Semi-annual Report of the RHDC on Organ Donation and Transplant Medicine

Semi-annual Report of the RHDC on Organ Donation and Transplant Medicine

Over the past six months, the SEEHN Regional Health Development Centre on Organ Donation and Transplant Medicine, located in Croatia, carried out a series of activities with the aim to improve transplantation programs in the SEE region.

Semi-annual activities implemented in the period June-December 2014 included workshops, trainings, meetings and expert missions as well as activities aimed at strengthening bilateral cooperation. Additionally, a new initiative on Paired Kidney Donation Program was discussed with health care professionals from SEE countries.

The Report on the RHDC Semi-annual Program of Work, providing detailed information on each activity, is available here.

The Extraordinary Ministerial Meeting of the SEEHN successfully organized in Skopje

The Extraordinary Ministerial Meeting of the SEEHN successfully organized in Skopje

Preceding the 34th SEEHN Plenary Meeting (19-20 November 2014), the Extraordinary Ministerial Meeting of the SEE Health Network was successfully organized on 18 November 2014 in Skopje.

The attending ministries of health and official representatives of all SEEHN member countries discussed the health reforms and the Whole-of-Government approach to the implementation of the WHO European Policy Framework for health and wellbeing Health 2020, as well as the mobility and education of human resources for health.

The Meeting also revolved around the crisis preparedness and response capacity of the SEE Health Network and provided for the creation of a Task Force as a mechanism for addressing crisis health preparedness aid in the region. In this context, a Preparedness and response simulation exercise was implemented at the Alexander the Great Airport in Skopje.

Prior to the Ministerial Meeting, the President of the Government of the Republic of Macedonia Nikola Gruevski met with the WHO Regional Director for Europe, Mrs. Zsuzsanna Jakab. The meeting was an excellent opportunity to discuss the current governmental health policies, the main strategic goals and activities as well as the future cooperation in various fields of common interest, particularly regarding the Health 2020 Strategy development process in the country.

The Ministerial Meeting was followed by a press conference held by Mrs. Jakab and the Minister of Health of the Republic of Macedonia Nikola Todorov. They both underlined the importance of the regional cooperation within SEEHN and the paramount role that the Network plays in regard to the cooperation across the health sector in Europe.

Meeting materials

SEEHN Extraordinary Ministerial Meeting Presentation Web Launch

Skopje hosts the forthcoming Extraordinary Ministerial Meeting of the SEEHN

Skopje hosts the forthcoming Extraordinary Ministerial Meeting of the SEEHN

The forthcoming Extraordinary Ministerial Meeting of the South-eastern Europe Health Network will take place on November 18, 2014 in Skopje.

Its realization is of undisputed importance given the context of the political, economic, social and health changes that have taken place in the region since the endorsement of the SEE Health Network Memorandum of Understanding in 2008 and particularly with regards to the implementation of the Banja Luka Pledge (2011), the SEE 2020 Growth Strategy recently endorsed (22 November 2013) by the SEE Ministers of Economy, the EU 2020 Strategy and the WHO Europe Health 2020 Policy Framework (2012) as well as the European Action Plan for Strengthening Public Health Capacities and Services (2012).

The health reforms and the Whole-of-Government approach to the implementation of the WHO European Policy Framework for health and wellbeing – Health 2020, as well as the human resources for health, their mobility and the educational programmes will be in the focus of the meeting.

Considering the disastrous flooding that affected several SEEHN countries, the meeting will serve as an excellent opportunity to not only discuss emergencies, preparedness and response in the SEE region but to also create a mechanism, a Task Force, which will be put in place so to address crisis health preparedness aid in the SEEHN region. In this context, a Preparedness and response simulation exercise will be implemented at the Alexander the Great Airport in Skopje.

The participation of Dr. Zsuzsanna Jakab, WHO Regional Director for Europe, will once again denote the continuous support of the WHO as a key partner in the process of Network establishing, development and functioning.

By providing for strengthened leadership, managerial and technical opportunities for the Network and further development of the regional cooperation in public health in SEE, this Extraordinary Ministerial Meeting will overview the Network activities throughout 2014, which has been an extremely intensive year for the regional collaboration for health, and will also set the trajectory for the following year.

Skopje hosts the forthcoming Extraordinary Ministerial Meeting of the SEEHN

The 34th Plenary Meeting of SEEHN starts in a week

Organized and hosted by the Macedonian presidency of the South-eastern Europe Health Network, the 34th Plenary Meeting will be held on 19-20 November 2014 in Skopje, Republic of Macedonia.

This event will be attended by the national health coordinators of the SEEHN Member States, the partner countries and partner international organizations, directors of the SEEHN Regional Health Development Centers (RHDC) and other key important actors.

Following the Extraordinary Ministerial Meeting of the SEEHN which will take place the day before in Skopje, the 34th Plenary Meeting will follow up on the SEEHN Ministers’ meeting and discuss the SEEHN key strategic areas of work for 2014-2020 and beyond in implementing the SEE 2020 Strategy “Jobs and prosperity in an European Perspective” under the auspices of the Regional Cooperation Council (RCC). The accent will also be put on both the H2020 integration into the SEEHN policies and developments, and the outcome of the major developments, activities and challenges during the term of the Macedonian Presidency (SEEHN Presidency Report July – December 2014).

Discussing and deciding upon the future long-term SEEHN health strategy is the first crucial strategic issue to be addressed during this Plenary Meeting. Expected to be ready for the forthcoming 4th SEE Ministerial Forum in 2016, this strategy will cover primarily all SEEHN countries and will hence represent the contribution of the Network to the achievement of the objectives of the WHO Europe Health 2020 Framework Policy and the European Action Plan on Strengthening Public Health Capacities and Services.

The second important issue to be tackled is the commencement of a policy dialogue so to provide an overview of the regional efforts and cooperation towards enhancing inter-sectorial governance of health and achieving inclusive growth.

In addition, the Plenary Meeting will discuss and take important decisions regarding the preparations for the 4th Ministerial Forum and the SEEHN Secretariat establishment. Finally, it will represent the TAIEX achievements in 2014 as well as the Road Map for the SEEHN activities and the SEEHN Calendar of Events in 2015 under the Serbian Presidency of the SEEHN (01 January – 30 June 2015).

Health workforce in the focus of a Multi-country workshop in Slovenia

Health workforce in the focus of a Multi-country workshop in Slovenia

Recognizing the fundamental importance of a sustainable and well-performing health workforce which is the backbone of an effective health system, as well as the need to address health workforce challenges in countries and introduce mechanisms to improve and promote relevant health workforce policies, the SEEHN Regional Health Development Centre on Human Resources for Health (HPH), established in 2013 in the Republic of Moldova, organized a Multi-country Workshop titled “Health Workforce – from Challenges to Solutions”.

Implemented in collaboration with and under the technical guidance of the WHO Regional Office for Europe, the workshop took place on November 10-11, 2014 in Ljubljana, Slovenia.

Gathering national focal points on HRH, policy-makers and researchers dealing with health workforce issues, the workshop aimed at shaping the agenda for action in the SEEHN countries. More precisely, its purpose was to take stock of recent evidence on effective health workforce strategies in order to increase technical capacity in SEEHN countries and to strategize their collaborative efforts to support effective and sustainable health workforce development in the SEE region.

Therefore, the workshop participants used the opportunity to review the current progress and challenges in the health workforce development in SEEHN countries, including the implementation of the WHO Code of Practice, and shared their experiences and lessons learnt in addressing health workforce challenges in Europe with a focus on health workforce mobility.

Also presented were a methodology and a questionnaire for assessing the situation in the SEE countries regarding the harmonization and mutual recognition of health professionals’ qualifications in Europe to be performed with EC TAIEX support. The general concept of the First SEE Forum of Health Educational Institutions in South East Europe to take place in Varna, Bulgaria in 2015 as well as drafting outline of a SEEHN strategy and action plan on strengthening human resources for health (2014-2020) in line with the SEEHN Decision and the SEE 2020 Strategy were part of the workshop agenda as well.

The workshop encouraged strengthened political commitment in SEEHN countries which is essential to effective and sustainable health workforce development, one of the key strategic actions of the health dimension in the Inclusive Growth Pillar of the recently approved SEE 2020 Strategy “Jobs and Prosperity in the European Perspective.”

The workshop was funded by the Ministry of Foreign Affairs and the Ministry of Health of Slovenia and co-sponsored by the Technical Programme on Human Resources for Health (HRH) at the WHO Regional Office for Europe in Copenhagen.

The Health Diplomacy Course – another successful SEEHN story

The Health Diplomacy Course – another successful SEEHN story

Having become a strong partner in health collaboration at European level and having obtained a growing influence on the European health policy agendas in the past 10 years, the South-Eastern Europe Health Network together with the World Health Organization (WHO) Regional Office for Europe and the Global Health Programme at the Graduate Institute of International and Development Studies in Geneva, Switzerland organized an executive course on health diplomacy in action on October 15-17, 2014 in Chisinau, Republic of Moldova.

Global health diplomacy (GHD) is considered important since it brings together the disciplines of public health, international affairs, management, law and economics and focuses on negotiations that shape and manage the global policy environment for health.

Hence, the course on health diplomacy in action aimed at capturing and further developing the capacities and skills required to achieve health improvement in the South Eastern European Region at different levels.

Comprised of lectures, roundtables and group activities, this three-day long training course provided insight into the concept and principles of global health diplomacy, the selected priority areas of current GHD negotiations, the possible SEEHN approaches applicable to the current situation in the Region and the new instruments, methods and systems of diplomacy.

It gathered over 40 high-level representatives from the SEEHN member countries and a variety of lecturers and experts who discussed the diplomatic and security challenges in the Region and the importance of policy coherence for health diplomacy. By fostering interaction and communication between the participants in mixed working groups, the course helped the diplomatic and health professionals understand their common interests in health as a foreign policy issue, and thus provided for a stronger regional cooperation in public health in the SEE.

Furthermore, it contributed to capacity building in achieving better global and national health performance, and provided instruments and mechanisms for multilateral negotiations for health in both health and non-health organizations towards achieving and holding positions in boards, assemblies and reconciling global health and national interests.

This course was implemented with technical and financial support by WHO/EURO as part of the project “Developing and sustaining the institutional capacities for regional cooperation in public health in SEEHN”, and kindly donated by the Swiss Agency for Development and Cooperation (SDC).

The course policy briefing for SEEHN, titled Building Regional Capacity in Global Health: The Role of the South-Eastern Europe Health Network, is available at the following link.

SEEHN took part in the 17th edition of the European Health Forum Gastein

SEEHN took part in the 17th edition of the European Health Forum Gastein

As a main contributor and promoter of the health dimension in the SEE 2020 Strategy, the South East Europe Health Network participated in the leading health policy event in the EU – the European Health Forum Gastein (EHFG) – which was held on October 1-3, 2014 in the Gastein Valley in Austria.

Gathering nearly 600 experts as well as an unparalleled mix of participants, EHFG has proved to be, for 17 years in a row, the chief platform for decision-makers in various fields of public health & health care.

This year’s EHFG program included a joint session organized by SEEHN and its partners WHO EURO and Studiorum. Titled “Health for Jobs and prosperity in SEE”, the session offered a presentation and discussion of the South East Europe (SEE) Growth Strategy and the policy commitment of South Eastern Europe Health Network (SEEHN) to promote the values of health, equity and wellbeing as an indispensable part of the growth and development processes across the SEE Region.

Nand Shani, Senior Expert on Inclusive Growth in the Regional Cooperation Council and Goran Cerkez, Federal Ministry of Health of Bosnia and Herzegovina and representative of the SEEHN Executive Committee, elaborated on the importance of regional cooperation for health-supported inclusive growth in SEE.

Official regional dimension coordinator since 2010, the SEEHN has helped to create dialogue and stronger relationships between the economic, development and health sectors with the sole purpose of improving health and reducing health inequities within and between countries.

Tourism, employment and IT technology were identified as priority sectors for growth in the SEE Region. While sustainable tourism depends on aspects of environment, agriculture, transport, employment and health, the new technologies can prove beneficial to both health and employment opportunities and thus contribute to achieving economic and health targets. In return, a well-functioning health system was once again underlined as crucial for creating consumer confidence, especially in the tourist sector, as it enables not only higher level of sense of security and safety among the industry and consumers when coming to the region, but also inclusive growth.

Also discussed during this session was the involvement of multilateral bodies which have made important contributions to past and current progress. However, given the facts that for many countries the accession to the EU is a main driver for policy reforms and that health has a low profile in the EU2020 high level targets and goals, there is need to bring health more sharply into the accession process through instruments such as the national and regional plans for pre-accession and the related funding mechanisms.

Titled “Health as an entry point for national and local development and well-being”, the second part of the session offered real world experiences from Montenegro, Romania and Slovenia.

Tatjana Buzeti, Centre for Health and Development in Murska Sobota, Slovenia and Andrej Vrsic, Director of the Local Tourist Board in Slovenia showed how health and economic growth can be combined in practice. In the case of Slovenia this was done by promoting sustainable tourism in the North-Eastern wine region, which has also a long tradition in health spa tourism. By putting the focus on active free time and by investing in human capital and infrastructure, not only has this region been redefined and repositioned as a tourist destination, but also the life-style of inhabitants has been improved.

Adriana Galan, National Institute of Public Health, Romania, presented a project focused on vulnerable groups in rural areas. By providing them with entrepreneurial skills to set up their own business, which has resulted in 40 start-ups to this date, the project succeeded at making them understand the links between health and employment. In order to overcome emigration of medical doctors and address existing gaps in the health care system, the Institute also plans to develop partnerships of the healthcare sector with social and education sectors.

Finally, Natasa Terzic, Director of the Centre for Health System Development, Institute of Public Health, Montenegro, shared the best practices from her country. Recognizing that many of the health-related challenges such as demographic ageing and health inequalities cannot be solved by the health care sector alone, a platform for sustainable development was created so to strengthen the perception of health as a tool for growth in other sectors, such as employment. Although it remains necessary to first strengthen the health care system per se before collaborating with any other sector towards enhancing prosperity, this platform is crucial as it brought health to the agenda for the first time in such a context.

The productive session was closed with suggestions to involve academia for evaluating network’s experiences, to include social affairs and to even further strengthen the partnerships with the social sector.

The recordings of the Opening and Closing Plenary sessions of this year’s EHFG can be found here whereas the webcast of the entire SEEHN session is available at EHFG 2014 Workshop 7.

The European Health Forum Gastein is supported by the European Commission and the Austrian Ministry of Health. Its 18th edition will take place between September 30th and October 2nd, 2015.

“Health for Jobs and prosperity in SEE”: SEEHN Workshop at the 17th European Health Forum Gastein

“Health for Jobs and prosperity in SEE”: SEEHN Workshop at the 17th European Health Forum Gastein

It is with utmost pleasure that we announce the participation of the South-Eastern Europe Health Network (SEEHN) at the 17th edition of the European Health Forum Gastein (October 1-3, 2014).

Organized annually in the Gastein Valley in Austria ever since 1998, the European Health Forum Gastein (EHFG) is the leading health policy event in the EU. Partner of the SEE Health Network, the EHFG organizes for the first time a workshop on the health vision of the SEE 2020 Growth Strategy titled “Health for Jobs and prosperity in SEE”.

Organized in conjunction with WHO Europe and kindly supported by EuroHealthNet and CRPRC Studiorum, the workshop will offer a presentation and discussion of the South East Europe Growth Strategy and the policy commitment of SEEHN which is the main contributor and promoter of the health dimension in the SEE 2020 Strategy.

Scheduled for October 2, 2014 (Thursday) at 18:00-19:30, the workshop will be chaired by Dr. Goran Čerkez, Assistant Minister for International Cooperation and Coordination of Strategy Development at the Federal Ministry of Health of Bosnia and Herzegovina and Chair of the Executive Committee of SEEHN. The program envisages Ms. Zsuzsanna Jakab, Regional Director WHO EURO, as the keynote speaker, and the following panellists: Nikola Todorov, Minister of Health of the Republic of Macedonia, Nand Shani, Senior Expert on Inclusive Growth from the Regional Cooperation Council (RCC), Neda Milevska, Executive Director of Studiorum, Caroline Costongs, Managing Director at EuroHealthNet, Chris Brown, Programme Manager at the Office for Investment for Health and Development (WHO Venice Office) and Elke Jakubowski, Program Manager for Public Health Services, WHO EURO.

Download the Final programme

The European Health Forum Gastein is supported by the European Commission and the Austrian Ministry of Health. For more information, please use the following link.

Ebola: an open letter to European governments

Ebola: an open letter to European governments

Considering the Ebola epidemic as a public health imperative that might as well become a geopolitical crisis if uncontrolled, 44 prominent academics, clinicians, and health professionals from 15 European countries call for EU Member States to mobilise all possible resources so to assist the affected countries in taming the latest Ebola epidemic, considered by many the worst in history.

“Following months of inaction and neglect from the international community, the latest Ebola epidemic has become a threat not only to West Africa where the outbreak has overwhelmed the capacity of national health systems, but also to the entire world”, states the open letter to the European governments.

The measures proposed as particularly effective were put in writing on behalf of the 44 signatories by Jose M Martin-Moreno, Preventive Medicine and Public Health, University of Valencia, Walter Ricciardi European Public Health Association and Catholic University of the Sacred Heart, Vesna Bjegovic-Mikanovic, Association of Schools of Public Health in the European Region and University of Belgrade, Peggy Maguire, European Public Health Alliance, and Martin McKee, European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine.

By signing the letter, they call on the European governments to 1) create mechanisms allowing health professionals to volunteers for temporary leave to assist with the health crisis, 2) provide field laboratories, surveillance resources, diagnostic equipment, and mobile communications software and technology as well as basic infrastructure, and 3) supply the health-care professionals and communities with personal protective equipment and disinfectants. Furthermore, they demand from the European governments to incentivize private companies to reverse travel restrictions to afflicted regions and to mobilise military and civil transport by air, sea, and land to ship food, supplies, and personnel to the African communities in need.

The South-Eastern Europe Health Network recognizes the significance of these measures as well as the necessity of global and strategic response and thus shares this open letter so to raise awareness and encourage the relevant actors to contribute to the epidemic control efforts in the region.

The open letter to the European governments has been published in the Lancet, the world’s leading general medical journal, and can be read in its entirety at the following link.

SEE 2020 Strategy “Jobs and Prosperity in a European Perspective” adopted

SEE 2020 Strategy “Jobs and Prosperity in a European Perspective” adopted

On November 21, 2013 in Sarajevo during the Ministerial Conference of the South East Europe Investment Committee, co-chaired by the government of Bosnia and Herzegovina and the RCC, the SEE 2020 Strategy was adopted by the ministers of economy of the Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Kosovo, Montenegro, Romania, Serbia and Macedonia, in the presence of the representatives of the European Union and other regional and international partners and initiatives, international organizations, and donor community. Adoption of the SEE 2020 Strategy has made commitments for creation of one million new jobs in South East Europe (SEE) until 2020 as the most important aim of the strategy dubbed “Jobs and Prosperity in a European Perspective”.

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SEEHN DG SANCO and EC TAIEX Meeting in Brussels

SEEHN DG SANCO and EC TAIEX Meeting in Brussels

On 28 April 2014, SEEHN Executive Board members met with representatives of EC DG SANCO D1 and EC TAIEX in Brussels to discuss the potentials for and more strategic approach to their collaboration. SEEHN was represented by Dr. Goran Cerkez – Chairperson of the SEEHN Executive Committee and two members of the SEEHN Executive Committee, Dr. Alexandre Berlin, Honorary Director, European Commission and Dr. Maria Ruseva. The meeting was held in a positive and very open environment, yielding intensive discussions that have led to reaching some very important conclusions and mutually agreed recommendations for future steps.

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SEEHN DG SANCO and EC TAIEX Meeting in Brussels

Forthcoming event: EC TAIEX Multi-country Workshop, Bucharest July 7-9, 2014

ec_taiexThe TAIEX workshop on Increasing Blood Availability and Providing the Highest Donor and Patient Safety in Transfusion Therapy in Emergency Special Circumstances, will take place in Bucharest from July 7-9, 2014, as follow-up to the two workshops: “Increasing Transnational Availability of Safe Blood and Blood Components for Medical Emergencies and Special Circumstances”, held in Oradea, Romania in June 2011, and “Clinical Risk Management and Management of Adverse Events”, held in Belgrade, Serbia, in December 2013.

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TAIEX to Fund 10 Multi-country regional events in 2014

ec_taiexThe cooperation between the SEEHN and the EC TAIEX Instrument took new positive dimensions in 2014. Based on a well prepared analysis of the situation in 2012-2013, the needs and challenges of the SEEHN regional priorities and the concepts, types of support and procedures of the EC TAIEX, the SEEHN called the Directors of the RHDC to put forward their proposals for multicountry regional events in 2014 for consideration and approval by the SEEHN Ex Com and for corporate application to EC TAIEX.

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THE HEALTH DIMENSION OF SEE 2020

ministerialHealth and well-being are human rights. Health is a public good that is a determinant and contributor to peace, economic development and growth. Health is one of the 2 pillars of human capitol and as such a perquisite to growth and development.

Health is an important dimension of SEE 2020 Inclusive Growth pillar. The SEE Health Network, one of the RCC Initiatives since 2001, with its clear legally binding documents, and institutions (SEE Health Network Secretariat inaugurated on 07 March 2013 in Skopje, 10 Regional Health Development Centers in each one of the 10 Member States, and a network of over 300 experts) has developed the Health chapter for the SEE 2020 Growth Strategy.

On November 21, 2013 in Sarajevo during the Ministerial Conference of the South East Europe Investment Committee, co-chaired by the government of Bosnia and Herzegovina and the RCC, the SEE 2020 Strategy was adopted by the ministers of economy of the Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Kosovo, Montenegro, Romania, Serbia and Macedonia, in the presence of the representatives of the European Union and other regional and international partners and initiatives, international organizations, and donor community. Adoption of the SEE 2020 Strategy has made commitments for creation of one million new jobs in South East Europe (SEE) until 2020 as the most important aim of the strategy dubbed “Jobs and Prosperity in a European Perspective”.

Regional Director commends strengthened primary health care in Montenegro

Regional Director commends strengthened primary health care in Montenegro

Ms Zsuzsanna Jakab, WHO Regional Director for Europe, made an official visit to Montenegro on 26–28 March 2014, meeting HE Mr Milo Ðjukanović, Prime Minister of Montenegro, and Professor Miodrag Radunović, Minister of Health, and other high-level officials.

At her meeting with the Prime Minister on 27 March, the Regional Director commended the Government for making health a strategic priority and seeing it as an investment in the overall development of the country. She particularly praised efforts to revitalize primary health care, integrating preventive services and health promotion. The Regional Director advised, however, that, despite noteworthy improvements in life expectancy at birth and in child and maternal mortality in Montenegro, further investment is needed to tackle noncommunicable diseases (NCDs) and their risk factors – smoking, alcohol use, obesity and physical inactivity – and the broader social determinants of health.

National committee on NCDs to be established

The Prime Minister expressed his appreciation of WHO’s support in strengthening the health system and confirmed his commitment to the structural reform of the health sector. In addition, a national committee on NCDs would be established, consisting of ministers from different sectors and chaired by the Prime Minister, to ensure a more coordinated and effective multisectoral response.

In discussions with the Minister of Health, the Regional Director underlined the need to ensure that resources are used efficiently to maintain the financial sustainability of the health system, and to take further steps towards universal health coverage. This would mean cutting out-of-pocket payments for health care, as these increase inequalities.

Agreement signed between Montenegro and WHO/Europe

During the meeting, The Minister and the Regional Director signed a biennial collaborative agreement (BCA), establishing work priorities for WHO/Europe and the Ministry of Health for 2014–2015.

Further exchanges

The Regional Director’s official visit enabled her to visit the Medical Faculty of the University of Montenegro in Podgorica, meet health directors from all the public health institutions in Montenegro and describe Health 2020, the new European health policy, to them.

At a meeting with Mr Mitja Drobnič, Head of the European Union delegation to Montenegro, the Regional Director stressed the importance of health as a driver of sustainable development and pointed out the compelling need to address the premature mortality due to NCDs by tackling the risk factors and social determinants of health using a whole-of-government approach.

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Presentation – Health 2020, a new European policy for health

27 March 2014, Podgorica, Montenegro

SEEHN Third Meeting on the SEE 2020 Strategy Implementation in 2014-2019

SEEHN Third Meeting on the SEE 2020 Strategy Implementation in 2014-2019

March 12-13, 2014, Jahorina, BiH

Following the Brussels Coordination Meeting (January, 2014), the RCC organized a SEE 2020 Coordination Meeting in Jahorina, Bosnia and Herzegovina. The meeting was attended by the SEEHN Presidency, Executive Committee members and the SEEHN permanent Working Group on SEE 2020 Strategy.

The purpose of the meeting was to discuss and agree on the SEEHN obligations and actions for SEE 2020 Strategy implementation, including on the:

  • Monitoring of SEE 2020
  • Implementing SEE 2020 through flagship initiatives
  • Governing the implementation
  • Work plan (2014 – 2019) of the health dimension objectives and measures under the Inclusive Growth pillar of the SEE 2020 Strategy
  • Immediate needs in 2014 under the Presidencies of Romania and Republic of Serbia (Revisions of SEE Health Network basic legal documents; Concepts for the Fourth SEE Ministerial Forum; Next steps and timetable in 2014 and 2015)

Given the importance of monitoring of the implementation of the SEE 2020 Strategy, the meeting paid special attention to discussing and revising an OECD proposed set of measurable quantitative indicators for the health dimension. Having in mind the “health in all policies concept”, the health targets and indicators were restructured in order to fully align health prevention and promotion with it, while also having in mind the social determinants of health and inequalities. Agreeing on a revised set of quantitative indicators was one of the major outcomes of this meeting, and a first and very important step towards devising the full monitoring framework. The next step for completing this framework is to devise a set of qualitative indicators, which will follow later in 2014. A revision and further development of the flagship initiatives will also follow in the coming months.

Table 1: Proposed outcome and policy quantitative health indicators of the SEE2020 Strategy (Jahorina)

OUTCOME MEASURES

& Data Sources

Indicators of Impact by 2020

& Data Sources

Annual Progress Measure

& Data Sources

Health Activities

Continued increase in life expectancy at current rate as  (2006-2010)

% increase in healthy life years at age 65

% reduction in low birth weight

% relative annual reduction in age-standardized overall premature mortality rate (from 30 to under 65 years)  for four major noncommunicable diseases (HFA-MDB)

  • Cardiovascular diseases
  • Cancer
  • Diabetes mellitus
  • Chronic respiratory diseases

% Increase universal coverage

% reduction in infant mortality per 1000 live births (HFA-DB)

  • % reduction in age-standardized prevalence of tobacco use among  children and persons   aged 15+; HBSC  & ESPAD
  • % reduction in age-standardized per capita alcohol consumption among  use among children and persons  aged  15+; HBSC + ESSPAD
  • % reduction in age-standardized per capita salt intake among persons aged 18+;   Desirable New
  • % reduction in age-standardized prevalence of overweight and obesity in adolescents & persons aged 18+ HBSC    +ESPAD
  • % Self – perceived limitations in daily    activities EU SILC
  • Number of Community Health Workers per 1000 population Desirable New
  • % of Babies breast fed to 6 months WHO/UNFPA
  • Private household out of pocket payments   as  % of health expenditure WHO / HFA
  • Health insurance coverage (% of  population) WHO /HFA
  • Percentage of children vaccinated against measles (1 dose by second birthday), polio (3 doses by first birthday), rubella (1 dose by second birthday)
  • Sickness Absence Rates
  • Health SMEs Desirable New
  • Equity of access to health services as a measure of unmet needs EU-SILC annual – MVA; ALB ; BiH
  • Total expenditure on health as % of GDP   WHO-HFA
  • Public Sector Health Expenditure as % of all Government expenditure WHO-HFA
  • Total expenditure on health as absolute amount WHO-HFA
  • Doctors registration recipient Country; Nurses registration recipient country; Intention to Leave; Intention to Leave  in Host country
  • Desirable New
  • Scale up Implementation of  Universal Primary Care
  • Develop  a Regional Model for Improved delivery of Prevention & Health Promotion Programs & Services
  • Strengthen intersectoral governance for health
  • E- Health/ M- Health
  • Adopt a regional information exchange for capacity building on improving Health & Fair Development
  • Harmonise cross boarder public health standards legislation and services
  • Foster cross border cooperation and free trade area from PH perspective
  • Strengthen Human Resources for  Health & Monitor  Human Resource Migration/Mobility
  • Harmonise professional standards & Qualifications
SECID website launch!

SECID website launch!

http://www.secids.com/ – “Southeast European Center For Surveillance And Control Of Infectious Diseases” – SECID, website launch.