WP1: Setting up of the system for measuring PYLL (Potential Years of Lifelost) and analysis of the results

Lead Partner: University of Eastern Finland (UEF)

As a result of the WP1 a system for measuring internationally approved indicator Potential years of Life Lost (PYLL) (link to the attached article) will be set up in Kalininsky area in St. Petersburg. As a result, the situation in Kalininsky district can be compared with Russian average and with relevant neighbouring populations in Estonia and Finland.

Main actions of the WP1are:

1. Assessment of death certificates;

2. Programming of PYLL equations;

3. Analysis and reporting of PYLL rates.

WP2: Formulation of a strategic intervention plan

Lead Partner: Baltic Region Healthy Cities Association

After the preparation of the statistical analyses, the national and regional experts and health care managers/ administrators and political leaders in Russia need to be involved with the interpretation of the quantitative results (the qualitative approach). The action will lead to preparing a quantitative analysis, qualitative interpretation, evidence-based conclusions, and principles for practical intervention strategies and action.

WP2 consists of the following actions:

1. Elaboration of strategic intervention plan by public health experts;

2. Broad commitment by stakeholders through public discussions.

WP3: Implementation of Action: Management of Change

Lead Partner: The NGO Development Centre

The management of change will target to consensus building and goal-oriented commitment to face the core challenges of avoidable morbidity and mortality. Also, the links between health promotion and disease prevention through all policies and intersectoral action (police, school, free-time/sport, non-governmental organizations, church etc.) will be enhanced.

Activities of WP3 include 6 information-consultation meetings and 2 seminars.

WP4: Dissemination of PYLL practice

Lead Partner: Baltic Region Healthy Cities Association

PYLL results will allow developing models for management of change in order to tackle the prevention of life-style related non-communicable diseases (NCM) in St. Petersburg, and other regions. Regional authorities and politicians in other cities and localities will have a chance to learn from the pilot experience and to assess the feasibility for other localities in their region.

Activities of WP4 include:

1. Publication on PYLL methodology and its dissemination in other districts of St. Petersburg, North-West Russia and other Northern Dimension countries;

2. Seminar for other (non-pilot) regions of St. Petersburg, and North-West Russia (Leningradskaya oblast);

3. Final conference in S. Petersburg.

Results

As a result of the project:

1) A system for measuring Potential Years of Life Lost (PYLL) will be tested in the Kalininsky District;

2) PYLL results will be discussed and a strategic intervention plan will be formulated with sector leaders and other branches of administration;

3) The feasibility of the PYLL analysis as a tool for management of change in order to prevent life-style related non-communicable diseases and to reduce premature mortality of preventable causes will be tested.