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Résumé :
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Public health services have a long history in Slovakia. Based on a collaborative agreement between the Ministry of Health of Slovakia and the World Health Organization (WHO) Regional Office for Europe, self-evaluation of the public health system using the WHO self-evaluation tool was conducted in 2012 and 2013 in the country, with technical and financial support from the Regional Office. A national working group was established in autumn 2012, consisting of 21 members under the leadership of the State Secretary of the Ministry of Health of Slovakia and the WHO Country Office in Slovakia. For each of the 10 essential public health operations, two experts from Slovakia were nominated to lead the work, the 21st member was a WHO temporary external adviser. The most important and commonly agreed recommendations across the 10 essential public health operations were to:|strengthen the institutional part of the public health system by establishing and/ or renewing specialized independent units and institutions,|improve and broaden the further education of public health system employees,|improve implementation of the existing legislation, mainly by providing and precisely allocating financial resources, and|improve links among and utilization of existing databases related to health and health determinants. Although the political response to these recommendations was relatively poor until recently, the self-assessment process of the Slovak public health system is a positive example of collaboration between the Regional Office and a Member State.
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