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Partnership "Northern Dimension"

The Northern Dimension (SI) is a joint policy of four equal partners: the European Union (EU), the Russian Federation, Norway and Iceland. The policy was developed in 1999 and extended in 2006. EU member states also participate in cooperation in an individual capacity. The Republic of Belarus, which is part of the Baltic Sea region, participates in practical aspects of cooperation. The United States and Canada have observer status with the SI.

The goal of the SI is to support stability, prosperity and sustainable development in the region through practical cooperation. The Northern Dimension covers a wide range of spheres: the environment, nuclear safety, health, energy, transport, logistics, development of trade and investment, research, education and culture, etc.

The Northern Dimension Partnership in Public Health and Social Well-being (NDPHS) is the result of the joint efforts of nine governments, the European Commission and international organizations (see below). The Partnership provides a forum for concerted action on dealing with health and social welfare challenges in the Northern Dimension area.

The mission of the Partnership is to promote the sustainable development of the Northern Dimension region by improving the health and social well-being of the population.

The goal of the Partnership is to facilitate this process by intensifying cooperation, assisting Partners and Participants in building their capacity, and by improving the coordination of international activities in the Northern Dimension area.

Project "International comparative assessment of premature mortality and its causes in the partner countries of the Northern Dimension Partnership"

The project "International comparative assessment of premature mortality and its causes in partner countries of the Northern Dimension Partnership using the indicator of lost years of potential life" is carried out by the International Consulting Expertise EEIG-ICE (Belgium), the contract of which was provided by the European Union.

Duration of the contract: from 04/01/2016 to 04/09/2016.

Experts Professor Ilkka VOHLONEN, Mrs. Karolina MAKIEVICH and Mr. VELIE KOISTINEN - will lead the project under the direction of Ms. Reshmi ATAVAL

Key steps of the project:
  • Determination in each country of an expert who will act as a contact person for the project (January-February)
  • Conducting meetings with partners in each country on the identification of the need for information, determining the support needed for the country, calculating information from death certificates, etc. (February-April)
  • Calculation of potential years of lost life
  • Preparation of the report and conducting seminars on the provision of information received at the national level (in accordance with the Terms of Reference of the project)

Organization for Economic Cooperation and Development

Almost all European countries already have a computer database of the register of deaths. In other words, when someone dies, the health worker must issue a death certificate, making the main cause of death in accordance with the diagnosis and circumstances leading to death. If the cause of death is unclear, an autopsy is required (as part of a medical or judicial procedure). The cause of death is classified according to the International Classification of Diseases (ICD-10).

The trends presented by the PPHP curves clearly indicate the successes and failures of health policies and strategies. On them it is possible to judge the effectiveness of the health care system. Comparison and analysis of their own successes and failures can serve as a source of various ideas for improving public health, improving and developing cost-effective medical care systems.

The PYLL indicator (PYLL) is a compass for executives and performers

We are used to measuring the health of the population with the help of disease statistics, deaths and life expectancy, but rarely think about human life as a resource, or rather, human capital.

Leaders need deep knowledge and considerable perspicacity to understand what causes premature deaths and loss of human capital. For 30 years, the World Health Organization, the Organization for Economic Cooperation and Development and the World Bank have used the Potential Years of Life Lost (PYLL) Potential Years of Life Lost for this purpose.

The PYLL indicator measures the number of years of life lost by people of a certain age (usually 70 years), for reasons that can and should be prevented. It also provides a unique opportunity to calculate the costs of the social sphere caused by premature deaths.

The study of the PYLL indicator can provide answers to questions of fundamental importance to decision makers such as:

  1. How many years have been lost among the population (countries / cities / regions, calculated separately for men and women) and what is the scale and order of significance of the causes of these losses?
  2. What potentially preventable causes of death cause the greatest losses? What are their implications for the economy?
  3. How much do health and social investments meet priorities based on evidence-based evidence and the loss of human capital measured by PYLL?
  4. How successful are the current measures to promote healthy lifestyles and prevention activities (for example, screening programs, medical examinations, workplace health services, accident prevention activities, tobacco control policies and alcohol use, health promotion, environmental protection and etc.) to prevent premature loss of human capital?
  5. How much are the indicators of my target population (country, region, city) different from those of other similar places with a similar level of economic development?
  6. Was the trend in terms of my target population (country, region or city) for a certain period of time positive or negative? Has the situation improved or worsened?
  7. Have we correctly formulated our priorities? Do we spend our resources on it?
  8. What will be the effect of taking new measures in 3-5 years?

Monitoring PYLL is a sensitive tool of evidence-based medicine to support policy decision-making in health policy.

He reveals the real benefits of the measures taken. Based on the PYLL analysis, it is easier to decide on an effective and economical set of measures.

The principle of health in all policies (Health in All Policies (HiAP)) is undeservedly used as an economically effective tool to prevent disease and death and improve health.

  • A set of measures, such as food policies, policies to combat excessive alcohol consumption, road safety, prevention of environmental pollution, social and cultural policies, increased physical activity of the population-all these are effective methods for policymakers and managers to improve overall health of the population.
  • The adoption of such decisions can be associated with a political risk: in this case PYLL provides strong actual support to those at the helm.

The health of the population can be improved, disease can be prevented, and the number of premature deaths reduced with the help of evidence-based medicine tools that are not only inexpensive but also easy to use.

Only objective, evidence-based information on public health is a reliable foundation for decision-making.