Report on the work of the
WHO Regional
Office for Europe
Zsuzsanna Jakab
WHO Regional Director for Europe
16 September 2013
2013201220112010
Better health for Europe
WHO reform and Health 2020 in the
global and regional contexts
Demographic and
epidemiological changes
Widening of health ...
WHO reform and Health 2020 in the
global and regional contexts
“Good health can no longer be seen as an outcome of one
sec...
Presentation structure: Health 2020
Strategic objectives
1. Improving health for all and reducing health inequalities
2. I...
Increasing momentum in Europe
Core studies underpinning
Health 2020
Health 2020: helping countries take
up the challenge
Applying the Health
2020 lens to country
situation analysis
Integrated approaches to
implementing the four
priority policy...
Health 2020: addressing social
determinants of health and governance
WHO European Office for Investment for Health and
Dev...
Health 2020 targets and monitoring
framework
1. Reduce premature mortality by 2020.
2. Increase life expectancy.
3. Reduce...
Invest in health through a life-course approach and empower citizens
Maternal, newborn, sexual and
reproductive health
Before
pregnancy
Pregnancy
Impact on health, including
reproductive heal...
Child and adolescent health and
well-being
WHO project on improving
paediatric hospital care
in central Asia
Healthy ageing: guide towards age-friendly
environments in Europe
Tackle Europe’s major disease burdens of noncommunicable and communicable diseases
Global action plan and
global monitoring framework
0
100
200
300
400
500
600
700
800
2000 2005 2010 2015 2020 2025
Central and eastern Europe
Western Europe
Source:WHOEurope...
World Health Day 2013
European Ministerial Conference on the Prevention
and Control of Noncommunicable Diseases
Ashgabat, Turkm
enistan
3–4 Dece...
Reducing harmful use of alcohol
Promoting healthy behaviour:
tobacco control
Framework ratified
by 50 Member States in the
WHO European Region
Nutrition, obesity and physical activity:
major achievements, but big challenges
European Charter on Counteracting
Obesity...
The Vienna Declaration
WHO European Ministerial Conference
on Nutrition and Noncommunicable
Diseases in the Context of Hea...
Tackle Europe’s major disease burdens of noncommunicable and communicable diseases
Implementing European strategic
action plan on antimicrobial resistance
Launching the Central Asia and
Eastern European Su...
Increasing capacity to detect and treat
drug-resistant tuberculosis
• 78 000 people are
estimated to fall sick
with multid...
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 ...
Key initiatives to combat HIV/AIDS
and sexually transmitted diseases
Measles and rubella:
the elimination challenge
Unrelenting threat of poliomyelitis
Risk of transmission
Low
Intermediate
High
2013 detection of
wildpoliovirus type 1 in
...
Unrelenting threat of poliomyelitis
A child receives oral polio vaccine at a
children's health clinic in Jerusalem
(Photo:...
The only answer:
commitment to immunization
Malaria and re-emerging
vector-borne diseases
• Only 253 malaria cases
in 2012
• Possibility for European
Region to be the...
Strengthen people-centred health systems and public health capacity
Towards universal health coverage
Two pillars
1. Access to high-
quality health
services
2. Protection from
financial hard...
Tallinn Charter: “Health Systems for Health and
Wealth”
35th anniversary of Declaration of Alma-Ata
Tallinn, 2008 Alma-Ata...
Policy responses to economic crisis
High-level meeting on health systems in
times of global economic
crisis, Oslo, Norway,...
Supporting changes in health
systems
Health security and emergency
preparedness and response
Preparedness for health and
humanitarian emergencies
• New emergency
operations centre
• Simulation exercises to
test the ...
Building core capacities for the
International Health Regulations
85%
78%
91%
90%
63%
83%
44%
76%
78%
85%
86%
82%
88%
Radi...
Response to emergencies and crises
Crisis in Syrian Arab Republic – Turkey
• Joint United Nations/Ministry of Health asses...
Transition slide:
create supportive environments and resilient
communities
Create supportive environments and resilient co...
European Environment and
Health Ministerial Board
New evidence and tools to support action on
environment and health
Move to UN
City, Copenhagen, Denmark
WHO reform
WHO reform: governance
Sixty-second session of the
WHO Regional Committee for
Europe
Malta, 2012
WHO’s Programme Budget 2014–2015
WHO reform: financing dialogue
Strengthening partnerships
Strengthening partnerships
Strengthening partnerships
Hand in hand with Member States
Signing ceremony for the first European country cooperation strategy
New seat of the South-eastern Europe Health Network (SEEHN) Secretariat inaugurated
in the former Yugoslav Republic of Mac...
Report of the Regional Director on the work of WHO in the European Region
Report of the Regional Director on the work of WHO in the European Region
Report of the Regional Director on the work of WHO in the European Region
Report of the Regional Director on the work of WHO in the European Region
Report of the Regional Director on the work of WHO in the European Region
Report of the Regional Director on the work of WHO in the European Region
Report of the Regional Director on the work of WHO in the European Region
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Report of the Regional Director on the work of WHO in the European Region

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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.

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Report of the Regional Director on the work of WHO in the European Region

  1. 1. Report on the work of the WHO Regional Office for Europe Zsuzsanna Jakab WHO Regional Director for Europe 16 September 2013
  2. 2. 2013201220112010 Better health for Europe
  3. 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. 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. 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. 6. Increasing momentum in Europe
  7. 7. Core studies underpinning Health 2020
  8. 8. Health 2020: helping countries take up the challenge
  9. 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. 10. Health 2020: addressing social determinants of health and governance WHO European Office for Investment for Health and Development, in Venice, Italy
  11. 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. 12. Invest in health through a life-course approach and empower citizens
  13. 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. 14. Child and adolescent health and well-being WHO project on improving paediatric hospital care in central Asia
  15. 15. Healthy ageing: guide towards age-friendly environments in Europe
  16. 16. Tackle Europe’s major disease burdens of noncommunicable and communicable diseases
  17. 17. Global action plan and global monitoring framework
  18. 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. 19. World Health Day 2013
  20. 20. European Ministerial Conference on the Prevention and Control of Noncommunicable Diseases Ashgabat, Turkm enistan 3–4 December 2013
  21. 21. Reducing harmful use of alcohol
  22. 22. Promoting healthy behaviour: tobacco control Framework ratified by 50 Member States in the WHO European Region
  23. 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. 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. 25. Tackle Europe’s major disease burdens of noncommunicable and communicable diseases
  26. 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. 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. 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. 29. Key initiatives to combat HIV/AIDS and sexually transmitted diseases
  30. 30. Measles and rubella: the elimination challenge
  31. 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. 32. Unrelenting threat of poliomyelitis A child receives oral polio vaccine at a children's health clinic in Jerusalem (Photo: Yonatan Sindel/Flash90)
  33. 33. The only answer: commitment to immunization
  34. 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. 35. Strengthen people-centred health systems and public health capacity
  36. 36. Towards universal health coverage Two pillars 1. Access to high- quality health services 2. Protection from financial hardship
  37. 37. Tallinn Charter: “Health Systems for Health and Wealth” 35th anniversary of Declaration of Alma-Ata Tallinn, 2008 Alma-Ata, 1978
  38. 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. 39. Supporting changes in health systems
  40. 40. Health security and emergency preparedness and response
  41. 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. 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. 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. 44. Transition slide: create supportive environments and resilient communities Create supportive environments and resilient communities
  45. 45. European Environment and Health Ministerial Board
  46. 46. New evidence and tools to support action on environment and health
  47. 47. Move to UN City, Copenhagen, Denmark
  48. 48. WHO reform
  49. 49. WHO reform: governance Sixty-second session of the WHO Regional Committee for Europe Malta, 2012
  50. 50. WHO’s Programme Budget 2014–2015
  51. 51. WHO reform: financing dialogue
  52. 52. Strengthening partnerships
  53. 53. Strengthening partnerships
  54. 54. Strengthening partnerships
  55. 55. Hand in hand with Member States
  56. 56. Signing ceremony for the first European country cooperation strategy
  57. 57. New seat of the South-eastern Europe Health Network (SEEHN) Secretariat inaugurated in the former Yugoslav Republic of Macedonia

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