Report on the work of theWHO Regional Office for

EuropeDr Zsuzsanna Jakab

WHO Regional Director for Europe

Better health for EuropeMore equitable and sustainable

The new global framework:United Nations 2030 Agenda for Sustainable Development

4

5

Towards a roadmap for implementation ofSDGs in the Region

Health at the heart of national development

Health 2020 indicators for reporting and follow-up

7

A joint monitoring framework forHealth 2020, NCDs, and SDGs

8

AlcoholEducational attainmentHealth expenditureHousehold consumptionMortalityReducing income inequalitySanitationSmokingSocial supportTB treatmentUnemploymentVaccination

Together, we have achieved a lot Photo: WHO /Sergey Volkov

We are on track towards a healthier Europe

10

Premature mortalityLife-expectancy

11

Yet challenges remain

12

New platform.WHO led coalition for health for SDGs

Addressing ALL health determinants

Intersectoral action is key to progress

• Strengthening accountability for health

• Implementation of Health in All Policies (HiAP)

14

Promoting intersectoral action

15

Paris, France, December 2016

Photo: Florent Lamoureux

Pre-meetingParis, France, July 2016

High-level meeting on promoting intersectoral and interagency action for health and well-being

16

Photo: Bernd Thaller

Shangai, China, November 2016

9th Global Conference on Health Promotion

17

Photo: Fotolia

A focus on inequitiesLeaving no one behind

WHO European status report on health equity

Working with the UN system

20

WHO networks for implementation

Small Countries InitiativeRegions for Health Network

21

WHO European Healthy Cities Network

Kaunas, Lithuania - September 2016

Regions for Health Network

Photo: Gytis Cibulskis

22

Principality of Monaco - October 2016

Small Countries Initiative

Photo: Salvatore Freni Jr

23

WHO collaborating centres play a vital role

24

Organizational alignment for implementation of Health 2020

25

Social, economic and environmental determinants of health

Health equity

Good governance

WHO European Centre for Environment

and Health

Bonn, Germany

WHO European Office for Investment for Health and Development

Venice, Italy

26

Refugees and migrants left behind

27

High-level meeting on refugee and migrant healthRome, Italy, November 2015

A strategy and action plan for refugee and migrant health

28

Photo: Christian Gapp

Environment and health in the European Region

Photo: Christian Gapp

UNECE ConferenceBatumi, Georgia

Eighth Environment for Europe Ministerial Conference

The Sixth Ministerial Conference on Environment and Health

Ostrava, Czech Republic, 13-15 June 2017

Photo: Lubomír Walder

31

Transport, Health and Environment Pan-European Programme (The PEP)

32

Photo: WHO/Malin Bring

Andrä Rupprechter, Federal Minister for Agriculture, Forestry, Environment and Water Management, Austria, and Dr Piroska Östlin, Director of the Division of Policy and Governance for Health and Well-being.

Multi sectoral collaboration pays off – the example of The PEP

Photo: Florian Köfler

33

Health emergencies

strengthening preparedness,

surveillance and response

WHO reformed its work in health emergencies: One Programme

One workforce

One workplanand budget

One set of processes

One line of accountability

One admin. system

Addressing the full cycle of health emergencies

36

Preparedness

Response

Recovery

Prevention

Aligning our structure, staffingand processes

37

Testing new procedures – Zika virus disease

38

Preparedness and building IHR core capacities

39

Photo: WHO/Jan-Ole Rasmussen

IHR core capacity assessment, monitoring and evaluation

40

State Party annual

reporting (mandatory)

After-action reviews

(voluntary)

Simulation exercises

(voluntary)

External evaluations (voluntary)

Revised IHR M&E

Framework

IHR core capacity assessment, monitoring and evaluation

41

IHR joint external evaluation , Armenia IHR joint external evaluation, Albania IHR joint external evaluation, Turkmenistan

Regional Office on constant alert – health emergency information and risk assessment

42

Response to emergencies andpublic health threats

43

Photo: UNHCR/Y.Gusyev

Emergency response operations – Syrian Arab Republic

44

Emergency response operations – Ukraine

45

Infections hazard management

46

The Region leads in tackling antimicrobial resistance

47

A workshop for strengthening the national Central Asian and Eastern European Surveillance of Antimicrobial Resistance

(CAESAR) networkThe former Yugoslav Republic of Macedonia

Map of CAESAR progress

United Nations General AssemblyNew York, United States, September 2016

Antimicrobial resistance at the United Nations General Assembly

48

Antibiotic Awareness Week, November 2016

49

Her Royal Highness Crown Princess Mary of Denmark

Combating communicable diseases

Photo: WHO/Alex Shpigunov

Together, we have eliminated malaria

Together, we have eliminated malaria

Sustaining polio-free status

53

Photo: WHO/Alex Shpigunov

Good progress towards elimination of measles and rubella

54

We need to maintain the momentum

Photo: WHO/Malin Bring

55

Celebrating the achievements –European Immunization Week

56

Alarming situation regarding HIV

142, 000 new HIV infections in the WHO European Region in the last 12 months.

76% increase since 2005 in the Region.

57

We need to do more – “test and treat all”Number of people receiving ART and new HIV diagnoses, 2005-2015

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 20150

200000

400000

600000

800000

1000000

1200000

0

20000

40000

60000

80000

100000

120000

140000

160000 ART - Western and central Europe

ART - Eastern Europe and cen-tral Asia

New HIV cases - EECA

New HIV cases - Region

New HIV cases - West and Centre

New

HIV

case

s

58

Eurasian Harm Reduction Network high-level regional meeting on domestic funding of HIV and TB response in eastern Europe and central Asia

Photo: EHRN/Lina Fisheye

59

Renew our commitments – European action plan for the health sector response to HIV

Eliminating mother-to-child transmission of HIV and syphilis

60

Armenia The Republic of MoldovaBelarus

Responding to viral hepatitis

61

Ending tuberculosis in our lifetimes

Tuberculosisincidence

rate

Since 2000, reversed trend

Fastest annual decline in the world:

4.0% annually (2000–2014)

62

340 000 new TB cases annually

33 000 deaths annually

Accelerate the implementation of the regional tuberculosis action plan

7th Conference of the International Union Against TB and Lung DiseasesSlovakia, June 2016

63

Thelife-course approach – focusing on a healthy

future

64Photo: Dyulyukova Anastasia Petrovna

The Minsk Declaration

65

Targeted health interventions for a healthier start

66

Violence against women must stop

Photo: European Parliament

1 in 4 women subject to violence from her intimate partner once in her lifetime.

1 in 10 women subject to non-partner sexual violence.

Photo: WHO/Malin Bring

Sexual and reproductive health – decrease in abortions

1990-94 2000-04 2010-140

102030405060708090

100

EuropeEastern EuropeNothern Europe

Source: Lancet, 2016.

Estimated abortion rates per 1000 women 15–44 years old by geographic area and time period

69

Noncommunicable

diseases

Photo: WHO/Malin Bring

Noncommunicable diseases –a health priority

71

Office for theProject on the prevention and control of

noncommunicable diseases (NCDs)

Moscow, Russian Federation

Progress on tobacco control

72

Protocol to eliminate illicit tradein tobacco products

73

A mixed picture and challenges on alcohol

Alcohol consumption in the WHO European Region decreased

11% between 1990 and 2014.

However, alcohol-attributable deaths increased by 4%.

74

New publications on harm from alcohol consumption

75

Good news on elimination of undernutrition

76

A worrying picture of childhood obesity

77

A worrying picture of childhood obesity

78

Injuries – we have to reduce inequalities for a safer Europe

79

1980 1985 1990 1995 2000 2005 2008 2009 2010 2011 2012 20130

50

100

150

200

European Region EU CIS

Deaths from injuries, all ages, in European RegionDe

aths

per

100

000

Inequalities in reaching the road safety goals

Age-standardised road traffic injury mortality rates by quintiles, 2013

80

Strengthening people-centred health systems

and public health capacity

Photo: WHO/Malin Bring

Moving towards universal health coverage

82

Photo: WHO/Malin Bring

Celebrating 20 years of the Ljubljana Charter

83

Celebrating 10 years of the Tallinn Charter

84

Photo: Erik Peinar

Revitalizing health systems performance assessment

85

Health system governance –transforming health systems

86

Meeting on Implementation of Health System Transformation

Spain, December 2015

Innovations for better health outcomes

87

Intercountry high-level meeting on health systems strengthening for enhanced tuberculosis prevention (TB)

and care, Denmark, April 2016

Intersectoral high-level dialogue focuses on increasing efficiency and effectiveness of primary care services for

noncommunicable diseases, Belarus, July 2016

Primary health care and public health must work together

Photo: WHO/Alex Shpigunov

Areas of key focus

1. Integration of public health into primary care

2. Integration of primary care and social care

3. Better coordination between primary care and hospitals.

88

European Centre for Primary Health Care

Almaty, Kazakhstan

89

A broad range of courseson health systems

WHO Barcelona Course on Health Financing for Universal Health CoverageBarcelona, Spain, 14-18 March 2016

WHO Barcelona Course on Health Systems StrengtheningFocus on Noncommunicable Diseases

Barcelona, Spain, 9-13 May 2016

90

Health financing – monitoring out of pocket payments

91

France

Luxe

mbourg

Sloven

ia

Denmark

Sweden

Austria

Irelan

d

Finlan

dIta

ly

Poland

Hunga

ry

Portug

alMalt

a

Greece

Russia

n Fed

Roman

ia

Belarus

TFYRM

Kyrgyz

stan

Uzbek

istan

Kazak

hstan

Albania

Georgi

a

Azerba

ijan

0

5

10

15

20

25

30

35

40

45

50

55

60

65

70

75

OO

Ps

as a

% o

f tot

al s

pend

ing

on h

ealth

<15% SAFE

WARNING

DANGER ZONE

Policy options for affordable medicines

Photo: Olli Hakamies Photo: Luka Breneselovic

92

Health information, evidence and research for policy and action

The European health report 2015 –the most popular publication

94

Enhanced availability and dissemination of health information

95

Enhanced availability and dissemination of health information

96

New series of country profiles and highlights on health

97

Health information networks are growing

98

4th EVIPNet multi-country meetingRepublic of Moldova, June 2016

99

Health information networks are growing

European action plan for evidence informed policy making

100

Seventh meeting of the European Advisory

Committee on Health Research

Copenhagen, Denmark, April 2016

A partnership on e-Health

101

Annual course on health information and evidence for policy

Autumn School of Health Information and Evidence for PolicyRussian Federation, October 2015

Advanced Course on Health Information and Evidence for PolicyCyprus, June 2016

102

Advancing WHO reform and financial sustainabilit

y

Partnerships for improved health and policy coherence

104

Working with and for countries

105

“Health Central to Climate Change Action”

21st annual session of the Conference of the Parties (COP21) to the United Nations Framework Convention on Climate Change

(UNFCCC)

France, December 2016

106

Photo: IISD/ENB

Working with and for countries

107

Working with and for countries

108

Working with and for countries

109

Working with and for countries

110

Working with and for countries

111

Working with and for countries

112

Working with and for countries

113

114

Better health for EuropeMore equitable and sustainable