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National Health Promotion Conference Pisa, Italy 9 June 2000

National Health Promotion Conference Pisa, Italy 9 June 2000. INVESTMENT FOR HEALTH Dr Rüdiger Krech Technical Adviser, Health Promotion and Investment for Health. Investment for Health. Investment for Health. Background to Investment for Health  

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National Health Promotion Conference Pisa, Italy 9 June 2000

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  1. National Health Promotion ConferencePisa, Italy9 June 2000 INVESTMENT FOR HEALTH Dr Rüdiger Krech Technical Adviser, Health Promotion and Investment for Health

  2. Investment for Health Investment for Health • Background to Investment for Health   • Introduction to the Investment for Health Approach • Social and Economic Determinants of Health: an Evidence-based approach to Investment for Health • Principles for Strategy Development • Methodologies and Practical Experiences • Conclusions

  3. Investment for Health Investment for Health Throughout history, the greatest improvements in people’s health have mainly arisen from social and economic improvements which also promote health

  4. Investment for Health Investment for Health • Where is health promoted and maintained in a given population? • Which investment and strategies produce the largest population health gains? • Which investment and strategies help reduce health inequities and are in line with human rights?  • Which investments contribute to economic and social development in an equitable and sustainable manner and result in high health returns for the overall population?

  5. Investment for Health Investment for Health

  6. Investment for Health Investment for Health • Promoting the health of the population • Lessons from the Past • Lessons from the Present

  7. Investment for Health

  8. Investment for Health 1400 1200 1000 Death rate per million children 800 Immunization 600 begun 400 200 0 1850 1870 1880 1890 1900 1910 1920 1930 1940 1950 1960 1970 Investment for Health Measles: Death rates Children under 15 - England and Wales

  9. Investment for Health Death 1000 rate per 900 million 800 children 700 600 500 400 300 200 100 0 1870 1880 1890 1900 1910 1920 1930 1940 1950 1960 Diphteria :Death rates Children under 15 - England and Wales National immunization campaign beg n a

  10. Investment for Health Investment for Health • above a certain level of wealth, it is not necessarily the richer societies which have better health, but those that have the smallest income difference between rich and poor; • increased inequality imposes economic, social and psychological burdens which reduce the well-being of the whole society;

  11. Investment for Health Investment for Health Health Social Economic development development

  12. Investment for Health Investment Criteria Social capital Social exclusion Economic security Individual and community coping resources Physical environment Community sense of frustration and failure Inequity Sustainability

  13. Investment for Health • Conclusions: what needs to be done • political priority given to health • accountability for health • public understanding of health • recognition of the trade-offs • society skills • incentives • clear picture of what an IFH strategy can deliver • new infrastructures • willingness to learn

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