Upload
sarah-howe
View
223
Download
1
Tags:
Embed Size (px)
Citation preview
National expertise and capacity
building approaches
Subgroup on HES, Luxembourg, 20 January 2010
Past national HESs in Europe
1960 1970 1980 1990 2000
Finland
Sweden
Norway
Netherlands
West Germany
Germany
UK - England
UK - Scotland
Ireland
Poland
Denmark
RomaniaSpainCroatia
France
Czech Republic
Italy
HES outside Europe
• USA: NHANES since 1959http://www.cdc.gov/nchs/nhanes.htm• Canada: Canadian Health Measures
survey launched in 2007http://www4.statcan.gc.ca/health-sante/fbs-rpe/fbs_r-rpe_r-eng.aspx• For more information on previous
surveys, see http://www.euhsid.org/
• 1968: G Rose. Cardiovascular Survey Methods• 1982-1996: WHO MONICA Project• 1999-2002: European Health Risk Monitoring
(EHRM) Project• 2006-2008: Feasibility of a European Health
Examination Survey (FEHES) Project• 2009-2011: European Health Examination Survey
(EHES) Pilot• Several other projects, measurement standards
and recommendations
Towards the standardized HESs
Difficulties in organizing HES (FEHES questionnaire 2007)
0 % 20 % 40 % 60 % 80 % 100 %
Raisin interest in HES among generalpopulation
Raising interest of organizations to carryout HES
Availability of expertise in nationalresearch and public health organizations
Accepting the value of health informationobtained only by HES
Recognizing the need to improve healthinformation
Obtaining national funding
Not difficult Some what difficult Very difficult
Importance of (FEHES questionnaire 2007)
0 % 20 % 40 % 60 % 80 % 100 %
Receiving international expertconsultation
International collaboration for qualityassurance and control
Continued use of national standards tofollow national time trends
Adoption of international standards
Very important Important Not important at all
Capacity building at national level
• Actions needed to build the national HES• National objectives• Preparation of the national manual• National training seminars• Piloting• Organizing the HES• Data management and analysis• Reporting and dissemination of results
• Involve Stakeholders: NGOs, ministries
National experts needed
• Policy experts• Needs and use of data for evidence based
health policy• Health care and other public services
• Needs of data for planning and evaluating health services and health promotion activities
• Scientists: Epidemiology, statistics, public health etc.• Use of the data for research
• Other experts• Fieldwork logistics and supervision, IT,
communication and dissemination etc.
Capacity building at the European level
• Subgroup on HES• EHES RC
• European manuals• Training seminars• Support to the countries organizing a national
HES• Final conference for all countries
• EHES Network of national experts• Other stakeholders: e.g. ECDC, Eurostat,
WHO, OECD
Collaboration
• Sharing of experiences is important in all phases of the planning and preparation both at EU and at national levels
• All feedback on feasibility of EHES standards and contents of the EHES manuals will be valuable
NHANES
• To assess the health and nutritional status of adults and children in the United States.
• Series of surveys focusing on different population groups or health topics.
• Since 1999, a continuous program with a changing focus on a variety of health and nutrition measurements to meet emerging needs.
• A nationally representative sample of about 5,000 persons each year.
NHANES is used • To determine the prevalence of major diseases
and risk factors. • To assess nutritional status and it’s association
with health promotion and disease prevention• As the basis for national standards for such
measurements as height, weight, and blood pressure.
• In epidemiological studies and health sciences research, which help develop sound public health policy, direct and design health programs and services, and expand the health knowledge for the Nation.
NHANES examinations
• Mobile clinics• All participants visit the physician. • Dietary interviews and body measurements for
everyone. • All but the very young have a blood sample taken
and will have a dental screening. • Depending upon the age of the participant, the
rest of the examination includes tests and procedures to assess the various aspects of health. In general, the older the individual, the more extensive the examination