- Open Access
Healthy Israel 2020: Israel’s Blueprint for Health Promotion and Disease Prevention
Public Health Reviews volume 35, Article number: 5 (2013)
Israel’s health system evolved over the past century and achieved universal coverage in 1995. Health status indicators have improved dramatically over the past decades and are now generally excellent compared with those of OECD countries. The Healthy Israel 2020 (HI2020) initiative was launched by the Ministry of Health in 2005 with the goal of creating a preventive blueprint to improve the quality of life, increase overall longevity, and maximize health equity among Israelis. Twenty committees were charged with generating reports that addressed health determinants such as health behaviors, health states such as infectious disease, age-related health states, or infrastructural aspects such as preventive education and training. Reports presented the local and international epidemiologic data, generated objectives and year 2020 targets, and compiled evidence-based interventions to achieve them. Obstacles included uneven committee leadership, redefinition and expansion of focus areas, and the absence of formal prioritization methods, among others. Nevertheless, significant progress occurred, and by 2009, a variety of scientific products had been generated. These ranged from scientific reports to peer-reviewed publications and scientific conference presentations. The first three reports dealt with key lifestyle behaviors: obesity control, enhancing physical activity, and healthful nutrition. These then served as the foundation for a major spinoff of the initiative, the National Program for the Promotion of an Active and Healthy Lifestyle. HI2020 has been a key factor in the development of tobacco control legislation, alcohol control efforts, pediatric injury control, skin cancer prevention, and intervention programs to prevent chronic disease in the disabled. Implementation efforts are refined through workshops attended by key professionals and other stakeholders. Future challenges include the timely updating of the reports, enhancing dissemination of lay and scientific information via traditional and social media, enhanced prioritization and funding of the initiative, and adoption of a cost-effective policy implementation program.
Israel Ministry of Foreign Affairs. Israel in Brief. Available from URL: http://www.mfa.gov.il/mfa/facts%20about%20israel/israel%20in%20brief/ (Accessed 25 March 2014).
Jewish Virtual Library. Immigration to Israel: total immigration, from former Soviet Union 1948-present. Available from URL: http://www.jewishvirtuallibrary.org/jsource/Immigration/FSU.html (Accessed 31 March 2013).
Israel Central Bureau of Statistics. Table 1. Immigrants of Ethiopia, by period of immigration, sex, and age at time of immigration. 2010. Available from URL: http://www.cbs.gov.il/www/population/805/2010/t01.pdf (Accessed 25 March 2014).
Israel Central Bureau of Statistics. Statistical Abstract of Israel 2012. No. 63. Subject 3. Table 3.13. Fertility rates by age and religion. Available from URL: https://archive.is/o/PyCPV/http://www.cbs.gov.il/shnaton63/st03_13.pdf (Accessed 25 March 2014).
Israel Central Bureau of Statistics. February 2014 update. Table B/1. Population by population group. Available from URL: http://www1.cbs.gov.il/publications14/yarhon0214/pdf/b1.pdf (Accessed 13 March 2014).
Israel Central Bureau of Statistics. Statistical Abstract of Israel 2012. No. 63. Subject 2. Table 2.24. Jews, by country of origin and age. Available from URL: http://www1.cbs.gov.il/reader/shnaton/templ_shnaton_e.html?num_tab=st02_24x&CYear=2012. (Accessed 25 March 2014).
Israel Central Bureau of Statistics. Statistical Abstract of Israel 2012. No. 63. Subject 2. Table 2.19. Population, by population group, religion, sex, and age. Available from URL: http://www1.cbs.gov.il/reader/shnaton/templ_shnaton_e.html?num_tab=st02_19&CYear=2012 (Accessed 30 March 2013).
Israeli Medical Association, Israeli Association of Family Physicians. Clinical Guidelines. Recommendations of the Israeli Task Force on Health Promotion and Disease Prevention. Tabenkin H, Lahad A, (editors). Ramat-Gan, Israel: Israeli Medical Association and Israeli Association of Family Physicians; 2013.
Rasooly I. Personal communication. March 2014.
OECD Health Statistics 2013. Frequently requested data. OECD; 2013. Available from URL: http://www.oecd.org/els/health-systems/OECD-Health-Statistics-2013-Frequently-Requested-Data.xls#’Frequently Requested Data’!A1 (Accessed 11 March 2014).
OECD. Health at a Glance 2011: OECD Indicators. OECD Publishing; 2011. Available from URL: http://dx.doi.org/10.1787/health_glance-2011-en (Accessed 2 April 2014).
National Program for Quality Indicators in Community Healthcare. 2008–2010 Quality Indicators for Community Health program. Available from URL: http://www.health.gov.il/Publicationsfiles/qindicatorsReport2008-2010.pdf (Accessed 25 March 2014). [In Hebrew]
OECD. OECD Reviews of Health Care Quality: Israel 2012: Raising Standards. OECD Publishing; 2012. Available from URL: http://www.oecd-ilibrary.org/fr/social-issues-migration-health/oecd-reviews-of-health-care-quality-israel-2012_9789264029941-en (Accessed 25 March 2014).
Israel Ministry of Health. Health in Israel: Selected Data 2010. Jerusalem: MOH; 2010.
OECD. OECD Factbook 2011–2012: Economic, Environmental and Social Statistics. OECD Publishing; 2011. Available from URL: http://www.oecd-ilibrary.org/economics/oecd-factbook-2011-2012_factbook-2011-en (Accessed 25 March 2014).
Israel Ministry of Health. Health Minister’s Report on Smoking-2011. MOH; 2012.
Israel Central Bureau of Statistics. Social Survey 2010. Central Bureau of Statistics; 2011.
Israel Ministry of Culture and Sports, Israel Ministry of Health. Physical activity survey among Israelis age 21 and above. Ministry of Culture and Sports, Ministry of Health; 2012.
Israel Central Bureau of Statistics. Selected data from the 2010 Social Survey on Health and Way of Life. Central Bureau of Statistics; 2011. Available from URL: http://www.cbs.gov.il/reader/newhodaot/hodaa_template.html?hodaa=201119238 (Accessed 2, 2013).
OECD. Health at a Glance 2013: OECD Indicators. OECD Publishing; 2013. Available from URL: www.oecd.org/els/health-systems/Health-at-a-Glance-2013.pdf (Accessed 25 March 2014).
World Health Organization. Israel: WHO and UNICEF estimates of immunization coverage: 2011 revision. Available from URL: http://www.who.int/immunization_monitoring/data/isr.pdf (Accessed 31 March 2013).
Epstein L, Gofin J, Gofin R, Neumark Y. The Jerusalem experience: three decades of service, research, and training in community-oriented primary care. Am J Public Health. 2002;92:1717–21.
Drucker PF. The Practice of Management. New York (NY): HarperCollins Publishers, Inc; 1954.
HealthyPeople.gov. History and development of Healthy People. U.S. Department of Health and Human Services; last updated 15 November 2011. Available from URL: http://www.healthypeople.gov/2020/about/history.aspx (Accessed 25 March 2014).
World Health Organization. Global Strategy for Health for All by the Year 2000. Geneva: WHO; 1981. Available from URL: http://whqlibdoc.who.int/publications/9241800038.pdf (Accessed 11 March 2014).
Rosenberg E, Lev B, Bin-Nun G, McKee M, Rosen L Healthy Israel 2020: a visionary national health targeting initiative. Public Health. 2008;122:1217–25.
Kaplan G, Baron-Epel O. The public’s priorities in health services. Health Expect. 2013 Apr 3: epub ahead of print.
Kranzler Y, Davidovitch N, Fleischman Y, Grotto I, Moran D, Weinstein R. A health in all policies approach to promote active, healthy lifestyle in Israel. Isr J Health Policy Res. 2013;2:16.
US Burden of Disease Collaborators. The state of US health, 1990–2010: burden of diseases, injuries, and risk factors. JAMA. 2013;310:591–608.
Rosen LJ, Geva H, Connolly G. Political will ushers in a new era for tobacco control in Israel. Lancet. 2011;378:1697–8.
Rosen LJ, Rier DA, Schwartz R, Oren A, Kopel A, et al. Public support for smoke-free areas in Israel: a case for action. Health Policy. 2012;106:161–8
Tulchinsky TH. Personal communication. 2012.
Ginsberg GM, Rosenberg E. Economic effects of interventions to reduce obesity in Israel. Isr J Health Policy Res. 2012;1:17.
Rosenberg E, et al. Development of a prioritization model to rank health objectives and interventions. Lessons learned from the senior health committee of Healthy Israel 2020. Presented at the 4th International Conference, Improving Health and Healthcare-Who is Responsible? Who is Accountable? Jerusalem, Israel: Israeli National Institute of Healthcare Policy; December 2009.
Delegation of the European Union to Israel. EU Twinning Project supports the development of the statistical system of Israel (27/05/2013). Available from URL: http://eeas.europa.eu/delegations/israel/press_corner/all_news/news/2013/20130527_en.htm (Accessed 28 November 2013).
World Health Organization Regional Office for Europe. European Health for All Data Base (HFA-DB). Updated July 2013. Available from URL: http://www.euro.who.int/en/data-and-evidence/databases/european-health-for-all-database-hfa-db (Accessed 25 March 2014).
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.
To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.
The Creative Commons Public Domain Dedication waiver (https://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
About this article
Cite this article
Rosenberg, E., Grotto, I., Dweck, T. et al. Healthy Israel 2020: Israel’s Blueprint for Health Promotion and Disease Prevention. Public Health Rev 35, 5 (2013). https://doi.org/10.1007/BF03391690
- Health targeting
- health promotion
- disease prevention