March 12-13, 2014, Jahorina, BiH

Following the Brussels Coordination Meeting (January, 2014), the RCC organized a SEE 2020 Coordination Meeting in Jahorina, Bosnia and Herzegovina. The meeting was attended by the SEEHN Presidency, Executive Committee members and the SEEHN permanent Working Group on SEE 2020 Strategy.

The purpose of the meeting was to discuss and agree on the SEEHN obligations and actions for SEE 2020 Strategy implementation, including on the:

  • Monitoring of SEE 2020
  • Implementing SEE 2020 through flagship initiatives
  • Governing the implementation
  • Work plan (2014 – 2019) of the health dimension objectives and measures under the Inclusive Growth pillar of the SEE 2020 Strategy
  • Immediate needs in 2014 under the Presidencies of Romania and Republic of Serbia (Revisions of SEE Health Network basic legal documents; Concepts for the Fourth SEE Ministerial Forum; Next steps and timetable in 2014 and 2015)

Given the importance of monitoring of the implementation of the SEE 2020 Strategy, the meeting paid special attention to discussing and revising an OECD proposed set of measurable quantitative indicators for the health dimension. Having in mind the “health in all policies concept”, the health targets and indicators were restructured in order to fully align health prevention and promotion with it, while also having in mind the social determinants of health and inequalities. Agreeing on a revised set of quantitative indicators was one of the major outcomes of this meeting, and a first and very important step towards devising the full monitoring framework. The next step for completing this framework is to devise a set of qualitative indicators, which will follow later in 2014. A revision and further development of the flagship initiatives will also follow in the coming months.

Table 1: Proposed outcome and policy quantitative health indicators of the SEE2020 Strategy (Jahorina)

OUTCOME MEASURES

& Data Sources

Indicators of Impact by 2020

& Data Sources

Annual Progress Measure

& Data Sources

Health Activities

Continued increase in life expectancy at current rate as  (2006-2010)

% increase in healthy life years at age 65

% reduction in low birth weight

% relative annual reduction in age-standardized overall premature mortality rate (from 30 to under 65 years)  for four major noncommunicable diseases (HFA-MDB)

  • Cardiovascular diseases
  • Cancer
  • Diabetes mellitus
  • Chronic respiratory diseases

% Increase universal coverage

% reduction in infant mortality per 1000 live births (HFA-DB)

  • % reduction in age-standardized prevalence of tobacco use among  children and persons   aged 15+; HBSC  & ESPAD
  • % reduction in age-standardized per capita alcohol consumption among  use among children and persons  aged  15+; HBSC + ESSPAD
  • % reduction in age-standardized per capita salt intake among persons aged 18+;   Desirable New
  • % reduction in age-standardized prevalence of overweight and obesity in adolescents & persons aged 18+ HBSC    +ESPAD
  • % Self – perceived limitations in daily    activities EU SILC
  • Number of Community Health Workers per 1000 population Desirable New
  • % of Babies breast fed to 6 months WHO/UNFPA
  • Private household out of pocket payments   as  % of health expenditure WHO / HFA
  • Health insurance coverage (% of  population) WHO /HFA
  • Percentage of children vaccinated against measles (1 dose by second birthday), polio (3 doses by first birthday), rubella (1 dose by second birthday)
  • Sickness Absence Rates
  • Health SMEs Desirable New
  • Equity of access to health services as a measure of unmet needs EU-SILC annual – MVA; ALB ; BiH
  • Total expenditure on health as % of GDP   WHO-HFA
  • Public Sector Health Expenditure as % of all Government expenditure WHO-HFA
  • Total expenditure on health as absolute amount WHO-HFA
  • Doctors registration recipient Country; Nurses registration recipient country; Intention to Leave; Intention to Leave  in Host country
  • Desirable New
  • Scale up Implementation of  Universal Primary Care
  • Develop  a Regional Model for Improved delivery of Prevention & Health Promotion Programs & Services
  • Strengthen intersectoral governance for health
  • E- Health/ M- Health
  • Adopt a regional information exchange for capacity building on improving Health & Fair Development
  • Harmonise cross boarder public health standards legislation and services
  • Foster cross border cooperation and free trade area from PH perspective
  • Strengthen Human Resources for  Health & Monitor  Human Resource Migration/Mobility
  • Harmonise professional standards & Qualifications





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