1. Kerstin Ödman Chair of the Strategy Working Group Ad hoc NDPHS Strategy Working Group Report for the NDPHS committee of Senior Representatives Riga, 15-16 October 2009 Actions proposed as the follow-up of the NDPHS evaluation of 2008

2. SWG recommendations: Mid-term vision NDPHS’s orientation on policies, strategies and projects Social well-being facet Goals, operational targets and indicators Expert groups Funding of activities Partner and Participant statuses Other recommendations

3. Mid-term vision: 2013 Progress made in accordance with the goals agreed upon in the 2009 PAC Achievement of tangible results Balanced activities in health and social dimensions Involvement of relevant actors and stakeholders Clear rules concerning organizational matters Addressing problems shared by the societies in the region Source of knowledge and expertise Dynamic cooperation with a solid network

4. NDPHS’s orientation on policies, strategies and projects (1) Forum for: (i) development of strategies, policies and exchange of best practices, (ii) project facilitation Involved in the regional strategies and processes EU Strategy for the Balic Sea Region

5. NDPHS’s orientation on policies, strategies and projects (2) NDPHS' role regarding projects Project facilitation – definition Flagship projects Expertise of the EGs EGs as Knowledge hubs When possible, implementation of the Secretariat's own projects NDPHS project label

6. Social well-being facet A two-fold approach towards health and social well-being Social issues included in the EGs mandates Social sectors' involvement in the EGs meetings

7. Goals, operational targets and indicators (1) Goals and mid-term operational targets as instruments for the guidance of operations Agreed every four years Mid-term reporting mechanism, based on indicators Possibility of revision of operational targets Logical Framework Approach (LFA) used in the development process

8. Goals, operational targets and indicators (2) Proposed NDPHS goals, operational targets and indicators - based on the Oslo Declaration and linked to the EU Strategy for the Baltic Sea Region: Strengthened role and working method of the NDPHS Improved prevention of HIV/AIDS and related diseases in the ND-area Integrated social and health care for HIV infected individuals Mitigated resistance to antibiotics Reduced inequality in access to qualified primary health care Prison policy ensuring that the health and other needs of inmates are met and easily accessed and addressing specific needs of women and children accompanying their mothers

9. Goals, operational targets and indicators (3) Reduced impact of hazardous and harmful use of alcohol and illicit drugs on society and individuals Change of pricing, access and advertising of alcoholic beverages in order to support the reduction of hazardous and harmful use of alcohol Minimized, and where possible prevented, tobacco smoking Implementation of the NDPHS Strategy on Health at Work Improved public health and social well-being among the indigenous people in the ND area

10. Expert Groups (1) EGs – pillars for the successful work of the Partnership Establishment Clear vision concerning an EG's purpose Flexibility Different kinds of groups, expert pools Criteria for establishing EGs Time limited mandates Dissolution Criteria for dissolution Reporting and evaluation Evaluation every 5 years Work Plans allowing yearly evaluation

11. Expert Groups (2) EG members Appointed for the limited time period by national authorities or Partner Organizations and financed by them Dissemination of results Involvement of regional authorities Procedure for establishing/terminating EGs CBSS EGCC to be continued as an associated EG

12. Financing Appropriations Account - Seed money for project based activities The NDPHS must increasingly seek funding opportunities outside its own framework, such as EU funding and other funding

13. Partner and Participant Status Abolishment of the Associated Partner category Partner Category: (i) Partner Organization (founding Partners) (ii) countries that pay membership fee or contribute to the Partnership's core activities financed from the NDPHS budget Full decision making rights Participant category: (i) international organizations and countries admitted as NDPHS Participants (ii) countries that do not contribute to the NDPHS budget No decision making rights Loss of Partner status Partner countries that do not contribute to the NDPHS budget Non-paying country can remain a Partner if CSR decides so Annual contributions in two instalments

14. Other recommendations Adopted during the previous CSR meeting

15. Conclusions Achieving tangible results benefiting those involved Creation of enabling environment for the EGs and the Secretariat EGs' work focus on issues of critical importance for the Partners Growing importance of fund raising Small contributions from Partners as a catalyst for success Involvement in the EU Strategy for the Baltic Sea Region

16. Thank you for your attention