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Health 2020,Health Promotion
and Health Education
Dr Zsuzsanna JakabRegional Director
WHO Regional Office for Europe
Bucharest, Romania, 24 February 2016
Health is a political choice
Long history of excellent collaboration between WHO and Romania
BETTER HEALTH FOR EUROPE:MORE EQUITABLE AND SUSTAINABLE
Maximum value
Regional average
Minimum value
Inequalities in life expectancy: declining, but gap persists
Maximum value
Regional average
Minimum value
Inequalities in life expectancy are declining, but gap persists
Region is on track to reducing premature mortality
Maximum value
Regional average
Minimum value
litres of pure alcohol are drunk per person per year
of the population is overweight or obese
of the population uses tobacco
European countries are strengthening their policiesall answers (31 for 2010 and 36 for 2013)
0% 10% 20% 30% 40% 50% 60% 70%
No and not planned for the future
No, but planned for the future
Yes, another strategy
Yes, comprehensive health policy
National health policy is aligned with H2020All answers (n=31 and 36 for 2010 and 2013, respectively)
2013
2010
Yes, comprehensive health policy
Yes, another strategy
0% 10% 20% 30% 40% 50% 60% 70%
No and not planned for the future
No, but planned for the future
Yes, another strategy
Yes, comprehensive health policy
National health policy is aligned with H2020All answers (n=31 and 36 for 2010 and 2013, respectively)
2013
2010
2013
2010
Strategic directions of Health 2020 remain relevant
Investing in health pays off
Photos: Malin Bring
Photo: Malin Bring
RETURN ON INVESTMENTReproductive,maternal and child healthUS$ 20
per US$ 1 spent
Photo: Malin Bring
RETURN ON INVESTMENTReproductive,maternal and child healthUS$ 20
per US$ 1 spent
Health is an investment (not an expense): we need to invest more
Health is central to development
Transforming our world:the 2030 Agenda for Sustainable Development
Formulation of the health goal - fully aligned with Health 2020
Health Goal
Goal 3:Ensure healthy
lives and promote well-being for all at
all ages
3.1 Reduce maternal mortality
3.2 End preventable
diseases
3.3 End epidemics of AIDS, TB, etc.
3.4 Mortality
from NCDs
3.5 Substance
abuse
3.6 Road traffic
accidents
3.7 Access to sexual and
reproductive health
3.8 Universal
health coverage
3.9 Hazardous chemicals
and pollution
Health as a target in other goals
Health targets will be met only by joining policy action with that for other SDGs
Example: The health target to reduce premature mortality from NCDs should be reached in partnerships between health and sectors and policies responsible for education (SDG4) and economic growth and employment (SDG8).
RENEWED POLICY ENVIRONMENTFRAMED BY
HEALTH 2020
Intersectoral action requires political commitment
European environment and health process
Social determinants of health: a strategic priority
Second High-level Meeting of Small Countries,Andorra
Promoting intersectoral and interagency action for health and well-being in the WHO European Region,
France
Health situation in Romania
Life expectancy trends
Health situation and trends in Romania: Maternal and infant mortality
Premature mortality (0–64 years), by broad cause
Trends in AIDS incidence and mortality from tuberculosis
Overweight and obesity (WHO estimates)
Alcohol consumption: total and spirits
Proportion of girls and boys of official primary school age not enrolled in school
0
5
10
15
20
25
1990 1995 2000 2005 2010 2015 2020
RomaniaEuropean RegionEU
Proportion of children of official primary school age not enrolled, both sexesM mmm
Life satisfaction
Health expenditure
Public sector and out-of-pocket health expenditure
A number to remember: keep out-of-pocket expenditure low
Financial protection in Romania: out-of-pocket expenditure at 19%Out-of-pocket expenditure as a % of total expenditure on health, by country groups from low to high income (high, upper-middle, lower-middle and low)
Source: WHO Global Health Expenditure Database for 2011
Health situation and trends in Romania Findings, summary and main messages
Romania has made substantial progress in selected areas of health, like tuberculosis and maternal mortality.
Major challenges remain in other areas, like noncommunicable diseases and availability of health system resources.
National policies have been aligned with Health 2020, which, with determination to continue health reforms, will accelerate health improvements and reduce health inequalities in future.
Major global and European challenges, like the migrant crisis and global emergencies, must be taken into account in considering future developments.
Health situation and trends in Romania Findings, summary and main messages
More effort is needed to tackle the determinants of population health by whole-of-society and whole-of-government approaches via Health 2020 strategic steps, as incorporated in the Romanian National Health Strategy 2014–2020.
Overall governance for health should be improved and paths and approaches proposed for more equitable, sustainable, accountable health development in Romania.
Improved health indicators and a better overall level of health and life satisfaction of the Romanian population can be attained by reaching above and beyond the health sector to achieve greater coherence among national sectors and a comprehensive response to inequalities.
Alma-Ata Declaration; Ljubljana Conference on Reforming Health Care
1978-96
Introduced core health system functions: governance; services delivery; financing;
resource generation
2000
Tallinn Charter: health systems
for health and wealth
2008 and 2013
Oslo conference: Impact of crisis
2009 and 2013
2012
Health 2020 priority area: strengthening people-centred
health systems and public health
Priorities in Romania in the coming years
New vision for health systems strengthening and work on health determinants reaches out to
people
Mulțumesc pentru atenție
WHO High-level Conference WHO High-level Conference
Working together for better health and well-beingWorking together for better health and well-being
Paris, 11–12Paris, 11–12 July 2016July 2016
