pjes\u00ebve t\u00eb trupit, puthje\/p\u00ebrqafime ose di\u00e7ka tjet\u00ebr t\u00eb pad\u00ebshiruar\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr t\u00eb dal\u00eb n\u00eb nj\u00eb takim\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr \u00e7do aktivitet seksual\r\n \tPropozime t\u00eb pap\u00ebrshtatshme n\u00eb faqet e rrjeteve sociale\r\n \tEmail-e ose mesazhe me tekst t\u00eb pap\u00ebrshtatshme me p\u00ebrmbajtje seksuale eksplicite, t\u00eb cilat jan\u00eb t\u00eb pap\u00ebrshtatshme.\r\n \tEkspozimi ndaj imazheve me p\u00ebrmbajtje seksuale eksplicite\r\n \tK\u00ebrc\u00ebnime me pasoja t\u00eb pak\u00ebndshme n\u00ebse refuzonin propozime ose avancime seksuale\r\n\r\nNevoj\u00eb urgjente p\u00ebr veprim\r\n\r\nGjetjet nxjerrin n\u00eb pah nevoj\u00ebn urgjente p\u00ebr veprime t\u00eb synuara q\u00eb pranojn\u00eb ngacmimin seksual n\u00eb pun\u00eb si nj\u00eb \u00e7\u00ebshtje gjinore, njohin dob\u00ebsit\u00eb unike me t\u00eb cilat p\u00ebrballen grat\u00eb e reja dhe adresojn\u00eb dimensionin online. Nevojiten mbrojtje m\u00eb t\u00eb fort\u00eb dhe sisteme mb\u00ebshtet\u00ebse m\u00eb t\u00eb arritshme p\u00ebr t\u00eb parandaluar dhun\u00ebn dhe ngacmimin me baz\u00eb gjinore n\u00eb vendin e pun\u00ebs. Ne duhet t'i japim p\u00ebrpar\u00ebsi z\u00ebrave dhe p\u00ebrvojave t\u00eb grave, ve\u00e7an\u00ebrisht grave t\u00eb reja, duke siguruar mjedise m\u00eb t\u00eb sigurta ku t\u00eb drejtat e tyre respektohen dhe mb\u00ebshteten.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr<\/h2><\/div><\/div>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr\r\n\r\n\r\n\r\nShoqata Together for Life, organizoi n\u00eb Dib\u00ebr tryez\u00ebn e rrumbullak\u00ebt \u201cDialog publik p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor cil\u00ebsor dhe t\u00eb aksesuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb\u201d, me pjes\u00ebmarrjen e deputetes Alma Selami, p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve vendore, ekspert\u00ebve dhe aktor\u00ebve t\u00eb shoq\u00ebris\u00eb civile.\r\n\r\n\r\n\r\nDeputetja Selami si nj\u00eb nga z\u00ebrat p\u00ebrfaq\u00ebsues t\u00eb qytetit t\u00eb Dibr\u00ebs n\u00ebnvizoi r\u00ebnd\u00ebsin\u00eb e sektorit sh\u00ebndet\u00ebsor p\u00ebr mir\u00ebqenien e qytetar\u00ebve t\u00eb Dibr\u00ebs dhe mir\u00ebpriti shqet\u00ebsimet dhe propozimet e qytetar\u00ebve, duke u angazhuar p\u00ebr t\u2019i adresuar ato tek institucionet p\u00ebrgjegj\u00ebse n\u00eb nivel qendror.\r\n\r\n\r\n\r\nTryeza sh\u00ebrbeu si nj\u00eb platform\u00eb ky\u00e7e dialogu, duke mund\u00ebsuar identifikimin e sfidave q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb transparenc\u00eb, koordinim dhe v\u00ebmendje institucionale, n\u00eb funksion t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb dhe aksesit n\u00eb sh\u00ebrbimet sh\u00ebndet\u00ebsore.\r\n\r\nKy aktivitet u organizua n\u00eb kuad\u00ebr t\u00eb projektit \u201cTransparenca dhe Llogaridh\u00ebnia n\u00eb Sektorin e Sh\u00ebndet\u00ebsis\u00eb\u201d, mb\u00ebshtetur nga NED \u2013 National Endo\u00ebment for Democracy.\r\n\r\n\r\n\r\n\r\n\r\n***\r\n\r\n\u00a0Roundtable in Dib\u00ebr\r\n\r\n\r\n\r\nThe association Together for Life held a roundtable in Dib\u00ebr titled \u201cPublic Dialogue for a Quality and Accessible Healthcare System for All\u201d, with the participation of Member of Parliament Alma Selami, representatives of local institutions, experts, and civil society actors.\r\n\r\n\r\n\r\nMP Selami, as one of the representative voices of the Dib\u00ebr community, emphasized the importance of the healthcare sector for citizens\u2019 well-being and welcomed citizens\u2019 concerns and proposals, committing to address them with the responsible institutions at the central level.\r\n\r\n\u00a0The roundtable served as a key platform for dialogue, enabling the identification of challenges requiring greater transparency, coordination, and institutional attention, with the aim of improving the quality and accessibility of healthcare services.\r\n\r\n\r\n\r\n\r\n\r\nThis activity was organized within the framework of the project \u201cTransparency and Accountability in the Healthcare Sector\u201d, supported by National Endowment for Democracy (NED).<\/div><\/article>Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div><\/div>Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
Nga Ida Ismalaj Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb \u00ebsht\u00eb nj\u00eb nevoj\u00eb jetike p\u00ebr mij\u00ebra t\u00eb moshuar dhe pacient\u00eb kronik\u00eb n\u00eb Shqip\u00ebri, t\u00eb cil\u00ebt p\u00ebr shkak t\u00eb problemeve sh\u00ebndet\u00ebsore apo kushteve t\u00eb v\u00ebshtira t\u00eb transportit e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore. \u201cTogether for Life\u201d thekson\u00a0p\u00ebrmes nj\u00eb raporti gjithp\u00ebrfshir\u00ebs\u00a0se ky sh\u00ebrbim ka p\u00ebrmir\u00ebsuar ndjesh\u00ebm aksesin n\u00eb kujdes p\u00ebr mij\u00ebra pacient\u00eb gjat\u00eb viteve t\u00eb fundit, por paralajm\u00ebron se mungesa e nj\u00eb financimi t\u00eb q\u00ebndruesh\u00ebm rrezikon vazhdim\u00ebsin\u00eb e tij.\r\n\r\n\r\n\r\nKy sh\u00ebrbim u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 si nj\u00eb tipologji e re e kujdesit sh\u00ebndet\u00ebsor n\u00eb vend dhe synon t\u2019u ofroj\u00eb pacient\u00ebve nj\u00eb gam\u00eb m\u00eb t\u00eb gjer\u00eb sh\u00ebrbimesh n\u00eb sht\u00ebpi, p\u00ebrmes infermier\u00ebve t\u00eb trajnuar. Projekti ka mb\u00ebshtetur 150 qendra sh\u00ebndet\u00ebsore dhe vet\u00ebm gjat\u00eb vitit t\u00eb fundit kan\u00eb p\u00ebrfituar rreth 4800 pacient\u00eb nga sh\u00ebrbimi n\u00eb banes\u00eb. Megjithat\u00eb, vler\u00ebsohet se 15-20 mij\u00eb qytetar\u00eb kan\u00eb nevoj\u00eb p\u00ebr k\u00ebt\u00eb kujdes.\r\n\r\n\r\n\r\nT\u00eb moshuarit p\u00ebrballen me barriera t\u00eb m\u00ebdha p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim\r\n\r\n\r\nN\u00eb takimin e sot\u00ebm gjat\u00eb t\u00eb cilit u shpalos\u00ebn edhe gjetjet e vler\u00ebsimit, u theksua se nj\u00eb pjes\u00eb e madhe e t\u00eb moshuarve n\u00eb Shqip\u00ebri p\u00ebrballen me probleme t\u00eb theksuara t\u00eb l\u00ebvizshm\u00ebris\u00eb. Sipas vler\u00ebsimeve, rreth 35% e personave mbi 70 vje\u00e7 kan\u00eb v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje, nd\u00ebrsa kjo p\u00ebrqindje rritet ndjesh\u00ebm mbi mosh\u00ebn 85 vje\u00e7.\r\n\r\n\r\n\r\nS\u00ebmundje si artriti, osteoporoza, frakturat nga rr\u00ebzimet, goditja n\u00eb tru dhe s\u00ebmundja e parkinsonit jan\u00eb nd\u00ebr shkaqet m\u00eb t\u00eb zakonshme q\u00eb kufizojn\u00eb l\u00ebvizjen e t\u00eb moshuarve. Si pasoj\u00eb, shum\u00eb prej tyre e kan\u00eb t\u00eb pamundur t\u00eb arrijn\u00eb n\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr t\u00eb marr\u00eb sh\u00ebrbimin.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb vizituar nj\u00eb qend\u00ebr sh\u00ebndet\u00ebsore, shumica e pacient\u00ebve kan\u00eb nevoj\u00eb p\u00ebr ndihm\u00ebn e familjar\u00ebve ose p\u00ebr transport t\u00eb paguar, q\u00eb shpesh \u00ebsht\u00eb i pap\u00ebrballuesh\u00ebm. Kjo situat\u00eb sjell kosto t\u00eb konsiderueshme financiare p\u00ebr familjet.\r\n\r\n\r\n\r\nNj\u00eb pacient nga Dibra e p\u00ebrshkruan k\u00ebshtu v\u00ebshtir\u00ebsin\u00eb p\u00ebr t\u00eb marr\u00eb sh\u00ebrbim:\r\n\r\n\r\n\r\n\u201cQendr\u00ebn Sh\u00ebndet\u00ebsore e kemi larg nj\u00eb or\u00eb e gjysm\u00eb n\u00eb k\u00ebmb\u00eb. Nuk kam fuqi t\u00eb shkoj deri atje n\u00eb k\u00ebmb\u00eb dhe detyrohem t\u00eb p\u00ebrdor ndonj\u00eb mjet k\u00ebtu n\u00eb lagje q\u00eb m\u00eb \u00e7on kundrejt pages\u00ebs sepse makina punon me naft\u00eb dhe nafta kushton.\u201d\r\n\r\n\r\n\r\nNga ana tjet\u00ebr, edhe vet\u00eb stafet sh\u00ebndet\u00ebsore p\u00ebrballen me munges\u00eb pajisjesh p\u00ebr pacient\u00ebt me nevoja t\u00eb ve\u00e7anta.\r\n\r\n\r\n\r\n\u201cN\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore kemi dy dyshek\u00eb ajri dhe dy karroca. Ua kemi shp\u00ebrndar\u00eb pacient\u00ebve. K\u00ebrkesa kemi, por nuk i plot\u00ebsojm\u00eb dot\u201d shprehet nj\u00eb infermier nga Dibra.\r\n\r\n\r\n\r\nT\u00eb dh\u00ebnat e projektit Health for All (HAP) tregojn\u00eb se vet\u00ebm 8.9% e pacient\u00ebve invalid\u00eb raportojn\u00eb se mund t\u00eb vizitojn\u00eb ndonj\u00ebher\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore pa ndihm\u00eb.\r\n\r\n\r\n\r\nBarriera kryesore p\u00ebr pacient\u00ebt me v\u00ebshtir\u00ebsi n\u00eb l\u00ebvizje mbetet pamund\u00ebsia p\u00ebr t\u00eb arritur fizikisht n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore. N\u00eb vitin 2023, 63.8% e pacient\u00ebve raportuan se nuk mund t\u00eb ecnin deri n\u00eb qendr\u00ebn sh\u00ebndet\u00ebsore dhe 38.7% deklaruan se nuk mund t\u00eb p\u00ebrballonin kostot e transportit.\r\n\r\n\r\n\r\nTogether for Life evidentoi gjithashtu probleme me munges\u00ebn e mjek\u00ebve dhe infermier\u00ebve n\u00eb zonat rurale dhe t\u00eb thella. N\u00eb shum\u00eb raste, bluzat e bardha nuk pranojn\u00eb t\u00eb punojn\u00eb n\u00eb k\u00ebto zona, duke kufizuar m\u00eb tej aksesin e pacient\u00ebve n\u00eb sh\u00ebrbime.\r\n\r\n\r\n\r\nSipas analiz\u00ebs, \u00e7do sh\u00ebrbim i ri k\u00ebrkon financim t\u00eb dedikuar. Aktualisht, kostoja minimale p\u00ebr nj\u00eb infermier q\u00eb ofron sh\u00ebrbim n\u00eb banes\u00eb \u00ebsht\u00eb rreth:\r\n\r\n\r\n\r\n\r\n2700 lek\u00eb n\u00eb muaj p\u00ebr materiale,\r\n\r\n\r\n\r\n3000 lek\u00eb n\u00eb muaj p\u00ebr transport.\r\n\r\n\r\n\r\n\r\nMirela Rrumbullaku, nga Komisioneri p\u00ebr Mbrojtjen nga Diskriminimi tha se pacient\u00ebt me pamund\u00ebsi l\u00ebvizjeje jan\u00eb nd\u00ebr grupet m\u00eb t\u00eb margjinalizuara.\r\n\r\n\r\n\r\n\u201cAnkesat b\u00ebhen nul sepse pacient\u00ebt k\u00ebrkojn\u00eb zgjidhje emergjente. N\u00eb baz\u00eb t\u00eb ligjit, procedura k\u00ebrkon koh\u00ebn e vet dhe nuk ka m\u00eb vler\u00eb.\u201d\r\n\r\n\r\n\r\nAjo shton se n\u00eb shum\u00eb qendra sh\u00ebndet\u00ebsore mungojn\u00eb edhe mekanizmat baz\u00eb p\u00ebr t\u00eb paraqitur nj\u00eb ankes\u00eb: \u201cN\u00eb qendrat sh\u00ebndet\u00ebsore nuk ke nj\u00eb der\u00eb po t\u00eb duash t\u00eb b\u00ebsh nj\u00eb ankes\u00eb p\u00ebr sh\u00ebrbimin aty. Nuk duhet ta k\u00ebrkoj\u00eb qytetari sh\u00ebrbimin, por duhet t\u2019i ofrohet atij.\u201d\r\n\r\n\r\n\r\nInstitucionet: Financimi \u00ebsht\u00eb i mundur\r\n\r\n\r\nNga ana e Fondit t\u00eb Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor, zv.drejtori Markens Shllaku deklaroi se financimi i kujdesit par\u00ebsor \u00ebsht\u00eb rritur ndjesh\u00ebm n\u00eb vitet e fundit,\r\n\r\n\r\n\r\n\u201cFinancimi i sh\u00ebrbimit par\u00ebsor nga viti 2013 q\u00eb ishte 50 milion\u00eb euro, n\u00eb vitin 2025 \u00ebsht\u00eb 140 milion\u00eb euro. \u00cbsht\u00eb financuar af\u00ebrsisht 3 her\u00eb m\u00eb shum\u00eb,\u201d u shpreh ai.\r\n\r\n\r\n\r\nSipas tij, vet\u00ebm gjat\u00eb vitit 2025 jan\u00eb kryer rreth 390 mij\u00eb sh\u00ebrbime n\u00eb kujdesin par\u00ebsor. Ai theksoi gjithashtu se Shqip\u00ebria ka kapacitete financiare p\u00ebr t\u00eb mb\u00ebshtetur sh\u00ebrbimin, q\u00eb t\u00eb mos ndaloj\u00eb edhe pas p\u00ebrfundimit t\u00eb financimit nga projekti.\r\n\r\n\r\n\r\n\u201cRekomandimi i Bank\u00ebs Bot\u00ebrore p\u00ebr Shqip\u00ebrin\u00eb \u00ebsht\u00eb 50 euro\/ banor\u00eb. Ne kemi 75 euro\/banor\u00eb financimin, pra i kemi mund\u00ebsit\u00eb e financimit.\u201d\r\n\r\n\r\n\r\nRaporti i Together for Life paraqiti disa rekomandime kryesore p\u00ebr institucionet shtet\u00ebrore, nd\u00ebr t\u00eb cilat nevoj\u00ebn p\u00ebr nj\u00eb qasje m\u00eb t\u00eb strukturuar dhe t\u00eb q\u00ebndrueshme n\u00eb organizimin dhe financimin e sh\u00ebrbimeve sh\u00ebndet\u00ebsore, ve\u00e7an\u00ebrisht p\u00ebr kategorit\u00eb m\u00eb t\u00eb prekura t\u00eb popullsis\u00eb.\r\n\r\n\r\n\r\nMinistria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale duhet t\u00eb marr\u00eb n\u00eb konsiderat\u00eb financimin e sh\u00ebrbimit t\u00eb Kujdesit Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb, me q\u00ebllim garantimin e aksesit t\u00eb pacient\u00ebve t\u00eb moshuar dhe t\u00eb invalidizuar n\u00eb sh\u00ebrbime cil\u00ebsore dhe t\u00eb vazhdueshme.\r\n\r\n\r\n\r\nN\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, n\u00ebnvizohet r\u00ebnd\u00ebsin\u00eb e rritjes s\u00eb transparenc\u00ebs n\u00eb menaxhimin e financave t\u00eb sektorit sh\u00ebndet\u00ebsor. Rekomandohet konsolidimi dhe publikimi i t\u00eb dh\u00ebnave financiare p\u00ebr sh\u00ebndet\u00ebsin\u00eb, duke p\u00ebrfshir\u00eb t\u00eb gjitha burimet e financimit dhe analiza m\u00eb t\u00eb detajuara t\u00eb shpenzimeve, n\u00eb m\u00ebnyr\u00eb q\u00eb publiku dhe institucionet mbik\u00ebqyr\u00ebse t\u00eb ken\u00eb nj\u00eb pasqyr\u00eb m\u00eb t\u00eb qart\u00eb mbi p\u00ebrdorimin e fondeve.\r\n\r\n\r\n\r\nNj\u00eb tjet\u00ebr problem i evidentuar lidhet me munges\u00ebn e specialist\u00ebve n\u00eb qendrat sh\u00ebndet\u00ebsore. Raporti sugjeron plot\u00ebsimin e strukturave me profesionist\u00eb t\u00eb till\u00eb si psikolog\u00eb dhe fizioterapist\u00eb, t\u00eb cil\u00ebt konsiderohen thelb\u00ebsor\u00eb p\u00ebr t\u00eb adresuar n\u00eb m\u00ebnyr\u00eb m\u00eb gjith\u00ebp\u00ebrfshir\u00ebse nevojat e pacient\u00ebve.\r\n\r\n\r\n\r\nP\u00ebr t\u00eb p\u00ebrmir\u00ebsuar menaxhimin e k\u00ebtij sh\u00ebrbimi, ekspert\u00ebt rekomandojn\u00eb gjithashtu q\u00eb Kujdesi Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb t\u00eb p\u00ebrfshihet si nj\u00eb produkt i ve\u00e7ant\u00eb n\u00eb buxhetin e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Kjo do t\u00eb mund\u00ebsonte gjurmimin m\u00eb t\u00eb qart\u00eb t\u00eb shpenzimeve dhe investimeve t\u00eb dedikuara p\u00ebr k\u00ebt\u00eb sh\u00ebrbim, duke rritur p\u00ebrgjegjshm\u00ebrin\u00eb institucionale.\r\n\r\n\r\n\r\nN\u00eb aspektin e motivimit t\u00eb personelit sh\u00ebndet\u00ebsor, Together for Life propozoi krijimin e nj\u00eb sistemi pagese q\u00eb kombinon pag\u00ebn baz\u00eb me nj\u00eb shp\u00ebrblim shtes\u00eb, t\u00eb lidhur me numrin e pacient\u00ebve q\u00eb mbulon \u00e7do infermier, dhe nevoj\u00ebn p\u00ebr rritjen e transparenc\u00ebs n\u00eb procesin e vler\u00ebsimit t\u00eb cil\u00eb<\/div><\/article>Nevoja n\u00eb rritje p\u00ebr Kujdes Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb k\u00ebrkon angazhim t\u00eb menj\u00ebhersh\u00ebm buxhetor nga Ministria e Sh\u00ebndet\u00ebsis\u00eb<\/h2><\/div>
Nevoja n\u00eb rritje p\u00ebr Kujdes Sh\u00ebndet\u00ebsor n\u00eb Banes\u00eb k\u00ebrkon angazhim t\u00eb menj\u00ebhersh\u00ebm buxhetor nga Ministria e Sh\u00ebndet\u00ebsis\u00eb<\/h2><\/div><\/div>Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb (KSHB) p\u00ebrb\u00ebn nj\u00eb sh\u00ebrbim jetik p\u00ebr pacient\u00ebt q\u00eb nuk mund t\u00eb aksesojn\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr shkak t\u00eb pamund\u00ebsis\u00eb s\u00eb p\u00ebrkohshme ose t\u00eb p\u00ebrhershme p\u00ebr t\u00eb l\u00ebvizur, p\u00ebrfshir\u00eb t\u00eb moshuarit, pacient\u00ebt me s\u00ebmundje kronike, pacient\u00ebt terminal\u00eb apo ata n\u00eb periudh\u00eb post-operator\u00eb. Ky sh\u00ebrbim, si nj\u00eb tipologji e re n\u00eb sistemin sh\u00ebndet\u00ebsor shqiptar, ofron nj\u00eb gam\u00eb t\u00eb gjer\u00eb kujdesi n\u00eb sht\u00ebpi p\u00ebrmes infermier\u00ebve t\u00eb trajnuar n\u00eb procedura t\u00eb avancuara, duke e sjell\u00eb sh\u00ebrbimin m\u00eb pran\u00eb pacientit dhe duke rritur ndjesh\u00ebm aksesin n\u00eb kujdes.\r\n\r\nKSHB u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 nga projekti \u201cHealth for All\u201d (HAP), me mb\u00ebshtetjen e Agjencis\u00eb Zvicerane p\u00ebr Zhvillim dhe Bashk\u00ebpunim (SDC), n\u00eb disa qendra sh\u00ebndet\u00ebsore n\u00eb qarqet Dib\u00ebr dhe Fier. Deri n\u00eb vitin 2026, mb\u00ebshtetja \u00ebsht\u00eb zgjeruar n\u00eb rreth 150 qendra sh\u00ebndet\u00ebsore, nd\u00ebrsa n\u00eb shtator 2024 Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale nd\u00ebrmori hapin p\u00ebr shtrirjen e k\u00ebtij sh\u00ebrbimi n\u00eb nivel komb\u00ebtar, duke e konsideruar at\u00eb pjes\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb reformave n\u00eb kujdesin par\u00ebsor.\r\n\r\nMegjithat\u00eb, p\u00ebrtej k\u00ebtij angazhimi politik t\u00eb Ministris\u00eb p\u00ebrgjegj\u00ebse, sfida kryesore mbetet mungesa e nj\u00eb financimi t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm. Aktualisht, ofruesit e sh\u00ebrbimit p\u00ebrballen me kufizime t\u00eb konsiderueshme, p\u00ebrfshir\u00eb munges\u00ebn e pajisjeve dhe materialeve baz\u00eb, kostot e pambuluara t\u00eb transportit p\u00ebr vizitat n\u00eb terren, munges\u00ebn e incentivave p\u00ebr personelin sh\u00ebndet\u00ebsor, si dhe nevoj\u00ebn p\u00ebr forcimin e kapaciteteve profesionale t\u00eb stafit infermieror.\r\n\r\nNd\u00ebrkoh\u00eb, k\u00ebrkesa p\u00ebr k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb n\u00eb rritje t\u00eb vazhdueshme. T\u00eb dh\u00ebnat e CENSUS-it 2023 tregojn\u00eb se rreth 6.5% e popullsis\u00eb n\u00eb Shqip\u00ebri vet\u00eb-identifikohet si persona me aft\u00ebsi t\u00eb kufizuara, nd\u00ebrsa mbi 4.3% raportojn\u00eb v\u00ebshtir\u00ebsi serioze n\u00eb l\u00ebvizje. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, plakja e popullsis\u00eb dhe fakti q\u00eb rreth 20% e saj \u00ebsht\u00eb mbi 65 vje\u00e7, s\u00eb bashku me numrin e lart\u00eb t\u00eb t\u00eb moshuarve q\u00eb jetojn\u00eb vet\u00ebm, rrisin ndjesh\u00ebm nevoj\u00ebn p\u00ebr sh\u00ebrbime t\u00eb kujdesit n\u00eb banes\u00eb.\r\n\r\nPavar\u00ebsisht k\u00ebtyre treguesve dhe nevoj\u00ebs n\u00eb rritje p\u00ebr sh\u00ebrime sh\u00ebndet\u00ebsore n\u00eb banes\u00eb, Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale ende nuk ka nd\u00ebrmarr\u00eb hapa konkret\u00eb p\u00ebr t\u00eb siguruar nj\u00eb financim t\u00eb strukturuar p\u00ebr k\u00ebt\u00eb sh\u00ebrbim. Kjo vjen n\u00eb nj\u00eb koh\u00eb kur vet\u00eb dokumentet strategjike t\u00eb ministris\u00eb parashikojn\u00eb rritjen e financimit p\u00ebr kujdesin par\u00ebsor dhe alokimin progresiv t\u00eb fondeve p\u00ebr KSHB deri n\u00eb 2% t\u00eb buxhetit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb sh\u00ebndet\u00ebsis\u00eb, nj\u00eb objektiv q\u00eb mbetet ende i pap\u00ebrmbushur.\r\n\r\nAnalizat financiare tregojn\u00eb se investimi n\u00eb k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb jo vet\u00ebm i realizuesh\u00ebm, por edhe ekonomikisht i leverdish\u00ebm. Sipas dy skenar\u00ebve t\u00eb financimit t\u00eb p\u00ebrgatitur nga shoqata Together for Life, kostoja e implementimit n\u00eb shkall\u00eb t\u00eb gjer\u00eb p\u00ebr vitin e par\u00eb varion nga rreth 297.5 milion\u00eb lek\u00eb deri n\u00eb 970.8 milion\u00eb lek\u00eb, n\u00eb var\u00ebsi t\u00eb modelit t\u00eb zgjedhur. P\u00ebr m\u00eb tep\u00ebr, ky investim pritet t\u00eb gjeneroj\u00eb kursime t\u00eb qen\u00ebsishme p\u00ebr sistemin sh\u00ebndet\u00ebsor, duke reduktuar nevoj\u00ebn p\u00ebr shtrime spitalore dhe duke ulur kostot deri n\u00eb 1.6 miliard\u00eb lek\u00eb n\u00eb vit.\r\n\r\nN\u00eb k\u00ebt\u00eb kuad\u00ebr, financimi i kujdesit sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet par\u00eb vet\u00ebm si nj\u00eb detyrim social ndaj kategorive m\u00eb vulnerab\u00ebl, por edhe si nj\u00eb zgjedhje strategjike dhe e q\u00ebndrueshme p\u00ebr p\u00ebrmir\u00ebsimin e eficienc\u00ebs s\u00eb sistemit sh\u00ebndet\u00ebsor. Shoqata Together for Life ka ngritur vazhdimisht k\u00ebt\u00eb shqet\u00ebsim gjat\u00eb vitit t\u00eb fundit, duke e adresuar at\u00eb si n\u00eb Komisionin Parlamentar t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Mir\u00ebqenies Sociale, ashtu edhe pran\u00eb Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb.\r\n\r\nP\u00ebr t\u00eb garantuar q\u00ebndrueshm\u00ebrin\u00eb afatgjat\u00eb t\u00eb k\u00ebtij sh\u00ebrbimi, k\u00ebrkohet nd\u00ebrmarrja e masave konkrete nga institucionet p\u00ebrgjegj\u00ebse. K\u00ebto p\u00ebrfshijn\u00eb sigurimin e financimit t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm p\u00ebr KSHB si nj\u00eb linj\u00eb t\u00eb ve\u00e7ant\u00eb buxhetore n\u00eb programet e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Nj\u00ebkoh\u00ebsisht, edhe nga Parlamenti k\u00ebrkohet q\u00eb t\u00eb ushtroj\u00eb n\u00eb m\u00ebnyr\u00eb aktive funksionin e tij mbik\u00ebqyr\u00ebs p\u00ebr t\u00eb garantuar alokimin dhe p\u00ebrdorimin efektiv t\u00eb burimeve publike n\u00eb k\u00ebt\u00eb drejtim.\r\n\r\nKujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet t\u00eb mbetet nj\u00eb iniciativ\u00eb e p\u00ebrkohshme e varur nga mb\u00ebshtetja e donator\u00ebve. Ai duhet t\u00eb konsolidohet si nj\u00eb sh\u00ebrbim i integruar, i q\u00ebndruesh\u00ebm dhe plot\u00ebsisht i financuar nga shteti, n\u00eb funksion t\u00eb nj\u00eb sistemi sh\u00ebndet\u00ebsor m\u00eb gjith\u00ebp\u00ebrfshir\u00ebs, m\u00eb efikas dhe m\u00eb t\u00eb drejt\u00eb p\u00ebr t\u00eb gjith\u00eb qytetar\u00ebt, ve\u00e7an\u00ebrisht p\u00ebr ata q\u00eb jan\u00eb m\u00eb n\u00eb nevoj\u00eb.<\/div><\/article>Ngacmimi seksual n\u00eb pun\u00eb, \u00e7\u00ebshtje e barazis\u00eb gjinore<\/h2><\/div><\/div>\u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual?\r\n\r\n\"Kur ndodh ndonj\u00eb form\u00eb e sjelljes s\u00eb pad\u00ebshiruar verbale, joverbale ose fizike me natyr\u00eb seksuale, me q\u00ebllim ose pasoj\u00eb shkeljen e dinjitetit t\u00eb nj\u00eb personi, ve\u00e7an\u00ebrisht kur krijohet nj\u00eb mjedis k\u00ebrc\u00ebnues, armiq\u00ebsor, degradues, posht\u00ebrues ose ofendues.\" - Direktiva e BE-s\u00eb 2002\/73\/KE\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje e barazis\u00eb gjinore\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb prek kryesisht grat\u00eb. Edhe pse \u00ebsht\u00eb nj\u00eb problem n\u00eb vendin e pun\u00ebs, ngacmimi seksual \u00ebsht\u00eb kryesisht nj\u00eb \u00e7\u00ebshtje gjinore e nxitur nga ata burra q\u00eb ndihen t\u00eb autorizuar t'i seksualizojn\u00eb grat\u00eb p\u00ebrmes prekjes, avancimeve t\u00eb pap\u00ebrshtatshme n\u00eb mediat sociale, emaileve ose mesazheve, shakave seksuale ose ekspozimit ndaj imazheve seksualisht eksplicite. K\u00ebto sjellje t\u00eb pad\u00ebshiruara d\u00ebmtojn\u00eb dinjitetin e viktimave dhe krijojn\u00eb nj\u00eb mjedis pune toksik.\r\n\r\nGrat\u00eb p\u00ebrjetojn\u00eb ngacmim seksual kryesisht nga burrat, ku koleg\u00ebt jan\u00eb shkel\u00ebsit m\u00eb t\u00eb zakonsh\u00ebm.\r\n\r\nBurrat gjithashtu p\u00ebrjetojn\u00eb ngacmim seksual n\u00eb pun\u00eb (DHP). N\u00eb t\u00eb 11 shtetet an\u00ebtare p\u00ebr t\u00eb cilat Sondazhi i BE-s\u00eb p\u00ebr Dhun\u00ebn me Gj\u00ebra t\u00eb Barabarta mblodhi t\u00eb dh\u00ebna edhe mbi dhun\u00ebn ndaj burrave, rezultatet tregojn\u00eb nj\u00eb prevalenc\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb DHP krahasuar me grat\u00eb.\r\n\r\nNgacmimi seksual mund t\u00eb marr\u00eb shum\u00eb forma\r\n\r\nN\u00eb t\u00eb gjith\u00eb BE-n\u00eb, normat e ngacmimit seksual q\u00eb p\u00ebrjetojn\u00eb grat\u00eb n\u00eb pun\u00eb ndryshojn\u00eb shum\u00eb: nga 55% n\u00eb Suedi, 54% n\u00eb Finland\u00eb, 53% n\u00eb Sllovaki dhe shkojn\u00eb deri n\u00eb 12% n\u00eb Portugali dhe Bullgari, dhe 11% n\u00eb Letoni.\r\n\r\nSi pjes\u00eb e anket\u00ebs s\u00eb BE-s\u00eb mbi dhun\u00ebn me baz\u00eb gjinore, grat\u00eb ndan\u00eb p\u00ebrvojat e tyre t\u00eb ngacmimit seksual, duke zgjedhur nga nj\u00eb list\u00eb aktesh q\u00eb i b\u00ebn\u00eb t\u00eb ndiheshin t\u00eb ofenduara, t\u00eb posht\u00ebruara ose t\u00eb frik\u00ebsuara:\r\n\r\n \tV\u00ebshtrim i pap\u00ebrshtatsh\u00ebm\r\n \tShaka seksuale t\u00eb pahijshme ose v\u00ebrejtje fyese n\u00eb lidhje me trupin ose jet\u00ebn e tyre private\r\n \tKontakt fizik i pad\u00ebshiruar, p.sh. af\u00ebrsi, prekje e pjes\u00ebve t\u00eb trupit, puthje\/p\u00ebrqafime ose di\u00e7ka tjet\u00ebr t\u00eb pad\u00ebshiruar\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr t\u00eb dal\u00eb n\u00eb nj\u00eb takim\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr \u00e7do aktivitet seksual\r\n \tPropozime t\u00eb pap\u00ebrshtatshme n\u00eb faqet e rrjeteve sociale\r\n \tEmail-e ose mesazhe me tekst t\u00eb pap\u00ebrshtatshme me p\u00ebrmbajtje seksuale eksplicite, t\u00eb cilat jan\u00eb t\u00eb pap\u00ebrshtatshme.\r\n \tEkspozimi ndaj imazheve me p\u00ebrmbajtje seksuale eksplicite\r\n \tK\u00ebrc\u00ebnime me pasoja t\u00eb pak\u00ebndshme n\u00ebse refuzonin propozime ose avancime seksuale\r\n\r\nNevoj\u00eb urgjente p\u00ebr veprim\r\n\r\nGjetjet nxjerrin n\u00eb pah nevoj\u00ebn urgjente p\u00ebr veprime t\u00eb synuara q\u00eb pranojn\u00eb ngacmimin seksual n\u00eb pun\u00eb si nj\u00eb \u00e7\u00ebshtje gjinore, njohin dob\u00ebsit\u00eb unike me t\u00eb cilat p\u00ebrballen grat\u00eb e reja dhe adresojn\u00eb dimensionin online. Nevojiten mbrojtje m\u00eb t\u00eb fort\u00eb dhe sisteme mb\u00ebshtet\u00ebse m\u00eb t\u00eb arritshme p\u00ebr t\u00eb parandaluar dhun\u00ebn dhe ngacmimin me baz\u00eb gjinore n\u00eb vendin e pun\u00ebs. Ne duhet t'i japim p\u00ebrpar\u00ebsi z\u00ebrave dhe p\u00ebrvojave t\u00eb grave, ve\u00e7an\u00ebrisht grave t\u00eb reja, duke siguruar mjedise m\u00eb t\u00eb sigurta ku t\u00eb drejtat e tyre respektohen dhe mb\u00ebshteten.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr<\/h2><\/div><\/div>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr\r\n\r\n\r\n\r\nShoqata Together for Life, organizoi n\u00eb Dib\u00ebr tryez\u00ebn e rrumbullak\u00ebt \u201cDialog publik p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor cil\u00ebsor dhe t\u00eb aksesuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb\u201d, me pjes\u00ebmarrjen e deputetes Alma Selami, p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve vendore, ekspert\u00ebve dhe aktor\u00ebve t\u00eb shoq\u00ebris\u00eb civile.\r\n\r\n\r\n\r\nDeputetja Selami si nj\u00eb nga z\u00ebrat p\u00ebrfaq\u00ebsues t\u00eb qytetit t\u00eb Dibr\u00ebs n\u00ebnvizoi r\u00ebnd\u00ebsin\u00eb e sektorit sh\u00ebndet\u00ebsor p\u00ebr mir\u00ebqenien e qytetar\u00ebve t\u00eb Dibr\u00ebs dhe mir\u00ebpriti shqet\u00ebsimet dhe propozimet e qytetar\u00ebve, duke u angazhuar p\u00ebr t\u2019i adresuar ato tek institucionet p\u00ebrgjegj\u00ebse n\u00eb nivel qendror.\r\n\r\n\r\n\r\nTryeza sh\u00ebrbeu si nj\u00eb platform\u00eb ky\u00e7e dialogu, duke mund\u00ebsuar identifikimin e sfidave q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb transparenc\u00eb, koordinim dhe v\u00ebmendje institucionale, n\u00eb funksion t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb dhe aksesit n\u00eb sh\u00ebrbimet sh\u00ebndet\u00ebsore.\r\n\r\nKy aktivitet u organizua n\u00eb kuad\u00ebr t\u00eb projektit \u201cTransparenca dhe Llogaridh\u00ebnia n\u00eb Sektorin e Sh\u00ebndet\u00ebsis\u00eb\u201d, mb\u00ebshtetur nga NED \u2013 National Endo\u00ebment for Democracy.\r\n\r\n\r\n\r\n\r\n\r\n***\r\n\r\n\u00a0Roundtable in Dib\u00ebr\r\n\r\n\r\n\r\nThe association Together for Life held a roundtable in Dib\u00ebr titled \u201cPublic Dialogue for a Quality and Accessible Healthcare System for All\u201d, with the participation of Member of Parliament Alma Selami, representatives of local institutions, experts, and civil society actors.\r\n\r\n\r\n\r\nMP Selami, as one of the representative voices of the Dib\u00ebr community, emphasized the importance of the healthcare sector for citizens\u2019 well-being and welcomed citizens\u2019 concerns and proposals, committing to address them with the responsible institutions at the central level.\r\n\r\n\u00a0The roundtable served as a key platform for dialogue, enabling the identification of challenges requiring greater transparency, coordination, and institutional attention, with the aim of improving the quality and accessibility of healthcare services.\r\n\r\n\r\n\r\n\r\n\r\nThis activity was organized within the framework of the project \u201cTransparency and Accountability in the Healthcare Sector\u201d, supported by National Endowment for Democracy (NED).<\/div><\/article>Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div><\/div>Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
Kujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb (KSHB) p\u00ebrb\u00ebn nj\u00eb sh\u00ebrbim jetik p\u00ebr pacient\u00ebt q\u00eb nuk mund t\u00eb aksesojn\u00eb qendrat sh\u00ebndet\u00ebsore p\u00ebr shkak t\u00eb pamund\u00ebsis\u00eb s\u00eb p\u00ebrkohshme ose t\u00eb p\u00ebrhershme p\u00ebr t\u00eb l\u00ebvizur, p\u00ebrfshir\u00eb t\u00eb moshuarit, pacient\u00ebt me s\u00ebmundje kronike, pacient\u00ebt terminal\u00eb apo ata n\u00eb periudh\u00eb post-operator\u00eb. Ky sh\u00ebrbim, si nj\u00eb tipologji e re n\u00eb sistemin sh\u00ebndet\u00ebsor shqiptar, ofron nj\u00eb gam\u00eb t\u00eb gjer\u00eb kujdesi n\u00eb sht\u00ebpi p\u00ebrmes infermier\u00ebve t\u00eb trajnuar n\u00eb procedura t\u00eb avancuara, duke e sjell\u00eb sh\u00ebrbimin m\u00eb pran\u00eb pacientit dhe duke rritur ndjesh\u00ebm aksesin n\u00eb kujdes.\r\n\r\nKSHB u pilotua p\u00ebr her\u00eb t\u00eb par\u00eb n\u00eb vitin 2021 nga projekti \u201cHealth for All\u201d (HAP), me mb\u00ebshtetjen e Agjencis\u00eb Zvicerane p\u00ebr Zhvillim dhe Bashk\u00ebpunim (SDC), n\u00eb disa qendra sh\u00ebndet\u00ebsore n\u00eb qarqet Dib\u00ebr dhe Fier. Deri n\u00eb vitin 2026, mb\u00ebshtetja \u00ebsht\u00eb zgjeruar n\u00eb rreth 150 qendra sh\u00ebndet\u00ebsore, nd\u00ebrsa n\u00eb shtator 2024 Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale nd\u00ebrmori hapin p\u00ebr shtrirjen e k\u00ebtij sh\u00ebrbimi n\u00eb nivel komb\u00ebtar, duke e konsideruar at\u00eb pjes\u00eb t\u00eb r\u00ebnd\u00ebsishme t\u00eb reformave n\u00eb kujdesin par\u00ebsor.\r\n\r\nMegjithat\u00eb, p\u00ebrtej k\u00ebtij angazhimi politik t\u00eb Ministris\u00eb p\u00ebrgjegj\u00ebse, sfida kryesore mbetet mungesa e nj\u00eb financimi t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm. Aktualisht, ofruesit e sh\u00ebrbimit p\u00ebrballen me kufizime t\u00eb konsiderueshme, p\u00ebrfshir\u00eb munges\u00ebn e pajisjeve dhe materialeve baz\u00eb, kostot e pambuluara t\u00eb transportit p\u00ebr vizitat n\u00eb terren, munges\u00ebn e incentivave p\u00ebr personelin sh\u00ebndet\u00ebsor, si dhe nevoj\u00ebn p\u00ebr forcimin e kapaciteteve profesionale t\u00eb stafit infermieror.\r\n\r\nNd\u00ebrkoh\u00eb, k\u00ebrkesa p\u00ebr k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb n\u00eb rritje t\u00eb vazhdueshme. T\u00eb dh\u00ebnat e CENSUS-it 2023 tregojn\u00eb se rreth 6.5% e popullsis\u00eb n\u00eb Shqip\u00ebri vet\u00eb-identifikohet si persona me aft\u00ebsi t\u00eb kufizuara, nd\u00ebrsa mbi 4.3% raportojn\u00eb v\u00ebshtir\u00ebsi serioze n\u00eb l\u00ebvizje. N\u00eb t\u00eb nj\u00ebjt\u00ebn koh\u00eb, plakja e popullsis\u00eb dhe fakti q\u00eb rreth 20% e saj \u00ebsht\u00eb mbi 65 vje\u00e7, s\u00eb bashku me numrin e lart\u00eb t\u00eb t\u00eb moshuarve q\u00eb jetojn\u00eb vet\u00ebm, rrisin ndjesh\u00ebm nevoj\u00ebn p\u00ebr sh\u00ebrbime t\u00eb kujdesit n\u00eb banes\u00eb.\r\n\r\nPavar\u00ebsisht k\u00ebtyre treguesve dhe nevoj\u00ebs n\u00eb rritje p\u00ebr sh\u00ebrime sh\u00ebndet\u00ebsore n\u00eb banes\u00eb, Ministria e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale ende nuk ka nd\u00ebrmarr\u00eb hapa konkret\u00eb p\u00ebr t\u00eb siguruar nj\u00eb financim t\u00eb strukturuar p\u00ebr k\u00ebt\u00eb sh\u00ebrbim. Kjo vjen n\u00eb nj\u00eb koh\u00eb kur vet\u00eb dokumentet strategjike t\u00eb ministris\u00eb parashikojn\u00eb rritjen e financimit p\u00ebr kujdesin par\u00ebsor dhe alokimin progresiv t\u00eb fondeve p\u00ebr KSHB deri n\u00eb 2% t\u00eb buxhetit t\u00eb p\u00ebrgjithsh\u00ebm t\u00eb sh\u00ebndet\u00ebsis\u00eb, nj\u00eb objektiv q\u00eb mbetet ende i pap\u00ebrmbushur.\r\n\r\nAnalizat financiare tregojn\u00eb se investimi n\u00eb k\u00ebt\u00eb sh\u00ebrbim \u00ebsht\u00eb jo vet\u00ebm i realizuesh\u00ebm, por edhe ekonomikisht i leverdish\u00ebm. Sipas dy skenar\u00ebve t\u00eb financimit t\u00eb p\u00ebrgatitur nga shoqata Together for Life, kostoja e implementimit n\u00eb shkall\u00eb t\u00eb gjer\u00eb p\u00ebr vitin e par\u00eb varion nga rreth 297.5 milion\u00eb lek\u00eb deri n\u00eb 970.8 milion\u00eb lek\u00eb, n\u00eb var\u00ebsi t\u00eb modelit t\u00eb zgjedhur. P\u00ebr m\u00eb tep\u00ebr, ky investim pritet t\u00eb gjeneroj\u00eb kursime t\u00eb qen\u00ebsishme p\u00ebr sistemin sh\u00ebndet\u00ebsor, duke reduktuar nevoj\u00ebn p\u00ebr shtrime spitalore dhe duke ulur kostot deri n\u00eb 1.6 miliard\u00eb lek\u00eb n\u00eb vit.\r\n\r\nN\u00eb k\u00ebt\u00eb kuad\u00ebr, financimi i kujdesit sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet par\u00eb vet\u00ebm si nj\u00eb detyrim social ndaj kategorive m\u00eb vulnerab\u00ebl, por edhe si nj\u00eb zgjedhje strategjike dhe e q\u00ebndrueshme p\u00ebr p\u00ebrmir\u00ebsimin e eficienc\u00ebs s\u00eb sistemit sh\u00ebndet\u00ebsor. Shoqata Together for Life ka ngritur vazhdimisht k\u00ebt\u00eb shqet\u00ebsim gjat\u00eb vitit t\u00eb fundit, duke e adresuar at\u00eb si n\u00eb Komisionin Parlamentar t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Mir\u00ebqenies Sociale, ashtu edhe pran\u00eb Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb.\r\n\r\nP\u00ebr t\u00eb garantuar q\u00ebndrueshm\u00ebrin\u00eb afatgjat\u00eb t\u00eb k\u00ebtij sh\u00ebrbimi, k\u00ebrkohet nd\u00ebrmarrja e masave konkrete nga institucionet p\u00ebrgjegj\u00ebse. K\u00ebto p\u00ebrfshijn\u00eb sigurimin e financimit t\u00eb dedikuar dhe t\u00eb q\u00ebndruesh\u00ebm p\u00ebr KSHB si nj\u00eb linj\u00eb t\u00eb ve\u00e7ant\u00eb buxhetore n\u00eb programet e Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb. Nj\u00ebkoh\u00ebsisht, edhe nga Parlamenti k\u00ebrkohet q\u00eb t\u00eb ushtroj\u00eb n\u00eb m\u00ebnyr\u00eb aktive funksionin e tij mbik\u00ebqyr\u00ebs p\u00ebr t\u00eb garantuar alokimin dhe p\u00ebrdorimin efektiv t\u00eb burimeve publike n\u00eb k\u00ebt\u00eb drejtim.\r\n\r\nKujdesi sh\u00ebndet\u00ebsor n\u00eb banes\u00eb nuk duhet t\u00eb mbetet nj\u00eb iniciativ\u00eb e p\u00ebrkohshme e varur nga mb\u00ebshtetja e donator\u00ebve. Ai duhet t\u00eb konsolidohet si nj\u00eb sh\u00ebrbim i integruar, i q\u00ebndruesh\u00ebm dhe plot\u00ebsisht i financuar nga shteti, n\u00eb funksion t\u00eb nj\u00eb sistemi sh\u00ebndet\u00ebsor m\u00eb gjith\u00ebp\u00ebrfshir\u00ebs, m\u00eb efikas dhe m\u00eb t\u00eb drejt\u00eb p\u00ebr t\u00eb gjith\u00eb qytetar\u00ebt, ve\u00e7an\u00ebrisht p\u00ebr ata q\u00eb jan\u00eb m\u00eb n\u00eb nevoj\u00eb.<\/div><\/article>Ngacmimi seksual n\u00eb pun\u00eb, \u00e7\u00ebshtje e barazis\u00eb gjinore<\/h2><\/div>
Ngacmimi seksual n\u00eb pun\u00eb, \u00e7\u00ebshtje e barazis\u00eb gjinore<\/h2><\/div><\/div>\u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual?\r\n\r\n\"Kur ndodh ndonj\u00eb form\u00eb e sjelljes s\u00eb pad\u00ebshiruar verbale, joverbale ose fizike me natyr\u00eb seksuale, me q\u00ebllim ose pasoj\u00eb shkeljen e dinjitetit t\u00eb nj\u00eb personi, ve\u00e7an\u00ebrisht kur krijohet nj\u00eb mjedis k\u00ebrc\u00ebnues, armiq\u00ebsor, degradues, posht\u00ebrues ose ofendues.\" - Direktiva e BE-s\u00eb 2002\/73\/KE\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje e barazis\u00eb gjinore\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb prek kryesisht grat\u00eb. Edhe pse \u00ebsht\u00eb nj\u00eb problem n\u00eb vendin e pun\u00ebs, ngacmimi seksual \u00ebsht\u00eb kryesisht nj\u00eb \u00e7\u00ebshtje gjinore e nxitur nga ata burra q\u00eb ndihen t\u00eb autorizuar t'i seksualizojn\u00eb grat\u00eb p\u00ebrmes prekjes, avancimeve t\u00eb pap\u00ebrshtatshme n\u00eb mediat sociale, emaileve ose mesazheve, shakave seksuale ose ekspozimit ndaj imazheve seksualisht eksplicite. K\u00ebto sjellje t\u00eb pad\u00ebshiruara d\u00ebmtojn\u00eb dinjitetin e viktimave dhe krijojn\u00eb nj\u00eb mjedis pune toksik.\r\n\r\nGrat\u00eb p\u00ebrjetojn\u00eb ngacmim seksual kryesisht nga burrat, ku koleg\u00ebt jan\u00eb shkel\u00ebsit m\u00eb t\u00eb zakonsh\u00ebm.\r\n\r\nBurrat gjithashtu p\u00ebrjetojn\u00eb ngacmim seksual n\u00eb pun\u00eb (DHP). N\u00eb t\u00eb 11 shtetet an\u00ebtare p\u00ebr t\u00eb cilat Sondazhi i BE-s\u00eb p\u00ebr Dhun\u00ebn me Gj\u00ebra t\u00eb Barabarta mblodhi t\u00eb dh\u00ebna edhe mbi dhun\u00ebn ndaj burrave, rezultatet tregojn\u00eb nj\u00eb prevalenc\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb DHP krahasuar me grat\u00eb.\r\n\r\nNgacmimi seksual mund t\u00eb marr\u00eb shum\u00eb forma\r\n\r\nN\u00eb t\u00eb gjith\u00eb BE-n\u00eb, normat e ngacmimit seksual q\u00eb p\u00ebrjetojn\u00eb grat\u00eb n\u00eb pun\u00eb ndryshojn\u00eb shum\u00eb: nga 55% n\u00eb Suedi, 54% n\u00eb Finland\u00eb, 53% n\u00eb Sllovaki dhe shkojn\u00eb deri n\u00eb 12% n\u00eb Portugali dhe Bullgari, dhe 11% n\u00eb Letoni.\r\n\r\nSi pjes\u00eb e anket\u00ebs s\u00eb BE-s\u00eb mbi dhun\u00ebn me baz\u00eb gjinore, grat\u00eb ndan\u00eb p\u00ebrvojat e tyre t\u00eb ngacmimit seksual, duke zgjedhur nga nj\u00eb list\u00eb aktesh q\u00eb i b\u00ebn\u00eb t\u00eb ndiheshin t\u00eb ofenduara, t\u00eb posht\u00ebruara ose t\u00eb frik\u00ebsuara:\r\n\r\n \tV\u00ebshtrim i pap\u00ebrshtatsh\u00ebm\r\n \tShaka seksuale t\u00eb pahijshme ose v\u00ebrejtje fyese n\u00eb lidhje me trupin ose jet\u00ebn e tyre private\r\n \tKontakt fizik i pad\u00ebshiruar, p.sh. af\u00ebrsi, prekje e pjes\u00ebve t\u00eb trupit, puthje\/p\u00ebrqafime ose di\u00e7ka tjet\u00ebr t\u00eb pad\u00ebshiruar\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr t\u00eb dal\u00eb n\u00eb nj\u00eb takim\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr \u00e7do aktivitet seksual\r\n \tPropozime t\u00eb pap\u00ebrshtatshme n\u00eb faqet e rrjeteve sociale\r\n \tEmail-e ose mesazhe me tekst t\u00eb pap\u00ebrshtatshme me p\u00ebrmbajtje seksuale eksplicite, t\u00eb cilat jan\u00eb t\u00eb pap\u00ebrshtatshme.\r\n \tEkspozimi ndaj imazheve me p\u00ebrmbajtje seksuale eksplicite\r\n \tK\u00ebrc\u00ebnime me pasoja t\u00eb pak\u00ebndshme n\u00ebse refuzonin propozime ose avancime seksuale\r\n\r\nNevoj\u00eb urgjente p\u00ebr veprim\r\n\r\nGjetjet nxjerrin n\u00eb pah nevoj\u00ebn urgjente p\u00ebr veprime t\u00eb synuara q\u00eb pranojn\u00eb ngacmimin seksual n\u00eb pun\u00eb si nj\u00eb \u00e7\u00ebshtje gjinore, njohin dob\u00ebsit\u00eb unike me t\u00eb cilat p\u00ebrballen grat\u00eb e reja dhe adresojn\u00eb dimensionin online. Nevojiten mbrojtje m\u00eb t\u00eb fort\u00eb dhe sisteme mb\u00ebshtet\u00ebse m\u00eb t\u00eb arritshme p\u00ebr t\u00eb parandaluar dhun\u00ebn dhe ngacmimin me baz\u00eb gjinore n\u00eb vendin e pun\u00ebs. Ne duhet t'i japim p\u00ebrpar\u00ebsi z\u00ebrave dhe p\u00ebrvojave t\u00eb grave, ve\u00e7an\u00ebrisht grave t\u00eb reja, duke siguruar mjedise m\u00eb t\u00eb sigurta ku t\u00eb drejtat e tyre respektohen dhe mb\u00ebshteten.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr<\/h2><\/div><\/div>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr\r\n\r\n\r\n\r\nShoqata Together for Life, organizoi n\u00eb Dib\u00ebr tryez\u00ebn e rrumbullak\u00ebt \u201cDialog publik p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor cil\u00ebsor dhe t\u00eb aksesuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb\u201d, me pjes\u00ebmarrjen e deputetes Alma Selami, p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve vendore, ekspert\u00ebve dhe aktor\u00ebve t\u00eb shoq\u00ebris\u00eb civile.\r\n\r\n\r\n\r\nDeputetja Selami si nj\u00eb nga z\u00ebrat p\u00ebrfaq\u00ebsues t\u00eb qytetit t\u00eb Dibr\u00ebs n\u00ebnvizoi r\u00ebnd\u00ebsin\u00eb e sektorit sh\u00ebndet\u00ebsor p\u00ebr mir\u00ebqenien e qytetar\u00ebve t\u00eb Dibr\u00ebs dhe mir\u00ebpriti shqet\u00ebsimet dhe propozimet e qytetar\u00ebve, duke u angazhuar p\u00ebr t\u2019i adresuar ato tek institucionet p\u00ebrgjegj\u00ebse n\u00eb nivel qendror.\r\n\r\n\r\n\r\nTryeza sh\u00ebrbeu si nj\u00eb platform\u00eb ky\u00e7e dialogu, duke mund\u00ebsuar identifikimin e sfidave q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb transparenc\u00eb, koordinim dhe v\u00ebmendje institucionale, n\u00eb funksion t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb dhe aksesit n\u00eb sh\u00ebrbimet sh\u00ebndet\u00ebsore.\r\n\r\nKy aktivitet u organizua n\u00eb kuad\u00ebr t\u00eb projektit \u201cTransparenca dhe Llogaridh\u00ebnia n\u00eb Sektorin e Sh\u00ebndet\u00ebsis\u00eb\u201d, mb\u00ebshtetur nga NED \u2013 National Endo\u00ebment for Democracy.\r\n\r\n\r\n\r\n\r\n\r\n***\r\n\r\n\u00a0Roundtable in Dib\u00ebr\r\n\r\n\r\n\r\nThe association Together for Life held a roundtable in Dib\u00ebr titled \u201cPublic Dialogue for a Quality and Accessible Healthcare System for All\u201d, with the participation of Member of Parliament Alma Selami, representatives of local institutions, experts, and civil society actors.\r\n\r\n\r\n\r\nMP Selami, as one of the representative voices of the Dib\u00ebr community, emphasized the importance of the healthcare sector for citizens\u2019 well-being and welcomed citizens\u2019 concerns and proposals, committing to address them with the responsible institutions at the central level.\r\n\r\n\u00a0The roundtable served as a key platform for dialogue, enabling the identification of challenges requiring greater transparency, coordination, and institutional attention, with the aim of improving the quality and accessibility of healthcare services.\r\n\r\n\r\n\r\n\r\n\r\nThis activity was organized within the framework of the project \u201cTransparency and Accountability in the Healthcare Sector\u201d, supported by National Endowment for Democracy (NED).<\/div><\/article>Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div><\/div>Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
\u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual?\r\n\r\n\"Kur ndodh ndonj\u00eb form\u00eb e sjelljes s\u00eb pad\u00ebshiruar verbale, joverbale ose fizike me natyr\u00eb seksuale, me q\u00ebllim ose pasoj\u00eb shkeljen e dinjitetit t\u00eb nj\u00eb personi, ve\u00e7an\u00ebrisht kur krijohet nj\u00eb mjedis k\u00ebrc\u00ebnues, armiq\u00ebsor, degradues, posht\u00ebrues ose ofendues.\" - Direktiva e BE-s\u00eb 2002\/73\/KE\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb \u00ebsht\u00eb nj\u00eb \u00e7\u00ebshtje e barazis\u00eb gjinore\r\n\r\nNgacmimi seksual n\u00eb pun\u00eb prek kryesisht grat\u00eb. Edhe pse \u00ebsht\u00eb nj\u00eb problem n\u00eb vendin e pun\u00ebs, ngacmimi seksual \u00ebsht\u00eb kryesisht nj\u00eb \u00e7\u00ebshtje gjinore e nxitur nga ata burra q\u00eb ndihen t\u00eb autorizuar t'i seksualizojn\u00eb grat\u00eb p\u00ebrmes prekjes, avancimeve t\u00eb pap\u00ebrshtatshme n\u00eb mediat sociale, emaileve ose mesazheve, shakave seksuale ose ekspozimit ndaj imazheve seksualisht eksplicite. K\u00ebto sjellje t\u00eb pad\u00ebshiruara d\u00ebmtojn\u00eb dinjitetin e viktimave dhe krijojn\u00eb nj\u00eb mjedis pune toksik.\r\n\r\nGrat\u00eb p\u00ebrjetojn\u00eb ngacmim seksual kryesisht nga burrat, ku koleg\u00ebt jan\u00eb shkel\u00ebsit m\u00eb t\u00eb zakonsh\u00ebm.\r\n\r\nBurrat gjithashtu p\u00ebrjetojn\u00eb ngacmim seksual n\u00eb pun\u00eb (DHP). N\u00eb t\u00eb 11 shtetet an\u00ebtare p\u00ebr t\u00eb cilat Sondazhi i BE-s\u00eb p\u00ebr Dhun\u00ebn me Gj\u00ebra t\u00eb Barabarta mblodhi t\u00eb dh\u00ebna edhe mbi dhun\u00ebn ndaj burrave, rezultatet tregojn\u00eb nj\u00eb prevalenc\u00eb m\u00eb t\u00eb ul\u00ebt t\u00eb DHP krahasuar me grat\u00eb.\r\n\r\nNgacmimi seksual mund t\u00eb marr\u00eb shum\u00eb forma\r\n\r\nN\u00eb t\u00eb gjith\u00eb BE-n\u00eb, normat e ngacmimit seksual q\u00eb p\u00ebrjetojn\u00eb grat\u00eb n\u00eb pun\u00eb ndryshojn\u00eb shum\u00eb: nga 55% n\u00eb Suedi, 54% n\u00eb Finland\u00eb, 53% n\u00eb Sllovaki dhe shkojn\u00eb deri n\u00eb 12% n\u00eb Portugali dhe Bullgari, dhe 11% n\u00eb Letoni.\r\n\r\nSi pjes\u00eb e anket\u00ebs s\u00eb BE-s\u00eb mbi dhun\u00ebn me baz\u00eb gjinore, grat\u00eb ndan\u00eb p\u00ebrvojat e tyre t\u00eb ngacmimit seksual, duke zgjedhur nga nj\u00eb list\u00eb aktesh q\u00eb i b\u00ebn\u00eb t\u00eb ndiheshin t\u00eb ofenduara, t\u00eb posht\u00ebruara ose t\u00eb frik\u00ebsuara:\r\n\r\n \tV\u00ebshtrim i pap\u00ebrshtatsh\u00ebm\r\n \tShaka seksuale t\u00eb pahijshme ose v\u00ebrejtje fyese n\u00eb lidhje me trupin ose jet\u00ebn e tyre private\r\n \tKontakt fizik i pad\u00ebshiruar, p.sh. af\u00ebrsi, prekje e pjes\u00ebve t\u00eb trupit, puthje\/p\u00ebrqafime ose di\u00e7ka tjet\u00ebr t\u00eb pad\u00ebshiruar\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr t\u00eb dal\u00eb n\u00eb nj\u00eb takim\r\n \tSugjerime t\u00eb pap\u00ebrshtatshme p\u00ebr \u00e7do aktivitet seksual\r\n \tPropozime t\u00eb pap\u00ebrshtatshme n\u00eb faqet e rrjeteve sociale\r\n \tEmail-e ose mesazhe me tekst t\u00eb pap\u00ebrshtatshme me p\u00ebrmbajtje seksuale eksplicite, t\u00eb cilat jan\u00eb t\u00eb pap\u00ebrshtatshme.\r\n \tEkspozimi ndaj imazheve me p\u00ebrmbajtje seksuale eksplicite\r\n \tK\u00ebrc\u00ebnime me pasoja t\u00eb pak\u00ebndshme n\u00ebse refuzonin propozime ose avancime seksuale\r\n\r\nNevoj\u00eb urgjente p\u00ebr veprim\r\n\r\nGjetjet nxjerrin n\u00eb pah nevoj\u00ebn urgjente p\u00ebr veprime t\u00eb synuara q\u00eb pranojn\u00eb ngacmimin seksual n\u00eb pun\u00eb si nj\u00eb \u00e7\u00ebshtje gjinore, njohin dob\u00ebsit\u00eb unike me t\u00eb cilat p\u00ebrballen grat\u00eb e reja dhe adresojn\u00eb dimensionin online. Nevojiten mbrojtje m\u00eb t\u00eb fort\u00eb dhe sisteme mb\u00ebshtet\u00ebse m\u00eb t\u00eb arritshme p\u00ebr t\u00eb parandaluar dhun\u00ebn dhe ngacmimin me baz\u00eb gjinore n\u00eb vendin e pun\u00ebs. Ne duhet t'i japim p\u00ebrpar\u00ebsi z\u00ebrave dhe p\u00ebrvojave t\u00eb grave, ve\u00e7an\u00ebrisht grave t\u00eb reja, duke siguruar mjedise m\u00eb t\u00eb sigurta ku t\u00eb drejtat e tyre respektohen dhe mb\u00ebshteten.<\/div><\/article>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr<\/h2><\/div>
Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr<\/h2><\/div><\/div>Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr\r\n\r\n\r\n\r\nShoqata Together for Life, organizoi n\u00eb Dib\u00ebr tryez\u00ebn e rrumbullak\u00ebt \u201cDialog publik p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor cil\u00ebsor dhe t\u00eb aksesuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb\u201d, me pjes\u00ebmarrjen e deputetes Alma Selami, p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve vendore, ekspert\u00ebve dhe aktor\u00ebve t\u00eb shoq\u00ebris\u00eb civile.\r\n\r\n\r\n\r\nDeputetja Selami si nj\u00eb nga z\u00ebrat p\u00ebrfaq\u00ebsues t\u00eb qytetit t\u00eb Dibr\u00ebs n\u00ebnvizoi r\u00ebnd\u00ebsin\u00eb e sektorit sh\u00ebndet\u00ebsor p\u00ebr mir\u00ebqenien e qytetar\u00ebve t\u00eb Dibr\u00ebs dhe mir\u00ebpriti shqet\u00ebsimet dhe propozimet e qytetar\u00ebve, duke u angazhuar p\u00ebr t\u2019i adresuar ato tek institucionet p\u00ebrgjegj\u00ebse n\u00eb nivel qendror.\r\n\r\n\r\n\r\nTryeza sh\u00ebrbeu si nj\u00eb platform\u00eb ky\u00e7e dialogu, duke mund\u00ebsuar identifikimin e sfidave q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb transparenc\u00eb, koordinim dhe v\u00ebmendje institucionale, n\u00eb funksion t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb dhe aksesit n\u00eb sh\u00ebrbimet sh\u00ebndet\u00ebsore.\r\n\r\nKy aktivitet u organizua n\u00eb kuad\u00ebr t\u00eb projektit \u201cTransparenca dhe Llogaridh\u00ebnia n\u00eb Sektorin e Sh\u00ebndet\u00ebsis\u00eb\u201d, mb\u00ebshtetur nga NED \u2013 National Endo\u00ebment for Democracy.\r\n\r\n\r\n\r\n\r\n\r\n***\r\n\r\n\u00a0Roundtable in Dib\u00ebr\r\n\r\n\r\n\r\nThe association Together for Life held a roundtable in Dib\u00ebr titled \u201cPublic Dialogue for a Quality and Accessible Healthcare System for All\u201d, with the participation of Member of Parliament Alma Selami, representatives of local institutions, experts, and civil society actors.\r\n\r\n\r\n\r\nMP Selami, as one of the representative voices of the Dib\u00ebr community, emphasized the importance of the healthcare sector for citizens\u2019 well-being and welcomed citizens\u2019 concerns and proposals, committing to address them with the responsible institutions at the central level.\r\n\r\n\u00a0The roundtable served as a key platform for dialogue, enabling the identification of challenges requiring greater transparency, coordination, and institutional attention, with the aim of improving the quality and accessibility of healthcare services.\r\n\r\n\r\n\r\n\r\n\r\nThis activity was organized within the framework of the project \u201cTransparency and Accountability in the Healthcare Sector\u201d, supported by National Endowment for Democracy (NED).<\/div><\/article>Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div><\/div>Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
Tryez\u00eb e rrumbullak\u00ebt n\u00eb Dib\u00ebr\r\n\r\n\r\n\r\nShoqata Together for Life, organizoi n\u00eb Dib\u00ebr tryez\u00ebn e rrumbullak\u00ebt \u201cDialog publik p\u00ebr nj\u00eb sistem sh\u00ebndet\u00ebsor cil\u00ebsor dhe t\u00eb aksesuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb\u201d, me pjes\u00ebmarrjen e deputetes Alma Selami, p\u00ebrfaq\u00ebsuesve t\u00eb institucioneve vendore, ekspert\u00ebve dhe aktor\u00ebve t\u00eb shoq\u00ebris\u00eb civile.\r\n\r\n\r\n\r\nDeputetja Selami si nj\u00eb nga z\u00ebrat p\u00ebrfaq\u00ebsues t\u00eb qytetit t\u00eb Dibr\u00ebs n\u00ebnvizoi r\u00ebnd\u00ebsin\u00eb e sektorit sh\u00ebndet\u00ebsor p\u00ebr mir\u00ebqenien e qytetar\u00ebve t\u00eb Dibr\u00ebs dhe mir\u00ebpriti shqet\u00ebsimet dhe propozimet e qytetar\u00ebve, duke u angazhuar p\u00ebr t\u2019i adresuar ato tek institucionet p\u00ebrgjegj\u00ebse n\u00eb nivel qendror.\r\n\r\n\r\n\r\nTryeza sh\u00ebrbeu si nj\u00eb platform\u00eb ky\u00e7e dialogu, duke mund\u00ebsuar identifikimin e sfidave q\u00eb k\u00ebrkojn\u00eb m\u00eb shum\u00eb transparenc\u00eb, koordinim dhe v\u00ebmendje institucionale, n\u00eb funksion t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb dhe aksesit n\u00eb sh\u00ebrbimet sh\u00ebndet\u00ebsore.\r\n\r\nKy aktivitet u organizua n\u00eb kuad\u00ebr t\u00eb projektit \u201cTransparenca dhe Llogaridh\u00ebnia n\u00eb Sektorin e Sh\u00ebndet\u00ebsis\u00eb\u201d, mb\u00ebshtetur nga NED \u2013 National Endo\u00ebment for Democracy.\r\n\r\n\r\n\r\n\r\n\r\n***\r\n\r\n\u00a0Roundtable in Dib\u00ebr\r\n\r\n\r\n\r\nThe association Together for Life held a roundtable in Dib\u00ebr titled \u201cPublic Dialogue for a Quality and Accessible Healthcare System for All\u201d, with the participation of Member of Parliament Alma Selami, representatives of local institutions, experts, and civil society actors.\r\n\r\n\r\n\r\nMP Selami, as one of the representative voices of the Dib\u00ebr community, emphasized the importance of the healthcare sector for citizens\u2019 well-being and welcomed citizens\u2019 concerns and proposals, committing to address them with the responsible institutions at the central level.\r\n\r\n\u00a0The roundtable served as a key platform for dialogue, enabling the identification of challenges requiring greater transparency, coordination, and institutional attention, with the aim of improving the quality and accessibility of healthcare services.\r\n\r\n\r\n\r\n\r\n\r\nThis activity was organized within the framework of the project \u201cTransparency and Accountability in the Healthcare Sector\u201d, supported by National Endowment for Democracy (NED).<\/div><\/article>Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div>
Projekti VIOLET- P\u00ebr vende pune pa ngacmim dhe dhun\u00eb seksuale<\/h2><\/div><\/div>Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
Objektivi i P\u00ebrgjithsh\u00ebm: Projekti VIOLET synon t\u00eb siguroj\u00eb nj\u00eb mjedis pune t\u00eb sigurt dhe t\u00eb respektuesh\u00ebm p\u00ebr t\u00eb gjith\u00eb, pa ngacmim seksual.\r\n\r\nProjekti adreson ngacmimin seksual dhe dhun\u00ebn n\u00eb vendin e pun\u00ebs p\u00ebrmes nj\u00eb qasjeje t\u00eb integruar q\u00eb p\u00ebrfshin analiza t\u00eb situat\u00ebs, nd\u00ebrhyrje konkrete, adresim dhe komunikim.\r\n\r\nPartneriteti:\r\n\r\n \tThe Slovak National Centre for Human Rights (SNCHR) - Sllovaki\r\n \tThe Office of the Equal Opportunities Ombudsperson (OEOO) of Lithuania\r\n \tThe Commission for Equality at Labour and Employment (CITE) of Portugal\r\n \tPlataforma Portuguesa para os Direitos das Mulheres (ASSOCIACAO, PT) (PpDM) - Portugali\r\n \tComenius University Bratislava (CU BA) - Sllovaki\r\n \tThe Commissioner for Protection from Discrimination (CPD ALB) - Shqip\u00ebri\r\n \tTogether for Life in Albania (TFL) - Shqip\u00ebri\r\n \tThe Commission for Protection and Prevention against Discrimination (CPPD) of North Macedonia \u2013 Maqedonia e Veriut\r\n \tThe Public Defender of Rights (PDR CZ) - \u00c7eki\r\n \tThe European Network of Equality Bodies (EQUINET) - \u00c7eki\r\n\r\nObjektivat specifik\u00eb:\r\n\r\n \tRritja e kapaciteteve t\u00eb profesionist\u00ebve dhe institucioneve p\u00ebrgjegj\u00ebse p\u00ebr t\u00eb trajtuar ngacmimin seksual dhe p\u00ebr t\u00eb rritur ndikimin e pun\u00ebs s\u00eb tyre.\r\n \tNjohje e thelluar mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb vendin e pun\u00ebs, faktor\u00ebt e rrezikut, pengesat n\u00eb raportim dhe praktikat parandaluese.\r\n \tRritja e siguris\u00eb n\u00eb vendin e pun\u00ebs p\u00ebrmes masave parandaluese n\u00eb nivel institucional.\r\n \tRritja e efektivitetit t\u00eb politikave komb\u00ebtare dhe forcimi i bashk\u00ebpunimit nd\u00ebrmjet aktor\u00ebve kryesor\u00eb.\r\n \tForcimi i mekanizmave p\u00ebr mbrojtjes ligjore nga ngacmimi seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nMETODOLOGJIA\r\n\r\nProjekti do t\u00eb p\u00ebrfshij\u00eb praktikat m\u00eb t\u00eb mira dhe qasjet novatore, duke p\u00ebrfshir\u00eb metodat kryesore t\u00eb m\u00ebposhtme:\r\n\r\nPlan pune dhe metodologji e integruar n\u00eb nivel nd\u00ebrkomb\u00ebtar: Hartimi i nj\u00eb metodologjie t\u00eb unifikuar dhe transferuese p\u00ebr t\u00eb monitoruar dhe p\u00ebr t\u00eb marr\u00eb informacione n\u00eb drejtim t\u00eb nivelit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n\r\nPun\u00eb k\u00ebrkimore mbi P\u00ebrhapjen dhe Mbrojtjen Ligjore: P\u00ebrmes analizave dhe k\u00ebrkimeve cil\u00ebsore n\u00eb drejtim t\u00eb kuadrit ligjor dhe sasiore n\u00eb drejtim t\u00eb kuadrit shoq\u00ebror e kulturor, do t\u00eb prodhohen t\u00eb dh\u00ebna konkrete mbi p\u00ebrhapjen e ngacmimit seksual n\u00eb sektor\u00eb t\u00eb p\u00ebrzgjedhur (sh\u00ebndet\u00ebsi, sport profesional, arsim, administrat\u00eb publike, sh\u00ebrbime sociale).\r\n\r\nZbatimi i Masave Parandaluese n\u00eb Vendet e Pun\u00ebs: P\u00ebrmes nj\u00eb fushate t\u00eb thelluar informimi e nd\u00ebrgjegj\u00ebsimi n\u00eb sektor\u00ebt e p\u00ebrzgjedhur, do t\u00eb trajnohen punonj\u00ebsit dhe drejtuesit mbi m\u00ebnyrat e parandalimit t\u00eb ngacmimit seksual n\u00eb vendin e pun\u00ebs si dhe hapat e m\u00ebtejshme p\u00ebr adresim t\u00eb problemit. Projekti do t\u00eb kontribuoj\u00eb edhe n\u00eb hartimin e kodeve t\u00eb etik\u00ebs dhe manualeve p\u00ebrkat\u00ebse p\u00ebr t\u2019u ndjekur nga vet\u00eb institucionet.\r\n\r\nBashk\u00ebpunimi nder sektorial: : Partneriteti p\u00ebrfshin aktor\u00eb t\u00eb ndrysh\u00ebm t\u00eb bashkuar n\u00eb vlera dhe p\u00ebr t\u00eb\u00a0 advokuar n\u00eb nivel lokal, komb\u00ebtar dhe nd\u00ebrkomb\u00ebtar p\u00ebr nj\u00eb kauz\u00eb t\u00eb p\u00ebrbashk\u00ebt. Institucionet kryesore do t\u00eb p\u00ebrfshihen n\u00eb tryeza diskutimi p\u00ebr p\u00ebrmir\u00ebsim t\u00eb kuadrit ligjor dhe propozime p\u00ebr ndryshime konkrete.\r\n\r\nFushata Komunikimi dhe Nd\u00ebrgjegj\u00ebsimi: 2 fushata t\u00eb thelluara nd\u00ebrgjegj\u00ebsimi n\u00eb rrjetet sociale p\u00ebr publikun e gjer\u00eb me temat 1) \u00c7far\u00eb \u00ebsht\u00eb ngacmimi seksual? dhe 2) \u00c7far\u00eb t\u00eb b\u00ebjm\u00eb kur p\u00ebrjetojm\u00eb ose d\u00ebshmojm\u00eb ngacmim seksual? Gjithashtu, 2 konferenca nd\u00ebrkomb\u00ebtare p\u00ebr t\u00eb theksuar r\u00ebnd\u00ebsin\u00eb e parandalimit dhe forcimin e mekanizmave ligjor\u00eb.\r\n\r\nREZULTATET\r\n\r\n \tRritje e kapaciteteve profesionale t\u00eb jurist\u00ebve, studiuesve dhe ekspert\u00ebve t\u00eb barazis\u00eb gjinore.\r\n \tT\u00eb dh\u00ebna t\u00eb p\u00ebrdit\u00ebsuara dhe t\u00eb krahasueshme mbi ngacmimin seksual n\u00eb vendin e pun\u00ebs sipas sektor\u00ebve t\u00eb p\u00ebrfshir\u00eb.\r\n \tRritje e bashk\u00ebpunimit nd\u00ebrmjet institucioneve (inspektorate pune, sindikata, organe t\u00eb barazis\u00eb, organizata t\u00eb shoq\u00ebris\u00eb civile).\r\n \tZbatimi i mekanizmave efektiv\u00eb t\u00eb ankesave n\u00eb institucionet p\u00ebrkat\u00ebse.\r\n \tP\u00ebrmir\u00ebsim i kuadrit ligjor dhe politikave komb\u00ebtare.\r\n \tRritje e nd\u00ebrgjegj\u00ebsimit publik.\r\n \tRritje e raportimit t\u00eb rasteve dhe mund\u00ebsi m\u00eb e madhe n\u00eb ndihm\u00eb ligjore falas p\u00ebr viktimat.\r\n \tIntegrim t\u00eb programeve parandaluese n\u00eb aktivitetet e rregullta t\u00eb organeve t\u00eb barazis\u00eb\r\n \tMb\u00ebshtetja p\u00ebr reforma ligjore n\u00eb p\u00ebrputhje me standardet e BE-s\u00eb dhe ILO-s\u00eb\r\n\r\nNdikimi afatgjat\u00eb\r\n\r\n \tNxitje e ndryshimeve t\u00eb q\u00ebndrueshme e t\u00eb vazhdueshme n\u00eb institucione p\u00ebrmes kodeve t\u00eb sjelljes dhe mekanizmave mbrojt\u00ebs.\r\n \tForcim i zbatimit e legjislacionit komb\u00ebtar dhe t\u00eb BE-s\u00eb.\r\n \tKrijim i mjeteve t\u00eb q\u00ebndrueshme trajnimi dhe nd\u00ebrgjegj\u00ebsimi.\r\n \tRritje e toleranc\u00ebs zero ndaj ngacmimit seksual n\u00eb vendin e pun\u00ebs.\r\n \tP\u00ebrmir\u00ebsim i siguris\u00eb dhe mir\u00ebqenies s\u00eb punonj\u00ebsve.\r\n\r\n*Ky dokument \u00ebsht\u00eb prodhuar me ndihm\u00ebn financiare t\u00eb Bashkimit Evropian. P\u00ebrmbajtja e k\u00ebtij dokumenti \u00ebsht\u00eb p\u00ebrgjegj\u00ebsi e vetme e Together for Life dhe n\u00eb asnj\u00eb rrethan\u00eb nuk mund t\u00eb konsiderohet se pasqyron pozicionin e Bashkimit Evropian<\/div><\/article>Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div>
Probleme serioze n\u00eb furnizimin me barna t\u00eb QSUT: N\u00eb 5 vite gjysma e ila\u00e7eve antitumorale nuk jan\u00eb importuar asnj\u00ebher\u00eb<\/h2><\/div><\/div>Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>
Pacient\u00ebt me s\u00ebmundje tumorale n\u00eb Shqip\u00ebri prej vitesh p\u00ebrballen me v\u00ebshtir\u00ebsi t\u00eb shumta n\u00eb trajtimin q\u00eb marrin n\u00eb spitale, p\u00ebrfshir\u00eb munges\u00ebn ose vonesat e barnave jetike. K\u00ebto mungesa nuk jan\u00eb thjesht \u00e7\u00ebshtje administrative, ato p\u00ebrb\u00ebjn\u00eb rrezik t\u00eb drejtp\u00ebrdrejt\u00eb p\u00ebr jet\u00ebn e pacient\u00ebve.\r\n\r\nN\u00eb raportin e tij m\u00eb t\u00eb fundit t\u00eb auditimit tematik mbi disponibilitetin e barnave n\u00eb spitalet publike, Kontrolli i Lart\u00eb i Shtetit (KLSH) evidenton problematika t\u00eb thella n\u00eb sistemin e furnizimit me barna antitumorale, duke nxjerr\u00eb n\u00eb pah mang\u00ebsi strukturore n\u00eb planifikim, monitorim dhe mbik\u00ebqyrje.\r\n\r\nAuditimi, i cili p\u00ebrfshiu Ministrin\u00eb e Sh\u00ebndet\u00ebsis\u00eb dhe Mbrojtjes Sociale, Fondin e Sigurimit t\u00eb Detyruesh\u00ebm t\u00eb Kujdesit Sh\u00ebndet\u00ebsor (FSDKSH), Agjencin\u00eb e Barnave dhe Pajisjeve Mjek\u00ebsore, si dhe Qendr\u00ebn Spitalore Universitare \u201cN\u00ebn\u00eb Tereza\u201d zbuloi nj\u00eb situat\u00eb alarmante.\r\n\r\nSipas raportit t\u00eb KLSH-s\u00eb, nga 253 barna antitumorale t\u00eb autorizuara p\u00ebr tregtim n\u00eb Republik\u00ebn e Shqip\u00ebris\u00eb, 116 prej tyre, ose 46% nuk jan\u00eb importuar asnj\u00ebher\u00eb gjat\u00eb periudh\u00ebs janar 2021 \u2013 mars 2025.\r\n\r\nNga auditimi i korrespondencave mes QSUT-s\u00eb dhe Ministris\u00eb s\u00eb Sh\u00ebndet\u00ebsis\u00eb, si dhe nga shpjegimet e subjekteve t\u00eb audituara, n\u00ebnvizohet n\u00eb raportin e KLSH-s\u00eb, rezulton se Ministria nuk ka ezauruar n\u00eb m\u00ebnyr\u00eb shteruese mekanizmat monitorues n\u00eb procesin e sigurimit t\u00eb barnave p\u00ebr trajtimin e s\u00ebmundjeve tumorale.\r\nMosaplikimi i penaliteteve: kosto p\u00ebr buxhetin dhe goditje p\u00ebr transparenc\u00ebn\r\nNga 49 raste vonesash t\u00eb pajustifikuara n\u00eb furnizimin me barna antitumorale nga importuesit farmaceutik\u00eb, Drejtoria e Kontrollit e FSDKSH-s\u00eb ka nd\u00ebrmarr\u00eb masa vet\u00ebm n\u00eb dy raste. Sipas raportit, penalitetet q\u00eb duhej t\u00eb ishin aplikuar p\u00ebr 49 subjektet p\u00ebrgjegj\u00ebse arrijn\u00eb n\u00eb nj\u00eb vler\u00eb totale prej 49 milion\u00eb lek\u00ebsh, por edhe ato nuk jan\u00eb zbatuar.\r\n\r\nKy fakt nuk p\u00ebrb\u00ebn vet\u00ebm nj\u00eb mang\u00ebsi administrative, por ka ndikim t\u00eb drejtp\u00ebrdrejt\u00eb n\u00eb buxhetin e shtetit. Mosaplikimi i penaliteteve n\u00ebnkupton humbje t\u00eb t\u00eb ardhurave q\u00eb duhej t\u00eb rikuperoheshin n\u00eb buxhet dhe dob\u00ebsim t\u00eb mekanizmave t\u00eb disiplin\u00ebs kontraktuale. Kur kontratat nuk shoq\u00ebrohen me pasoja financiare p\u00ebr moszbatim, krijohet nj\u00eb precedent i rreziksh\u00ebm q\u00eb ul standardin e p\u00ebrgjegjshm\u00ebris\u00eb dhe rrit riskun p\u00ebr abuzime apo keqmenaxhim t\u00eb fondeve publike.\r\n\r\nMungesa e nj\u00eb mekanizmi t\u00eb rregullt dhe funksional monitorimi, si\u00e7 thekson KLSH, tregon se sektori i kontrollit ka vepruar n\u00eb m\u00ebnyr\u00eb selektive dhe jasht\u00eb nj\u00eb plani t\u00eb miratuar. Kjo cenon parimin e barazis\u00eb dhe objektivitetit n\u00eb zbatimin e ligjit, duke krijuar hap\u00ebsir\u00eb p\u00ebr trajtim t\u00eb pabarabart\u00eb t\u00eb operator\u00ebve ekonomik\u00eb.\r\n\r\nP\u00ebr m\u00eb tep\u00ebr, praktikat joefektive t\u00eb mbik\u00ebqyrjes kan\u00eb \u00e7uar, n\u00eb disa raste, n\u00eb certifikimin e padrejt\u00eb t\u00eb operator\u00ebve si \u201cpa probleme\u201d, edhe kur jan\u00eb evidentuar mungesa t\u00eb zgjatura barnash n\u00eb periudha kritike. Kjo d\u00ebmton transparenc\u00ebn institucionale dhe besimin publik, pasi raportimet zyrtare nuk pasqyrojn\u00eb realitetin e furnizimit.\r\n\r\nN\u00eb aspektin financiar dhe t\u00eb qeverisjes, kombinimi i vonesave t\u00eb pajustifikuara, munges\u00ebs s\u00eb penaliteteve dhe monitorimit selektiv krijon nj\u00eb cik\u00ebl t\u00eb mbyllur mosllogaridh\u00ebnieje: fondet publike p\u00ebrdoren pa garanci p\u00ebr performanc\u00eb kontraktuale, mekanizmat e kontrollit dob\u00ebsohen, nd\u00ebrsa transparenca dhe besimi n\u00eb sistemin e furnizimit me barna c\u00ebnohen ndjesh\u00ebm.\r\n\r\nParregullsi n\u00eb menaxhimin e barnave \u2013 efekt i drejtp\u00ebrdrejt\u00eb mbi pacient\u00ebt me tumor\r\n\r\nRaporti i Kontrollit t\u00eb Lart\u00eb t\u00eb Shtetit evidenton mang\u00ebsi serioze n\u00eb mir\u00ebadministrimin dhe dokumentimin e barnave n\u00eb spitalet publike, ku jan\u00eb konstatuar receta t\u00eb dublikuara, mosp\u00ebrputhje nd\u00ebrmjet sasive fizike dhe atyre t\u00eb regjistruara n\u00eb sistem, si dhe k\u00ebrkesa t\u00eb p\u00ebrs\u00ebritura t\u00eb paplot\u00ebsuara p\u00ebr t\u00eb nj\u00ebjtin pacient.\r\n\r\nK\u00ebto nuk jan\u00eb thjesht parregullsi teknike apo administrative. P\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, t\u00eb cil\u00ebt ndjekin protokolle trajtimi t\u00eb rrepta dhe ciklike, \u00e7do gabim n\u00eb dokumentim apo mosgjurmueshm\u00ebri e sakt\u00eb e barnave mund t\u00eb \u00e7oj\u00eb n\u00eb vonesa n\u00eb terapi, nd\u00ebrprerje t\u00eb trajtimit ose z\u00ebvend\u00ebsime t\u00eb pap\u00ebrshtatshme t\u00eb barnave. N\u00eb trajtimin onkologjik, vonesa prej disa dit\u00ebsh mund t\u00eb ndikoj\u00eb n\u00eb efektivitetin e terapis\u00eb dhe n\u00eb progresionin e s\u00ebmundjes.\r\n\r\nRecetat e dublikuara dhe mosp\u00ebrputhjet n\u00eb sistem krijojn\u00eb pasiguri mbi gjendjen reale t\u00eb barnave dhe mund t\u00eb maskojn\u00eb mungesa faktike. Nd\u00ebrkoh\u00eb, k\u00ebrkesat e paplot\u00ebsuara t\u00eb p\u00ebrs\u00ebritura p\u00ebr t\u00eb nj\u00ebjtin pacient tregojn\u00eb se sistemi nuk arrin t\u00eb garantoj\u00eb vazhdim\u00ebsin\u00eb e trajtimit, nj\u00eb element jetik p\u00ebr pacient\u00ebt me tumor.\r\n\r\nDob\u00ebsit\u00eb n\u00eb menaxhimin, dokumentimin dhe gjurmueshm\u00ebrin\u00eb e barnave rrisin rrezikun jo vet\u00ebm p\u00ebr abuzime apo humbje financiare, por mbi t\u00eb gjitha p\u00ebr c\u00ebnim t\u00eb siguris\u00eb s\u00eb pacient\u00ebve. N\u00eb kontekstin e trajtimeve onkologjike, ku terapit\u00eb jan\u00eb jetike, k\u00ebto mang\u00ebsi p\u00ebrkthehen n\u00eb rrezik real p\u00ebr p\u00ebrkeq\u00ebsim t\u00eb gjendjes sh\u00ebndet\u00ebsore dhe ulje t\u00eb shanseve p\u00ebr mbijetes\u00eb.\r\n\r\nRaporti i fundit i KLSH-s\u00eb d\u00ebrgon nj\u00eb mesazh t\u00eb qart\u00eb: sistemi i furnizimit me barna, ve\u00e7an\u00ebrisht p\u00ebr pacient\u00ebt me s\u00ebmundje tumorale, k\u00ebrkon nd\u00ebrhyrje t\u00eb menj\u00ebhershme strukturore dhe llogaridh\u00ebnie institucionale, n\u00eb m\u00ebnyr\u00eb q\u00eb askush t\u00eb mos p\u00ebrballet me munges\u00ebn e nj\u00eb trajtimi q\u00eb i shp\u00ebton jet\u00ebn.\r\n\r\n <\/div><\/article><\/div>