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The European Journal of Public Health Advance Access originally published online on October 23, 2008
The European Journal of Public Health 2008 18(6):586-592; doi:10.1093/eurpub/ckn097
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© The Author 2008. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

European Perspectives

Public health development in the Baltic countries (1992–2005): from problems to policy

Julia S. O’Connor1 and Vaida Bankauskaite2

1 School of Policy Studies, University of Ulster, Magee Campus, Derry-Londonderry, Northern Ireland BT48 7JL, UK
2 Department of Inteligencia Artificial, Facultad de Informática, Universidad de Politécnica de Madrid, 28660 Boadilla del Monte, Madrid, Spain

Correspondence: Vaida Bankauskaite, Departamento de Inteligencia Artificial, Facultad de Informática, Universidad de Politécnica de Madrid, 28660 Boadilla del Monte, Madrid, Spain, tel: +34 91 336 74 67, fax: +34 91 352 48 19, e-mail: vbankauskaite{at}hotmail.com

Received May 27, 2008 , accepted September 20, 2008

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.

Keywords: public health, Estonia, Latvia, Lithuania, reform, convergence


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