Status of child and adolescent health policies in Europe
Member States of the European Region of WHO have adopted the European strategy for Child and Adolescent Health and Development 2015-2020. Its aim is to support member states in developing strategies and policies to reduce the burden of avoidable disease, disability and mortality of children and adolescents, and for them to achieve their full potential and development.
The data presented here was collected by the Child and Adolescent Health Programme at the Division of Noncommunicable Diseases and Promoting Health through the Life course, World Health Organization Regional Office for Europe.
The dataset is based on selected aspects reported by Member States in the baseline survey on the implementation of the European child and adolescent health strategy 2015-2020 as well as data from the WHO country profiles on child and adolescent health.
Questionnaires were sent to ministries of health of the 53 countries in the WHO EURO region on areas related to the strategy, to document how well policies are aligned with the Strategy. Albania, Greece, Italy, Monaco, San Marino did not participate in the survey and are marked as “did not participate’’. In cases where countries did not respond to a particular question, these were marked as “no response’’ and where no responses were required, these were marked as “answer not required’’.
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Available budget allocated by government for CAH Strategy
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Mechanism for intersectoral planning and implementation of CAH exists
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National CAH strategy exists
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Production of annual report on the status of children and adolescents
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Stand-alone CAH strategy or part of another strategy
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Strategy review plans before 2020
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Systems to monitor implementation of CAH strategy exist
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Surveys on sexual/intimate partner violence with information on young people under 18
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Available data on gaps between staffing levels for children and adolescent health services
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Child maltreatment surveys completed by children themselves
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Child maltreatment surveys completed by institutions
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Child maltreatment surveys completed by parents
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Collection of systematic information on the health of migrant and refugee children
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Data available on number of single, underage migrant or refugee children using social services
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Data for major interventions disaggregated by ethnic background
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Data for major interventions disaggregated by migrant status
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Data for major interventions disaggregated by rural, suburban and specific urban areas
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Data for major interventions disaggregated by sex
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Data for major interventions disaggregated by socioeconomic background
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Frequency of population-based survey on child maltreatment
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Health statistics available on the health services provided to at-risk groups
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Information systems exist that separate out services for adolescents
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Information systems exist that separate out services for children
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Migrant children only receive care for chronic conditions free of charge
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Migrant children only receive emergency services free of charge
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Migrant children only receive preventive services free of charge
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Migrant children receive all health care services free of charge
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Rate of children in institutional care per 10 000 population aged 0-17
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Rate of children in institutional care per 10 000 population aged 0-2
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Refugee children only receive care for chronic conditions free of charge
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Refugee children only receive emergency services free of charge
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Refugee children only receive preventive services free of charge
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Refugee children receive all health care services free of charge
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Systematic information on maternal alcohol consumption is collected
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Consistent national reporting of health under UNCRC
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Information is collected on children's and adolescent's knowledge regarding sexuality
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Legal access to abortion without parental consent for adolescents under 18
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Legal access to contraception without parental consent for adolescents under 18
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Ombudsman for CAH right to health
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Ombudsman for children's and adolescent's right
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Policies for access to care for adolescents without parental consent exist
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Policies providing guidance for children, adolescents, parents and health workers on consent and confidentiality exist
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Provision of foster care for institutionalised children
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Youth involvement in implementation of CAH strategy
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Adoption of paediatric essential drug list
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All services are provided to adolescents without pay
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Available HPV vaccination through national vaccination programmes free of charge
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Data collection on number of drug prescriptions to children and adolescents under 18
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Hospitalisation rate for pneumonia in children under 5 years
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Hospitalisation rate for children under 5 years
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Hospitalisation rate for children aged 5-9 years
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Hospitalisation rate for children aged 10-14 years
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Hospitalisation rate for children aged 15-18 years
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Legal obligation for perinatal death audits exists
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Mechanism for assuring quality of care for child and/or adolescents exists
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Mechanism for continuous training for adolescent health professional exists
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National policies on transition from paediatric to adult services exist
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Paediatric formulations available for all essential drugs
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Publicly available paediatric essential drug list
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Age and gender appropriate education that addresses sexual/intimate partner violence
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Coordination of school-based services across government sectors
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Legislations that affect the availability of unhealthy foods in school exist
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National school policy includes adolescent mental health
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National strategy on health promoting schools exists
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Plans to address unhealthy products in school before 2020
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Policies for the provision of school health services exist
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Policy on the provision of sexuality education in schools exists
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System for supporting Early Childhood Development exists
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Age of transfer from child to adult mental health services
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Assessment of quality of mental health services for children and adolescents
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Community services for early mental health problems are available
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Guidance for transition from child to adult mental health services
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Information is collected systematically on the number of children under 18 treated by mental health professional
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Rate of children treated for ADHD per 100 000 population aged 0-17 years
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Rate of children treated for Autism per 100 000 population aged 0-17 years
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Rate of practicing child psychiatrist per 100 000 population aged 0-14 years
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Rate of practicing child psychologist per 100 000 population aged 0-14 years
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Rate of prescriptions for mental and behavioural disorders per 10 000 for children and adolescents under 18
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Data collected on complementary feeding habits for children 6-24 months
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Data collected on soft drink consumption for children and adolescents
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Data collected on the marketing of complementary feeding products for children 6-24 months
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Data collected on the prevalence of overweight/obesity in under 5 children
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Data on exclusive breastfeeding is collected based on internationally accepted indicators
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Laws or regulations that restrict marketing to children exist
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Policy for initiating exclusive breastfeeding exists
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Rate of children in institutional care per 10 000 population aged 0-17
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Rate of prescriptions for mental and behavioural disorders per 10 000 for children and adolescents under 18
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Available budget allocated by government for CAH Strategy
-
Data for major interventions disaggregated by rural, suburban and specific urban areas
-
Hospitalisation rate for children under 5 years
-
Data for major interventions disaggregated by socioeconomic background
-
Data for major interventions disaggregated by ethnic background
-
Rate of children treated for ADHD per 100 000 population aged 0-17 years
-
Data for major interventions disaggregated by migrant status
-
Data for major interventions disaggregated by sex
-
Hospitalisation rate for children aged 5-9 years
-
Minimum age to purchase beer
-
Adoption of paediatric essential drug list
-
Surveys on sexual/intimate partner violence with information on young people under 18
-
Rate of children treated for Autism per 100 000 population aged 0-17 years
-
Rate of practicing child psychiatrist per 100 000 population aged 0-14 years
-
Hospitalisation rate for pneumonia in children under 5 years
-
Minimum age to purchase spirits
-
Child maltreatment surveys completed by parents
-
Age and gender appropriate education that addresses sexual/intimate partner violence
-
Child maltreatment surveys completed by children themselves
-
Data collection on number of drug prescriptions to children and adolescents under 18
-
Information systems exist that separate out services for adolescents
-
Policy for initiating exclusive breastfeeding exists
-
Data on exclusive breastfeeding is collected based on internationally accepted indicators
-
Minimum age to purchase wine
-
Laws or regulations that restrict marketing to children exist
-
Strategy review plans before 2020
-
Rate of practicing child psychologist per 100 000 population aged 0-14 years
-
National CAH strategy exists
-
Hospitalisation rate for children aged 10-14 years
-
Hospitalisation rate for children aged 15-18 years
-
Mechanism for assuring quality of care for child and/or adolescents exists
-
System for supporting Early Childhood Development exists
-
Available data on gaps between staffing levels for children and adolescent health services
-
All services are provided to adolescents without pay
-
Consistent national reporting of health under UNCRC
-
Assessment of quality of mental health services for children and adolescents
-
Guidance for transition from child to adult mental health services
-
Age of transfer from child to adult mental health services
-
Community services for early mental health problems are available
-
Data collected on complementary feeding habits for children 6-24 months
-
Data collected on the marketing of complementary feeding products for children 6-24 months
-
Data collected on the prevalence of overweight/obesity in under 5 children
-
Data collected on soft drink consumption for children and adolescents
-
Legislations that affect the availability of unhealthy foods in school exist
-
Plans to address unhealthy products in school before 2020
-
Information is collected systematically on the number of children under 18 treated by mental health professional
-
Available HPV vaccination through national vaccination programmes free of charge
-
Policy on the provision of sexuality education in schools exists
-
Frequency of population-based survey on child maltreatment
-
Child maltreatment surveys completed by institutions
-
Migrant children only receive care for chronic conditions free of charge
-
Refugee children only receive preventive services free of charge
-
Mechanism for intersectoral planning and implementation of CAH exists
-
Health statistics available on the health services provided to at-risk groups
-
Policies for the provision of school health services exist
-
Coordination of school-based services across government sectors
-
National strategy on health promoting schools exists
-
National school policy includes adolescent mental health
-
Production of annual report on the status of children and adolescents
-
Stand-alone CAH strategy or part of another strategy
-
Systems to monitor implementation of CAH strategy exist
-
Collection of systematic information on the health of migrant and refugee children
-
Data available on number of single, underage migrant or refugee children using social services
-
Information systems exist that separate out services for children
-
Migrant children only receive emergency services free of charge
-
Migrant children only receive preventive services free of charge
-
Migrant children receive all health care services free of charge
-
Rate of children in institutional care per 10 000 population aged 0-2
-
Refugee children only receive care for chronic conditions free of charge
-
Refugee children only receive emergency services free of charge
-
Refugee children receive all health care services free of charge
-
Systematic information on maternal alcohol consumption is collected
-
Information is collected on children's and adolescent's knowledge regarding sexuality
-
Legal access to abortion without parental consent for adolescents under 18
-
Legal access to contraception without parental consent for adolescents under 18
-
Ombudsman for CAH right to health
-
Ombudsman for children's and adolescent's right
-
Policies for access to care for adolescents without parental consent exist
-
Policies providing guidance for children, adolescents, parents and health workers on consent and confidentiality exist
-
Provision of foster care for institutionalised children
-
Youth involvement in implementation of CAH strategy
-
Legal obligation for perinatal death audits exists
-
Mechanism for continuous training for adolescent health professional exists
-
National policies on transition from paediatric to adult services exist
-
Paediatric formulations available for all essential drugs
-
Publicly available paediatric essential drug list