Asst. Prof. Sanja Musić Milanović MD, MPH, PhD Croatian Institute of Public Health, Reference Center of the Ministry of Health for Health Promotion University of Zagreb, School of Medicine, Andrija Štampar School of Public Health
OPERATIONAL PROGRAM Efficient human resources 2014. - 2020. EMPLOYMENT SOCIAL INCLUSION EDUCATION BETTER ADMINISTRATION The Project was co-financed by the European Union from the European Social Fund.
Until 1925. upon Andrija Štampar initiative and through his work 250 social-medical institutions have been founded: Central Hygiene Institute in Belgrade 6 Epidemiology Institutes 19 Bacteriology Centers 23 Health Centers Institute for Tropical Diseases Institute for Malaria 3 Malaria Health Centers 42 help malaria health centers 50 Venereal Disease Clinics 34 Tuberculosis Clinics 14 Infant and Child Institutions 18 Trachoma Clinics 17 School Polyclinics 2 Social Medicine Institutes 19 other social medicine institutions Health is a state of complete physical mental and social welfare, and not merely the absence of disease It is easier to maintain a healthy person healthy, than to treat an ill one! He who hides a disease will find no cure!
Mortality rate 100 000/yrs 20th century mortality trends TOTAL NON CONTAGIOUS CAUSES INFECTIOUS DISEASES SOURCE: Armstrong GL, Conn LA, Pinner RW. Trends in infectious disease mortality in the United States during the 20th century. JAMA. 1999 Jan 6;281(1):61-6.
SOURCE: http://www.euro.who.int/ data/assets/pdf_file/0008/76526/e89306.pdf
Risk factors and diseases Cardiovascular diseases Diabetes Cancers COPD Physical inactivity Unhealthy diet Smoking Excessive alcohol use Excessive body mass Heightened blood pressure Dyslipidemia Mental Disorders
From an idea to the National Program 2002 Committee of the Ministry of Health for Promotion of Healthy Diet and Physical Activity 2003 MAY official start of the implementation Breakfast on the Grass 2003-2015 5 inter-sectoral work groups founded Interdepartmental collaboration intensified, activities created 2015 JULY The Government of the Republic of Croatia adopts Living Healthy as a National Program 2016 DECEMBER ESF cofinancing approved
STRATEGIC FRAMEWORK World Health Organization Health for All 1977 Ottawa Health Promotion Declaration 1986 Action plan for the prevention of excessive body mass and obesity 2010-2012 Regional Development Strategy RH 2011-2013 Croatian National Health Development Strategy 2012-2020 Public Health Strategic Plan 2013-2015 National Youth Strategy 2013-2017 EU Occupational Safety and Health Strategic Framework 2014-2020 Ministry of Health Strategic Plan for the period 2014-2016 Action Plan for the Prevention and Control of Chronic Noncommunicable Diseases 2015-2020
OVERARCHING GOAL To inform, educate and sensitize Croatian citizens of all age groups about positive aspect of healthy lifestyles through community action: CONTRIBUTIONS Physical health Mental health Educating citizens on maintaining health Higher availability of services for practicing healthy lifestyles Changing modifiable life habits Sexual health Increase in the share of healthy citizens in Croatia ESF financial contribution: 4.088.943,40
ORGANIZERS: MINISTRY OF HEALTH CROATIAN INSTITUTE OF PUBLIC HEALTH IMPLEMENTATORS: CIPH AND COUNTY PUBLIC HEALTH INSTITUTES PARTNERS FRIENDS OF HEALTH: KINDERGARTENS ELEMENTARY AND HIGH SCHOOLS COMPANIES CO-ORGANIZERS: MINISTRY OF SCIENCE AND EDUCATION MINISTRY OF TOURSIM MINISTRY OF AGRICULTURE MINISTRY OF WORK AND RETIREMENT SYSTEM MINISTRY OF ENVIRONMENT PROTECTION AND ENERGY MINISTRY OF INTERNAL AFFAIRS MINISTRY FOR DEMOGRAPHICS, FAMILY, YOUTH AND SOCIAL POLICY GOVERNMENT OFFICE FOR COOPERATION WITH NGOs CROATIAN INSTITUTE FOR HEALTH INSURANCE MEDICAL SCHOOL IN ZAGREB MEDICAL SCHOOL IN SPLIT MEDICAL SCHOOL INRIJEKA MEDICAL SCHOOL IN OSIJEK KYNESIOLOGY FACULTY IN ZAGREB CROATIAN EDUCATION AND TEACHER TRAINING AGENCY CROATIAN FOOD AGENCY CROATIAN EMPLOYERS ASSOCIATION CROATIAN CHAMBER OF COMMERCE CROATIAN CHAMBER OF TRADES AND CRAFT CROATIAN TOURIST BOARD UNION OF AUTONOMOUS TRADE UNIONS OF CROATIA INDEPENDENT TRADE UNIONS OF CROATIA ASSOCIATION OF CROATIAN TRADE UNIONS WORKERS TRADE UNION ASSOCIATION TARGET POPULATION children and youth, persons of middle and old age persons with heightened behavioral and biomedical risk factors
Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace
Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace
1. Health Education GOAL: 1. Promoting healthy diets and physical activity with the goal of preventing overweight and obesity 2. Health education in the area of mental health 3. Education and informing of students, youth and target groups in the field of sexual and reproductive health and responsible sexual behavior TARGET GROUP: School-aged children and educators Finances: 2.332.672,00 IMPLEMENTATION PARTNERS:
Health Indicators Physical Health Mental Health Sexual Health % 45 40 35 30 38.7 31 34.9 10.3% of Croatian citizens have mild to moderate depressive symptoms 1.2 % u moderately severe to severe depressive symptoms Croatia, 2015: 106 abortion on the request in woman younger than 18 25 20 22.1 19.5 20.8 Share of 15-year-olds using a condom at last intercourse 15 10 % 100 80 60 75.2 73.1 82 84 83 81 64.8 52.9 40 5 20 0 boys girls total year 2003 in comparison to year 2015 Youth aged 16 has consumed alcohol in the last month Of adults consume alcohol daily of once a week 0 2002 2006 2010 2014 year
Health Education - implementation Physical Health Mental Health Sexual Health MENTAL HEALTH IS TOO IMPORTANT TO LET IT JUST TO THE EXPERTS
Polygon for physical activity in schoolchildren
Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace
2. Health and Physical Activity Main activity: Walking Towards Health GOAL: Implementing regular physical activity through walking and promotion of its protective effect on health. TARGET POPULATION: All age-groups with a focus on families and persons of older age Finances: 521.602,00 IMPLEMENTATION PARTNERS:
10/2014 06/2018
Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace
3. Health and Nutrition Finances: 158.078,55 IMPLEMENTATION PARTNERS:
Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace
4. Health and the Workplace Main activity: Health-friendly Company GOAL: Introduction of special certificates for workplaces which enable their employees to adopt healthy habits in life, promote health in the workplace and show positive care for health of their employees. TARGET POPULATION: Working population Finances: 232.295,00 IMPLEMENTATION PARTNERS: ASSOCIATION OF CROATIAN TRADE UNIONS MINISTRY OF LABOUR AND PENSION SYSTEM
Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace
5. Health and the Environment Main activity: Volunteers in Parks GOAL: promoting healthy lifestyles, prosocial behavior and safekeeping of community living environment through organization of free time and intergenerational friendship outdoors, in city parks and children s playgrounds. Planned 21 model parks (multi-sectoral collaborations): TARGET POPULATION: Children of kindergarten age and early school-age and their families Finances: 385.653,00 IMPLEMENTATION PARTNERS: THE REPUBLIC OF CROATIA MINISTRY OF THE INTERIOR Ministry of Demographics, Family, Youth and Social Policy MINISTRY OF ENVIRONMENT AND ENERGY
promicanjezdravlja@hzjz.hr