The European health report 2015. Targets and beyond – reaching new frontiers in evidence
•Download as PPTX, PDF•
1 like•1,059 views
Presentation delivered by Claudia Stein, Director, Division of Information, Evidence, Research and Innovation, on 15 September 2015, at the 65th session of the WHO Regional Committee for Europe (Vilnius, Lithuania, 14–17 September 2015)
Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Viewers also liked
Viewers also liked (20)
Similar to The European health report 2015. Targets and beyond – reaching new frontiers in evidence
Similar to The European health report 2015. Targets and beyond – reaching new frontiers in evidence (20)
More from WHO Regional Office for Europe
More from WHO Regional Office for Europe (20)
Recently uploaded
Recently uploaded (20)
The European health report 2015. Targets and beyond – reaching new frontiers in evidence
- 1. The European health report 2015 Targets and beyond – reaching new frontiers in evidence Claudia Stein Director Division of Information, Evidence, Research and Innovation
- 2. European health reports What are the European health reports? Flagship corporate products of WHO Europe; Published once every 3 years; Major platform for reporting on Health 2020 progress. Baseline measurement for Health 2020: year 2010
- 3. European health report 2015 Main aims: • To report on progress towards the Health 2020 targets (since 2010 baseline); • To reach new frontiers in health information and ‘evidence for the 21st century’, including further work on well-being.
- 4. Health 2020 targets 1. Reduce premature mortality 2. Increase life expectancy 3. Reduce inequities 4. Enhance well-being 5. Achieve universal health coverage 6. Establish national targets set by Member States
- 5. Target 1: Reduce premature mortality Target: 1.5% relative annual reduction in premature mortality from cardiovascular disease, cancer, diabetes and chronic respiratory diseases until 2020. Indicator: age-standardized death rate per 100,000 in people aged 30- 69 for cardiovascular diseases, cancer, diabetes mellitus and chronic respiratory diseases combined.
- 6. Mortality from external causes Standardized death rate per 100 000 Biggest reductions in: Russian Federation, Latvia, Estonia, Ukraine, and Kazakhstan
- 7. Three major risk factors in the Region
- 8. Changes in tobacco smoking prevalence since 2010 Biggest reductions in: Georgia, Belarus, Ukraine, Russian Federation and Kazakhstan
- 9. Target 2: Increase life expectancy Target: continued increase in life expectancy at current rate (the annual rate during 2006- 2010), coupled with reducing differences in life expectancy in the European Region.
- 10. Target 4: Enhance well-being • Subjective and objective well-being • (How) can we compare? • How can we best communicate about well-being? WHO will engage in further work on the cultural contexts of health and well-being
- 11. Cultural contexts of well-being Conclusions from the report: • Well-being is a vital component of health • …and it can be measured. • But cultural differences must be better understood • …and more innovative reporting strategies are need.
- 12. Cultural contexts of well-being Expert Group on Cultural Contexts of Health and Well-being. 1st meeting January 2015: Main recommendations: • Explore different types of qualitative evidence more fully • Commission further work in the area of culture and health • Adopt the UNESCO definition of culture • Investigate cultural contexts of health more systematically • Use a multisectoral and multidisciplinary integrated research approach.
- 13. Target 6: Setting national targets Number of countries
- 14. 0% 10% 20% 30% 40% 50% 60% 70% No Yes, included elsewhere Yes, stand alone Policy addressing health inequity or social determinants of health exists All answers (n=31 and 36 for 2010 and 2013, respectively) 2013 2010 0% 10% 20% 30% 40% 50% 60% No, and not planned for the future No, but planned for the future Indicators defined Targets defined National or subnational target setting process exists All answers (n=31 and 36 for 2010 and 2013, respectively) 2013 2010 0% 10% 20% 30% 40% 50% 60% 70% No and not planned for the future No, but planned for the future Yes, another strategy Yes, comprehensive health policy National health policy is aligned with H2020 All answers (n=31 and 36 for 2010 and 2013, respectively) 2013 2010 0% 10% 20% 30% 40% 50% 60% No, and not planned for the future Yes, in process Yes, adopted There is ahealthpolicy accountability mechanisminplace All answers (n=31 and 36 for 2010 and 2013, respectively) 2013 2010 Source: WHO. Qualitative indicators for Health 2020 policy targets monitoring, 2014 Online survey Target 6: Alignment with Health 2020
- 15. Moving forward: working together • Broad international cooperation is required to tackle current health information challenges efficiently and sustainably; • WHO Europe, European Commission and OECD are working together towards a single, integrated health information system for the WHO European Region.
- 16. Conclusions • The European Region is on track to achieve the Health 2020 targets but much needs to be done to reduce inequities; • To inform the implementation of Health 2020 adequately, data collections need to be strengthened and new health monitoring approaches explored; • Enhanced international collaboration is required to move the health information research and development agenda forward in the Region.
- 17. Please use our products! All products available at: http://www.euro.who.int/ en/data-and- evidence/european- health-report2015 Factsheets
- 18. Please give us feedback on the app this week!
- 19. Thank you Merci Danke спасибо! All products available at: http://www.euro.who.int/en/data-and- evidence/european-health-report2015
Editor's Notes
- No data for Andorra, Bosnia and Herzegovina, Monaco, Turkmenistan For a few countries a more recent year than 2000 was used as baseline (as there were no data for 2000 for those countries; Belgium Cyprus and Turkey).
- Overweight and obesity is BMI ≥ 25 Prevalence overweight and obesity in Americas: 61,3% Men in European Region: 62,6% Women in European Region: 54.9% Rates of alcohol consumption and tobacco use are highest globally. Overweight and obesity; slightly behind the Americas.
- Data availability too limited to draw conclusions about whether we are on-track to reach the target (no Regional average for 2012 yet).
- Well-being is a vital component of health It’s part of WHO’s original, visionary definition of health. Without this focus, WHO is a World Death, Disease, and Disability Organisation. Higher levels of well-being are consistently associated with decreased risks of disease, illness and injury, better immune functioning, speedier recovery and increased longevity. It’s a unifying concept (linked to the environment, education, culture, finance) that provides important opportunities for using a whole-of-government approach. …and it can be measured Over 40 years of social indicator work has demonstrated that well-being can be measured reliably in local and even national contexts. But cultural differences must be better understood Cultural contexts strongly influence well-being, making cross-country comparisons difficult. For WHO to be able to use well-being more effectively as a policy tool, these contexts need to be better understood. This is particularly true in the European Regional context, where little work has been done which compares the different ways in which well-being is constructed in different countries. …and more innovative reporting strategies are need. Well-being resists top down approaches, which miss out on the rich diversity of cultural contexts within which health and well-being are situated. Engaging meaningfully with well-being means that we have to use more participatory and inclusive approach to reporting on well-being.
- Adopt the UNESCO definition of culture From the UNESCO Universal Declaration on Cultural Diversity, 2001 Culture is “the set of distinctive spiritual, material, intellectual and emotional features of society or a social group, and that it encompasses, in addition to art and literature, lifestyles, ways of living together, value systems, traditions and beliefs”. Investigate cultural contexts in health more systematically An increasing number of voices in the public health community have been calling for the need to consider the important role less tangible health determinants, such as culture, play in the provisioning of equitable healthcare. In line with conclusions from UCL/Lancet commission on Culture and Health, which evidences the important role cultural contexts play in relation to health, the Expert Group recommended that a more systematic exploration of cultural contexts in health an well-being was necessary. Employ a multidisciplinary, integrated research approach This shift towards the subjective, as in the case of subjective well-being, is creating a need for more capacity to tap into relevant research from the humanities and wider social sciences, which are well placed to help explore the meanings people create around experiences of disease, health and well-being. Explore different types of qualitative evidence more fully To engage with the full complexity of subjective well-being, a more sustained use of different types of qualitative evidence is necessary. This includes investigating how of historical records, cultural outputs, and anthropological observations might help us to understand what “being well” in the European context actually means. Use a participatory approach to communicate about well-being WHO should explore culture-centred, participatory approaches that engage local communities in sensitive and measured ways in order to explore what it means to be well and healthy. Communication about well-being initiatives should be two-way. Effective communication about well-being will require listening to countries, groups and people about their own definitions and explorations of well-being.
- We see a similar pattern for the indicator on number of MS with policies aligned with Health 2020, implementation plans and accountability mechanisms.
- Dedicated data collection for qualitative indicators (web based tool) initiated towards Core Health Indicators 2014 with special focus on Health 2020 indicators Demonstrated evidence of increased inclusion of Health 2020 principles and recommendations in national health policies between 2010 and 2013