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Wednesday, March 26, 2014

SEE 2020 Strategy Implementation: First results of the 4th SEE Health Network Coordination Meeting, 12-13 March 2014, Jahorina, Bosnia and Herzegovina

Health for Jobs and Prosperity in South East Europe

The SEE Health Network preparing itself for implementing the SEE 2020 Strategy in 2014-2019

On 22 November 2013 the Ministers of Economy of the countries in South East Europe (SEE) endorsed the SEE 2020 Strategy “Jobs and Prosperity in a European Perspective” (SEE2020). The strategy “reflects the determination of all the governments in South East Europe to embrace the bold policy approaches required to attain the levels of socioeconomic growth necessary to improve the prosperity of all its citizens and to facilitate eventual integration with the EU”. For the first time in the history of the region health became an integral part of the SEE2020 as evidence has proved a new paradigm in the last decades that health is a contributor to economic growth and prosperity rather than only a spending. 

The SEE2020 Strategy´s implementation has to be launched in 2014. The RCC will support the SEE2020´s implementation through:
  • Providing support to the individual countries to develop their National 2020 Strategies whereby the Ministries of Economy will be the leading governmental sector at national levels and each country;  
  • Providing support to the regional multi-sectoral initiatives to be implemented by the over 60 SEE Regional Initiatives;
  • Establishing the system and indicators for monitoring and evaluation of SEE2020 implementation both at national and regional levels; Developing and implementing six horizontal multi-sectoral regional initiatives in support to the national actions;
  • Developing and coordinating regional multi-sectoral Flagship Initiatives;

This process will have serious implications for the SEE Health Network in view of its immediate follow-up actions. In view of the above the RCC kindly organized on 12-13 March the 4th Coordination Meeting of the SEEHN held in Jahorina, Bosnia and Herzegovina.

The meeting discussed and agreed on the SEEHN obligations and actions for SEE2020 implementation, including: (i) monitoring of SEE 2020; special attention was paid to the proposed measurable indicators for the various dimensions covered by the strategy such as Free Trade Area, Competitive Economic Environment, Education, Digital Society, Energy, Transport, Environment, Employment, Health and others; the health targets and indicators were restructured to encompass fully prevention and health promotion within the overall concept of “health in all policies”, social determinants of health and inequalities. (ii) implementing SEE2020 through flagship initiatives, including the first ideas for health related flagship initiatives; (iii) governing the implementation process at the strategy, pillar and dimension level, sustainability of institutions involved and budgeting the regional actions, and, finally, (iv) the work plan (2014 – 2019) of the health dimension objectives and measures under the Inclusive Growth pillar of the SEE2020.

A revised set of indicators was agreed and is presented in Table 1. The development of qualitative indicators and flagship initiatives will follow in the coming months, linking as far as possible health with employment, education and all other relevant sectors and regional initiatives as needed.
Table 1.  Proposed outcome and policy quantitative health indicators of the SEE2020 Strategy /as at 19 March 2014 after the SEEHN Meeting in Jahorina[i]

& 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)
Ø  Cardiovascular diseases
Ø  Cancer
Ø  Diabetes mellitus
Ø  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


[i] The Qualitative policy indicators will be developed in the coming months.