promoting health, reducing health inequities and foster ... · 2 strategic objectives • health...
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Promoting health, reducing health inequities and foster regional
development: the WHO Health 2020 approach and its relevance at
subnational level Mr Erio Ziglio
Head of the WHO, European Office for Investment for Health and Development [I]
7 Reflections
Context
Outline
Framework
A fast changing world….
Kiruna, 2014
A fast-changing European context for health
“…Health promotion is the process that enable people to have control over the determinants of their health” (WHO, Ottawa Charter, 1986)
Promoting health and reducing inequities
Different paths…
Source: Norwegian Ministry of Health Care Services, 2007
Lisbon Glasgow
Budapest Moscow
Health inequities not just a national issue...
7 Reflections
Framework
Context
Health 2020: A Framework for Promoting Health and reducing health inequities
www.euro.who.int/en/health-topics/health-policy/health-2020-the-european-policy-for-health-and-well-being/publications/2013/health-2020.-a-european-policy-framework-and-strategy-for-the-21st-century
2 Strategic Objectives • Health promotion and reduction of
inequities • Strengthening the governance for health
Health 2020 and its scientific backing
Context
The RHN: Göteborg Manifesto
1. foster and sustain regional commitment
2. secure policy coherence
3. develop skilled human resources
4. to scale up from isolated regional projects
5. to foster long-term regional investment
10 Regional Know-how
6. strengthen regional health systems
7. increase capacity for regional health diplomacy
8. create incentives for regional whole of government approach
9. develop knowledge transfer among regions
10. reposition health within regional development
10 Regional Know-how
Framework
7 Reflections
Context
In which type of society do you want your child to be born, to play, grow, work and age?
1. What society do we want?
Socially equitable and inclusive Economically viable Politically participatory Ecologically sustainable Responsive and health-promoting
Source: adapted from I. Kickbusch, 21 September 2013, Address to the Annual conference of the WHO Healthy Cities network
2. Resilient communities
• Where do we “produce” health in our country and community?
• What strategy delivers the highest equitable health gains for our population?
• What strategy delivers good results in promoting health and gives value-added to local/national development?
3. Key to have a strategic plan
4. Performing policy sectors
Intersectoral incentives, innovative practices
• Integrated Budgets • Joint-post funding
MORE LESS
5. Think of “assets” non only of “deficit”
Assets have different levels of impact
City System Community Individual
ASSETS ASSETS ASSETS ASSETS
Deficits L
H Assets
H
H
Minimizing Needs, Maximizing Assets
Our community
H: High L: Low
Health
Economic Development
Social Development
6. Reposition health within development
7. Communities that are sustainable, just and in good health