NDPHS / SIHLWA
Social Inclusion,
Healthy Lifestyles
& Work Ability
SIHLWA Action Plan for 2009:
What we plan to do
1) Joint SIHLWA-7 meeting 19-20 March in Östersund/ Sweden (NIPH as host)
2) Joint SIHLWA-8 meeting in September 2009: Poland?
PAC-5 SIHLWA Action Plan 2009
SIHLWA joint project & programme-based activities
continue and expand in 2009:
1)
2)
3)
4)
5)
6)
7)
8)
Facts-sheet update for SIHLWA EG.
Thematic report and Facts-sheet prepare for SIHLWA ADOsub-group
Thematic report and Facts-sheet prepare for SIHLWA ALCsub-group
Potential Years of Life Lost (“PYLL”) assessment in ALL Republic
of Karelia and Vologda Oblast/ RF)
Thematic report update for OSH
“Health at Work”-strategy OSH follow up and advocacy
“Life at Stake” / “На кону – жизнь” start-up on Russia/SPb with
TV-producers
SIHLWA Stakeholder analysis N-W Russia and Finland
continues in 2009. Implementation expansion explored in the
Baltic States?
PAC-5 SIHLWA Action Plan 2009
PYLL Starting point: simple calculation

Standard-life to which all preventable deaths are reflected
70 y

A = Ivan died of coronary heart attack at age of 55 years


Ivan’s PYLL = 70 -55 = 15 years
B = Anna died of alcohol poisoning at age of 28 years


Anna’s PYLL = 70 – 28 = 42 years
C = Pelagiya died of stroke at age of 71 years

Pelagiya’s PYLL = 70 – 71 = 0 years
PAC-5 SIHLWA Action Plan 2009

PYLL Objectives
1. To assess the problems of early
deaths.
2. To direct preventive measures.
3. To evaluate the performance of
prevention and treatment.
PAC-5 SIHLWA Action Plan 2009
Fig. 1
Prematurely lost life years (PYLL)
in international comparison 2006
3000
3500
3600
4000
4100
Sweden
Norway
Canada
Finland
Denmark
5200
Pitkaranta, Rep. Karelia
PYLL (years per 100 000)
PAC-5 SIHLWA Action Plan 2009
00
60
00
40
00
30
00
20
00
10
0
00
? 23200
Russia
50
USA
28 Preventive causes of death (WHO)
A.
FOLLOW UP
AND NEW PYLL
1. Statistic. Bureau
Mortality registry
1983-1987
1993-1997
2003-2007
W & M & All
B.
CALCULATION
Univ. Kuopion
Figures for municipalities
Age standard.
(comparability to
nat. average)
after 2-3 years
1. ANALYSIS
MAKE NEW PLAN OF ACTION/
INTERVENTION STRATEGY
Municipal council
Exec. management
Church, Police
School manag.
Road maintenance etc.
C.
Referees
PYLL PROCESS
F.
At least 2
independently
84 tables
Summary
CONSENSUS
Prematurely lost
lives
Politicial commitment & publicity
1. MEETING
2. MEETING (public hearing)
In municipality: leading local
politicians
E.
Other experts
according to findings
consulted
->Fine tuned
assessment
D.
2. ANALYSIS
LOCAL
health & social care
PROFESSIONALS
Thinking together
PAC-5 SIHLWA Action Plan 2009
Local expertise
SIHLWA FLAGSHIP PROJECTS
PAC-5 SIHLWA Action Plan 2009
SIHLWA Flag-ship Projects
in 2009:
1) ADO: Alcohol & Drug Prevention among youth in SPb phase 2:
MoFA/ MoSA&H/Finland, Russian Federation (St. Petersburg) :
Alcohol and drug prevention among youth 2nd phase 2009;
2) ADO: Exploring possibilities for school-based social inclusion
programme “Friends for Life” or something alike;
3) ALC: arly Identification & Brief Intervention on Hazardous &
Harmful use of alcohol (EIBI) Feasibility project SPb &
Leningrad Obl.: To start in 2009 after 2008 feasibility project;
4) OSH: ILO, Russian Federation and Finland: Occupational safety
and health project in N-W Russian Federation (Leningrad Oblast &
Republic of Karelia). 3rd phase in 2009. Strengthening in Republic
of Karelia, Expansion to Vologda?
PAC-5 SIHLWA Action Plan 2009
Social wellbeing ?
Social inclusion?
Definitions?
Explore possibilities.
Think first, do not
rush!
PAC-5 SIHLWA Action Plan 2009
ALC FLAGSHIP PROJECT: “EIBI”
After finalizing the feasibility project on the Prevention of
Hazardous & Harmful Use of Alcohol: Early Identification and
Brief Intervention “EIBI” by the end of 2008, follow up based on
the outcome will take place. Tentatively the outcome would be a 3
year EIBI project in the range of 150.000€ per year (2009-2011).
Possible regions/countries for implementation: St. Petersburg City in
collaboration with the St. Petersburg City Health Committee and
Social committee. Further potential candidates are Leningrad
Oblast, Republic of Karelia, Murmansk, Cherepovets city /Vologda
Obl., Arkhangelsk, Republic of Komi, Nenets Autonomic Area.
Estonia, Latvia and Lithuania have joined the Primary Health Care
European Project on Alcohol PHEPA (www.phepa.net) funded by the
EU public health program and could possibly join with their own
funding.
PAC-5 SIHLWA Action Plan 2009
EIBI is not about….
PAC-5 SIHLWA Action Plan 2009
Translation:
This is our
favourate shop!
EIBI is about….
PAC-5 SIHLWA Action Plan 2009
OSH FLAGSHIP PROJECT:
Continuing 2nd phase of
“Occupational Safety
and Health (OSH) in
North-Western Russia”
proceeding into phase 3
(2009-10);
Note/ to remember:
NDPHS “Health at Work”
strategy
and EU-BSR-strategy on Safety
and Security
PAC-5 SIHLWA Action Plan 2009
SIHLWA meetings, conferences & workshops
•
Two SIHLWA meetings (SIHLWA-7 & -8)
# SIHLWA-7: 19-20 March in Östersund/ Sweden :
Focus on EU Chairmanship/ Sweden preparation for September ALCOHOL & HEALTH Expert Conference. Indepth discussion on how to include social wellbeing and social inclusion better on SIHLWA agenda
# SIHLWA-8: tentative in September in Poland (?)
•
Ad hoc meetings, workshops, seminars and conferences (ADO & ALC & OSH):
# February 2009: ALC-sub-group meeting on EU regulations on alcohol.
# June 2009: ADO-sub group meeting on youth profiles in connection with the Healthy Schools
programme (WHO-EURO) in Vilnius/ Lithuania
# OSH meeting with Baltic Sea Network on Occupational Safety & Health
# September 21-22: EU Chairmanship ALCOHOL & HEALTH Expert Conference in Sweden to be
supported by ALC-sub-group.
The overall purpose of seminars and conferences should be to make best practices
more available to a wide range of stakeholders (as opposed to a small circle of
experts).
PAC-5 SIHLWA Action Plan 2009
Following up of PAC-5 Post-meeting workshop
on “health & social well-being of indigenous
and remote northern communities” in Ottawa/
Canada (Nov, 2008)
PAC-5 SIHLWA Action Plan 2009
“Health & social well-being of indigenous
and remote northern communities”
Explore possibilities for a joint, holistic and innovative project under
NDPHS.
SIHLWA’s input could be on alcohol and tobacco prevention, action
against obesity, accidents and violence.
Partners in this development could be all other NDPHS EGs
(HIV/AIDS, PHC and PH) and associated EGs CBSS Working
Group for Cooperation on Children at Risk (WGCC) and the Baltic
Sea Network on Occupational Health and Safety (BSN).
Potential partner Member countries /regions could be Canada,
Finland, Norway, Sweden (Lapland, Finnmarken and Norrbotten)
and Russian Federation (Murmansk, Arkhangelsk, Nenets
Autonomic Region, and Komi Republic)
PAC-5 SIHLWA Action Plan 2009
“Health & social well-being of indigenous
and remote northern communities”
PAC-5 SIHLWA Action Plan 2009
PAC-5 SIHLWA Action Plan 2009
What coordinating chair & ITA
would like to see to happen more:
“We have a dream!”
1.
2.
3.
4.
5.
6.
7.
“Satellite projects” what you already are doing.
Meeting reporting: have you realized how much useful
material is made easily available? Power-Point presentations!
To strengthen WHO-EURO’s involvement in SIHLWA.
To make SIHLWA’s work more relevant to your work at home:
give and take, action and contacts in between meetings.
Make NDPHS database & project pipeline into a practical and
useful tool.
Strengthen social inclusion in SIHLWA action. We need CSR
support
Health and social well-being of indigenous and remote
northern communities ?
PAC-5 SIHLWA Action Plan 2009
How to measure SIHLWA SUCCESS?
Expected outcome:
•
Population is healthier (less NCDs).
•
Population enjoy higher social well-being.
•
Population has better work-ability.
Our input (2008-2009): about 1.1 million €
(SIHLWA secretariat about 260,000€/2 yrs + projects about 840,000€/2yrs)
When after a political decision in one Partner Country’s alcohol related mortality rose since 2003
suddenly by 2000 deaths per year, whose failure was it?
If it can be corrected, whose success is it?
Are we discussing about a “Red Herring” or are we after a “Silver Bullet”?
Personal question to all of us: how is your own department’s/your own success measured and what
are your mid-term goals? If you know, please tell and EGs can learn from you
How will we measure the success of governing bodies? Do organizations become more efficient/
successful if we increase their numbers? NDPHS will now have three: PAC, CSR and Strategy
Group. What happens to an army that has more generals than soldiers?
Rules and scrutiny are necessary, but bureaucracy kills creativity. Bureaucratic systems are seldom
particularly successful.
PAC-5 SIHLWA Action Plan 2009
How to measure SIHLWA SUCCESS?
•
To prepare for this PAC-5 meeting we realized that in at least one Nordic country our
knowledge about health and wellbeing of our own indigenous people is weak.
Registration of data is not allowed according to ethnicity. We do collect data
according to gender, professional status, social strata. It is important. We have
identified a blind spot and (probably?) would need to raise it. Is it a success, if we
would start to know better where we are and where we are going? Could you manage
what you cannot measure?
•
If we are able to facilitate Russia (and the Baltic countries?) to know how many years
of working aged population are lost of preventable causes and what could be done
about it, would that be a success?
•
If we introduce or help and succeed to spread a new evidence based
methodology/technique in PHC and social care sector in a country, on brief
intervention on hazardous use of alcohol, is that a success, if in 10 years sitem less
people develop an alcohol problem?
How do we know afterwards
that it could not have happened without us anyway?
PAC-5 SIHLWA Action Plan 2009
Thank you!
Merci !
Quyanaq!
(Inupiak)
Giihtu! (North-Sámi)
Atti! (Komi) Махтал! Makhtal!(Yakut)
Mikwêc! (Woods Cree)
PAC-5 SIHLWA Action Plan 2009