1. HEALTH POLICY OF THE LIBEREC REGION Conference CEEC ISEE 27. – 29. November 2007, Čeladná, Czech Republic Dr. Vladimír Valenta & Ing. Jana Kučerová Regional Public Health Authority of the Liberec region

2. Health Policy of the Liberec Region – long-term programme for improving health status

3. STRATEGY of Development of the Liberec Region

4. Human resourses SWOT analysis – weaknesses  Areas with high unemployment  Discrepancy between the structure of education and market demands  Areas with low social stability  Areas with below average level of education  Lack of financial means for life-long education, culture and sport  Absence of health and social policy of the region  Insufficient variety and capacity of social services  Absence of housing development policy  Unsatisfactory intersectorial communication

5. Strategic goals and measures to realise them Human resourses Main goal: Increasingly developing level of the life of inhabitants of the region Other goals: Healthy, skilled and socially stable population, valuable background for life Draft of the available measures to achieve these goals: Formulation and wide acceptance of the regional health policy based on the health status of our inhabitants and the programme WHO Health 21

6. Preparatory works of the Health policy establishing of working group for the preparation of the Health policy choosing of goals for the realization of the Health policy appointment of particular co-ordinators creating of draft of Health policy remainds proceeding introduction of the draft of the Health policy to the Regional Assembly analysing of the sitution in the Liberec region

7. Health policy of the Liberec region - contents  Introduction………………………………...................................................................2  Working group ………………………….....................................................................4  Healthy childhood and young age…………………………………..………………..5  Health of youth………………………………............................................................17  Healthy ageing………………..……............................................................................20  Mental health improvement…..……………………………………………………..33  Prevention of infectious diseases……………………...……………………………..28  Reduction of incidence of non-infectious disesases………………………………....43  Reduction of incidence of injuries caused by violence and accidents………...…...57  Healthy and safe environment……………..………………………………………...70  Hellthier lifestyle………………………………..…………………………………….86  Reducing of damages caused by alcohol, drugs and tobacco use………………....108  Healthy living conditions…………………………………………………………….123  Multi-sectoral responsibility for health …………………………………………….128  Integrated health care sector………………………………………...........................131  Managing for quality of care…………………………………………………………131

8. 150 detailed activities, some of those are as follows:  To develop system of long term follow-up of children with congenital defects  To include the care for old people in conception of health and social affairs of communities  To provide examination of VHB and VHC markers in groups with risky behavior  To establish a clinical oncologist centre in Liberec city  To promote positive changes of lifestyle in diabetic patients  To develop programme of prevention of injuries at schools  To identify local health risks from water, soil and air pollution and to determine priorities for solution of problems  To support principles of healthy nutrition  To realize campaigns on smoking control e.g. Quit and Win, to arrange Weeks of Physical Activity and exercises for mothers and babies  To increase knowledge of public about risks of home environment….etc. etc.

9. Resolution No. 221/02/RA Draft of the Health Policy of the Liberec Region The Regional Assembly appreciates the working group led by MUDr. Vladimír Valenta and thanks it for preparing this draft and approves „Draft of the Health Policy of the Liberec Region“ and orders the creation of an efficient system of support for the realization of the health policy.

10. Grants in the field of public health provided by RA of the LBC R (examples)

11. Permanent working group for the realization of the health policy MUDr. Vladimír Valenta, ředitel KHS – předseda Ing. Tomáš Sláma,předseda výboru pro zdravotnictví zastupitelstva kraje Ing Jiří Benedikt, vedoucí odboru zdravotnictví KÚ LK Hana Jelínková Bc., odbor zdravotnictví Barbora Krausová,Výbor pro zdravotnictví zastupitelstva kraje Doc.MUDr. Jaroslav Kříž, Státní zdravotní ústav Praha MUDr. Jindra Vejrychová, Krajská nemocnice Liberec MUDr. Radka Drašnarová, stomatolog MUDr. Martin Zítek, Krajská nemocnice Liberec Kateřina Gruntová DiS., krajský protidrogový koordinátor MUDr. Ludmila Truhlářová, KHS Libereckého kraje MUDr. Věra Tučková, KHS Libereckého kraje MUDr. Lumír Tauš,Csc., Krajská nemocnice Liberec MUDr. Jiří Bartoš, Krajská nemocnice Liberec Mgr. Dana Maňhalová, ZÚ Liberec MUDr. Jana Prattingerová, KHS Libereckého kraje Ing. Jana Kučerová, KHS Libereckého kraje MUDr. Alena Jiroudková, Krajská nemocnice Liberec MUDr. František Holm, Krajská nemocnice Liberec Ing.Giljana Pavlovová ÚZIS Liberec Ing. Milan Trpišovský MBA, Nemocnice Jablonec nad Nisou

12. Resolution of the Regional Council The Regional Council after discussion takes into account Annual Report of the Working Group for the Realization of the Health Policy

13. Health status report

14. Health policy as a part of the whole development and strategical documents

15. The solution lies in goal number 14 of the Health policy „Multi-sectoral responsibility for health“

16. Regional Assembly t a k e s d u e n o t e o f “Health – a capital for social and economic regional development“ workshop resolutions. The workshop took place on 9th and 10th May 2005 under the auspices of the World Health Organization, according to the reasoned report, and imposes liabilities on 1. Ing. Jiří Bezoušek, Head of Economic and Regional Development Department, to a) ensure cooperation with other heads of departments in order to implement all conclusions into Liberec regional development documents. b) submit, to the Regional Assembly, a system evaluating Liberec regional development documents, based on the approved Liberec regional public health policy. 2. Jiří Benedikt, Head of Public Health Care Department, to submit, to the Regional Assembly, a proposal that will change the status of the “Working Group” implementing Liberec regional public health policy, in order to establish a closer coordination in preparing Liberec regional development documents. Regional Assembly Resolution

17. Aim: To put in place a permanent system assessing development documents that will ensure and enforce health care in and around the region of Liberec. Also to develop an awareness and understanding by citizens that the potential for good health is additionally influenced by social, economic and environmental factors as well. This system will ensure that all sectors will share in this responsibility for health. The ultimate aim is to improve personal health according to an approved regional health care policy. Proposal for assessing Liberec regional development documents within the region’s approved health policy.

18. Target groups:  Health impact assessment methodology (HIA) supervisor and supervisor of HIA results methodology within the Liberec region’s health care policy.  HIA Processor  Development documents processors, beneficiaries and recipients  Working group for implementing the health policy  Public Proposal for assessing Liberec regional development documents within the region’s approved health policy.

19. Princip: Enforcement and implementation of the HIA method (health impact assessment) into the preparation of development documents (likewise in EIA), and a subsequent assessment of recommendations and conclusions resulting from it. This will mainly come from the approved Liberec regional health care policy. Proposal for assessing Liberec regional development documents within the region’s approved health policy.

20. Activities: Processors, beneficiaries, and possible recipients will go through HIA training method. HIA will become an irrevocable part of the document preparation and assessment process which will be determined by the processor. Working groups implementing the Liberec regional health care policy will be integrated into the group of development documents adjudicators Proposal for assessing Liberec regional development documents within the region’s approved health policy.

21. Resolution no.1282/05/RC Regional council approves the proposal for assessing Liberec regional development documents within the approved regional health policy a lays duties on: Head of Public Health Care Department to  Process the metodology of HIA method training  Process the method of assessing using the approved health care policy viewpoint Head of Economic and Reg. Development Dep.to  Embed the HIA into selected regional development documents

22. Resolution no. 1034/06/RC Regional Council after discussing the submitted material approves the system identifying the HIA results conforming with the regional approved health policy and authorizes to ensure processing HIA into the conclusion of developing documents and submit proposals of these documents with the incorporated HIA to the health department to be assessed by the health policy working group to ensure the documents conformity with the Liberec regional approved health policy.

23. The workshops “The impact of strategic and conceptual materials and policies on health assessment.“  The first workshop took place between the 9th -11th October 2006  Contents of this workshop: implementation of health into development and strategic documents, health factors – air, water, noise, mental health and social health factor, guidelines of HIA

24. The workshops “The impact of strategic and conceptual materials and policies on health assessment.“  Second workshop took place on the 29th October 2007  Contents of this workshop: implementation HIA in documents from position of processors and addressees, experience from Netherlands, local guidelines of HIA

25. Evaluation of the resolution  1.Strategy of the development 2002: 2 links on the Health policy  2.Programme of the development of Liberec Region- 2004: 4 links  3. Programme of the development of Liberec Region- 2007: 12 links

26.  Declaration of the Health Policy  Passive taking-over of goals and particulare tasks of the Health Policy into the strategy  Multisecture active implemantion of goals and particulare tasks of the Health Policy and support by its realization Evaluation of the resolution

27. Time’s up, thank you for your attention