Ms Zsuzsanna Jakab, WHO Regional Director for Europe, 28 September 2012, Bolzano, Italy

1. Health 2020:
the new WHO European
policy framework
Zsuzsanna Jakab
WHO Regional Director for Europe
Bolzano, Italy, 28 September 2012

2. WHO European Region
Bolzano, Italy, 28 September 2012

3. Outline
Final
remarks
Content
Rationale
Bolzano, Italy, 28 September 2012

4. Rapidly changing European context for health
Bolzano, Italy, 28 September 2012
Photo credits: S.Turner, 2003; L. Donaldson, 2008 I. Brandemer, 2009

5. Changing environment for health
• Demographics (fertility, aging)
• Globalization and migration (including of health workers)
• New technologies (including medical genetics)
• More informed and demanding citizens
• Recognition of importance of health to human development
• Slower economic growth and austerity policies
Bolzano, Italy, 28 September 2012

6. Why Health 2020 and why now?
Improvements in health and well-being: significant
but uneven and unequal
Bolzano, Italy, 28 September 2012

7. Why Health 2020 and why now?
Europe’s changing health landscape:
new demands, challenges and opportunities
Bolzano, Italy, 28 September 2012

8. Why Health 2020 and why now?
Economic opportunities and threats: the need to champion
public health values and approaches
Bolzano, Italy, 28 September 2012

9. Health 2020:
a European policy framework
supporting action across government
and society for health and well-being
Bolzano, Italy, 28 September 2012

10. Final
remarks
Content
Rationale
Bolzano, Italy, 28 September 2012

11. Goal of Health 2020
“To improve health and well-being of populations, to reduce
health inequities and to ensure sustainable people-centred
health systems with further strengthened public health
capacities”
Bolzano, Italy, 28 September 2012

12. Health 2020: two main strategic objectives:
1. Working to improve health for all and reducing the health
divide
2. Improving leadership and participatory governance for health
Bolzano, Italy, 28 September 2012

13. Rising health inequalities in Europe
Life expectancy at birth, in years
80
Address the social
determinants of health
75
Emphasis on action across
the social gradient and on
vulnerable groups European Region
EU members before May 2004
EU members since May 2004
CIS
Ensure that continuous
reduction of health inequities 70
become a criteria assessing
health systems performance EU: European Union
CIS: Commonwealth
of Independent States
65
1970 1980 1990 2000
Bolzano, Italy, 28 September 2012

14. Europe’s major health challenges
Implement global and regional mandates
(noncommunicable diseases, tobacco, diet and
physical activity, alcohol, HIV/AIDS, tuberculosis, 140
antibiotic resistance, the International Health
Standardized death rate, 0-64 per 100,000
120
Regulations, etc.) 100
80
Promote healthy choices Cause
60
Heart disease
Cancer
Injuries and violence
Strengthen health systems, including public 40
Infectious diseases
Mental disorders
health, primary health care, health information and 20
surveillance 0
1980 1985 1990 1995 2000 2005
Year
100%
Reach and maintain recommended immunization 90%
coverage 80%
70%
60%
Deaths
50%
Develop healthy settings and environments 40%
30%
20%
10%
Attention to special needs and disadvantaged 0%
populations European Region EU-15
Country groups
EU-12 CIS
Circulatory system Malignant neoplasms External causes
Infectious disease Respiratory system Other causes
Bolzano, Italy, 28 September 2012

15. Stakeholder utility
What’s in it
for me?
Bolzano, Italy, 28 September 2012

16. Health ministers and key policy leaders
• Leadership
• Health-system
management
• Influence
• Problem solving
• Engagement strategies
• Intelligence exchange
Bolzano, Italy, 28 September 2012

17. Prime ministers and other sectoral leaders
• Economic case for
investment in health
• Upstream interventions
• Health and well-being as
barometers of development
• New governance models
Bolzano, Italy, 28 September 2012

18. Public health agencies, advocates and academics
Health 2020:
• builds unity in community
• maps options and tradeoff
for health improvement
• enhances public health
authority
• stands up for public health
• identifies research priorities
Bolzano, Italy, 28 September 2012

19. Health professionals
Health 2020:
• indentifies integrative
strategies and new skills
needed
• links clinical
interventions to equity and
social determinants
• advocates
strengthening of health
systems
Bolzano, Italy, 28 September 2012

20. Partner agencies
Health 2020:
• sets common targets
• reduces duplication
• enhances coherence
Bolzano, Italy, 28 September 2012

21. Society
Health 2020:
• champions engagement
and empowerment
approaches
• supports citizen/patient-
centered systems
• provides a platform for
advocacy and collaboration
Bolzano, Italy, 28 September 2012

22. Final
remarks
Content
Rationale
Bolzano, Italy, 28 September 2012

23. Governance for health requirements
1. Whole-of-society and whole-of-government
responsibility and mechanisms
2. Effective health ministries
3. Modern public health infrastructure
4. Robust health systems
5. New articulation and advocacy for health
Bolzano, Italy, 28 September 2012

24. We are embarking on a new path
Photos: Donaldson, 2008
Bolzano, Italy, 28 September 2012

25. Photo: L. Donaldson, 2008.
Bolzano, Italy, 28 September 2012

26. South Tyrol:
sustainable and healthy community
Bolzano, Italy, 28 September 2012