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Brussels, 21 February 2013

Brussels, 21 February 2013. Innovating Public Health Policy in times of the financial & economic crisis in the WHO European Region Hans Kluge Director, Health Systems and Public Health. WHO Health Policy Framework Health 2020.

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Brussels, 21 February 2013

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  1. Brussels, 21 February 2013 Innovating Public Health Policy in times of the financial & economic crisis in the WHO European Region Hans Kluge Director, Health Systems and Public Health

  2. WHO Health Policy Framework Health 2020 • Investing in health through a life-course approach and empowering people • Tackling Europe´s major health challenges of NCDs and communicable diseases • Strengthening people centered health systems • Creating resilient communities and supportive environments Universal health coverage is the basis for action in these four priority areas

  3. Tallinn Charter:Strengthening health systems “ … noone should become poor due to ill health … ”

  4. What is Universal Health Coverage? All people have access to needed health services (incl. prevention, promotion, treatment & rehabilitation) of sufficient quality The use of services does not expose any user (or his/her family members) to undue financial hardship

  5. Policy responses up to end 2010

  6. Protecting public spending for health during the crisis: some options • Those who accumulated savings have room to maneuver • Those who balanced the budget and reduced government debts during the years of economic growth can opt for deficit financing • Those who failed to do the above are in a more vulnerable position when the crisis hits, but can still avoid adverse effects on health and equity by giving higher priority to health • It is a matter of choice in public policy and can have a direct effect on UHC

  7. Health systems are important in mitigating the effects of the crisis

  8. Analytical work to update and synthesize the evidence (for example on out-of-pocket spending) 19 mn people face catastrophic and 7 mn people face impoverishing expenditures Influenced by a number of factors including health financing policy Source: WHO estimates for 2010, countries with population > 600,000

  9. Close engagement with Member States Health System Responses to the Financial Crisis in Ireland: Options and Responses in a European Context 2012, Dublin, Ireland “Health and Social Values in times of financial crisis” at the FT-hosted event “Shaping the Future of Healthcare in Greece” 2012, Athens, Greece

  10. Continual focus on improving efficiency

  11. People die from preventable and treatable diseases (mostly cardiovascular in productive ages)

  12. Policy dialogue and knowledge brokering - closer cooperation between health and finance Ministries OECD /WHO Joint Meeting on Financial Sustainability of Health Systems 2012, Tallinn, Estonia

  13. WHO High-LevelTechnical Meeting

  14. Timeline of key WHO Europe activities for 2013

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