Pöördumine

WHO BCI Community of Practice meeting 9 December 2024

Agenda 1. General updates • WHO updates • Updates from BCI FPs

2. Reflections on RC74 and considerations on EPW2 • Updates from Robb Butler, Director Communicable

Diseases, Environment and Health • Discussion

3. Next year’s status reporting by Member States • Introduction to next year’s reporting • Process reflections from Serbia and Wales • Q&A

4. Any other business

Updates from the BCI Unit

Updates from BCI FPs

Reflections on RC74 and considerations on EPW2

Next year’s reporting

Commitment by all Member States

Link: Resolution

“Calls on Member States (..) to report to WHO on the monitoring indicators and progress measures of the action framework in line with the reporting timelines”

Focal Points have a facilitator role

˃ Collect input from other institutions and colleagues

• send them an early warning email now

• organize (online) briefings

• invite to a stakeholder meeting

• share the reporting guidelines and other materials (what do you need?)

˃ An opportunity to establish links and strengthen relations with colleagues who conduct BCI-related work

Country reporting on progress

9

Letter from Robb Butler early Jan

Also requesting the appointment of new BCI FPs

Open clinic meetings will be organized by the WHO/BCI Unit 29 Jan/11 Feb 2025 (ENG) + 31 Jan (RUS)

To share with your colleagues:

Word version of online reporting form

Short briefing doc

What else?

Reporting in 2025 (for 2023-2024)

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Reporting in 2025 (for 2023-2024)

Progress model is available in Word (https://apps.who.int/iris/handle/10665/361651)

And included as an Annex in the Action framework 2022-2027 Page 16 onwards

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What to include?

Work that seeks to

✓explore the individual and contextual factors that affect health behaviours

✓use local and global insights and evidence to improve policies, services and communication targeting health behaviours, making them more evidence-based, people-centred and culturally informed

✓and evaluate these interventions for impact and acceptability.

• conducting or commissioning qualitative or quantitative studies and research to explore local and global barriers and drivers to specific health behaviours;

• engaging affected individuals and communities to explore community-specific barriers and drivers to specific health behaviours;

• designing new, or improving existing, policy, service or communication targeting health behaviours, through systematically applying local and global evidence;

• evaluating insights-informed policy, service or communication targeting health behaviours – as part of a pilot before wider roll-out, using appropriate rigorous methods;

• longer-term, evaluating the outcomes and cost-effectiveness of interventions that sought to address health behaviours, using appropriate rigorous methods.

12

Scope of reporting to WHO

Actions implemented by national and sub-national authorities and public health institutions, including actions implemented in collaboration with external stakeholders.

Not included in reporting: Work conducted independently by external stakeholders such as nongovernmental organizations (NGOs), academic institutions or private entities in the country.

• NO: Research study conduted by an academic institution and not shared or used by public health authorities/institutions

• YES: Research study conducted by an academic group and funded by public health authorities/institutions

• YES: Research study conducted by an academic group and shared with and used by public health authorities/institutions

13

Scope of reporting to WHO

Work in 2023 and 2024

Work initiated before or completed after 2023-2024 are included.

Reporting conducted online in ENG or RUS

14

Reporting framework

15

Qualitative self-assessment

10-Dec-24 16

Quantitative indicators

• Use the resolution to increase the visibility and prioritization of BCI.

• Communicate and disseminate information and case stories, findings, lessons, tools and other resources.

• Develop mechanisms for coordination, collaboration and support. E.g. advisory group, formal network for internal and external stakeholders, working groups.

• Invite relevant stakeholders to collaborate on joint projects or offer support in adding a BCI lens to their work.

• Key stakeholders include policy- and decision- makers, public health managers, local governments, civil society, health workers, academia, and many more

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SC1: Build understanding and support of BCI among key stakeholders

1 During the year, there was little awareness of BCI for better health among key stakeholders.

2 There was some degree of awareness and recognition of BCI for better health among some key stakeholders.

3 There was widespread awareness and recognition of BCI for better health among key stakeholders, and some collaboration was initiated.

4 BCI for better health was recognized and supported among many key internal and external stakeholders and across various health areas, academia and civil society, and several projects were done in collaboration.

5 BCI for better health was widely recognized and supported among key internal and external stakeholders and across various health areas, academia and civil society, and collaboration ensured the application of a BCI lens to all relevant projects.

Quantitative reporting: Do you have a dedicated formal network of internal and external stakeholders that includes the application of BCI for health in their terms of reference? Y/N

Self-assessment scale: Little awareness –> wide recognition

SC2: Conduct BCI research

• Synthesize existing evidence to produce literature reviews or briefs on factors that prevent or drive health behaviours, and on the impact of interventions to improve health behaviours.

• Conduct national or local studies on factors that prevent or drive health behaviours in the general population or in priority population groups, using qualitative and quantitative methods.

• Conduct experiments, trials or multicomponent action research projects to evaluate the impact of evidence-informed interventions, in specific contexts and with specific population groups.

• Supplement the above by exploring ways to engage with and listen to those whose voices are often not heard, and by acquiring data from other sectors that affect health-related behaviours, including those related to education, housing, social services, culture, employment, migration and more.

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Quantitative reporting: Have you conducted at least one impact evaluation using randomized controlled trials (RCTs) or quasi- experimental methods to assess the impact of an activity that aimed to enhance positive health behaviours? Y/N

Self-assessment scale: No studies –> systematic exploration of barriers and drivers to health behaviours

1 During the year, no studies were conducted to explore barriers and drivers to health behaviours.

2 One or few single studies were conducted to explore barriers and drivers to health behaviours. Please list the studies conducted.

3 Several studies were conducted to explore barriers and drivers to health behaviours, but not for many relevant health areas. Please list the studies conducted.

4 Methodologically sound approaches to exploring barriers and drivers to health behaviours were applied and studies were undertaken across many relevant health areas. Please list examples of the studies conducted.

5 Methodologically sound approaches to exploring barriers and drivers to health behaviours were applied in a systematic manner and studies were undertaken across all relevant health areas. Please list examples of the studies conducted.

SC3: Apply BCI to improve outcomes of health-related policies, services and communication

• Systematically apply a BCI lens to health-related policy, service and communication design processes, by using BCI approaches and guides as well as involving BCI experts and engaging relevant population groups in scoping and design.

• Monitor and evaluate BCI-informed interventions to understand their broader impact through appropriate frameworks, such as collection of data and feedback from those involved and affected.

• Where findings from impact evaluations show that specific health-related policy, service or communication interventions positively affect health behaviours, scale these up to reach more people while tailoring to new contexts, or replicate them in other policy domains.

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Self-assessment scale: No application of BCI –> systematic application across health areas

1 During the year, no BCI approaches were used to inform and improve health-related policies, services and communication processes, and it was not generally encouraged.

2 Using BCI approaches to inform and improve health-related policies, services and communication processes was generally appreciated as important but was not implemented.

3 BCI approaches were occasionally used to inform and improve health-related policies, services and communication processes. Please briefly list examples.

4 BCI approaches were widely used to inform and improve health- related policies, services and communication processes across many relevant health areas. Please briefly list examples.

5 BCI approaches were systematically used to inform and improve health-related policies, services and communication processes, and the process was formalized with applications across all relevant health areas. Please briefly list examples.

SC4: Commit human and financial resources for BCI and ensure their sustainability • As relevant to the context, establish a dedicated BCI

team, embed BCI experts in technical units, or establish a cross-programmatic BCI coordination group.

• Ensure that expert staff with advanced skills, experience and expertise are available to apply BCI evidence to health and translate these insights into strengthened health policies, services and communication.

• Develop sustainable institutional capacity and capability to apply BCI for health, including through upskilling of staff in different sectors, allowing non-BCI experts to apply basic BCI principles, and engaging BCI experts to address complex issues, and increasing opportunities for collaboration with scientific institutions, fellowships or internships for BCI-focused roles.

• Allocate dedicated financial resources to allow sustainable delivery or commissioning of BCI work.

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Self-assessment scale: No dedicated funding or people –> multiyear budgets and trained staff across health areas

1 During the year, no dedicated funding or people were available for BCI work for better health.

2 Limited funding and people were available for BCI work for better health, but only on an ad hoc basis and related to specific, one-time individual projects. Please list examples.

3 Some dedicated funding and people were available for the structured application of BCI work for some health areas; however, the level of resources was not sufficient for systematic application across many health areas. Please list examples.

4 A larger amount of dedicated funding and appropriately trained people were available for continued application of BCI work for more health areas; however, the level of resources was not sufficient for a systematic application across all priority health areas. Please describe the resources available.

5 Substantial dedicated, multiyear budgets and appropriately trained people were available for a continued systematic application of BCI across all priority health areas. Please describe resources available.

ISC5: mplement strategic plan(s) for the application of BCI for better health

• Having a dedicated national strategy or plan for the application of BCI for health, with a vision, targets and identification of priority actions and resources.

• Integrate BCI work into national, regional and local work programmes, into government, ministry or health agency plans, and national or local health plans, development plans and/or other key strategic documents. Include targets and identification of priority actions and resources for implementation.

• Include commitments to conduct BCI work in strategies and plans related to specific health topics (such as antimicrobial resistance, immunization, obesity, alcohol, nutrition, use of health services, quality of care, health inequalities, health emergencies, air pollution). Commitment in this regard includes identification of priority actions and resources for implementation.

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Self-assessment scale: BCI not integrated in specific health-area plans –> BCI integrated in all specific health-area plans

1 During the year, BCI work was not mentioned in any strategies/plans related to specific health topics.

2 Some strategies/plans referred to BCI work, but with no clear identification of how this work will be conducted, by whom or with which target. Please attach strategies/plans.

3 Some strategies/plans made an explicit reference to BCI work and identified related actions and targets. Please attach strategies/plans.

4 Within several priority health areas, strategies/plans made an explicit commitment to BCI work and identified related actions and targets. Please attach examples of strategies/plans.

5 Across all priority health areas, strategies/plans included a dedicated section on how BCI work should be used to reach health targets, and clearly identified actions, targets, roles and responsibilities, and resources for this work. Please attach examples of strategies/plans.

Quantitative reporting: Do you have a dedicated national strategy or plan across health areas for the application of BCI for better health? Y/N

Quantitative indicators and targets - for 2025-26, reported in 2027

Number of MS with a dedicated formal network of

internal and external stakeholders that includes the

application of BCI for health in their terms of reference:

40 [75%]

Number of MS that have conducted at least one impact evaluation using randomized controlled trials (RCTs) or quasi-experimental methods to assess the impact of an activity that aimed to enhance positive health behaviours: 40 [75%]

Number of MS with a dedicated national strategy or plan across health areas for the application of BCI for better health: 20 [38%]

Self-assessment targets - for 2025-26, reported in 2027

• Number of Member States that self-assess at Level 3 or higher within each strategic commitments: 45 [85%]

• Number of Member States that progress to a higher self-assessment level (compared with 2021-2022): 45 [85%]

40% 29% 10%

had a formal network on BCI [75%]

conducted impact study of intervention [75%]

had a national strategy for BCI [38%]

Baseline: Reporting in 2021-2022

29% 56% 73%

rated 3 or above for SC1: stakeholders [85%]

rated 3 or above for SC2: BCI research [85%]

rated 3 or above for SC3: interventions [85%]

35% 29%

rated 3 or above for SC4: HR/funding [85%]

rated 3 or above for SC5: health strategies [85%]

LINK:

https://iris.who.int/handle/10665/374326

26

2021-2022 was the baseline

Compare with the last reporting – consider the level compared to 2 years ago.

Try to use the same lens through which to assess the levels.

Option to select “Improved, but no progress in score”

Fight your bias to report success. There may be good reasons why reporting is lower (e.g. COVID).

Opportunity to provide notes if progress has reversed. Baseline report:

https://iris.who.int/handle/10665/374326

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New elements (optional) • Overall assessment of status of BCI

in the last 2 years

• Option to select “Improved, but no progress in score”

• Opportunity to provide notes if progress has reversed.

• One success story

• Request to WHO for support

• Key challenges

➢Nuance to help understand

➢For use as quotes and case example boxes

• Acknowledgements

Q&A

Stakeholder engangement: country

experiences

Suggested changes or additions to the

online form?

What do you need from us to succeed?

Saatja: euinsights <[email protected]>

Saadetud: 05.02.2025 13:09

Adressaat: <=?utf-8?Q?Helen_S=C3=B5ber?=>

Koopia: <"Agne Nettan-Sepp">; <[email protected]>; Riia Salsa-Audiffren

<[email protected]>; <[email protected]>; Andre Pung

<[email protected]>; KÖHLER, Kristina <[email protected]>; Nele

Kunder <[email protected]>; <[email protected]>; Mall Leinsalu

<[email protected]>; HABERSAAT, Katrine Bach <[email protected]>;

euinsights <[email protected]>

Teema: Reporting of activities related to behavioural and cultural

insights for better health during 2023-2024 CRM:0324075

Tähelepanu! Tegemist on välisvõrgust saabunud kirjaga.Tundmatu saatja

korral palume linke ja faile mitte avada.Tähelepanu! Tegemist on

välisvõrgust saabunud kirjaga.Tundmatu saatja korral palume linke ja

faile mitte avada.Please see the attached correspondence sent from the

World Health Organization, Regional Office for Europe. One or more

attachments may be included.Veuillez vous r¨¦f¨¦rer ¨¤ la correspondance

ci-jointe du Bureau r¨¦gional de l'Europe de l'Organisation mondiale de

la sant¨¦. Une ou plusieurs annexes peuvent ¨ºtre jointes.Mit der Bitte

um Kenntnisnahme der beiliegenden Korrespondenz (eine oder mehrere

Anlagen), Weltgesundheitsorganisation, Regionalb¨¹ro f¨¹r Europa§³§Þ.

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UN City, Marmorvej 51 Tel.: +45 45 33 70 00 Email: [email protected] DK-2100 Copenhagen Ø Denmark

Fax: +45 45 33 70 01 Website: https://www.who.int/europe

WORLD HEALTH ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ

WELTGESUNDHEITSORGANISATION ВСЕМИРНАЯ ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ

Date: 31 January 2025

Ms Helen Sõber

Adviser

European Union Affairs and International Co-

operation Department

Ministry of Social Affairs

Suur-Ameerika 1

10122 Tallinn

Estonia

REGIONAL OFFICE FOR EUROPE BUREAU RÉGIONAL DE L’EUROPE

REGIONALBÜRO FÜR EUROPA ЕВРОПЕЙСКОЕ РЕГИОНАЛЬНОЕ БЮРО

Head office:

UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark

Tel.: +45 45 33 70 00; Fax: +45 45 33 70 01

Email: [email protected] Website: https://www.who.int/europe

Our reference: Notre référence: Unser Zeichen: См. наш номер:

Your reference: Votre référence: Ihr Zeichen: На Ваш номер:

Dear Ms Sõber,

Reporting of activities related to behavioural and cultural insights for better health during

2023–2024

The WHO ‘United Action for Better Health’ European Programme of Work (2020–2025) identifies

four flagship initiatives as accelerators of change, including behavioural and cultural insights (BCI)

for better health. Setting joint vision and goals for this work, a resolution and action framework was

adopted at the 72nd Regional Committee on 13 September 2022. This resolution calls on Member

States to report to WHO on a set of indicators and progress measures every other year.

I would like to hereby request your country to report on activities related to BCI for health

during 2023–2024, using this online reporting form (https://forms.office.com/e/7rvHMzqGfh) in

English or Russian language before 31 March 2025.

The BCI focal points nominated in each Member State have been engaged in developing the reporting

model and have received in-depth guidance on its completion. I therefore propose that the BCI focal

point nominated for your country will conduct the reporting. In Estonia, the BCI focal point is Ms

Nele Kunder. If this information is not correct, please inform us about the correct focal point.

For guidance on reporting, please refer to the following documents which are attached:

• Annex 1 of the action framework provides detailed guidance on the indicators and measures as

well as definitions of key concepts.

• The presentation from an information meeting for BCI focal points held on 9 December provides

additional background and updates.

• A Word version of the online reporting form is available to share internally within countries to

obtain feedback form a larger group of people.

In addition, two online drop-in clinics are open to anyone who would like to discuss the details of the

reporting, solve problems or ask questions on 18 February 2025 at 9:30 CET (in English) and on 25

February at 10:00 CET (in Russian).

– 2 –

Based on the reporting from Member States, WHO Regional Office for Europe will prepare a status

report on BCI for health implementation in the Region, as requested in the resolution. The report for

2021-2022 is available online and attached.

The next reporting will take place in 2027, covering activities during 2025–2026.

Regional Advisor for BCI, Katrine Bach Habersaat is responsible for this activity, and it would be

appreciated if you would address any queries to her (email: [email protected]).

Yours sincerely,

Mr Robb Butler

Director, Communicable Diseases, Environment and Health

WHO Regional Office for Europe

Encls:

• United Action for Better Health, European Programme of Work (2020-2025) (EPW)

• Resolution and action framework (see Annex 1 for reporting model)

• Presentation from meeting with BCI focal points on 9 December 2024

• Word version of online reporting form in English and Russian, for internal use in countries

• Report for 2021-2022

Copy for information to:

Ms Agne Nettan-Sepp, Head, European Union Affairs and International Co-operation Department, Ministry of Social

Affairs, Suur-Ameerika 1, 10129 Tallinn, Estonia

H.E. Ms Riia Salsa-Audiffren, Ambassador Representative of the Republic of Estonia, Permanent Mission of the Republic

of Estonia to the United Nations Office and other international organizations in Geneva, Chemin du Petit-Saconnex 28A,

CH-1209 Genève, Switzerland

H.E. Mr Andre Pung, Ambassador Extraordinary and Plenipotentiary, Embassy of the Republic of Estonia, Frederiksgade

19, 4th floor, 1265 Copenhagen K, Denmark

Ms Kristina Köhler, Liaison Officer, WHO Country Office, Estonia, Paldiski Road 81, 10617 Tallinn, Estonia

Ms Nele Kunder, Adviser, Public Health Department, Ministry of Social Affairs, Suur-Ameerika 1, 15027 Tallinn, Estonia

Dr Mall Leinsalu, National Institute for Health Development, Estonia

Ms Katrine Habersaat, Regional Advisor (Behavioural and Cultural Insights), WHO Regional Office for Europe, UN City,

Marmorvej 51, DK-2100 Copenhagen Ø, Denmark

Behavioural and Cultural Insights, World Health Organization Regional Office for Europe, Denmark