The document discusses the MittNordens Folkhälsonätverk (MittNordens Public Health Network) and its goals of developing collaboration and knowledge sharing on public health issues across northern Europe. It outlines several past and upcoming conferences and meetings held by the network. It also discusses the PoDD (Political Decisions on Determinants) project which aims to better utilize scientific knowledge about health determinants to inform political decision-making processes and policies across sectors like health, social welfare, employment, agriculture and more. The document provides brief summaries of several presentations made on topics like measuring tools for evaluating policy impacts, partners involved in the PoDD project, and facts about the HUNT public health study in Norway.

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2. Folkhälsa– pågående samarbete och utveckling Bakgrund – Språk… Kyrre Kvistad, Folkhelsekoordinator Steinar Krokstad, Daglig leder HUNT Göran Hallman, Folkhälsopolitisk Strateg HÄLSA som en viktig faktor för REGIONAL TILLVÄXT och EKONOMISK UTVECKLING MittNordensFolkhälso Nätverk PODD – en projektansökan

3. MittNordens Folkhälsonätverk Första möte den 7 maj 2009 i Östersund, Jämtland Andra mötet i samband med Sticklestad 2-3 september 2009

4. MittNordens Folkhälsonätverk Stöd från MittNordenKommitten för att försöka utveckla ett tvärs perspektiv på hälsa för enskilda men också som utgångspunkt för en samhällsutveckling med god hälsoekonomi Kunskaper och erfarenheter av att utveckla hälsa Överföring, gemensamma utbildningar etc AKTIVITETER Frisklivskonferanse i Trondheim 10.-11.mars 2010 Sticklestads konferansen 3 september 2010 MittNordens Folkhälsonätverk den 2 september – Sticklestad Hösten 2010 – samordnad konferens med våra finska kollegor (preliminärt oktober/november) Finnas etablerade som fungerande NÄTVERK vid Nordiska Folkhälsokonferensen 2011.

5. Mål for folkehelsepolitikken Flere leveår med god helse i befolkningen som helhet Reduserte sosiale helseforskjeller, uten at noen grupper får dårligere helse

6. The PoDD-projectPolitical Decisions on Determinants Bringing science and policy together

7. The PoDD-project Political Decision on Determinants

8. The main determinants of health 090626/Göran H

11. Policy Levels for Tackling Inequalities in Health 090626/Göran H

12. Political Decisions on Determinants(PODD) Society, Policy, Structural Living conditions Individual lifestyle Social and Welfare policy Agricultural policy Employment/UnEmpl. policy Healthcare policy as otherpolicies…. Environment policy Different perspectives – The individual decide the size of the ball (burden) to ”roll forward” in life based on available choices in society The society regulates the steepness of the ”hill” (via policy decisions influencing living conditions) Based on the norwegian P. F. Hjorth, Prof. G. Hallman 20100103

14. Describe measuring tools and analyze the steps in transferring policy decisions into operative tasks/ activities aimed at improving the situation in the actual society/ group/community PoDD Goals & Objectives (goal = high level objective):Summary of the Brussels Meeting, Nov 20th, 2009 Investments in health and the return of investment based on solid market analysis! Visualize, improve and provide health and social determinant information to the political decision process Implement and build up a successful working managerial model in a new member state Linked determinant information – “Chains of determinant driven results” - Data modeling and prospective model development

15. PoDD Duration of WPs

16. Partner Information The PoDD-projectPolitical Decision on Determinants

17. PoDD Partners and Acronyms

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20. PODD (Political Decisions on Determinants)Focus on methods and models supporting political decision/prioritizing processes based on ”prepared” scientific knowledge about determinants influencing health and economic growth Developing tools for politicians to use scientific knowledge about determinats in policies for health and wealth Building up knowledge enhancing the understanding of political processes as an tool for democracy society building Develop a common structure to collect relevant determinant information Develop common structures for processing determinant information Develop common structures for evalution of actions taken on determinant information – economical as well as health related Introducing new ways of presenting the impact of health and wealth policies on the society as well as the citizens Introducing evaluation methods using spatial information analyzing the impact on health and wealth due to changes in policies as well as process and outcome meausurements Implement, support and build up an knowledge capacity in a ”new” EU-member state using both HUNT and National Inst.of PH in Holland data as the test database for methodology development. 090626/Göran H

21. Health, knowledge, profession and level of income Age Health in late middle age Salary and Resources Health in early middle age Position on Labour Market Health in early adult age Education Health in Child-Hood Upbringing conditions Social and Economical carrier Individual health development The red arrows indicate causal relation based on scientific knowledge Bernt Lundgren, 2008

22. Determinats for health Human-capital Workplaces and economical development on local, regional, national and European level PRODUCTION Work supply, Knowledge, Productive years Living conditions in society Education Productivity INCOME Consumtion Savings HEALTH ECONOMIC GROWTH Lifestyle COSTS Care, Service, Economic transferering Investments INPUT (Cost-effective, Cost-efficasy) Bernt Lundgren, 2008

23. FACTS ABOUT HUNT (HelseundersokelseiNordTrondelag) The Nord-Trøndelag health study (HUNT) is one of the largest health studies ever performed. It is a unique database of personal and family medical histories collected during three intensive studies. The fundamental strategy is to earn and maintain the confidence of the population we work in and with as is necessary for any successful population study. This strategy has been successful and has resulted in extraordinarily high participation rates. There is enthusiastic public and political support for HUNT and of the HUNT Research Centre. This has created a good basis for further health surveys in the county and an excellent research environment. HUNT 1 was carried out in 1984-1986 to establish the health history of 75,000 people. HUNT 2, carried out in 1995-1997, focused on the evolution of the health history of 74,000 people. This included blood sample collection from 65,000 people. The data that accompany biospecimens in the biobank are stored in secured computer systems that run complex database management and analysis software. HUNT 3 was completed in June 2008. 93,210 people were invited to participate in the study, and as of the 6th of June, 2008, 48,289 people participated (52% participation rate). The data, collected by means of questionnaires, interviews, clinical examinations and collection of blood and urine samples, will be ready for analysis in January 2009. HUNT collaborates with national and international research groups on some of the important health topics facing our world today using the most modern techniques and our state of the art biobank. Today, HUNT is a database with information about approximately 120,000 people that integrates family data and individual data and can be linked to national health registries. Repeated examinations and follow-up of the same population make it possible to ascertain changes in health and vital status at individual and family levels. The HUNT study is reinforced and supplemented by cross referencing with registries at the regional level (Registries such as radial and hip fractures, venous thrombosis, lung embolism, ischemic heart disease and stroke) and with registries at the national level (The Cancer Register, The Medical Birth Register, and The National Health Insurance Register). Additionally, Statistics Norway provides necessary information from The Population Census Register and The Family Register to create a genealogical database ("family trees"). 090626/Göran H