1. SIHLWA Action Plan for 2009:
NDPHS / SIHLWA
Social Inclusion,
Healthy Lifestyles
& Work Ability
SIHLWA Action Plan for 2009:
What we plan to do
Joint SIHLWA-7 meeting March in Östersund/ Sweden (NIPH as host)
Joint SIHLWA-8 meeting in September 2009: Poland?
PAC-5 SIHLWA Action Plan 2009

2. PAC-5 SIHLWA Action Plan 2009
SIHLWA joint project & programme-based activities continue and expand in 2009:
Facts-sheet update for SIHLWA EG.
Thematic report and Facts-sheet prepare for SIHLWA ADO-sub-group
Thematic report and Facts-sheet prepare for SIHLWA ALC-sub-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 Implementation expansion explored in the Baltic States?
PAC-5 SIHLWA Action Plan 2009

3. 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 = = 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

4. PAC-5 SIHLWA Action Plan 2009
PYLL Objectives
To assess the problems of early deaths.
To direct preventive measures.
3. To evaluate the performance of prevention and treatment.
PAC-5 SIHLWA Action Plan 2009

5. PAC-5 SIHLWA Action Plan 2009

6. 28 Preventive causes of death (WHO) Prematurely lost livesB.
CALCULATION A.
FOLLOW UP
AND NEW PYLL
after 2-3 years
1. ANALYSIS
MAKE NEW PLAN OF ACTION/ INTERVENTION STRATEGY C.
PYLL PROCESS
Prematurely lost lives F.
Politicial commitment & publicity
2. MEETING (public hearing)
In municipality: leading local politicians
MEETING
Local expertise D.
2. ANALYSIS E.
PAC-5 SIHLWA Action Plan 2009

7. SIHLWA FLAGSHIP PROJECTS
PAC-5 SIHLWA Action Plan 2009

8. SIHLWA Flag-ship Projects in 2009:
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;
ADO: Exploring possibilities for school-based social inclusion programme “Friends for Life” or something alike;
ALC: arly Identification & Brief Intervention on Hazardous & Harmful use of alcohol (EIBI) Feasibility project SPb & Leningrad Obl.: To start in after feasibility project;
OSH: ILO, Russian Federation and Finland: Occupational safety and health project in N-W Russian Federation (Leningrad Oblast & Republic of Karelia). 3rd phase in Strengthening in Republic of Karelia, Expansion to Vologda?
PAC-5 SIHLWA Action Plan 2009

9. PAC-5 SIHLWA Action Plan 2009
Social wellbeing ?
Social inclusion?
Definitions?
Explore possibilities.
Think first, do not rush!
PAC-5 SIHLWA Action Plan 2009

10. 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 € per year ( ).
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 ( funded by the EU public health program and could possibly join with their own funding.
PAC-5 SIHLWA Action Plan 2009

11. PAC-5 SIHLWA Action Plan 2009
EIBI is not about….
PAC-5 SIHLWA Action Plan 2009

12. PAC-5 SIHLWA Action Plan 2009
Translation:
This is our favourate shop!
EIBI is about….
PAC-5 SIHLWA Action Plan 2009

13. 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 ( );
Note/ to remember:
NDPHS “Health at Work” strategy
and EU-BSR-strategy on Safety and Security
PAC-5 SIHLWA Action Plan 2009

14. SIHLWA meetings, conferences & workshops
Two SIHLWA meetings (SIHLWA-7 & -8)
# SIHLWA-7: March in Östersund/ Sweden :
Focus on EU Chairmanship/ Sweden preparation for September ALCOHOL & HEALTH Expert Conference. In-depth 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

15. 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

16. 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

17. PAC-5 SIHLWA Action Plan 2009
“Health & social well-being of indigenous and remote northern communities”
PAC-5 SIHLWA Action Plan 2009

18. PAC-5 SIHLWA Action Plan 2009

19. PAC-5 SIHLWA Action Plan 2009
What coordinating chair & ITA would like to see to happen more: “We have a dream!”
“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

20. 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 ( ): 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

21. 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

22. PAC-5 SIHLWA Action Plan 2009
Thank you!
Merci !
Quyanaq! (Inupiak)
Atti! (Komi)
Giihtu! (North-Sámi)
Махтал! Makhtal!(Yakut)
Mikwêc! (Woods Cree)
PAC-5 SIHLWA Action Plan 2009