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

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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!