MAPPING OF NEEDS, INFRASTRUCTURE & RESOURCES OF THE HEALTH - INFO PROJECT GREECE MAPPING OF NEEDS, INFRASTRUCTURE & RESOURCES OF THE HEALTH - INFO PROJECT/ GREECE Table of Contents 1. Introduction ..................................................................................................................................... 11 2. Considerations ................................................................................................................................. 12 3. Socio-economic conditions.............................................................................................................. 13 3.1 Gross Domestic Product per capita – GDP per capita ............................................................. 13 3.2 Average household monthly expenditure on Health .............................................................. 16 3.3 Labor force .............................................................................................................................. 17 3.4 Unemployment ........................................................................................................................ 19 3.5 Accommodation ...................................................................................................................... 21 3.6 Poverty .................................................................................................................................... 22 4. Demographics .................................................................................................................................. 24 4.1 Population density ................................................................................................................... 24 4.2 Population growth ................................................................................................................... 25 4.3 Population census ................................................................................................................... 26 5. Mortality and Births ........................................................................................................................ 30 5.1 Mortality .................................................................................................................................. 30 5.2 Births ....................................................................................................................................... 35 5.3 Life expectancy ........................................................................................................................ 37 6. Population Health status ................................................................................................................. 39 6.1 Data from the health research of the National Statistical Authority ...................................... 39 6.2 Data from the health research “Health and Welfare” of the National School of Public Health 42 6.2.1 Health determinants ....................................................................................................... 43 6.2.2 Health status .................................................................................................................... 51 6.2.3 Health Care ...................................................................................................................... 62 6.2.4 Prevention ....................................................................................................................... 76 7. Health related resources ................................................................................................................. 87 7.1 Infrastructures ......................................................................................................................... 87 7.2 Human resources..................................................................................................................... 92 The project is co-funded by the European Union and national funds of the participating countries The views expressed in this publication do not necessarily reflect the views of the European Union, the participating countries and the Managing Authority .1 | P a g e MAPPING OF NEEDS, INFRASTRUCTURE & RESOURCES OF THE HEALTH - INFO PROJECT/ GREECE 8. Core indicators ................................................................................................................................ 99 8.1 Proposal for a set of core Indicators that can be used for the monitoring of population's needs, the resources used and the performance of health services ................................................ 100 8.2 Calculation/ Estimation of selected core Indicators that can be used for the monitoring of population's needs, the resources used and the performance of health services ........................... 102 9. Indicative Proposals for Improvement of Prevention Services ..................................................... 110 9.1 Health promotion proposals ................................................................................................. 110 9.2 Prevention and early detection of cancer ............................................................................. 117 9.3 Influenza vaccination ............................................................................................................. 118 10. Mapping of Needs – Area of Gevgelija –North Macedonia ...................................................... 119 10.1 Introduction ........................................................................................................................... 119 10.2 Fiscal-economic situation and perspectives .......................................................................... 119 10.2.1 Gross Domestic Product GDP ........................................................................................ 119 10.2.2. Unemployment .............................................................................................................. 120 10.3. Social conditions ................................................................................................................ 121 10.3.1. Population living conditions, Poverty. ........................................................................... 121 10.3.2. Insurance coverage........................................................................................................ 123 10.4. Demographics (population, aging, life expectancy and deaths and births) ...................... 124 10.4.1. Southeast region – Gevgelija ......................................................................................... 127 10.4.2. Pelagonia region – Bitola ............................................................................................... 128 10.5. Population Health status ................................................................................................... 129 10.6. Health related resources ................................................................................................... 132 10.6.1. Infrastructures ................................................................................................................... 133 10.6.1.1. Gevgelija Region ........................................................................................................ 133 10.6.1.2. Bitola Region .............................................................................................................. 134 10.6.2. Human resources ............................................................................................................... 136 10.6.2.1. Gevgelija Region ........................................................................................................ 136 10.6.2.2. Bitola Region .............................................................................................................. 138 10.6.3. Health technology ............................................................................................................. 140 10.6.3.1. Gevgelija Region ........................................................................................................ 140 The project is co-funded by the European Union and national funds of the participating countries The views expressed in this publication do not necessarily reflect the views of the European Union, the participating countries and the Managing Authority .2 | P a g e MAPPING OF NEEDS, INFRASTRUCTURE & RESOURCES OF THE HEALTH - INFO PROJECT/ GREECE 10.6.3.2. Bitola Region .............................................................................................................. 142 10.7. Core indicators .................................................................................................................. 145 10.7.1. Proposal for a set of core Indicators that can be used for the monitoring of population's needs, the resources used and the performance of health services ............................................ 145 11. References ................................................................................................................................. 146 11. Annex ......................................................................................................................................... 149 11.1 Annex 1: Analytic tables ........................................................................................................ 149 11.2 Annex 2: Complete lists of suggested core health indicators. .............................................. 198 Content of Tables