Metabolic syndrome prevention - street screening and health counselling in Stara Zagora, Bulgaria

Abstract Issue/problem The rising rates of metabolic syndrome demand proactive, community-based approaches. In Stara Zagora, Bulgaria, an interdisciplinary student project implemented street-based health screening to raise public awareness and detect early metabolic risk factors, addressing a key public health gap through real-time outreach in public spaces. Description of the problem The initiative deployed screening tents in a central city park for a period of three months. A multidisciplinary student team (including students of medicine, social work, kinesitherapy, midwifery, and nursing), under academic supervision, offered free measurements (blood pressure, waist circumference, BMI) and lifestyle consultations. The objectives were: (1) to identify cardiovascular and metabolic risks among passers-by; (2) to engage individuals unlikely to seek clinical assessment; and (3) to enhance student competencies in health communication. Key questions addressed included: Can public settings foster preventive health awareness? Do face-to-face encounters trigger behaviour reflection? Results Over 3,400 citizens were screened. Many were unaware of their health indicators prior to the interaction. A significant number expressed an intention to consult a physician following the screening. The informal setting encouraged openness and self-reflection. Students reported increased confidence in health communication. Lessons Street screening is an effective approach to reaching under-informed citizens and creating a space for dialogue and reflection. Its direct, low-threshold health counselling model can be adapted to various urban contexts. Public settings enhance access, while student-led models support workforce development and interprofessional education. Key messages • Street screening is an effective, low-cost approach for raising awareness and reaching underserved populations. • Student-led initiatives build future public health capacity while addressing community needs.