Health information, evidence, research and innovation in the WHO European Region

Division of Information, Evidence,

Research and Innovation (DIR)

Health information, evidence,

research and innovation

in the WHO European Region



European Health Information Initiative (EHII)• Provides overarching guidance for

health information activities WHO

Europe;

• Multi-partner network;

• Goal: Integrated health

information system for Europe;

• 5 Steering Group

meetings held to date.



Malta:Chairing Small

Countries Health

Information

Network

The EHII participants (25 participants)

Turkey:1. Hosted first

autumn

school Oct

2013

2. Chairing

strategy sub-

group

Poland:Hosted autumn

school Oct 2014

European

Commission

OECD

Lithuania:Established PhD

programme in EIP

Kazakhstan & Kyrgyzstan:

Staff & infrastructure for regional health

information network in CAR countries

Russian Federation:1. New WHO Collaborating

Centre on health information;

2. Hosted Autumn School 2015

UK:1.WHO

Collaborating Centre on Health 2020 indicators (Manchester)

2. Public Health England

Switzerland:WHO

Collaborating

Centre Swiss

Tropical & Public

Health Institute





Health 2020 targets

• Reduce premature mortality

• Increase life expectancy

• Reduce inequities

• Enhance well-being

• Achieve universal health coverage

• Establish national targets set by Member States



The SDGs and Health 2020

are fully aligned



Cultural contexts of well-beingExpert Group on Cultural Contexts

of Health and Well-being• Explore different types of qualitative evidence more

fully;

• Commission further work in the area of culture and

health, including policy briefs and tool kit for policy

makers;

• Investigate cultural contexts of health more

systematically;

• Use a multisectoral and multidisciplinary integrated

research approach.



How does WHO report

on these indicators?

• Annual report of the Regional Director;

• Annual European ‘Core Health Indicators’;

• ‘European Health Statistics’ (mobile app);

• New EURO health information web-portal;

• The European health report (every 3 years).


Research and Innovation (DIR)portal.euro.who.int





Publication 2016:

GreeceMoldovaSlovenia

Next in line:

BulgariaGeorgia

Russian Federation



Disseminating health information:

EURO public health journal• Aimed at dissemination of good

practices and successful

implementation of

evidence-informed policies;

• Bi-lingual (English/Russian);

• Peer-reviewed;

• Four issues per year;

• All issues are theme-based.

Special theme for Regional Committee 2016:Health information and evidence



The 4 key action areas:1. Strengthening health information systems, harmonizing

health indicators and establishing an integrated health information system for the European Region;

2. Establishing and promoting health research systems to support the setting of public health priorities;

3. Increasing country capacities for the development of evidence-informed policies (knowledge translation);

4. Mainstreaming the use of evidence, information and research in the implementation of Health 2020 and other major regional policy frameworks.

For adoption and resolution on

Thursday



Where next with SDGs,

Health 2020 and

well-being?

• Further develop well-being indicators;

• Progress with cultural context of health and

well-being;

• Report on the new concepts of Health 2020;



Wanted: new evidence for the 21st century

WHO expert group reconvened recently



Where next with SDGs,

Health 2020 and

well-being?• Further develop well-being indicators;

• Progress with cultural context of health and

well-being;

• Report on the new concepts of Health 2020;

• Quantify more of the Health 2020 targets;

• Consider a joint monitoring frameworks

for Member States in a WHO one-stop shop;


Research and Innovation (DIR)Thank you,

Danke, Merci, Спасибо



EXTRA SLIDES

only to be shown if questions arise



Health Information Networks in Europe

• Launched in

European

Region in 2012;

• Uses multi-

stakeholder

country teams

to translate

research

evidence in

policy-making;

• Now “live” in

19 countries.

Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan,

Uzbekistan



Small Countries Health Information Network• Initiative of the Minister of Health,

Malta;

• 8 countries agreed to establish health

information network;

• Terms of Reference and Scope and

Purpose for network agreed;

• Malta chairing the network in phase 1;

• First meeting held 3-4 March 2016 in

Malta, and work plan established;

• Developing joint indicator list for

reporting on HSPA and Health 2020.



What makes a good indicator for

Health 2020: results from the expert group• High validity and reliability;

• Available for majority of countries;

• Not already capture in other monitoring frameworks;

• Ideally should be routinely reported;

• One indicator that serves several targets;

• Data accompanied by meta-data;

• All rates age-standardized;

• Indicator data reported disaggregated, i.e. by age,

gender, ethnicity, socio-economic strata, vulnerable

groups, sub-national;

• Comparable across the region.



0% 10% 20% 30% 40% 50% 60% 70%

No

Yes, included elsewhere

Yes, stand alone

Policy addressing health inequity or social determinants of health existsAll answers (n=31 and 36 for 2010 and 2013, respectively)

2013

2010

0% 10% 20% 30% 40% 50% 60%

No, and not planned for the future

No, but planned for the future

Indicators defined

Targets defined

National or subnational target setting process exists

All answers (n=31 and 36 for 2010 and 2013, respectively)

2013

2010

0% 10% 20% 30% 40% 50% 60% 70%

No and not planned for the future

No, but planned for the future

Yes, another strategy

Yes, comprehensive health policy

National health policy is aligned with H2020All answers (n=31 and 36 for 2010 and 2013, respectively)

2013

2010

0% 10% 20% 30% 40% 50% 60%

No, and not planned for the future

Yes, in process

Yes, adopted

There is a health policy accountability mechanism in placeAll answers (n=31 and 36 for 2010 and 2013, respectively)

2013

2010

Source: WHO. Qualitative indicators for Health 2020 policy targets monitoring, 2014

Country Health 2020 implementation

On-line survey conducted by EURO



One

vision

and goal

4 guiding

principles

4 key

action

areasExpected

results

Deliverables

Key

targets

and

indicators

Proposed

actions

Timeframe of 5 years

Monitoring and Evaluation

European action plan to strengthen the use of

evidence for policy making: Local knowledge and evidence for local policy



Health 2020 monitoring framework –

targets and core indicatorsReduce premature

mortality

Premature CVD, cancer,

diabetes and chronic

respiratory mortality *

Increase

LE

Tobacco use

Alcohol consumption

Overweight and obesity*

Vaccination coverage

External causes mortality*

LE at

birth*

Reduce

inequalities

IM*

LE at birth*

Primary school

enrolment*

Unemployment

rate*

National

inequality

policies

GINI

Enhance

well-being

Life satisfaction*

Availability of

social support

UHC &

“right to

health”

OOP as %

THE

Vaccination

coverage

THE %

GDP

National

targets

Process for

target

setting

established

Evidence

documenting:

- National

polices

aligned with

H2020

-

Implementati

on plan

- Accounta-

bility

mechanism* Disaggregated by sex

Improved

sanitation facilities

GINI

Unemployment

rate*

Children not

enrolled in school*

Date post:	21-Jan-2018
Category:	Healthcare
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Health information, evidence, research and innovation in the WHO European Region

Healthcare