This presentation is part of the report presented by the WHO Regional Director Zsuzsanna Jakab at the 63rd session of the WHO Regional Committee for Europe in Çeşme Izmir, Turkey, on 16 September 2013.

1. Report on the work of the
WHO Regional
Office for Europe
Zsuzsanna Jakab
WHO Regional Director for Europe
16 September 2013

2. 2013201220112010
Better health for Europe

3. WHO reform and Health 2020 in the
global and regional contexts
Demographic and
epidemiological changes
Widening of health gaps
Challenging economic times
Advancing of well-being
Public health values and rights

4. WHO reform and Health 2020 in the
global and regional contexts
“Good health can no longer be seen as an outcome of one
sector alone: sustainable and equitable improvements in
health are the product of effective policy across all parts of
government and collaborative efforts across all parts of
society.”
– Margaret Chan, WHO Director-General

5. Presentation structure: Health 2020
Strategic objectives
1. Improving health for all and reducing health inequalities
2. Improving leadership and participatory governance for health
Priority areas

6. Increasing momentum in Europe

7. Core studies underpinning
Health 2020

8. Health 2020: helping countries take
up the challenge

9. Applying the Health
2020 lens to country
situation analysis
Integrated approaches to
implementing the four
priority policy areas of
Health 2020
Implementing whole-of-
government and whole-of-
society approaches
Strengthening public
health capacities and
services
Introducing Health 2020 to
different stakeholders
across sectors
Addressing social
determinants of
health, equity, gender and
human rights
Strengthening monitoring
and evaluation
Developing Health -2020-
based national and
subnational health
policies, strategies and
plans
Operationalizing new
concepts and evidence
Health 2020 implementation
package

10. Health 2020: addressing social
determinants of health and governance
WHO European Office for Investment for Health and
Development, in Venice, Italy

11. Health 2020 targets and monitoring
framework
1. Reduce premature mortality by 2020.
2. Increase life expectancy.
3. Reduce inequalities in health.
4. Enhance the well-being of the population.
5. Ensure universal coverage and the right to
the highest attainable level of health.
6. Set national goals and targets related to
health in Member States.

12. Invest in health through a life-course approach and empower citizens

13. Maternal, newborn, sexual and
reproductive health
Before
pregnancy
Pregnancy
Impact on health, including
reproductive health
Infancy Childhood
LATER
LIFE
Postpartum
Newborn
Birth
44
29
20
0
5
10
15
20
25
30
35
40
45
50
1990 2000 2010
Estimated average maternal mortality ratio
in the WHO European Region Maternal mortality ratio decreased by
54% since 1990
but more than 40 times difference in
related risks between highest and
lowest

14. Child and adolescent health and
well-being
WHO project on improving
paediatric hospital care
in central Asia

15. Healthy ageing: guide towards age-friendly
environments in Europe

16. Tackle Europe’s major disease burdens of noncommunicable and communicable diseases

17. Global action plan and
global monitoring framework

18. 0
100
200
300
400
500
600
700
800
2000 2005 2010 2015 2020 2025
Central and eastern Europe
Western Europe
Source:WHOEuropeanHealthForAlldatabase(July2013update).
Standardizedeathrates,circulatorydiseases
(allages,per100000)
Accelerating the decline in circulatory diseases

19. World Health Day 2013

20. European Ministerial Conference on the Prevention
and Control of Noncommunicable Diseases
Ashgabat, Turkm
enistan
3–4 December 2013

21. Reducing harmful use of alcohol

22. Promoting healthy behaviour:
tobacco control
Framework ratified
by 50 Member States in the
WHO European Region

23. Nutrition, obesity and physical activity:
major achievements, but big challenges
European Charter on Counteracting
Obesity and the Action Plan for Food and
Nutrition Policy
• Monitoring and surveillance systems
established and scaled-up
• 49 Member States developed or updated
national policies
• Several Member States evaluated
national policies

24. The Vienna Declaration
WHO European Ministerial Conference
on Nutrition and Noncommunicable
Diseases in the Context of Health 2020
4–5 July 2013, Vienna, Austria

25. Tackle Europe’s major disease burdens of noncommunicable and communicable diseases

26. Implementing European strategic
action plan on antimicrobial resistance
Launching the Central Asia and
Eastern European Surveillance of
Antimicrobial Resistance
(CAESAR) network with partners
Official statement by Her Royal Highness
Crown Princess Mary of Denmark for
European Antibiotic Awareness Day 2012

27. Increasing capacity to detect and treat
drug-resistant tuberculosis
• 78 000 people are
estimated to fall sick
with multidrug- and
extensively drug-
resistant tuberculosis
(M/XDR-TB) yearly
• 40 000 are diagnosed
and start treatment
27 000
34 000
35 500
37 700
17 000
28 336
34 215
39 700
2009 2010 2011 2012*
detected
enrolled in treatment

28. 0
200
400
600
800
1 000
1 200
1 400
1 600
1 800
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
HIV People on ART
Key initiatives to combat HIV/AIDS
and sexually transmitted diseases
Sources: ECDC/WHO Regional Office for Europe. HIV/AIDS surveillance in Europe 2011. Stockholm, European Centre for Disease Prevention and Control, 2012;
Unified Interagency Information-statistics System of the Federal Statistics Agency of the Russian Federation, 2012; Joint United Nations Programme on HIV/AIDS (UNAIDS)
country progress report Uzbekistan 2012.
Cumulative (in thousands),
WHO European Region, 2000–2011
ART:antiretroviral
therapy.

29. Key initiatives to combat HIV/AIDS
and sexually transmitted diseases

30. Measles and rubella:
the elimination challenge

31. Unrelenting threat of poliomyelitis
Risk of transmission
Low
Intermediate
High
2013 detection of
wildpoliovirus type 1 in
environmental samples
in Israel triggered a
country-wide vaccination
campaign

32. Unrelenting threat of poliomyelitis
A child receives oral polio vaccine at a
children's health clinic in Jerusalem
(Photo: Yonatan Sindel/Flash90)

33. The only answer:
commitment to immunization

34. Malaria and re-emerging
vector-borne diseases
• Only 253 malaria cases
in 2012
• Possibility for European
Region to be the first to
complete elimination
(deadline: 2015)

35. Strengthen people-centred health systems and public health capacity

36. Towards universal health coverage
Two pillars
1. Access to high-
quality health
services
2. Protection from
financial hardship

37. Tallinn Charter: “Health Systems for Health and
Wealth”
35th anniversary of Declaration of Alma-Ata
Tallinn, 2008 Alma-Ata, 1978

38. Policy responses to economic crisis
High-level meeting on health systems in
times of global economic
crisis, Oslo, Norway, 17–18 April 2013
Barcelona Course on Health FinancingWHO Barcelona Office for Health
Systems Strengthening

39. Supporting changes in health
systems

40. Health security and emergency
preparedness and response

41. Preparedness for health and
humanitarian emergencies
• New emergency
operations centre
• Simulation exercises to
test the Emergency
Response Framework
• Country assessments
and training
• Supporting preparedness
for mass gatherings

42. Building core capacities for the
International Health Regulations
85%
78%
91%
90%
63%
83%
44%
76%
78%
85%
86%
82%
88%
Radiation Emergencies
Chemical Events
Food Safety
Zoonotic Events
Points of Entry
Laboratory
Human Resource Capacity
Risk Communication
Preparedness
Response
Surveillance
Coordination & NFP
National legislation
Regional scoring of core capacities, points of
entry and hazards (European Region), 2012
21 of 55 States Parties requested
extensions of deadline,15 with
specific action plans

43. Response to emergencies and crises
Crisis in Syrian Arab Republic – Turkey
• Joint United Nations/Ministry of Health assessment
• Supporting WHO's global response
• WHO field presence in southern Turkey

44. Transition slide:
create supportive environments and resilient
communities
Create supportive environments and resilient communities

45. European Environment and
Health Ministerial Board

46. New evidence and tools to support action on
environment and health

47. Move to UN
City, Copenhagen, Denmark

48. WHO reform

49. WHO reform: governance
Sixty-second session of the
WHO Regional Committee for
Europe
Malta, 2012

50. WHO’s Programme Budget 2014–2015

51. WHO reform: financing dialogue

52. Strengthening partnerships

57. Strengthening partnerships

58. Strengthening partnerships

59. Hand in hand with Member States

61. Signing ceremony for the first European country cooperation strategy

62. New seat of the South-eastern Europe Health Network (SEEHN) Secretariat inaugurated
in the former Yugoslav Republic of Macedonia