South Eastern European Journal of Public Health (SEEJPH) 2020-01-17T22:48:36+00:00 Prof. Genc Burazeri PhD Open Journal Systems <p>The South Eastern European Journal of Public Health (SEEJPH) is an open-access international peer-reviewed journal involving all areas of health sciences and public health. Devoted to the global health SEEJPH welcomes submissions of scientists, researchers, and practitioners from all over the world, but particularly pertinent to southern and eastern countries in transition.</p> Mortality reduction in the Russian Federation: Significant progress contrary to Western beliefs 2019-11-15T11:09:59+00:00 Genc Burazeri 2019-10-30T11:35:23+00:00 Copyright (c) 2019 Genc Burazeri Successful reduction of premature mortality in the Russian Federation and the countries around the Baltic Sea working together on Health and Social Well-being 2019-10-30T22:34:22+00:00 Valery Chernyavskiy Helmut Wenzel Julia Mikhailova Alla Ivanova Elena Zemlyanova Vesna Bjegovic-Mikanovic Alexander Mikhailov Ulrich Laaser <p><strong>Context:</strong> 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.</p> <p><strong>Methods:</strong> 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.</p> <p><strong>Results:</strong> 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.</p> <p><strong>Conclusion: </strong>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.</p> 2019-10-30T11:27:35+00:00 Copyright (c) 2019 Valery Chernyavskiy, Helmut Wenzel, Julia Mikhailova, Alla Ivanova, Elena Zemlyanova, Vesna Bjegovic-Mikanovic, Alexander Mikhailov, Ulrich Laaser Facilitators and barriers to the use of economic evaluations in nutrition and public health 2020-01-13T22:47:54+00:00 Alessandra Lafranconi Vera Meusel Sandra Caldeira Suzanne Babich Katarzyna Czabanowska <p><strong>Aims</strong>: Interventions targeting diets have the potential to reduce a consistent fraction of the chronic disease burden. Economic evaluations of such interventions can be an important tool in guiding public health practitioners and decision makers at various levels, yet there are still not many economic evaluations in this area. This qualitative study explored facilitators and barriers in conducting and using economic analyses to inform decision makers in the field of public health nutrition.</p> <p><strong>Methods</strong>: Data were collected through written, open-ended questionnaires administered to twenty-three participants (13 from academia and 10 from government) using purposive sampling and analysed through a conventional content analysis.</p> <p><strong>Results</strong>: The analysis revealed two broad categories of barriers, which included: i) “Methodological challenges”, and; ii) “Barriers related to application of economic evaluations.” Two main categories of facilitators were also identified: i) “Facilitators to improving the methodology of economic evaluations”, with subcategories further detailing frameworks and methods to be applied, and; ii) “Facilitators to broaden the use of economic evaluations”, with most subcategories addressing science-into-policy translations. These barriers and facilitators to the use of economic evaluations in public health are perceived differently by researchers and policymakers, the former more focused on implementation aspects, the latter more concerned by methodological gaps.</p> <p><strong>Conclusion</strong>: Public health nutrition policies seldom take into account data from formal economic evaluations. Economic evaluation methodologies can be improved to ensure their broader application to decision making.</p> <p>&nbsp;</p> <p><strong>Conflicts of interest</strong>: None declared.</p> <p>&nbsp;</p> <p><strong>Acknowledgements: </strong>The work of AL is partially supported by a Jean Monnet Erasmus+ grant (574376-EPP-1-2016-1-IT-EPPJMO-MODULE).</p> 2020-01-13T00:00:00+00:00 Copyright (c) 2020 Alessandra Lafranconi, Vera Meusel, Sandra Caldeira, Suzanne Babich, Katarzyna Czabanowska Switching emergency contraceptives to non-prescription status and unwanted pregnancy among adult and teenage women: A long-term European comparative study 2020-01-17T22:48:36+00:00 Salvatore Italia Peter Schröder-Bäck Helmut Brand <p><strong>Abstract</strong></p> <p>&nbsp;</p> <p><strong>Aim</strong>: Unwanted pregnancy is an important social issue, not least among teenagers. Emergency contraceptives (EMCs) can prevent from unintended pregnancy, if taken quickly after unprotected sex. This study’s objective was assessing abortion/birth rates among adult and teenage women in Europe before/after an EMC switch to non-prescription status.</p> <p><strong>Methods</strong>: National authorities were consulted for EMC consumption data and abortion/live birth statistics. Rates (n=26 countries) in the year before the switch (= year of reference) were compared with rates before/after the change (up to ±15 years). The focus was laid on the European Union and further countries closely related to the European Union.</p> <p><strong>Results</strong>: All countries with available data (n=12) experienced a substantial increase of EMC consumption after the switch. On average, abortion rates among women aged 15–49 years were 83% higher 15 years before (compared with the year of reference) and 14% lower 15 years after the switch. Correspondingly, teenage abortion rates were 35% higher 15 years before and 40% lower 15 years after the switch. In 2017, no country had higher teen abortion rates than at time of the switch. Teen birth rates continued decreasing at almost the same rate after the switch as before.</p> <p><strong>Conclusion</strong>: An EMC switch to non-prescription status increases EMC use and may contribute reducing unwanted pregnancy among teenage girls.</p> <p>&nbsp;</p> <p><strong>Conflicts of interest</strong>: None declared.</p> <p><strong>&nbsp;</strong></p> <p><strong>&nbsp;</strong></p> <p>&nbsp;</p> 2020-01-17T16:18:49+00:00 Copyright (c) 2020 Salvatore Italia, Peter Schröder-Bäck, Helmut Brand Survival: One Health, One Planet, One Future 2019-12-19T22:43:08+00:00 George R. Lueddeke 2019-12-16T00:00:00+00:00 Copyright (c) 2019 George R. Lueddeke