Presentation by dr Kristiina Mukula from Finland at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012

1. Health in other policies
Round Table 4
Kristiina Mukala, PhD
Medical Councellor, Ministry of
Social Affairs and Health,
Finland

2. Future Challenges
 People live longer, population is ageing
 Globalisation
 Current economic crisis
 Employment
 Poverty and social exclusion
 Changes in working life, technological development
 Health inequalities have remained or even increased
 Health challenges:
– obesity, rise in chronic diseases,
mental health problems,
increasing use of alcohol and other substances,
health care systems: equal access and quality, cost-
constraints
2 Etunimi Sukunimi

3. Population age-structure in 1960–2040
Proportion of
population (%)
100 %
80 % 75+ yrs
65 - 74 yrs
60 % 50 - 64 yrs
30 - 49 yrs
40 % 15 - 29 yrs
0 - 14 yrs
20 %
0%
60
70
80
90
00
10
20
30
40
19
19
19
19
20
20
20
20
20
Source: Statistics Finland
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4. Governmental Policy Programme for
Health Promotion 2007-2011
 Cross-sectoral actions – Health in All Policies
 Contributes to and strengthens taking health aspects into account in
all decision-making in society and the service system
 Objectives
– Reinforcing the structures of health promotion
– Achieving lifestyle changes that contribute to the prevention of public
health problems
– Development of working and living conditions that promote healthy
lifestyle choices
– Strengthening independent coping and possibilities for living at home
for older people
– Strengthening the basic services of social welfare and health
care and development of new work patterns for health
promotion
– Reducing health inequalities
– Reinforcing the activities and role of organisations that provide
support for health promotion 4 Etunimi Sukunimi

5. Action Plan to Reduce Health Inequalities
 The aim is to reduce disparities between
socioeconomic population groups in work ability and
functional capacity, morbidity and mortality
 By reducing health inequalities it is possible to
improve public health and achieve positive impacts
in terms of the national economy
 Main objectives of the action plan:
– to reduce poverty, gaps in education, vulnerability and social
exclusion
– to promote healthy lifestyles
– to develop social and health care services
– to enhance information
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6. The most important Programmes of the
Ministry of Social Affairs and Health
 the National Programme on Ageing Workers
1998 - 2002
 the National Workplace Development Programme
1996 - 1999, 2000 - 2003, 2004 -
 the Well-being at Work Programme 2000 - 2003
 VETO-programme (making working life more attractive)
2003 - 2007
 Health 2015 – Public Health Programme
 Government Resolution - Occupational Health 2015 (2004)
Occupational Health 2015 – Programme
 Policy Programme for Health Promotion
 National Action Plan to reduce health inequalities – 2008
 Social Protection reform (SATA)
 Forum For Well-being at Work 2008 -
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7. The Government Programmes 2007 - 2011
 The policy programme for health promotion
 The policy programme for employment,
entrepreneurship and worklife
 The policy programme for the wellbeing of children,
youth and families
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8. Health 2015 public health programme
 A Government Resolution that outlines Finnish
health policy in the long term
 A cooperation programme that aims to support and
promote health in all areas of society
 Stresses health promotion and reduction of health
inequalities
 Its implementation is reviewed every fourth year in
the Social and Health Report
 Its implementation and monitoring is coordinated by
the Advisory Board for Public Health together with
the Ministry of Social Affairs and Health
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9. Government Resolution – Occupational Health 2015
 Legislation
 Occupational health care content
 Occupational health service system
 Funding and compensation system of OCH
 Human resources in OHC
 Ethics of OHC
 Cooperation
 Information management systems in OHC
 Research and development in OHC
 Monitoring and supervision
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10. The Government has three priority areas:
1. the reduction of poverty, inequality and social
exclusion;
2. consolidation of public finances;
3. and the strengthening of sustainable economic
growth, employment and competitiveness.

11. Strategy for social and health policy
Finland in 2020, a socially sustainable society:
 treats all members of society fairly,
 reinforces participation and a sense of community,
 supports health and functional capacity,
 provides the security and services required by its members.
Strategic choices:
 A strong foundation for welfare
 Access to welfare for all
 A healthy and safe living environment
11 30.11.2011 STM

12. Programme of Government
 The promotion of wellbeing and health as well as the
reduction of inequality will be taken into account in all
societal decision-making, and incorporated into the
activities of all administrative sectors and ministries
Kristiina Mukala 27.10.2011

13. Conclusions
 Synergies in policies of employment, social and
health policies to deepening and strengthening the
cooperation.
 Strategies for implementing promotion of health and
work ability policies and programmes including
comprehensive occupational and public health
approach.
 Collaboration of actors on national, regional and
local levels of society involving social partners
 Development of the coverage and content of
occupational health and preventive services
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14. Thank you!
Kristiina Mukala 27.10.2011