Work Programme 2023. Santé publique France

A translation of its scientific strategy, the 2023 Santé publique France work programme draws lessons from the health crisis regarding essential public health missions. It strengthens the continuum of actions integrating observation, knowledge, prevention and intervention for a health policy relevant to all policies and all populations, in mainland France and the overseas territories. The programme fortifies this strategy, reflecting its contribution to the development of an effective, sustainable, resilient and efficient national public health system where prevention and health promotion play a central role. This will be achieved by considering the full spectrum of health determinants, including socio-economic and environmental factors, and the burden of disease, within a scientifically grounded strategic framework. It aims to strengthen the response through preventive measures and the promotion of health in all its dimensions, adapted to different territorial levels considering the specific contexts of the populations served, producing expert reference information available to all. These challenges were underpinned through consolidated processes, cross-functional mechanisms and support systems. This national programme is carried into the regions by Santé publique France, making it possible to act on social inequalities and thus offer greater protection to the most vulnerable groups, in relation to where they live and in consultation with local services. It aims to develop and enrich the "social inequalities in health" component in the indicators of surveillance programmes and the evaluation of actions carried out by the agency, but also to develop specific approaches to vulnerable populations not covered by existing surveillance systems. In terms of infrastructure, Santé publique France places network management and the securing of information systems at the heart of its strategy, to ensure the coherence of surveillance and real-time data collection and analysis in support of public decision-making. The 2023 programme also relies on building stronger links with public health research and innovative initiatives. It seeks in particular, along with all academic partners, to develop a strategic applied research agenda on population health. The goal of this agenda is knowledge production on insufficiently documented matters, but also the structuring of research communities in order to assist public decision-making. From an organisational viewpoint, the creation of horizontal work programmes on the theme of One Health, the development of life skills, mental health, perinatal care, the impact of climate change on health or the framework for monitoring extreme natural or industrial accidents, provides an integrated public health mechanism reflecting our public health priorities and the involvement of all partners concerned. The lessons of the crisis also highlight the need for capacity enhancement - integrated and concomitant - regarding anticipation and forecasting. It is also necessary to increase knowledge sharing about threats to health, along with the planning, preparation and response mechanisms for these risks, particularly concerning healthcare system support. As part of an inter-sectoral approach, 2023 will see the consolidation of the national public health network in particular through scientific seminars (child abuse, life skills, evaluation of conclusive prevention and health promotion schemes etc.) but also the creation of numerous national and international partnerships. The agency will also contribute to the international work engaged on the essential missions of public health in its capacity as secretary for the bureau of the International Association of National Public Health Agencies (IANPHI), with a renewed mandate for the period 2022-2025. In 2023, the agency will continue to pursue its strategy of openness and dialogue by placing health democracy at the heart of actions to improve access to its work for local and national stakeholders from civil society, health professionals and the wider population, as part of a global approach taking into account matters ranging from surveillance to health promotion. Finally, the systematic open-access publication of all epidemiological indicators produced, on which the agency bases its expertise, is a clear manifestation of our desire to be transparent and to share information with all decision-makers at every territorial level, as well as with professionals and the public. For the agency, this essential dimension will increase the confidence and commitment of each individual as a stakeholder in his or her own health. This strategy and our educational actions will be further reinforced in 2023, through the agency website, exchanges with the media, events and scientific publications, in order to make available and disseminate scientifically valid information as a reference adapted to the various audiences.