Pöördumine

E-kiri.eml

Tähelepanu! Tegemist on välisvõrgust saabunud kirjaga.
Tundmatu saatja korral palume linke ja faile mitte avada.

/Sent on behalf of Dr Sophie Jullien/

Dear National Focal Points on Child and Adolescent Health,

We are pleased to provide you with an update on "A healthy start for a healthy life", the regional strategy for child and adolescent health and well-being, which is on track for submission to the Regional Committee in October.

We have carefully integrated the written feedback received from Member States during the consultation following the SCRC, and are grateful for the thoughtful comments and valuable contributions.

In preparation for implementation, we have been developing country profiles that will serve as a baseline for monitoring progress under the Strategy. These profiles are based on already collected data and have been complemented by responses to the shorter survey circulated via the Health for All platform in June 2025. Please note that survey responses submitted after 26 August could not be incorporated into the present version of the profiles.

Our aim is to have the finalized country profiles available for the RC75. In this regard, we are pleased to circulate a draft of your country’s profile for review, and we kindly request your feedback by 19 September 2025.

As planned, we will also work in close collaboration with Member States to define a limited set of indicators for monitoring the implementation of the strategy once it has been adopted.

Please do not hesitate to get in touch should you have any questions or require further information.

Thank you for your continuous support and collaboration.

Kind regards,

Sophie

Dr Sophie Jullien

Technical Officer Child and Adolescent Health

World Health Organization Regional Office for Europe | Division of Country Health Policies and Systems

WHO Athens Quality of Care and Patient Safety Office | Ploutarchou 3 | 10675 Athens, Greece

Web: Child health EURO

Estonia (EN) v3.4.pdf

Violence against children (1–14) No data

Country at a glance Total population 1 374 687

Under 18 population 267 879

Adolescent population 155 026

Under 5 population 66 025

GDP per capita 49 334 USD

Being cyberbullied (11–15) 19%

Source information

Children developmentally on track No data

2.1 deaths per 1,000 births

Child mortality (0–4)

deaths per 1,000 adolescents

Adolescent mortality (10–19)

2.6

Multiple health complaints (well-being and mental health) (11–15)No data

Breastfeeding initiation within 1 hour

Measles vaccine coverage

74%

Page 1 / A healthy start for a healthy life: a strategy for child and adolescent health and well-being in the WHO European Region, 2026–2030 / Country profile: Estonia

Estonia A healthy start for a healthy life: a strategy for child and adolescent health and well-being in the WHO European Region, 2026–2030

⬤ Estonia ⬤ WHO European Region average ⬤ Worst-performing country ⬤ Best-performing country

Child and adolescent development and health status

60% 37%of girls of boys

Nutrition, physical activity and obesity

Tobacco and alcohol

Policies for child and adolescent health

⬤ Estonia █ Yes/implemented █ Partial implementation/planned █ No/not implemented █ Data missing

ECD = Early childhood development HFSS = High in fat, salt or sugar

0 5 10 15 20 25 30 35 40 45 50

Dental care coverage

Adoption of the ECD Framework

Restrict HFSS food/drink marketing

Tax on sugar-sweetened beverages

Limit marketing on mobile/gaming platforms

Advertising ban on all forms of tobacco

Tax on alcohol

Ban on corporal punishment

Member States

0% 20% 40% 60% 80% 100%

Current e-cigarette use (13–15)

Current cigarette use (13–15)

Current alcohol use (13–15)

Drunk in last 30 days (13–15)

Ever been drunk (13–15)

0% 20% 40% 60% 80% 100%

No fruits/vegetables daily (11–15)

Soft drinks daily (11–15)

Insufficient physical activity (11–15)

Overweight and obesity (6–9)

Page 2 / A healthy start for a healthy life: a strategy for child and adolescent health and well-being in the WHO European Region, 2026–2030 / Country profile: Estonia

Health behaviours and outcomes

⬤ Estonia ⬤ WHO European Region average ⬤ Worst-performing country ⬤ Best-performing country

Waiting for new data

No data

● Estonia ● Yes ● No ● Not reported

Public spending on health (% of total public spending) 13.2%

● Estonia ● WHO European Region average ● Highest salary country ● Lowest salary country

Monthly salary (PPP) for general paediatricians No data

Involved adolescents in a national child and adolescent health strategy

Asylum applicants

35

Children seeking asylum per 100 000 resident children (0–18)

Page 3 / A healthy start for a healthy life: a strategy for child and adolescent health and well-being in the WHO European Region, 2026–2030 / Country profile: Estonia

Age to access health care without parental consent

● Estonia ● Based on maturity ● 14–15 years ● 16–17 years ● 18 years

School health services onsite or through linkages No data

System performance for child and adolescent health

Child and adolescent rights Adolescent participation

Service delivery Workforce

Children and adolescents in vulnerable situations

95 Children seeking asylum (0–18)

Public spending on health: availability of data disaggregated by age (0–18) No data

Out-of-pocket payments (% of current spending on health) 23.4%

Financing

● Adults ● <18 years unaccompanied ● <18 years accompanied

93% 7%

Maturity

Indicator definitions and sources

Total population: Total population. Source: UNICEF TransMonEE: Eurostat; United Nations, Department of Economic and Social Affairs, Population Division (2024); and revised/validated by countries.

Under 18 population: Children aged 0–17 years. Source: UNICEF TransMonEE.

Under 5 population: Children aged 0–4 years old. Source: UNICEF TransMonEE.

Adolescent population: Adolescents aged 10–19 years. Source: UNICEF TransMonEE.

GDP per capita: Gross domestic product per capita is the total value of goods and services produced in a country divided by its population, expressed in current US dollars and not adjusted for inflation. Source: International Comparison Program, World Bank.

Child mortality (0–4): Number of deaths among children under age 5 per 1000 live births in a given year. Source: United Nations Inter-agency Group for Child Mortality Estimation (UN IGME).

Adolescent mortality (10–19): Number of deaths among adolescents (10–19 years) per 1000 adolescent population in a given year. Source: UN IGME.

Children developmentally on track: Percentage of children aged 24–59 months who are developmentally on track in at least three of the following domains: literacy–numeracy, physical development, social emotional development and learning. The data covers 36–59 months, except for Uzbekistan, which used the new Early Childhood Development Index calculation method for 24–59 months. Source: UNICEF TransMonEE: Multiple Indicator Cluster Surveys (MICS) and Türkiye child survey 2022.

Measles vaccine coverage: Percentage of children who received the second dose of measles-containing vaccine. Source: WHO/UNICEF Estimates of National Immunization Coverage.

Breastfeeding initiation within 1 hour: Percentage of newborns breastfed within the first hour of life. Sources: Baby-Friendly Hospital Initiative Network, WHO Child and adolescent health in Europe: report on progress to 2021. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO; UNICEF TransMonEE.

Multiple health complaints (well-being and mental health) (11–15): Percentage of 11–15-year-olds who report two or more health complaints (from a list including headache, stomach ache, backache, feeling low, irritability, nervousness, difficulty sleeping, and dizziness) at least weekly in the past six months. Source: Health Behaviour in School-aged Children (HBSC) study 2021/2022.

Being cyberbullied (11–15): Percentage of 11–15-year-olds who report experiencing cyberbullying (e.g. being sent mean or threatening messages, having photos/videos shared without permission) at least once or twice a month in the past couple of months. Source: HBSC study 2021/2022.

Violence against children (1–14): Percentage of children aged 1–14 who have experienced any physical punishment and/or psychological aggression by caregivers. Source: TransMonEE: MICS or Demographic and Health Surveys (DHSS).

No fruits/vegetables daily (11–15): Percentage of 11–15-year-olds who report eating neither fruit nor vegetables daily. Source: HBSC study 2021/2022.

Soft drinks daily (11–15): Percentage of 11–15-year-olds who report daily consumption (at least once per day) of sugary soft drinks. Source: HBSC study 2021/2022.

Insufficient physical activity (11–15): Percentage of 11–15-year-olds not reporting daily physical activity for at least 60 minutes. Physical activity was defined as any activity that increases the heart rate and makes the person get out of breath some of this time, with examples provided. Source: HBSC study 2021/2022.

Overweight and obesity (6–9): Percentage of children aged 6–9 classified as overweight or obese (WHO criteria). Source: WHO European Childhood Obesity Surveillance Initiative (COSI).

Current e-cigarette use (13–15): Percentage of 13–15-year-olds who report using electronic cigarettes at least once in the past 30 days. Source: HBSC study 2021/2022.

Current cigarette use (13–15): Percentage of 13–15-year-olds who report using cigarettes at least once in the past 30 days. Source: HBSC study 2021/2022.

Current alcohol use (13–15): Percentage of 13–15-year-olds who report drinking alcohol in the past 30 days. Source: HBSC study 2021/2022.

Drunk in last 30 days (13–15): Percentage of 13–15-year-olds who report being drunk at least once in the past 30 days. Source: HBSC study 2021/2022.

Ever been drunk (13–15): Percentage of 13–15-year-olds who report having been drunk on two or more occasions in their lifetime. Source: HBSC study 2021/2022.

Dental care coverage: Dental care for children and adolescents (0–18) covered under national health insurances schemes or government benefit packages. Sources: WHO/Europe Member States (MS) Survey 2025 and WHO Child and adolescent health in Europe: report on progress to 2021. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO.

Adoption of the ECD Framework: Adoption of the WHO Framework on Early Childhood Development (ECD) in the European Region. Source: WHO/Europe MS Survey 2025.

Restrict HFSS food/drink marketing: Existence and implementation status of policy restricting marketing of foods and drinks high in fat, sugar and salt (HFSS) to children and adolescents. Source: Noncommunicable diseases (NCD) Country Capacity Survey (CCS) 2023.

Tax on sugar-sweetened beverages: Existence of a national tax on sugar- sweetened beverages. Source: World Bank, Global SSB Tax Database.

Limit marketing on mobile/gaming platforms: Existence and implementation of restrictions on food and beverage marketing on mobile and gaming platforms. Source: WHO/Europe MS Survey 2025.

Advertising ban on all forms of tobacco: Bans on tobacco advertising, promotion and sponsorship. Red: Complete absence of ban, or ban that does not cover national television, radio and print media. Yellow: Ban on national television, radio and print media as well as on some but not all other forms of direct and/or indirect advertising. Green: Ban on all forms of direct and indirect advertising (or at least 90% of the population covered by subnational legislation completely banning tobacco advertising, promotion and sponsorship). Source: WHO report on the global tobacco epidemic, 2025: warning about the dangers of tobacco. Geneva: World Health Organization; 2025. Licence: CC BY-NC-SA 3.0 IGO.

Tax on alcohol: Implementation of a national tax or pricing policy to reduce the affordability of alcohol. Source: WHO/Europe MS Survey 2025.

Ban on corporal punishment: Corporal punishment of children is punishable by law. Source: WHO/Europe MS Survey 2025.

Age to access health care without parental consent: Legal minimum age at which adolescents can access health services without parental consent. Sources: WHO/Europe MS Survey 2025 and WHO Child and adolescent health in Europe: report on progress to 2021. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO.

Involved adolescents in a national child and adolescent health strategy: Adolescents participated in the development, implementation or review of national child and adolescent health strategies or policies. Sources: WHO/Europe MS Survey 2025 and WHO Child and adolescent health in Europe: report on progress to 2021. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO.

School health services onsite or through linkages: Health services are available in schools or through linkages with the health system according to policy. Source: WHO/Europe MS Survey 2025.

Monthly salary (PPP) for general paediatricians: Average monthly salary of general paediatricians before tax adjusted for purchasing power parity (PPP). Sources: WHO/Europe MS Survey 2025 and WHO Child and adolescent health in Europe: report on progress to 2021. Copenhagen: WHO Regional Office for Europe; 2024. Licence: CC BY-NC-SA 3.0 IGO.

Asylum applicants: Percentage of children (0–18) of total asylum applicants disaggregated by those who arrive in the country accompanied and those who are unaccompanied (separated from both parents and not cared for by a guardian or other adult who is legally or customarily responsible for them); number of children (0–18) seeking asylum per 100 000 child population (0–18); total number of children (0–18) seeking asylum. Sources: UNHCR Refugee Data Finder, Eurostat and national government reported statistics.

Public spending on health (% of total public spending): Domestic general government health expenditure (GGHE-D) as % of general government expenditure (GGE). Source: WHO Global Health Expenditure Database.

Out-of-pocket payments (% of current spending on health): Percentage of current health expenditure paid directly by households out-of-pocket. Source: WHO Global Health Expenditure Database.

Public spending on health: availability of data disaggregated by age (0–18): Availability of data on total government spending on health for children and adolescents aged 0–18. Source: WHO/Europe Member States Survey 2025.

Page 4 / A healthy start for a healthy life: a strategy for child and adolescent health and well-being in the WHO European Region, 2026–2030 / Country profile: Estonia

Last accessed 30 July 2025