Measuring health equity: what could health system performance assessment mean for health promotion?

15 April 2015

The new Commissioner for health and food safety, Vytenis Andriukaitis was tasked to develop expertise on the effectiveness of health systems in the written declaration of his core purpose and responsibilities. Health promoters, like many EuroHealthNet partners, will argue for the framework to measure inequalities.  For a way how this could be done, we can take a look at a recent development from the Commissioner`s home country, Lithuania. 

In order to ensure the availability of public health at the community level, public health care in schools of pre-school education, general education and vocational training institutions located within the territory of municipalities, public health strengthening and public health monitoring were transferred to municipalities in 2014.  This monitoring function will allow for better access to data on health inequalities at the local level.  Part of this reform is to support the new Lithuanian Health Programme  2014-2020. The programme aims at improving population health through safer social environment, healthy lifestyle and effective health care. It is being designed with an intersectoral approach, and more responsibility for population health has been transferred to other related sectors.

  • Does monitoring health outcomes at community level allow policy makers to better assess the impacts of policies on the ground?
  • What type of indicators would need to included in an EU Health System performance Assessment to measure health inequalities and the impacts of policies outside the health sector?
  • What good examples are there from your town, city, region, or country to measure health inequalities?

Add new comment