Promoting health, reducing health inequities and foster regional

development: the WHO Health 2020 approach and its relevance at

subnational level Mr Erio Ziglio

Head of the WHO, European Office for Investment for Health and Development [I]

7 Reflections

Context

Outline

Framework

A fast changing world….

Kiruna, 2014

A fast-changing European context for health

“…Health promotion is the process that enable people to have control over the determinants of their health” (WHO, Ottawa Charter, 1986)

Promoting health and reducing inequities

Different paths…

Source: Norwegian Ministry of Health Care Services, 2007

Lisbon Glasgow

Budapest Moscow

Health inequities not just a national issue...

7 Reflections

Framework

Context

Health 2020: A Framework for Promoting Health and reducing health inequities

www.euro.who.int/en/health-topics/health-policy/health-2020-the-european-policy-for-health-and-well-being/publications/2013/health-2020.-a-european-policy-framework-and-strategy-for-the-21st-century

2 Strategic Objectives • Health promotion and reduction of

inequities • Strengthening the governance for health

Health 2020 and its scientific backing

Context

The RHN: Göteborg Manifesto

1. foster and sustain regional commitment

2. secure policy coherence

3. develop skilled human resources

4. to scale up from isolated regional projects

5. to foster long-term regional investment

10 Regional Know-how

6. strengthen regional health systems

7. increase capacity for regional health diplomacy

8. create incentives for regional whole of government approach

9. develop knowledge transfer among regions

10. reposition health within regional development

10 Regional Know-how

Framework

7 Reflections

Context

In which type of society do you want your child to be born, to play, grow, work and age?

1. What society do we want?

Socially equitable and inclusive Economically viable Politically participatory Ecologically sustainable Responsive and health-promoting

Source: adapted from I. Kickbusch, 21 September 2013, Address to the Annual conference of the WHO Healthy Cities network

2. Resilient communities

• Where do we “produce” health in our country and community?

• What strategy delivers the highest equitable health gains for our population?

• What strategy delivers good results in promoting health and gives value-added to local/national development?

3. Key to have a strategic plan

4. Performing policy sectors

Intersectoral incentives, innovative practices

• Integrated Budgets • Joint-post funding

MORE LESS

5. Think of “assets” non only of “deficit”

Assets have different levels of impact

City System Community Individual

ASSETS ASSETS ASSETS ASSETS

Deficits L

H Assets

H

H

Minimizing Needs, Maximizing Assets

Our community

H: High L: Low

Health

Economic Development

Social Development

6. Reposition health within development

7. Communities that are sustainable, just and in good health