EC TAIEX REPORT - SEEHNseehn.org/web/wp-content/uploads/2015/02/SEEHN_EC... · Original: English 10 February 2014 EC TAIEX REPORT OF THE MULTI-COUNTRY WORKSHOP ON MONITORING NONCOMMUNICABLE

Original: English

10 February 2014

EC TAIEX REPORT

OF THE

MULTI-COUNTRY WORKSHOP

ON MONITORING NONCOMMUNICABLE DISEASES

(NCDS) AND HEALTH INEQUALITIES RELATED TO

NCDS – DEFINING MINIMAL SET OF INDICATORS

INT MARKT

58073

organized in co-operation with

the Ministry of Health of Montenegro,

the SEE Regional Health Development Centre (RHDC) on Noncommunicable

Diseases (NCD) of Montenegro, Podgorica, and with

the SEE Health Network Executive Committee

on behalf of the South-Eastern Europe Health Network

Report, EC TAIEX Multi-country workshop on monitoring NCDs and health inequalities related to NCDs : defining minimal set of indicators , INT MARKT 58073, Podgorica, Montenegro, 29-30 January 2015

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Abstract EC TAIEX SEEHN workshop on monitoring NCDs and health inequalities related to NCDs

A workshop on i monitoring NCDs and health inequalities related to NCDs was organized in Podgorica, Montenegro on 29–30 January 2015 by the Technical Assistance Information Exchange instrument of the European Commission (TAIEX) in cooperation with the Ministry of Health of Montenegro on behalf of SEEHN and the Regional Health Development Centre (RHDC) on NCDs of Montenegro. The aim was to identify and propose minimal set of indicators on NCDs and related health inequalities to be implemented and reported by all SEEHN countries, Kosovo and Turkey. Key experts from International organizations (including WHO/EURO) presented the activities of their respective organisations in this area, and representatives of the EU Member States and of the countries of the SEEHN as well as Kosovo, shared their experiences in the field of monitoring NCDs and health inequalities related to NCDs. Long-term capacity building

This workshop is part of a series of capacity-building activities led by the RHDCs in Podgorica supported by TAIEX. Proposed targets identified by RHDC on NCDs have a particular focus on developing uniform NCDs monitoring system for all SEEHN countries with regular reporting. Based on the discussions, a series of actions was agreed in principle by the meeting. First task will be to agree by March 2015 if possible, following consultations with all the SEEHN countries, the list of NCDs which require attention at the SEEHN level, and the corresponding detailed set of indicators. These would be then proposed for approval by the SEEHN.

Links: South-eastern Europe Health Network (SEEHN) Technical Assistance and Information Exchange instrument (TAIEX)

http://seehn.org/

http://ec.europa.eu/enlargement/taiex/what-is-taiex/index_en.htm


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Family photo: Participants of the EC TAIEX Multicountry Workshop for the SEE Health Network on “Monitoring

Noncommunicable Diseases (NCDs) and Health Inequalities related to NCDs – defining minimal set of indicators”, January

2015, Podgorica, Montenegro


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SUMMARY REPORT

WITH CONCLUSIONS AND RECOMMENDATIONS

INTRODUCTION

1. This European Commission TAIEX Workshop was organized in co-operation with the Ministry

of Health of Montenegro, on behalf of the South-Eastern Europe Health Network (SEEHN) and

the Regional Health Development Centre (RHDC) on Noncommunicable diseases in Podgorica,

Montenegro.

2. It had the following main aims:

a. To review the current situation in SEEHN countries, Kosovo and Turkey in Monitoring

NCDs and health inequalities related to NCDs and health indicators on NCDs, as well as

Recommendations and documents agreed in this field by the European Commission and

WHO/EURO and other International Organizations;

b. To review the current situation in SEEHN countries, Kosovo and Turkey in organizing and

implementing population based registries on NCDs

c. To agree, if possible, on a proposal of a minimal set of indicators on NCDs which would

have to be monitored in all SEEHN countries, Kosovo and Turkey and reported to the centre

of coordination in RHDC on NCDs in Podgorica.

3. The Workshop was Co-Chaired by Dr. Boban Mugosa, Director of IPH of Montenegro and

RHDC on NCDs and Dr. Natasa Terzic, Director, Centre for Health System Development, IPH

Montenegro; the Rapporteur was Dr. Alexandre Berlin, Member of the SEEHN Executive

Committee. Experts from the EU Member States and International Organizations made key

background introductory presentations. Participants from all the SEEHN Countries as well as

Kosovo* and Turkey attended and participated actively in the Workshop. The full Workshop

programme is attached and all presentations are available upon request.

DISCUSSIONS

1. Following presentations of the EU and WHO documents and recommendations, as well as

presentations from selected EU Member States, the SEEHN countries as well as Kosovo* and

Turkey presented in detail their current practices in Monitoring NCDs and Health Inequalities

related to NCDs and population based registries on NCDs.


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2. A large number of similar monitoring programmes and surveys are carried out in all the

Member States of the SEEHN Region; however comparability of the results and conclusions of

these surveys is difficult.

3. The presentations of expert views from the EU (Hungary and Slovenia) contributed

considerably to the discussions.

4. The Workshop agreed in principle that the following NCDs should be considered in priority as

they have the highest impact on the NCDs burden of disease in the SEEHN Region:

a. Cancers

b. Cardio-vascular Diseases

c. Chronic Respiratory Diseases

d. Diabetes Mellitus

5. A number of Health Impact Indicators were considered such as:

a. tobacco use,

b. alcohol consumption,

c. physical inactivity,

d. obesity and

e. unhealthy diet (salt intake).

6. The issue of Health and Health Related Indicators related to NCDs is complex and of outmost

importance to develop appropriate and targeted prevention actions.

7. The progress in the SEEHN in the field of Monitoring NCDs and health inequalities related to

NCDs (including reporting on defined indicators set) should be presented by the Ministers of

Health at the next SEEHN Ministerial meeting.

CONCLUSIONS AND RECOMMENDATIONS

1. On the basis of the discussions the RHDC on NCDs has proposed general indicators framework

which included impact indicators (4 major groups of NCDs and 4 risk factors) and process

indicators (types and number of preventive programmes, population based registries, etc) which

were approved in principle.

2. RHDC on NCDs will develop, in close consultation with all the countries of the SEEHN (and

Kosovo and Turkey) a detailed proposal for the minimal set of indicators on NCDs for the

SEEHN Member States, Kosovo and Turkey in order to harmonize monitoring systems and

indicators to be used in the SEEHN. This proposal will be sent to all SEEHN member states,

Kosovo and Turkey by the end of February 2015.

3. The European Commission will be requested to provide comparable information as to the

situation in the EU Member States.

4. The Health Authorities in the Member States of the SEEHN will explore the possibilities of

accessing, at the national level, the data from these surveys and monitoring for further in-depth

analysis.


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5. In addition to the above, the participants agreed to the following practical steps:

a. to help define National Focal Points for NCDs and their clear functions in their respective

countries;

b. all SEEHN member states, Kosovo and Turkey will be requested to provide their feedback

on detailed proposal of minimal set of indicators on NCDs by the end of March 2015;

c. On the basis of the information collected from the SEEHN Member States, the need for a

follow-up TAIEX Workshop by June 2015 will have to be explored.

Podgorica, 31/01/2015

Alexandre Berlin Rapporteur in collaboration with RHDC NCDs in Podgorica


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Annex 1.

AGENDA

EC TAIEX MULTI-COUNTRY WORKSHOP ON

MONITORING NCDS AND HEALTH INEQUALITIES

RELATED TO NCDS – DEFINING MINIMAL SET OF INDICATORS

INT MARKT

58073

organized in co-operation with

Ministry of Health of Montenegro, the SEE RHDC on NCDs of

Montenegro, Podgorica, Montenegro

on behalf of the South-Eastern Europe Health Network

Venue :

Best Western Premier Hotel

Podgorica, Montenegro

Date:

29 – 30 January 2015 For more information on TAIEX assistance and to download presentations of this event, please go to :

http://ec.europa.eu/enlargement/taiex/dyn/taiex-events/library/detail_en.jsp?EventID=58073

http://ec.europa.eu/enlargement/taiex/dyn/taiex-events/library/detail_en.jsp?EventID=58073


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The EC TAIEX Multicountry Workshop has the main aim:

In order to plan and design evidence-based interventions and to be able to measure their impact on

health, it is necessary to establish well designed, functional and sustainable monitoring systems in

each of member countries.

At the same time the SEEHN needs to learn from the best practices in the EU Member States how

to improve its monitoring and surveillance of NCDs and to harmonize its own systems to those of

the EU. Such best practices from EU Member States are in accordance with The Strategy for

Europe on Nutrition, Overweight and Obesity related health issues, The Action Plan on Childhood

Obesity, Council of the EU conclusions on nutrition and physical activity, Council of the EU

Conclusion on promoting health-enhancing physical activity across sectors, EU Rare Diseases

policy, The Article 168 of Treaty on the Functioning of the European Union, Decision No

1350/2007/EC of the European Parliament and of the Council of 23 October 2007 establishing

Second Programme of Community action in the field of health (2008-2013), Regulation (EC) No

1338/2008 of the European Parliament and of the Council of 16 December 2008 on Community

statistics on public health and health and safety at work, European Parliament resolution of 15

September 2011 on European Union position and commitment in advance to the UN high-level

meeting on the prevention and control of noncommunicable diseases (2013/C 51 E/20) and

Council conclusions on the "Reflection process on modern, responsive and sustainable health

systems", Brussels, 10 December 2013.Determining the minimal set of indicators is necessary

which will be harmonized and therefore comparable, as well as credible and sustainable source of

data for producing national as well as sub-regional and regional reports on NCDs situation in

SEEHN and each of its members.

The indicators should be in compliance with the system of European Core Health Indicators

(ECHI) and the European Cancer Information System (ECIS).

Main outcome of this workshop will aim to:

1) Review of current situtation on monitoring and surveillance of NCDs and Health

inequlities in SEEHN member states

2) Review of the best practices in EU and Region

3) Defining minimal set of indicators for monitoring NCDs and HIs related to NCDs to

compare and measure impact of the interventions…

4) Setting timeframe for reporting on situation regarding the NCDs and HIs related to NCDs

5) Setting next steps in upgrading and improving monitoring systems in the SEEHN Member

States in accordance with EU standards and recommandatons

Beneficiary :

The South-Eastern Europe Health Network


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Day 1 : 29 January 2015

Co-Chairs:

Dr. Boban Mugosa, Director of IPH of Montenegro and RHDC on NCDs

Nataša Terzić, Director of the Centre for Health System Development

Rapporteur:

Dr. Alexandre Berlin, France, Member, SEE Health Network Executive Committee

900-930

Opening session:

Welcome speeches:

Dr Mensud Grbovic, Deputy Minister of Health of Montenegro

Ass. Prof Boban Mugosa, Director of Institute of Public Health of Montenegro, Head of

RHDC NCDs

Dr Alexandre Berlin, Member of SEEHN Executive Committee

Dr. Enrique Loyola, WHO Regional Office for Europe

930-1030

Session 1:

Monitoring and prevention of NCDs and Health Inequalities related to NCDs –

WHO and EU perspective

Keynote speaker:

Dr. Enrique Loyola, WHO Regional Office for Europe

Assoc. Prof PlamenDimitrov (BUL), National Centre of Public Health,

NFP for NCD for both WHO Europe and SEEHN;

Monitoring and prevention of NCDs and Health Inequalities related to NCDs in

selected EU member states: Slovenia, Bulgaria, Romania and Croatia

Speakers:

Dr. Tatjana Buzeti(SLO)Centre for Health & Development,

MurskaSobot;

Assoc. Prof PlamenDimitrov (BUL)National Centre of Public Health,

NFP for NCD for both WHO Europe and SEEHN;

Dr Carmen Ungurean(ROM), National Institute of Public Health of

Romania, National Screening Programme;

Dr Verica Kralj, National Institute of Publih Health, Croatia

Q&A

1030-1045 Coffee break

1045-1245

Session 2:

Presentations of the current situation/activities in SEEHN countries, Kosovo and

Turkeyconcerning monitoring and prevention of NCDs and related health inequalities

Nevila Caushi, Albania

Avni Shlomit, Israel

Igor Spiroski, the former Yugoslav Republic of Macedonia

Carolina Cerniciuc, Moldova


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Milica Stanisic and Djurdjica Ostojic, Montenegro

Nevenka Pavlovic, Serbia

Merita Berisha, Kosovo

Q&A

1245-1330 Lunch

1330-1400

Session 3:

Presentation of the European Cancer Information System - ECIS

Keynote speaker: Dr Nadya Dimitrova (BUL), Bulgarian National Cancer

Registry, Member of European Network of Cancer Registries Steering

Committee

Chair: Ass.Prof Boban Mugoša, Director of IPH of Montenegro

Rapporteur: Dr Alexandre Berlin, Member of SEEHN Executive Committee

Q&A

1400-1515

Session 4:

Available population based registries for NCDs

Status in the EU member States, members of the SEE Health Network:

Bulgaria - Dr Nadya Dimitrova (BUL), Bulgarian National Cancer Registry,

Member of European Network of Cancer Registries Steering Committee

Romania – Dr Carmen Ungurean(ROM), National Institute of Public Health

of Romania, National Screening Programme;

Croatia – Dr Mario Sekerija, Institute of Public Health of Croatia

Q&A


1530-1745

Session 4(Continuation):

Available population based registries for NCDs

Status in the non-EU Member States of the SEE Health Network, Kosovo* and Turkey

Alban Ylli, Albania

Inbar Cuker, Israel

Dance Gudeva Nikovska , The former Yugoslav Republic of Macedonia

Olga Cernelev, Moldova

Rajko Strahinja and Dragan Likic, Montenegro

Aleksandra Vlacic, Serbia

Ilir Begoli, Kosovo

Q&A

1745-1800

Conclusions of the first day


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Day 1 : 30 January 2015

900-945

Session 5:

Population based registry (Morbidity Sentinal Stations Programme) for NCDs in

Hungary

Prof.Dr.RozaÁdány, Department of Preventive Medicine. Faculty of Public

Health. University of Debrecen

Health Indicators on NCDs

WHO perspective

Dr. Fern Greenwell,PhD MPH, Division of Information, Evidence,

Research and Innovation, WHO Regional Office for Europe

Q&A


1000-1145

Session 6

Health Indicators on NCDs

EU member states:

Tatjana Buzeti(SLO), Centre for Health & Development, Murska Sobota

Dr Verica Kralj, IPH of Croatia

SEEHN member states:

Gordana Belamaric, Serbia

Elizabeta Zisovska, The former Yugoslav Republic of Macedonia

Avni Shlomit, Israel

Q&A

1145-1300 Lunch

1300-1430

Session 7:

Harmonization of the monitoring systems

Discussion on the potential minimal set of indicators to monitor and report in order to

have comparable data and coordinated successful regional response to NCDs and health

inequalities related to NCDs

“Round table” topic


1445-1615

Session 7(Continuation):

Discussion on the potential minimal set of indicators to monitor and report in order to have

comparable data and coordinated successful regional response to NCDs and health

inequalities related to NCDs

“Round table” topic


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1615-1745

Session 8:

Follow-up steps

Draft Decision/Conclusion/Recommendation to be submitted to the SEE Health Network

1745-1800 Closing of the workshop

This meeting is being organised by the Technical Assistance Information Exchange Instrument of the European

Commission http://ec.europa.eu/enlargement/taiex/index_en.htm/

TAIEX on Twitter:#EUTaiex [email protected]; Telephone: +32-2-296 73 07

http://ec.europa.eu/enlargement/taiex/index_en.htm/

mailto:[email protected]


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Annex 2.

LIST OF PARTICIPANTS

SPEAKERS LIST

1. Roza Adany, Department of Preventive Medicine. Faculty of Public Health. University of

Debrecen

2. Alexandre Berlin, Member, SEE Health Network Executive Committee

3. Tatjana Buzeti(SLO), Centre for Health & Development, Murska Sobota

4. Nadya Dimitrova (BUL), Bulgarian National Cancer Registry, Member of European Network of

Cancer Registries Steering Committee

5. Plamen Dimitrov, National Centre of Public Health, NFP for NCD for both WHO Europe and

SEEHN

6. Fern Greenwell, PhD MPH, Division of Information, Evidence, Research and Innovation, WHO

Regional Office for Europe

7. Enrique Loyola, WHO Regional Office for Europe

8. Carmen Ungurean(ROM), National Institute of Public Health of Romania, National Screening

Programme

LIST OF INTERNATIONAL PARTICIPANTS

1. Alban Ylli, Institute of Public health, Albania

2. Jonida Seferi, Ministry of Health, Albania

3. Nevila Caushi, Ministry of Health, Albania

4. Tonin Bushaj, Regional Hospital Lezha, Albania

5. Verica Kralj, Croatian National Institute of Public Health, Croatia

6. Ivana Brkić Biloš, Croatian National Institute of Public Health, Croatia

7. Mario Šekerija, Croatian National Institute of Public Health, Croatia

8. Davor Plažanin, Croatian National Institute of Public Health, Croatia

9. Inbar Zucker, Ministry of Health, Israel

10. Avni Shlomit, Ministry of Health, Israel

11. Igor Spiroski, Institute of Public Health of the Republic of Macedonia, FYR Macedonia

12. Nermina Fakovikj, Ministry of health, FYR Macedonia

13. Sanja Sazdovska, Ministry of health, FYR Macedonia

14. Dance Gudeva Nikovska, Ministry of health, FYR Macedonia

15. Elizabeta Zisovska, Agency for quality and accreditation of HC facilities, FYR Macedonia

16. Carolina Cerniciuc, Ministry of Health , Republic of Moldova

17. Olga Cernelev, National Public Health Centre, republic of Moldova

18. Gordana Belamaric, Ministry of Health, Republic Serbia

19. Ana Jovicevic, Institute for Oncology and Radiology of Serbia, Belgrade, Republic Serbia

20. Nevenka Pavlovic, Institute of Public Health of Belgrade, Republic Serbia

21. Aleksandra Vlačić, Ministry of Health, Republic Serbia

22. Mutlu Ince, Ministry for European Union Affairs, Turkey

23. Naser Ramdani, National Institute of Public Health, Kosovo

24. Merita Berisha, National Institute of Public Health, Kosovo


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25. Ilir Begolli, National Institute of Public Health, Kosovo

26. Gani Shabani, Ministry of Health, Kosovo

27. Mentor Sadiku, Ministry of Health, Kosovo

Remark: None of the participants from Bosnia and Herzegovina participated. Only one participant

from Turkey arrived for the event.

PARTICIPANTS FROM MONTENEGRO

1. Boban Mugosa, Institute of Public Health of Montenegro

2. Mensud Grbovic, Ministry of Health of Montenegro

3. Natasa Terzic, Institute of Public Health of Montenegro

4. Milica Stanisic, Institute of Public Health of Montenegro

5. Vladimir Janjevic, Institute of Public Health of Montenegro

6. Rajko Strahinja, Institute of Public Health of Montenegro

7. Djurdjica Ostojic, Institute of Public Health of Montenegro

8. Dragan Likic, Institute of Public Health of Montenegro

9. Adrijana Vujovic, Institute of Public Health of Montenegro

10. Jovana Vukovic-Lekovic, Institute of Public Health of Montenegro

11. Ljiljana Golubovic, Institute of Public Health of Montenegro

12. Veselinka Beatovic, Institute of Public Health of Montenegro

13. Zorica Djordjevic, Institute of Public Health of Montenegro

14. Ivana Joksimovic, Institute of Public Health of Montenegro

15. Rada Sparavalo, General Hospital Niksic

16. Igor Bjeladinovic, General Hospital Kotor

17. Valentina Kalinic, General Hospital Bar

18. Mirjana Nedovic Vukovic, Institute of Public Health of Montenegro

19. Snezana Radovanic, General Hospital Berane

20. Snezana Vujosevic, Clinical Centre of Montenegro

21. Olivera Boskovic, Clinical Centre of Montenegro

22. Aneta Boskovic, Clinical Centre of Montenegro

23. Mirko Saranovic, General Hospital Bar

24. Lea Riger, General Hospital Niksic

25. Milovan Kalezic, Clinical Centre of Montenegro

26. Dijana Asanović, Clinical Centre of Montenegro

27. Nebojsa Crnogorac, Clinical Centre of Montenegro

28. Danilo Martinovic, Clinical centre of Montenegro

29. Mirjana Djuranovic, Ministry of Health of Montenegro

30. Nina Milovic, Ministry of Health of Montenegro

31. Katarina Bogavac, Ministry of Health of Montenegro

Documents

EC TAIEX REPORT - SEEHNseehn.org/web/wp-content/uploads/2015/02/SEEHN_EC... · Original: English 10 February 2014 EC TAIEX REPORT OF THE MULTI-COUNTRY WORKSHOP ON MONITORING NONCOMMUNICABLE