Taking a comprehensive approach to reducing health inequalities - PowerPoint PPT Presentation

Taking a comprehensive approach to reducing health inequalities � Cardiff, 10 October 2013 � Dr Erio Ziglio � European Office for Investment for Health and Development, Venice � World Health Organization, Regional Office for Europe �

Bringing about change European Review Health 2020

Demographic and epidemiological changes � Widening of health gaps � Challenging economic times � Advancing of well-being � Public health values and rights �

Health 20 2020 20 Reduction of health inequities is central to the new � European health policy – Health 2020: � � “A WHO European Region where all peoples are enabled and supported in achieving their full health potential and well-being, and in which countries, individually and jointly, work towards reducing inequalities in health within the Region and beyond”. � � www.euro.who.int/__data/assets/pdf_file/0007/147724/wd09E_Health2020_111332.pdf � �

2 Strategic Objectives � • Health promotion and reduction of inequities � � • Strengthening the governance for health �

Health 2020 and its scientific backing �

Health Inequities, not just a national issue... � Lisbon � Moscow � Milan � Cardiff �

Governance, not just a national issue... �


 “Good health can no longer be seen as an outcome of one sector alone: sustainable and equitable improvements in health are the product of effective policy across all parts of government and collaborative efforts across all parts of society.” � Margaret Chan, WHO Director-General � �

Bringing about change European Review Health 2020

Bringing about change � European Review � Health 2020 �

Sub-national level is central to promote health and tackle health inequities � WHO Regions for Health Network new phase of development and renewed commitment �

1. From denial to comprehensive strategies � Health Inequities Evidence � Concern � Denial/Indifference � Mental Block � Will to take action � Isolated initiatives � More structured development � Comprehensive coordinated strategy � Adapted from Whitehead et al. �

Policy Briefs �

2. Regional leadership and know-how � 1. Foster & sustain regional commitment � � 2. Secure policy coherence � � 3. Develop skilled human resources � � 4. Scale up from isolated regional projects � � 5. Enable long-term regional investment � �

2. Regional leadership and know-how � 6. Strengthen regional health systems � � 7. Increase capacity for health diplomacy � � 8. Move toward whole government approaches � � 9. Facilitate knowledge transfer � � 10. Reposition health within development � �

3. Key to have a strategic plan for change � • Where do we promote and sustain health in our community? � � • What strategy delivers good results in reducing health inequities and gives value-added to regional development? � � • How to strengthen regional governance to address the above questions? �

Sustainable Societies �