The European health report 2015. Targets and beyond – reaching new frontiers in evidence
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Transcript of The European health report 2015. Targets and beyond – reaching new frontiers in evidence
The European health report 2015Targets and beyond – reaching new
frontiers in evidenceClaudia Stein
Director Division of Information, Evidence, Research and Innovation
European health reportsWhat are the European health reports?
Flagship corporate products of WHO Europe;
Published once every 3 years; Major platform for reporting on
Health 2020 progress.Baseline measurement for
Health 2020: year 2010
European health report 2015Main aims:• To report on progress towards the Health
2020 targets (since 2010 baseline);• To reach new frontiers in health
information and ‘evidence for the 21st century’, including further work on well-being.
Health 2020 targets1. Reduce premature mortality2. Increase life expectancy3. Reduce inequities 4. Enhance well-being5. Achieve universal health coverage6. Establish national targets set by Member States
Target 1: Reduce premature mortality
Target: 1.5% relative annual reduction in premature mortality from cardiovascular disease, cancer, diabetes and chronic respiratory diseases until 2020.
Indicator: age-standardized death rate per 100,000 in people aged 30-69 for cardiovascular diseases, cancer, diabetes mellitus and chronic respiratory diseases combined.
Mortality from external causesStandardized death rate per 100 000
Biggest reductions in: Russian Federation,
Latvia,Estonia,Ukraine,
andKazakhstan
Three major risk factors in the Region
Changes in tobacco smoking prevalence since 2010
Biggest reductions in: Georgia,
Belarus,Ukraine, Russian
Federation and
Kazakhstan
Target 2: Increase life expectancyTarget: continued increase in life expectancy at current rate (the annual rate during 2006-2010), coupled with reducing differences in life expectancy in the European Region.
Target 4: Enhance well-being • Subjective and
objective well-being
• (How) can we compare?
• How can we best communicate about well-being?
WHO will engage in further work on the cultural contexts of health and well-being
Cultural contexts of well-beingConclusions from the report:• Well-being is a vital component of
health• …and it can be measured.• But cultural differences must be
better understood• …and more innovative reporting
strategies are need.
Cultural contexts of well-beingExpert Group on Cultural Contexts of Health and Well-being. 1st meeting January 2015: Main recommendations:• Explore different types of qualitative evidence more
fully• Commission further work in the area of culture and
health• Adopt the UNESCO definition of culture• Investigate cultural contexts of health more
systematically• Use a multisectoral and multidisciplinary integrated
research approach.
Target 6: Setting national targets
Number of countries
0% 10% 20% 30% 40% 50% 60% 70%
No
Yes, included elsewhere
Yes, stand alone
Policy addressing health inequity or social determinants of health existsAll answers (n=31 and 36 for 2010 and 2013, respectively)
2013
2010
0% 10% 20% 30% 40% 50% 60%
No, and not planned for the future
No, but planned for the future
Indicators defined
Targets defined
National or subnational target setting process existsAll answers (n=31 and 36 for 2010 and 2013, respectively)
2013
2010
0% 10% 20% 30% 40% 50% 60% 70%
No and not planned for the future
No, but planned for the future
Yes, another strategy
Yes, comprehensive health policy
National health policy is aligned with H2020All answers (n=31 and 36 for 2010 and 2013, respectively)
2013
2010
0% 10% 20% 30% 40% 50% 60%
No, and not planned for the future
Yes, in process
Yes, adopted
There is a health policy accountability mechanism in placeAll answers (n=31 and 36 for 2010 and 2013, respectively)
2013
2010
Source: WHO. Qualitative indicators for Health 2020 policy targets monitoring, 2014
Online survey
Target 6: Alignment with Health 2020
Moving forward: working together• Broad international cooperation is
required to tackle current health information challenges efficiently and sustainably;
• WHO Europe, European Commission and OECD are working together towards a single, integrated health information system for the WHO European Region.
Conclusions• The European Region is on track to achieve the Health 2020 targets
but much needs to be done to reduce inequities; • To inform the implementation of Health 2020 adequately, data
collections need to be strengthened and new health monitoring approaches explored;
• Enhanced international collaboration is required to move the health information research and development agenda forward in the Region.
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