Your SlideShare is downloading. ×
  • Like
Health for Europe’s future : Health 2020
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Now you can save presentations on your phone or tablet

Available for both IPhone and Android

Text the download link to your phone

Standard text messaging rates apply

Health for Europe’s future : Health 2020

  • 410 views
Published

 

  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
410
On SlideShare
0
From Embeds
0
Number of Embeds
1

Actions

Shares
Downloads
11
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide
  • We need to keep health equity at the forefront of health policy making.The slide shows that in 1970 life expectancy was quite homogeneous. Now, the countries with the lowest and highest life expectancy at birth in the WHO European Region differ by 16 years. There are 42-fold differences in maternal mortality between countries in the Region. The infant mortality rate for the European Region has also fallen by more than 50% since 1990, but again countries differ substantially, with a 25-fold difference between the countries with highest and lowest rates.Health can be promoted and should be more equitably distributed in Europe. This is why tackling health inequities is central to H2020

Transcript

  • 1. Egészség a jövő Európájában [Health for Europe’s future]: Health 2020
  • 2. Why Health 2020? In the WHO European Region, health is improving overall but not as rapidly as it could or should. Countries have different starting points, but share common challenges. People live longer Noncommunicable Infectious diseases, Health systems and have fewer diseases (NCDs) such as HIV and face rising costs. children. dominate the tuberculosis (TB) Primary health care disease burden. remain a challenge systems are weak to control. People migrate and lack preventivewithin and between Depression and Antibiotic-resistant services.countries, and cities heart disease are organisms are Public health grow bigger. leading causes of emerging. capacities are healthy life years outdated. lost. Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 3. New opportunities and challenges New concepts New drivers of healthWell-being as a measure of development Technology and innovationAnticipatory governance Health literacy: information, participation and accountabilityCollaborative leadership Globalization/ Urbanization New evidence New demographicsMacroeconomics of health and well-being Falling fertility levelsSocial gradient and health equity AgeingGenomics Migration Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 4. Macroeconomic impact of health – costs €169 billion annually in the European Union (EU);Cardiovascular diseases health care accounting for 62% of costs (CVD) €125 billion annually in the EU, equivalent to 1.3% of Alcohol-related harm gross domestic product (GDP) Obesity-related illness Over 1% of GDP in the United States of America;(including diabetes and 1–3% of health expenditure in most countries CVD) 6.5% of all health care expenditure in Europe Cancer Up to 2% of GDP in middle- and high-income Road traffic injuries countries Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 5. Reducing costs – addressing financial challenges:economic case for health promotion and disease prevention Combination of food labelling, self- Parenting and social/emotional regulation, school action, media and learning to prevent childhood counselling is highly cost-effective behavioural problems give a against childhood obesity: (< €10 000 9:1 return on investment. per disability-adjusted life-year (DALY) gained).For healthy diets, taxes and regulatory Combination of taxation, advertising measures (such as restricting fat restrictions, brief intervention and content of products), shown as cost- increased roadside testing is highly effective measures in different cost-effective against harmful use of contexts. alcohol in Europe. Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 6. What is Health 2020? Health 2020 is a value-based action-oriented policy framework, adaptable to different realities in the countries in the WHO European Region. Health 2020 is addressed to health ministries, but also aims to engage ministers and policy- makers across government and stakeholders throughout society who can contribute to health and well-being. Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 7. Health 2020 builds on strong commitmentsand values • Health as a fundamental human right • Solidarity, fairness and sustainability Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 8. Health 2020 vision A WHO European Region in which all people are enabled and supported in achieving their full health potential and well-being and in which countries, individually and jointly, work towards reducing inequities in health within the Region and beyond Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 9. Health 2020 – a common purpose, a sharedresponsibilityHealth 2020 visionA WHO European Region in which all people are enabled and supported in achieving their full healthpotential and well-being and in which countries, individually and jointly, work towards reducing inequities inhealth within the Region and beyondHealth 2020 goalTo improve health and well-being of populations, to reduce health inequities and to ensure sustainablepeople-centred health systemsHealth 2020 strategic objectives1. Working together: adding value through partnership2. Setting common priorities3. Improving governance for health and increasing participation4. Accelerating the uptake of new knowledge and innovation through leadership Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 10. Health 2020: taking action Health 2020 goal To improve health and well-being of populations, to reduce health inequities and to ensure sustainable people-centred health systemsHealth 2020 strategic objectives Six areas for policy action1. Working together: adding value through Tackle the health dividepartnership Invest in making people healthier, empower citizens and create resilient communities2. Setting common priorities Tackle Europe’s major disease burdens Create healthy and supportive environments for health3. Improving governance for health and increasing and well-beingparticipation Strengthen people-centred health systems, public health capacities and preparedness for emergencies4. Accelerating the uptake of new knowledge andinnovation through leadership Promote and adopt health-in-all-policies, whole-of- government and whole-of-society approaches Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 11. Health 2020: taking action Health 2020 goal To improve health and well-being of populations, to reduce health inequities and to ensure sustainable people-centred health systemsHealth 2020 strategic objectives1. Working together: adding value throughpartnership2. Setting common priorities3. Improving governance for health and increasingparticipation4. Accelerating the uptake of new knowledge andinnovation through leadership Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 12. Policy action 1. Tackle the health divide Life expectancy at birth, in years 80Address the socialdeterminants of healthRedress patterns of health 75inequities European Region EU members before May 2004 EU members since May 2004 CISEnsure that continuousreduction of health inequitiesbecomes a criterion for 70assessing health systems’performance 65 1970 1980 1990 2000 Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 13. Policy action 2. Invest in making peoplehealthierHealth promotion, empowerment and resilience through the life-course Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 14. Policy action 3. Tackle Europe’s major disease burdensImplement global and regional mandates (on NCDs, 140tobacco, diet and physical activity, alcohol, HIV/AIDS, Standardized death rate, 0-64 per 100,000 120TB, International Health Regulations (IHR), antibiotic 100resistance, etc.) 80Promote healthy choices 60 Cause Heart disease Cancer Injuries and violence 40 Infectious diseases Mental disordersStrengthen health systems, including primary health 20care, health information and surveillance 0 1980 1985 1990 1995 2000 2005 Year 100% 90%Reach and maintain recommended immunization 80%coverage 70% 60% Deaths 50% 40%Develop healthy settings and environments 30% 20% 10%Attention to special needs and disadvantaged 0% European Region EU-15 EU-12 CIS Country groupspopulations Circulatory system Malignant neoplasms External causes Infectious disease Respiratory system Other causes Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 15. Policy action 4. Create healthy andsupportive environmentsAssess the health effects of sectoral policiesFully implement multilateral environmentalagreementsImplement health policies that contribute tosustainable developmentMake health services resilient to thechanging environment Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 16. Policy action 5. Strengthen people-centred health systems, public health capacity and preparedness for emergenciesMake primary health care a hub forpeople-centred health systemsEmpower patientsEnsure appropriate continuum of careImprove access to affordablemedicinesFoster continuous qualityimprovement Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 17. Policy action 6. Promote and adopt health-in-all-policies,whole-of-government and -society approaches Smart governance for health and well-being Governing through collaboration Whole-of-society and whole- of-government approaches to Governing through citizen engagement health and well-being Joined-up Governing through a mix of government for health in all policies Good governance for regulation and persuasion Improved health and well-being coordination, inte- Governing gration, and through capacity centred independent on shared goals Health is a Health is a Health as agencies and Health is a central expert bodies global public social Power and human right component responsibility for good justice health and well- of well-being being diffused Governing throughout through adaptive government and policies, resilient society structures and foresight Source: Kickbusch (2011). Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 18. Strategic objective 3. Improving governancefor health and increasing participationGoverning through:• collaboration• citizen engagement• a mix of regulation and persuasion• independent agencies and expert bodies• adaptive policies, resilient structures and foresight Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 19. Health 2020 leadership Health ministers and the health sector have a key leadership role in promoting and supporting intersectoral action for health and the health-in-all-policies approach Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 20. Dear Prime Minister, Minister, Mayor,Health is a prerequisite for social and economic development. All sectors andlevels of government are responsible for creating health.Your leadership for health and well-being can make a tremendous differencefor the people of your country, city and Europe as a whole.Your support for Health 2020 is truly essential. Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 21. Health situation and trends: highlights in Hungary Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 22. Trends inlife expectancy at birth in Hungary and other EU countries, by sex, 1980–2010 Life expectancy at birth, in years, female Life expectancy at birth, in years, male80757065 EU12 EU1560 European Region Hungary 1980 1985 1990 1995 2000 2005 2010 1980 1985 1990 1995 2000 2005 2010 Source: European Health for All database (HFA-DB). Copenhagen, WHO Regional Office for Europe, 2012. Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 23. Mortality profile by broad causes of death in Hungary, 1980 and 2009 800 Age-standardized mortality rate per 100 000 700 600 1980 2009 500 400 300 200 100 0 Diseases of Cancer Injuries Infectious Respiratory Digestive Mental circulatory diseases diseases system diseases disorders systemSource: European Health for All database (HFA-DB). Copenhagen, WHO Regional Office for Europe, 2012. Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 24. Premature mortality from leading causes of death in Hungary and the European Region, 2009 Heart disease Cerebrovascular disease Lung cancer Breast cancer EU12 EU15 Cervical cancer European Region Hungary Suicide Traffic accidents Acute respiratory infections, pneumonia and influenza in children <5y 0 10 20 30 40 50 Standardized death rate per 100,000 populationSource: European Health for All database (HFA-DB). Copenhagen, WHO Regional Office for Europe, 2012. Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 25. Premature mortality from lung cancer trends in Hungary and other EU countries, by sex, 1980–2009 SDR, trachea/bronchus/lung cancer, 0-64 per 100000, male SDR, trachea/bronchus/lung cancer, 0-64 per 100000, female 70 EU12 EU15 60 European Region Hungary 50 40 30 20 10 0 1980 1985 1990 1995 2000 2005 2010 1980 1985 1990 1995 2000 2005 2010Source: European Health for All database (HFA-DB). Copenhagen, WHO Regional Office for Europe, 2012. Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 26. Premature mortality from liver disease and cirrhosis in Hungary and EU countries, 1980-2009, by sex SDR, chronic liver disease and cirrhosis, 0-64 per 100000, SDR, chronic liver disease and cirrhosis, 0-64 per 100000, male female EU12 EU15100 European Region Hungary 80 60 40 20 1980 1985 1990 1995 2000 2005 2010 1980 1985 1990 1995 2000 2005 2010 Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012
  • 27. Concluding remarks for Hungary• Hungary’s life expectancy at birth is increasing, with consequent rapid population ageing. In addition, the population is not growing. The joint effects may create future demands for health and social services that require planning.• Overall premature adult mortality is decreasing in Hungary, but remains high.• Deaths from CVD (mainly heart disease among men), cancer (particularly cancers of the lung for men and women, the breast for women, and liver and colon for both) and injuries (suicides) predominate. Their main risk factors are known and modifiable.• A significant fraction of deaths is associated with high rates of tobacco smoking and alcohol abuse. These problems are enhanced by low prices and easy access (costs and policies); intersectoral action in these areas should be considered. Health for Europe’s future: Health 2020 Debrecen, Hungary, 18 February 2012