STRATEGIC FRAMEWORK FOR PUBLIC HEALTH OF THE REPUBLIC OF MACEDONIA WITH ACTION PLAN UNTIL 2020
STRATEGIC FRAMEWORK FOR PUBLIC HEALTH OF THE REPUBLIC OF MACEDONIA WITH ACTION PLAN UNTIL 2020

Summary/Abstract: According to the World Health Organization definition, public healthconstitutes all “organized activities (public or private) to prevent disease,promote health and generally to prolong life among the population as awhole”. Public Health activities are focused on the entire population orspecific population groups. The public health is concerned with the overallhealth and not only dealing with particular disease or condition.The organized activities of the society to protect and improve population’shealth are faced with major challenges. Health inequalities betweencountries and between regions within countries are ever so emphasized,which affects the socio-economic living conditions. The causes of the burdenof disease nowadays most commonly are rooted in the societal milieu,living conditions, lifestyles and the environment, but also in the organizationof health systems, the appropriate allocation and the use of availablematerial and human resources.The public health system in Macedonia has a substantial, almost 90years long tradition, a period in which numerous accomplishments havebeen achieved, mainly in eradication of and protection from many communicablediseases, but also a period in which a system of public healthinstitutions has been established with highly specialized public health professionalsand a system which in 2010 has set up its functioning on thebasis of Essential Public Health Operations (EPHOs) and through a separateLawon public health. However, many weaknesses of the system havebeen identified, first and foremost the need for its modernization, realignmentand restructuring towards modern public health, which will engageall sectors and segments of the society, including the citizens and generalpublic.The strategic framework and the envisaged public health actions are designedin the spirit of the European Action Plan for Strengthening thePublicHealth Capacities and Services, and the WHO European frameworkpolicy for health and well-being, Health 2020, representing a strong commitmentto achieving the goals of providing better and more accessiblepublic health services in the Republic of Macedonia.

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