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Albania

WHO/Europe is working with Albania on the writing of public health laws, as part of the overall process of reforming public health services. This entails working with the national working groups set up for the drafting process.

Armenia

Along with a dedicated working group from the American University of Armenia, WHO/Europe is undertaking a comprehensive evaluation of public health services. This effort is expected to lead in 2010 to agreed recommendations for reform.

Kyrgyzstan

WHO/Europe continues to take part in the comprehensive reform of the health system including public health services. Several national workshops and seminars have taken place, including a national working group to develop a strategy and an organizational model for the future public health services. The workshops aim to provide a forum for technical and policy discussions to develop and propose a vision and strategic decisions regarding improving health system performance in public health. A national working group has been established to revise and finalize the draft public health law based on the governmental consultation process and informed by the experiences of other countries and the policies and recommendations of WHO and other international organizations.

Republic of Moldova

WHO/Europe is involved in a European Union-funded project to develop a strategic implementation plan and performance monitoring framework for public health laws, including the definition of a package of essential services, standards and protocols for population-based public health services. During 2008-09, feedback was given to the working group responsible for drafting a new public health law.

Romania

Assistance is provided to develop standards and protocols for population-based public health services as well as to evaluate and develop performance indicators for public health services more broadly, based around the key challenges faced by the country.

Slovenia

Following the evaluation of public health services completed in 2009, WHO/Europe is working to develop a set of indicators for the ongoing evaluation of performance of public health services.

Tajikistan

WHO/Europe is working with the Ministry of Health and other stakeholders to devise recommendations for a new public health law and a strategy for the reorganization of the population-based public health services. This work includes the development of an implementation plan and budget for the new law.

Uzbekistan

WHO/Europe is working with the Ministry of Health to develop an action plan for upgrading population-based services and introducing the concept of new public health to integrate public health services within the health system.

The former Yugoslav Republic of Macedonia

During the period 2010-11, WHO/Europe will be developing indicators for public health performance assessment and a strategic plan for the reform of public health services.

Latvia

During the 2008-09 period, WHO/Europe worked with Latvia in organising a policy dialogue with the theme of “health in all policies” (known as ‘HiAP’), giving attention to the effectiveness of policy across sectors and to the contribution of all policies to social cohesion and equality. The place of better population health in underpinning increasing wealth was an important theme, in the context of the Tallinn Charter.

In summary, the objectives of the policy dialogue were:

• to move “Health in All Policies” higher up the political agenda of the government;
• to contribute to a better understanding of the interrelations between health and other policy goals;
• to demonstrate the value of ‘health’ at a time of particular economic and social challenge;
• to engage with actors across sectors and explore current experiences with HiAP in Latvia;
• to explore in depth intersectoral strategies and opportunities in areas of policy that constitute major challenges for government and society, and that have clear intersectoral dimensions, including alcohol policy and accidents and injuries;
• to contribute to a better understanding between ministries of their respective work and to foster better on-going dialogue between them;
• to develop practical lessons and recommendations for implementation in Latvia.

Hosted jointly by the Ministry of Health of Latvia, the Public Health Agency of Latvia, WHO/Europe and the European Observatory on Health Systems, the dialogue included senior policy-makers and practitioners from different sectors including the Ministries of Health, Education, Transport, Regional Development, Environment, Finance, Children and Family Affairs, Welfare, Economy, Interior and international experts on Health in All Policies from many settings, countries and organizations in Europe.