National expertise and capacity building approaches

1. National expertise and capacity building approaches Subgroup on HES, Luxembourg, 20 January 2010

2. UK - England Poland Romania Spain Finland Norway Croatia Denmark Netherlands Germany 1960 1970 1980 1990 2000 Italy France Ireland West Germany Czech Republic Sweden UK - Scotland Past national HESs in Europe

3. HES outside Europe • USA: NHANES since 1959 http://www.cdc.gov/nchs/nhanes.htm • Canada: Canadian Health Measures survey launched in 2007 http://www4.statcan.gc.ca/health-sante/fbs-rpe/fbs_r-rpe_r-eng.aspx • For more information on previous surveys, see http://www.euhsid.org/

4. Towards the standardized HESs • 1968: G Rose. Cardiovascular Survey Methods • 1982-1996: WHO MONICA Project • 1999-2002: European Health Risk Monitoring (EHRM) Project • 2006-2008: Feasibility of a European Health Examination Survey (FEHES) Project • 2009-2011: European Health Examination Survey (EHES) Pilot • Several other projects, measurement standards and recommendations

5. Difficulties in organizing HES (FEHES questionnaire 2007)

6. Importance of (FEHES questionnaire 2007)

7. Capacity building at national level • Actions needed to build the national HES • National objectives • Preparation of the national manual • National training seminars • Piloting • Organizing the HES • Data management and analysis • Reporting and dissemination of results • Involve Stakeholders: NGOs, ministries

8. National experts needed • Policy experts • Needs and use of data for evidence based health policy • Health care and other public services • Needs of data for planning and evaluating health services and health promotion activities • Scientists: Epidemiology, statistics, public health etc. • Use of the data for research • Other experts • Fieldwork logistics and supervision, IT, communication and dissemination etc.

9. Capacity building at the European level • Subgroup on HES • EHES RC • European manuals • Training seminars • Support to the countries organizing a national HES • Final conference for all countries • EHES Network of national experts • Other stakeholders: e.g. ECDC, Eurostat, WHO, OECD

10. Collaboration • Sharing of experiences is important in all phases of the planning and preparation both at EU and at national levels • All feedback on feasibility of EHES standards and contents of the EHES manuals will be valuable

11. NHANES • To assess the health and nutritional status of adults and children in the United States. • Series of surveys focusing on different population groups or health topics. • Since 1999, a continuous program with a changing focus on a variety of health and nutrition measurements to meet emerging needs. • A nationally representative sample of about 5,000 persons each year.

12. NHANES is used • To determine the prevalence of major diseases and risk factors. • To assess nutritional status and it’s association with health promotion and disease prevention • As the basis for national standards for such measurements as height, weight, and blood pressure. • In epidemiological studies and health sciences research, which help develop sound public health policy, direct and design health programs and services, and expand the health knowledge for the Nation.

13. NHANES examinations • Mobile clinics • All participants visit the physician. • Dietary interviews and body measurements for everyone. • All but the very young have a blood sample taken and will have a dental screening. • Depending upon the age of the participant, the rest of the examination includes tests and procedures to assess the various aspects of health. In general, the older the individual, the more extensive the examination