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THE FRAMEWORK FOR A NEW PUBLIC HEALTH STRATEGY
FOR THE REPUBLIC OF SERBIA
Prof. Dr Snežana SimićSchool of MedicineBelgrade UniversitySerbia and Montenegro
[email protected] Role of Graduate Public Health Education in Addressing Health Challenges in CEE –NIS CountriesKyiv – Ukraine,July 1-3 2004.
PUBLIC HEALTH IN SERBIA TODAY
Institutes of Public health (23)
monitoring, investigation, assessment of the health status of population;
environmental aspects of health; availability, organization and utilization of health
services; surveillance of diseases; health promotion and health education; planning and development of health programs,
monitoring and evaluation
According to Health Care Law, the IPH should provide services at least in social medicine, epidemiology, microbiology, parazitology and virology, hygiene, environmental protection
Health centers (160) providing Primary Health CareInspectorate services (Ministry of Health) – health,
sanitary and drug inspection
Public Health Professionals in Republic of Serbia (without Kosovo)
Occupational medicine 650 Epidemiology 190 Social Medicine 150 Hygiene and Medical Ecology 130 Others (health economy,
health law, psychology, sociology, organizational sciences 30
Community nurses – about 5000
1/5800
1/3000
Assessment of public health network in Serbia
(Belgrade, September 2002)
Absence of integrated Public Health Policy;
Rigid and out of date structure of IPHs;
Overstaffing with administrative and technical personnel;
Lack of multi-professional personnel;
Unclear mechanism for financing Public Health
Undeveloped information and communication systems
Lack of knowledge and skills for new public health
Belgrade – Federal Assembly
Ministry of Health Republic of Serbia
BETTER HEALTH FOR EVERYONE IN THE THIRD MILENIUM
•Health policy•Vision of the health care system in
Serbia•Strategy and action plan of the
reform of health care system in Republic of Serbia by 2015 - draft
INTERNATIONAL PARTNERS FOR STRENGTHENING PUBLIC HEALTH IN
REPUBLIC OF SERBIA
Support to the Public Health Development in Serbia - EAR
Strengthening Preventive Health Care – EAR
Programmes for Training and Research in Public Health - Stability Pact for South Eastern Europe
Reform of Public Health Financing – WB
Strengthening Essential Public Health Functions in the Balkans - CPHA
Primary Health Care Basic Health Benefits in Kraljevo Municipality
Health promotion on community level - OSI
European Agency forReconstruction - EAR
ICRC – International Committeeof Red Cross
The WORLD Bank Group
Canadian International Development Agency – CIDA;Canadian Public Health Association
1
2
3
4
Open Society Institute - Belgrade5
MILLENIUM DEVELOPMENT GOALSOUN
Poverty Reduction Strategy PaperAction Plan for ChildrenEmpowerment of the Roma population
MULTISECTORIAL STRATEGIES
CDC/ATSDR`s - A Global Health Strategy
Working with Partners to improve Global Health
The CDC Global Health Strategy defines goals in the following five critical areas for public health:
Public Health Surveillance and Response, Public Health Infrastructure and Capacity
Building, Disease and Injury Prevention and Control Applied Research for Effective Health Policies Exchange of Information and Lessons Learned
WB – PUBLIC HEALTH AT A GLANCEThe Public Health at a glance fact sheets aim to
provide easy access to the state of the art in basic public health, nutrition and population (HNP) preventive and curative services.
The basic public health services include:• Nutrition, • Malaria, TB and HIV/AIDS prevention and control
interventions,• Reproductive health,• IMCI and immunization,• School health,• Mental health,• Tobacco control, indor air polution, road safety
and water and sanitation
The European Commission – Public Health
Politically important was the Commission's decision to place “health” as one of its key priorities;
On 16 May 2000 the Commission adopted a Communication on the Health Strategy of the European Community and a proposal for a Decision of the EP and Council adopting a program of Community Action in the field of public health,
The Commission takes account of the review of the existing situation and recent legal and political developments
EU action in Public Health:• Health promotion• Health monitoring• AIDS and communicable
diseases• Cancer• Rare diseases• Injury prevention• Pollution related diseases• Drug abuse
FUTURE ACTIVITIES IN REPUBLIC OF SERBIA
Public Health Policy Framework and Strategy Paper - draft
The School of Public Health Initiative – Postgraduate Public Health Training for Practice and Research
Strategy on Tobacco Control – draft of the National Tobacco Control Commission
New Model of Public Health Financing
PUBLIC HEALTH ASSOCIATION OF SERBIA Established in October 2003.
500 public health professionalswere present at October 2003. meeting in Belgrade
NATIONAL PUBLIC HEALTH STRTAEGY OF THE REPUBLIC OF
SERBIA - draft
Essential public health functions in Serbia:
Health promotion – actions to affect overall health and wellbeing
Prevention – of specific diseases, injuries and social problems
Protection – preventive and emergency services
Surveillance – keeping track of patterns of disease to enable timely action
Population health assessment – measuring, monitoring and reporting on the status of the health in community
Intersectorial collaboration in health
NATIONAL PUBLIC HEALTH STRATEGY – general aims
1. Establishment national priorities in area of public health and creation of effective interventions within community directed to health promotion;
2. Moving of intervention focus from disease to health determinants and risk factors;
3. Promotion of evidence based healthy public policy developments;
4. Providing valuable information on health and establishing minimal set of indicators for health status assessment;
5. Fast reaction in crisis including surveillance of communicable diseases and prevalence of risk factors in population
National public Health Strategy
- next steps - To reach consensus on a
new framework for public health in Serbia,
To encourage a broad-based approach to public health,
To develop public health oriented workforce,
To define the roles and responsibilities of stakeholders – Ministry of Health, IPH, PHC and NGOs
Central Serbia - country side