Subject: FW: Health Equity Snapshot for Georgia
From: Teona Vardzelashvili <[email-masked]>
To: Lela Sturua <[email-masked]>
Cc: Ketevan Goginashvili <[email-masked]>, Maia Nikoleishvili <[email-masked]>
Date: Fri, 07 Jun 2019 06:18:17 +0000

ქალბატონო ლელა,

გაცნობებთ, რომ Health Equity Snapshot for Georgia-სთვის თქვენ მიერ გამოგზავნილი ცხრილის შესახებ მივიღეთ პასუხი (იხ.ქვემოთ).  წერილში აღნიშნულია შემდეგი საკითხები:

·         გვთხოვენ გადავამოწმოთ cervical cancer screening-ის შესახებ მონაცემები.

·         ჩვენი მიწოდებული და მათი გამოყენებული ორი ინდიკატორი არ ემთხვევა ერთმანეთს და შესაბამისად, მიწოდებულ მონაცემებს ვერ გამოიყენებენ.

·         ზემოაღნიშნული ინდიკატორების გამოყენებით დაამატებენ თამბაქოს მოხმარების შესახებ მონაცემებს.

აქვე გაცნობებთ, რომ კონფერენცია, რომლისთვისაც გაგვიზიარეს Health Equity Snapshot იწყება 11 ივნისს. შესაბამისად, გთხოვთ, შეძლებისდაგვარად მოკლე ვადაში გაგვიზიაროთ თქვენი პოზიცია აღნიშნული საკითხების შესახებ.

პატივისცემით,

თეონა ვარძელაშვილი

საერთაშორისო ურთიერთობებისა და აპარატის საქმისწარმოების სამმართველოს უფროსი სპეციალისტი

ანალიტიკის, ადამიანური რესურსების მართვისა და საერთაშორისო ურთიერთობების დეპარტამენტი

საქართველოს ოკუპირებული ტერიტორიებიდან დევნილთა, შრომის, ჯანმრთელობისა და სოციალური დაცვის სამინისტრო

144 აკ. წერეთლის გამზირი, 0159, თბილისი, საქართველო

ტელ:  +995 599040811

From: YANG, Lin [mailto:[email-masked]]
Sent: 06 June, 2019 18:31
To: Teona Vardzelashvili
Cc: BROWN, Christine Elisabeth; BERTOLA, Andrea; Sopo Belkania
Subject: Re: Health Equity Snapshot for Georgia

Dear Teona Vardzelashvili,

Thank you again for sharing these comments on the Snapshot.

Having looked through the attachment containing STEPS figures for Georgia, some figures appear strange: for example, they show that rates of cervical cancer screening are highest among women with least education. Can you double check these?

It appears there are additionally two differences which mean the figures in the attachment would not be not directly comparable to the indicators in the Snapshot.

The two lower education categories used in the Snapshot and in the attached figures do not appear to correspond. In the HESR these categories correspond to ISCED levels 0-2 for the low level, and ISCED levels 3-4 for the medium level. In the attached figures, it appears the corresponding ISCED levels are levels 0-1 for the low level, and levels 2-4 for the medium level. Please let me know if this understanding is incorrect.

The indicators in the Snapshot were derived by calculating survey weighted averages of the data by country, year, sex, and education. Rates were then directly age standardised with the World Health Organization European standard population. In the attached data, is does not appear that the data have been age standardised. Again, please let me know if this understanding is incorrect.

Thank you for also attaching the figures on smokers disaggregated by sex and education. I can confirm that this indicator was missing from the Snapshot due to an error on my part and that we do have data for Georgia for this indicator. However, owing to the two differences explained above, the figures for the Snapshot indicator do not match the figures provided in the attachment. I am attaching our figures below for your information.

Education

Ratio

Low

Medium

High

Low/High

Male

61.24

56.18

52.96

1.16

Female

5.61

6.76

8.40

0.67

If any of my understanding is incorrect and if further issues arise, please do not hesitate to let me know and I will be happy to respond.

Kind regards,

Lin

Dr Lin Yang

Health Equity Status Report Initiative Team

WHO European Office for Investment for Health and Development

[email-masked]

From: "YANG, Lin"
Date: Monday, 27 May 2019 at 12:28
To: "[email-masked]"
Cc: "BROWN, Christine Elisabeth" , "BERTOLA, Andrea" , "[email-masked]"
Subject: Re: Health Equity Snapshot for Georgia

Dear Teona Vardzelashvili,

Many thanks for sharing these materials and detailed comments on the Snapshot. We will be reviewing these this week with the aim of incorporating feedback and sending responses where possible next week. Thank you also for being available for further queries should they arise.

We very much appreciate your support and feedback on this initiative and will be in touch again soon.

Kind regards,

Lin

Dr Lin Yang

Health Equity Status Report Initiative Team

WHO European Office for Investment for Health and Development

[email-masked]

From: Teona Vardzelashvili
Sent: 27 May 2019 16:45
To: BROWN, Christine Elisabeth
Cc: Sopo Belkania
Subject: Health Equity Snapshot for Georgia

Dear Dr. Brown,

On behalf of Dr. Belkania, I am sending you the comments of the Ministry of IDPs from the Occupied Territories, Labour, Health and Social Affairs of Georgia regarding Health Equity Snapshot for Georgia.

According to the “WHO STEP wise approach to noncommunicable disease risk factor surveillance (STEPS)” data, we have different data for the following indicators (please see the attached document): Percentage of adults reporting diabetes; Percentage of adults who drink alcohol at least once a week; Percentage of women aged 30-49 reporting ever having had a cervical cancer screening; Percentage of adults who are obese.

In the attached document, you can also find the percentage of smokers disaggregated by sex and education according to the STEPS data.

In the “Health & Income Security and Social Protection” section,  snapshot doesn’t show percentage of population covered by social protection schemes. Also, it is unclear what is meant under social assistance: only Targeted social Assistance or all/main social assistances covered under the “social protection budget ” such as pensions, targeted social assistance and social package? We would like to note that pensions, targeted social assistance and social package are mentioned as “main social protection systems” in the national SDGs and in case of request, we can provide you with this data taken from the Ministry’s database.

We are also attaching the information regarding employment indicators in the snapshot, which we have received from the National Statistics Office in Georgia.

Should you have any additional questions, please do not hesitate to contact me.

Sincerely,

Teona Vardzelashvili

Senior Specialist of International Relations Division

Analytics, HR Management and International Relations Department

Ministry of IDPs from the Occupied Territories, Labour, Health and Social Affairs of Georgia

144 Tsereteli Ave., 0119 Tbilisi, Georgia

Tel.: +995 599040811