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The Guide for effective investment in health has been developed for the managing authorities (MA) of operational programmes (OP) in individual Member States, Ministries of Health and other stakeholders who have an interest in the use of European Structural and Investment Funds (ESIF) for investment in health in the programming period 2014-2020.

Ministries of health, managing authorities, and beneficiaries can find guidance on the effective projection of health priorities into ESIF programming and implementation in the Guide. The document provides lessons learned which stem from a deep analysis of various case studies as well as from the analysis of current published documents from the European Commission regarding the ESIF, new programming period, and health in general.

The goals of the Guide are to:

  • Support and provide recommendations for Ministries of Health and managing authorities on how to achieve the best results in the programming and implementation of health investment from ESIF.
  • Help establish a partnership between the managing authorities of OPs and Ministries of Health (especially if the Ministries of Health do not act as intermediate bodies) and inform them about their roles and cooperation possibilities towards effective investment.
  • Give information on lessons learned from the previous funding period and derive guidance for the programming period 2014-2020 based on it.

With respect to the goals, the document covers:

  1. Theoretical background which focuses on the mapping of current trends in health care that delimit the areas of investment in health. Following identification of the main determinants of health needs, the Guide provides information on how the 2014-2020 Cohesion policy reflects health priorities and identifies areas of health eligible for funding within the new programming period.
  2. Guidance on an effective projecting of health priorities into the ESIF programming and implementation process. It analyses the ESIF management structures and provides practical guidance on an effective integration of the 'health investment planning and implementation' process into the 'ESIF programming and implementation' process.
  3. Lessons learned from the 2007-2013 programming period, which introduces a set of recommendations in critical areas identified based on the analysis of a large set of case studies from the 2007-2013 programming period. The output of this phase is summarized in a table listing the critical areas for efficient health investment delivery and provides practical recommendations reflecting lessons learned from the previous programming period.
  4. The Appendix to the Guide presents 36 case studies, most of them original, which are referenced in the Guide and other project documents. Individual cases were identified during the mapping phase and / or national workshops and were collected with the support of the Ministries of Health (or other relevant institutions) in individual Member States who contributed by providing data. The case studies cover the main areas of planned investments in the 2014-2020 programming period (such as eHealth, transformation of health care service provision, education in health care, health prevention, and access to health care) in order to provide Member States with information regarding the goals and objectives of investments, their volume, identified success factors and the shared lessons learned.

The Guide is accompanied by a separate technical Toolkit, containing technical advice.



Useful links

European Commission

Consumers, Health, Agriculture and Food Executive Agency

Directorate-General for Health and Food Safety

Directorate-General for Regional and Urban Policy

Directorate-General for Employment, Social Affairs & Inclusion