{"id":413,"date":"2016-03-19T09:34:48","date_gmt":"2016-03-19T09:34:48","guid":{"rendered":"https:\/\/chistaging.wordpress.com\/?page_id=413"},"modified":"2021-08-22T11:11:44","modified_gmt":"2021-08-22T11:11:44","slug":"bulgaria","status":"publish","type":"page","link":"https:\/\/childhealthinternational.org\/staging\/bulgaria\/","title":{"rendered":"Bulgaria"},"content":{"rendered":"\n<p>Cystic fibrosis care in Bulgaria is limited by funding, with low patient access to expertise. Diagnosis rates are typically low, with CF often not recognised as a distinct disease. Without diagnosis, people living with CF aren&#8217;t given the correct care, monitoring or funding to maintain their health and manage their condition. GPs are not routinely part of CF care in Bulgaria, and with only 4 specialist centres in the country, financial and logistical difficulties are an important barrier to accessing treatment.<\/p>\n\n\n\n<p>Working with specialists from the UK&#8217;s Southampton Paediatric Cystic Fibrosis Centre, Bulgarian medical teams identified the key focus areas listed below and concluded the development of a National Patient Register should be the primary goal for future collaboration.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-3 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<ul id=\"block-0278ff3e-c161-49e4-acdb-759bde6f1349\"><li>Nutrition: knowledge exchange on implementing a professional approach<\/li><li>Diagnosis: early screening tests and learning from experience in the UK<\/li><li>Microbiology and hygiene<\/li><li>Training programmes for parents: physiotherapy, diet and respiratory treatments<\/li><li>Special factors for teenagers<\/li><li>Training\/education for adult patients<\/li><li>Thematically structured meetings<\/li><\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" loading=\"lazy\" width=\"1024\" height=\"715\" src=\"http:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/iStock-980622598-1024x715.jpg\" alt=\"\" class=\"wp-image-1664\" srcset=\"https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/iStock-980622598-1024x715.jpg 1024w, https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/iStock-980622598-300x209.jpg 300w, https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/iStock-980622598-768x536.jpg 768w, https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/iStock-980622598.jpg 1226w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p>A patient register has wide ranging benefits. As an easily accessed resource, it is an invaluable aid in understanding health outcomes in patients nationwide. It aids communication between health workers in different parts of the country and provides a source of important information for decisions on treatment. Perhaps most importantly it encourages regular routine assessments and record keeping. It could be a step change for the treatment of CF in Bulgaria.<\/p>\n\n\n\n\n\t\t\t<section id=\"cd-timeline\" style=\"opacity: 0;\" class=\"cd-container timeline-express \" >\n\n\t\t\t\n<div id=\"strategy-planning-in-bulgaria\" class=\"cd-timeline-block october 01 2018 legacy-layout year-icon announcement-1571 current-project bulgaria icon-bounce-in container-style-default\" data-container-animation=\"bounce-in\" data-icon-animation=\"bounce-in\">\n\n\t\n\t\t<a class=\"cd-timeline-icon-link\" href=\"https:\/\/childhealthinternational.org\/staging\/announcement\/another-visit\/\">\n\n\t\t\n\t\t<div class=\"cd-timeline-img cd-picture\" style=\"background:#024f29;\">\n\n\t\t\t<!-- Custom Action Hook -->\n\n\t\t\t\n\t\t\t\t<!-- Year Icons Markup -->\n\n\t\t\t\t<span class=\"year\">\n\n\t\t\t\t\t<strong>\n\n\t\t\t\t\t\t2018\n\t\t\t\t\t<\/strong>\n\n\t\t\t\t<\/span>\n\n\t\t\t\n\t\t<\/div> <!-- cd-timeline-img -->\n\t\n\t\t<\/a>\n\n\t\t\n\t<!-- Timeline Content -->\n\t<div class=\"cd-timeline-content\">\n\n\t\t\n\t\t<!-- Announcement Title -->\n\t\t<div class=\"cd-timeline-title-container\">\n\n\t\t\t\n\t\t\t<h2 class=\"cd-timeline-item-title\">\n\t\t\t\tStrategy planning in Bulgaria\t\t\t<\/h2>\n\n\t\t\t\t\t<\/div>\n\t\t<!-- End Announcement Title -->\n\n\t\t<img width=\"350\" height=\"120\" src=\"https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/bulgaria-2115804_640-e1617047463505-350x120.jpg\" class=\"announcement-banner-image\" alt=\"Strategy planning in Bulgaria\" loading=\"lazy\" \/>\n\t\t<!-- Announcement Excerpt -->\n\t\t<div class=\"the-excerpt\">\n\t\t\t<p>Dr Julian Legg arranged to meet Dr Lutz Naehrlich, Director of the European Cystic Fibrosis Society Patient Registry at a CF Europe conference in Sofia, aiming to discuss next steps towards developing a register of CF patients,<\/p>\n<a class=\"timeline-express-read-more-link\" href=\"https:\/\/childhealthinternational.org\/staging\/announcement\/another-visit\/\"> Read more<\/a>\t\t<\/div>\n\t\t<!-- End Announcement Excerpt -->\n\n\t\t\n\t<\/div>\n\t<!-- End Timeline Content -->\n\n\t\n<\/div>\n<!-- End Timeline Block -->\n\n<div id=\"medical-team-visit-varna\" class=\"cd-timeline-block march 11 2015 legacy-layout year-icon announcement-1661 current-project bulgaria icon-bounce-in container-style-default\" data-container-animation=\"bounce-in\" data-icon-animation=\"bounce-in\">\n\n\t\n\t\t<a class=\"cd-timeline-icon-link\" href=\"https:\/\/childhealthinternational.org\/staging\/announcement\/medical-team-visit-varna\/\">\n\n\t\t\n\t\t<div class=\"cd-timeline-img cd-picture\" style=\"background:#024f29;\">\n\n\t\t\t<!-- Custom Action Hook -->\n\n\t\t\t\n\t\t\t\t<!-- Year Icons Markup -->\n\n\t\t\t\t<span class=\"year\">\n\n\t\t\t\t\t<strong>\n\n\t\t\t\t\t\t2015\n\t\t\t\t\t<\/strong>\n\n\t\t\t\t<\/span>\n\n\t\t\t\n\t\t<\/div> <!-- cd-timeline-img -->\n\t\n\t\t<\/a>\n\n\t\t\n\t<!-- Timeline Content -->\n\t<div class=\"cd-timeline-content\">\n\n\t\t\n\t\t<!-- Announcement Title -->\n\t\t<div class=\"cd-timeline-title-container\">\n\n\t\t\t\n\t\t\t<h2 class=\"cd-timeline-item-title\">\n\t\t\t\tMedical team visit Varna\t\t\t<\/h2>\n\n\t\t\t\t\t<\/div>\n\t\t<!-- End Announcement Title -->\n\n\t\t<img width=\"350\" height=\"120\" src=\"https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/02\/nathan-dumlao-P5MXtYfgmmw-unsplash-e1617130705253-350x120.jpg\" class=\"announcement-banner-image\" alt=\"Medical team visit Varna\" loading=\"lazy\" \/>\n\t\t<!-- Announcement Excerpt -->\n\t\t<div class=\"the-excerpt\">\n\t\t\t<p>A four person team visited the CF centre in Varna in March 2015 and spent 3 days with the Bulgarian team which has demonstrated the most capability and enthusiasm for working with CHI.<\/p>\n<a class=\"timeline-express-read-more-link\" href=\"https:\/\/childhealthinternational.org\/staging\/announcement\/medical-team-visit-varna\/\"> Read more<\/a>\t\t<\/div>\n\t\t<!-- End Announcement Excerpt -->\n\n\t\t\n\t<\/div>\n\t<!-- End Timeline Content -->\n\n\t\n<\/div>\n<!-- End Timeline Block -->\n\n<div id=\"medical-team-visit-sophia\" class=\"cd-timeline-block november 27 2013 legacy-layout year-icon announcement-1659 current-project bulgaria icon-bounce-in container-style-three\" data-container-animation=\"bounce-in\" data-icon-animation=\"te-bounce\">\n\n\t\n\t\t<a class=\"cd-timeline-icon-link\" href=\"https:\/\/childhealthinternational.org\/staging\/announcement\/introductory-visit-sophia\/\">\n\n\t\t\n\t\t<div class=\"cd-timeline-img cd-picture\" style=\"background:#024f29;\">\n\n\t\t\t<!-- Custom Action Hook -->\n\n\t\t\t\n\t\t\t\t<!-- Year Icons Markup -->\n\n\t\t\t\t<span class=\"year\">\n\n\t\t\t\t\t<strong>\n\n\t\t\t\t\t\t2013\n\t\t\t\t\t<\/strong>\n\n\t\t\t\t<\/span>\n\n\t\t\t\n\t\t<\/div> <!-- cd-timeline-img -->\n\t\n\t\t<\/a>\n\n\t\t\n\t<!-- Timeline Content -->\n\t<div class=\"cd-timeline-content\">\n\n\t\t\n\t\t<!-- Announcement Title -->\n\t\t<div class=\"cd-timeline-title-container\">\n\n\t\t\t\n\t\t\t<h2 class=\"cd-timeline-item-title\">\n\t\t\t\tMedical team visit Sophia\t\t\t<\/h2>\n\n\t\t\t\t\t<\/div>\n\t\t<!-- End Announcement Title -->\n\n\t\t<img width=\"350\" height=\"120\" src=\"https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/pexels-stefana-ristic-3382753-350x120.jpg\" class=\"announcement-banner-image\" alt=\"Medical team visit Sophia\" loading=\"lazy\" \/>\n\t\t<!-- Announcement Excerpt -->\n\t\t<div class=\"the-excerpt\">\n\t\t\t<p>Dr. Julian Legg and Adrian Gamble visited Sofia from 27-29 November on a fact-finding trip, attending a series of meetings with the principal representatives of the medical and parent groups who lead the CF effort in Bulgaria.<\/p>\n<a class=\"timeline-express-read-more-link\" href=\"https:\/\/childhealthinternational.org\/staging\/announcement\/introductory-visit-sophia\/\"> Read more<\/a>\t\t<\/div>\n\t\t<!-- End Announcement Excerpt -->\n\n\t\t\n\t<\/div>\n\t<!-- End Timeline Content -->\n\n\t\n<\/div>\n<!-- End Timeline Block -->\n\n\t\t\t<\/section>\n\n\t\t\t<!-- Timeline Express Pro v2.4.0 | Site: https:\/\/www.wp-timelineexpress.com | Author: Code Parrots - http:\/\/www.codeparrots.com -->\n","protected":false},"excerpt":{"rendered":"<p>Cystic fibrosis care in Bulgaria is limited by funding, with low patient access to expertise. Diagnosis rates are typically low, with CF often not recognised as a distinct disease. Without diagnosis, people living with CF aren&#8217;t given the correct care, monitoring or funding to maintain their health and manage their condition. GPs are not routinely part of CF care in Bulgaria, and with only 4 specialist centres in the country, financial and logistical difficulties are an important barrier to accessing treatment. Working with specialists from the UK&#8217;s Southampton Paediatric Cystic Fibrosis Centre, Bulgarian medical teams identified the key focus areas listed below and concluded the development of a National Patient Register should be the primary goal for future collaboration. Nutrition: knowledge exchange on implementing a professional approach Diagnosis: early screening tests and learning from experience in the UK Microbiology and hygiene Training programmes for parents: physiotherapy, diet and respiratory treatments Special factors for teenagers Training\/education for adult patients Thematically structured meetings A patient register has wide ranging benefits. As an easily accessed resource, it is an invaluable aid in understanding health outcomes in patients nationwide. It aids communication between health workers in different parts of the country and provides a source of important information for decisions on treatment. Perhaps most importantly it encourages regular routine assessments and record keeping. It could be a step change for the treatment of CF in Bulgaria.<\/p>\n","protected":false},"author":3,"featured_media":1664,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bulgaria - Child Health International<\/title>\n<meta name=\"description\" content=\"Find out more about Child Health International&#039;s ongoing work to improve cystic fibrosis care in Bulgaria.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bulgaria - Child Health International\" \/>\n<meta property=\"og:description\" content=\"Find out more about Child Health International&#039;s ongoing work to improve cystic fibrosis care in Bulgaria.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/childhealthinternational.org\/staging\/bulgaria\/\" \/>\n<meta property=\"og:site_name\" content=\"Child Health International\" \/>\n<meta property=\"article:modified_time\" content=\"2021-08-22T11:11:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/iStock-980622598.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1226\" \/>\n\t<meta property=\"og:image:height\" content=\"856\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/childhealthinternational.org\/staging\/#website\",\"url\":\"https:\/\/childhealthinternational.org\/staging\/\",\"name\":\"Child Health International\",\"description\":\"Helping children with cystic fibrosis get the care and the life they deserve\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/childhealthinternational.org\/staging\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/childhealthinternational.org\/staging\/bulgaria\/#primaryimage\",\"inLanguage\":\"en-US\",\"url\":\"https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/iStock-980622598.jpg\",\"contentUrl\":\"https:\/\/childhealthinternational.org\/staging\/wp-content\/uploads\/2021\/03\/iStock-980622598.jpg\",\"width\":1226,\"height\":856,\"caption\":\"School and fun time.\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/childhealthinternational.org\/staging\/bulgaria\/#webpage\",\"url\":\"https:\/\/childhealthinternational.org\/staging\/bulgaria\/\",\"name\":\"Bulgaria - 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