{"id":7067,"date":"2017-03-31T12:51:09","date_gmt":"2017-03-31T12:51:09","guid":{"rendered":"https:\/\/www.magna.org\/fr\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/"},"modified":"2022-12-03T15:08:11","modified_gmt":"2022-12-03T15:08:11","slug":"denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem","status":"publish","type":"post","link":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/","title":{"rendered":"Denisa August\u00ednov\u00e1: Jedno ze 13 d\u011bt\u00ed na planet\u011b trp\u00ed hladem."},"content":{"rendered":"

Rozhovor s Denisou August\u00ednovou p\u00f4vodne vy\u0161iel ve\u00a0Zdravotnickych novin\u00e1ch 11\/2017<\/em><\/p>\n

Zdravotnick\u00e9 t\u00fdmy humanit\u00e1rn\u00ed organizace MAGNA l\u00e9\u010d\u00ed d\u011bti a jejich rodiny v Kambod\u017ei, Ji\u017en\u00edm S\u00fad\u00e1nu, Demokratick\u00e9 republice Kongo, v S\u00fdrii, Libanonu nebo Ir\u00e1ku. Specializuj\u00ed se hlavn\u011b na z\u00e1kladn\u00ed zdravotn\u00ed p\u00e9\u010di, l\u00e9\u010dbu akutn\u00ed podv\u00fd\u017eivy, ment\u00e1ln\u00ed zdrav\u00ed a HIV\/AIDS. Pom\u00e1haj\u00ed ale i ob\u011btem \u017eiveln\u00edch katastrof nebo v\u00e1le\u010dn\u00fdch konflikt\u016f. Jak prob\u00edh\u00e1 l\u00e9\u010dba t\u011b\u017ek\u00fdch nemoc\u00ed p\u0159\u00edmo v ter\u00e9nu a jak\u00e1 jsou jej\u00ed specifika, l\u00ed\u010d\u00ed zakladatelka a opera\u010dn\u00ed \u0159editelka MAGNA Denisa August\u00ednov\u00e1.<\/p>\n

OSN v Ji\u017en\u00edm S\u00fad\u00e1nu pr\u00e1v\u011b vyhl\u00e1sila stav hladomoru. Kdy k takov\u00e9mu stavu doch\u00e1z\u00ed?<\/strong><\/p>\n

Hladomor nast\u00e1v\u00e1 tehdy, nastanou-li nejm\u00e9n\u011b t\u0159i z n\u00e1sleduj\u00edc\u00edch situac\u00ed: p\u011btina obyvatelstva nem\u00e1 denn\u011b k dispozici j\u00eddlo s v\u00fd\u017eivovou hodnotou aspo\u0148 2100 kilokalori\u00ed, v\u00edce ne\u017e 30 % d\u011bt\u00ed trp\u00ed podv\u00fd\u017eivou, hladem denn\u011b zem\u0159ou bu\u010f 2 z 10 000 osob nebo 4 z 10 000 d\u011bt\u00ed. \u0160\u00ed\u0159\u00ed se pandemick\u00e1 choroba, lid\u00e9 nemaj\u00ed denn\u011b k dispozici ani \u010dty\u0159i litry vody, st\u011bhuje se velk\u00fd po\u010det lid\u00ed, trv\u00e1 civiln\u00ed konflikt, lid\u00e9 p\u0159ich\u00e1zej\u00ed o majetek a mo\u017enost v\u00fdd\u011blku. V Ji\u017en\u00edm S\u00fad\u00e1nu je moment\u00e1ln\u011b v bezprost\u0159edn\u00edm ohro\u017een\u00ed \u017eivota 100 tis\u00edc lid\u00ed, ale situace nen\u00ed lep\u0161\u00ed ani ve zbytku zem\u011b. P\u0159ibli\u017en\u011b 40 % jihos\u00fad\u00e1nsk\u00e9 populace, tedy asi 4,9 mili\u00f3n\u016f lid\u00ed, pot\u0159ebuje akutn\u011b zajistit vysoko nutri\u010dn\u00ed stravu. Pokud ji okam\u017eit\u011b nedostanou, do \u010dervna bude hladu \u010delit asi 5 mili\u00f3n\u016f lid\u00ed. Hladomor je d\u016fsledkem pokra\u010duj\u00edc\u00ed ob\u010dansk\u00e9 v\u00e1lky a hlubok\u00e9 hospod\u00e1\u0159sk\u00e9 krize.<\/p>\n

MAGNA u\u017e m\u00e1 zku\u0161enost s hladomorem tak\u00e9 ze Som\u00e1lska\u2026<\/strong><\/p>\n

Ano, pr\u00e1v\u011b tam OSN naposledy hladomor vyhl\u00e1sila. V roce 2011 jsme na som\u00e1lsk\u00e9 hranici v na\u0161ich 9 nutri\u010dn\u00edch a nemocni\u010dn\u00edch centrech l\u00e9\u010dili 14 000 lid\u00ed, p\u0159ev\u00e1\u017en\u011b d\u011bt\u00ed do 5 let. Hospitalizovan\u00fdm d\u011btem byly dva a\u017e \u010dty\u0159i roky a n\u011bkter\u00e9 z nich v\u00e1\u017eily jen t\u0159i a p\u016fl kila. Tak vypad\u00e1 organizmus d\u00edt\u011bte, kter\u00e9 nedost\u00e1v\u00e1 prakticky \u017e\u00e1dnou v\u00fd\u017eivu.<\/p>\n

Kter\u00e9 skupiny obyvatelstva na hladomor nejv\u00edce dopl\u00e1cej\u00ed?<\/strong><\/p>\n

V dob\u011b hladomoru jsou nejv\u00edce ohro\u017een\u00e9 d\u011bti a star\u0161\u00ed lid\u00e9, ale v d\u016fsledku postihuje celou populaci. U d\u011bt\u00ed do dvou let m\u00e1 strava v\u00fdznamn\u00fd vliv na jejich fyzick\u00fd i psychick\u00fd v\u00fdvoj. Podvy\u017eiven\u00e9 d\u011bti do p\u011bti let maj\u00ed v\u00fdrazn\u011b oslaben\u00fd imunitn\u00ed syst\u00e9m a jsou m\u00e9n\u011b odoln\u00e9 proti b\u011b\u017en\u00fdm d\u011btsk\u00fdm onemocn\u011bn\u00edm. Proto m\u016f\u017ee podvy\u017eiven\u00e9 d\u00edt\u011b zem\u0159\u00edt na b\u011b\u017en\u00e9 prochladnut\u00ed \u010di v d\u016fsledku pr\u016fjmov\u00e9ho onemocn\u011bn\u00ed. Moment\u00e1ln\u011b lid\u00e9 v nejposti\u017een\u011bj\u0161\u00edch \u010d\u00e1stech Ji\u017en\u00edm S\u00fad\u00e1nu nemaj\u00ed k j\u00eddlu nic. Jedin\u00e9, co maj\u00ed, jsou listy ze strom\u016f a divok\u00e9 plody, kter\u00e9 rostou v nebezpe\u010dn\u00e9 bu\u0161i.<\/p>\n

Co se vlastn\u011b d\u011bje s lidsk\u00fdm organismem, kter\u00fd je podvy\u017eiven\u00fd?<\/strong><\/p>\n

Organismus trp\u00edc\u00ed akutn\u00ed podv\u00fd\u017eivou m\u00e1 velmi oslaben\u00fd imunitn\u00ed syst\u00e9m, riziko \u00famrt\u00ed se t\u00edm v\u00fdrazn\u011b zvy\u0161uje. Kritick\u00fd v\u011bk pro akutn\u00ed podv\u00fd\u017eivu je od 6 m\u011bs\u00edc\u016f, kdy matky sv\u00e9 d\u011bti standardn\u011b za\u010d\u00ednaj\u00ed dokrmovat r\u016fzn\u00fdmi p\u0159\u00edkrmy. Tato doba trv\u00e1 do 24 m\u011bs\u00edc\u016f d\u00edt\u011bte. Na\u0161e zku\u0161enosti \u0159\u00edkaj\u00ed, \u017ee nejohro\u017een\u011bj\u0161\u00ed jsou d\u011bti do 5 let, adolescenti, t\u011bhotn\u00e9 a koj\u00edc\u00ed matky a star\u0161\u00ed lid\u00e9. Podvy\u017eiven\u00e9 d\u00edt\u011b mus\u00edme vn\u00edmat jako pacienta s velmi z\u00e1va\u017en\u00fdm zdravotn\u00edm probl\u00e9mem, a to jak z akutn\u00edho, tak i z chronick\u00e9ho hlediska. Nejv\u00edc problematick\u00e9 jsou akutn\u00ed komplikace jako dehydratace, n\u00edzk\u00e1 hladina cukru v krvi, poruchy metabolismu, kter\u00e9 mohou celkem rychle po\u0161kodit mozek. V\u0161echny org\u00e1ny, v\u010detn\u011b mozku, se vlivem podv\u00fd\u017eivy zmen\u0161uj\u00ed, a t\u00edm u d\u011bt\u00ed ohro\u017euj\u00ed jejich ment\u00e1ln\u00ed v\u00fdvoj a psychomotoriku. Nejb\u011b\u017en\u011bj\u0161\u00ed zn\u00e1mkou podv\u00fd\u017eivy je pochopiteln\u011b v\u00e1hov\u00fd \u00fabytek. Ztr\u00e1ta na v\u00e1ze m\u016f\u017ee b\u00fdt prov\u00e1zena nedostatkem s\u00edly a neschopnost\u00ed vykon\u00e1vat b\u011b\u017en\u00e9 \u010dinnosti. V p\u0159\u00edpadech v\u00e1\u017en\u00e9 akutn\u00ed podv\u00fd\u017eivy se mohou vyskytnout i otoky b\u0159icha a nohou, ztr\u00e1ta vlas\u016f, zm\u011bny v pigmentaci k\u016f\u017ee. Z chronick\u00e9ho pohledu je pacient bez p\u0159\u00edsunu \u017eivin posti\u017een\u00fd zpomalen\u00edm r\u016fstu a je n\u00e1chyln\u011bj\u0161\u00ed k infek\u010dn\u00edm onemocn\u011bn\u00edm, jako jsou pr\u016fjmy, z\u00e1paly plic nebo spalni\u010dky. Pravd\u011bpodobnost d\u011btsk\u00e9 \u00famrtnosti je u podvy\u017eiven\u00fdch jeden\u00e1ctkr\u00e1t vy\u0161\u0161\u00ed ne\u017e u zdrav\u00fdch d\u011bt\u00ed. Vlivem n\u00edzk\u00e9 hmotnosti jsou d\u011bti s podv\u00fd\u017eivou celkov\u011b zesl\u00e1bl\u00e9, mal\u00e1tn\u00e9, nedok\u00e1\u017eou se soust\u0159edit, u\u010dit se a vykon\u00e1vat b\u011b\u017en\u00e9 \u010dinnosti. Je zaj\u00edmav\u00e9, \u017ee se podv\u00fd\u017eiva v komunit\u00e1ch zpravidla p\u0159ed\u00e1v\u00e1 z generace na generaci \u2013 podvy\u017eiven\u00e9 mlad\u00e9 \u017eeny rod\u00ed podvy\u017eiven\u00e9 dcery, kter\u00fdm se op\u011bt narod\u00ed d\u011bti s podv\u00fd\u017eivou.<\/p>\n

M\u016f\u017eete n\u00e1m popsat, jak\u00fdm zp\u016fsobem podvy\u017eiven\u00e9 d\u011bti l\u00e9\u010d\u00edte?<\/strong><\/p>\n

Podv\u00fd\u017eivu diagnostikujeme porovn\u00e1n\u00edm standardn\u00ed v\u00e1hy a v\u00fd\u0161ky, nebo zm\u011b\u0159en\u00edm obvodu pa\u017ee d\u00edt\u011bte tvz. MUAC p\u00e1skem. V MAGNA pou\u017e\u00edv\u00e1me nejefektivn\u011bj\u0161\u00ed zp\u016fsob l\u00e9\u010dby podv\u00fd\u017eivy \u2013 terapeutickou stravu p\u0159ipravenou k okam\u017eit\u00e9 konzumaci, tzv. RUTF u pacient\u016f s v\u00e1\u017enou akutn\u00ed podv\u00fd\u017eivou bez zdravotn\u00edch komplikac\u00ed jako jsou nap\u0159. pr\u016fjmy a respira\u010dn\u00ed onemocn\u011bn\u00ed. Terapeutick\u00e9 j\u00eddlo obsahuje v\u0161echny \u017eiviny, kter\u00e9 pacient pro sv\u016fj stav pot\u0159ebuje, pom\u00e1h\u00e1 zv\u00fd\u0161it v\u00e1hu a pacienta stabilizuje. Nen\u00ed pot\u0159ebn\u00e9 ji m\u00edchat s vodou, co\u017e sni\u017euje riziko jin\u00e9 infekce z kontaminovan\u00e9 vody. L\u00e9\u010dba m\u016f\u017ee m\u00edt n\u011bkolik f\u00e1z\u00ed. Akutn\u00ed podv\u00fd\u017eiva s komplikacemi si \u017e\u00e1d\u00e1 rychlou l\u00e9ka\u0159skou pomoc a okam\u017eitou hospitalizaci. Podvy\u017eiven\u00fdm d\u011btem pod\u00e1v\u00e1me gastrickou sondou do \u017ealudku terapeutick\u00e9 ml\u00e9ko. Po kr\u00e1tk\u00e9m intervalu p\u0159ech\u00e1z\u00edme na ml\u00e9ko energeticky a nutri\u010dn\u011b vydatn\u011bj\u0161\u00ed. Tento postup p\u0159itom respektuje mo\u017en\u00e9 komplikace zp\u016fsoben\u00e9 n\u00e1hl\u00fdm p\u0159\u00edsunem \u017eivin. D\u00e1vky se postupn\u011b zvy\u0161uj\u00ed podle hmotnosti d\u00edt\u011bte, nakonec m\u016f\u017eeme pacienta propustit. Dom\u016f odch\u00e1zej\u00ed d\u011bti vybaveny v\u00fd\u017eivou RUTF i pokyny k jej\u00ed konzumaci.<\/p>\n

Kolik p\u0159ibli\u017en\u011b stoj\u00ed terapeutick\u00e1 l\u00e9\u010dba na 1 den?<\/strong><\/p>\n

Speci\u00e1ln\u00ed nutri\u010dn\u00ed l\u00e9\u010dba vy\u017eaduje zhruba 50 korun na den a jednoho pacienta.<\/p>\n

Krom\u011b va\u0161eho vlastn\u00edho hled\u00e1n\u00ed pacient\u016f p\u0159\u00edmo v ter\u00e9nu, maj\u00ed se m\u00edstn\u00ed lid\u00e9 mo\u017enost dozv\u011bd\u011bt, kde p\u016fsob\u00edte? V\u011bd\u00ed, \u017ee u v\u00e1s mohou naj\u00edt pomoc?<\/strong><\/p>\n

Na\u0161\u00ed hlavn\u00ed \u00falohou pr\u00e1ce v komunit\u011b je vyhled\u00e1v\u00e1n\u00ed d\u011bt\u00ed ohro\u017een\u00fdch podv\u00fd\u017eivou, abychom je mohli l\u00e9\u010dit co nejd\u0159\u00edve a efektivn\u011b. Tuto \u010dinnost v ter\u00e9nu zaji\u0161\u0165uj\u00ed na\u0161i speci\u00e1ln\u011b vy\u0161kolen\u00ed zdravotn\u00edci. Vzd\u011bl\u00e1vaj\u00ed a motivuj\u00ed rodi\u010de mal\u00fdch d\u011bt\u00ed k dodr\u017eov\u00e1n\u00ed hygieny a spr\u00e1vn\u00fdch stravovac\u00edch n\u00e1vyk\u016f \u2013 u\u010d\u00edme matky a dal\u0161\u00ed \u010dleny rodiny, jak ve skromn\u00fdch podm\u00ednk\u00e1ch p\u0159ipravit d\u011btem dostate\u010dn\u011b v\u00fd\u017eivn\u00e9 j\u00eddlo. Zdravotn\u00edci MAGNA tak\u00e9 pravideln\u011b nav\u0161t\u011bvuj\u00ed rodiny a mal\u00e9 pacienty, kte\u0159\u00ed dost\u00e1vaj\u00ed terapeutickou stravu, aby dohl\u00e9dli na \u00fasp\u011b\u0161n\u00fd pr\u016fb\u011bh l\u00e9\u010dby. Pacienty se specifick\u00fdmi probl\u00e9my jako je nap\u0159\u00edklad i podv\u00fd\u017eiva identifikujeme p\u0159\u00edmo i v n\u00e1mi podporovan\u00fdch zdravotnick\u00fdch centrech, kde je nutri\u010dn\u00ed m\u011b\u0159en\u00ed ji\u017e integrovanou sou\u010d\u00e1st\u00ed b\u011b\u017en\u00e9 pediatrick\u00e9 l\u00e9\u010dby. Tedy ka\u017ed\u00e9 d\u00edt\u011b mlad\u0161\u00ed 5 let, kter\u00e9 p\u0159ijde do na\u0161eho zdravotnick\u00e9ho za\u0159\u00edzen\u00ed projde rutinn\u00ed nutri\u010dn\u00ed prohl\u00eddkou, i kdy\u017e p\u016fvodn\u011b p\u0159i\u0161lo s jin\u00fdmi probl\u00e9my. Podv\u00fd\u017eiva ale nesouvis\u00ed nevyhnuteln\u011b jen s nedostatkem j\u00eddla. Nap\u0159\u00edklad velk\u00e1 \u010d\u00e1st kambod\u017esk\u00e9 populace hladem netrp\u00ed, j\u00eddlo v\u0161ak nen\u00ed nutri\u010dn\u011b bohat\u00e9. Ko\u0159eny podv\u00fd\u017eivy sahaj\u00ed mnohem d\u00e1le, ne\u017e jen k jednoduch\u00e9 strav\u011b. V\u011bt\u0161ina matek nekrm\u00ed sv\u00e9 d\u011bti dostate\u010dn\u011b pestrou stravou, bohatou na v\u0161e, co d\u011bti pot\u0159ebuj\u00ed pro fyzick\u00e9 zdrav\u00ed a r\u016fst.<\/p>\n

D\u00edt\u011b m\u016f\u017ee b\u00fdt z podv\u00fd\u017eivy vyl\u00e9\u010den\u00e9 do dvan\u00e1cti t\u00fddn\u016f od pod\u00e1v\u00e1n\u00ed terapeutick\u00e9 stravy. Podle \u010deho ur\u010dujete jej\u00ed mno\u017estv\u00ed?<\/strong><\/p>\n

Na \u00favod je pot\u0159ebn\u00e9 stanovit v\u00fd\u017eivov\u00fd stav d\u00edt\u011bte podle existuj\u00edc\u00edch index\u016f. Posuzujeme bu\u010f hmotnost v pom\u011bru k v\u00fd\u0161ce d\u00edt\u011bte nebo hmotnost v pom\u011bru k v\u011bku a p\u0159\u00edtomnosti otok\u016f. Prvotn\u00ed l\u00e9\u010dba za\u010d\u00edn\u00e1 p\u0159ijet\u00edm d\u00edt\u011bte do nemocnice a trv\u00e1, dokud se jeho stav nestabilizuje a nevr\u00e1t\u00ed se mu chu\u0165 k j\u00eddlu. Tato f\u00e1ze trv\u00e1 obvykle 2 a\u017e 7 dn\u00ed, pod\u00e1v\u00e1 se terapeutick\u00e9 ml\u00e9ko F-75 a F-100. F-75 s obsahem 75 kcal nebo 315 kJ\/100 ml je pou\u017eito na za\u010d\u00e1tek l\u00e9\u010debn\u00e9ho procesu. Pozd\u011bji, kdy\u017e se u d\u00edt\u011bte projev\u00ed chu\u0165 k j\u00eddlu, pokra\u010duje se s ml\u00e9kem F-100. F-75 se p\u0159ipravuje tak, \u017ee se zam\u00edch\u00e1 su\u0161en\u00e9 ml\u00e9ko, cukr, mouka a olej s mal\u00fdm mno\u017estv\u00edm vody. Va\u0159\u00ed se 5 a\u017e 7 minut. Po vychlazen\u00ed se p\u0159id\u00e1v\u00e1 sm\u011bs miner\u00e1l\u016f a vitam\u00edn\u016f, nakonec i ur\u010dit\u00e9 mno\u017estv\u00ed vody. Pokud tento postup do 10 dn\u00ed nezabere, je l\u00e9\u010dba ne\u00fa\u010dinn\u00e1 a d\u00edt\u011b je nutn\u00e9 podrobit dal\u0161\u00edmu vy\u0161et\u0159en\u00ed.<\/p>\n

Hroz\u00ed v t\u00e9to f\u00e1zi n\u011bjak\u00e1 rizika?<\/strong><\/p>\n

D\u00edt\u011b v t\u011b\u017ek\u00e9 f\u00e1zi podv\u00fd\u017eivy by m\u011blo b\u00fdt co nejd\u0159\u00edve rehydratovan\u00e9 or\u00e1ln\u011b, \u010dili by m\u011blo p\u00edt. Pod\u00e1v\u00e1n\u00ed tekutin inf\u00faz\u00ed p\u0159\u00edmo do \u017eil m\u016f\u017ee v\u00e9st k p\u0159elit\u00ed organizmu a zp\u016fsobit selh\u00e1n\u00ed srdce. Nitro\u017eiln\u00ed inf\u00faze jsou na m\u00edst\u011b jen v p\u0159\u00edpad\u011b septick\u00e9ho \u0161oku. T\u011b\u017eko podvy\u017eiven\u00e9 d\u011bti maj\u00ed nedostatek drasl\u00edku a vysokou hladinu sod\u00edku, proto roztoky sol\u00ed ur\u010den\u00e9 na rehydrataci obsahuj\u00ed m\u00e9n\u011b sod\u00edku a v\u00edce drasl\u00edku v porovn\u00e1n\u00ed se standardn\u00edmi roztoky, kter\u00e9 na l\u00e9\u010dbu dehydratace doporu\u010duje WHO. Do roztok\u016f se doporu\u010duje p\u0159idat i ho\u0159\u010d\u00edk, zinek a m\u011b\u010f. T\u00e9m\u011b\u0159 v\u0161echny d\u011bti s t\u011b\u017ek\u00fdm stupn\u011bm podv\u00fd\u017eivy maj\u00ed na za\u010d\u00e1tku hospitalizace sou\u010dasn\u011b infek\u010dn\u00ed onemocn\u011bn\u00ed, zhor\u0161enou funkci jater, tr\u00e1vic\u00edho syst\u00e9mu a poruchy elektrolytov\u00e9 rovnov\u00e1hy. To vede k tomu, \u017ee nejsou schopn\u00e9 tolerovat norm\u00e1ln\u00ed mno\u017estv\u00ed b\u00edlkovin, tuk\u016f a sod\u00edku, a proto je t\u0159eba jim na \u00favod pod\u00e1vat stravu s ni\u017e\u0161\u00edm obsahem b\u00edlkovin, tuk\u016f a sod\u00edku, a naopak s v\u011bt\u0161\u00edm obsahem cukr\u016f. Na za\u010d\u00e1tku hospitalizace se j\u00eddlo pod\u00e1v\u00e1 \u010dast\u011bji a v mal\u00fdch d\u00e1vk\u00e1ch, aby se zabr\u00e1nilo p\u0159et\u00ed\u017een\u00ed tr\u00e1vic\u00edho syst\u00e9mu, jater a ledvin. D\u011bti, kter\u00e9 odm\u00edtaj\u00ed potravu, mus\u00ed b\u00fdt krmen\u00e9 prost\u0159ednictv\u00edm nasogastrick\u00e9 sondy. Zpo\u010d\u00e1tku je t\u0159eba potravu pod\u00e1vat ka\u017ed\u00e9 dv\u011b a\u017e \u010dty\u0159i hodiny. Pozd\u011bji se d\u011bti nastav\u00ed na ji\u017e zmi\u0148ovanou terapeutickou pastu RUTF, terapeutick\u00e9 d\u00e1vky se nastavuj\u00ed podle v\u00e1hov\u00e9ho indexu.<\/p>\n

MAGNA v tomto roce za\u010d\u00edn\u00e1 u\u017e 15 let sv\u00e9 existence. Co pova\u017eujete za nejv\u011bt\u0161\u00ed zm\u011bnu pro va\u0161i humanit\u00e1rn\u00ed organizaci a kde v\u0161ude pr\u00e1v\u011b te\u010f MAGNA pom\u00e1h\u00e1?<\/strong><\/p>\n

MAGNA se za 15 let zm\u011bnila, \u0159ekla bych, \u017ee zmoud\u0159ela. Ka\u017ed\u00fd den v ter\u00e9nu pracuje 800 lid\u00ed, je nutn\u00e9 b\u00fdt flexibiln\u00ed, efektivn\u00ed, otev\u0159en\u00ed a st\u00e1le p\u0159ipraveni. M\u00e1me sv\u00e9 metodiky pro okam\u017eit\u00e9 vyhodnocen\u00ed krizov\u00e9 situace, pro pr\u00e1ci v ohro\u017een\u00fdch komunit\u00e1ch, dlouhodob\u011b spolupracujeme s lok\u00e1ln\u00edmi zdravotnick\u00fdmi autoritami a s m\u00edstn\u00edmi zdravotnick\u00fdmi centry i person\u00e1lem. Pro bli\u017e\u0161\u00ed p\u0159edstavu budu chv\u00edli mluvit v \u010d\u00edslech, respektive o po\u010dtu l\u00e9\u010den\u00fdch d\u011bt\u00ed a jejich rodin v MAGNA zdravotnick\u00fdch centrech. V roce 2016 dostalo v Kambod\u017ei a v Demokratick\u00e9 republice Kongo nutri\u010dn\u00ed pomoc v\u00edce ne\u017e 20 000 d\u011bt\u00ed a t\u011bhotn\u00fdch \u017een, a\u017e 200 ob\u011btem sexu\u00e1ln\u00edho n\u00e1sil\u00ed jsme poskytli zdravotn\u00ed a psychosoci\u00e1ln\u00ed pomoc pr\u00e1v\u011b v Kongu. V Ji\u017en\u00edm S\u00fad\u00e1nu m\u011bs\u00ed\u010dn\u011b o\u010dkujeme 5000 d\u011bt\u00ed proti smrteln\u00fdm onemocn\u011bn\u00edm, 1700 HIV pozitivn\u00edm d\u011btem a teenager\u016fm poskytujeme ka\u017ed\u00fd den pot\u0159ebnou l\u00e9\u010dbu v n\u00e1mi podporovan\u00fdch MAGNA nemocnic\u00edch v Kambod\u017ei. 35 000 tis\u00edc lid\u00ed na \u00fat\u011bku p\u0159ed v\u00e1lkou od n\u00e1s dostalo l\u00e9ky a zdravotn\u00ed pomoc v Chorvatsku a Ma\u010farsku. P\u016fsob\u00edme i uvnit\u0159 S\u00fdrie, kde ka\u017ed\u00fd m\u011bs\u00edc o\u0161et\u0159\u00edme v\u00edce jak 9000 tis\u00edc pacient\u016f.<\/p>\n

Humanit\u00e1rn\u00ed organizace MAGNA <\/strong>se zam\u011b\u0159uje na poskytov\u00e1n\u00ed zdravotn\u00ed a nutri\u010dn\u00ed pomoci v m\u00edstech humanit\u00e1rn\u00edch kriz\u00ed, konflikt\u016f a v ohro\u017een\u00fdch komunit\u00e1ch. Kolem 800 jej\u00edch pracovn\u00edk\u016f ka\u017ed\u00fd den l\u00e9\u010d\u00ed d\u011bti a jejich rodiny tam, kde je nejv\u00edce t\u0159eba. Za 15 let sv\u00e9 existence MAGNA poskytla zdravotn\u00ed pomoc na \u010dty\u0159ech kontinentech, dlouhodob\u011b p\u016fsob\u00ed na mis\u00edch v Asii a v Africe. Za posledn\u00edch 10 let MAGNA l\u00e9\u010dila a poskytla p\u0159\u00edmou zdravotn\u00ed pomoc v\u00edce ne\u017e 2 mili\u00f3n\u016fm lid\u00ed v t\u00edsni.<\/p>\n

Svoj\u00ed prvn\u00ed misi MAGNA otev\u0159ela v Kambod\u017ei v roku 2002. Pr\u00e1v\u011b v Kambod\u017ei v roce 2007 MAGNA spustila nutri\u010dn\u00ed projekty ve spolupr\u00e1ci s pediatrick\u00fdm odd\u011blen\u00edm v nemocnici Chey Chumneas v provincii Kandal. N\u00e1sledn\u011b svoji \u010dinnost roz\u0161\u00ed\u0159ila do provinci\u00ed Takeo, Kampog Speu i Kampong Chhnang. Celkem pom\u00e1h\u00e1 v 36 zdravotnick\u00fdch za\u0159\u00edzen\u00edch. V sou\u010dasn\u00e9 dob\u011b pracuje MAGNA na projektech zam\u011b\u0159en\u00fdch na podv\u00fd\u017eivu v Kambod\u017ei, Ji\u017en\u00edm S\u00fad\u00e1nu a v Demokratick\u00e9 republice Kongo, Libanonu a S\u00fdrii.<\/p>\n

Denisa August\u00ednov\u00e1 <\/strong>se narodila v Bratislav\u011b. P\u016fvodn\u00edm povol\u00e1n\u00edm je terapeutka a soci\u00e1ln\u00ed pracovnice. Roku 2001 zalo\u017eila s Martinem Band\u017e\u00e1kem humanit\u00e1rn\u00ed organizaci MAGNA. Cel\u00fd rok p\u016fsob\u00ed p\u0159\u00edmo v ter\u00e9nu, z pozice opera\u010dn\u00ed \u0159editelky organizace \u0159\u00edd\u00ed v\u0161echny humanit\u00e1rn\u00ed projekty. Od roku 2006 MAGNA p\u016fsob\u00ed tak\u00e9 v \u010cesk\u00e9 republice.<\/p>\n

L\u00e9\u010d\u00edme tady a te\u010f. D\u00edky V\u00e1m.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

V dob\u011b hladomoru jsou nejv\u00edce ohro\u017een\u00e9 d\u011bti a star\u0161\u00ed lid\u00e9, ale v d\u016fsledku postihuje celou populaci. U d\u011bt\u00ed do dvou let m\u00e1 strava v\u00fdznamn\u00fd vliv na jejich fyzick\u00fd i psychick\u00fd v\u00fdvoj.<\/p>\n","protected":false},"author":1,"featured_media":7069,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[],"post_country":[],"post_year":[],"post_layout":[],"post_topic":[],"class_list":["post-7067","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nDenisa August\u00ednov\u00e1: Jedno ze 13 d\u011bt\u00ed na planet\u011b trp\u00ed hladem. - Magna<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Denisa August\u00ednov\u00e1: Jedno ze 13 d\u011bt\u00ed na planet\u011b trp\u00ed hladem. - Magna\" \/>\n<meta property=\"og:description\" content=\"V dob\u011b hladomoru jsou nejv\u00edce ohro\u017een\u00e9 d\u011bti a star\u0161\u00ed lid\u00e9, ale v d\u016fsledku postihuje celou populaci. U d\u011bt\u00ed do dvou let m\u00e1 strava v\u00fdznamn\u00fd vliv na jejich fyzick\u00fd i psychick\u00fd v\u00fdvoj.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/\" \/>\n<meta property=\"og:site_name\" content=\"Magna\" \/>\n<meta property=\"article:published_time\" content=\"2017-03-31T12:51:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-12-03T15:08:11+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.magna.org\/fr\/wp-content\/uploads\/2022\/12\/mb2011031m0725-1014x1024.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1014\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"deploy\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"deploy\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/\",\"url\":\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/\",\"name\":\"Denisa August\u00ednov\u00e1: Jedno ze 13 d\u011bt\u00ed na planet\u011b trp\u00ed hladem. - Magna\",\"isPartOf\":{\"@id\":\"https:\/\/www.magna.org\/fr\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.magna.org\/fr\/wp-content\/uploads\/2022\/12\/mb2011031m0725.jpg\",\"datePublished\":\"2017-03-31T12:51:09+00:00\",\"dateModified\":\"2022-12-03T15:08:11+00:00\",\"author\":{\"@id\":\"https:\/\/www.magna.org\/fr\/#\/schema\/person\/345580991f4e008057b84217f255fad9\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#primaryimage\",\"url\":\"https:\/\/www.magna.org\/fr\/wp-content\/uploads\/2022\/12\/mb2011031m0725.jpg\",\"contentUrl\":\"https:\/\/www.magna.org\/fr\/wp-content\/uploads\/2022\/12\/mb2011031m0725.jpg\",\"width\":2000,\"height\":2020},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.magna.org\/fr\/sk\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Denisa August\u00ednov\u00e1: Jedno ze 13 d\u011bt\u00ed na planet\u011b trp\u00ed hladem.\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.magna.org\/fr\/#website\",\"url\":\"https:\/\/www.magna.org\/fr\/\",\"name\":\"Magna\",\"description\":\"Just another WordPress site\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.magna.org\/fr\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.magna.org\/fr\/#\/schema\/person\/345580991f4e008057b84217f255fad9\",\"name\":\"deploy\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.magna.org\/fr\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/f58ff0db8c587495222d5cda6cbc3e9158f2a8f9ce38ad818a4fe372d06cd3ec?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/f58ff0db8c587495222d5cda6cbc3e9158f2a8f9ce38ad818a4fe372d06cd3ec?s=96&d=mm&r=g\",\"caption\":\"deploy\"},\"sameAs\":[\"https:\/\/www.magna.org\/fr\"],\"url\":\"https:\/\/www.magna.org\/fr\/author\/deploy\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Denisa August\u00ednov\u00e1: Jedno ze 13 d\u011bt\u00ed na planet\u011b trp\u00ed hladem. - Magna","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/","og_locale":"en_US","og_type":"article","og_title":"Denisa August\u00ednov\u00e1: Jedno ze 13 d\u011bt\u00ed na planet\u011b trp\u00ed hladem. - Magna","og_description":"V dob\u011b hladomoru jsou nejv\u00edce ohro\u017een\u00e9 d\u011bti a star\u0161\u00ed lid\u00e9, ale v d\u016fsledku postihuje celou populaci. U d\u011bt\u00ed do dvou let m\u00e1 strava v\u00fdznamn\u00fd vliv na jejich fyzick\u00fd i psychick\u00fd v\u00fdvoj.","og_url":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/","og_site_name":"Magna","article_published_time":"2017-03-31T12:51:09+00:00","article_modified_time":"2022-12-03T15:08:11+00:00","og_image":[{"width":1014,"height":1024,"url":"https:\/\/www.magna.org\/fr\/wp-content\/uploads\/2022\/12\/mb2011031m0725-1014x1024.jpg","type":"image\/jpeg"}],"author":"deploy","twitter_card":"summary_large_image","twitter_misc":{"Written by":"deploy","Est. reading time":"12 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/","url":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/","name":"Denisa August\u00ednov\u00e1: Jedno ze 13 d\u011bt\u00ed na planet\u011b trp\u00ed hladem. - Magna","isPartOf":{"@id":"https:\/\/www.magna.org\/fr\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#primaryimage"},"image":{"@id":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#primaryimage"},"thumbnailUrl":"https:\/\/www.magna.org\/fr\/wp-content\/uploads\/2022\/12\/mb2011031m0725.jpg","datePublished":"2017-03-31T12:51:09+00:00","dateModified":"2022-12-03T15:08:11+00:00","author":{"@id":"https:\/\/www.magna.org\/fr\/#\/schema\/person\/345580991f4e008057b84217f255fad9"},"breadcrumb":{"@id":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#primaryimage","url":"https:\/\/www.magna.org\/fr\/wp-content\/uploads\/2022\/12\/mb2011031m0725.jpg","contentUrl":"https:\/\/www.magna.org\/fr\/wp-content\/uploads\/2022\/12\/mb2011031m0725.jpg","width":2000,"height":2020},{"@type":"BreadcrumbList","@id":"https:\/\/www.magna.org\/fr\/cs\/uncategorized\/denisa-augustinova-jedno-ze-13-deti-na-planete-trpi-hladem\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.magna.org\/fr\/sk\/"},{"@type":"ListItem","position":2,"name":"Denisa August\u00ednov\u00e1: Jedno ze 13 d\u011bt\u00ed na planet\u011b trp\u00ed hladem."}]},{"@type":"WebSite","@id":"https:\/\/www.magna.org\/fr\/#website","url":"https:\/\/www.magna.org\/fr\/","name":"Magna","description":"Just another WordPress site","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.magna.org\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/www.magna.org\/fr\/#\/schema\/person\/345580991f4e008057b84217f255fad9","name":"deploy","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.magna.org\/fr\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/f58ff0db8c587495222d5cda6cbc3e9158f2a8f9ce38ad818a4fe372d06cd3ec?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/f58ff0db8c587495222d5cda6cbc3e9158f2a8f9ce38ad818a4fe372d06cd3ec?s=96&d=mm&r=g","caption":"deploy"},"sameAs":["https:\/\/www.magna.org\/fr"],"url":"https:\/\/www.magna.org\/fr\/author\/deploy\/"}]}},"_links":{"self":[{"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/posts\/7067","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/comments?post=7067"}],"version-history":[{"count":1,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/posts\/7067\/revisions"}],"predecessor-version":[{"id":7068,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/posts\/7067\/revisions\/7068"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/media\/7069"}],"wp:attachment":[{"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/media?parent=7067"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/categories?post=7067"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/tags?post=7067"},{"taxonomy":"post_country","embeddable":true,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/post_country?post=7067"},{"taxonomy":"post_year","embeddable":true,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/post_year?post=7067"},{"taxonomy":"post_layout","embeddable":true,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/post_layout?post=7067"},{"taxonomy":"post_topic","embeddable":true,"href":"https:\/\/www.magna.org\/fr\/wp-json\/wp\/v2\/post_topic?post=7067"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}