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Public health development in the Baltic countries (1992-2005): from problems to policy
Julia S O'Connor1, Vaida Bankauskaite
1School of Policy Studies, University of Ulster, Magee Campus, Derry-Londonderry, Northern Ireland BT487JL, UK.
Background:
The focus of the article is on organizational reform measures in public health in Estonia, Latvia and Lithuania from 1992 to 2005 and the associated changes in population health.
Methods:
The study draws on published reports and analyses official statistics over time and cross-nationally. Changes in population health are measured by indicators of population health status and indicators of primary prevention or avoidable mortality, which reflect performance of national health policy.
Results:
Our study shows some similarities and some important differences in terms of public health development in the Baltic countries since beginning of the 1990s.
Conclusions:
This study highlights the importance of political stability and support in achieving public health improvements and the pervasive influence of socio-demographic factors on several key health indicators in Baltic countries. It points to the need to introduce evidence-based public health interventions, enhance social trust, address corruption and tackle poverty.
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