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The European Federation of Nurses Associations (EFN) welcomes the WHO European Region initiative on the "Health Systems Charter". In order to achieve the Health System Charter objectives, EFN calls on the Member States of WHO European Region to:

- Ensure an effective Stakeholder Approach at national and European level, involving nurses and nursing in all phases of policy-making, implementation and analysis of impact on European citizens
- Uphold the principles of the Alma Ata declaration on its 30th anniversary. To provide universal access to health services through primary care, in particular to address the continuing inequalities in the burden of disease and in access to care which exists in the European region
- Provide strategic support for a qualitative and equitable health service in Europe by developing a workforce of effective, competent, motivated and appropriately remunerated nurses and other health workers
- Focus on socio-economic health determinants and inequalities in health
- Invest in human capital by ensuring better education provision and improved levels of qualification for those working in the health sector
- Increase the salaries of nurses to keep them in the profession and eliminate pay disparities between women and men

Background information about EFN

EFN was established in 1971. EFN represents over two million nurses and is the independent voice of the profession. The mission of EFN is to safeguard the status and practice of the profession of nursing and the interests of nurses in the EU and Europe.


For further information:

- EFN website

- WHO article: Countries start negotiating a European charter on health systems

- WHO European Ministerial Conference on Health Systems: “Health Systems, Health and Wealth”, Tallinn, Estonia, 25-27 June 2008

- The Tallinn Charter: Health Systems for Health and Wealth

EPHA related articles:

- What role for health care systems in reducing health inequalities?
- Spotlight on the European Federation of Nurses Associations (EFN)
- *UPDATED* European Commission Consultation on health services
- EU Health systems common values and principles recognised

Last modified on June 30 2008.

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