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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
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WHO networks for implementation
Small Countries InitiativeRegions for Health Network
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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
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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
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Response to emergencies andpublic health threats
43
Photo: UNHCR/Y.Gusyev
Emergency response operations – Syrian Arab Republic
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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
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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
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Photo: WHO/Alex Shpigunov
Good progress towards elimination of measles and rubella
54
We need to maintain the momentum
Photo: WHO/Malin Bring
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Celebrating the achievements –European Immunization Week
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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
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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
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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
