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Best Practice

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Document Typology: Projects to insert patient with disabilities in the job market
Target groups: Health Workers,Patients
country Where It Took Place: Slovakia
Name of compiler: Juraj Dúbrava
name of institution: TRANSFER Slovensko, s.r.o.
role: project manager
language Of The Description: English
title: Increasing ofthe availability of care services through vouchers - National Project of the Ministry of Work, Social and Family Affairs financed by the European Social Fund
description Of The Best Practice:
Currently, municipalities are in a situation with lack of funds to provide social services. Therefore some services are not provided for the citizens at all. This is the case with nursing services, so people are forced to pay the full cost of private providers. A significant aid to them should be a national project aimed at increasing the availability of care services through vouchers. The European Social Fund and state budget will help needy citizens and local government offices to financethe care takers. In addition, 3,300 jobs are created or maintained just for people who want to work as carers. This system is tested abroad e.g. Sweden. Ministry of work reflects in its setting in Slovak conditions some comments of ZMOS. Involved in the preparation of the project is also SOCIA, representing social service providers.
The project will provide day-care at home, which availability is currently limited to a maximum. Through the project will be issued vouchers worth 6.9 euro / piece that the client will buy from the village and they will pay for the care service provided. Municipality will be able to purchase vouchers in a number (in terms of population, number of dependents, etc.) at thhe amount of € 3.90. A person who needs care service, from the village can buy a voucher for up to € 1.4. The cost for a citizen will decide the local council. People in poverty can be provided vouchers for free. City will provide citizens with information on the care providers. Vouchers, which the provider receives for services performed by a citizen, will be reimbursed by the issuer at the original amount of € 6.90. This is the actual cost of one hour nursing care.
The project will be financially secured by part of the Operational Programme Employment and Social Inclusion, Priority 2, and from the ESF, co-financing will be from the state budget (85% and 15% of the ESF SR). One voucher is subsidized by ESF funds of 3 EUR community contribute by at least 2.5 EUR, client up to 1,4 Eur. It is a tripartite funding of care services and provides a project to improve conditions for everyone, including private providers of social services. 3,300 jobs willo be created or maintained for those people who want to work as care takers.
Quality indicators:
Use of methodologies in order to involve the citizens in the field of training and education health system
More information about the conference on
The project is still in the initial stage of implementation and has its opponents and proponents. Association of Towns and Municipalities of Slovakia perceives project risk mainly in terms of its sustainability - 3600 jobs over 12 months. The problem is what will happend with these working places at the end of the project.
In Slovakia we have accordinh to this project 2 key questions:
1. on the end this 3600 jobs will not able to be on the work market what will do this people
2. what kind of practical a dn theoretical skills will have this ablovensts
3. it ia question of the payment for this care providers, because inflation is so high that this money will be not sufficient and we have in Slovakia a new Workers law in which is not very good wotk as part time job.

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