Ten years onwards: Comparison of the South Eastern European regional public health strategy 2004 and the South Eastern European 2020 strategy

Christiane Wiskow, Maria Ruseva, Ulrich Laaser

Abstract

Aim: Regional collaboration has continuously contributed to the development of public health in the South Eastern Europe (SEE) region since 2000 when the Public Health Collaboration in SEE (PH-SEE) was initiated. This article looks into two frameworks for regional collaboration in the area of public health: a framework developed in 2004 by a network of public health professionals and academics, and another one developed by the SEE Health Network as integral part of the SEE 2020 strategy on Jobs and Prosperity in a European Perspective, adopted in 2013. It compares the commonalities and differences of the two frameworks; considers what is still valid and relevant after ten years and which new features have emerged in the new strategy.

Methods: A literature review was carried out and a qualitative analysis was applied for the comparison of the two frameworks.

Results: Notwithstanding the time gap of nearly ten years, the commonalities between the two regional health strategies are significant. Major consistent goals include: improving equity in health; strengthening human resources for health; improving intersectoral cooperation and governance. The differences between the two regional strategies, including issues around social participation and regional health information systems, are partially due to their different development context. Cross-border policies and quality management have emerged as new or more pronounced topics in the SEE 2020 strategy’s health dimension.

Conclusions: Many aspects addressed in the 2004 framework are pertinent with regard to the SEE 2020 health dimension and remain relevant in the current context. The integration of health as part of the economic SEE 2020 strategy reflects a significant paradigm shift and important step forward for public health.

Keywords

public health strategy, regional collaboration, socioeconomic development

Full Text:

PDF

Cite this article

References

Regional Cooperation Council. South East Europe 2020 Strategy – Jobs and Prosperity in a European Perspective. Sarajevo: Regional Cooperation Council, 2013.

Regional Cooperation Council. South East Europe 2020 Baseline Report – Towards Regional Growth. Sarajevo: Regional Cooperation Council, 2014.

South-Eastern Europe Health Network, WHO Regional Office for Europe, Council of Europe Development Bank. Health and economic development in South East Europe. Copenhagen, Paris: World Health Organization, Council of Europe Development Bank, 2006. http://www.euro.who.int/en/publications/abstracts/health-and-economic-development-in-south-eastern-europe (accessed: May 31, 2015).

South-Eastern Europe Health Network, WHO Regional Office for Europe, Council of Europe Development Bank, Regional Cooperation Council. Evaluation of public health services in South-eastern Europe. Copenhagen: World Health Organization, 2009. http://www.euro.who.int/en/health-topics/Health-systems/public-health-services/publications/2010/evaluation-of-public-health-services-in-south-eastern-europe (accessed: May 31, 2015).

Ruseva M. SEE 2020 Strategy Implementation: First results of the 4th SEE Health Network Coordination Meeting, 12-13 March 2014, Jahorina, Bosnia and Herzegovina; South East Europe Health Network Blog. http://seehnsec.blogspot.ch/2014/03/see-2020-strategy-implementation-first.html, posted 26 March 2014 (accessed: May 5, 2015).

Public Health Collaboration in South Eastern Europe (PH-SEE). Framework for a Common Regional Public Health Strategy of South Eastern Europe. In: Scintee SG and Galan A (eds.). Public Health Strategies: A Tool for Regional Development. A Handbook for Teachers, Researchers and Health Professionals and Decision Makers. Lage: Hans Jacobs Publishing Company, 2005.

Burazeri G, Jankovic S, Laaser U, Martin-Moreno JM. South Eastern European Journal of Public Health: A new international journal. SEEJPH 2013;1. DOI 10.12908/SEEJPH-2013-01.

Burazeri G, Achterberg P. Health status in the transitional countries of South Eastern Europe. SEEJPH 2015;1. DOI 10.12908/SEEJPH-2014-43.

World Health Organization. World Health Statistics 2014. Geneva: World Health Organization, 2014.

SEE Health Network. http://seehnsec.blogspot.ch/p/about-see-health-network.html (accessed: May 23, 2015).

Council of Europe. Enlargement Policy– Glossary andTerms. http://ec.europa.eu/enlargement/policy/glossary/terms/stability-pact_en.htm (accessed: May 31, 2015).

South-Eastern Europe Health Network. The Health Dimension of SEE 2020. http://seehn.org/the-helath-dimension-of-see-2020 (accessed: May 31, 2015).

Forum for Public Health in South Eastern Europe. http://www.snz.unizg.hr/ph-see/index.htm (accessed: May 23, 2015).

Ruseva M, Chichevalieva S, Harris M, MilevskaKostova N, Jakubowski E, Kluge H, Martin-Moreno JM. The South Eastern Europe Health Network: A model for regional collaboration in public health. SEEJPH 2015;1. DOI 10.12908/SEEJPH-2014-34.

Vankova D, Leeuw E de. Public Health Human Capacity Building in Bulgaria- Theory and Application of SWOT Analysis. Int J Public Health Educ 2001;3:18-48.

World Health Organization and the Council of Europe. The Dubrovnik Pledge: Meeting the Health Needs of Vulnerable Populations in South East Europe. Health Ministers’ Forum: “Health Development Action for South East Europe”, Dubrovnik, Croatia, 31 August – 2 September 2001. Brussels: Stability Pact Secretariat, 2001. http://www.euro.who.int/en/health-topics/Health-systems/public-health-services/publications/2001/dubrovnik-pledge-2001 (accessed: May 31, 2015).

United Nations. Millennium Development Goals and beyond, 2015. http://www.un.org/millenniumgoals/ (accessed: May 31, 2015).

World Health Organization. Health 21: An introduction to the health for all policy framework for the WHO European Region. European Health for All Series, No. 5. Copenhagen: WHO Regional Office for Europe, 1998. http://www.euro.who.int/__data/assets/pdf_file/0004/109759/EHFA5-E.pdf (accessed: May 31, 2015).

World Health Organization. The Ljubljana Charter on Reforming Health Care, 1996. Copenhagen: WHO Regional Office for Europe, 1996. http://www.euro.who.int/en/publications/policy-documents/the-ljubljana-charter-on-reforming-health-care,-1996 (accessed: May 31, 2015).

Hofmann T. Public Health Framework in the European Union. In: Bjegovic V; Donev, D (Ed). Health Systems and Their Evidence Based Development. A Handbook for Teachers, Researchers and Health Professionals. Belgrade, Lage: Jacobs Publishing Company; 2004. p. 525-33.

European Parliament and Council of the European Union. Decision No1786/2003/EC of the European Parliament and of the Council of 23 September 2002 adopting a programme of Community action in the field of public health (2003-2008). Official Journal of the European Communities, 2002; L 271:1-11. http://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32002D1786 (accessed: May 31, 2015).

European Commission. Commission decision of 25 February 2004 adopting the work plan for 2004 for the implementation of the programme of Community action in the field of public health (2003-2008), including the annual work programme for grants. Official Journal of the European Union, 2004; L 60: 58-70. http://eur-lex.europa.eu/legal-content/EN/ALL/?uri=CELEX:32004D0192 (accessed: May 31, 2015).

World Health Organization. The Verona Challenge: Investing for health is investing for development. The Verona Initiative; Arena Meeting III, 5-9 July 2000, Verona, Italy. Copenhagen: WHO Regional Office for Europe, 2000.

World Health Organization and the Council of Europe. The Dubrovnik Pledge: From Commitment to Sustainability. Progress Report on Health Development Action For South East Europe in 2003. 7th Meeting of the Working Group of the Stability Pact Initiative for Social Cohesion. Brussels, Belgium, 07-08 December 2003. Brussels: Stability Pact Secretariat, 2003.

European Commission. Employment, Social Affairs & Inclusion - Policies and Activities: Flexicurity. http://ec.europa.eu/social/main.jsp?catId=102 (accessed: July 19, 2015).

Auer P. Security in labour markets: Combining flexibility with security for decent work. Geneva: International Labour Organization, 2007. http://natlex.ilo.ch/public/english/employment/download/elm/elm07-12.pdf (accessed: July 19, 2015).

International Labour Organization. Social protection floor for a fair and inclusive globalization. Report of the Social Protection Floor Advisory Group. Geneva, International Labour Office, 2011. http://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/---publ/documents/publication/wcms_165750.pdf (accessed: July 19, 2015).

International Labour Organization. Social Protection Floors. http://www.ilo.org/secsoc/areas-of-work/policy-development-and-applied-research/social-protection-floor/lang--en/index.htm (accessed: July 19, 2015).

Jakovljevic M, Laaser U. Population aging from 1950 to 2010 in seventeen transitional countries in the wider region of South Eastern Europe. SEEJPH 2015;1. DOI 10.12908/SEEJPH-2014-42.

South-Eastern Europe Health Network, European Commission, WHO Regional Office for Europe. Opportunities for scaling up and strengthening the health-in-all-policies approach in South-eastern Europe. Copenhagen: World Health Organization, 2013. http://www.euro.who.int/en/health-topics/Health-systems/public-health-services/publications/2013/opportunities-for-scaling-up-and-strengthening-the-health-in-all-policies-approach-in-south-eastern-europe (accessed: July 19, 2015).

South-Eastern Europe Health Network, WHO Regional Office for Europe. Non-communicable diseases prevention and control in the South-eastern Europe Health Network. An analysis of intersectoral collaboration. Copenhagen: World Health Organization, 2012. http://www.euro.who.int/en/health-topics/Health-systems/public-health-services/publications/2012/noncommunicable-diseases-prevention-and-control-in-the-south-eastern-europe-health-network.-an-analysis-of-intersectoral-collaboration-2012 (accessed: July 19, 2015).

Wenzel H. The Economics of Evidence in Public Health. Presentation at the PH-SEE Expert Retreat on National Public Health Strategies in South Eastern Europe and the EU Health Policy, Belgrade, August 23-28, 2004. Belgrade: Public Health Collaboration in South Eastern Europe (PH-SEE).

Wiskow C. Health worker migration flows in Europe: Overview and case studies in selected CEE countries (Romania, Czech Republic, Serbia and Croatia). Geneva: International Labour Office, 2006.

Buchan J, Wismar M, Glinos IA, Bremner J (eds.). Health Professional Mobility in a Changing Europe: New dynamics, mobile individuals and diverse responses. Copenhagen: WHO Regional Office for Europe & European Observatory on Health Systems and Policies, 2014.

Wiskow C, Albreht T, de Pietro C. How to create an attractive and supportive environment for health professionals. WHO Regional Office for Europe and European Observatory on Health Systems and Policies, Policy Brief 15. Copenhagen: World Health Organization, 2010.

Baum F, Ollila E, Pena S. History of HiAP. In: Leppo K, Ollila E, Pena S, Wismar M, Cook S (eds.). Health in All Policies: Seizing opportunities, implementing policies. Ministry of Social Affairs and Health, Finland, 2013.

World Health Organization Regional Office for Europe. Health 2020: A European policy framework and strategy for the 21st century. Copenhagen: World Health Organization, 2013. http://www.euro.who.int/__data/assets/pdf_file/0011/199532/Health2020-Long.pdf?ua=1 (accessed: July 19, 2015).

International Labour Organization. Social dialogue in the health sector: A tool for practical guidance - The handbook for practitioners. Geneva: International Labour Organization, 2005.

South-Eastern Europe Health Network. The Belgrade Statement. Joint SEE Health Network and WHO Regional Office for Europe Ad-hoc Meeting of the Ministers of Health of the SEEHN Member States on “Further steps to strengthening the SEE regional collaboration for public health. 21-23 June 2015, Belgrade, Republic of Serbia. http://seehn.org/web/wp-content/uploads/2015/08/The_Belgrade_Statement-_17062015.pdf (accessed: July 19, 2015).


DOI: 10.4119/UNIBI/SEEJPH-2016-90

Copyright (c) 2016 Christiane Wiskow, Maria Ruseva, Ulrich Laaser

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.