Tone B. Torgersen, The National Institute for Public Health, Norway

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Tone B. Torgersen, The National Institute for Public Health, Norway

  1. 1. Integrated policies on inequality- The Norwegian caseTone P. Torgersen, Helsinki 13. June 2013
  2. 2. Tone P. Torgersen, Helsinki13.07.2013| 2The challenge of the gradient:- two key messages for policy design1. Measures should bedirected towards theentire population (notonly high-risk groups)2. Measures should bedirected towards socialstructures (not onlytowards individualbehaviour)
  3. 3. | 3Intervention mapfor comprehensive policiesSocial reformUpstreamRisk reductionMidstreamEffect reductionDownstreamUniversalmeasureseducation,taxes,labour marketpolicies,housingworking/livingenvironment,structurallifestylemeasuresuniversal healthserviceSelectivemeasuersmeans-testedsocialbenefitstargetedlifestylemeasurestargeted healthservices132Tone P. Torgersen, Helsinki13.07.2013
  4. 4. National Strategy4Tone P. Torgersen, Helsinki13.07.2013A fair distribution of resources is good public health policyDecision line (red), communication line (blue)
  5. 5. Tone P. Torgersen, Helsinki13.07.2013Annual policy reviews- indicators on determinants| 5• Income• Childhood conditions,including educationWork• Health behaviour• Health systems• Social inclusion
  6. 6. 2Overview of public healthand health determinantsStrategic societal planning:overall goals and strategiespolicyandactionplansImplementationof measuresEvaluation| 6New Public health act:Health In All Policies locallyObjective: Societal development in order to promote publichealth and reduce health inequalitiesPrinciples:• health equity• health in all policies• sustainable development• the precautionary principle• participationTone P. Torgersen, Helsinki13.07.2013
  7. 7. New white paper– HIAP nationallyTone P. Torgersen, Helsinki13.07.20137•White paper for parliament•Guidelines to regional andlocal municipalities•Public health measures•Health Impact Asessment•Research and Development•Public health challenges inNorway• Status public health work•Public health monitoring•Reporting•Continous evaluation ofimplementationEvaluationandoverviewAssessmentof statusandchallengesObjectivesandstrategiesImplementingmeasures
  8. 8. Health through the life course:Early start, kindergartens, school, work, ageingA health promoting society:• Reduce inequalities in living conditions (income, socialprotection, housing, inclusive working life• Social support and inclusion• Safe and health promoting environment (communitydevelopment, transport, safe food )• Possibilities for healthy choicesPreventive health service8Tone P. Torgersen, Helsinki
  9. 9. Key messages• Creating arenas for research – policy exchange• Analyse political context, stakeholders, drivers andrestrainers• Framing the challenge• Challenge the role of the health sector - Fromprescribtions to negotiating solutions– Health in All Policies versus Healthy PoliciesTone P. Torgersen, Helsinki13.07.20139
  10. 10. 3. Gradient approach10Thank you!healthy public policy is about a fair distribution of resources

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