From the Tallinn Charter to Health 2020: putting health-system values into action
•Download as PPTX, PDF•
0 likes•688 views
Presented by Hans Kluge, Director, Division of Health Systems and Public Health, WHO/Europe at the 64th session of the WHO Regional Committee for Europe, on 16 September 2014.
Recommended
Recommended
More Related Content
Similar to From the Tallinn Charter to Health 2020: putting health-system values into action
Similar to From the Tallinn Charter to Health 2020: putting health-system values into action (20)
More from WHO Regional Office for Europe
More from WHO Regional Office for Europe (20)
Recently uploaded
Recently uploaded (20)
From the Tallinn Charter to Health 2020: putting health-system values into action
- 1. From the Tallinn Charter to Health 2020: putting health-system values into action Dr Hans Kluge Director, Division of Health Systems and Public Health
- 2. Health Systems for Health and Wealth in the Context of Health 2020
- 3. Key themes Coordinated / Integrated health services delivery (CIHSD) Human Resources for Health Health systems strengthening actions in the context of Health 2020 – improving ‘governance for health’ Public Health Challenges E-health and innovation
- 4. Implementation experience Ireland Republic of Israel Belgium Moldova Integrated care Health-system performance assessment Mobility of health Spain Kazakhstan Turkey Denmark Universal health coverage care workers Health-system strengthening for management of noncommunicable diseases (NCDs) Primary health care/ public health Governance for health Partnership Hungary
- 5. Looking to the future – two key areas for action Developing a holistic approach to health systems Developing patients as front-line health workers
- 6. Demonstrating commitment to strengthening health systems across Europe 2007 & 2008: 4 meetings before Tallinn Conference June 2008: WHO European Ministerial Conference on Health Systems and Tallinn Charter April 2009: “Oslo 1” March 2011: meeting of the European Health Policy Forum (Andorra) and interim Tallinn report April 2013: “Oslo 2” October 2013: meeting for fifth anniversary of Tallinn Charter November 2013: conference on 35th anniversary November 2014: expert meeting on strengthening health systems ● September 2015: RC65 and final report ● ● ● ● ● ● ● ● of Declaration of Alma-Ata 2018: 10th anniversary meeting ● September 2012: Health 2020 adopted ● December 2013: conference on prevention and control of NCDs (Ashgabat) RC65: 65th session of the Regional Committee.
- 7. WHO Regional Office for Europe Division of Health Systems and Public Health Thank you
Editor's Notes
- Dear Chair, dear Member State Delegates, distinguished guests, Ladies and Gentlemen, it is an honour to address you today about the work we continue, with your support, to engage in around health system strengthening. More specifically, I wish to recap for you, and with you, the outcomes of the high level meeting on ‘Health systems for health and wealth in the context of Health 2020’, hosted by the Government of Estonia in Tallinn, 17-18 October, to mark the 5 year anniversary of the Tallinn Charter. The meeting was a resounding success, reflected in not just the high calibre of attendees from across the Member States, but particularly for the discussions and debates we had during the meeting. And here, I found it especially positive, to hear the numerous activities countries were undertaking which were informed or inspired by the Tallinn Charter commitments. (CLICK).
- The programme was a full and rich one, and was oriented around the fact that, in adopting the Tallinn Charter in 2008, Member States in the WHO European Region had expressed their support for seven key commitments: To promote shared values of solidarity, equity and participation; To invest in health systems and foster investment across sectors that influence health; To promote transparency and be accountable for health system performance; To make health systems more responsive to people’s needs, preferences and expectations; To engage stakeholders; To foster cross-country learning and cooperation; and To ensure that health systems are prepared for and able to respond to crises. (CLICK) In this regard, the objectives of the high level meeting were fourfold to: Review the Tallinn Charter and health system strengthening in the context of Health 2020; Identify key health system challenges and opportunities to tackle Europe’s major disease burden; Share inspiring good practices of ways to strengthen health systems; and Start the process of agreeing on future directions for health systems up to 2020 (CLICK) And though none of really need reminding of what it is that we are working towards, I was particularly impressed by the bravery and lucidity of this young lady who recounted her experiences as an MDR-TB patient. We can, and we are, making a difference through concerted health systems approaches. It is a positive message we need to share. (CLICK)
- Looking closely at key themes to emerge in recent years, we find four that are shared across European Member States as representing both a challenge to our systems, as well as an opportunity for strengthening them through careful management and stewardship. These are: The need to work towards more coordinated/integrated models of care, and the roadmap for CIHSD in the WHO Region was launched by the Regional Director during the meeting (CLICK) Ensuring human resources for health which are sufficient and fit for purpose when looking towards the future. (CLICK) Strengthening the role of public health in health services delivery (CLICK) The potential of e-Health modalities. (CLICK)
- An important part of the meeting was the Member States having an opportunity to reflect on actions and initiatives taken in their countries. I would just highlight a small number of key ones: (CLICK) Ireland’s commitment to improved governance for health as reflected in their ‘Healthy Ireland’ strategy (CLICK) Israel’s concerted work on community-based primary care, and endorsement of the CIHSD strategy (CLICK) Belgium’s commitment to setting targets and meeting them through a health systems performance assessment approach (CLICK) The work in Moldova to address issues of human resources for health; specifically, changing attitudes and offering incentives for health professionals to remain in the country (CLICK) In Spain we see the implementation of a Health Systems Strengthening for NCDs approach (CLICK) Kazakhstan, meanwhile, has made huge progress in integrating primary health care within a public health approach (CLICK) Of course Turkey, with its ‘Health Transformation Programme’ is something at the vanguard of UHC in the European Region. (CLICK) And health system financing clearly remains a major agenda item across not just Europe, but the globe, and we were fortunate to have several key partners – namely the World Bank, the Global Fund, the OECD, the EIB - all reporting on their work in Europe. The government of Denmark was part of this session, and reported on the Ministry of Foreign Affairs support to a non-European country, Ghana, to indicated how important it was to share experience and expertise. This was a particularly lively and inspiring session and again it reminds of the progress we have made to date as well as where we are going. In continuing with the principles of Tallinn, the meeting allowed us to turn the Health 2020 lens onto the Charter to better examine ways to take actions and activities forwards. (CLICK)
- There are numerous issues I could highlight in terms of HSS priorities in the future - and in developing the Resolution for RC65 we will do so – but there are two key inter-related issues which came out of the conference These were the need for a holistic approach to health systems (CLICK) and that patients need to take more responsibility for their own health. Here whole-of-government and whole-of-society approaches were deemed central here, for example: designing cities and transport systems that facilitate people’s exercise; ensuring the availability of healthy foods; and providing community support to overcome isolation and depression among seniors ensuring better access to health information that patients can take informed decisions we need to better develop health care delivery systems that are focused on primary care and which offer continuity of care and relationships with care providers improving coordination across care providers (inpatient and outpatient settings, doctors and non-doctors) is key, as is ensuring the needed human resources including nurses, physical therapists, social workers, technicians etc ensuring effective patient groups and finally, as is a core element of Health 2020, engaging in transparent policy-making and limit-setting, improving political processes, and exercising leadership and change management is perhaps one of the most important future-looking changes of all. These are all difficult issues and questions, but with your continued support ladies and gentlemen, I am sure that we can tackle them head on. (CLICK)
- In my penultimate slide, ladies and gentlemen, I would just highlight how far we have come since the 2008 Ministerial Conference in Tallinn. It has, as you can see given the full engagement of yourselves on behalf of your countries, been a joint journey – from: the initial pre-conferences (CLICK) to the Tallinn ministerial conference itself (CLICK) through many SCRC and RC meetings (including this one and those to come next year) and with several key moments since the Charter was signed, most notably: (CLICK) the Oslo 1 and 2 conferences (CLICK) the European Health Policy Forum in Andorra and delivery of the interim report on Member States’ implementation of the Tallinn Charter commitments (CLICK) endorsement of the Health 2020 policy and framework at Regional Committee 62 (CLICK TWICE) the high level conference to mark 5 years of the Charter (CLICK) the Alma Ata 35th anniversary conference the NCDS prevention and control meeting in Ashgabat (CLICK) and this Regional Committee, with myself on behalf of the secretariat reporting back on the meeting and the way forwards, and with a side meeting with a number of you who kindly volunteered to help steer the process of producing the final report (CLICK) a planned meeting of health systems experts in November this years to discuss a forwards looking approach (CLICK) next year’s Regional Committee where the final Tallinn report will be presented along with a resolution on HSS actions in the future (CLICK) and of course we look forward to a potential 10-year anniversary conference as called for by the Estonian Minister of Health during the meeting last year And on this path, what has kept us going and together, despite curves and hiccoughs which have tested our systems and resolve on the way – such as the global financial crisis, the 2009 European swine flu outbreak, and the 2010 floods in Central and Eastern Europe to name a few – is our shared and unwavering commitment to core values underpinning our approach to health care delivery and health systems. These are firmly rooted in the Tallinn Charter and continue through Health 2020 in our work today. (CLICK)
- In closing, I would emphasise that t is clear that Health 2020 will support and fortify the health systems strengthening work we have done together. And again, for it cannot be overstated, a value-based approach remains at the heart of our efforts, and it is a pleasure to be able to work with you all in taking this forwards on behalf of all persons in the European Region. Finally, it would be remiss of me to not extend this Office’s, and indeed my own personal, appreciation to the government of Estonia for reaffirming its commitment to stronger health systems across the WHO European Region though hosting the High level meeting last year. So too for its continued close collaboration with us in several key areas; we are very much looking forward to the 10 year-anniversary meeting in 2018!