Clive Needle
Joint actions for real needs
WWW.EUROHEALTHNET.EU BzGA and Berlin – health determinants
2 Inequality and the world economy True Progressivism A new form of radical centrist politics is needed to tackle inequality without hurting economic growth Oct 13th 2012 | from the print edition
3 They are talking about it, so are we?
4 What role do Media play? A new approach? …….2002
6 …….2008
Expert recommendations ‘’Ideology with evidence”
7 …….2009 ’’Children who are nurtured flourish’’
8 …..2012
‘’There is a public health emergency in Europe: especially in places such as Spain, but throughout our continent, too many young people neither work, have training, nor are in education.’’
9 Cost: €153 billion
10 WHAT ARE WE DOING…..?
11 The situation?
12 ‘’Wicked problems…’’
13 WWW.EUROHEALTHNET.EU WWW.EUROHEALTHNET.EU CSDH recommendations 2008 1. Improve knowledge 2. Improve living and working conditions 3. Improve balance of powers and resources
15 Public health gets 3% of 6%
16 ‘’Never waste a crisis….’’
Threats Opportunities • Variable economic crisis • Rio Declaration & WHA • ‘’Austerity” • Capacity cuts • WHO Europe 2020 • Health impact indicators • SDH & HI Review and • Worsening inequalities in all EU states • Public sector changes recommendations • Societal fractures • National and regional • Demographic changes • Political changes reviews • EU Solidarity in health = Real societal needs • EU 2020 = Changes ahead • EU Social Investment Package
17 2014
• New European Commission • European Parliament Elections • New EU Programme Period to 2020 • WHO Public Health Action Plan ? Some new governments
WWW.EUROHEALTHNET.EU WHATWHAT EUEU HEALTHHEALTH ANDAND FINANCEFINANCE MINISTERSMINISTERS SAYSAY
“Health spending contributes to better health which contributes to economic prosperity”
“Ensure universal access to quality care, equity and solidarity in better health outcomes”
“Improve health promotion and disease prevention, also outside the health sector ”
EU Economic & Financial Affairs Council July 2010 PLUS EU Council of Health Ministers June 2011
EuroHealthNet We know enough to act..
• Health inequalities are increasing in all states • Strategies and policies are mostly in place but there is much less implementation • Practices are being developed at sub national levels in regions and municipalities • Respective roles of material deprivation and education are crucial • Data analysis is often insufficient
20 WWW.EUROHEALTHNET.EU EuroHealthNetEuroHealthNet For a healthier Europe between and within countries
How EuroHealthNet is working for health promotion and equity
The EuroHealthNet network is supported by the European Union Programme for Employment and Social Solidarity (2007-2013). For more information see: http://ec.europa.eu/progress
Stecy Yghemonos – Project Coordinator EUROHEALTHNETEUROHEALTHNET WWW.EUROHEALTHNET.EU ACTIVITIESACTIVITIES OFOF EUROHEALTHNETEUROHEALTHNET
EuroHealthNet www.eurohealthnet.eu 22 WHAT WE DO PROGRESS Framework Social inclusion promoting health equity; 2020 objectives - Platform against Poverty Equity, work & worklessness project FP7 Research Programme Gradient SPREAD DRIVERS Health Action Programme Equity Joint Action Crossing Bridges Study consortia (HI and PH)
EuroHealthNet www.eurohealthnet.eu Drivers (2012-2014)
Aim: Addressing the strategic Determinants to Reduce health Inequities Via Early childhood development Realising fair employment Social protection Consortium of leading European scientific experts PLUS leading international networks EuroChild, European Anti Poverty Network and Business in the Community, coordinated by EuroHealthNet
WWW.EUROHEALTHNET.EU Tackling the Gradient Aim: to promote policies and interventions that effectively level the social gradient (HI) among children and families.
Developed European Policy Evaluation Framework to evaluate the impact on the health gradient PLUS an APP! Investigated differential impacts of policy measures on children and families of different socio-economic groups Investigated how s ocial capital at community levels has a mediating or moderating effect on the relation between SES and the health of children. Analysed and compared impacts of general vs. targeted policies for families and children
WWW.EUROHEALTHNET.EU This has to be about real actions
WWW.EUROHEALTHNET.EU We don’t have to invent…
WWW.EUROHEALTHNET.EU Is the time right?
WWW.EUROHEALTHNET.EU A broad based framework approach helps to overcome problems of “scaling up” projects and transferability. .
WWW.EUROHEALTHNET.EU A focus on (public and private) incentives is a promising type of approach offering sustainable political benefits
WWW.EUROHEALTHNET.EU In the foreseeable economic situation, evaluation of multiple benefits and use of evidence is important to build systematic change and to convince funders.
WWW.EUROHEALTHNET.EU Sometimes the barriers are high
WWW.EUROHEALTHNET.EU Why don’t they listen?
33 WWW.EUROHEALTHNET.EU What is evidence?
34 What influences them?
35 Who is making the decisions?
36 What are they doing?
37 What role do Media play?
WWW.EUROHEALTHNET.EU Sell the benefits – for others as well as us
WWW.EUROHEALTHNET.EU Small actions can lead to big changes…
WWW.EUROHEALTHNET.EU www.eurohealthnet.eu www.health-inequalities.eu www.health-gradient.eu ThankThank youyou www.equitychannel.net www.sustainable-lifestyles.eu www.healthyageing.eu
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