Investment for health and well-being: a review of the social return on investment from public health policies to support implementing the Sustainable Development Goals by building on Health 2020

Governments across the WHO European Region need to take urgent action to address the growing public health, inequality, economic and environmental challenges in order to achieve sustainable development (meeting current needs without compromising the ability of future generations to meet their own needs) and to ensure health and well-being for present and future generations. Based on a scoping review, this report concludes that current investment policies and practices (doing business as usual) are unsustainable, with high costs to individuals, families, communities, societies, the economy and the planet. Investment in public health policies that are based on values and evidence provides effective and efficient, inclusive and innovative solutions that can drive social, economic and environmental sustainability. Investing for health and well-being is a driver and an enabler of sustainable development, and vice versa, and it empowers people to achieve the highest attainable standard of health for all. This publication was tabled as a background document during the Sixty-seventh session of the Regional Committee for Europe, Budapest, 11–14 September 2017.

Инвестиции в интересах здоровья и благополучия: анализ общественной эффективности инвенций в стратегии общественного здравоохранения для поддержки выполнения Целей в области устойчивого развития на основе политики Здоровье-2020

Правительствам стран Европейского региона ВОЗ необходимо принять срочные меры для преодоления растущих проблем в области общественного здравоохранения, неравенств, а также экономических и экологических вызовов для того, чтобы добиться устойчивого развития (т.е. удовлетворить нынешние потребности без ущерба для способности будущих поколений удовлетворять свои собственные потребности) и гарантировать здоровье и благополучие нынешнему и будущим поколениям. На основе оценки масштабов осуществляемой деятельности авторы доклада делают вывод о том, что нынешняя инвестиционная политика и практика (“работа в привычном режиме”) является неустойчивой и влечет за собой высокие издержки для отдельных граждан, их семей, сообществ, обществ, национальной экономики и всей планеты. Инвестиции в реализацию мер общественного здравоохранения, которые опираются на ценностные ориентиры и фактические данные, обеспечивают эффективные и рациональные, инклюзивные и инновационные решения, которые могут служить стимулом для обеспечения социальной, экономической и экологической устойчивости. Инвестиции в интересах здоровья и благополучия стимулируют и делают возможным устойчивое развитие (и наоборот), что позволяет обеспечить наивысший достижимый уровень здоровья для всех людей. Эта публикация была представлена для обсуждения в качестве справочного документа на Шестьдесят седьмой сессии Европейского регионального комитета, Будапешт, 11–14 сентября 2017 г.

Social return on investment: accounting for value in the context of implementing Health 2020 and the 2030 Agenda for Sustainable Development (Investment for Health and Development Discussion Paper)

Social return on investment (SROI) is a concept to account for social value when evaluating investments. It goes beyond traditional economic evaluation tools, by considering value produced for multiple stakeholders in all three dimensions of development: economic, social and environmental. This discussion paper reviews the main features of SROI (stakeholder engagement, the theory of change and accounting for social value) and finds that they are coherent with the key features of the Health 2020 policy framework and the 2030 Agenda for Sustainable Development. It concludes that SROI represents an interesting opportunity to evaluate cross-sectoral investments which aim to promote health and development, in the WHO European Region and beyond. This publication was tabled as a background document during the Sixty-seventh session of the Regional Committee for Europe, Budapest, 11–14 September 2017.

Healthy cities: promoting health and equity – evidence for local policy and practice: summary evaluation of Phase V of the WHO European Healthy Cities Network

This publication summarizes the evaluation of Phase V (2009–2013) of the WHO European Healthy Cities Network. The evaluation process was designed in collaboration with city representatives, academic institutions and public health experts. It adopted a realist synthesis approach, being responsive to the unique social, cultural, political,health and epidemiological circumstances in the 99 cities in the WHO European Healthy Cities Network and 20 accredited national networks. The evaluation findings are rooted in the enduring healthy city values such as equity, governance, partnership, participation and sustainability. Considering also the core Phase V themes, this publication focuses on policy and governance, healthy urban environments and design, caring and supportive environments, healthy and active living, national network performance and effects on health and equity. The evaluation finds good progress among cities and networks but differing in scale and quality. The healthy cities movement adds value and allows local governments to invest in health and well-being and address inequities through novel approaches to developing health.