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Bringing it all together:
COIA in the context of regional
strategies and policies
Dr Claudia Stein
Director
Division of Information, Evidence, Research and Innovation
World Health Organization
Regional Office for Europe
Researc
h
Pro
ble
ms
What’s the
link here?
IEA World Congress of Epidemiology
Plenary Session
7 August 2011
We pledged to be accountable:
• Recommendations 1-3:
Better information for better results
• Recommendations 4-6:
Better tracking of resources
for women's and children's health
• Recommendations 7-10:
Better oversight of results and
resources: nationally and globally
1. Vital events (CRVS) 2. Health indicators & equity
3. Innovation
4. Resource tracking 5. Country Compacts 6. Reaching Women/Children
7. National oversight
8. Transparency
9. Reporting aid for Women/ Children’s health
10. Global Oversight
COMMISSION RECOMMENDATIONS
Country Actions
Global Actions
Birth and death registration
Monitoring of results
Maternal death surveillance & response
Accountability Framework
eHealth & innovation
Monitoring country resources
Advocacy and action
Monitoring results
Tracking resources
Global review (iERG)
The strategic work plan
Concluding compacts
From recommendations to actions
The European Health 2020 policy
• Emphasis on health and well-being
• The right to health and access to care
• People at the centre
• Addressing the determinants of health
• Whole of society approach
• Whole of government approach
• Cross-sectoral working
• Importance of partnerships
• Solutions that work and make a difference
Health 2020 strategic objectives
• Working to improve health for all and reducing
the health divide
• Improving leadership, and participatory
governance for health
Health 2020: Four common policy
priorities for health
• Investing in health through a life course approach and
empowering people
• Tackling Europe’s major health challenges of non
communicable diseases and communicable diseases
• Strengthening people-centred health systems and
public health capacities, and emergency preparedness,
surveillance and response
• Creating resilient communities and supportive
environments
IEA World Congress of Epidemiology
Plenary Session
7 August 2011
Input/process/outcome
Health 2020
Targets &
Indicators
European Health Report 2012
Methods and tools
Health 2020 area Overarching’ targets POSSIBLE content & quantification
1. Burden of disease
and risk
factors
1. Reduce premature mortality in
Europe by 2020
1. 1.5% relative annual reduction in overall mortality from cardiovascular
disease, cancer, diabetes, and chronic respiratory disease until
2020
2. Achieve and sustain elimination of selected vaccine preventable
diseases (polio, measles, rubella, prevention of Congenital Rubella
Syndrome)
3. 30% reduction in road traffic accidents by 2020
2. Healthy people,
wellbeing and
determinants
2.Increase life expectancy in Europe Continued Increase in life expectancy at current rate coupled with 1) 50%
or 2) 25% reduction in the difference in life expectancy between
European populations by 2020
3.Reduce inequities in health in
Europe (social determinants
target)
Reduce the gap in health status between population groups experiencing
social exclusion and poverty and the rest of the population.
4. Enhance well-being of the
European population (to be
further elaborated during
2012/13)
To be developed
3. Processes,
governance
and health
systems
5. Universal coverage and “right to
health”
Funding systems for health care guarantee universal coverage, solidarity
and sustainability by 2020
6. Member States set national
targets/goals
National target setting processes established and targets formulated
Setting targets for Health 2020 –
adopted by the Regional Committee 2012
Targets must have realistic indicators
Developing
realistic indicators
for Health 2020 targets
“Adopts….together
with a set of
regional goals as
set out in that
document and the
appropriate
indicators for the
European Region.”
Finalize indicators work
and monitoring
framework
with expert group,
partner agencies &
Member States
Present at Regional
Committee Sept 2013
Reporting on progress in Europe
Vision statement
Mission statement
Target audience
Introduction (background)
Required elements for implementation
Partnerships & collaborations
Monitoring & Evaluation
Objectives, strategic goals and outputs
Expected outcomes
Potential milestones &
implementation plan
Conclusions
Definitions & references
Health Information Strategy
for Europe:
Framework ‘menu’
Establishing ad-hoc working
group:
• Terms of References agreed;
• Nominations from Member
States received;
• First meeting of group early
November 2012
Single integrated Health Information System
for Europe (53 Member States)
• In phase 3 (of 5) of implementation
Joint Action Plan OECD/WHO Europe
Developing reliable health information by collaborating on:
– Expansion of
WHO/OECD/Eurostat
joint data collections;
– Common health
information system
for Europe;
– Strengthening
countries health info
systems;
– Collection &
validation of data;
– Measurement &
target setting for well-
being.
EVIPNet (Evidence-informed policy network)
• EVIPNet promotes the systematic use of health
research evidence in policy-making;
• Through a series of training workshops, EVIPNet
promotes partnerships at the country level
between policy-makers, researchers and civil
society;
• EVIPNet facilitates policy development and policy
implementation through its platform and
workshops.
17
Launched today: Europe
Researc
h
Pro
ble
ms
What’s the
link here?
IEA World Congress of Epidemiology
Plenary Session
7 August 2011
So how does
COIA fit in….?
1. Vital events (CRVS) 2. Health indicators & equity
3. Innovation
4. Resource tracking 5. Country Compacts 6. Reaching Women/Children
7. National oversight
8. Transparency
9. Reporting aid for Women/ Children’s health
10. Global Oversight
COMMISSION RECOMMENDATIONS
Country Actions
Global Actions
Birth and death registration
Monitoring of results
Maternal death surveillance & response
Accountability Framework
eHealth & innovation
Monitoring country resources
Advocacy and action
Monitoring results
Tracking resources
Global review (iERG)
The strategic work plan
Concluding compacts
From recommendations
to actions
1. Vital events (CRVS) 2. Health indicators & equity
3. Innovation
4. Resource tracking 5. Country Compacts 6. Reaching Women/Children
7. National oversight
8. Transparency
9. Reporting aid for Women/ Children’s health
10. Global Oversight
COMMISSION RECOMMENDATIONS
Country Actions
Global Actions
Birth and death registration
Monitoring of results
Maternal death surveillance & response
Accountability Framework
eHealth & innovation
Monitoring country resources
Advocacy and action
Monitoring results
Tracking resources
Global review (iERG)
The strategic work plan
Concluding compacts
From recommendations
to actions
• People at the centre
• Whole of society approach
• Whole of government approach
• Cross-sectoral approaches
• Importance of partnerships
• Solutions that work and make a difference
Researc
h
Pro
ble
ms
What’s the
link here?
IEA World Congress of Epidemiology
Plenary Session
7 August 2011
When setting
priorities –
remember
us….
Analytical &
visualization tools,
monitoring frameworks,
platforms, networks,
databases…
Exploratory and Correlation Analysis Regional Profile Comparison
Social Health Inequalities
EURO analytical & visualization tools
New display tools under development
Single database platform at EURO
Researc
h
Pro
ble
ms
What’s the
link here?
IEA World Congress of Epidemiology
Plenary Session
7 August 2011
Thank you for
being part of
something so
big!