11.I. Scientific session: The critical contribution of local interventions in improving population health

Abstract This workshop is about the largely undervalued role of local efforts to improve population health and equity. In spite of massive evidence on the benefits of investments in capacities for community-driven health efforts and the clear limitations (adverse impact on equity) of top-down approaches to population improvement in health. Most national health systems have yet to reflect this evidence in their priorities, health policies and investments. In this very interactive 60-minute workshop, we will tap into the experience of 4 different countries implementing community health actions. Speakers will present to the audience elements of answers to the following questions: • What can the local level do that is beyond the reach of other levels of governance? • Why engaging the local population and stakeholders is critical to significant improvements in population health and equity? • How can local initiatives complement health promotion efforts deployed at different levels? This workshop will contribute to a most needed discussion at EUPHA on the positioning of local initiatives and interventions in national health systems and on the support they require. Key messages • By mobilising local population and increasing their ownership of the interventions, public health actions gain in culturally sensitivity, sustainability and be better suited to local needs. • Local actions are more likely to generate their benefits when supported by coherent national policies that engage all level of governance.