Vivian Barnekow Child and Adolescent Health and Development Country Policies and Systems WHO Regional Office for Europe Health of young people in Euro Health of young people in Euro - a snapshot - a snapshot
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Vivian Barnekow Child and Adolescent Health and Development
Country Policies and SystemsWHO Regional Office for Europe
Health of young people in EuropeHealth of young people in Europe- a snapshot- a snapshot
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• What is the situation - some snapshots
• Determinants for health
• WHO contribution
• The way forward
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Age drift of Europe’s population Age drift of Europe’s population - EU countries- EU countries
Age drift of Europe’s population Age drift of Europe’s population - EU countries- EU countries
Young people – a scarce resource
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Poverty rates Poverty rates - inequality is growing- inequality is growing
Poverty rates Poverty rates - inequality is growing- inequality is growing
16-19 years 20-24 years 25-29 years All population
Finland 12.5 29.9 13.0 10.8
Denmark 8.4 21.7 9.7 10.3
Netherlands 18.1 27.1 12.1 10.5
UK 22.7 20.3 14.3 18.8
Ireland 24.2 11.5 14.3 22.1
France 21.1 21.0 11.4 15.0
Germany 13.1 13.6 11.2 11.1
Austria 9.8 8.2 8.4 11.4
Belgium 17.9 13.9 9.5 15.4
Portugal 15.4 9.6 9.3 16.4
Spain 24.6 17.4 13.2 18.2
Italy 27.0 24.7 19.4 18.6Factors: living away from parents, living alone, having children, not having job
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Well-being is a fundamental part of
mental health
Low socio-economic status is related to poor
mental health
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Deaths from injuriesDeaths from injuriesDeaths from injuriesDeaths from injuries
• 3% of deaths age group 0-1years
• 27% of deaths age group 1-4 years
• 37% deaths age group 5-14 years
• 65% deaths age group 15-24 years
(traffic, drowning, poisoning, fires and falls)
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SuicideSuicideSuicideSuicide
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Commision on Social Commision on Social Determinants for HealthDeterminants for Health
Commision on Social Commision on Social Determinants for HealthDeterminants for Health
• Social justice
• Empowerment – material, psychosocial, political
• Creating the conditions for people to lead flourishing lives
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• Inequalities in health that are avoidable are inequitable
• Tackling health inequities is a matter of social justice
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Early child development and education
Healthy Places Fair Employment Social Protection
Universal Health Care
Health Equity in all Policies
Fair Financing Good Governance
Market Responsibility
Gender Equity
Political empowerment – inclusion and voice
CSDH – Areas for ActionCSDH – Areas for ActionCSDH – Areas for ActionCSDH – Areas for Action
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WHO Child and adolescent health strategy - WHO Child and adolescent health strategy - objectives and guiding principlesobjectives and guiding principles
WHO Child and adolescent health strategy - WHO Child and adolescent health strategy - objectives and guiding principlesobjectives and guiding principles
• Evidence based policies
• Multi sectoral action
• Role of the health sector in development and coordination of policies
• Life-course approach – from prenatal life to adolescence
• Equity – account explicitly for needs of the most disadvantaged
• Inter sectoral action
• Participation of public and young people
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Seven priority areas for actionSeven priority areas for actionSeven priority areas for actionSeven priority areas for action
1. Mothers and neonates
2. Nutrition
3. Communicable diseases
4. Injuries and violence
5. Physical environment
6. Adolescent health
7. Psychosocial development and mental health
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A toolkit for implementationA toolkit for implementationA toolkit for implementationA toolkit for implementation
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The Action and Gender The Action and Gender ToolTool
The Action and Gender The Action and Gender ToolTool
• Key issues through the life cycle
• Actions by different sectors
• Role of the health system
• Examples of evidence based actions
• Guidance to incorporate gender analysis
• Identify effective interventions that have a gender perspective
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Possible partnersPossible partnersPossible partnersPossible partners
Health Sector Education Sector
Media And many others: labour, criminal-justice, social services, parents, peers, etc.)
Information and Life Skills + +++ ++ ++Services and Counselling +++ + + +Safe and Supportive Environment
+ ++ ++ +++Opportunities to participate + + + ++
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The way forward The way forward - some steps- some steps
The way forward The way forward - some steps- some steps
• identify the key determinants of health
• identify all current sources of data on young people’s health (national- international) – fill the gaps
• effective interventions exist – start using them
• improve knowledge and understanding of the links between socioeconomic factors, health and inequalities among young people.
• comprehensive national health and development policies and action with a focus on young people are needed
• identify resources for action
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THANK YOU FOR YOUR ATTENTION
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