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Use of Sub-National Indicators to Improve Public Health in Europe Dr Lorraine Stewart Principal Public Health Specialist 4 March 2010.

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Presentation on theme: "Use of Sub-National Indicators to Improve Public Health in Europe Dr Lorraine Stewart Principal Public Health Specialist 4 March 2010."— Presentation transcript:

1 Use of Sub-National Indicators to Improve Public Health in Europe Dr Lorraine Stewart Principal Public Health Specialist 4 March 2010

2 Rationale of Project Many indicators sets such as ENHIS, ECHIM, and ECHI are available to enable national assessment of the health status of a population Policies and interventions which deliver positive outcome(s) nationally may not be effective within some sub-populations Given this, this consortium felt there was a need to develop a harmonised environmental health information system of sub-national indicators to complement the national indicators set.

3 Aim Context: Within the framework of Work Plan 2008 for the implementation of the Second Programme for Community Action in the field of Public Health (2008- 2013), this project aims to develop a sustainable environmental health monitoring system consisting of a set of sub-national/regional indicators to improve public health across Europe and facilitate the comparability of health status and data and identify policies and interventions that deliver positive health outcomes

4 Overview

5 Project Value 3 year project (March 2009 – February 2012) Co-funded by DG Sanco Value: €920K 7 European Partners

6 Partners Lead Partner HPA, UK Associate Partners ISCIII, Spain VASC, Lithuania IPHB, Romania IVZ-RS, Slovenia NIEH, Hungary LIGA.NRW, Germany Collaborating Partners WHO ECEH Bonn, Germany West Midlands Public Health Observatory, UK Scottish Government Directorate of Health & Wellbeing, UK

7 Specific Objectives 1.To develop a core set of sub-national environment and health indicators 2.To develop a system for harmonised health information collection 3.To examine the feasibility of harmonised data collection for indicators not fully developed by ENHIS, if appropriate 4.To raise awareness and promote participation 5.To produce a compendium of policies and interventions 6.To develop a methodology for regional comparison

8 Project Organisation Organisational Structure of the Project WP1 Coordination WP1 Coordination WP2 Dissemination WP2 Dissemination WP3 Evaluation WP3 Evaluation WP5 Methods for Collation of New Data WP5 Methods for Collation of New Data WP6 Harmonised Environment & Health System WP6 Harmonised Environment & Health System WP8 Compendium of Policies, Interventions WP8 Compendium of Policies, Interventions WP7 Methods for Regional Comparison WP7 Methods for Regional Comparison WP9 Conference WP9 Conference Steering Group WP4 Selection of Indicators WP4 Selection of Indicators

9 Timescale

10 Deliverables Deliverable No Deliverable titleDelivery date NatureDissemination D 1Selection of a core set of indicators M6ReportSteering Group, the public health/environmental health professionals and policy makers D 2Compilation of indicator fact sheets for indicators M9Fact SheetsProject website, Stakeholders in partner countries and Commission. D 3Report on the regional assessments M15ReportRegional Directors of public Health and stakeholders. D 4ConferenceM18ConferenceMember States. D 5Interim technical and financial report M18+2ReportsCommission D 6Report on the method(s) for collation for new indicators M22ReportProject website Public health professionals D 7Report on methodology for regional comparison M27ReportProject website Peer reviewed publications. D 8Compendium of policies/interventions M30Compendiumpublic health forum, EAHC, project website D 9Harmonised environment and health system workshop M24 (provisiona l) Report: - Training material and questionnaire Partners, WHO ECEH-Bonn and Commission representative. D 10Overall project evaluationM36ReportProject website, Final report, EC D 11Final technical and financial reports M36+2ReportsProject website, Commission.

11 Progress to Date  Selection of core set of indicators  Development of methodological sheets  Data collation for core set of indicators  Identification of new indicators  Development of Database

12 1.Life expectancy at birth 2.Infant mortality rate 3. Annual mortality rate due to respiratory diseases in children older than one month and under one year of age 4.Mortality due to respiratory diseases 5.Mortality due to diseases of the circulatory system 6.Death rate per 100,000 population for road traffic injuries 7. Cause-specific death rates per 100,000 population for unintentional injuries not related to traffic accidents 8. Mortality due to external causes in children under 5 years of age 9.Injury rate due to traffic accidents per 100,000 population Core Set of Indicators MORTALITY, INJURY

13 10. Number of outbreaks of waterborne diseases attributable to drinking water and bathing water each year; number of cases in the outbreaks 11. Number of outbreaks of communicable diseases attributable transmitted by food per year; number of cases in the outbreaks 12. Incidence rate of acute intestinal communicable diseases and bacterial food toxic infections 13. Incidence of leukaemia (ICD-10: C90-C95) in children aged 0 to 19 years 14. Incidence of melanoma (ICD-10: C43, D03) in the population aged under 55 years Core Set of Indicators OUTBREAKS, INCIDENCE

14 15.15. Proportion of identified bathing waters falling under the Bathing Water Directive definition complying with the EC mandatory standards 16.16.Drinking water quality: microbiological non-compliance 17.17.Drinking water quality: chemical non-compliance 18.18. Population-weighted annual mean particulate matter (PM 10 ) concentration 19.19. Proportion of population in urban areas exposed to PM 10, NO 2, SO 2, O 3 concentration exceeding limit values 20. Proportion of population living in dwellings that are exposed to certain values of noise from different sources in urban areas and along major transport infrastructures 21.21.Unemployment 22.22.Living floor area per person Core Set of Indicators ENVIRONMENT, SOCIO-ECONOMIC STATUS

15 Methodological Sheet Template Name of indicator DPSEEA CEHAPE Regional Priority Goal CategoryGroup the indicator according to the overarching issue Justification for this indicatorDescribe the importance of the indicator in terms of the priorities of environmental health considering the magnitude, the severity, the amenability, and public concerns of the problem Definition of indicatorProvide a detailed technical definition of the indicator Underlying definitions and conceptsDefine all terms used in describing and constructing the indicator Specification of data neededList the data needed to construct the indicator Data sources, availability and qualityState the sources of data. Where appropriate, indicate methods of obtaining data that are not readily available. ComputationProvide detailed technical guidance for the calculation of the indicator Units of measurementSpecify the units of measurements used in presenting this indicator

16 Name of indicator DPSEEA CEHAPE Regional Priority Goal Scale of applicationWith relevance to sub-national levels: Local (within a city or community) and regional (within a sub-national region) InterpretationDescribe the ways the indicator may be interpreted and related to the issue(s) specified in the category section. Highlight inferences which can be made from any trends or patterns observed in data analyses Linkage with other indicatorsLinkage with other indicators from the core set of UNIPHE project Related data, indicator sets and websites List similar or related indicators, proposed or developed as part of other indicator sets. Give links to their sources e.g. web addresses, databases. Provide any evidence base which is available Policy/ regulatory contextTo be completed later within the WP8 Reporting obligationsDescribe obligations (national or sub- national legislations or constitutions) which exist with regards to the reporting of any data used in the computation of the indicator. Where applicable, include quantitative targets on reporting the data.

17 Upcoming Events UNIPHE promotional conference – 27/28 th September 2010 System demonstration – February 2011

18 Contact Details For further information please visit: Project Lead: Lorraine Stewart Email:

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