Health 2020: the new WHO European policy framework

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Ms Zsuzsanna Jakab, WHO Regional Director for Europe, 28 September 2012, Bolzano, Italy

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Health 2020: the new WHO European policy framework

  1. 1. Health 2020: the new WHO European policy framework Zsuzsanna JakabWHO Regional Director for Europe Bolzano, Italy, 28 September 2012
  2. 2. WHO European Region Bolzano, Italy, 28 September 2012
  3. 3. Outline Final remarks Content Rationale Bolzano, Italy, 28 September 2012
  4. 4. Rapidly changing European context for health Bolzano, Italy, 28 September 2012 Photo credits: S.Turner, 2003; L. Donaldson, 2008 I. Brandemer, 2009
  5. 5. 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 Bolzano, Italy, 28 September 2012
  6. 6. Why Health 2020 and why now?Improvements in health and well-being: significantbut uneven and unequal Bolzano, Italy, 28 September 2012
  7. 7. Why Health 2020 and why now?Europe’s changing health landscape:new demands, challenges and opportunities Bolzano, Italy, 28 September 2012
  8. 8. Why Health 2020 and why now?Economic opportunities and threats: the need to championpublic health values and approaches Bolzano, Italy, 28 September 2012
  9. 9. Health 2020:a European policy frameworksupporting action across governmentand society for health and well-being Bolzano, Italy, 28 September 2012
  10. 10. Final remarks ContentRationale Bolzano, Italy, 28 September 2012
  11. 11. Goal of Health 2020“To improve health and well-being of populations, to reducehealth inequities and to ensure sustainable people-centred health systems with further strengthened public health capacities” Bolzano, Italy, 28 September 2012
  12. 12. Health 2020: two main strategic objectives:1. Working to improve health for all and reducing the health divide2. Improving leadership and participatory governance for health Bolzano, Italy, 28 September 2012
  13. 13. Rising health inequalities in Europe Life expectancy at birth, in years 80Address the socialdeterminants of health 75Emphasis on action acrossthe social gradient and onvulnerable groups European Region EU members before May 2004 EU members since May 2004 CISEnsure that continuousreduction of health inequities 70become a criteria assessinghealth systems performance EU: European Union CIS: Commonwealth of Independent States 65 1970 1980 1990 2000 Bolzano, Italy, 28 September 2012
  14. 14. Europe’s major health challengesImplement global and regional mandates(noncommunicable diseases, tobacco, diet andphysical activity, alcohol, HIV/AIDS, tuberculosis, 140antibiotic resistance, the International Health Standardized death rate, 0-64 per 100,000 120Regulations, etc.) 100 80Promote healthy choices Cause 60 Heart disease Cancer Injuries and violenceStrengthen health systems, including public 40 Infectious diseases Mental disordershealth, primary health care, health information and 20surveillance 0 1980 1985 1990 1995 2000 2005 Year 100%Reach and maintain recommended immunization 90%coverage 80% 70% 60% Deaths 50%Develop healthy settings and environments 40% 30% 20% 10%Attention to special needs and disadvantaged 0%populations European Region EU-15 Country groups EU-12 CIS Circulatory system Malignant neoplasms External causes Infectious disease Respiratory system Other causes Bolzano, Italy, 28 September 2012
  15. 15. Stakeholder utility What’s in it for me? Bolzano, Italy, 28 September 2012
  16. 16. Health ministers and key policy leaders• Leadership• Health-system management• Influence• Problem solving• Engagement strategies• Intelligence exchange Bolzano, Italy, 28 September 2012
  17. 17. 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 Bolzano, Italy, 28 September 2012
  18. 18. Public health agencies, advocates and academicsHealth 2020:• builds unity in community• maps options and tradeoff for health improvement• enhances public health authority• stands up for public health• identifies research priorities Bolzano, Italy, 28 September 2012
  19. 19. Health professionalsHealth 2020:• indentifies integrative strategies and new skills needed• links clinical interventions to equity and social determinants• advocates strengthening of health systems Bolzano, Italy, 28 September 2012
  20. 20. Partner agenciesHealth 2020:• sets common targets• reduces duplication• enhances coherence Bolzano, Italy, 28 September 2012
  21. 21. SocietyHealth 2020:• champions engagement and empowerment approaches• supports citizen/patient- centered systems• provides a platform for advocacy and collaboration Bolzano, Italy, 28 September 2012
  22. 22. Final remarks ContentRationale Bolzano, Italy, 28 September 2012
  23. 23. Governance for health requirements1. Whole-of-society and whole-of-government responsibility and mechanisms2. Effective health ministries3. Modern public health infrastructure4. Robust health systems5. New articulation and advocacy for health Bolzano, Italy, 28 September 2012
  24. 24. We are embarking on a new path Photos: Donaldson, 2008 Bolzano, Italy, 28 September 2012
  25. 25. Photo: L. Donaldson, 2008. Bolzano, Italy, 28 September 2012
  26. 26. South Tyrol:sustainable and healthy community Bolzano, Italy, 28 September 2012

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