Session 5A - Claudia Stein
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The document discusses Europe's Health 2020 policy and its goals of emphasizing health, well-being, and universal access to care. It outlines the policy's overarching goals of reducing premature mortality and increasing life expectancy in Europe by 2020. It also discusses establishing a single integrated health information system for the 53 European member states to help monitor progress on key indicators and reduce reporting burdens, though acknowledges challenges in achieving this given limitations in health data availability across the region.
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Session 5A - Claudia Stein
- 1. CRVS and the relevance for region-wide policies: Europe’s Health 2020 policy Claudia Stein, MD, MSc, PhD, FFPH Director Division of Information, Evidence, Research and Innovation World Health Organization Regional Office for Europe
- 2. European Health 2020 policy • Emphasis on health and well-being • The right to health and access to care • People at the centre • Addressing the determinants of health • Whole of society approach • Whole of government approach • Solutions that work and make a difference “Adopts….together with a set of regional goals as set out in that document and the appropriate indicators for the European Region.”
- 3. Health 2020 area Overarching goals or targets 1.Burden of disease and risk factors 1.Reduce premature mortality in Europe by 2020 2.Healthy people, well-being and determinants 2. Increase life expectancy in Europe 3.Reduce inequities in health in Europe (social determinants target) 4.Enhance well-being of the European population (to be further elaborated during 2013) 3.Processes, governance and health systems 5. Universal coverage and “right to health” 6. Member States set national targets/goals Health for All (1978) HEALTH 21 (1999) NCD indicators: 42 Life expectancy: 42 Infant mortality: 42 6 targets and ~ 20 indicators - currently under country consultation Targets & indicators for Health 2020 20% of region without relevant information
- 4. Single integrated Health Information System for Europe (53 Member States) • In step 3 of implementation (5 steps) • Reduce reporting burden of Member States • Harmonize data collection and quality • Permit valid comparisons • Commence with key indicators OECD now a partner Challenges for achievement enormous even in the richest and most- data rich region of the world….
- 5. Thank you On- l i ne: www. euro. who. i nt Pri nt versi on June 2013
- 6. Thank you On- l i ne: www. euro. who. i nt Pri nt versi on June 2013
Editor's Notes
- General comments on the accuracy and coverage of the GEO data: Socioeconomic crises, civil war, significant numbers of internally displaced persons (IDPs), increased unemployment and intensive migration observed since the 1990s in Georgia have all had a negative impact on the population ’s health status, but have also made it challenging to accurately determine basic mortality and morbidity statistics, particularly as the basic denominator (population size) is disputed. Two administrative-territorial units (Abkhazia and South Ossetia/Tskhinvali region) are beyond the jurisdiction of the Georgian authorities, and are currently under the control of CIS peacekeeping force consisting of Russian troops. As a result of conflicts in Abkhazia and South Ossetia there were 300 000 IDPs before the conflicts escalated once more in August 2008, creating an estimated 128 000 more IDPs in Georgia. Since 1992-1994 the data from Abkhasia and Tzkhinvali (South Osetia) regions are not included in national mortality and other health-related statistics. Population figures, that were used as denominators for calculation of mortality rates and other indicators in HFA-DB, have been adjusted taking into account non-reporting regions and migration. However, they still may be significantly biased and the interpretation of mortality-based and majority of other indicators for Georgia during and after 1990s should be made with caution keeping in mind relatively low accuracy of raw data used for both, numerator and denominator (source HFA, notes for indicator (0010, mid year population) definitions).
- General comments on the accuracy and coverage of the GEO data: Socioeconomic crises, civil war, significant numbers of internally displaced persons (IDPs), increased unemployment and intensive migration observed since the 1990s in Georgia have all had a negative impact on the population ’s health status, but have also made it challenging to accurately determine basic mortality and morbidity statistics, particularly as the basic denominator (population size) is disputed. Two administrative-territorial units (Abkhazia and South Ossetia/Tskhinvali region) are beyond the jurisdiction of the Georgian authorities, and are currently under the control of CIS peacekeeping force consisting of Russian troops. As a result of conflicts in Abkhazia and South Ossetia there were 300 000 IDPs before the conflicts escalated once more in August 2008, creating an estimated 128 000 more IDPs in Georgia. Since 1992-1994 the data from Abkhasia and Tzkhinvali (South Osetia) regions are not included in national mortality and other health-related statistics. Population figures, that were used as denominators for calculation of mortality rates and other indicators in HFA-DB, have been adjusted taking into account non-reporting regions and migration. However, they still may be significantly biased and the interpretation of mortality-based and majority of other indicators for Georgia during and after 1990s should be made with caution keeping in mind relatively low accuracy of raw data used for both, numerator and denominator (source HFA, notes for indicator (0010, mid year population) definitions).
- A sub-group of the Standing Committee of the Regional Committee has reviewed possible targets, and the full Committee reviewed these recently. These are the six tragets that will be proposwed to the Regional Committee. In each case some content and quantification will be suggested. Reduce premature mortality in Europe by 2020 2.Increase life expectancy in Europe 3.Reduce inequities in health in Europe (social determinants target) 4. Enhance well-being of the European population (to be further elaborated during 2012/13) 5. Universal coverage and “ right to health ” 6. Member States set national targets/goals I do not have time to go into detail here, but I hope that I have illustrated our appraoch.
- General comments on the accuracy and coverage of the GEO data: Socioeconomic crises, civil war, significant numbers of internally displaced persons (IDPs), increased unemployment and intensive migration observed since the 1990s in Georgia have all had a negative impact on the population ’s health status, but have also made it challenging to accurately determine basic mortality and morbidity statistics, particularly as the basic denominator (population size) is disputed. Two administrative-territorial units (Abkhazia and South Ossetia/Tskhinvali region) are beyond the jurisdiction of the Georgian authorities, and are currently under the control of CIS peacekeeping force consisting of Russian troops. As a result of conflicts in Abkhazia and South Ossetia there were 300 000 IDPs before the conflicts escalated once more in August 2008, creating an estimated 128 000 more IDPs in Georgia. Since 1992-1994 the data from Abkhasia and Tzkhinvali (South Osetia) regions are not included in national mortality and other health-related statistics. Population figures, that were used as denominators for calculation of mortality rates and other indicators in HFA-DB, have been adjusted taking into account non-reporting regions and migration. However, they still may be significantly biased and the interpretation of mortality-based and majority of other indicators for Georgia during and after 1990s should be made with caution keeping in mind relatively low accuracy of raw data used for both, numerator and denominator (source HFA, notes for indicator (0010, mid year population) definitions).