1. Fridtjof Nansens Institutt www.fni.no Task Force on Communicable Disease Control in the Baltic Sea Region Ungovernable chaos or effective self- government?

2. Fridtjof Nansens Institutt www.fni.no Health as International Politics

3. Fridtjof Nansens Institutt www.fni.no Health as International Politics The idea behind Task Force Establishment and organisation of Task Force Region-building Western vs. Post-Soviet medicine Structure in Post-Soviet systems Changes/Results Archetypes (Specially in Russia)

4. Fridtjof Nansens Institutt www.fni.no Organisational structure

5. Fridtjof Nansens Institutt www.fni.no Projects

6. Fridtjof Nansens Institutt www.fni.no Financing (December 2003) In total: 8,4 million Euros Norway: ca. 65 % Sweden: ca. 19% Denmark: ca. 7 % Finland: ca. 7 % Island: ca. 0,7 % Germany: ca. 0,5% The European-Commission: ca. 0,01%

7. Fridtjof Nansens Institutt www.fni.no Intentions Non-bureaucratic and flexible Heavy responsibility at high-level Local ownership Ground-level initiative Unified project outline (Logframe) Quick financing Sustainability

8. Fridtjof Nansens Institutt www.fni.no The reality Down-sides –Undefined roles –The sway of freedom –Too much time to get used to –Personal differences –Labour-consuming Up-sides –Definition of ones own roles –The opportunities of freedom –Awakening after some time –Personal relations –Generating activities

9. Fridtjof Nansens Institutt www.fni.no What happened (in short)? Negative –Lack of commitment at high political level –Rivalry –Norway by far the largest contributor The weaknesses lay at the top of the system Positive –Large engagement at ground-level –Network –Flexibility: the Secretariat makes quick decisions The strengths lay at the bottom of the system

10. Fridtjof Nansens Institutt www.fni.no Conclusions Partially ungovernable chaos during the first period –What are we supposed to do? –Where does the money come from? Effective self-government after a while –Understanding of the structure and its possibilities –Will (among many) to participate

11. Fridtjof Nansens Institutt www.fni.no Conclusions The Task Force Model –More strengths than weaknesses –Great opportunities –Needs time, but hardly more time than other models? –Must be evaluated on a regular basis –If successful: Ensures local ownership Promotes sustainability Increases flexibility