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Health 2020: A New European Policy Framework for Health and Well-Being

Health 2020: A New European Policy Framework for Health and Well-Being. Zsuzsanna Jakab WHO Regional Director for Europe Presented by: Dr Melita Vujnovic, WHO representative Kazakhstan. Health 2020 was adopted by the WHO Regional Committee in September 2012. 53 Member States:

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Health 2020: A New European Policy Framework for Health and Well-Being

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  1. Health 2020: A New European Policy Framework for Health and Well-Being Zsuzsanna Jakab WHO Regional Director for Europe Presented by: Dr Melita Vujnovic, WHO representative Kazakhstan

  2. Health 2020 was adopted by the WHO Regional Committee in September 2012 53 Member States: The European policy framework for supporting action across government and society for health and well-being in

  3. Health 2020 goal Significantly improve health and well-being of populations, reduce health inequities ensure sustainable people-centred health systems

  4. Why Health 2020? Europe’s changing health landscape:new demands, challenges and opportunities

  5. European Region landscape We are dealing with complexity and uncertainty Health challenges are multi-faceted and require active involvement of all levels of government (international, national, and local) People live longer and have less children. People migrate within and between countries, cities grow bigger. Noncommunicable diseases dominate the disease burden. Depression and heart disease are leading causes to healthy life years lost. Infectious diseases, such as HIV, tuberculosis remain a challenge to control. Antibiotic-resistant organisms are emerging. Health systems face rising costs. Primary health care systems are weak and lack preventive services. Public health capacities are outdated.

  6. Overall health improvement (5 years life expectancy gained) but with an important divide CIS: Commonwealth of Independent States EU12: countries belonging to the European Union (EU) before May 2004 EU15: countries belonging to the EU after May 2004

  7. Health 2020 strategic objectives Working to improve health for all and reducing the health divide ( address all health determinants simultaneously – mostly in other sectors) Improving leadership, and participatory governance for health

  8. Building on public health history • WHO Constitution • Alma Ata Declaration (35th anniversary: 1978 – 2013) • HFA • Health 21 • Tallinn Charter Integrated policy frameworks can and have inspired health generating actions on all levels.

  9. Health 2020: Four common policy priorities for health Investing in health through a life course approach and empowering people Tackling major health challenges of non communicable diseases and communicable diseases Strengthening people-centred health systems and public health capacities, and emergency preparedness, surveillance and response Creating resilient communities and supportive environments

  10. Why Health 2020? Economic opportunities and threats:the need to champion public health values and approaches

  11. The economic case for health promotion and disease prevention The economic impact of non-communicable diseases amount to many hundreds of billions of euros every year Many costs are avoidable through investing in health promotion and disease prevention Today governments spend an average 3% of their health budgets on prevention

  12. Health impact of social welfare spending and GDP growth • Each 100 dollar per capita increase in GDP results only in 0. 11 % reduction in mortality; than of GDP growth on mortality reduction. • Each additional dollar per capita spending on social welfare is associated with 1.19 % reduction in mortality; • There is a significantly greater effect of social welfare spending,

  13. Improving efficiency reduces adverse effects of the crisis: messages universal Eliminate ineffective and inappropriate services Improve rational drug use Allocate more to primary and outpatient specialist care at the expense of hospitals Invest in infrastructure that is less costly to run cut the volume of least cost-effective services

  14. NCD action plan Tobacco Control

  15. Support Member States to navigate the crisis is central to our work: messages universal Strong economic case for health promotion and disease prevention as economic cost of NCD extremely high (only 3 % investment); Prevention one of most cost-effective approaches to improve health outcomes; Fiscal policy can be used like raising taxes of tobacco and alcohol: “Sin” taxes have immediate benefits.

  16. SDR, ischaemic heart disease, all ages per 100,000 population

  17. Nursultan Nazarbayev, President of the Republic of Kazakhstan Kazakhstan – highest political commitment to health “Healthy lifestyle and the principle of shared responsibility for health - this is what should be important both in the policy on public health, and in every day living” Source:Address to the Nation, January 2012

  18. Kazakhstan: Health as a determinant and barometer of economic development “In the Global Competitive Index rating Kazakhstan holds 94 position due to its incidence of tuberculosis (index of 2007 was 130.0) and 121th position in terms of the influence of prevalence of tuberculosis on business” Source: The Global Competitiveness Report 2011–2012, (http://www3.weforum.org/docs/WEF_GCR_Report_2011-12.pdf)

  19. Health 2020 documents &Kazakhstan strategies • Health 2020 - A European policy framework supporting action across government and society for health and wellbeing • Health 2020 – European policy framework and strategy document & • Kazakhstan 2030 & Health Code of Kazakhstan (2009) • ”Salamatti Kazakhstan”: Healthy Kazakhstan 2011–2015 • 20 steps to social modernization of Kazakhstan (2012)

  20. Kazakhstan – Health 2020

  21. Health 2020 Salamatti Kazakhstan Kazakhstan: Health 2020 priorities • Investing in health through a life course approach and empowering people • Tackling Europe’s major health challenges of non communicable diseases and communicable diseases • Strengthening people-centred health systems and public health capacities, and emergency preparedness, surveillance and response • Creating resilient communities and supportive environments Child & adolescent health: aging TB, HIV, especially dangerous pathogens and smoking and alcohol related diseases; nutrition; CVD, cancer Transport medicine and emergency medicine; public health surveillance Environment and health and occupational health

  22. Health 2020 in Kazahstan Strengthen public health functions Review all determinants of health incl. social and environmental determinants (intersectoral mechanism in place ) Review link between health, employment and welfare/social policy Improve health literacy and empower people through life course approach.

  23. Health 2020 in Kazahstan Analyze the policy and strategy document Analyze the evidence-based studies Identify areas relevant for the Kazakhstan context and build them into Salamatti Kazakhstan “ It is the right policy that produces health” which needs to be integrated with the health system strengthening for best results

  24. Health 2020: Towards a healthier Europe

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