Health 2020 and Health Promotion and Health Education Dr - - PowerPoint PPT Presentation

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Health 2020 and Health Promotion and Health Education Dr - - PowerPoint PPT Presentation

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Health 2020 and Health Promotion and Health Education Dr Zsuzsanna Jakab Regional Director WHO Regional Office for Europe Bucharest, Romania, 24 February 2016 Health is a political choice Long history of excellent collaboration between WHO

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Health 2020 and Health Promotion and Health Education

Dr Zsuzsanna Jakab

Regional Director WHO Regional Office for Europe Bucharest, Romania, 24 February 2016

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Health is a political choice

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Long history of excellent collaboration between WHO and Romania

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BETTER HEALTH FOR EUROPE:

MORE EQUITABLE AND SUSTAINABLE

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SLIDE 5 Maximum value Regional average Minimum value

Inequalities in life expectancy: declining, but gap persists

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SLIDE 6 Maximum value Regional average Minimum value

Inequality in life expectancy are declining but gap persists

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Region is on track towards reducing premature mortality

Maximum value Regional average Minimum value
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litres of pure alcohol is drunk per person per year

  • f the population is
  • verweight or obese
  • f the population

uses tobacco

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European countries are strengthening their policies

all answers (n=31 and 36 for 2010 and 2013, respectively)

Yes, comprehensive health policy Yes, another strategy

0% 10% 20% 30% 40% 50% 60% 70%

2013 2010

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Strategic directions of Health 2020 remain relevant

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Investing in health pays off

Photos: Malin Bring
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SLIDE 12 Photo: Malin Bring

RETURN ON INVESTMENT

Reproductive, maternal and child health

US$ 20

per US$ 1 spent

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SLIDE 13 Photo: Malin Bring

RETURN ON INVESTMENT

Reproductive, maternal and child health

US$ 20

per US$ 1 spent

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Health is an investment (not an expense): we need to invest more

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Health is central to development

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Transforming our world: the 2030 Agenda for Sustainable Development

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The formulation of the health goal - fully aligned with Health 2020

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HEALTH GOAL

Goal 3: Ensure healthy lives and promote well- being for all at all ages

3.1 Reduce maternal mortality 3.2 End preventable diseases 3.3 End epidemics
  • f AIDS,
TB, etc. 3.4 Mortality for NCDs 3.5 Substance abuse 3.6 Road traffic accidents 3.7 Access to sexual and reproductive health 3.8 Universal health coverage 3.9 Hazardous chemicals & pollution

HEALTH AS A TARGET IN OTHER GOALS

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Health targets will only be reached by joining up policy action with other SDG’s

Example: The Health target to reduce premature mortality from NCDs will need to be implemented in partnership between health, and sectors and policies responsible for Education (SDG4) and Economic Growth and Employment (SDG8)

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RENEWED POLICY ENVIRONMENT

FRAMED BY

HEALTH 2020

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Intersectoral action requires political commitment

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European environment and health process

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Social determinants of health: a strategic priority

Second High-level Meeting of Small Countries, Andorra Promoting intersectoral and interagency action for health and well-being in the WHO European Region, France

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Health situation in Romania

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Life expectancy trends

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Health situation and trends in Romania Maternal and infant mortality

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Premature mortality (0-64 years), by broad cause

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AIDS incidence and tuberculosis mortality trends

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Overweight and obesity (WHO estimates)

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Alcohol consumption: total and spirits

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Proportion of children of official primary school age not enrolled, both sexes

5 10 15 20 25 1990 1995 2000 2005 2010 2015 2020 Romania E uropean Region E U

Proportion of children of official primary school age not enrolled, both sexes

M mmm

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Life satisfaction

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Health expenditures

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Public sector and

  • ut-of-pocket health expenditures
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15%

A number to remember: keep OOPs low

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Financial protection in Romania: OOPs at 19 %

OOPs as a share (%) of total expenditure on health ranked from low to high by income country groups (high, upper-middle, lower-middle and low)

5 10 15 20 25 30 35 40 45 50 55 60 65 70 Netherlands Monaco France UK Luxembourg Slovenia Germany San Marino Denmark Norway Croatia Czech Republic Ireland Austria Sweden Andorra Iceland Estonia Finland Belgium Italy Spain Poland Slovakia Israel Hungary Switzerland Lithuania Greece Portugal Malta Russian Federation Latvia Bulgaria Cyprus Turkey Belarus Romania Bosnia and Herzegovina TFYRM Montenegro Turkmenistan Serbia Kazakhstan Albania Azerbaijan Kyrgyzstan Ukraine Uzbekistan Republic of Moldova Armenia Georgia Tajikistan

Source: WHO Global Health Expenditure Database for 2011

Alarming zone

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Health situation and trends in Romania Findings and summary - main messages

  • Romania has made substantial progress in selected areas of

health like e.g. tuberculosis and maternal mortality;

  • However, major challenges remain in other areas like

noncommunicable diseases and availability of health system resources;

  • National policies have been aligned with Health 2020 and this

will, together with the determination to continue health reforms, result in accelerated health improvements and reduced health inequalities in future;

  • Major global and European challenges like migrant crisis and

global emergencies need to be taken into account when considering future developments.

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Health situation and trends in Romania Findings and summary - main messages

  • More efforts are needed to tackle the underlying health

determinants by addressing population health through whole-of- society and whole-of-government approaches via Health 2020 strategic steps as incorporated in the Romanian National Health Strategy 2014-2020;

  • Emphasis need to be made on improving overall governance for

health and propose paths and approaches for more equitable, sustainable and accountable health development in Romania;

  • Improved health indicators, overall level of health of Romanian

population and life satisfaction can be attained by reaching above and beyond the health sector while achieving greater coherence across national sectors and their comprehensive responses to inequalities.

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SLIDE 40 Alma-Ata Declaration; Ljubljana Conference on Reforming Health Care

1978-96

Introduced core health system functions: governance; services delivery; financing; resource generation

2000

Tallinn Charter: health systems for health and wealth

2008 and 2013

Oslo conference: Impact of crisis

2009 & 2013 2012

Health 2020 priority area: strengthening people-centred health systems and public health

Priorities in Romania in coming years

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New vision for health-systems strengthening and work on health determinants reaches out to people

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Mulțumesc pentru atenție

WHO High-level Conference Working together for better health and well-being Paris, 11th - 12th July, 2016