Twelve new countries joined the European Union in 2004 or 2007. Ten of them were former communist countries while the other two were Malta and Cyprus. Negotiations have also been launched with other countries including Turkey and later Croatia and Serbia. With the exception of Malta, Cyprus and Turkey all those countries shared a common past being part of the communist block for decades. As such, they operate very similar health systems oriented toward extensive hospital development, polyclinics and traditional state based systems of health protection covering hygiene and sanitation control. Changing political and societal conditions naturally lead to changes in health systems. Health protection became more influenced by modern public health ideas of disease prevention and health promotion. The search for new ways of working provided a reason for interest in health impact assessment (HIA).
Keywords: HIA; public health; Central and Eastern Europe; capacity building
Chapter. 3218 words. Illustrated.
Subjects: Public Health and Epidemiology
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