Bosnia and Herzegovina Ministry of Civil Affairs Sector for Health

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Bosnia and Herzegovina Ministry of Civil Affairs
Sector for Health

• COMMUNITY AGENCIES
• PARTNERS IN ACCESSION
• The point of view of a potential candidate
  country
• Prim.dr Draženka Malicbegovic
• Assistant Minister

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BH Country profile

• Dayton Peace Agreement (December 1995) set
  up BH as a sovereign state consisting of two
  entities
• Federation of BH
• Republika Srpska
• and latter, in March 2000
• Brcko District
• Population 3,84 mil.

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Structure of Health Sector in BiH

• Health sector in BH is consisted of
• Ministry of Civil Affairs of BH (MoCA)
• Ministry of Health and Social Welfare of
  Republika Srpska
• Federal Ministry of Health and Cantonal
  Ministries of Health
• Department for Health and Other Services of Brcko
  District
• Public Health Institutes and Health Insurance
  Funds at entity, cantonal/regional and BD level
• Entity and cantonal health institutions are
  responsible for organisation, financing and
  health care service delivery.
• MoCA BH Department for Health has
  responsibilities in health sector as follows
  Establishing basic principles of cooperation and
  co-ordination activities, plans and policies of
  entities and other levels of government and
  representing BiH at international level in the
  field of health.

Lisboa,Novemer 25-27.2009.
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BH and Stabilisation and Association Agreement

• Stabilisation and Association Agreement (SAA)
  between the European Communities and their Member
  States, on one part, and Bosnia and Herzegovina,
  on the other, was signed in Luxembourg on 16 June
  2008
• Interim period 6 years

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BH obligations according SAA

• Approximation of legislation to acquis
  communautaire
• Reform Process Monitoring
• Transposition and implementation of Technical
  Directives
• European Partnership
• Programs of EU assistance.

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SAA and Health

• Only three chapters of the SAA refer to the
  Health sector directly
• Chapter III Regional co-operation (Article 15
  and 16)
• Chapter V Movement of workers, establishment,
  supply of services, movement of capital (Articles
  47,48,49)
• Chapter VIII Cooperation policies (Article 88,
  99, 100)

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Approximation of legislation (further steps)

• Drafting the State Plan for adoption of acquis
  communautaire
• Establishing the Working Group for approximation
  of BH health legislation to acquis communautaire
  (out of 35 ac Chapters , two are directly
  relevant to the health sector)

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Previous EU assistance to BH

• From 1995 BH was recipient of EU assistance
  through programs PHARE,CARDS
• Since 2003 priority was given to institutional
  building and support to BH to be able to
  acomplish priorities set out in European
  Partnership

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Present EU assistance to BH

• Instrument for Pre-Accession Assistance (IPA)
• Beneficiaries candidate and potential candidate
  countries
• Period 2007-2013
• First component -Transition Assistance and
  Institutional Building
• MIPD (Multi-annual Indicative Planning
  Document), prepared by the EC and beneficiary
  country
• Second component- Crossborder cooperation
• Multibeneficiary projects Nuclear Safety and
  Ionization Protection and in other fields
  (transportation, environment..)

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Other available instruments of EU assistance

• TAIEX - assistance refers to thematic seminars on
  specific EU law issues and its implementation,
  focused study tours to EU institutions and EU
  member countries, seminars and workshops
  organization, etc.
• Twinning Programme useful for BH in the
  development of modern and efficient
  administrations, with the human resources and
  management skills needed to implement the acquis
  communautaire to the same standards as Member
  States.

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Experience of Health Sector in BH in cooperation
with Community Agencies

• So far the MoCA had a limited experience in
  regard to co-operation with following Community
  Agencies
• European Monitoring Centre for Drugs and Drug
  Addiction (EMCDDA)
• European Centre for Disease Prevention and
  Control (ECDC)

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Co-operation with EMCDDA

• Project Assessment of the Capacity Western
  Balkan Countries to Establish a Drug Information
  System Compatible with European Monitoring Centre
  for Drugs and Drug Addiction implemented from
  February 2008 to November 2009 with support of EU
  country members
• Projects contributions
• Infrastructural system in drug area strengthened
• Problems related to drugs and drug addiction
  identified
• Data resources in drug area identified
• Protocols on data sharing between institutions
  defined and institutional organization improved
• Process of creation of information system in drug
  area initiated
• Established co-operation between countries in the
  Region

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Co-operation with ECDC

• In July 2009 ECDC mission was taken to BiH within
  a joint project with EC DG Enlargement to
  integrate BiH into ECDC work
• MoCA is currently coordinating process of
  consultation with responsible entity MoHs on
  signing a Memorandum of Understanding with ECDC
  that will create a framework for work in the area
  of public health/ communicable diseases

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Future co-operation between BH and Community
Agencies

• One of documents that will be frame for future
  cooperation BH with Community Agencies
• Thessaloniki Agenda for the Western Balkans
  Moving towards European Integration, endorsed at
  the European Council on 20 June 2003
• Involving new-established agencies( Agency for
  drugs and medical devices and Agency for food
  safety) in Community programe following good
  cooperation with EMCDDA and ECDC in the field of
  health.

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Thank you for your attention!