Presented at the 66th Session of the WHO Regional Committee for Europe.

1. Division of Information, Evidence,
Research and Innovation (DIR)
Health information, evidence,
research and innovation
in the WHO European Region

2. Division of Information, Evidence,
Research and Innovation (DIR)
European Health Information Initiative (EHII)
• Provides overarching guidance for
health information activities WHO
Europe;
• Multi-partner network;
• Goal: Integrated health
information system for Europe;
• 5 Steering Group
meetings held to date.

3. Division of Information, Evidence,
Research and Innovation (DIR)
Malta:
Chairing Small
Countries Health
Information
Network
The EHII participants (25 participants)
Turkey:
1. Hosted first
autumn
school Oct
2013
2. Chairing
strategy sub-
group
Poland:
Hosted autumn
school Oct 2014
European
Commission
OECD
Lithuania:
Established PhD
programme in EIP
Kazakhstan &
Kyrgyzstan:
Staff & infrastructure
for regional health
information network in
CAR countries
Russian Federation:
1. New WHO Collaborating
Centre on health information;
2. Hosted Autumn School 2015
UK:
1.WHO
Collaborating
Centre on Health
2020 indicators
(Manchester)
2. Public Health
England
Switzerland:
WHO
Collaborating
Centre Swiss
Tropical & Public
Health Institute

4. Division of Information, Evidence,
Research and Innovation (DIR)

5. Division of Information, Evidence,
Research and Innovation (DIR)
Health 2020 targets
• Reduce premature mortality
• Increase life expectancy
• Reduce inequities
• Enhance well-being
• Achieve universal health coverage
• Establish national targets set by Member States

6. Division of Information, Evidence,
Research and Innovation (DIR)
The SDGs and Health 2020
are fully aligned

7. Division of Information, Evidence,
Research and Innovation (DIR)
Cultural contexts of well-being
Expert Group on Cultural Contexts
of Health and Well-being
• Explore different types of qualitative evidence more
fully;
• Commission further work in the area of culture and
health, including policy briefs and tool kit for policy
makers;
• Investigate cultural contexts of health more
systematically;
• Use a multisectoral and multidisciplinary integrated
research approach.

8. Division of Information, Evidence,
Research and Innovation (DIR)
How does WHO report
on these indicators?
• Annual report of the Regional
Director;
• Annual European ‘Core Health
Indicators’;
• ‘European Health Statistics’
(mobile app);
• New EURO health information
web-portal;
• The European health report
(every 3 years).

9. Division of Information, Evidence,
Research and Innovation (DIR)portal.euro.who.int

10. Division of Information, Evidence,
Research and Innovation (DIR)

11. Division of Information, Evidence,
Research and Innovation (DIR)
Publication
2016:
Greece
Moldova
Slovenia
Next in line:
Bulgaria
Georgia
Russian Federation

12. Division of Information, Evidence,
Research and Innovation (DIR)
Disseminating health information:
EURO public health journal
• Aimed at dissemination of good
practices and successful
implementation of
evidence-informed policies;
• Bi-lingual (English/Russian);
• Peer-reviewed;
• Four issues per year;
• All issues are theme-based.
Special theme for Regional Committee 2016:
Health information and evidence

13. Division of Information, Evidence,
Research and Innovation (DIR)
The 4 key action areas:
1. Strengthening health information systems, harmonizing
health indicators and establishing an integrated health
information system for the European Region;
2. Establishing and promoting health research systems to
support the setting of public health priorities;
3. Increasing country capacities for the development of
evidence-informed policies (knowledge translation);
4. Mainstreaming the use of evidence, information and
research in the implementation of Health 2020 and other major
regional policy frameworks.
For adoption and
resolution on
Thursday

14. Division of Information, Evidence,
Research and Innovation (DIR)
Where next with SDGs,
Health 2020 and
well-being?
• Further develop well-being indicators;
• Progress with cultural context of health and
well-being;
• Report on the new concepts of Health 2020;

15. Division of Information, Evidence,
Research and Innovation (DIR)
Wanted: new evidence for the 21st century
WHO expert group
reconvened recently

16. Division of Information, Evidence,
Research and Innovation (DIR)
Where next with SDGs,
Health 2020 and
well-being?
• Further develop well-being indicators;
• Progress with cultural context of health and
well-being;
• Report on the new concepts of Health 2020;
• Quantify more of the Health 2020 targets;
• Consider a joint monitoring frameworks
for Member States in a WHO one-stop shop;

17. Division of Information, Evidence,
Research and Innovation (DIR)
Thank you,
Danke, Merci, Спасибо

18. Division of Information, Evidence,
Research and Innovation (DIR)
EXTRA SLIDES
only to be shown if questions arise

19. Division of Information, Evidence,
Research and Innovation (DIR)
Health Information Networks in Europe
• Launched in
European
Region in 2012;
• Uses multi-
stakeholder
country teams
to translate
research
evidence in
policy-making;
• Now “live” in
19 countries.
Kazakhstan, Kyrgyzstan,
Tajikistan, Turkmenistan,
Uzbekistan

20. Division of Information, Evidence,
Research and Innovation (DIR)
Small Countries Health Information Network
• Initiative of the Minister of Health,
Malta;
• 8 countries agreed to establish health
information network;
• Terms of Reference and Scope and
Purpose for network agreed;
• Malta chairing the network in phase 1;
• First meeting held 3-4 March 2016 in
Malta, and work plan established;
• Developing joint indicator list for
reporting on HSPA and Health 2020.

21. Division of Information, Evidence,
Research and Innovation (DIR)
What makes a good indicator for
Health 2020: results from the expert group
• High validity and reliability;
• Available for majority of countries;
• Not already capture in other monitoring frameworks;
• Ideally should be routinely reported;
• One indicator that serves several targets;
• Data accompanied by meta-data;
• All rates age-standardized;
• Indicator data reported disaggregated, i.e. by age,
gender, ethnicity, socio-economic strata, vulnerable
groups, sub-national;
• Comparable across the region.

22. Division of Information, Evidence,
Research and Innovation (DIR)
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)
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)
Source: WHO. Qualitative indicators for Health 2020 policy targets monitoring, 2014
Country Health 2020 implementation
On-line survey
conducted by EURO

23. Division of Information, Evidence,
Research and Innovation (DIR)
One
vision
and goal
4 guiding
principles
4 key
action
areas
Expected
results
Deliverables
Key
targets
and
indicators
Proposed
actions
Timeframe of 5 years
Monitoring and Evaluation
European action plan to strengthen the use of
evidence for policy making:
Local knowledge and evidence for local policy

24. Division of Information, Evidence,
Research and Innovation (DIR)
Health 2020 monitoring framework –
targets and core indicators
Reduce premature
mortality
Premature CVD, cancer,
diabetes and chronic
respiratory mortality *
Increase
LE
Tobacco use
Alcohol consumption
Overweight and obesity*
Vaccination coverage
External causes mortality*
LE at
birth*
Reduce
inequalities
IM*
LE at birth*
Primary school
enrolment*
Unemployment
rate*
National
inequality
policies
GINI
Enhance
well-being
Life satisfaction*
Availability of
social support
UHC &
“right to
health”
OOP as %
THE
Vaccination
coverage
THE %
GDP
National
targets
Process for
target
setting
established
Evidence
documenting:
- National
polices
aligned with
H2020
-
Implementati
on plan
- Accounta-
bility
mechanism
* Disaggregated by sex
Improved
sanitation facilities
GINI
Unemployment
rate*
Children not
enrolled in school*