WHO European health information at your fingertips.

Data set notes

European Programme of Work

Indicators: 48

Updated: 21 November 2023

Contact: WHO EURO Data and Digital Health

The European Programme of Work, 2020–2025 – “United Action for Better Health in Europe” (EPW), was adopted by the 70th session of the WHO Regional Committee for Europe (RC70) (EUR/RC70/11 Rev.4). The EPW shapes the Region’s contribution to the Thirteenth General Programme of Work (GPW 13) in its three interconnected strategic priorities:
• Moving towards universal health coverage (UHC)

• Protecting people better against health emergencies

• Ensuring healthy lives and well-being for all at all ages.

In the European Region, The EPW is the leading policy framework to steer and coordinate action towards building back better after the COVID-19 crisis. It supports countries in their commitments to implement the 2030 Agenda for Sustainable Development and the Global Action Plan for Healthy Lives and Well-Being for All. It puts particular focus on supporting capacities for effective health leadership and engagement with other policy sectors.
4 flagship initiatives

• The Mental Health Coalition

• Empowerment through Digital Health

• The European Immunization Agenda 2030

• Healthier behaviours: incorporating behavioural and cultural insights

The EPW measurement framework includes 26 indicator areas of high importance to monitor progress towards leaving no one behind. It encompasses a subset of Sustainable Development Goals (SDG) targets and outcome indicators included in the GPW13 WHO Impact Framework as a basis. The indicators selected from this framework are then complemented with additional indicators found in other frameworks throughout the European Region. It also uses a concrete milestone to be achieved by 2025, to ensure that the measurement framework is well aligned with the European context.

The EPW measurement framework indicators focus on two major issues of COVID-19 and inequity. These indicators were chosen based on predetermined criteria, to ensure that they are appropriate, feasible and aligned with existing global or regional strategies or strategies under development. Wherever possible, the EPW measurement framework uses indicators that are informative for multiple core priorities and flagship initiatives (for example, an indicator on premature noncommunicable disease mortality serves both the universal health coverage and healthier populations core priorities). At a minimum, the EPW measurement framework aims to disaggregate relevant indicators by sex and age. Whenever feasible, additional disaggregation, such as by socioeconomic status and geographical levels, is planned.

Indicator notes

Mortality rate attributed to air pollution per 100 000 population
source link

Definition:
The burden of disease attributable to ambient air pollution can be expressed as : Number of deaths Death rate (both crude and age-standardized) Number of disability-adjusted life years (DALYs) DALYs rate (both crude and age-standardized) Number of years life lost (YLLs) YLLs rate (both crude and age-standardized) Death (DALYs, or YLLs) rates are calculated by dividing the number of deaths by the total population (or indicated if a different population group is used, e.g. children under 5 years). Age-standardized rates adjust for differences in population age distributionby applying the observed age-specific mortality (or other health outcomes) rates for each population to a standard population. The age-standardized rates can therefore be used to compare the rates of countries without being affected by the differences in age distribution from country to country. Evidence from epidemiological studies have shown that exposure to ambient air pollution is linked, among others, to the important diseases taken into account in this estimate: Acute respiratory infectionsin young children (estimated under 5 years of age); Cerebrovascular diseases in adults (estimated above 25 years); Ischaemic heart diseases in adults (estimated above 25 years); Chronic obstructive pulmonary disease in adults (estimated above 25 years); and Lung cancer in adults (estimated above 25 years).

Method of estimation:
Burden of disease is calculated by first combining information on the increased (or relative) risk of a disease resulting from exposure, with information on how widespread the exposure is in the population (in this case, the annual mean concentration of particulate matter to which the population is exposed). This allows calculation of the 'population attributable fraction' (PAF), which is the fraction of disease seen in a given population that can be attributed to the exposure, in this case the annual mean concentration of particulate matter. Applying this fraction to the total burden of disease (e.g. cardiopulmonary disease expressed as deaths or DALYs), gives the total number of deaths or DALYs that results from ambient air pollution.

Country/Area notes

No information

Air pollution mortality rate per 100 000 population