EUROPA - Public Health - Programme 2003-2008 - Funded projects - Health threats

E-health 2006 high level conference

The proposal addresses the EC aim of encouraging a follow-up to 2003, 2004 and 2005 Presidency, Ministerial or High Level Conferences on e-Health (PH Work Plan 2005, action 2.1.5), by organising the e-Health 2006 Conference, where official delegations of EU MS, Candidate and EFTA Countries will participate. To achieve this aim the following specific objectives are set: To reach an effective participation and interaction of European National and Regional Ministries of Health and Technology and EU representatives. To involve European experts and key stakeholders on e-Health both during and before the Conference, the latter through the development of a Background Paper on e-Health in the Europe of the Regions. To actively involve EU New Members States and Candidate Countries in the development and implementation of the project, specifically through the elaboration of a Special Workshop on e-Health in Enlarged Europe. To contribute to position Europe as a world reference on e-Health.Regional Ministries and EU representatives will participate and interact as members of the Conference Honour Committee and through their contributions as main speakers; while experts and key stakeholders on e-Health will be involved as members of the Advisory Board, and some of them will also participate in the development of a Background Paper on e-Health in the Europe of the Regions, with a specific chapter on the situation and challenges of the Enlarged Europe. Concerning EU New Members States and Candidate Countries experts, they will elaborate the Special Workshop "State of the Art and Future Trends on e-Health in Enlarged Europe".European future on e-Health will be tackle through issues like challenges in health, foresight analysis and prospective studies, the 7th FP, the national/regional research plans and strategic targets on research and innovation have been included in the Conference preliminary Programme. And they will be structured in the following thematic areas:a) The role of e-Health into Health Policies: focused on topics like determinants in Health, Healthy habits, aging of the population, e-care, dependency situations, Information systems, new working environments, education and training, etc., with emphasis on specific cases and experiences. b) Technical aspects of e-Health: interoperability, connectivity between national/regional networks, mobility of citizens, patients and professionals, advances in Grids, International cooperation, etc.c) Citizens: new ways of e-participation, technological tools, health Information, health related webs, free choice of resources, e-Inclusion, disability and dependency, etc.

This project is selected for funding and should receive co-financing under condition that the negotiation procedures with the European Commission are successful and that the grant agreement is signed.

Scientific Assistance Office of the NCA and NWPL, WP on Morbidity and Mortality, Task Force on Major and Chronic Diseases and WP on Health Systems

1. To assist with the Commission services the NCA in executing their mandate in advising the Commission on the implementation of the health indicators, the harmonisation of the collection of health information and in promoting the public health programme on Health Information in the Member States.
2.To assist with the Commission services the NWPL in executing their mandate as coordinating network of the Working Parties, to formalise the list of indicators, to inform the NCA about the availability, validity, comparability and on the operationalisation of the indicators, to create synergies between the various Working Parties.
3.To assist the WPMM/WPHS/TFMCD and Commission Services as components of the advisory structures within the Information Strand of the Public Health Programme 2003-2008. In particular, a/ to assemble the experience and knowledge within the WPs/TF (i.e. from national experts and outputs from projects); b/ to contribute to a better integration of the results of the Public Health Programme 2003-2008 into EU public health policy and practice; c/ to contribute to the preparation of the synthesis of the projects' outputs for the meetings of the NWPL and the NCA, in order to prepare decision making by the Member States; d/ to organise and assist the biannual meetings
4.To assist the WPMM and the WPHS in their specific tasks as stipulated in their specific mandates, such as: a/ contribute to the ECHI (short) list through advise on precisely-defined indicators, prioritisation and harmonisation of data-collection; b/ advise on the development of health information, analysis and reporting systems; c/ contribute to the development of a comparable health measuring instrument for health surveys in the EU; d/contribute to the preparation of the annual work plan of the Public Health Programme
5.To keep the WPs/TF informed about the progress of the projects, their final outcomes and impact on national level, and to help setting priorities in their field of interest especially on subjects not covered by current or former projects, with the aim of producing integrated outcomes and reinforcing common strategic goals, as well as assisting the WPs/TF.
6.To monitor the different fields of interest of both WPs and TF by examining possible overlap between the various WPs and related issues in other Commission policies and programmes, bringing it to the attention of the NWPL and NCA.
7.To disseminate the results of the biannually meetings, the results of possible reviews and background documents, and the progress made in the different domains of both WPs and TF.

Implementation of the European Strategy for Injury Prevention and Safety Promotion (SafeStrat)

In order to build a broader awareness of the burden of injuries and to advocate prevention strategies being implemented in Member States the specific objectives of SafeStrat are:
Objective 1: to enhance the data delivery process to DG Sanco's Injury Data Bas (IDB) by applying IT tools and to ensure availability and usage of appropriate injury data at Community level as well as at country level in all EU Member States, EEA and candidate countries.Much has been done over the last few years, in particular in the framework of the PHP work plan 2003, in ensuring the compatibility and comparability of injury data to be delivered to the Injury Data Base. Increasing the capacity in Member States for hospital-based injury reporting systems remains a major challenge. This requires the availability of easy to use data entry and processing tool (WP 2005, 2.1.3) as well as the establishing of a European network of national teams dedicated to injury information and reporting (WP 2005, 2.1.1).
Objective 2: to advocate prevention strategies developed under different projects within the Public Health Programme and to evolve the current exchange mechanism on injury and accidents (WP-AI) into a genuine scientific platform and virtual knowledge centre for strategy and actions on injuries in Europe. This sustainable platfrom will act as a catalyst for European and national actions in view of injury prevention by providing management of ongoing projects with the PHP, strategic communication, knowledge and data dissemination.
Objective 3: to organisea European conference in order to raise awareness among major decision makers and stakeholders as regards the injury issue and to build capacity within Members States for efficient implementation of measures and programmes for injury prevention. The Austrian presidency will propose a resolution of the European Health Council on Injury Prevention, and the first European conference on Injury Prevention and Safety Promotion will serve as immediate kick-off-event and major lanmark in the process of implementation of this Council resolution. There are ample opportunities for strengthening the capacity and infrastructures for injury prevention in the entire European Union by bringing together the various actors involved in specific safety domains, such as road safety, work safety and safety in the community. Instead of working in isolation, much can be gained from learning from each other,advancing collaboration and by profiling the injury issue in its broader political context.The first European conference will have stone policy agenda setting objectives as well as educative and coalition building objectives. It aims at having policy makers being aware and knowledgeable as regards the impact of the injury issue on today's society and of evidence-based solutions for creating a safer Europe.

Mobility of health professionals in Europe

Based on Para 2.1.8 of the 2005 Work Plan “Cooperation between Member States”, the six key objectives are:
1)“Mapping” of flows of health professionals within Europe, & to & from non European countries.
2)Outlining the international policy context of professional mobility.
3)Assessing national level policy responses to health professional mobility.
4)Examining employers' recruitment strategies
5)Examining impact on recruited staff
6)Assessing the impact on patients and health status.

1)will use country case studies & regional “clustering”, the study will development a “map” of the flows of health professionals within Europe. This work will build on previous work in identifying current workforce data sets in Europe.
2)will outline key European and international legislative & regulatory drivers, such as the Working Time Directive, the Bologna accord, as well as identifying key linkages into trade issues (e.g. WTO), and broader policy arena (e.g. World Health Assembly, Council of Europe,WHO, OECD).
3)will include an assessment of the impact of mobility on the new member states, an assessment of the extent to which specific countries are deliberately encouraging inflow or outflow to meet shortage/ oversupply pressures, and the extent to which member states have developed specific policy interventions (e.g. codes of practice, national quotas, “bonding”) to address challenges created by mobility.
4)will examine the methods used by health care employers to engage in active international recruitment, their rationales for this activity and will report on the extent to which these organisations have been able to assess the costs and benefits of this activity in comparison to alternative or complementary approaches to recruitment and retention.
5)will report on any assessments, within countries, of the motivations, experiences and career plans of internationally mobile health professionals. This will be complemented by an analysis of any organisation practice and policy in employment of international health professionals- in terms of equal opportunities, levels of pay, access to career development etc.
6)will report on any research examining links between the deployment of internationally mobile health professionals and impact on patient care and health status, and on specific measures that countries and organisations have initiated to ensure that the positive impact of mobility is facilitated whilst the potential negative effects are mitigated.

European Collaboration on Dementia

The project aims at developing guidelines and indicators for the priority areas outlined in the 2005 work plan of the Community public health programme for neuro-degenerative diseases, in particular:
- Consensual prevalence rates for Alzheimer's disease and other forms of dementia to be used by all the network partners
- European guidelines on the diagnosis and treatment of Alzheimer's disease and other forms of dementia
- European guidelines for psycho-social interventions in dementia, European parameters for the risk factors of dementia and risk reduction and prevention strategies
- A European report on the socio-economic impact of Alzheimer's disease and other forms of dementia
- A European inventory of the support systems provided by Member States of the European Union to people with dementia and their careers.
It will do by developing a network bringing together the main actors in the field of dementia in Europe, such as Alzheimer Europe, Alzheimer's Disease International, the Cochrane Dementia and Cognitive Improvement Group, the European Alzheimer's Disease Consortium, the European Association of Geriatric Psychiatry, the Dementia Panel of the European Federation of Neurological Societies, the INTERDEM (Early detection and timely intervention in dementia) group, the International Association of Gerontolgy (European Region) and the North Sea Dementia Research Group. The various guidelines and indicators will be developed by specific working groups comprised of representatives of the network partners and other experts chosen for their expertise. These working groups will report to a steering committee of the various Europeans partners with a view to the adoption and later dissemination of these indicators.

EUropean Core Indicators In Diabetes mellitus

The European Core Indicators for Diabetes Mellitus project will set up a stable organization to collect and analyse data on health status and care delivery for diabetes mellitus in the EU countries and the future member states in order to promote the planning for a good diabetes health status and diabetes care organization in the different countries. The first objective is to show the feasibility of the data collection. The second objective is to create a stable platform for the data collection. The third objective is to create a reporting platform for the indicators using the existing structure of the EC. These objectives will be reported in a paper with the agreement of the different participating partners after the start up meeting and a final report showing the collected indicators, with a proposal for collection of data in the future, using a stable paper and electronic platform for reporting.

European Network for Health Technology Assessment

This proposal consists of 1) the development of an organisational framework for a sustainable network for HTA and 2) the development of practical tools to fit into this framework to ensure the timely and effective production, dissemination and transfer of HTA results into useful policy advice to the EU and its member states.This is a practical project and hence the specific objectives are of a practical nature: To establish the organisational and structural framework for an effective and sustainable European Network for HTA with a supporting secretariat. To develop and implement generic tools for adapting assessments made for one country to new contexts; including tools for producing a common core of HTA evidence on clinical effectiveness, basic economic data and models, and for identifying key social, cultural and ethical issues relevant to assessed technologies. To develop and implement effective tools to transfer HTA results into applicable health policy advice in Member States and the EU – including systems for identification and prioritisation of topics for HTAs and assessment of impact of HTA advice. To effectively disseminate and handle HTA results, information sharing and coordination of HTA activities through the development and implementation of elaborate communication strategies and clearinghouse activities. Effective monitoring of emerging health technologies to identify those that will have greatest impact on health systems and patients. To establish a support system to countries without institutionalised HTA activity.The specific objectives are closely linked to the nine Work Packages in the project.
Website: www.eunethta.net

Scientific Platform of the Working Party 'Lifestyle and other Health Determinants

SPECIFIC OBJECTIVES of the proposed scientific platform are:(1) Continuing the operation of the SCIENTIFIC SECRETARIAT for the Working Party "Lifestyle and otherHealth Determinants" between 2006 and 2008, according to the Mandate of the Working Party "Lifestyleand other Health Determinants" and according to the Work Plan 2005 (2.1.2) (Work Packages 1-4);Specific objects here comprise: (1.1) preparing summary reports, press releases and public relations;(1.2) further development and maintaining the Working Party's website; (1.3) supporting networkbuilding on national territories; (1.4) preparing and maintaining a user friendly inventory ofprojects related to physical activity and nutrition and 'who-is-who' in the field; (1.5) functioningas a representative of the Working Party to the European Commission; (1.6) assist the Commission inorganising regular meetings of the Working Party twice a year in Luxembourg; (1.7) organisingscientific workshops for the Working Party and disseminating their proceedings in multiple ways;(1.8) providing a strategy to the Working Party for a standardised data analysis, dissemination andreporting; (1.9) further developing and implementing the strategic planning for the Working Party and its projects; (1.10) integrating the topics "social inequality", "gender mainstreaming" and "agerelated aspects" into the activities of the Working Party according to the Work Plan 2005 (2.1.2);(1.11) functioning as a clearinghouse to all stakeholders, to the public and to the scientificcommunity; (1.12) providing necessary contacts for the Working Party to international organisationssuch as WHO and OECD;
(2) Providing several REPORTING ACTIVITIES to the Working Party "Lifestyle and other HealthDeterminants" as well as to the European Commission according to the Work Plan 2005 (2.1.2, 2.1.3)(Work Package 5);Specific objects here comprise: (2.1) drafting and disseminating a report entitled "Analysis andReport on Health Information Activities on Physical Activity and Nutrition carried out by theEuropean Commission, WHO and other public bodies"; (2.2) drafting and disseminating a report entitled"Report on Available Health Information of the Determinants for Obesity in Children"; These specific objectives conform with the Work Plan 2005 (2.1.1; 2.1.2; 2.1.3) as well as theMandate of the Working Party "Lifestyle and other Health Determinants" (please refer to P.5.1.1 ofthis proposal)

European Autism Information System

There are two specific objectives of this project:1. To develop mechanisms for obtaining systematic, reliable and consistent data for ASD in Europe.2. To strengthen the early diagnosis of ASD. The overall strategy of the project will be implemented by conducting an initial analysis of the current surveillance of ASD and analysing the use of different case definitions in Europe. A network of professionals and stakeholders in the field of ASD will be established (the European Autism Alliance - EAA) including a Scientific Advisory Panel. Using the information from the initial analysis and with the expertise and contributions of the EAA,including the numerous collabrating partners in this project, recommendations for a common European information system on ASD will be made and validated in a pilot study. This will provide a starting point for systematic and consistent indicators in the future. A characterisation of the current situation of ASD in Europe will be designed and piloted as part of the project.The strategy for strengthening early diagnosis will be implemented by evaluating all available tools and evidence-based arguments, then proposing and validating a harmonised tool for early diagnosis of ASD across Europe. The strategy of this project also contemplates education and training packages for health personnel and an awareness-raising campaign to enhance both professional and public contributions to the main objective of this project, which is to improve the quality of life of children affected by ASD.

European Global Oral Health Indicators Development Phase II

The principal specific objective is to develop and promote the use of common oral health instrument in Europe in order:
(1) to promote of systematic identification and technical specifications of oral health indicators;
(2) to facilitate comparisons of indicator data by promoting standardization of methods;
(3) to improve the capacity of area health services to monitor their oral health improvement activities in a standardized manner in the longer term
(4) to facilitate, in the longer term, service specifications across area health services with a view to maintaining and improving performance
(5) to enhance the capacity to analyse the social, economic, behavioural and political determinants with particular reference to poor and disadvantaged populations.
The four sub-objectives of the EGOHIDP II should be:
(1) To develop recommended common instruments for national health interview surveys (NHIS),
(2) To develop recommended common instruments for national health clinical surveys (NHCS)
(3) To develop a methodology for improved NHIS and NHCS data, routinely collected in 25 European countries at the primary oral health care level
(4) To develop methods to adjust national data to allow cross national comparisonsThe next step is to promote the actual implementation of these instruments in the national health interview survey, the national health clinical survey and to evaluate their performance.

Etude de l'impact de la canicule d'août 2003 sur la population européenne

Les objectifs de l'étude sont de :
1. Mieux préciser l'ampleur de la canicule en décomptant l'excès de décès au niveau européen;
2. Mieux la situer dans l'espace en s'affranchissant des frontières nationales et en travaillant au niveau des régions;
3. Mieux la situer dans le temps au cours de l'été 2003; 4. Etudier son impact sur la population des personnes très âgées, Quelles proportions sont décédées?
5. Etudier ses effets tardifs sur la mortalité;
6. Etudier l'impact sur les trajectoires de mortalités aux grands âges;
7. Mettre en évidence et mesurer la plasticité des trajectoires de mortalité par rapport aux conditions environnementales;
8. Utiliser une même méthodologie pour tous les pays européens;
9. Organiser une conférence européenne pour présenter et discuter les résultats;
10. Proposer un système ou une méthode de surveillance des excès de mortalité liés aux conditions climatiques.
L'étude organisée en neuf « Working Packages » se composera de deux grandes parties :
(1) L'étude de la canicule à l'échelle européenne suppose d'abord de constituer une base de données et de rassembler les données de mortalité et de population nécessaires (WP4). Le choix des stratégies d'analyse et l'étude des données à l'échelle européenne est l'objet du « Working Package Analyse » (WP5). Les résultats seront alors soumis pour publication dans un journal scientifique majeur (WP8). L'étude portera sur l'ensemble de l'Europe. Un premier cercle est constitué des cinq pays au cœur de la canicule (Allemagne, Espagne, France, Italie et Suisse). Un second cercle inclut les pays voisins touchés par la canicule (Angleterre, Belgique, Pays-Bas et Portugal) ou suspectés d'être concernés (Luxembourg, Danemark, Pologne, République Tchèque, Autriche, Slovénie et Croatie). Enfin, un troisième cercle inclut les pays européens plus éloignés.
(2) Une conférence sera organisée pour discuter les résultats de l'étude européenne et des différentes études nationales (WP6). Elle rassemblera donc tous les experts nationaux ayant réalisé des études de la canicule à l'échelle de leur pays et des responsables européens de santé publique. Un output pourra être la proposition d'une méthode de surveillance des excès de mortalité liés aux conditions climatiques (WP7) un autre sera un ouvrage collectif sur la canicule en europe (WP9).Il sera demandé aux experts nationaux invités de fournir une information pertinente sur l'impact de la canicule dans les différentes régions de leur pays. Pour ce faire, nous leur proposerons une méthodologie commune. Même si le thème central de la conférence sera la mesure de l'impact de la canicule en termes de mortalité, nous accueillerons, dans la mesure du possible, quelles présentations sur des thèmes associés comme le climat, les pollutions associées et les réponses à apporter en termes de prévention et d'organisation sanitaire.

Preparation of the Global Report on the Health Status of the European Union

1.Setting out content, objectives and format of the Report. This will be defined through a consensus methodology and mechanism, with regard to the selection of the health indicators to be reported (for those indicators of the ECHI lists which are not widely available, and also considering health policies), data assessment and presentation, definition of the objectives of the data analysis, and other key elements of the Report.
2.Development of a Network of Representatives designated by the Ministries of Health (MoH), Community Insitutions and International Organizations (e.g.: EUROSTAT, ECDC and WHO) with theperspective of setting a mechanism for the cordinated retrieval, analysis, elaboration, transfer and publication of relevant health data for the production of the Report.
3.Production of the Report. This consists in the coordinated effort to retrieve, assess and communicate the data in the agreed format, and in the preparation of the single chapters, the full Report, the Executive Summary, glossary of the terms used in tables and plots translated in all Community languages and inventory of data sources.
4.Dissemination of the Report. The full Report, including the glossary and inventory of data sources, will be produced in an electronic hypertext format in English. The Executive Summary will betranslated in all Community languages and produced also as an electronic hypertext document. The Report and the Executive Summary will be made available in the public section of the project web site and in public web sites of the European Commission. Moreover, 500 copies of the Report and its Executive Summary will be published in CD-rom and distributed to the Commission bodies, EU Member States, EFTA and Candidate Countries and International Organizations.
5.Visibility of the activities. Activities carried out by all the participants and financially supported by the European Commission for the preparation of the Report will be ensured. The Reportand the Executive Summary will include a the inventory of data sources with hyperlinks to facilitate identification of and access to specialised data sources contributing to the Report. A EuropeanConference concerning the presentation of the Report will also be organized and a press release on the Report will be distributed to major media operators of the EU Member States.
6.Evaluation of the Report. An evaluation of the Report will be carried out to assess its capacity of fulfilling the expectations and needs of the different categories of target users.

European Information System to Monitor Short and Long-Term Morbidity to Improve Quality of Care and Patient-Safety for Very-Low-Birth-Weight Infants

The strategic aim of the project is to develop an information system to assess the quality of health care delivered to very premature infants (birth weight 1500 g and/or gestational age 32 wks) in European institutions, regions and countries. We aim to reduce neonatal morbidity and mortality and improve their health status at 2 years, and to detect any inequalities that might exist. To achieve aims below, we plan to collect data from some 3000-4000 VLBWI a year form more than 50 institutions, from associate and collaborating partners, as well as from some regional (Liverpool, Basque Country and Navarre,...), and national networks (Spain, Portugal, Switzerland, Finland,…). The principal objective is to create and validate a set of neonatal indicators to evaluate both, process and outcome by birth weight and gestational age specific rates of neonatal and post-neonatal mortality and morbidity. The following secondary objectives will also be pursued:
1. To develop standardised morbidity indicators, to assess the health care process and outcome results between participating units over time (benchmarking). In selected regions in wich a quasi-population-based data will be gathered, inter-regional comparisons will be performed to identify differences in outcome related to clinical variability. The indicators will also help units to identify areas with opportunities to improve quality-of-care (external audit), and to monitor the success in their improvement efforts. If significant clinical variability among centres if found, nested studies will be proposed to identify factors that could be responsible for the observed differences.
2. To assess clinical variability among units of the different strategies and interventions used, to know what are doing in the care delivery process of the VLBWI assisted.
3. To test the hypothesis that gestational age is a better indication for short- and long-term mortality and morbidity risk than birth weight. Weight-specific indicators are use by existing networks, since its record
4. To develop and validate a minimal follow-up dataset, to assess the health status of surviving infants at 24 months of corrected age. An expanded questionnaire, to more precisely assess the health status will also be developed, and tested at selected units or areas with existing follow-up programs (Madrid, Liverpool and Berne hospitals).
5. To test the value of the perinatal indicators to predict the gestational age-specific health status of survivors at 24 month of corrected age.
6. To develop the necessary software and informatics tools to record, transfer, validate, standardise and compare the perinatal and follow-up data collected, by use of up-to-date, Internet-based technologies to facilitate incoming flow of data and the outflow of standardised comparative results.

Feasibility of a European Health Examination Survey

The specific objectives are:
1. To create a network of experts and institutes for implementing HES in all EU MSs
2. To describe and analyse the feasibility of models of HES with different intensity and cost
3. To collect and assess in all EU-countries information on factors affecting feasibility of HES - Legal, data confidentiality and ethical issues having an impact - Availability of sampling frames - Previous HESs, experience and expertise - Perceived importance and interest in HES on the national/regional level in each of the MS - Perceived interest in European a HES in each MS
4. To make proposals and recommendations for the future of HES in EU and all MSs - European HES combined with current national HIS or HIS/HES or separate European HES - Models of HES of different comprehensiveness and complexity - Topics for HES core modules and their measurement methodology - Resource needs
5. To prepare a proposal for a European HES pilot to be carried out both in MSs with previous national HES experience and without such national surveys.

Europe for health and wealth: Impact assessments in improving population health and contributing to the objectives of the Lisbon Strategy

Emphasising practical application and implementation — instead of promoting a scientific discourse — the specific objectives of the project are to
1.identify the needs of the Member States related to Health Related Impact Assessment (HRIA) and develop the project accordingly;
2.gather the best available knowledge on good practices, pros and cons of health related impact assessment, and how to improve the use of other policies to enhance health and reduce health disparities, especially with a view to children's and young people's health;
3.increase knowledge on broad societal health determinants; what population health gains are available and how the monitoring of these determinants can produce arguments for the political process;
4.support the Member States in using all policies to improve health and developing national HRIAs; and support the Commission in emphasising health effects of relevant other policies trough impact assessment procedures by promoting good governance and legislation in the Council;
5.stimulate the development of practical tools and examples for the area, in particular in terms of indicators and surveillance of non-health-sector determinants of health.

Community Action on Adolescent and Injury Risk- European situation analysis, strategy plan and community actions

The project has three main objectives, which are further defined in the following consecutive steps:
a. To produce a comprehensive European situation analysis of injury risks among adolescents and their prevention. This objective aims at providing European and national authorities and main stakeholders (NGO's and youth representative bodies) insight in the size and impact of injuries among adolescents and in cost efficient measures for controlling the injury issue. At present information on the issue is rather fragmented. By analysing and presenting the injury issue in a comprehensive way, the societal impact can be better profiled and the need for pulling resources into the issue will be strongly advocated. The Situation analysis will also identify good practices in interventions addressing youth in general and in injury prevention strategies in particular. The European situation analysis report will be used to develop an evidence based national response to youth risk taking behaviour.
b. To develop a European strategy for injury prevention among adolescents and a related communication plan. This objective aims at providing the Commission, member states and NGO's a well-balanced strategy for preventing injuries among adolescents. The agenda setting process should lead in the endorsement by the Ministries of Health, and preferably also by the Council of Ministers, of a joint European strategy and action plan. The European strategy will also offer a template for a comprehensive national plan of actions that will contribute to the establishing of adolescent injury prevention programmes and to setting in place the societal conditions that should lead to a significant reduction in injuries among adolescents. In the process of developing the strategic plan, the network of national partners committed to injury prevention among adolescents will be consolidated and prepared for national follow up actions to be carried out.
c. To initiate European concerted actions for injury prevention programmes in member states addressing injury risks among adolescents This objective aims at facilitating the process of implementing action plans in member states by providing guidelines and tools for its implementation and by assisting in adapting models of good practice to the circumstances within countries and local communities. In developing and implementing interventions much can be gained in efficiency and effectiveness by tapping on existing knowledge and expertise in particular with respect to efforts aiming at raising awareness and making risk communication more effective. The project will encourage and facilitate national NGO's and youth related agencies to drive national programmes for action on injury prevention among adolescents.


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