Health in all policies fra global politik til lokal praksis

Transcription

1 Aalborg, 2017 Health in all policies fra global politik til lokal praksis Islands nationale strategi for folkesundhed med fokus på barn og unge op til 18 år. Dr. Dóra Guðrún Guðmundsdóttir Director, Determinants of Health and Wellbeing Directorate of Health in Iceland

2 Overview I. The situation of HiAP in Iceland II. Main focus in politics III. Indicators for public policy IV. Good examples from Iceland V. Ministerial committee of public health VI. Health promoting communities VII.Health and wellbeing as a fundamental pillar in education

3 The situation of HiAP in Iceland HiAP was first mentioned in a public policy in 2008 Lack of systematic way of taking Health and wellbeing into consideration in policy making Health in all policies mentioned in the introduction of the Icelandic Health policy Health 2020 Health and wellbeing perspective has been included in several policies Health promoting communities

4 Main focus in politics Economy growth and jobs Health How do we get health on the agenda: Health in all policies? Well-being Is it easier to get well-being on the agenda?

5 The Trondheim declaration: Equity in health and well-being - a political choice The Trondheim declaration has already been used to support emphasis in public health regarding the development of the Health policy: Iceland Health 2020 and in forming the public health policy in Iceland

6 What should we measure? Where do we want to have our focus?

7 What you measure affects what you do... if you don t measure the right thing, you don t do the right thing. Joseph Stiglitz, 2009

8 GDP increases with Each sale of antidrepressant medication Each divorce pronounced Each prison built Air pollution Cigarette advertising

9 But NOT with the health of our children, the quality of their education, or the joy of their play. It does not get the beauty of our poetry or the strength of our marriages...it measures everything, in short except that which makes life worthwile Robert Kennedy, 1968

10 Wealth and well-being UK - GDP and Life Satisfaction % 180% 160% 140% GDP Life Satisfaction 120% 100% 80% 60% 40% 20% 0% Source: Eurobarometer

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12 What would politics look like if promoting people s wellbeing was one of government's main aim?

13 What can governments do? 1. Measure what matters 2. Create a wellbeing economy 3. Reclaim our time 4. Create an education system that promotes flourishing 5. Refocus the health system to promote complete health 6. Invest in the very early years and parenting 7. Discourage materialism and promote authentic advertising 8. Strengthen civil society, social wellbeing and active citizenship

14 Report of the UN High-Level Meeting on Well-being and Happiness: Defining a new economic paradigm, 2 April 2012 Constructive and positive education is perhaps the most important facilitator of the mindsets necessary to support an economic paradigm based on happiness and well-being. Teach mindfulness widely to counteract the psychic hunger that causes materialism as the primary spirituality of our time.

15 Good examples from Iceland Linking wellbeing with public health policy outcomes Ministerial Committee on Public Health Health promoting local communities wellbeing for all National Curriculum Guide with emphasis on health and wellbeing

16 Linking wellbeing with public policy outcomes In 2007 public health authorities in Iceland decided to include public mental wellbeing measures in a national survey on Health and Wellbeing. A single item measure on happiness together with the short version of the Warwick-Edinburgh Mental Well-being scale (WEMWBS) was used since that is one of the most reliable measures of public mental health available. This decision had an impact on both health policies and policies for the whole society. Wellbeing measure has been used as an indicator in the development of Health 2020 policy for Iceland as well as in a broader governmental policy for the economy and community, named Iceland 20/20, led by the Prime Minister.

17 Ministerial Committee on Public Health Established by the government in March Prime Minister (chair), Minister of Health, Minister of Education and Culture Minister of Social Affairs and Housing. Other ministers participate as needed. Public Health Policy and Action Plan accepted in October 2016.

18 Challenges At first, other ministers asked why do I need to be involved in this, this should be the task of the minister of Health Health has its own sector its own minister and its own ministry

19 Public health policy Public health policy and action plan that support health promoting community With special emphasis on children and adolescents up to 18 years old

20 Future vision and main goal That Icelanders are aware of their own responsibility of their health and that schools workplaces and institutions become health promoting That Icelanders will be one of the healthies nation in 2030

21 Sub goals All municipalities become health promoting communities All schools become health promoting schools Pre schools, primary and secondary All workplaces become health promoting workplaces

22 Sub goals Effective prevention strategies in the educational system that cover nutrition, physical activity, mental health promotion, dental health, injury and violence prevention and alcohol, drug and tobacco prevention Reduce the prevalence of Non communicable diseases (NCDs)

23 Sub goals Develop public health indicators Implement health in all policies Develop health impact assessment

24 Action plan All municipalities becomes health promoting communities Parent training programs available free of charge to all parents Teaching material on sleep, physical activities, out door activities, nutrition and mental health promotion

25 A Health Promoting Community is encouraged to Take into account Health and wellbeing in all policies. Create healthy environments to facilitate healthier choices, e.g. through the health promoting school projects. Map and promote health equity (reduce health inequalities) within the community. Promote health and wellbeing in cooperation with various partners within the municipality. data/assets/pdf_file/0020/170093/rc62wd08-eng.pdf?ua=1

26 Health promotion takes place Where people live, love, work and play = not within the health sector We need multidisiplanary approach A whole of government approach A whole of society approach A whole of community approach

27 Action plan Parent training programs available free of charge to all parents Teaching material on sleep, physical activities, out door activities, nutrition and mental health promotion

28 Action plan Daily organised physical activities in schools Mindfulness training implemented in all schools

29 Report of the UN High-Level Meeting on Well-being and Happiness: Defining a new economic paradigm, 2 April 2012 Constructive and positive education is perhaps the most important facilitator of the mindsets necessary to support an economic paradigm based on happiness and well-being. Teach mindfulness widely to counteract the psychic hunger that causes materialism as the primary spirituality of our time.

30 THANKS