Regional Committee for Europe EUR/RC68/5 Rev.1 68th session + EUR/RC68/Conf.Doc./1 Rev.1 Rome, Italy, 17–20 September 2018 31 August 2018 180470 Provisional agenda item 2(a) ORIGINAL: ENGLISH Leaving no one behind: report of the Regional Director on the work of WHO in the European Region in 2016–2017 This report highlights some of the most important work of the WHO Regional Office for Europe in 2016–2017 for better health in the WHO European Region. In 2016–2017, the WHO Regional Office for Europe responded to current political and social challenges, while carrying out its activities within the new global framework of the United Nations 2030 Agenda for Sustainable Development. This required the Regional Office to continue and intensify the approach and strategic directions it had pursued since 2010, when the WHO European Region adopted the WHO Regional Director for Europe’s new vision for health in response to changing circumstances and new challenges, and 2012, when it adopted Health 2020. WORLD HEALTH ORGANIZATION REGIONAL OFFICE FOR EUROPE UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark Telephone: +45 45 33 70 00 Fax: +45 45 33 70 01 Email: [email protected] Web: http://www.euro.who.int/en/who-we-are/governance EUR/RC68/5 Rev.1 page 2 Contents Abbreviations ............................................................................................................................. 4 1. Better health for Europe: more equitable and sustainable ...................................................... 6 Introduction ....................................................................................................................... 6 Greater need for broad intersectoral action on health and its determinants ...................... 7 Implementing the 2030 Agenda ........................................................................................ 9 Examples ......................................................................................................................... 17 2. Environment and health in Europe: multisectoral action pays off ....................................... 22 Sixth Ministerial Conference on Environment and Health: latest fruits of the European environment and health process ..................................................................... 22 Continuing partnership with UNECE ............................................................................. 24 Technical work ............................................................................................................... 25 3. Health emergencies: a unified approach .............................................................................. 31 Reform of WHO’s work in outbreaks and emergencies: walking the talk ..................... 31 Response to emergencies and public health threats ........................................................ 31 Helping countries prepare for health emergencies ......................................................... 37 Accelerating implementation of the IHR ........................................................................ 39 4. Antimicrobial resistance and communicable diseases: leadership, challenges and successes ................................................................................................................................... 40 European leadership on AMR ......................................................................................... 41 Combating communicable diseases: challenges and successes ...................................... 44 5. Applying the life-course approach and tackling NCDs: leaving no one behind .................. 58 Life-course approach, focusing on a healthy future ....................................................... 58 Combating NCDs and their risk factors .......................................................................... 62 6. Strengthening people-centred health systems and public health capacity ........................... 75 Work towards UHC ........................................................................................................ 75 Health system governance: transforming health systems ............................................... 77 Innovation for better health outcomes ............................................................................ 79 Alliance of primary health care and public health .......................................................... 81 Health financing .............................................................................................................. 83 A broad range of courses on health systems ................................................................... 85 Examples of work with countries: Greece and twinning work ....................................... 86 7. Health information, evidence and research for more effective policy and action ................ 88 Action Plan to Strengthen the Use of Evidence, Information and Research for Policy-making in the WHO European Region ............................................................... 89 Greater availability and dissemination of health information ........................................ 90 Strengthening health information systems and capacity ................................................. 93 8. Advancing WHO reform and financial sustainability .......................................................... 96 WHO reform ................................................................................................................... 96 EUR/RC68/5 Rev.1 page 3 Financial situation ........................................................................................................... 98 Partnerships for improved health and policy coherence ................................................. 99 Working with and for countries .................................................................................... 100 Strategic communications ............................................................................................. 102 EUR/RC68/5 Rev.1 page 4 Abbreviations AMR antimicrobial resistance ASPHER Association of Schools of Public Health in the European Region BCAs biennial collaborative agreements CAESAR network Central Asian and Eastern European Surveillance of Antimicrobial Resistance network CDC Centers for Disease Control and Prevention, United States of America COSI Childhood Obesity Surveillance Initiative EACHR European Advisory Committee on Health Research ECDC European Centre for Disease Prevention and Control ECHO European Commission Directorate-General for Civil Protection and Humanitarian Aid Operations EECA eastern Europe and central Asia EHP environment and health process ELI European TB Laboratory Initiative EU European Union EVIPNet Europe Evidence-informed Policy Network Europe FAO Food and Agriculture Organization of the United Nations FIFA Fédération Internationale de Football Association GOARN Global Outbreak Alert and Response Network GDOs geographically dispersed offices GPG Global Policy Group HBSC study Health Behaviour in School-aged Children study HEPA Europe European network for the promotion of health-enhancing physical activity HEN Health Evidence Network IARC International Agency for Research on Cancer IHR International Health Regulations ILO International Labour Organization IOM International Organization for Migration IPV inactivated polio vaccine LQSI tool Laboratory Quality Stepwise Implementation (tool) MDR-TB multidrug-resistant TB NCDs noncommunicable diseases NGOs nongovernmental organizations EUR/RC68/5 Rev.1 page 5 NIS newly independent States of the former USSR OIE World Organisation for Animal Health OPV oral polio vaccine OECD Organisation for Economic Co-Operation and Development PHC primary health care PIP Framework Pandemic Influenza Preparedness Framework polio poliomyelitis RHN Regions for Health Network SCRC Standing Committee of the Regional Committee SDGs Sustainable Development Goals SEEHN South-eastern Europe Health Network TB tuberculosis TB-REP TB Regional EECA Project TEACH-VIP2 Training, Educating and Advancing Collaboration in Health on Violence and Injury Prevention version THE PEP Transport, Health and Environment Pan-European Programme UHC universal health coverage UNAIDS Joint United Nations Programme on HIV/AIDS UNDG United Nations Development Group UNDP United Nations Development Programme UNECE United Nations Economic Commission for Europe UNEP United Nations Environment Programme UNESCO United Nations Educational, Scientific and Cultural Organization UNFPA United Nations Population Fund UNHCR Office of the United Nations High Commissioner for Refugees UNICEF United Nations Children’s Fund USAID United States Agency for International Development WASH water, sanitation and hygiene WHO FCTC WHO Framework Convention on Tobacco Control EUR/RC68/5 Rev.1 page 6 1. Better health for Europe: more equitable and sustainable 1. Health and well-being are at the heart of human development. We in the WHO European Region now have a wealth of knowledge on health and well-being, and evidence on the determinants of health and their interplay. We have the prospect, if we are determined, to extend the length and quality of human lives. We must recommit to these goals, applying the principles of equity and solidarity. 2. The Sustainable Development Goals (SDGs) and Health 2020, which are closely aligned, lead the way. Commitment is needed from politicians, policy-makers, professionals and the people of the Region. The issues before us present both an opportunity