The welfare models of tomorrow and public health – challenges and new strategies?

Siv Friðleifsdóttir

Project leader for the Nordic Welfare Watch and Senior Advisor, Ministry of Welfare, Iceland

Nordic Welfare Watch

This presentation introduces the results from the three-year Nordic research programme, which was part of Iceland's Presidency Program in the Nordic Council of Ministers from 2014-2016, and will focus on the following: How are social services involved in emergency plans?
How can we safeguard welfare when a financial crisis strikes society?
Which 30 Nordic welfare indicators have been selected as an early warning system to monitor welfare development in the Nordic region?

Jørgen Goul Andersen

Professor, Director of Centre for Comparative Welfare Studies (CCWS), Department of Political Science, Aalborg University, Denmark

The Nordic welfare states – where are they headed?

The Nordic welfare states are still in the international top when it comes to equality and protection against poverty, as well as in terms of social trust and satisfaction with life. But the welfare states have changed and the social inequality have increased, just as in other countries. What are the prospects for the development in the future in light of the demographic changes, the globalization and the immigration? Are there changes in welfare politics that will result in more people losing and more insecurity? Are there changes in the attitudes of the people? And which perspectives does that hold for public health in the future?

Public health activities in a changing structure

Dina von Heimburg

Public Health Coordinator, Innherred Joint Municipality, Norway

Welfare work in a Norwegian municipality after implementation of the Norwegian Public Health Act

This presentation discusses the organisation, initiatives and management of local public health work, including follow-up on the Norwegian Public Health Act.
The example will explore the use of research, theory and local evidence to promote health in society, discuss the significance of co-creation and professional networks, trial-and-error approaches and the mobilisation and management of local commitment. The importance of political management for health and well-being and of regional and national support will also be central elements in the example.

Hans Karlsson

Head of Health and Social Care Division, Swedish Association of Local Authorities and Regions

Management and organisation in the field of health in Sweden are changing

Public health measures is in tune with time, rooted in the people's local environments and on the basis of welfare needs. More emphasis will be put on health promotion, and the framework for public health activities should be strengthened in the short and long term in order to impact public health policy.

If society is to prosper, good and equal health is required, and certain conditions need to be fulfilled. For example, it is important to secure cohesive sustainable efforts, especially within social sustainability. Public health tasks are established at the national level, whereas research centres are organized at regional level. Work for promoting public health is cross-sectoral and is developed based on follow-up observations and analyses.

Mental health and well-being of children and adolescents

Tormod Bøe

Psychologist/Senior Researcher, RKBU West - Uni Research Health, Norway

How do living conditions affect the mental health of children and adolescents through psychosocial mechanisms?

This presentation discusses research on the relationships between poor economy/low socio-economic status and the mental health and development of children and adolescents.
Three theoretical perspectives are included to explain part of these relationships: the family process model, the family investment perspective and cumulative risk exposure.
The perspectives are illustrated by studies based on a major Norwegian survey of children and adolescents conducted in Bergen and the Hordaland county.

Anne-Dorthe Hestbæk

Senior Researcher, The Danish National Centre for Social Research (SFI), Danmark 

Mental vulnerability in a generation of youth

Based on a longitudinal study by the Danish National Centre for Social Research on the 1995 birth cohort, we take a look at the mental health and well-being of children and adolescents over time. The focus is on adolescents' own perceptions of well-being and on depression in adolescence and risk factors associated with this.

Public health and partnerships

Sara Kollberg

Analyst, Public Health Agency of Sweden

Elisabeth Skoog Garås

Public Health Officer
Sveriges Kommuner


Social Sustainability Forum – a common platform for exchanging knowledge and experience

The Public Health Agency of Sweden and the Swedish Association of Local Authorities and Regions (SALAR) run the joint Social Sustainability Forum, which is a platform for the exchange of knowledge and experience.
The purpose is to contribute to more socially sustainable development and to meet people's basic needs and rights.
In order to make society more socially sustainable and reduce health inequality, various
partners in society must participate and work together.
But how do we get there?
The Public Health Agency of Sweden and SALAR will be sharing their experiences and talk about the challenges and opportunities they encountered when working with the joint initiative.

Tuija Brax

Secretary General, Heart Association, Finland

We need new friends and methods in health prevention

The presentation gives two examples of partnerships between the civil society and the business sector: "Heart label – a better choice" and "The Network a Life"

The industry and public health

Linda Granlund

Director General of Division Public Health, The Norwegian Directorate of Health 

Collaboration with the industry for healthier food

In December 2016, the Norwegian health authorities entered into an agreement with wholesalers and manufacturers in the food industry to make Norwegian foods healthier. The parties to the agreement are the most important industry players that establish Norwegian food habits. Specific targets have been set for the consumption of salt, saturated fat, sugar, fruit, vegetables, cereal products and fish. The targets are to be fulfilled through product development and changed consumer habits and will be subject to monitoring. The Norwegian Directorate of Health will present the framework for its collaboration with the industry and share its experiences from six months with the collaboration agreement.

Pär Larshans

Head of Sustainability & Corporate Responsibility, Ragn-Sells 

The human perspective is crucial for a productive and healthy workplace

The presentation discusses the establishment of a "green zone culture" in which collaboration is the culture’s foundation and where the dissimilarities of human beings are considered a strength.
Pär Larshans, now Chief Sustainability Officer at the recycling company Ragn-Sells, explains how leadership and focus on the line manager's self-esteem, including handling of the leader’s potential subconsious fears in relation to the organisation, have been decisive for creating efficient and well-functioning workplaces. Through focused work with social sustainability, this has meant that diversity has become a resource and that disability is seen as an opportunity that even benefits the business. The goal is value-based leadership that awards transparency and even provides visible results in terms of sickness absence, employee turnover and accidents at work – "Safety First – Everyone's responsibility every day" is Ragn-Sells' catchphrase.

Health communication the road to increased equality of health

Svend Aage Madsen

Head of Research, President of Men’s Health Forum, Denmark, Copenhagen University Hospital, Rigshospitalet, Denmark

Men and health communication – how difficult is it?

Based on surveys – especially of how men with short-termed educations view physical and mental well-being, health and use of healthcare services – various new ways of approaching men are suggested. The presentation looks at the dialogue between healthcare professionals and the man, and at when men seek health services and information and considers how to tailor health services and information to men in the best possible way. Specific suggestions will be discussed.

Nanna Mik-Meyer

Professor with Specific Responsibilities, Copenhagen Business School, Denmark

Is there a downside to today's strong focus on health?

The presentation takes a sociological perspective when discussing the impact of today's strong focus on health on the life situations of overweight people. The presenter takes a critical stance towards the presumption that healthy living equals happy living and opposite: that unhealthy individuals by definition leads 'bad' lives. For instance, is it conceivable for politicians and citizens in general that overweight people have good lives too? In this context, the health concept's close linkage to diet, smoking, alcohol and physical activity will be in focus.



From policy to local implementation of public health initiatives

Heli Hätönen

Ministerial Adviser, PhD, Ministry of Social Affairs and Health

Implementing the Health in All Policies approach at the local level - experiences from Finland

Municipalities have the responsibility to protect and promote their inhabitants’ health and well-being. They promote health through a process of political commitment, institutional change, capacity-building, partnership-based planning and innovative projects. In Finland municipalities have been forerunners in implementing the Health in All Policies approach. In the presentation successes and challenges of the implementation as well ideas for the future will be discussed.

Dagur B. Eggertsson

Medical Doctor and Mayor of Reykjavik, City of Reykjavik, Iceland

Cities and Public Health

Citiy government can contribute greatly to public health with various different methods. What are the factors of a healthy city? How can city planning be a key example of how you plan a city for the health of many? Densification and easy mobility of people can be key elements of a healthy city anywhere in the world.

Thriving societies

Johannes Andersen

Associate Professor, Department of Political Science, Aalborg University, Denmark 

Adolescents in between projects and reality

Independence is central to young people today. They must decide for themselves, and they shape their own lives through their own choices. They must do so in public and private environments where emphasis is increasingly on feelings and perceptions at the cost of common norms and perspectives. Whether their choices are optimal is their call alone. It makes them prone to a vulnerability that is so characteristic of adolescence today.

Ing-Marie Wieselgren

National Coordinator of Psychiatry, Swedish Association of Local Authorities and Regions

Kerstin Evelius

National Coordinator Mental Health Sweden, Ministry of Health and Social Affairs, Sweden

Johanna Ahnquist

Head of unit, PhD, Public Health Agency of Sweden

Sweden's national mental health strategy for 2016-2010 – fives focus areas in the next five years

The prevention of mental illness has high priority in public health policies in Sweden. The government has adopted a new "Strategy for the state's initiatives in the area of mental health and illness, 2016-2020". The strategy is based on five focus areas identified as the most urgent to strengthen mental health and prevent mental illness. The work is organised by the government's national coordinators who are also responsible for presenting proposals on how to integrate the development and coordination in the ordinary regulatory structure. One of the central elements is annual agreements between the state and the Swedish Association of Local Authorities and Regions. For 2017 the government has allocated SEK 885 million under the agreement, of which SEK 780 million is allocated to support municipal and regional activities. The strategy also engages a number of other authorities and players on different levels, e.g. the Public Health Agency of Sweden, which focuses on the first focus area of the strategy involving activities of health promotion and prevention.

Integration and diversity

Ragnhild Nissen-Lie

Head of departement, Directorate of Integration and Diversity, Norway

Linda Granlund

Director General of Division Public Health, The Norwegian Directorate of Health 

Public health and integration – a common boost for good health and quality of life

A society that promotes health is an inclusive society. It implies that the entire population feels safe, has a sense of belonging and purpose of life. It also implies that all have equal opportunities to make healthy choices and develop habits that foster good health.

To be included in a society is about perceiving yourself as part of a work environment, a football club, a neighbourhood/district or an association.
By facilitating participation and belonging, good integration work and public health initiatives will complement each other through the development of initiatives that promote inclusion, good health and quality of life.

The Norwegian Directorate of Health and the Norwegian Directorate of Integration and Diversity will be presenting the results from a new report prepared by the Norwegian Institute for Urban and Regional Research at the request of the two directorates.

Maria Kristiansen

Associate Professor, Department of Public Health, Copenhagen University

Public health in a diversity perspective: lessons learned and challenges to overcome

Increasing ethnic, linguistic and cultural diversity among the Nordic populations has implications for policy and practice within the field of public health. Migration, ethnicity and social conditions are often closely interwoven raising demands for a focus on sensitivity towards many aspects of diversity. This presentation outlines the most important dimensions of public health interventions in a diversity perspective, starting from a concrete research project in a diverse residential area in Denmark.

Health promotion in local environments and citizens' involvement

Siv Sandberg

Local government analyst, Åbo Akademi University and Vice chair, Samfundet Folkhälsan, Finland

Challenges for local health promotion in Finland after the major healthcare reform: Do the municipalities have the needed tools?

Finland is undergoing a major health and regional reform that will change the division of work between state, regions and municipalities from 1 January 2019. The municipalities will no longer be responsible for social and health services, but will still be responsible for promoting the health of the citizens in the municipalities. What challenges obstruct the implementation of "health in all policies" in the municipalities at a time when the municipalities' portfolios of tasks are changed radically?

Christa Breum Amhøj

PhD, PostDoc, Director of Centre for Business Development and Management, Copenhagen Business School, Denmark

Urban leadership and health promoting communities

An increasing number of municipalities are exploring ways to promote health through co-creating communities. The ideals about Welfare 3.0 informs the municipalities to move from being organizations separated from the citizens to become organizations acting as part of a larger community. But how do we create strong urban communities across roles, silos and organisational boundaries? How do we foster new health-promoting and sustainable communities – without taking over the responsibility as authority and without killing the passion to create through rigid measurement and control? One answer could be to cultivate an urban leadership able to inter-act with the deeper visions about welfare in the community, in the nature and in the local culture. The presentation includes examples from various research projects in different municipalities, e.g. Community Agents (‘Fællesskabsagenterne’) and Nature-Net-work (‘Naturens Rige’) under the DK Healthy Cities Network and the research project Strategical Management of Welfare in Movement (Copenhagen Business School).

Health in all policies from global policy to local action

Johan Carlson

Director General, Public Health Agency of Sweden

Health 2020 and Agenda 2030 – with focus on health in all policies

This presentation discusses the Public Health Agency of Sweden's efforts to identify and prioritise needs within different sectors of society, to provide knowledge and proposals for measures based on the prioritised needs and to spread the generated knowledge and the measures proposed – in consultation with the affected parties.

The work is illustrated by some practical examples.

Dr Dora Gudrun Gudmundsdottir

Head of Division, Determinants of Health and Wellbeing, Directorate of Health Iceland

Iceland’s national strategy for Public Health – with a focus on children and youth up to 18 years

In this presentation the focus will be on the work that lead to Iceland’s first public health policy that was published in September 2016. The importance of cross sectoral collaboration and the focus on youth in ensuring health and wellbeing through the life course.

Public health the experts, the citizens and the media

David Budtz Pedersen

Professor with Specific Responsibilities, Department of Communication, Aalborg University, Denmark

Communication and expertise in the post-factual democracy

The post-factual society splits people in two camps; those believing that the truth is flooded with spin, conspiracy theories, info storms and fake news; and those who embrace the trend as a new digital democracy. Although, researchers and authorities make knowledge and information available to citizens and the media, informed processes of dialogue are not always the result. With the increase in spin, blogs and commentators, opinions and feelings are often emphasised over solid evidence and facts. So, when HPV, MRSA, GMO and the climate become the topics of discussion, the authorities and decision-makers come to realise that the traditional authorities and sources of expertise are challenged. In this presentation, David Budtz Pedersen takes a closer look at how evidence and facts are manipulated and how a new emotional democracy is entering the scene of politics.

Rune Blomhoff

Professor, Department of Nutrition, University of Oslo and Division of Cancer Medicine, Oslo University Hospital, Norway

Scientific overview of nutrion and health: Use and misuse of science

Few scientific areas are followed with more interest from the media than nutritional science. However, creating a knowledge base and communicating about nutrition is challenging and demands a solid scientific understanding. Much nutrional science communicated through the media to the population is incorrect and based on an inadequate understanding of the scientific discipline. Dissimilar research designs and methods are to varying degrees contributing to the evidence base for our national recommendations, something that is often misunderstood. The presentation focuses on the work with national dietary guidelines and recommendations and how the national health authorities respond to modern nutrional research.