Wednesday 27 August 14:30

Sub-plenary session 1

  1. Non Communicable Diseases, risk factors and determinants
  2. Schools for health and well-being
  3. Health inequalities and Social determinants of Health (translated)

1. Non Communicable Diseases, risk factors and determinants

The World Health Assembly has adopted a target of 25% reduction in premature death from non-communicable diseases by 2025. Central goals of the adopted action plan (2013-2020) is to strengthen the capacity and cross-sectoral efforts to prevent diseases by reducing risk factors tobacco, unhealthy diet, physical inactivity and harmful use of alcohol. It also aims to facilitate efforts to underlying causes that are found in living standards (social determinants) by creating a healthy environment.

In this session we will consider Nordic developments and challenges. How is the situation in the Nordic countries when it comes to unhealthy diet and physical inactivity? Is the trend of increasing obesity in the process of reversing or continuing? What are the differences and similarities in the challenges of tobacco and alcohol? What is the situation regarding social inequality in NCD and risk factors? What societal traits and regulations have been shown to affect the trends? The session starts with an overview of the big picture and ends with a special look at alcohol.

Knut-Inge Klepp, Executive Director, The Norwegian Directorate of Health
Pia Mäkelä, Head of Alcohol and Drug unit, Institutet för hälsa och välfärd, Finland

3.Schools for health and well-being

The kindergarten and school is one of the most important arenas for the well-being of children. Good health and wellbeing is central to effective learning and preparation for successful independent living. In all the Nordic countries the school has a social responsibility of prevention and health promotion. There is much experience in implementing health promotion initiatives from the health sector into schools and kindergarten. Over the years both experience and research has shown the need for ownership by the education sector for achieving more sustainable results.
The Scottish government is working to embed health and well-being across learning. Education Scotland is the main actor in transforming the school system with a focus on health, well-being and learning. In this sub-plenary we will hear how Scotland has a concerted approach to ensure that children and young people develop the knowledge and understanding, skills, capabilities and attributes which they need for mental, emotional, social and physical wellbeing. The Norwegian representative in the Schools for Health Network will comment on the presentation from a Nordic perspective.

Suzanne Hargreaves, Education Scotland

Comments from Nina Grieg Viig, Norwegian representative for Schools for Health Network

5. Health inequalities and Social determinants of Health (translated)

Social inequalities in health is one of our largest and most pervasive health challenges. The Global Commission on "Social determinants and health", led by Professor Michael Marmot, recommended in 2008 that all countries should undertake national reviews of social determinants of health. Denmark implemented such a process in 2011 under the leadership of Professor Finn Diderichsen. In Norway Professor Espen Dahl has led an independent review of social determinants of health that was launched in March this year. Key findings and recommendations for action will be presented in this session.

How is the development of social inequalities in health in the Nordic countries? Which policy areas affecting development? What do the different Nordic Review? How does the economy, growing relationships, school, work and other living relative social inequalities in health?

Prof. Espen Dahl , University College in Oslo and Akershus, Norway
Comment by Find Diderichsen , University of Copenhagen, Denmark

Wednesday 27 August 16:00


G. Living conditions and health
H: Sustainable diets – promoting public health while protecting the environment

Workshop G: Living conditions and health

The living conditions surronding us, whether natural or of human creation, form the bases for health, well-being and human development, participation and growth. Good governance is important for tackling the climate challenge and good public health and contributes to a more fair distribution of benefits and disadvantages in community planning. A good physical environment protects against risk factors and promotes qualities that positively affect health and the quality of life. What are the characteristics a good living environment and community?

The knowledge base about the local environment and physical activity. Do we lack knowledge or political will?
Johan Faskunger, Fil dr Physical Activity & Health Science, ProActivity AB, Sweden

Community development and the quality of life
Bianca Hermansen, Architect MAA Urban Designer PhD, CITITEK, Danmark

How do national plans and strategies affect the community development work of the county council on a municipal level?
Roar Blom, Head of Public health, Nordland County, Norway

What will it take to make the elderly walk more every day? A walking strategy for the elderly.
Randi Hjorthol, Head of research, Department of mobility and organization, Institute of Transport Economics, Norway

Guro Voss Gabrielsen, Ministry of local government and modernisation
Kommunal- og moderniseringsdepartementet

Svein Neerland, Head of Division of Public Health and Physical Activity, Møre og Romsdal County Council

Workshop H: Sustainable diets – promoting public health while protecting the environment

Eating a varied diet and maintaining energy balance are basic advice for a healthy diet. For the diet to be sustainable, it needs to be achieved through food systems and processes that are economically, socially, culturally and environmentally sustainable. We know that different foods and different diets impact the environment in different ways. Climate change, biodiversity, land and water resources, waste and pollution are all relevant topics when discussing today’s food production and consumption patterns.
How much can we reduce the negative environmental impact by changing the way we produce and consume foods? What are the most important changes? Which role does organic food play in this? Are there any potential conflicts between healthy diets and sustainable diets? In this session we will address some of these questions by looking at the potential positive climate impact of sustainable diets and explore what this means in the Nordic countries. We will also look at an example of how the public sector can help drive the necessary changes.

Speaker to be confirmed

Elling Bere
Professor, Department of Public Health, Sports and Nutrition, University of Agder, Norway

Thursday 28 August 10:00

Sub Plenary Session 2

6.Public Health Legislation and intersectoral action at local level (translated)

In Norway and Finland intersectoral health promotion is regulated locally by law. In Sweden, the need for a local Public Health Act has been debated. What are the experiences from Norway and Finland? Do laws help to increase local political attention to health promotion? Do laws raise public health awareness at the local politic level and do they improve inter sectoral collaboration in planning and implementation? Do laws result in better and more fairly distributed public health in the population?

Prof. Elisabeth Fosse, University of Bergen, Norway
Taru Koivisto Director, Social Affairs and Health, Finland

9. Building evidence in Public Health

Evidence based medicine (EBM) has a vital role in deciding the effectiveness of clinical interventions. But can the same methods be applied to public health? Is the Nordic debate characterized by the notion that individual level evidence alone can give answers to population health challenges? How do we develop an evidence base to tackle social inequalities in health that are socially produced in complex societies? The aim of this session is to nurture the debate about development of knowledge and evidence based guidance in public health in the Nordic countries.
Professor Mike Kelly is Director of the Centre of Public Health at National Institute of Public Health and Clinical Excellence (NICE) where he leads on the development of public health guidance. From 2005-8 he was the co leader of the Measurement and Evidence Knowledge Network of World Health Organisation’s Commission on the Social Determinants of Health. In this session he will present the challenges of applying EBM methods to an evidence base in public health. He argues that we need a broad evidence base, that we need to distinguish between explanations on individual and population level, and that the evidence production need to capture the length of the causal chain between interventions and outcomes in public health. Mike Kelly will share with us how NICE produces public health guidance and local government briefings based on their models of evidence base.

Professor Mike Kelly, Director of the Centre of Public Health NICE, England

Thursday 28 August 11:10

Sub Plenary Session 3

12. Developing Healthy Neighborhoods – resilient communities and supportive environments (translated)

The physical local environment that surrounds us are essential for health, well-being and quality of life and human flourishing, growth and development. A good management of the environment is important for the climate, to strengthen public health and contribute to a more equitable distribution of benefits and disadvantages in society - and land development. What could be working models, methods and tools for a good living environments?

The second part of this session will deal with the experiences of the initiativ Groruddalssatsingen in the east of Oslo. Groruddalssatsingen started in 2007 and runs to 2016. Every year state and city of Oslo allocates at least 50 million each to the initiativ. The overall aim of the initiative is to help to improve the living conditions for all inhabitants. Among the goals are visible environmental upgrading, strengthening citizens' pride and identity and increased quality of life. What are the lessons learned?


Prof. Alexander Ståhle, School of Architecture og Spacescape AB, Sweeden
Synnøve Riise Bøgeberg, Head of the planning office in Groruddalen, Municipality of Oslo

Thursday 28 August 13:30

Workshops O, U

O: Tools for public health data and analysis at local level
U: Health Promoting Schools (translated)

Workshop O: Tools for public health data and analysis at local level

Local health promotion needs to be based on best available evidence and local analyses of the challenges and resources. Health promotion cannot follow silos of traditional sectors. Practical tools are needed in order to facilitate systematic approaches across sectors. This workshop will bring examples from Norway and Finland. Norwegian Social Research has developed a tool to gather local data on health and living conditions among youth in the municipality. Free of charge the municipalities can acquire youth surveys and reports with analyses of the situation. This tool will be presented. Municipalities in the Vestfold County Council have extensively used the tool and experiences will be presented. In Finland National Institute for Health and Welfare has developed a nationwide benchmarking tool for the management, planning and evaluation of health promotion activities in different sectors of administration in Finnish municipalities. The aim is to make measures taken by local authorities visible and provide information on actions that promote better public health on local level. The tool and experiences will be presented in this workshop.

UNGdata, Anders Bakken, Norwegian Social Research

Young in Vestfold
Runar Kippersund, Vestfold County Council

Benchmarking System of Health Promotion Capacity Building on Local Level
Vesa Saaristo


Workshop U : Health Promoting Schools (translated)

The aim of the workshop is to go into the field of health promoting schools. How is concept understood? What are useful tools at different levels to promote pupils health and well-being? How is it possible to go from specific interventions to integrated and sustainable health promotion? Strategies for fruitful cooperation between education and health will also be presented. The workshop will include three presentations, from different countries and with different perspectives, followed by time for discussion.


1. Health promotion capacity building in Finnish comprehensive schools- a national tool for evaluation, planning and developing welfare activities at the local level.
Kirsi Wiss, National Institute for Health and Welfare, Finland
2. Fruitful cooperation between education and health to make health promotion sustainable - experience from a regional level
Åse-Marit Hovden, Public health advisor, Buskerud County Municipality
3. How can Elevhälsan (Swedish consorted health service in school) contribute to learning, health and wellbeing for students in school?
Anna Ristovska - leader of Elevhalsan in Engholm municipality

Moderator: Hildegunn Brattvåg, senior advisor
The Norwegian Directorate of Health

Icelandic Directorate of Health logo Folkhaälsan logo Helsedirektoratet logo Institutet för hälsa och välfärd logo Folkhälsomyndigheten logo Sundhedsstyrelsen - Danish Health and Medicines Authority logo Nordic School of Public Health logo Fylkesmannen i Sør-Trøndelag logo Sør-Trøndelag Fylkeskommune logo Senter for helsefremmende forskning NTNU/HiST Trondheim kommune


Health Promotion Research - An International Forum, 'Next Health'
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