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Task Force on Communicable Disease Control in the Baltic Sea Region

Task Force on Communicable Disease Control in the Baltic Sea Region. Ungovernable chaos or effective self-government?. Health as International Politics. Health as International Politics. The idea behind Task Force Establishment and organisation of Task Force Region-building

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Task Force on Communicable Disease Control in the Baltic Sea Region

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  1. Task Force on Communicable Disease Control in the Baltic Sea Region Ungovernable chaos or effective self-government?

  2. Health as International Politics

  3. Health as International Politics • The idea behind Task Force • Establishment and organisation of Task Force • Region-building • Western vs. Post-Soviet medicine • Structure in Post-Soviet systems • Changes/Results • Archetypes (Specially in Russia)

  4. Organisational structure

  5. Projects

  6. Financing (December 2003) • In total: 8,4 million Euros • Norway: ca. 65 % • Sweden: ca. 19% • Denmark: ca. 7 % • Finland: ca. 7 % • Island: ca. 0,7 % • Germany: ca. 0,5% • The European-Commission: ca. 0,01%

  7. Intentions • Non-bureaucratic and flexible • Heavy responsibility at high-level • Local ownership • Ground-level initiative • Unified project outline (Logframe) • Quick financing • Sustainability

  8. Down-sides Undefined roles The sway of freedom Too much time to get used to Personal differences Labour-consuming Up-sides Definition of ones own roles The opportunities of freedom Awakening after some time Personal relations Generating activities The reality

  9. Negative Lack of commitment at high political level Rivalry Norway by far the largest contributor The weaknesses lay at the top of the system Positive Large engagement at ground-level Network Flexibility: the Secretariat makes quick decisions The strengths lay at the bottom of the system What happened (in short)?

  10. Conclusions • Partially “ungovernable chaos” during the first period • “What are we supposed to do?” • “Where does the money come from?” • Effective self-government after a while • Understanding of the structure and its possibilities • Will (among many) to participate

  11. Conclusions • The Task Force Model • More strengths than weaknesses • Great opportunities • Needs time, but hardly more time than other models? • Must be evaluated on a regular basis • If successful: • Ensures local ownership • Promotes sustainability • Increases flexibility

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