EUROPEAN COMMISSION

Community health programmes: first results and future challenges

for the EU regions

Donata Meroni

European Commission - DG Health and ConsumersC1 unit – Head of sector Health Programme and Knowledge

management7 October 2008

EUROPEAN COMMISSION

Development of CommunityAction in Public Health

Basis in Article 152 of the Treaty:

Incentive measure designed to protect and improve human health', 'excluding any harmonisation of the laws and regulations of the MS'.

1993-2002 Eight separate action programmes: health promotion, cancer, drug dependence, AIDS and other

communicable diseases, health monitoring, rare diseases, accidents and injuries, pollution-related diseases

2003-2008

€ 353.77 million Community Action Programme for Public Health: Health Information Health Threats Health Determinants

2008-2013

€ 321.5 million

Second Programme of Community Action in the field of Health: Health Security and Safety Health Promotion (including Health Inequalities) Health Information

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EUROPEAN COMMISSION

First Public Health Programme (2003-2007)

Objectives:

1- Improve information and knowledge to promote public health and heath systems

2- Respond rapidly and coherently to health threats

3- Promote health and health disease by addressing health determinant

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EUROPEAN COMMISSION

First Public Health Programme (2003-2007)

Participants:1- EU Countries 2- Candidate and Acceding Countries2- EFTA/EEA Countries

Cooperation with International Organisations:WHO and OECD

Main ActorsCommission: DG SANCOPHEA since 2005

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EUROPEAN COMMISSION

First Public Health Programme (2003-2007)

Funding mechanisms:

1- Grant for projects 85%

2- Procurements 5-10%

2- Others (Eurostat, Scientific Committee)

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EUROPEAN COMMISSION

First Public Health Programme (2003-2007)

Results from projects:

2003 2004 2005 2006 2007*

Number of Projects 30 32 21 29 23

EC Contribution 16.945.822 € 20.839.696 € 18.347.798 € 16.805.819 € N/A

Number of Projects 20 14 11 12 11

EC Contribution 15.171.118 € 12.703.280 € 14.133.823 € 7.195.142 € N/A

Number of Projects 19 26 29 46 29

EC Contribution 16.467.886 € 17.629.246 € 18.866.993 € 23.359.781 € N/A

Number of Projects

69 72 61 87 63

EC Contribution 48.584.825 € 51.172.221 € 51.348.613 € 47.360.742 € 39.969.185 €

* Provisional data - negotiation still ongoing

TOTAL

Health I nformation

Health Threats

Health Determinants

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EUROPEAN COMMISSION

State of play for projects

2003 2004 2005 2006 2007*

Number of signed projects

69 72 61 87 49

Number of concluded projects

26 9 8 0 0

* Provisional data – negotiation still on going

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EUROPEAN COMMISSION

First Public Health Programme (2003-2007)

Results from tenders

Health-EU Eurobarometer surveys Get active- UEFA spot to promote physical activivity

Other results

Project from international organisations Establishment and development of networks

EUROPEAN COMMISSION

EUROPEAN COMMISSION

New Programme Objectives

Improve citizens' health security

Promote health – including the reduction of health inequalities

Generate and disseminate health information and knowledge

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EUROPEAN COMMISSION

Second Health Programme: Budget

(not including EFTA contribution)

2008 2009 2010 2011 2012 2013TOTAL

2008-2013

Operational budget 45,2 47 45,7 47,3 49,7 51,5 286,4

Administrative budget 1,4 1,5 1,4 1,5 1,5 1,6 8,9

Public Health Executive Agency

4,1 4,3 4,3 4,4 4,5 4,6 26,2

TOTAL 50,7 52,8 51,4 53,2 55,7 57,7 321,5

EUROPEAN COMMISSION

Participation

Member StatesEFTA / EEA countries (under conditions of EEA agreement)

In accordance with bilateral or multilateral agreements:Candidate and accession countriesEuropean Neighbourhood Policy countriesWestern Balkans included in the stabilisation and association process

International co-operation with third countries and relevant international organisations, for example OECD and WHO

EUROPEAN COMMISSION

Calls for proposals for projects:May be given to a public or private body based in one of the participating countries

Financial contributions by the Community will cover up to 60% of project costs (or 80% for a proposal of exceptional utility)

Calls for tender:Service procurements to cover specific Programme objective

Financing offered at 100%

Financing mechanisms I

EUROPEAN COMMISSION

Financing mechanisms IIJoint financing by the Community and one or more Member

States:

May be offered to a public body or non-government organisation;Community contributions may be up to 50% (or 80% in exceptional circumstances);Participating countries will be invited to present proposals for joint actions.

Operating grants:

May be offered to a non-government organisation or specialised network to cover core functioning costs;Organisations must be independent of industry and conflicting interests;Member organisations must be presented in at least half the Member States with a balanced geographical coverage;Community contributions may be up to 60% (or 80% for activities of exceptional utility)

EUROPEAN COMMISSION

Financing mechanisms III

Conferences in public healthPresidency conferences

Maximum: one conference per Presidency

Up to 50% of the budget awarded as a lump sum

Other conferencesUp to 50% of the budget awarded as a lump sum

Offered as call for proposals on a competitive basis

Aims should be in line with overall Programme objectives

Conferences must have a European-wide dimension and be organised by a public or non-profit making body

EUROPEAN COMMISSION

Implementation

Annual work plans: sets out priorities and actions to be undertaken and the criteria for Community contributions.

The Commission is assisted by a Programme Committee: informed on all actions and projects funded through the Programme.

The Executive Agency on Health and Consumers (EAHC) assists in the implementation.

National Focal Points: national information relay points on the Programme; local support to potential applicants.

EUROPEAN COMMISSION

Contacts

For policy questions:

DG Health and Consumers:

donata.meroni@ec.europa.eu

For practical issues:Executive Agency: phea@ec.europa.eu

National focal points: ec.europa.eu/phea/index_en.html

EUROPEAN COMMISSION

Information Sources

Public Health Portal

http://health.europa.eu

SANCO Website

http://ec.europa.eu/health

EAHC Website

http://ec.europa.eu/phea