HEPRO
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HEPRO (''Health and Social Well-being in the Baltic Sea Region'') was a
public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the det ...
project running from 2005-2008. The project was part-financed by the
European Union The European Union (EU) is a supranational political and economic union of member states that are located primarily in Europe. The union has a total area of and an estimated total population of about 447million. The EU has often been des ...
as part of the BSR INTERREG IIIB programme, and managed by
Østfold Østfold is a traditional region, a former county and a current electoral district in southeastern Norway. It borders Akershus and southwestern Sweden (VÀstra Götaland County and VÀrmland), while Buskerud and Vestfold are on the other side o ...
County Council in
Norway Norway, officially the Kingdom of Norway, is a Nordic country in Northern Europe, the mainland territory of which comprises the western and northernmost portion of the Scandinavian Peninsula. The remote Arctic island of Jan Mayen and t ...
. The national Healthy Cities networks in the Baltic Sea Region and the
World Health Organization The World Health Organization (WHO) is a specialized agency of the United Nations responsible for international public health. The WHO Constitution states its main objective as "the attainment by all peoples of the highest possible level of h ...
both supported HEPRO. The HEPRO concept was based on the principles of the WHO "Health for All" strategy and
Local Agenda 21 Agenda 21 is a non-binding action plan of the United Nations with regard to sustainable development. It is a product of the Earth Summit (UN Conference on Environment and Development) held in Rio de Janeiro, Brazil, in 1992. It is an action a ...
. 32 partners from 8 countries participated in the HEPRO project. These were Norway,
Finland Finland ( fi, Suomi ; sv, Finland ), officially the Republic of Finland (; ), is a Nordic country in Northern Europe. It shares land borders with Sweden to the northwest, Norway to the north, and Russia to the east, with the Gulf of B ...
,
Sweden Sweden, formally the Kingdom of Sweden,The United Nations Group of Experts on Geographical Names states that the country's formal name is the Kingdom of SwedenUNGEGN World Geographical Names, Sweden./ref> is a Nordic country located on ...
,
Denmark ) , song = ( en, "King Christian stood by the lofty mast") , song_type = National and royal anthem , image_map = EU-Denmark.svg , map_caption = , subdivision_type = Sovereign state , subdivision_name = Danish Realm, Kingdom of Denmark ...
,
Poland Poland, officially the Republic of Poland, is a country in Central Europe. It is divided into 16 administrative provinces called voivodeships, covering an area of . Poland has a population of over 38 million and is the fifth-most populous ...
,
Estonia Estonia, formally the Republic of Estonia, is a country by the Baltic Sea in Northern Europe. It is bordered to the north by the Gulf of Finland across from Finland, to the west by the sea across from Sweden, to the south by Latvia, a ...
,
Lithuania Lithuania (; lt, Lietuva ), officially the Republic of Lithuania ( lt, Lietuvos Respublika, links=no ), is a country in the Baltic region of Europe. It is one of three Baltic states and lies on the eastern shore of the Baltic Sea. Lithuania ...
, and
Latvia Latvia ( or ; lv, Latvija ; ltg, Latveja; liv, Leţmō), officially the Republic of Latvia ( lv, Latvijas Republika, links=no, ltg, Latvejas Republika, links=no, liv, Leţmō Vabāmō, links=no), is a country in the Baltic region of ...
. The partners represented institutions, cities, municipalities, and regions from diverse and challenged parts of the Baltic Sea Region.


Aims

HEPRO aimed to integrate health considerations into spatial planning and development. Strong emphasis was given to
empowerment Empowerment is the degree of autonomy and self-determination in people and in communities. This enables them to represent their interests in a responsible and self-determined way, acting on their own authority. It is the process of becoming strong ...
; including
equity Equity may refer to: Finance, accounting and ownership * Equity (finance), ownership of assets that have liabilities attached to them ** Stock, equity based on original contributions of cash or other value to a business ** Home equity, the dif ...
, participatory governance and
solidarity ''Solidarity'' is an awareness of shared interests, objectives, standards, and sympathies creating a psychological sense of unity of groups or classes. It is based on class collaboration.''Merriam Webster'', http://www.merriam-webster.com/dictio ...
, collaboration and action to address the
determinant In mathematics, the determinant is a scalar value that is a function of the entries of a square matrix. It characterizes some properties of the matrix and the linear map represented by the matrix. In particular, the determinant is nonzero if and ...
s of health. The project also aimed to make an important contribution to a sustainable public health policy in Europe.


Results

Among the results from the project were the HEPRO planning model, the HEPRO survey model, a questionnaire that was answered by 33000 respondents in the Baltic Sea Region, an interactive webpage and a database of results for future research purposes. It is intended that HEPRO will be followed-up by a new project that builds upon its results and experiences.


The HEPRO planning model

The HEPRO planning model is a systematic approach in six steps linked together in a "planning circle". Because policymaking is a continuous process, the different stages in the circle do not have to follow a fixed order. Implementation of one public health activity can go on simultaneously with efforts to create attention and to put other activities on the political agenda. HEPRO was regarded as a territorial and cross-sectorial approach to planning that sought political power in order to improve living conditions, and as an institution building process. The intention was that after the project, the communities would have a better capacity to lead themselves, to focus their challenges, organise and help themselves, and to learn from their experiences.


The HEPRO survey model

The EUROHEPRO survey in 2006 included questions about issues influencing health and well being, ranging from health risks to individuals, to social environment and socio-economic status. The conceptual framework, called the HEPRO model, is described as a broad social, physical and spatial health concept where health and well-being was viewed as something more than just absence of disease and illness. The main focus of the HEPRO model is health, as defined by the various professional actors in the field, as well as by the citizens themselves, or other important actors.


References

{{Reflist Public health organizations Baltic organizations Medical and health organisations based in Norway