Progress in developing targets under the draft Strategy for Health and Environment

Transcription

1 Progress in developing targets under the draft Strategy for Health and Environment Prof. Mihail Kochubovski MD PhD Workshop on assessing equitable access to water and sanitation and small-scale water supply and sanitation systems, , Skopje, Macedonia

2 Strategic framework and Action Plan on health and environment till 2020 of the Republic of Macedonia - Draft -

3 Our strategic objective is improving the health by actions at all levels of the health care system but also far beyond the health care system, including the assessment and management of environmental health risks with it organized, strategic and intersectoral approach, outlined activities and measures of general area of health and the environment by 2020, in order to promote prevention and public health, by creating and maintaining a healthy environment. [1]DECISION No 1386/2013/EU OF THE EUROPEAN PARLIAMENTAND OF THE COUNCIL of 20 November 2013 on a General Union Environment Action Programme to 2020 Living well, within the limits of our planet

4 Objectives of the Strategic Framework for Health and Environment Strengthening capacities for creation and implementation of policies in the field of health and environment, set an intersectoral approach, -Introducing an effective model for identifying the pressures on the environment and preventing and / or reducing their harmful effects on health and well-being of the population in general, and specifically on certain vulnerable groups, -Defining implement cost-effective intersectoral actions directed to all levels of environmental pressure and health of the population.

5 III. WATER SUPPLY

6 Providing safe drinking water Increased access to water from 97% to 98%. Construction of smallscale water supply systems in rural areas without water. Maintenance of smallscale water supply systems in rural areas LS, MOEPP, MTC Number of built SSWS. In the Sector of the MOEPP total issued 35 permits for water supply of towns, villages and the regional water supply systems water supply more settlements from 2011 to Provided access to water up to 98%. Reducing pollution from springs for drinking water by 50%. Preparation of studies to determine the protection zones, safeguards and other conditions designed to water for consumption by humans. Establishment and maintenance of protection zones and protective measures around springs for public water supply. Prepared Rule-Book for Register of protected zones LS, МOEPP, MoH, IPH Number of prepared studies for determination of protected zones. Number of Decisions protective zones under Water Law Register of protected zones. Secured reduced pollution of the springs for drinking water by 50%.

7 Providing safe drinking water Improved secure infrastructure for public water supply. Replacement of old water pipes with water pipes allowed for food use. Building new water supply. Reduction of loss of water from the supply network to 30% LS, MTC, MOEPP Replaced water pipes in meters. Decreased % loss of water from the water supply. Kilometers the newly built water supply. Established, improved and secure infrastructure for public water supply. Improving the monitoring of drinking water safety. Constant monitoring of the safety of drinking water in urban and rural areas. Increased range of monitoring the safety of drinking water in urban and rural areas with greater frequency of water sampling LS, FVA, MoH, IPH, CPH, MOEPP, MTC, CMC Number of samples of water. Set up regular monitoring and enhanced security of drinking water.

8 Improving the quality of drinking water Reducing the percentage of noncompliance with bacteriological standards of drinking water in water supply systems in rural areas. Determination of a Public utility company for regular maintenance of water supply systems in rural area Regular maintenance of water supply systems in rural areas. Continued disinfection of drinking water in water supply systems in rural areas mismatch up to 30% in mismatch maximum 20% LS, FVA, MoH, IPH, CPH, MOEPP, MTC Decreased % of noncompliance with the bacteriological standards for drinking water Decreased % of noncompliance with the physical and chemical standards for drinking water Improved quality of drinking water in rural areas through continuous disinfection. Reducing the percentage of noncompliance with physicochemical standards for drinking water with a special emphasis in water supply in rural areas (ammonia, nitrites, nitrates...) Purification of drinking water. Strengthening the capacity of the laboratories of the Institute for Public Health and the 10 Centres for Public Health LS, FVA, MoH, IPH, CPH, MOEPP, MTC Number of constructed treatment plants for drinking water. Strengthened capacities of laboratories of the Institute of Public Health and the 10 Centers of Public Health. Improved water quality for drinking water supply in rural areas through a filter built stations.

9 Preservation and improvement of physical and mental health of children and youth and their well-being by improving sanitary and hygiene conditions in educational for children and youth Providing universal access to safe drinking water, adequate sanitation and the promotion of basic hygiene in school environment Improving access to safe drinking water, access to sanitation and promoting basic hygiene. Providing safe drinking water in sufficient quantities. Continuous supervision of sanitary and hygienic conditions in the school environment. Creating plans for water safety at school. Continuous disinfection of drinking water and a suitable treatment if necessary. Regular monitoring of the safety of drinking water. Programs for learning and practicing lifelong positive hygienic behavior LS, FVA, MoH, IPH, МES Number /% of schools with improved access to safe water and sanitation. Reducing the burden of the disease and diseaserelated mortality in the drinking water (Mb of criptosporodiosi campylobacteriosis, giardiasis, helminthiasis, legionellosis and other classical water diseases - hepatitis A, cholera, shigellosis, etc.) Rate of absence from school. The number of programs for skills acquiring. Established universal access to safe drinking water, adequate sanitation and the promotion of basic hygiene in school environment

10 Preservation and improvement of physical and mental health of children and youth and their well-being by improving sanitary and hygiene conditions in educational for children and youth Prevention of diseases associated with exposure to chemical, biological and physical risks in the school environment. Creation and implementation of building standards. Continuous sanitaryhygienic and epidemiological surveillance. Establishment of a national monitoring network for monitoring of chemical, biological and physical risks indoors. Stimulating research, consistency in the implementation of building standards. School toilets that provide privacy and security Provide good ventilation of classrooms disabling the appearance of visible moisture and mold in the school premises. Research, clinical and epidemiological studies to assess risks presentations Woman and adverse health effects in children and youth. School premises without sharp objects and facilities, safe staircase, good lighting MoH/IPH/CPH, МLSP, МES, LS Rate of disease of interest (Mb Mt of diseases originating from water, acute and chronic respiratory disorders, asthma, allergies, lung cancer, leukemia, etc.) Reports an insight / supervision. Established national monitoring network. Number of completed studies, surveys and reports / of research and publications. Rate of injuries in middle school. Established system of prevention of diseases associated with exposure to chemical, biological and physical risks in the school environment.

11 Preservation and improvement of physical and mental health of children and youth and their well-being by improving sanitary and hygiene conditions in educational for children and youth Active involvement of children and youth in the processes of policy and decision makers at all levels (at school, local, regional, national, international). Active involvement of associations of children and youth. Active involvement of associations of parents, teachers in making decisions especially at the local level. Participation in the creation and adoption of laws and bylaws. Participation in decision making at all levels. Participation at the international level advocating for the rights of children. Mobilizing support from parents, school staff and other local stakeholders МoH/IPH/CPH, МES Reports on the involvement of children and young people in policy-making, political decision-making, participation in public hearings. Reports of international participation of children and youth (Youth Parliament). Established system for active involvement of children and youth in the design of policies and decisionmaking at all levels.

12 Preservation and improvement of physical and mental health of children and youth and their well-being by improving sanitary and hygiene conditions in educational for children and youth Strengthening the institutional capacities of the involved in risk assessment and monitoring of risk factors in the school environment. Strengthening human resources. Strengthening technical capacity / resources. Establishing a laboratory network for biomonitoring. Ensuring the continued funding and support for preventive public health programs. Training of personnel, equipment, facilities accreditation of laboratories Extending the scope of existing accredited laboratories МES, МLSP, МТC, IPH, IOH, МOI, CMC, PRD Number of realized trainings and trained personnel. Number of introduced new methods for the detection of specific hazards / risks of the school environment. Number and% of accredited laboratories. Scope of accreditation / Annex to the accreditation certificate. Established laboratory network biomonitoring. Report on financial implications of the preventive public health programs and funding sources. Financial report on the implementation of preventive programs. Strengthened capacities of the involved in risk assessment and monitoring of risk factors in the school environment.

13 Preservation and improvement of physical and mental health of children and youth and their well-being by improving sanitary and hygiene conditions in educational for children and youth Increase public awareness of the health risks associated with risk factors in school environment. Programmes targeting various population groups on health risks factors in school environment. Programs to educate health professionals about the risks associated with the school environment. Programs to promote healthy lifestyles and behaviors. Workshops and training for recognizing risk factors in school environment. Prevention and early detection of diseases associated with risk u nd the school environment. Acquiring skills and practicing lifelong positive hygienic behavior МES, МLSP, МТC, IPH, IOH, МOI, CMC, PRD Number of programs implemented training and workshops. Number of participants covered by the training and workshops, report on the implementation of the programs, training and workshop made promotional materials. Increased public awareness of healthcare risks. Strengthening of national legislation in the field of water, sanitation and hygiene in school environment with consistent implementation and improved coordination of the involved parties. Ment complete the national legislation and standards, establishment of a national body for setting and monitoring standards, to establish a national coordination mechanism, providing expertise and resources for assessment and planning at the national level. Adoption of the Regulation on standards in school environment. Define clear roles and responsibilities among stakeholders МES, МoH, МТCВ, МOEPP, LS Rulebook on standards in school environment. Mechanism / body coordination. Established system for implementation and coordination of the parties involved in improving sanitation and hygiene in the school -settings.

14 Providing improved sanitation Determining access to sanitation in rural areas Number of people and villages have access to sanitation, monitoring the quality and quantity of discharged wastewater. Improving the status of the recipient of wastewater. Study the status of access to sanitation in rural areas LS, MTC, МOEPP, Public utility company Made a study of the status of access to sanitation in rural areas. Number of samples of wastewater comply with legal regulations. Number of surface water samples complied with the legal regulations. Established system for determining access to sanitation in rural areas. Increased access to improved sanitation in rural areas. Construction of fecal sewerage networks in rural areas Construction of (treatment plants for municipal wastewater) Appointment of public utility company for regular maintenance of drainage systems in rural areas. Maintenance of existing and construction of sewage networks in rural areas and treatment plants for municipal wastewater Wastewater treatment LS, MTC, МOEPP Increased% of improving the quality of wastewater. Increased% of access to improved sanitation. Improved sanitation through constructed system of collection, disposal and treatment of wastewater.