Presented by Dr Zsuzsanna Jakab, WHO Regional Director for Europe, at the 66th Session of the WHO Regional Committee for Europe.

1. Report on the work of the
WHO Regional Office for Europe
Dr Zsuzsanna Jakab
WHO Regional Director for Europe

3. Better health for Europe
More equitable and sustainable

4. The new global framework:
United Nations 2030 Agenda for Sustainable Development
4

5. 5
Towards a roadmap for implementation of
SDGs in the Region

6. Health at the heart of
national development

7. Health 2020 indicators for
reporting and follow-up
7

8. A joint monitoring framework for
Health 2020, NCDs, and SDGs
8
Alcohol
Educational attainment
Health expenditure
Household consumption
Mortality
Reducing income
inequality
Sanitation
Smoking
Social support
TB treatment
Unemployment
Vaccination

9. Together, we have
achieved a lot
Photo: WHO /Sergey Volkov

10. We are on track towards
a healthier Europe
10
Premature mortalityLife-expectancy

11. 11
Yet challenges remain

12. 12
New platform.
WHO led coalition for health for SDGs

13. Addressing ALL health determinants

14. Intersectoral action is key to progress
• Strengthening
accountability for health
• Implementation of
Health in All Policies
(HiAP)
14

15. Promoting intersectoral action
15

16. Paris, France, December 2016
Photo: Florent Lamoureux
Pre-meeting
Paris, France, July 2016
High-level meeting on promoting intersectoral and
interagency action for health and well-being
16

17. Photo: Bernd Thaller
Shangai, China, November 2016
9th Global Conference on Health Promotion
17

18. Photo: Fotolia
A focus on inequities
Leaving no one behind

19. WHO European status
report on health equity

20. Working with the UN system
20

21. WHO networks for implementation
Small Countries InitiativeRegions for Health Network
21
WHO European Healthy Cities Network

22. Kaunas, Lithuania - September 2016
Regions for Health Network
Photo: Gytis Cibulskis
22

23. Principality of Monaco - October 2016
Small Countries Initiative
Photo: Salvatore Freni Jr
23

24. WHO collaborating centres play a vital role
24

25. Organizational alignment for
implementation of Health 2020
25
Social, economic and environmental
determinants of health
Health equity
Good governance

26. WHO European Centre
for Environment
and Health
Bonn, Germany
WHO European Office
for Investment for
Health and
Development
Venice, Italy
26

27. Refugees and migrants left behind
27

28. High-level meeting on refugee and migrant health
Rome, Italy, November 2015
A strategy and action plan for
refugee and migrant health
28

29. Photo: Christian Gapp
Environment and health
in the European Region

30. Photo: Christian Gapp
UNECE Conference
Batumi, Georgia
Eighth Environment for Europe
Ministerial Conference

31. The Sixth Ministerial Conference on
Environment and Health
Ostrava, Czech Republic, 13-15 June 2017
Photo: Lubomír Walder
31

32. Transport, Health and Environment
Pan-European Programme (The PEP)
32
Photo: WHO/Malin Bring

33. Andrä Rupprechter, Federal Minister for Agriculture, Forestry, Environment and Water Management,
Austria, and Dr Piroska Östlin, Director of the Division of Policy and Governance for Health and Well-being.
Multi sectoral collaboration pays off –
the example of The PEP
Photo: Florian Köfler
33

34. Health
emergencies
strengthening
preparedness,
surveillance and
response

35. WHO reformed its work in
health emergencies: One Programme
One
workforce
One workplan
and budget
One set of
processes
One line of
accountability
One admin. system

36. Addressing the full cycle of
health emergencies
36
Preparedness
Response
Recovery
Prevention

37. Aligning our structure, staffing
and processes
37

38. Testing new procedures –
Zika virus disease
38

39. Preparedness and building
IHR core capacities
39
Photo: WHO/Jan-Ole Rasmussen

40. IHR core capacity assessment,
monitoring and evaluation
40
State Party
annual
reporting
(mandatory)
After-action
reviews
(voluntary)
Simulation
exercises
(voluntary)
External
evaluations
(voluntary)
Revised IHR
M&E
Framework

41. IHR core capacity assessment,
monitoring and evaluation
41
IHR joint external evaluation , Armenia IHR joint external evaluation, Albania IHR joint external evaluation, Turkmenistan

42. Regional Office on constant alert –
health emergency information and risk assessment
42

43. Response to emergencies and
public health threats
43
Photo: UNHCR/Y.Gusyev

44. Emergency response operations –
Syrian Arab Republic
44

45. Emergency response operations –
Ukraine
45

46. Infections hazard management
46

47. The Region leads in
tackling antimicrobial resistance
47
A workshop for strengthening the national Central Asian and
Eastern European Surveillance of Antimicrobial Resistance
(CAESAR) network
The former Yugoslav Republic of Macedonia
Map of CAESAR progress

48. United Nations General Assembly
New York, United States, September 2016
Antimicrobial resistance at the
United Nations General Assembly
48

49. Antibiotic Awareness Week,
November 2016
49
Her Royal Highness Crown Princess Mary of Denmark

50. Combating
communicable
diseases
Photo: WHO/Alex Shpigunov

51. Together, we have eliminated malaria

52. Together, we have eliminated malaria

53. Sustaining polio-free status
53
Photo: WHO/Alex Shpigunov

54. Good progress towards
elimination of measles and rubella
54

55. We need to maintain the momentum
Photo: WHO/Malin Bring
55

56. Celebrating the achievements –
European Immunization Week
56

57. Alarming situation regarding HIV
142, 000 new HIV infections in the
WHO European Region in the last 12 months.
76% increase since 2005 in the Region.
57

58. We need to do more – “test and treat all”
Number of people receiving ART and new HIV diagnoses, 2005-2015
0
20000
40000
60000
80000
100000
120000
140000
160000
0
200000
400000
600000
800000
1000000
1200000
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
NewHIVcases
ART - Western and
central Europe
ART - Eastern
Europe and central
Asia
New HIV cases -
EECA
New HIV cases -
Region
58

59. Eurasian Harm Reduction Network high-level regional meeting
on domestic funding of HIV and TB response in eastern Europe
and central Asia
Photo: EHRN/Lina Fisheye
59
Renew our commitments – European action
plan for the health sector response to HIV

60. Eliminating mother-to-child transmission
of HIV and syphilis
60
Armenia The Republic of MoldovaBelarus

61. Responding to viral hepatitis
61

62. Ending tuberculosis in our lifetimes
Tuberculosis
incidence
rate
Since 2000, reversed
trend
Fastest annual
decline in the world:
4.0% annually
(2000–2014)
62
340 000 new
TB cases annually
33 000 deaths
annually

63. Accelerate the implementation of the
regional tuberculosis action plan
7th Conference of the International Union Against TB and Lung Diseases
Slovakia, June 2016
63

64. The
life-course
approach –
focusing on a
healthy
future
64Photo: Dyulyukova Anastasia Petrovna

65. The Minsk Declaration
65

66. Targeted health interventions
for a healthier start
66

67. Violence against women must stop
Photo: European Parliament
1 in 4 women subject to violence from her intimate partner
once in her lifetime.
1 in 10 women subject to non-partner sexual violence.

68. Photo: WHO/Malin Bring

69. Sexual and reproductive health –
decrease in abortions
0
20
40
60
80
100
1990-94 2000-04 2010-14
Europe
Eastern Europe
Source: Lancet, 2016.
Estimated abortion rates per 1000 women 15–44 years old
by geographic area and time period
69

70. Noncommunicable
diseases
Photo: WHO/Malin Bring

71. Noncommunicable diseases –
a health priority
71
Office for the
Project on the prevention and control of
noncommunicable diseases (NCDs)
Moscow, Russian Federation

72. Progress on tobacco control
72

73. Protocol to eliminate illicit trade
in tobacco products
73

74. A mixed picture and challenges on alcohol
Alcohol consumption in the
WHO European Region decreased
11% between 1990 and 2014.
However, alcohol-attributable deaths
increased by 4%.
74

75. New publications on harm from
alcohol consumption
75

76. Good news on elimination of undernutrition
76

77. A worrying picture of childhood obesity
77

78. A worrying picture of childhood obesity
78

79. Injuries – we have to reduce inequalities for a
safer Europe
79
0
50
100
150
200
1980 1985 1990 1995 2000 2005 2008 2009 2010 2011 2012 2013
European Region EU CIS
Deaths from injuries, all ages, in European Region
Deathsper100000

80. Inequalities in reaching the road safety goals
Age-standardised road traffic injury mortality rates by quintiles, 2013
80

81. Strengthening
people-centred
health systems
and public health
capacity
Photo: WHO/Malin Bring

82. Moving towards universal health coverage
82
Photo: WHO/Malin Bring

83. Celebrating 20 years of the
Ljubljana Charter
83

84. Celebrating 10 years of the
Tallinn Charter
84
Photo: Erik Peinar

85. Revitalizing health systems
performance assessment
85

86. Health system governance –
transforming health systems
86
Meeting on Implementation of
Health System Transformation
Spain, December 2015

87. Innovations for
better health outcomes
87
Intercountry high-level meeting on health systems
strengthening for enhanced tuberculosis prevention (TB)
and care, Denmark, April 2016
Intersectoral high-level dialogue focuses on increasing
efficiency and effectiveness of primary care services for
noncommunicable diseases, Belarus, July 2016

88. Primary health care and
public health must work together
Photo: WHO/Alex Shpigunov
Areas of key focus
1. Integration of public health into
primary care
2. Integration of primary care and social
care
3. Better coordination between primary
care and hospitals.
88

89. European Centre for Primary Health Care
Almaty, Kazakhstan
89

90. A broad range of courses
on health systems
WHO Barcelona Course on Health Financing for Universal Health Coverage
Barcelona, Spain, 14-18 March 2016
WHO Barcelona Course on Health Systems Strengthening
Focus on Noncommunicable Diseases
Barcelona, Spain, 9-13 May 2016
90

91. Health financing – monitoring out of pocket payments
91
0
5
10
15
20
25
30
35
40
45
50
55
60
65
70
75
France
UK
Luxembourg
Croatia
Slovenia
Germany
Denmark
Norway
Sweden
CzechRep
Austria
Iceland
Ireland
Belgium
Finland
Estonia
Italy
Slovakia
Poland
Spain
Hungary
Switzerland
Portugal
Israel
Malta
Lithuania
Greece
Latvia
RussianFed
Cyprus
Turkey
Romania
B&H
Belarus
Serbia
TFYRM
RepMoldova
Kyrgyzstan
Montenegro
Uzbekistan
Bulgaria
Kazakhstan
Ukraine
Albania
Armenia
Georgia
Tajikistan
Azerbaijan
OOPsasa%oftotalspendingonhealth
<15% SAFE
WARNING
DANGER ZONE

92. Policy options for affordable medicines
Photo: Olli Hakamies Photo: Luka Breneselovic
92

93. Health information, evidence and research
for policy and action

94. The European health report 2015 –
the most popular publication
94

95. Enhanced availability and dissemination
of health information
95

96. Enhanced availability and dissemination
of health information
96

97. New series of country profiles and highlights
on health
97

98. Health information networks are growing
98

99. 4th EVIPNet multi-country meeting
Republic of Moldova, June 2016
99
Health information networks are growing

100. European action plan for evidence
informed policy making
100
Seventh meeting of the
European Advisory
Committee on Health
Research
Copenhagen, Denmark,
April 2016

101. A partnership on e-Health
101

102. Annual course on health information and
evidence for policy
Autumn School of Health Information and Evidence for Policy
Russian Federation, October 2015
Advanced Course on Health Information and Evidence for Policy
Cyprus, June 2016
102

103. Advancing
WHO reform
and financial
sustainability

104. Partnerships for improved health and
policy coherence
104

105. Working with and for countries
105

106. “Health Central to Climate Change Action”
21st annual session of the Conference of
the Parties (COP21) to the United Nations
Framework Convention on Climate Change
(UNFCCC)
France, December 2016
106
Photo: IISD/ENB
Working with and for countries

107. 107
Working with and for countries

108. 108
Working with and for countries

109. 109
Working with and for countries

110. 110
Working with and for countries

111. 111
Working with and for countries

112. 112
Working with and for countries

113. 113

114. 114

115. Better health for Europe
More equitable and sustainable