Successful reduction of premature mortality in the Russian Federation and the countries around the Baltic Sea working together on Health and Social Well-being

  • Valery Chernyavskiy Federal Research Institute for Health Organization and Informatics of the Russian Ministry of Health, Moscow, Russian Federation;
  • Helmut Wenzel Independent consultant, Konstanz, Germany;
  • Julia Mikhailova Federal Research Institute for Health Organization and Informatics of the Russian Ministry of Health, Moscow, Russian Federation;
  • Alla Ivanova Federal Research Institute for Health Organization and Informatics of the Russian Ministry of Health, Moscow, Russian Federation; Institute of Socio-Political Research of the Russian Academy of Sciences, Moscow, Russian Federation
  • Elena Zemlyanova Federal Research Institute for Health Organization and Informatics of the Russian Ministry of Health, Moscow, Russian Federation; Institute of Socio-Political Research of the Russian Academy of Sciences, Moscow, Russian Federation
  • Vesna Bjegovic-Mikanovic University of Belgrade, Faculty of Medicine, Institute of Social Medicine, Belgrade, Serbia;
  • Alexander Mikhailov Federal Research Institute for Health Organization and Informatics of the Russian Ministry of Health, Moscow, Russian Federation;
  • Ulrich Laaser University of Bielefeld, Bielefeld School of Public Health, Bielefeld, Germany.
Keywords: gap analysis, northern dimension, North West Federal Okrug, premature mortality, public health, Russian Federation.

Abstract

Context: The ‘Northern Dimension on Public Health and Social Well-being’ is a platform for dialogue and cooperation of countries around the Baltic Sea, established in 2003, guided by the Sustainable Development Goal 3 on Health and Social Well-being and the Strategy for the Baltic Sea Region of the European Union adopted in 2009. In this paper we determine the overall progress of the Russian Federation and its North West Federal Okrugin in particular, with regard to the reduction of mortality.

Methods: For the purpose of inter-country comparison and progress over time we make use of age-standardised Potential Years of Life Lost (PYLL) applied to quantifiable strategic targets, the Sustainable Development Goal 3 on Health and Social Well-being and the European Union Strategy of the Baltic Sea Region. A gap analysis is performed to determine whether the target achievement is in delay or on track.

Results: With reference to the baseline of 2009 – corresponding to the most relevant recent period 2009-2020 respectively 2009-2030 – the Russian Federation as a whole is on track achieving the two strategic targets in advance by 2.7 years. For the North West Federal Okrug around St. Petersburg and Kaliningrad bordering the Baltic Sea the target achievement is estimated to be 4.8 and 10.8 years in advance of the deadlines 2020 and 2030. In comparison to the Baltic Sea states the Russian Federation takes a middle position after Estonia, Latvia and Finland. The early target achievement is confirmed if the period 2003-2020 respectively 2003-2030 is considered.

Conclusion: Although the region is progressing there may be a slowdown towards 2030. A careful analysis is required to determine to which degree the activities of the Partnership for Health and Social Well-being have contributed to the success and what should be proposed to increase the impact on premature mortality.

Published
2019-10-30
How to Cite
Chernyavskiy, V., Wenzel, H., Mikhailova, J., Ivanova, A., Zemlyanova, E., Bjegovic-Mikanovic, V., Mikhailov, A. and Laaser, U. (2019) “Successful reduction of premature mortality in the Russian Federation and the countries around the Baltic Sea working together on Health and Social Well-being”, South Eastern European Journal of Public Health (SEEJPH). doi: 10.4119/seejph-3129.
Section
Original Research