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Asst. Prof. Sanja Musić Milanović MD, MPH, PhDCroatian Institute of Public Health, Reference Center of the Ministry of Health for Health PromotionUniversity of Zagreb, School of Medicine, Andrija Štampar School of Public Health
The Project was co-financed by the European Union from the European Social Fund.
OPERATIONAL PROGRAM
Efficient
human
resources2014. - 2020.
EMPLOYMENT
SOCIAL INCLUSION
EDUCATION
BETTER ADMINISTRATION
„Health is a state of complete physical mental and social welfare, and not merely
the absence of disease “
He who hides a disease will find no
cure!
It is easier to maintain a healthy person healthy,than to treat an ill one!
Until 1925. upon Andrija Štampar initiative and through his work 250 social-medical institutions have been founded:
Central Hygiene Institute in Belgrade
6 Epidemiology Institutes
19 Bacteriology Centers
23 Health Centers
Institute for Tropical Diseases
Institute for Malaria
3 Malaria Health Centers
42 help malaria health centers
50 Venereal Disease Clinics
34 Tuberculosis Clinics
14 Infant and Child Institutions
18 Trachoma Clinics
17 School Polyclinics
2 Social Medicine Institutes
19 other social medicine institutions
20th century mortality trends
SOURCE: Armstrong GL, Conn LA, Pinner RW. Trends in infectious disease mortality in the United States during the 20th century. JAMA. 1999 Jan 6;281(1):61-6.
Mo
rtal
ity
rate
10
0 0
00
/yrs
TOTAL
NON CONTAGIOUS CAUSES
INFECTIOUS DISEASES
SOU
RC
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Cardiovascular diseases Diabetes
Cancers
COPD Mental Disorders
Risk factors and diseases
Physical inactivity
Unhealthy diet
Smoking
Excessive alcohol use
Excessive body mass
Heightened blood pressure
Dyslipidemia
2002
• Committee of the Ministry of Health for Promotion of Healthy Diet and Physical Activity
2003
• MAY – official start of the implementation –”Breakfast on the Grass”
2003 - 2015
• 5 inter-sectoral work groups founded
• Inter-departmental collaboration intensified, activities created
2015
• JULY – The Government of the Republic of Croatia adopts „Living Healthy” as a National Program
2016
• DECEMBER –ESF co-financing approved
From an idea to the National Program
World Health Organization Health for All 1977
Ottawa Health Promotion Declaration 1986
Action plan for the prevention of excessive body mass and obesity
2010 - 2012
Regional Development Strategy RH 2011 - 2013
Croatian National Health Development Strategy 2012 - 2020
Public Health Strategic Plan 2013 - 2015
National Youth Strategy 2013 - 2017
EU Occupational Safety and Health Strategic
Framework 2014 - 2020
Ministry of Health Strategic Plan for the period 2014 - 2016
Action Plan for the Prevention and Control of Chronic Noncommunicable Diseases 2015 - 2020
STRATEGIC FRAMEWORK
OVERARCHING GOAL
To inform, educate and sensitize Croatian citizens of all age groups about positive
aspect of healthy lifestyles through community action:
Physical health
Mental health
Sexual health
CONTRIBUTIONS
Educating citizens on maintaining health
Higher availability of services for practicing healthy lifestyles
Changing modifiable life habits
Increase in the share of healthy citizens in Croatia
ESF financial contribution: 4.088.943,40 €
TARGET POPULATION children and youth, persons of middle and old age
persons with heightened behavioral and biomedical risk factors
CO-ORGANIZERS:
MINISTRY OF SCIENCE AND EDUCATION
MINISTRY OF TOURSIM
MINISTRY OF AGRICULTURE
MINISTRY OF WORK AND RETIREMENT SYSTEM
MINISTRY OF ENVIRONMENT PROTECTION AND ENERGY
MINISTRY OF INTERNAL AFFAIRS
MINISTRY FOR DEMOGRAPHICS, FAMILY, YOUTH AND SOCIAL POLICY
GOVERNMENT OFFICE FOR COOPERATION WITH NGOs
CROATIAN INSTITUTE FOR HEALTH INSURANCE
MEDICAL SCHOOL IN ZAGREB
MEDICAL SCHOOL IN SPLIT
MEDICAL SCHOOL INRIJEKA
MEDICAL SCHOOL IN OSIJEK
KYNESIOLOGY FACULTY IN ZAGREB
CROATIAN EDUCATION AND TEACHER TRAINING AGENCY
CROATIAN FOOD AGENCY
CROATIAN EMPLOYERS’ ASSOCIATION
CROATIAN CHAMBER OF COMMERCE
CROATIAN CHAMBER OF TRADES AND CRAFT
CROATIAN TOURIST BOARD
UNION OF AUTONOMOUS TRADE UNIONS OF CROATIA
INDEPENDENT TRADE UNIONS OF CROATIA
ASSOCIATION OF CROATIAN TRADE UNIONS
WORKERS’ TRADE UNION ASSOCIATION
ORGANIZERS:
MINISTRY OF HEALTH
CROATIAN INSTITUTE OF PUBLIC HEALTH
IMPLEMENTATORS:
CIPH AND COUNTY PUBLIC HEALTH INSTITUTES
PARTNERS FRIENDS OF HEALTH:
KINDERGARTENS
ELEMENTARY AND HIGH SCHOOLS
COMPANIES
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
GOAL: 1. Promoting healthy diets and physical activity with the goal of preventing overweight
and obesity 2. Health education in the area of mental health 3. Education and informing of students, youth and target groups in the field of sexual and
reproductive health and responsible sexual behavior
TARGET GROUP:School-aged children and educators
Finances: 2.332.672,00 €
1. Health Education
IMPLEMENTATION PARTNERS:
Physical Health Mental Health
Youth aged 16 has consumed alcohol in the last month
Of adults consume alcohol daily of once a week
10.3% of Croatian citizens have mild to moderate depressive symptoms
75.282 83
64.873.1
84 81
52.9
0
20
40
60
80
100
2002 2006 2010 2014year
Share of 15-year-olds using a condom at last intercourse
Sexual Health
Croatia, 2015:106 abortion on the request in woman younger than 181.2 % u moderately severe to severe
depressive symptoms
%
Health Indicators
22.1
19.520.8
38.7
31
34.9
0
5
10
15
20
25
30
35
40
45
boys girls total
year 2003 in comparison to year 2015
%
Health Education - implementation
Physical Health Sexual HealthMental Health
MENTAL HEALTH IS TOO IMPORTANT TO LET IT JUST TO THE EXPERTS
Polygon for physical activity in schoolchildren
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
IMPLEMENTATION PARTNERS:
2. Health and Physical Activity
Main activity: „Walking Towards Health”
GOAL: Implementing regular physical activity through walking and promotion of its protective effect on health.
TARGET POPULATION: All age-groups with a focus on families and persons of older age
Finances: 521.602,00 €
10/2014
06/2018
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
IMPLEMENTATION PARTNERS:
3. Health and Nutrition
Finances: 158.078,55 €
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
IMPLEMENTATION PARTNERS:
4. Health and the Workplace
Main activity: „Health-friendly Company”
GOAL: Introduction of special certificates for workplaces which enable their employees to adopt healthy habits in life,
promote health in the workplace and show positive
care for health of their employees.
TARGET POPULATION: Working population
Finances: 232.295,00 €
ASSOCIATION OF CROATIAN TRADE UNIONS
MINISTRY OF LABOUR AND PENSION SYSTEM
Health and physical activity
Health and nutrition
Health and the workplace
Health and the environment
Health education
IMPLEMENTATION PARTNERS:
5. Health and the Environment
Main activity: „Volunteers in Parks”
GOAL: promoting healthy lifestyles, prosocial behavior andsafekeeping of community living environment throughorganization of free time and intergenerational friendshipoutdoors, in city parks and children’s playgrounds.
Planned 21 model parks (multi-sectoral collaborations):
TARGET POPULATION: Children of kindergarten age and early school-age and their families
Finances: 385.653,00 €
MINISTRY OF
THE INTERIOR
MINISTRY OF ENVIRONMENT AND ENERGY
THE REPUBLIC OF CROATIA
Ministry of Demographics, Family, Youth and Social Policy
