Working Meeting of the Project TOWARDS BETTER HEALTH AND REDUCING INEQUALITIES IN HEALTH. Austria Trend Hotel Ljubljana, 27 May 2014
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1 Working Meeting of the Project TOWARDS BETTER HEALTH AND REDUCING INEQUALITIES IN HEALTH Austria Trend Hotel Ljubljana, 27 May 2014
2 National Health Data and the Municipal/County Data Presentation Systems monitoring the health of the Norwegian population Heidi Lyshol Dept. of Health Statistics Norwegian Institute of Public Health
3 Overview New law in 2012: Act on Public Health Data sources Municipal and County Health Profiles Norhealth and Municipal Databank Fact sheets
4 19 counties, 428 municipalities, 5 million inhabitants 385,252 square kilometres (148,747 sq mi)
5 New Act on Public Health January 2012 Purpose Contribute to societal development that promotes public health and reduces social inequalities in health. Ensure that municipalities, county authorities and central government health authorities implement measures and coordinate their activities in the area of public health in a proper and adequate manner Facilitate long-term, systematic public health work.
6 New Act on Public Health January 2012 Norwegian counties and municipalities required to have sufficient overview over health conditions and influencing factors
7 Overview based on: Central point of the PH Act: 5 a: Information made available by central health authorities and the county b: Information from municipal health and care services c: Knowledge about factors and trends in the environment and local community that may affect the health of the population Norwegian Institute of Public Health
8 Main data sources: Registries (person identifiable) Cause of Death Registry Norwegian Patient Registry Cancer registry of Norway Medical Birth Registry of Norway Childhood Vaccination Registry Norwegian Prescription Database The Registry of the Norwegian Armed Forces Registries at Statistics Norway Norwegian Labour and Welfare Administration Norwegian Directorate for Education and Training other municipal data sources
9 Municipal and County Health Profiles
10 Municipal and County Health Profiles Main features More information on specific subjects, municipal figures Public health barometer and tables
11 Municipal and County Health Profiles Inspired by the Public Health Observatories, Great Britain I2SARE
12
13 Public health profiles and databank
14 The profiles Easily accessible information about the health of the population: Interpreted statistics Visual depictions Public health barometer Figures/diagrams Chosen topics
15 Indicator overview 2014 Population background Population growth Percentage over age 80 Life expectancy, male and female Single person households Immigrants Living conditions Education level Low income Disability pensions Children of single parents Environment Drinking water quality Injuries/accidents Schools Pupils enjoying school Bullying in schools Reading ability Percentage high school drop-outs Health determinants Smoking in women Overweight in male recruits Health and illness Mental symptoms/illness, primary care Mental illness, medication High blood pressure, primary care Cholesterol lowering drugs Cardiovascular disease, hospital data COPD/asthma, medication Diabetes 2, medication Diabetes 2, primary care Cancer, new cases in total Cancer of the bowel, new cases Hip fractures, hospital data Musculoskeletal symptoms, primary care Vaccination coverage, MMR, 6- year-olds
16 The barometer: 34 indicators Shows municipality compared to the country, other municipalities in the same county, the spread of results in the county, and whether something is good, bad or neutral.
17 Better than the country for this year or these years Worse than the country Uncertain (often due to population size/selection) Not tested for statistical significance County average Spread between this county s municipalities Norwegian average
18 Presentation systems: Public Health Profiles Databank
19 Inspired by WHO s HfA Database
20 History NorHealth/Municipal Databank 1999 (autumn): Decision to have presentation system: Norgeshelsa. Steering group formed. 2000: Selection of indicators, writing metadata, entering data. Downloadable system only indicators. Introduction conference April : English translation: NorHealth. 2002: Online plus downloadable system. 2003: Downloadable system removed. Fewer, but better indicators selected : Small revisions, ECHI collaboration. Other NIPH databases following our lead. 2012: Municipal databank added : Revision NorHealth to increase resemblance NorHealth/Municipal databank.
21 Online Municipal Databank Indicators at municipal level Can create own tables and figures Can compare municipalities with counties and country Metadata information about the data (
22 Online Municipal Databank Select indicator Velg geografi Select municipality
23 Municipal Databank several choices Geography Type of medicine Year Population groups
24 Percentage births over 4500 g, all municipalities in Møre og Romsdal
25 Norhealth ( In English!
26 Smoking, by gender, and 45-54
27 Metadata Important to publish metadata with each indicator: Indicator definition Population Units of measurement Data source Data collection Data quality
28 Start page for municipal health Profiles FAQ Definitions Links
29 Fact sheets - The NIPH website ( has 87 fact sheets describing health conditions, illnesses and risk factors (29 translated into English). - Information on: - incidence and/or prevalence in Norway - trends over time - international comparisons - research from Norwegian Institute of Public Health - Fact sheets use data from Norhealth where possible. - Fact sheets have a lot more hits than Norhealth (visible from search engines)
30 Fact sheet overview (in English)
31 Example fact sheet
32 Fact sheets follow EUphact model ( Definition & scope Reason for inclusion Occurrence Consequences for individual & society Causes & risk factors Data sources & quality References
33 Fact sheets have embedded figures
34 Statistics calendar
35 Summing up: the presentation tools of the NIPH Municipal health profiles County health profiles Municipal statistics bank Norhealth Fact sheets Statistics calendar
36 Questions?
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