HEALTH POLICY OF THE LIBEREC REGION

Conference CEEC ISEE27. – 29. November 2007, Čeladná, Czech Republic

Dr. Vladimír Valenta & Ing. Jana KučerováRegional Public Health Authority of the Liberec region

Health Policy of the Liberec Region –

long-term programme for improving health status

STRATEGY of Development of the Liberec Region

Human resourses

SWOT analysis – weaknesses Areas with high unemployment Discrepancy between the structure of education and

market demands Areas with low social stability Areas with below average level of education Lack of financial means for life-long education, culture

and sport Absence of health and social policy of the region Insufficient variety and capacity of social services Absence of housing development policy Unsatisfactory intersectorial communication

Strategic goals and measures to realise them

Human resoursesMain goal:Increasingly developing level of the life of inhabitants ofthe region

Other goals:Healthy, skilled and socially stable population, valuablebackground for life

Draft of the available measures to achieve these goals:Formulation and wide acceptance of the regionalhealth policy based on the health status of our inhabitantsand the programme WHO Health 21

Preparatory works of the Health policyestablishing of working group for the preparation of the Health policy

choosing of goals for the realization of the Health policy

appointment of particular co-ordinators

creating of draft of Health policy

remainds proceeding

introduction of the draft of the Health policy to the Regional Assembly

analysing of the sitution in the Liberec region

Health policy of the Liberec region - contents

Introduction………………………………...................................................................2 Working group ………………………….....................................................................4 Healthy childhood and young age…………………………………..………………..5 Health of youth………………………………............................................................17 Healthy ageing………………..……............................................................................20 Mental health improvement…..……………………………………………………..33 Prevention of infectious diseases……………………...……………………………..28 Reduction of incidence of non-infectious disesases………………………………....43 Reduction of incidence of injuries caused by violence and accidents………...…...57 Healthy and safe environment……………..………………………………………...70 Hellthier lifestyle………………………………..…………………………………….86 Reducing of damages caused by alcohol, drugs and tobacco use………………....108 Healthy living conditions…………………………………………………………….123 Multi-sectoral responsibility for health …………………………………………….128 Integrated health care sector………………………………………...........................131 Managing for quality of care…………………………………………………………131

150 detailed activities, some of those are as follows:

To develop system of long term follow-up of children with congenital defects

To include the care for old people in conception of health and social affairs

of communities

To provide examination of VHB and VHC markers in groups with risky

behavior

To establish a clinical oncologist centre in Liberec city

To promote positive changes of lifestyle in diabetic patients

To develop programme of prevention of injuries at schools

To identify local health risks from water, soil and air pollution and to

determine priorities for solution of problems

To support principles of healthy nutrition

To realize campaigns on smoking control e.g. Quit and Win, to arrange

Weeks of Physical Activity and exercises for mothers and babies

To increase knowledge of public about risks of home environment….etc. etc.

Resolution No. 221/02/RA

Draft of the Health Policy of the Liberec Region

The Regional Assembly appreciates the working group led by MUDr. Vladimír Valenta and thanks it

for preparing this draft andapproves

„Draft of the Health Policy of the Liberec Region“and orders

the creation of an efficient system of support for the realization of the health policy.

Grants in the field of public health provided by RA of the LBC R (examples)

Název grantu Žadatel Skutečné náklady Podíl LK na skut.projektu v Kč přiznaná vyplacená rozdíl nákladech v %

G 20/2 Územní organizace Kapka krve Svazu diabetiků 11853,- 8 800,- 8 800,- 0,- 74,24

Jablonec nad NisouG 20/5 ARCUS - Onko centrum

Edukační centrum - ediční a inf. Česká Lípa 336 877,70 190 300,- 183 261,- 7 039,- 54,40%činnost v rámci Onkoinfocentra

G 20/6 KN LiberecOnkologické edukační centrum 29 999,90 14 000,- 14 000,- 0,- 46,67%

G 20/7 Česká alzheimerovkáZřízení pobočky ČALS společnost Praha 146222,- 102 300,- 81 591,88 20 708,12 55,80%

v Libereckém krajiG 20/8 ROSKA Liberec

Rekondiční pobyt 64122,- 13 900,- 13 145,- 755,- 20,50%roztroušená skleróza

G 20/9 ROSKA Česká LípaRehabilitační ozdravný rekondiční 56 975,30 13 700,- 13 700,- 0,- 24,05%pobyt pro postižené skler. multipl.

3 634 572,80Částka z rozpočtu LK v Kč přiznaná 1 543 000,00

vyplacená 1 332 873,88rozdíl 210 126,12

Skutečné náklady projektů v Kč celkem

Částka z rozpočtu LK v Kč

Permanent working

group for the realization of

the health policy

MUDr. Vladimír Valenta, ředitel KHS – předseda

Ing. Tomáš Sláma,předseda výboru pro zdravotnictví zastupitelstva kraje

Ing Jiří Benedikt, vedoucí odboru zdravotnictví KÚ LK

Hana Jelínková Bc., odbor zdravotnictví

Barbora Krausová ,Výbor pro zdravotnictví zastupitelstva kraje

Doc.MUDr. Jaroslav Kříž, Státní zdravotní ústav Praha

MUDr. Jindra Vejrychová, Krajská nemocnice Liberec

MUDr. Radka Drašnarová, stomatolog

MUDr. Martin Zítek, Krajská nemocnice Liberec

Kateřina Gruntová DiS., krajský protidrogový koordinátor

MUDr. Ludmila Truhlářová, KHS Libereckého kraje

MUDr. Věra Tučková, KHS Libereckého kraje

MUDr. Lumír Tauš,Csc., Krajská nemocnice Liberec

MUDr. Jiří Bartoš, Krajská nemocnice Liberec

Mgr. Dana Maňhalová , ZÚ Liberec

MUDr. Jana Prattingerová, KHS Libereckého kraje

Ing. Jana Kučerová, KHS Libereckého kraje

MUDr. Alena Jiroudková, Krajská nemocnice Liberec

MUDr. František Holm, Krajská nemocnice Liberec

Ing.Giljana Pavlovová ÚZIS Liberec

Ing. Milan Trpišovský MBA, Nemocnice Jablonec nad Nisou

Resolution of the Regional Council

The Regional Council after discussion takes into account Annual Report of the Working Group

for the Realization of the Health Policy

Health status report

Obsah

Úvod…………………………………………………str.1 Obsah………………………………………………. str.2 Definice pojmů…………………………………….. str.3

1. Střední délka života………………………………. str.4 – 5 2. Úmrtnost…………………………………………… str.6 2.1. Novorozenecká úmrtnost………………………… str.6 – 7 2.2. Kojenecká úmrtnost………………………………. str.8 – 9 2.3. Standardizovaná úmrtnost………………………. str.10 – 14 2.4. Standardizovaná úmrtnost podle diagnos…….. str.15 2.4.1. Kardiovaskulární on. – úmrtí…………………….. str.15 – 20 2.4.2. Nádorová on. – úmrtí…………………………….. str.21 – 26 2.4.3. Poranění,úrazy a otravy – úmrtí………………… str.27 – 30 2.4.4. Úmyslné sebepoškození – úmrtí………………. str.31 – 35 3. Nemocnost……………………………………….. str.36 3.1. Kardiovaskulární onemocnění hospitalizovaní str.37 – 38 3.2. Novotvary…………………………………………. str.39 3.2.1. Incidence novotvarů…………………………….. str.39 – 41 3.2.2. Hlášená nová onemocnění podle diagnos ….. str.42 3.2.2.1. Novotvary prsu……………………………………. str.42 – 43 3.2.2.2. Novotvary plic…………………………………….. str.44 – 49 3.2.2.3. Novotvary konečníku…………………………….. str.50 – 54 3.2.2.4. Novotvary tlustého střeva……………………….. str.55 – 59 3.2.2.5. Novotvary kůže…………………………………… str.60 – 64 3.3. Diabetes………………………………………….. str.65 – 68 3.4. Pracovní neschopnost…………………………… str.69 – 73 3.5. Nemoci z povolání……………………………….. str.74 – 76 3.6. Alergie……………………………………………… str.77 – 81 3.7. Infekční choroby………………………………….. str.82 – 85 4. Rizikové faktory v populaci……………………… str.86 4.1. Životní styl………………………………………… str.86 4.1.1. Kouření……………………………………………. str.86 4.1.2. Alkohol…………………………………………….. str.87 4.1.3. Drogy………………………………………………. str.88 – 91 Závěry…………………………………………….. str.92

Health policy as a part of the whole development and strategical documents

The solution lies in goal number 14 of the Health policy

„Multi-sectoral responsibility for health“

Regional Assembly

t a k e s d u e n o t e o f

“Health – a capital for social and economic regional development“ workshop resolutions. The workshop took place on 9th and 10th May 2005 under the auspices of the World Health Organization, according to the reasoned report,

and

imposes liabilities on

1. Ing. Jiří Bezoušek, Head of Economic and Regional Development Department, to

a) ensure cooperation with other heads of departments in order to implement all conclusions into Liberec regional development documents.

b) submit, to the Regional Assembly, a system evaluating Liberec regional development documents, based on the approved Liberec regional public health policy.

2. Jiří Benedikt, Head of Public Health Care Department, to

submit, to the Regional Assembly, a proposal that will change the status of the “Working Group” implementing Liberec regional public health policy, in order to establish a closer coordination in preparing Liberec regional development documents.

Regional Assembly Resolution

Aim:

To put in place a permanent system assessing development documents that will ensure and enforce health care in and around the region of Liberec. Also to develop an awareness and understanding by citizens that the potential for good health is additionally influenced by social, economic and environmental factors as well. This system will ensure that all sectors will share in this responsibility for health. The ultimate aim is to improve personal health according to an approved regional health care policy.

Proposal for assessing Liberec regional development documents within the region’s

approved health policy.

Target groups: Health impact assessment methodology (HIA) supervisor and supervisor of HIA results methodology within the Liberec region’s health care policy. HIA Processor Development documents processors, beneficiaries and recipients Working group for implementing the health policy Public

Proposal for assessing Liberec regional development documents within the region’s approved health

policy.

Princip:Enforcement and implementation of the HIA method (health impact assessment) into the preparation of development documents (likewise in EIA), and a subsequent assessment of recommendations and conclusions resulting from it. This will mainly come from the approved Liberec regional health care policy.

Proposal for assessing Liberec regional development documents within the region’s approved health

policy.

Activities:Processors, beneficiaries, and possible recipients will go through HIA training method. HIA will become an irrevocable part of the document preparation and assessment process which will be determined by the processor.

Working groups implementing the Liberec regional health care policy will be integrated into the group of development documents adjudicators

Proposal for assessing Liberec regional development documents within the region’s approved health

policy.

Resolution no.1282/05/RC

Regional council approves the proposal for assessing Liberec regional development documents within the approved regional health policy a lays duties on:

Head of Public Health Care Department to Process the metodology of HIA method training Process the method of assessing using the approved

health care policy viewpoint

Head of Economic and Reg. Development Dep.to Embed the HIA into selected regional development

documents

Resolution no. 1034/06/RC

Regional Council after discussing the submitted material approves the system identifying the HIA results conforming with the regional approved health policy and authorizes to ensure processing HIA into the conclusion of developing documents and submit proposals of these documents with the incorporated HIA to the health department to be assessed by the health policy working group to ensure the documents conformity with the Liberec regional approved health policy.

The workshops “The impact of strategic and conceptual materials and policies on health

assessment.“

The first workshop took place between the 9th -11th

October 2006

Contents of this workshop: implementation of health into development and strategic documents, health factors – air, water, noise, mental health and social health factor, guidelines of HIA

The workshops “The impact of strategic and conceptual materials and policies on health

assessment.“

Second workshop took place on the 29th

October 2007

Contents of this workshop: implementation HIA in documents from position of processors and addressees, experience from Netherlands, local guidelines of HIA

Evaluation of the resolution

1.Strategy of the development 2002: 2 links on the Health policy

2.Programme of the development of Liberec Region- 2004: 4 links

3. Programme of the development of Liberec Region- 2007: 12 links

Declaration of the Health Policy

Passive taking-over of goals and particulare tasks of the Health Policy into the strategy

Multisecture active implemantion of goals and particulare tasks of the Health Policy and support by its realization

Evaluation of the resolution

Time’s up, thank you for your attention