Country Report Croatia 2018 Including an In-Depth Review on the Prevention and Correction of Macroeconomic Imbalances
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Back to People's Health in Croatia – Generating New Forms of Collective Agency
ORIGINAL RESEARCH Back to People's Health in Croatia – Generating new forms of collective agency Snježana Ivčić, PhD; Lecturer Aleksandar Džakula, MD; Damir Martinović, MD; Valerija Žapčić, Abstract frequently focused on a single-disease approach and collaboration with the pharmaceutical This paper concerns new forms of industry. Such practices produced limited results; collective agency in the area of healthcare in hence improved forms of activism emerged. Croatia from 2015 until 2018. These new forms In this research, we illustrate their developed in the midst of the growing development using the example of three case privatization and commodification of health care studies of collective agency. The first case study is and the simultaneous decrease in the accessibility looking at the policy analysis and the activist to healthcare. group started by the Organization for Workers' Privatization has taken place slowly, but Initiative and Democratization (OWID); the continuously over the last 29 years. The traditional second one focuses on the informal group of civil society organizations in the field of medical students called U3 formed at the Andrija healthcare used to be characterized by a narrow set Štampar School of Public Health with the aim of of activities, with vertical structures, and were developing critical thinking; and the third case study considers the Karika Association, started as an attempt to rethink healthcare in the community. Snježana Ivčić, PhD, The main research methods employed Croatian Academy of Sciences and Arts, snjezana. included process tracing analysis and research data Email: [email protected] comparison aimed at showing the differences between the traditional and the new forms of Lecturer Aleksandar Džakula, MD, Škola narodnog zdravlja Andrija Štampar “/ healthcare activism, in addition to the secondary School of Public Health „Andrija Štampar “, sources of information such as scientific and Email: [email protected] professional literature. -
Mental Health Services in Croatia
91 COUNTRY PROFILE Mental health services in Croatia Sladjana Strkalj Ivezic,1 Martina Rojnic Kuzman2 and Maja Silobrcic Radic3 1Day Hospital and Community Rehabilitation Centre, Psychiatric Hospital Vrapce, Bolnicka cesta 32, 10090 Zagreb, Croatia, email sladjana.ivezic@bolnica-vrapce 2Department of Psychiatry, Zagreb University Hospital Centre and Zagreb School of Medicine, Croatia 3Croatian National Institute of Public Health, Croatia he Republic of Croatia is in central Europe, on the The health budget is covered by social insurance and is TMediterranean. A large majority of its 4 440 000 in- tax based. There is no separate budget allocation for mental habitants are Croats (89.6%). The main religion is Roman health, except for drug addictions. Basic healthcare is obliga- Catholicism (88%). Sixteen per cent of the population is tory for all and is provided by the Croatian Health Insurance aged over 65 years. Croatia was a part of Yugoslavia after Institute. This covers the treatment of all mental illnesses and the Second World War until 1991, when Croatia declared the cost of antipsychotic drugs. Supplementary and private independence. Following the declaration, Croatia was insurance are possible but uncommon. attacked by the Yugoslav army and by Serbia and suffered a devastating war (1991–95). The transition had conse- quences for mental health, for example a dramatic rise in Mental health service delivery the prevalence of post-traumatic stress disorder, especially among soldiers. The majority of soldiers received appro- Although GPs are highly accessible, psychiatric diagnoses priate psychiatric treatment; there has, however, been an com prised only 4.8% of all GP diagnoses in 2007 (CNIPH, increase in claims motivated by secondary gain, as a result 2008) and most service provision for serious mental illness is of government policy. -
Transport Development Strategy of the Republic of Croatia (2017 – 2030)
Transport Development Strategy of the Republic of Croatia (2017 – 2030) Republic of Croatia MINISTRY OF THE SEA, TRANSPORT AND INFRASTRUCTURE Transport Development Strategy of the Republic of Croatia (2017 - 2030) 2nd Draft April 2017 The project is co-financed by the European Union from the European Regional Development Fund. Republic of Croatia Ministry of the Sea, Transport and Infrastructure I Transport Development Strategy of the Republic of Croatia (2017 – 2030) TABLE OF CONTENTS 1 Introduction ............................................................................................................. 1 1.1 Background on development of a Croatian Comprehensive National Transport Plan .................................................. 1 1.2 Objectives of the Transport Development Strategy (TDS 2016) ............................. 4 1.3 Revision of the TDS (2016) Ex-Ante conditionality .................................................. 4 1.4 Methodology for the development of the TDS (2016) ............................................ 5 2 Analysis .................................................................................................................... 7 2.1 General aspects of transport ................................................................................... 7 2.2 Public transport and zero-emission modes ........................................................... 34 2.3 Rail Transport......................................................................................................... 72 2.4 Road transport -
Mortality Patterns in Southern Adriatic Islands of Croatia: a Registry-Based
118 PUBLIC HEALTH Croat Med J. 2018;59:118-23 https://doi.org/10.3325/cmj.2018.59.118 Mortality patterns in Southern Joshua Rehberg1, Ana Stipčić2, Tanja Ćorić3, Ivana Adriatic islands of Croatia: a Kolčić4, Ozren Polašek4 1Medical student, Medical School, registry-based study Medical College of Wisconsin, Milwaukee, WI, USA 2Department of Health Studies, University of Split, Split, Croatia 3Croatian National Institute of Public Health, Zagreb, Croatia Aim To investigate the mortality patterns on the Southern 4Department of Public Health, Adriatic islands of Croatia and compare them with those in University of Split School of two, mainly coastal, mainland counties. Medicine, Split, Croatia *The first two authors contributed Methods In this registry-based study we used the official equally. mortality register data to analyze the mortality patterns on seven Croatian islands (Brač, Hvar, Korčula, Lastovo, Mljet, Šolta, and Vis) and Pelješac peninsula in the 1998-2013 pe- riod and calculated the average lifespan, life expectancy, and standardized mortality ratios (SMR). We compared the leading causes of death with those in the mainland popu- lation of two southernmost Croatian counties. Results The average lifespan of the island population was 3-10 years longer for men and 2-7 years longer for wom- en than that on the mainland. All-cause SMRs were signifi- cantly lower for both men and women on Korčula, Brač, Mljet, and Pelješac but significantly higher for women on Šolta (1.22; 95% confidence intervals 1.07-1.38). The lead- ing causes of death on the islands were cardiovascular dis- eases, with higher percentages in men and lower in wom- en in comparison with those on the mainland. -
Croatia 60 Ana Borovecˇki
Croatia 60 Ana Borovecˇki Austria Hungary Zagreb Croatia Bosnia and Herzegovina Introduction In Croatia, the impetus for the developments in the field of bioethics were the changes in the political system. Croatia used to be a part of the former Socialist Federative Republic of Yugoslavia. In the 1990s, the socialist political paradigm was abandoned and the democratic changes began. Thus, Croatia entered the same process as the other countries in the Region of East, Central, and Southeast Europe. The transition from a socialist to a democratic society for Croatia was further complicated by the Serbian aggression and the war experienced in the 1990s (Borovecki, ten Have, & Oreskovic, 2004). A. Borovecˇki School of Medicine, Andrija Stampar School of Public Health, University of Zagreb, Zagreb, Croatia e-mail: [email protected]; [email protected] H.A.M.J. ten Have, B. Gordijn (eds.), Handbook of Global Bioethics, 1049 DOI 10.1007/978-94-007-2512-6_15, # Springer Science+Business Media Dordrecht 2014 1050 A. Borovecˇki Bioethics Development In Croatia, the subject of medical ethics, or bioethics, was introduced into the curriculum in the early 1990s at the medical schools of the University of Rijeka and the University of Zagreb. With the advent of the new political changes came the changes in the concept of a subject of medical ethics, which was until that time scarcely taught, mainly as a few hour lecture and seminar at the Zagreb School of Medicine. Moreover, the previously taught obligatory subject of Marxism was abandoned leaving a place for the introduction of a new course in the medical curriculum. -
Budgeting in Croatia by Dirk-Jan Kraan, Daniel Bergvall, Iris Müller and Joachim Wehner
ISSN 1608-7143 OECD JOURNAL ON BUDGETING Volume 5 – No. 4 © OECD 2006 Budgeting in Croatia by Dirk-Jan Kraan, Daniel Bergvall, Iris Müller and Joachim Wehner Since 2000, three consecutive governments in Croatia have focused their policies on modernising the public administration and reforming the budget process. This article examines the budget process in Croatia in the light of its two unique characteristics: a very detailed account structure, and a large number of extra-budgetary funds and quasi-fiscal activities of public enterprises. The steps in the annual budget process are described, including the roles of specific actors (budget users, line ministries, the Central Government Treasury), and the limited role of Parliament in the formulation of budget policy. Regarding budget execution, procedures are in place for cash and debt management within the government units, and a central role is played by the Financial Agency that handles all government transactions. Recent decentralisation has resulted in increased responsibility for sub- national governments in service delivery, with repercussions on procurement. Financial relations between levels of government include procedures for tax sharing, equalisation, and grants. Audit and accountability activities are carried out on a modified accrual basis; external audit is done by the State Audit Office but internal audit capacity is currently being developed. Dirk-Jan Kraan and Daniel Bergvall are Project Managers in the Budgeting and Public Expenditures Division of the Public Governance and Territorial Development Directorate, OECD. Iris Müller is an Economist from German Technical Cooperation (GTZ). Joachim Wehner is Lecturer in Public Policy at the London School of Economics. The financial support of GTZ is gratefully acknowledged. -
Partnership Agreement Republic of Croatia 2014HR16M8PA001.1.3
Partnership Agreement Republic of Croatia 2014HR16M8PA001.1.3 SECTION 1A 1. ARRANGEMENTS TO ENSURE ALIGNMENT WITH THE UNION STRATEGY OF SMART, SUSTAINABLE AND INCLUSIVE GROWTH AS WELL AS THE FUND SPECIFIC MISSIONS PURSUANT TO THEIR TREATY-BASED OBJECTIVES, INCLUDING ECONOMIC, SOCIAL AND TERRITORIAL COHESION 1.1. An analysis of disparities, development needs, and growth potentials with reference to the thematic objectives and the territorial challenges and taking account of the National Reform Programme, where appropriate, and relevant country-specific recommendations adopted in accordance with Article 121(2) TFEU and relevant Council recommendations adopted in accordance with Article 148(4) TFEU 1.1.1 Macroeconomic situation The declining trend of economic activity in Croatia continued in 2013 for the 5th year in a row. According to preliminary data of the Croatian Bureau of Statistics (CBS), 2013 ended with a drop in economic activity of 1.0% in comparison to 2012, which represents a cumulative drop of 11.9% in comparison to 2008. The main macroeconomic indicators of the Croatian economy in the period 2008 to 2012 are given in Table 1 in Annex 1 of this Partnership Agreement (PA). The most significant contribution to the real fall of the gross domestic product (GDP) from the expenditure side in 2013 came from a 1.8% drop in exports of goods and services, and a 1.0% decline in household consumption. All other components from the expenditure side of GDP recorded a real year-on-year decline, with the exception of government consumption (which grew slightly by 0.5%). The drop in household consumption in 2013 was the consequence of the exceptionally negative trends on the labour market and continued deleveraging of the household sector. -
Croatia: National Climate Vulnerability Assessment (ENG)
REPUBLIC OF CROATIA CLIMATE VULNERABILITY ASSESSMENT REPUBLIC OF CROATIA CLIMATE VULNERABILITY ASSESSMENT REPUBLIC OF CROATIA © Zavisa Simac, Ksenija Vitale. Climate Vulnerability Assessment: Croatia. Zagreb, May 2012 Copies of all or part of this study may be made for non-commercial use, providing the source is acknowledged. The SEEFCCA would appreciate receiving details of its use. Requests for commercial reproduction should be directed to the SEEFCCA at [email protected]. The opinions and recommendations expressed in this study do not necessarily represent the official policy of the SEEFCCA or individual National Red Cross Societies or project partners in this IPA project. The designations used do not imply the expression of any opinion on the part of SEEFCCA concerning the legal status of a territory or of its authorities. The copyright of each photo used in this study is indicated. This publication has been produced with the assistance of the European Union. The contents of this publication are the sole responsibility of Zaviša Simac and Ksenija Vitale and can in no way be taken to reflect the views of the European Union. www.seeclimateforum.org www.facebook.com/seeforumoncca [email protected] Editor: Croatian Red Cross Author: Zaviša Simac, Ksenija Vitale Advisors: Sonja Greiner, Marinko Metlicic, Louisa Whitlock Design: Imre Sebestyén, jr. / UNITgraphics.com Cover image: © iStockphoto.com/enderbirer Print: UVEZ Ltd. Zaprešić, Hrvatska REPUBLIC OF CROATIA ACRONYMS CBS Croatian Bureau of Statistics CDM Clean Development -
Chambre Des Pouvoirs Locaux
31st SESSION CG31(2016)11final 20 October 2016 Local and regional democracy in Croatia Monitoring Committee Rapporteurs: 1 Luzette KROON, the Netherlands (L, EPP/CCE) Ole HAABETH, Norway (R, SOC) Recommendation 391(2016) .............................................................................................................................. 2 Explanatory memorandum ................................................................................................................................. 5 Summary This report concerning the monitoring of local and regional democracy in Croatia is the third since the country ratified the Charter in 1997. The report notes that the Charter was ratified in its entirety in 2008, reflecting a trend towards decentralisation in the country and reinforced legislative protection for local and regional self-government. The delegation also noted with satisfaction that direct elections for mayors and prefects had been introduced since the last monitoring visit in 2007, along with the implementation of a financial equalisation policy. The rapporteurs similarly welcome the adoption, in September 2015, of legislation concerning voluntary mergers of local government units so as to simplify the territorial divisions and the provision of public services. However, the report raises certain concerns regarding the inadequacy of resources available to local and regional authorities for the exercise of their powers, a reduction in local tax revenues and the lack of formal consultation of local and regional representatives. In addition, there are territorial disparities and the notion of a universal level of public service is still far from being reached. Consequently, it is recommended that the Croatian authorities review the division of responsibilities between the central and subnational levels of government so as to avoid any overlap. With regard to the financial aspect, the rapporteurs recommend providing sufficient financial resources commensurate with the responsibilities of local authorities and which they can dispose of freely. -
Pre-Vaccination COVID-19 Vaccine Literacy in a Croatian Adult Population: a Cross-Sectional Study
International Journal of Environmental Research and Public Health Article Pre-Vaccination COVID-19 Vaccine Literacy in a Croatian Adult Population: A Cross-Sectional Study Ivana Gusar 1,2 , Suzana Konjevoda 1,3,*, Grozdana Babi´c 1, Dijana Hnatešen 2,4,5, Maja Cebohinˇ 2,5,6 , Rahela Orlandini 7,8 and Boris Dželalija 1,3,8 1 Department of Health Studies, University of Zadar, 23000 Zadar, Croatia; [email protected] (I.G.); [email protected] (G.B.); [email protected] (B.D.) 2 Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia; [email protected] (D.H.); [email protected] (M.C.)ˇ 3 General Hospital Zadar, 23000 Zadar, Croatia 4 Clinical Department of Pain Management, University Hospital Osijek, 31000 Osijek, Croatia 5 Nursing Institute “Professor Radivoje Radi´c”,Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia 6 Medical School Osijek, 31000 Osijek, Croatia 7 Department of Health Studies, University of Split, 21000 Split, Croatia; [email protected] 8 School of Medicine, University of Split, 21000 Split, Croatia * Correspondence: [email protected]; Tel.: +385-98-352-969 Abstract: Despite world-level efforts and the endeavors of scientists and medical professionals in suppressing the COVID-19 pandemic, inadequate levels of vaccine literacy of the general population can represent a grave obstacle. The aim of this study was to evaluate COVID-19 vaccine literacy in the Croatian adult general population before vaccination began. The specific objectives were to test Citation: Gusar, I.; Konjevoda, S.; differences regarding socio-demographic characteristics and to examine perceptions and attitudes Babi´c,G.; Hnatešen, D.; Cebohin,ˇ M.; about vaccination against COVID-19 considering the level of VL against COVID-19. -
Participation Rates of Freshwater Recreational Fisheries in the Counties of Croatia
Croatian Journal of Fisheries, 2019, 77, 126-131 T. Treer (2019): Participation of freshwater recreational fisheries in Croatia DOI: 10.2478/cjf-2019-0014 CODEN RIBAEG ISSN 1330-061X (print) 1848-0586 (online) PARTICIPATION RATES OF FRESHWATER RECREATIONAL FISHERIES IN THE COUNTIES OF CROATIA Tomislav Treer Department of Fisheries, Apiculture, Wildlife Management and Special Zoology, Faculty of Agriculture, University of Zagreb, Svetošimunska 25, 10000 Zagreb *Corresponding Author, Email: [email protected] ARTICLE INFO ABSTRACT Received: 5 July 2019 The aim of this research was to define the participation rates of freshwater Accepted: 11 August 2019 anglers in Croatia, their changes over the years and their differences across the counties of Croatia. In spite of a continuous population decline ever since Croatia joined the EU, the number of anglers has slightly increased to around 1%. The counties can be divided into three groups – counties on the Adriatic coast where marine fisheries are dominant, a very urbanized City of Zagreb and the remaining inland counties. In freshwater recreational fisheries in Croatia, the tradition and availability of fishing grounds dominate the participation rate of anglers. However, there are indications of the influence of GDP values so the counties with GDP over Keywords: 6,500 euros per capita expressed positive relationship to the percentage Anglers of anglers (p<0.05). On the other hand, densely populated county of the Demographics GDP City of Zagreb confirms that urbanization and much higher GDP result in a Urbanization much lower percentage of recreational fishermen. How to Cite Treer, T. (2019): Participation rates of freshwater recreational fisheries in the counties of Croatia. -
Reclaiming Public Health Care in Europe
Reclaiming Public Health Experiences and Insights from Europe This publication is the result of contributions from many researchers, activists, and organizations across Europe (and beyond!). We are in immense appreciation of the tireless work conducted by Viva Salud, the European Network against Privatization and Commercialization of Health and Social Protection, Centro di Salute Internazionale e Interculturale, Association ESE, the Centre for Development of Workers' Participation, the Life Quality Improvement Organization Karika, Médecine pour le Peuple, and the Action Platform Health and Solidarity. We are also in appreciation of the endless efforts of all People’s Health Movement Europe country circles that have built the basis for this research over the past several years. A special thanks goes to those who made the case studies happen–not only writing them but also by supporting the research for this collection in other ways. Desirée Enlund, Dominika Gornaľová, Eva Gallova, Jasper Thys, and Nina Rajković: thanks a ton for all the effort you put into developing the selected case studies. And a final thanks to the organizations that offered infrastructural support for the development of the case studies—People’s Health Movement Europe, Organization for Workers’ Initiative and Democratization, Institute for Political Reclaiming Public Health: Experiences and Insights from Europe Edited by Leigh Kamore Haynes and Ana Vračar Designed by Leigh Kamore Haynes Research coordination Ana Vračar JUNE 2021 People’s Health Movement Europe phmovement.org