Valentin Gavrilov Vice-Minister of Health of the Republic of Lithuania

EEE / Norway Grants Programme Operators meeting, 9 June, 2016 Vilnius

Programme LT11 and its coherence with public health needs in Lithuania

• Lithuania in brief (some social & health statistics)

• OECD main findings and key recommendations for promoting inclusive growth in Lithuania

• Programme LT11 and its coherence with national strategic documents and public health needs in Lithuania

Outline

Total population* (2015): ~2,92 mln.

Urban / Rural*, % (2015): 67,18 / 32,82

Males / Females*, % (2015): 46,08 / 53,92

Natality* (2015): 11,0 per 1000 population

Mortality* (2015): 14,4 per 1000 population (urban – 12,6; rural – 16,0)

Natural increase* (2015): -3,4 per 1000 population

Net international migration* (2014): -4,2 per 1000 population

Infant mortality* (2015): 4,1 per 1000 live births

Average life expectancy*: LT (2014): 74,59 (male – 69,13, female – 79,88; urban – 75,57, rural – 72,74); EU-28 (2013): 80,6

Education level**:

~93% of Lithuanians have at least secondary education (74% average in the EU-28),

~34 % of Lithuanians hold a higher education qualification (27,7% average in the EU-28)

At-risk-of-poverty rate**, % (2014): LT: 27,5; EU-28: 26,1;

Unemployment rate **, % (2014): LT: 10,7, youth unemployment rate – 19,3; EU-28: 10,2, youth unemployment rate – 22,2

Sources: *Statistics Lithuania, ** Eurostat

LITHUANIA in numbers

<…> Inequality and poverty rates are high, job

satisfaction and life expectancy are low while emigration is high

PROMOTING INCLUSIVE GROWTH MAIN FINDINGS

Lithuanian well-being indicators

Source: 2016 OECD economic assessment of Lithuania,http://www.oecd.org/eco/surveys/Lithuania-2016-overview.pdf

Difference in life expectancy at birth between EU Member States and the EU average, 2010, by sex

Source: European Commission Report

Health inequalities in the EU

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SDR, suicide and self-inflicted injury, all ages, per 100 000, 2011-2014 average

Municipality average Lithuania average EU 2011-2013 average

14-29 age suicide number

Percent from total number

2010 158 15,5%

2011 152 14,9%

2012 124 13,4%

2013 183 16,9%

2014 156 16,8%

Average 15,5%

Source: WHO, Institute of Hygiene; calculations prepared by Health economics centre

Good situation in children and adolescent health behaviour in relation with: Having good communication with parents (especially

with mothers) Feeling peer support Relative low usage of cannabis Relative low obesity and overweight Relative low early sexual intercourse

Bad situation in children and adolescent health behaviour in relation with: Bullying and cyberbullying Medically attained injuries Early smoking Early consumption of alcohol and being drunk > 2 times Low daily consumption of fruits High consumption of soft drink

Health behaviour of Lithuanian children and adolescent, HBSC

PROMOTING INCLUSIVE GROWTH KEY RECOMMENDATIONS

<…> Further promote healthy lifestyles and primary

health care, especially in rural areas through GPs, greater role of nurses and recently established network of municipal public health bureaus

adopted by the Parliament, prepared on basis of comprehensive analysis of implementation of former LHS based on WHO Health2020 and successful experience of EU countries; open consultation with different policy sectors and social partners annual, mid-term (2020) and final (2025) evaluation and reporting , submitted to the Government and the Parliament

Strategic aim: better public health, longer healthy life, reduced inequalities in health

1. Create safer social

environment, reduce

health inequities and

social exclusion

2. Create healthy

working and living

environment

3. Develop

cultre of

healthy

lifestyle

4. Ensure quality,

accessible and

public needs meeting

health care

1.1. reduce poverty and unemployment rates

1.2. reduce social and economic inequalities on national and

community levels

Target indicators until 2025:

1. ALE – 77,5; (74,59 (2014)

2. Difference of female and male ALE (by decreasing male ALE) – 8y; (10,75 (2014)

3. Mortality due to suicide per 100 000 population – 12; (31,71 (2014)

4. Decrease of deaths due to natural cold – 20%;

5. Percent of people at risk of poverty and social exclusion – reach EU-28

(2014) LT: 27,5, EU-28: 26,1

Lithuanian Health Strategy for 2014-2025

Public Health Development Programme for 2016-2023

Strategic aim: extend healthy life expectancy (HALE) at birth

1. Improve physical

and mental health,

promote healthy

lifestyle, increase

health literacy

2. Create safe and

healthy living and

working environment

3. Improve access

and quality of public

health care services

4. Ensure

sustainability of

public health care

system

- Promotion of healthy life-style of children and youth, improvement of health literacy over the life course,

- Development of youth-friendly health care services,

- Use of "Health in all policies" approach to improve public health and reduce health inequalities

are among priority objectives

Norway Grant Programme LT11 –

investments to improve children and youth health

and reduce health inequalities

Improvement of the provision of health care services in schools and pre-school education institutions

Development and implementation of the National Child Health Monitoring Information System

Development and implementation of the Model for provision of youth-friendly health care services

Development of the Model for strengthening of the capacities to identify and reduce health inequalities

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