Health21- Health for All in the 21st Century. The Health for All Policy Framework for the WHO European Region
European Health for All Series, No 6
WHO Regional Office for Europe
ISBN-13    9789289013499 ISBN-10    9289013494
Order Number    13600006 Format    Paper Back
Price    CHF    45.00 / US$    54.00 Developing countries:    CHF    45.00
English     1999        235   pages
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Sets out a comprehensive policy framework centred around 21 precise targets for improving the health of Europeans in the 21st century. While realistic in its assessment of current problems and their causes, the book adopts an optimistic approach, arguing that Europe is poised - for the first time in its history - to make human development its main social priority in the coming century. Most targets give goals to be reached by the year 2020.

By establishing time-limited targets and setting out the strategies for reaching them, the policy aims to help governments concentrate resources on areas where both the need and the potential benefits are greatest. Issued during a period that saw the first decline in life expectancy since World War II, the policy also aims to unite European leaders in a drive to build greater social cohesion and stability in the region. Throughout, recommended lines of action draw on practical lessons learned during almost 15 years of collaborative efforts to improve health.

The book has eight chapters. The first introduces the aims, values, and main strategies that guide this renewed policy of health for all. Against this background, groups of related targets and the strategies for reaching them are explained in separate chapters, which draw on country experiences to illustrate the need for targets and the feasibility of reaching them.

Chapter two, on equity in health, considers what needs to be done to improve the health status of the poor, unemployed, women, ethnic minorities, migrants and refugees, and the disabled. Two chapters focus on health outcomes. The first concentrates on stages in the life course which offer considerable opportunity for promoting and maintaining health: birth and early childhood, adolescence, and old age. The second chapter describes targets for improving mental health, controlling communicable and noncommunicable diseases, and reducing injury from violence and accidents.

Strategies for reaching goals are discussed in chapters concerned with the use of multisectoral action to address the broad determinants of health, reforms needed within the health sector, and policy options for mobilizing political, professional, and public support for health for all. The book concludes with a call for action and inspired public health leadership.