1. Child and Adolescent Health and Development Vivian Barnekow Child and Adolescent Health and Development Country Policies and Systems WHO Regional Office for Europe Health of young people in Europe - a snapshot

2. Child and Adolescent Health and Development What is the situation - some snapshots Determinants for health WHO contribution The way forward

3. Child and Adolescent Health and Development Age drift of Europe’s population - EU countries Young people – a scarce resource

4. Child and Adolescent Health and Development Poverty rates - inequality is growing 16-19 years20-24 years25-29 yearsAll population Finland12.529.913.010.8 Denmark8.421.79.710.3 Netherlands18.127.112.110.5 UK22.720.314.318.8 Ireland24.211.514.322.1 France21.121.011.415.0 Germany13.113.611.211.1 Austria9.88.28.411.4 Belgium17.913.99.515.4 Portugal15.49.69.316.4 Spain24.617.413.218.2 Italy27.024.719.418.6 Factors: living away from parents, living alone, having children, not having job

5. Child and Adolescent Health and Development Well-being is a fundamental part of mental health Low socio-economic status is related to poor mental health

6. Child and Adolescent Health and Development Deaths from injuries 3% of deaths age group 0-1years 27% of deaths age group 1-4 years 37% deaths age group 5-14 years 65% deaths age group 15-24 years (traffic, drowning, poisoning, fires and falls)

7. Child and Adolescent Health and Development SuicideSuicide

9. Commision on Social Determinants for Health Social justice Empowerment – material, psychosocial, political Creating the conditions for people to lead flourishing lives

10. Child and Adolescent Health and Development Inequalities in health that are avoidable are inequitable Tackling health inequities is a matter of social justice

11. Child and Adolescent Health and Development Early child development and education Healthy Places Fair Employment Social Protection Universal Health Care Health Equity in all Policies Fair Financing Good Governance Market Responsibility Gender Equity Political empowerment – inclusion and voice CSDH – Areas for Action

12. Child and Adolescent Health and Development WHO Child and adolescent health strategy - objectives and guiding principles Evidence based policies Multi sectoral action Role of the health sector in development and coordination of policies Life-course approach – from prenatal life to adolescence Equity – account explicitly for needs of the most disadvantaged Inter sectoral action Participation of public and young people

13. Child and Adolescent Health and Development Seven priority areas for action 1.Mothers and neonates 2.Nutrition 3.Communicable diseases 4.Injuries and violence 5.Physical environment 6.Adolescent health 7.Psychosocial development and mental health

14. Child and Adolescent Health and Development A toolkit for implementation

15. Child and Adolescent Health and Development The Action and Gender Tool Key issues through the life cycle Actions by different sectors Role of the health system Examples of evidence based actions Guidance to incorporate gender analysis Identify effective interventions that have a gender perspective

16. Child and Adolescent Health and Development Possible partners Health SectorEducation Sector Media And many others: labour, criminal-justice, social services, parents, peers, etc.) Information and Life Skills ++++++ Services and Counselling ++++++ Safe and Supportive Environment +++ +++ Opportunities to participate +++++

17. Child and Adolescent Health and Development The way forward - some steps identify the key determinants of health identify all current sources of data on young people’s health (national- international) – fill the gaps effective interventions exist – start using them improve knowledge and understanding of the links between socioeconomic factors, health and inequalities among young people. comprehensive national health and development policies and action with a focus on young people are needed identify resources for action

18. Child and Adolescent Health and Development THANK YOU FOR YOUR ATTENTION