Using regional indicators: the experience of Europe.

The 1987-1988 health-for-all (HFA) monitoring exercise produced a considerable amount of quantitative and non-quantitative data which were used for the assessment of the progress towards HFA in the European Region. At the same time it demonstrated many shortcomings and problems with regard to the availability and quality of data. Relevance of replies to non-quantitative indicators leaves considerable room for improvements. Good or satisfactory relevance can only be found in about one-third of the country replies. Data on most morbidity indicators, except infectious diseases, were provided on average by one-third of the countries. Nearly two-thirds of the countries provided data on cervical and breast cancer and some occupational diseases. At least half of the data seem not to be comparable; some data are potentially comparable, depending on additional information to be collected. Perceived health estimates are collected by a few countries, but data are not directly comparable. Many countries conduct surveys at different times on one or more aspects of lifestyle. However, comparable data are restricted mainly to educational levels, smoking, alcohol and nutrients. Data on health services and resources are more promising, as they are provided by about two-thirds of the countries.