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Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
Role of national public health institutes in finland nc dseminar 10032014
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Role of national public health institutes in finland nc dseminar 10032014

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  • 1. Role of national public health institutes in Finland and globally THL, NCD seminar 10.-14.3.2014 Pekka Puska, professor Ex Director General, THL President, IANPHI
  • 2. IANPHI • International Association of National Public Health Institutes • Some 80 national institutes members • Founded 1995 in Rio de Janeiro • President Pekka Puska, Executive Board with 12 members • Main office in Mexico. Annual meetings. 13.3.2014 Pekka Puska 2
  • 3. Core functions of the NPHIs* • Infectious diseases and environmental health • NCD prevention and health promotion • Health inequalities and social determinants of health • Health monitoring and surveillance • Responses to threats, risks, emergencies and disasters • Evaluation of the health of the nation • Health systems and health economics • Social participation in health • Human resource development and training • Regulation and enforcement • Planning and management • Public health research * defined by IANPHI 13.3.2014 Pekka Puska 3
  • 4. Public Health Research within NPHIs • A firm knowledge base – Health promotion, disease prevention, clinical care – Anticipate future trends, needs and challenges – Structural, behavioral and social determinants • Research and surveillance – Prevalence of risk factors (behavioral and biological) and their trends – Prevalence and/or incidence of major diseases and their trends – Health systems, services and health economy • Public health research, in particular – High quality: applied for large populations 13.3.2014 Pekka Puska 4
  • 5. From research to action • Conducting research – Is a critical function and important for the credibility of an NPHI • Most public health evidence is created by international research community – Only an organization with its own research is capable to interpret the evidence into practice • The research in the NPHI – Focus on topics with high public health priority – Which may not be addressed by academic research in universities – Combines and transfers public health data to scientific evidence in an effective way 13.3.2014 Pekka Puska 5
  • 6. 13.3.2014 Pekka Puska 6 The Finnish National Institute for Health and Welfare (THL) • Established 1 January 2009, through the merger of the National Public Health Institute (KTL) and the National Research and Development Centre for Welfare and Health (STAKES) • Operates under the Ministry of Social Affairs and Health Starting points for the new Institute: • Joining forces to further improve the promotion of health and welfare in Finland • Needs of the population in terms of health and welfare • Needs of the service delivery system
  • 7. 13.3.2014 Pekka Puska 7 THL’s duties (THL Law 2008) • To promote health and welfare, prevent diseases and social problems, and to develop social welfare and health care activities and services. • THL is active in research, development, monitoring and evaluation ; THL engages in extensive international co-operation. • THL performs official tasks and is the statutory statistical authority in health and welfare, maintaining a strong knowledge base within its field. THL is also responsible for the application of this knowledge.
  • 8. 13.3.2014 Pekka Puska 8 Information guidance to exercise national influence The focus is on: • National and municipal decision-making • Health and welfare professionals • NGOs and the general public • Private sector • Research and development organisations The methods are: • Planning, monitoring and evaluation • Development work and innovations • Expertise guidance and counselling • Communications and practical application of results • National and international co- operation and partnerships • National duties (eg. National vaccination programme, official statistics etc.) THL's key goal is to ensure that issues of welfare and Health expert knowledge has a strong impact on decision- making at all levels.
  • 9. THL’s organisation 13.3.2014 Pekka Puska9 DIRECTOR GENERAL Juhani Eskola Department of Social and Health Policy and Economics Department of Health, Functional Capacity and Welfare Department of Lifestyle and Participation Department of Chronic Disease Prevention Department of Alcohol, Drugs and Addiction Department of Vaccination and Immune Protection Department of Infectious Disease Surveillance and Control Department of Environmental Health Department of Children, Young People and Families Department of Mental Health and Substance Abuse Services Service System Department ADMINISTRATIVE SERVICES AND DEVELOPMENT INFORMATION DEPARTMENT DEPARTMENT OF COMMUNICATION International Affairs Unit DIVISION OF WELFARE AND HEALTH POLICIES DIVISION OF WELFARE AND HEALTH PROMOTION DIVISION OF HEALTH PROTECTION DIVISION OF HEALTH AND SOCIAL SERVICES
  • 10. 13.3.2014 Pekka Puska 10 Key figures: THL’s funding in 2012 Total budget of EUR 116.2 million: • 59 % from the State Budget • 29 % from outside funding sources • 7 % from chargeable services • 5 % transferred assets Five major external financiers: Ministry of Social Affairs, the European Union, the Academy of Finland, Tekes and the Finnish municipalities 59 % 29 % 7 % 5 %
  • 11. Major strengths of THL • Comprehensive coverage (broadly health and social issues) • Combines high level research with major expert functions • Close collaboration with Ministry of Social Affairs and Health, as well as many stakeholders • Very international 13.3.2014 Pekka Puska 11
  • 12. Research in THL • Health monitoring and surveillance – Health behavior: smoking, physical activity, etc. – Nutrition – Biological factors: physical and laboratory measurements – Occurrence of diseases • Scientific research – Based on public health monitoring data – High added value: relatively little additonal resources needed – Over xxx scientific publications annually • Collaboration – Universities in Finland – Extensive international collaboration 13.3.2014 Pekka Puska 12
  • 13. NCD monitoring and surveillance • Adult health behavior survey – Annually – Postal questionnaire • The National FINRISK Study – Every five years since 1972 – Questionnaire, physical measurements, laboratory • Health 2000 – Every 10-20 years – Extensive (and expensive) protocol • Register data – Mortality – Morbidity – Use of drugs – Socioeconomic data 13.3.2014 Pekka Puska 13
  • 14. THL statistics • Duties of THL mentioned in 60 laws • THL gives invited commentaries 150 per year • THL has approx 200 representatives in national committees, working groups etc 13.3.2014 Pekka Puska 14
  • 15. PUBLIC HEALTH LEGISLATION PROCESS INITIATIVE MoH PREPARATION - officials - Working group PROPOSAL -comments from stakeholders PARLIAMENT - committee discussion LAW 13.3.2014 Pekka Puska 15 THL
  • 16. Essential public health functions 13.3.2014 Pekka Puska 16
  • 17. THL works not only with MoH legislation • Intersectoral work • Support to health in all policies • 8GCHP in Helsinki Helsinki Statement THL has broad intersectoral collaboration! 13.3.2014 Pekka Puska 17
  • 18. 8th Global WHO Conference on health promotion - “Health in all policies” From Ottawa to Helsinki (June 2013) 13.3.2014 18Pekka Puska HELSINKI STATEMENT
  • 19. 13.3.2014 Pekka Puska 19 THL has an international profile • Engages in extensive international co-operation • Expert collaboration and national participation: UN and UN authorities (WHO), EU (DG SANCO, ECDC), OECD and many international associations • Global activities in health and welfare, European and Nordic collaboration, co-operation with neighbouring areas • Development consultancy projects in transitional economies and developing countries • The secretariat of The International Association of National Public Health Institutes (IANPHI ) is located at THL in Helsinki.
  • 20. 13.3.2014 Pekka Puska 20 National Institute for Health and Welfare (THL) Tel. +358 20 610 6000 (switchboard) Postal address: PO Box 30, FI-00271 Helsinki, Finland Visiting address: Mannerheimintie 166, Helsinki E-mail firstname.lastname(at)thl.fi www.thl.fi
  • 21. 13.3.2014 Thank you Pekka Puska 21

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