EUROPEAN HEALTH INFORMATION GATEWAY
Databases
European Health for All database (HFA-DB)
Indicators: 619
Updated: 13 December 2017
Downloads: 3330

Since the mid-1980s, Member States of the WHO European Region have been reporting essential health-related statistics to the Health for All (HFA) family of databases, making it one of WHO’s oldest sources of data. As it is based on reported data, rather than estimates, the HFA family of databases is also particularly valuable.

HFA databases bring together the indicators that are part of major monitoring frameworks relevant to the Region, such as Health 2020 and the Sustainable Development Goals. The indicators cover basic demographics, health status, health determinants and risk factors, as well as health care resources, expenditures and more.

HFA databases allow access to regional, national and some subnational indicators and metadata, which are visualized through interactive online tools in the Health for All explorer. Data, metadata, graphs and maps can be exported or shared online and on social media.

The following abbreviations are used in the indicator titles:

  • SDR: age-standardized death rates (see HFA-DB user manual/Technical notes, page 13, for details)
  • FTE: full-time equivalent
  • PP: physical persons
  • PPP$: purchasing power parities expressed in US $, an internationally comparable scale reflecting the relative domestic purchasing powers of currencies.
European database on human and technical resources for health (HlthRes-DB)
Indicators: 249
Updated: 23 September 2016
Downloads: 259

HlthRes-DB provides a wide range of statistics on human and technical resources for health and offers data on non-monetary health care resources collected through the joint work of the Statistical Office of the European Union (Eurostat), the Organisation for Economic Co-operation and Development (OECD) and WHO/Europe. It contains nearly 200 indicators on human and technical resources for health.

European mortality database (MDB)
Indicators: 848
Updated: 14 September 2017
Downloads: 442

European mortality database allows age- and sex-specific analysis of mortality trends by broad disease-groups, as well as dis-aggregated to 67 specific causes of death. Data reach back to 1980. 
The data is taken from the WHO Global Mortality database, available at: http://www.who.int/healthinfo/mortality_data/en/

Environment and Health Information System (ENHIS)
Indicators: 59
Updated: 26 May 2016
Downloads: 73

ENHIS is an evidence-based information system aiming to support public health and environmental policies in the WHO European Region. The system is an interactive database, composed of country-level indicators and regional assessments (fact sheets). The fact sheets also include information on how data is obtained and how the indicators are calculated. ENHIS indicators provide information on exposures, health outcomes and policy actions related to the environment and health priority areas for the European Region known as Regional Priority Goals (RPGs)

Monitoring
Health 2020 indicators
Indicators: 40
Updated: 14 September 2017
Downloads: 295

Health 2020 core indicators were agreed by the WHO European Region Member States for monitoring progress towards the Health 2020 targets. Some of these indicators are based on official WHO sources and other are based on non-WHO sources, such as UNESCO and UNDP. Data from WHO sources can be accessed and queried at national level, while data from non-WHO sources is available in aggregated form, for groups of Member States.

Child and adolescent health
Indicators: 61
Updated: 14 September 2017
Downloads: 264

This dataset presents information about health-enhancing physical activity. It provides an overview of information on selected surveillance and monitoring physical activity indicators. Data has been collected by the Nutrition, Physical Activity and Obesity Programme at the Division of Noncommunicable Diseases and Promoting Health through the Life course, World Health Organization Regional Office for Europe. Data was published in the 'Factsheets on health-enhancing physical activity in the 28 EU Member States of the WHO European Region', report available in English: http://www.euro.who.int/en/health-topics/disease-prevention/physical-activity/country-work/factsheets-on-health-enhancing-physical-activity-in-the-28-eu-member-states-of-the-who-european-region.

Reporting
Global eHealth survey 2015
Indicators: 140
Updated: 02 June 2017
Downloads: 69

Data provided by Member States in the 2015 WHO Global eHealth Survey and highlights the key messages and trends identified. Published in the European eHealth report 2016. In total, 46 Member States from the WHO European Region responded to the survey.
The report is available at: http://www.euro.who.int/en/publications/abstracts/from-innovation-to-implementation-ehealth-in-the-who-european-region-2016

Health Behaviour in School-aged Children (HBSC)
Indicators: 110
Updated: 06 April 2016
Downloads: 114

This is an aggregated dataset underlying the WHO international report on health behavior of school-aged children, published in 2016. Find it here: http://www.euro.who.int/en/health-topics/Life-stages/child-and-adolescent-health/health-behaviour-in-school-aged-children-hbsc/growing-up-unequal.-hbsc-2016-study-20132014-survey

HBSC teams provided disaggregated data for Belgium, United Kingdom and Denmark. 
The HBSC research network is an international alliance of researchers that collaborate on the cross-national survey of school students: Health Behaviour in School-aged Children (HBSC). The HBSC collects data every four years on 11-, 13- and 15-year-old boys' and girls' health and well-being, social environments and health behaviours. These years mark a period of increased autonomy that can influence how their health and health-related behaviours develop. As such, the HBSC study is the product of topic-focused groups that collaborate to develop the conceptual foundations of the study, identify research questions, decide the methods and measurements to be employed, and work on data analyses and the dissemination of findings.

Maternal nutrition, physical activity and weight gain during pregnancy
Indicators: 48
Updated: 10 October 2017
Downloads: 19

This data set presents information about maternal nutrition, the prevention of obesity and noncommunicable disease. It provides an overview and explores what national recommendations for nutrition, physical activity and weight gain during pregnancy are in place in the Member States of the WHO European Region.

Health-enhancing physical activity
Indicators: 23
Updated: 21 November 2017
Downloads: 32

This dataset presents information about health-enhancing physical activity. It provides an overview of information on selected surveillance and monitoring physical activity indicators. 
Data has been collected by the Nutrition, Physical Activity and Obesity Programme at the Division of Noncommunicable Diseases and Promoting Health through the Life course, World Health Organization Regional Office for Europe. 
Data was published in the 'Factsheets on health-enhancing physical activity in the 28 EU Member States of the WHO European Region', report available in English: http://www.euro.who.int/en/health-topics/disease-prevention/physical-activity/country-work/factsheets-on-health-enhancing-physical-activity-in-the-28-eu-member-states-of-the-who-european-region.

Antimicrobial resistance
Indicators: 23
Updated: 13 November 2017
Downloads: 10

This data set describes antimicrobial resistance (AMR) data from the WHO European Region gathered through the Central Asian and Eastern European Surveillance of Antimicrobial Resistance (CAESAR) network and the European Centre for Disease Prevention and Control (ECDC) European Antimicrobial Resistance Surveillance Network (EARS-Net). The data set aims to create awareness about antibiotic resistance situation and advocate AMR control policies in participating countries. Data is available for 19 countries and Kosovo (in accordance with United Nations Security Council resolution 1244 (1999)) within CAESAR, and 30 countries within EARS-Net; with remaining WHO European Region Member States marked as “Did not participate in survey” in the dataset.

CAESAR-specific questions not applicable to EARS-Net countries are also marked as “Did not participate in survey”.

Those countries that did not respond to a specific question are marked as "No response" for that question only. Data has been collected by the Control of Antimicrobial Resistance Programme at the Division of Health Emergencies and Communicable Diseases, World Health Organization Regional Office for Europe and the ECDC EARS-Net. Current data is available for multiple years for CAESAR and EARS-Net, and future data collection is foreseen.

CAESAR: Data was collected from the national AMR focal points. Data was published in the Central Asian and Eastern European Surveillance of Antimicrobial Resistance annual reports available online in English and Russian http://www.euro.who.int/en/health-topics/disease-prevention/antimicrobial-resistance/surveillance/central-asian-and-eastern-european-surveillance-of-antimicrobial-resistance-caesar

EARS-Net: European Centre for Disease Prevention and Control. Data from the European Antimicrobial Resistance Surveillance Network (EARS-Net). ECDC Surveillance Atlas of Infectious Diseases https://ecdc.europa.eu/en/surveillance-atlas-infectious-diseases

Geographical coverage

CAESAR countries and areas: Albania, Armenia, Azerbaijan, Belarus, Bosnia and Herzegovina, Georgia, Kazakhstan, Kyrgyzstan, Montenegro, Republic of Moldova, Russian Federation, Serbia, Switzerland, Tajikistan, The former Yugoslav Republic of Macedonia, Turkey, Turkmenistan, Ukraine, Uzbekistan and Kosovo (in accordance with United Nations Security Council resolution 1244(1999)).

EARS-Net countries: Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, United Kingdom.

Data quality

Level B data provides an indication of the resistance patterns present in clinical settings in the country, but the proportion of resistance should be interpreted with care. Improvements are needed to attain a more valid assessment of the magnitude and trends of AMR in the country. Levels of evidence are only provided for CAESAR countries and areas.

Global nutrition policy survey
Indicators: 29
Updated: 28 November 2017
Downloads: 30

This dataset provides information about national strategies, action plans and policies in the field of nutrition and promotion of healthy diets. It provides an overview of information on selected indicators from the WHO Global Nutrition Policy Survey.
 
A comprehensive online questionnaire containing nine sections was developed by WHO to facilitate reporting against the WHO European Food and Nutrition Action Plan 2015-2020.
 
Web-based versions of the questionnaires were circulated to 53 WHO European Member States during the second half of 2016 and the majority of responses were received before March 2017. The questionnaire was available in English, French, Russian, and Spanish, and was prefilled with existing information contained in WHO databases. An abbreviated questionnaire was developed as an offline PDF form and disseminated in January 2017 to obtain information from Member States that had not completed the full online questionnaire. The abbreviated version of the questionnaire contained 42 questions covering the top-level questions, but without the level of detail requested in the full online questionnaires. Responses from Member States were received until September 2017. A total of 49 countries responded to the questionnaire, equivalent to 92% of the WHO European region Member States. Not all countries responded to all sections of the questionnaire. The report gives priority to those indicators most relevant to our policy frameworks and for which most complete information is available. Where possible more detailed information is included, but this may be for smaller numbers of countries that had responded to the full questionnaire or for which policies, protocols, guidelines and regulations were available to the team. Where a country did not respond, it is counted as "No response". Throughout the report, no answers have been excluded from the data presentations, thus denominators may vary within the same section.
 
The data reported by Member States were validated to the fullest extent possible. The survey responses were validated against the documents submitted by Member States and against other resources, such as previous WHO publications, academic literature, partner agency databases as well as regional monitoring initiatives. After careful review, respondents were contacted to obtain any missing information or to seek clarification if necessary, with further documentation requested in certain cases. The WHO Country Offices also provided further verification of some nutrition actions implemented in Member States.
 
Data has been collected by the Nutrition, Physical Activity and Obesity Programme at the Division of Noncommunicable Diseases and Promoting Health through the Life course, World Health Organization Regional Office for Europe together with the Department of Nutrition for Health and Development of the World Health Organization Headquarters. Current data is available for 2017 and future data collection is foreseen.
 
Funding for the data collection and analysis was partially provided by the European Commission Directorate General for Health and Food Safety. We also acknowledge the support of funding from the Government of the Russian Federation within the context of the WHO European Office for the Prevention and Control of Noncommunicable Diseases (NCD Office).