1. EC TAIEX Multi-country Workshop on Monitoring NCDs and HIs related to NCDs Health 2020: Policy and indicators in the WHO European Region Fern Greenwell, PhD MPH WHO Regional Office for Europe Ministry of Health Albania, Montenegro and South-Eastern Europe Health Network Podgorica, Montenegro 29-30 January 2015

2. Health 2020 Health 2020 is the new health policy of the WHO Regional Office for Europe. It aims to support action across government and society to: –significantly improve the health and well-being of populations, –reduce health inequalities, –strengthen public health and ensure people-centred health systems that are universal, equitable, sustainable and of high quality Adopted by Regional Committee in 2012

3. Health 2020 Monitoring framework 6 targets, 20 core + 17 additional indicators 2 working groups Indicators Well-being Wide involvement of Member States Adopted by Regional Committee 2012

4. Health 2020 monitoring framework – targets and core indicators Reduce premature mortality Premature CVD, cancer, diabetes and chronic respiratory mortality * Increase LE Tobacco use Alcohol consumption Overweight and obesity* Vaccination coverage External causes mortality* LE at birth* Reduce inequalities IM* LE at birth* Primary school enrolment* Unemployment rate* National inequality policies GINI Enhance well-being Life satisfaction* Objective indicators t.b.c. UHC & “right to health” OOP as % THE Vaccination coverage THE % GDP National targets National polices aligned with H2020 Implementation plan Accountability mechanism * Disaggregated by sex

5. Sources: NCD Global Monitoring Framework (2011), Health 2020 (2012), Global Reference List (2014) WHO NCD indicators

6. IHP+ monitoring and evaluation framework Source: Monitoring, evaluation and review of national health strategies: a country-led platform for information and accountability. WHO, 2011.

7. Health for All databases European Health for All database (HFA) European mortality indicator database (MDB) European detailed mortality database (DMDB) Hospital morbidity database (HMDB) European database on human and technical resources for health (HlthRes-DB)

8. SDR, premature mortality, age 30-69, due to 4 NCDs*, per 100 000 * cardiovascular diseases, cancer, diabetes mellitus and chronic respiratory diseases European Region average

9. % of regular daily smokers in the population, age 15+ years SDR, selected smoking-related causes, per 100 000

10. Pure alcohol consumption per capita, adults 15+ years SDR, selected alcohol-related causes, per 100 000 European Region average

11. Cause of death reporting status Source: WHO Mortality Database, Nov. 2014 update

12. 8 other Member States & one Foundation have become contributors

13. European Health Information Initiative United Kingdom: 1. New WHO Collaborating Centre on indicator development 2. Wellcome Trust: Grant funding & senior staff secondment Germany: Full time staff member funded as JPO Turkey: Hosted first autumn school Oct 2013 Poland: Hosted autumn school Oct 2014 Russian Federation: 1. New WHO Collaborating Centre on health info; 2. Autumn School 2015 Kazakhstan & Kyrgyzstan: Staff & infrastructure for regional health information network in CAR countries Finland Austria Sweden Netherlands 1. Activity funding 2. Staff secondment

14. Key messages Apply clear selection criteria to national indicators– and stick to them Apply standard definitions and data collection approaches !! Submit annual data to WHO-HFA databases– for better benchmarking of your country Contact Secretariat for further information on the European Health Information Initiative Data quality, data quality, data quality

15. Thank you very much!