Health 2020: the new WHO European policy framework

Bolzano, Italy, 28 September 2012

Health 2020: the new WHO European

policy framework

Zsuzsanna JakabWHO Regional Director for Europe


WHO European Region


Finalremarks

Content

Rationale

Outline


Rapidly changing European context for health

Photo credits: S.Turner, 2003; L. Donaldson, 2008 I. Brandemer, 2009


Changing environment for health

• Demographics (fertility, aging)

• Globalization and migration (including of health workers)

• New technologies (including medical genetics)

• More informed and demanding citizens

• Recognition of importance of health to human development

• Slower economic growth and austerity policies


Why Health 2020 and why now?

Improvements in health and well-being: significant but uneven and unequal



Europe’s changing health landscape:new demands, challenges and opportunities



Economic opportunities and threats: the need to champion public health values and approaches


Health 2020:a European policy framework supporting action across government and society for health and well-being


Finalremarks

Content

Rationale


Goal of Health 2020

“To improve health and well-being of populations, to reduce health inequities and to ensure sustainable people-centred

health systems with further strengthened public health capacities”


Health 2020: two main strategic objectives:

1. Working to improve health for all and reducing the health divide

2. Improving leadership and participatory governance for health


Rising health inequalities in Europe

65

70

75

80

1970 1980 1990 2000

European RegionEU members before May 2004 EU members since May 2004 CIS

Life expectancy at birth, in years

Address the social determinants of health

Emphasis on action across the social gradient and on vulnerable groups

Ensure that continuous reduction of health inequities become a criteria assessing health systems performance EU: European Union

CIS: Commonwealth of Independent States


Europe’s major health challenges

Implement global and regional mandates (noncommunicable diseases, tobacco, diet and physical activity, alcohol, HIV/AIDS, tuberculosis, antibiotic resistance, the International Health Regulations, etc.)

Promote healthy choices

Develop healthy settings and environments

Strengthen health systems, including public health, primary health care, health information and surveillance

Attention to special needs and disadvantaged populations

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

European Region EU-15 EU-12 CIS

Country groups

Dea

ths

Circulatory system Malignant neoplasms External causes Infectious disease Respiratory system Other causes

Year

Sta

ndar

dize

d de

ath

rate

, 0-6

4 pe

r 10

0,00

0

0

20

40

60

80

100

120

140

1980 1985 1990 1995 2000 2005

CauseHeart diseaseCancerInjuries and violenceInfectious diseasesMental disorders

Reach and maintain recommended immunization coverage


Stakeholder utility

What’s in it for me?


Health ministers and key policy leaders

• Leadership

• Health-system management

• Influence

• Problem solving

• Engagement strategies

• Intelligence exchange


Prime ministers and other sectoral leaders

• Economic case for investment in health

• Upstream interventions

• Health and well-being as barometers of development

• New governance models


Public health agencies, advocates and academics

• builds unity in community

• maps options and tradeoff for health improvement

• enhances public health authority

• stands up for public health

• identifies research priorities

Health 2020:


Health professionals

• indentifies integrative strategies and new skills needed

• links clinical interventions to equity and social determinants

• advocates strengthening of health systems

Health 2020:


Partner agencies

• sets common targets

• reduces duplication

• enhances coherence

Health 2020:


Society

• champions engagement and empowerment approaches

• supports citizen/patient- centered systems

• provides a platform for advocacy and collaboration

Health 2020:


Finalremarks

Content

Rationale


Governance for health requirements

1. Whole-of-society and whole-of-government responsibility and mechanisms

2. Effective health ministries

3. Modern public health infrastructure

4. Robust health systems

5. New articulation and advocacy for health


We are embarking on a new path

Photos: Donaldson, 2008


Photo: L. Donaldson, 2008.


South Tyrol:sustainable and healthy community

Health 2020: the new WHO European policy framework

Health & Medicine

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