Completed Projects
DETERMINE complements the work of the WHO Commission on Social Determinants of Health (2005-2008), which brings together evidence on policies that improve health by addressing the social conditions in which people live and work.
It is increasingly recognised that health inequalities cannot be tackled by the health system alone. Close cooperation with other policy areas is needed to reduce health inequalities.
The term 'social exclusion' describes a situation in which a person (or a group of people), resident in a society is excluded from the key activities of the society, and is prevented from participation by factors beyond his or her control. Most often, social exclusion can happen when a person is faced with problems like poor health, unemployment, inadequate housing, crime or discrimination. The process of overcoming such deprivation is referred to as social inclusion.
Health, poverty and social exclusion are strongly interrelated concepts that are best addressed through an integrated approach to improve quality of life and the promotion of social inclusion. As put forward by the European Commission, the objective of fighting poverty and social exclusion should be mainstreamed into sectoral policies, such as health policy, at national and community level.
However, the collaboration between the public health sector and the social sector is not as beneficial as it can be in many Member States. Improved access to health services and the use of health promotion strategies and methodologies will positively contribute to the social inclusion process.
In an effort to advance this objective, EuroHealthNet was engaged in a two-phase project to combat social exclusion.
Phase I - Tackling health inequalities and social exclusion; a European Perspective (2002-2003)
Phase I project aimed at:
- analysing the complex interrelation between poverty, social exclusion and health inequalities;
- contributing to the Open Coordiantion Process by analysing health issues in several National Action Plans and by formulating recommendations for policy review;
- developing an approach for cross-national exchange and comparison of effective policies and practices in Europe to tackle health inequalities, poverty and social exclusion;
- building and maintaining relationships and providing information to professionals and policy makers regarding health inequalities, social exclusion and poverty and to facilitate communication.
Outcomes of the project were:
- a health audit - or a comparative analysis of health in the National Action Plans by public health experts of the national public health or health promotion agency;
- a literature review to explore the existing information on this topic;
- an expert meeting (June 25, 2003) to formulate recommendations on national level for future National Action Plans and to extrapolate recommendations on EU level.
Coordinators: EuroHealthNet and the Netherlands Institute for Health Promotion and Disease Prevention (NIGZ)
Participating countries were: Austria, Belgium, England, Estonia, Germany, Italy, Malta, the Netherlands, Scotland, Spain and Sweden.
The project was funded under the European Union Action Programme to combat social exclusion. Phase II - Health and Social Inclusion (2003-2007)
Phase II of the project focused on exchanging best practices and on effective policy development and implementation in this area.
The main aims of the project were:
- to focus on the contribution that health related policies, programmes and interventions can make to tackling social exclusion. This will occur trough a cross-national exchange of effective policies and integrated, transferable best practices in Europe in the field;
- to foster greater collaboration between the social and the health policy sector by providing examples of how such partnerships can take place.
The main project activities included:
- analysis of EU policies that have an impact on the reduction (or widening) of health inequalities;
- analysis of good practices regarding public health approaches that contribute to reduce social exclusion in participating countries;
- to organise and conduct exchange visits to good practice projects in other Member States.
The Health and Social Inclusion project was coordinated by EuroHealthNet on behalf of NHS Health Scotland, the European Commission contract holder.
The partnership involved eleven European countries, as well as representatives of a Health Action Zone in England and the European Health Management Association (EHMA).
The project was funded under the European Union Action Programme to combat social exclusion.
GEP - Getting Evidence into Practice- was a project co-funded by the European Commission which took place from 1 February 2004 to 31 July 2005. The aim of the project was to exchange knowledge in the field of evidence building for health promotion and disease prevention. The final goal was to develop a European Consensus on standards and procedures to gather evidence on what works, and how to best implement this in practice.
The GEP project was coordinated by NIGZ, the Netherlands Institute for Health Promotion and Disease Prevention with the active contribution of EuroHealthNet, VIGeZ, KTL and IUHPE. Also, 16 national health institutes in 13 countries participated in the project.
Mental ill-health was identified as "Europe’s unseen killer"" by EU Health Commissioner Markos Kyprianou. It is a growing problem with high economic and social costs.
The most common problems are anxiety, depression and suicide. They are largely preventable. Therefore, prevention and promotion policies are the critical elements in an integrated mental health strategy at national level.
Health Impact Assessment (HIA) is a tool that can be used at a local, regional, or national level to understand the effects of policy decision making on health. The WHO Gothenburg Consensus Paper of 1999 defines health impact assessment as “a combination of procedures, methods and tools by which a policy, programme or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population.”
Health impact assessment therefore answers the basic question: how are existing or planned policies, programmes or projects actually affecting, or likely to affect, people’s health for good and for bad? Answering this question guides or assists policy makers and programme managers in making the decisions and changes that are necessary to perform their work in the most socially responsible manner.
For more information please visit the WHO website.
EuroHealthNet took part as a partner in the project “The Effectiveness of Health Impact Assessment”.
Demographic trends are a key factor for the future of the European Union. The population is ageing because of the falling birth rate and lengthening life expectancy. By the year 2015, there will be 33% more people aged 80 and above than in 2004 in the EU. The need to improve and strengthen the knowledge exchange on healthy ageing is a challenge for European countries.
Healthy ageing is the process of optimising opportunities for physical, social and mental health to enable older people to take an active part in society, without experiencing discrimination, and to enjoy an independent and good quality of life.
Reducing socio-economic health inequalities is one of the main challenges within the public health sector in Europe. It is, nevertheless, unclear what is known and how much is being done in European countries, how policy processes impact the health gap and how effective interventions should be shaped.
The Closing the Gap project focused on providing operational strategies at the EU, national and at the local level to reduce health inequalities.
Twenty-two national public health and health promotion agencies took part in the project.



































