DATE: 30 January 2025 (Thursday)
TIME: 9:00–12:00 CET

Europe’s demographic shifts, including population ageing and changing urban–rural dynamics, demand evidence-based, equitable and forward-looking responses from the health sector. These changes form a complex reality that calls for new models of care, intergenerational solidarity and reduced health inequities.

This meeting will bring together Member States, partners and civil society representatives to explore how these trends are reshaping health systems, identify strategic reforms and promote meaningful participation to guide policies well beyond 2030. By acting now, participants can help ensure that all communities benefit from longer, healthier lives.

The objectives of the meeting are to:
 

• establish a unified agenda that fosters a shared understanding of how evolving demographic trends affect societies and health systems;
• guide evidence-based and timely reforms and investments in sustainable, inclusive, and innovative health and care models; and
• strengthen collaborative accountability among WHO/Europe, Member States, partners and civil society to promote healthy ageing, ensure equity and build resilient communities beyond 2030.

The feedback gathered at the hearing will contribute to the development of the second European Programme of Work, 2025–2030 (EPW2).

Demographic shifts in the WHO European Region

Europe’s demographic landscape is changing rapidly. The Region has reached an historic milestone, with the number of people aged 65 and older now surpassing those aged 15 and under. This shift, combined with declining birth rates, urbanization, migration and evolving socioeconomic patterns, is reshaping how we approach health, care and equity.

Longer lifespans are a testament to our collective progress, yet many individuals spend additional years in poor health, often compounded by social and economic disparities. These trends are not a crisis to fear, but a call for nuanced, evidence-based strategies.

Addressing these challenges demands acknowledging that different populations – whether younger or older, urban or rural, wealthier or lower income – experience distinct health needs and priorities. By fully embracing the values of solidarity, equity and participation, we can develop policies that meet individuals where they are and support health throughout the entire life course.

Evidence shows that timely investments and well-crafted interventions can benefit everyone, from promoting healthy ageing at the individual level to fostering sustainable economic growth and well-being across entire communities.

About this hearing

This hearing encourages participants to move beyond simplistic narratives. Although ageism and misconceptions about older adults persist, research shows that population ageing itself exerts only a modest influence on health expenditure compared to innovation, pricing and other systemic factors.

By confronting biases and placing the focus on improving access, care models and preventive interventions, we can ensure that no one’s health is compromised by outdated assumptions or unjust resource allocations.

As we look ahead, the need for strategic reforms could not be more pressing. The next 5 years will be critical in laying the groundwork for transformative change. Policies that invest in early interventions, reallocate resources and recognize the importance of intergenerational cooperation can help societies adapt to demographic changes and meet evolving health-care demands.

Addressing inequities based on income, gender, ethnicity or migration background will be central to achieving equitable health outcomes for all.

With ageing populations increasingly concentrated in urban environments, the design of cities, the structure of communities, and the composition of the health and care workforce require renewed attention. The implications extend beyond city borders, affecting rural areas, digital inclusion, and the overall sustainability of health and welfare systems.

This hearing will convene Member States, partners and civil society representatives to shape policy responses that transcend traditional approaches. Together, participants will help chart a course that not only supports universal health coverage and healthy ageing now, but also sets a strategic vision that endures well beyond 2030.

Your voice is vital: join us in laying the foundation for a healthier, more equitable future.

A series of hearings to inform EPW2

WHO/Europe is organizing a series of hearings as part of the development process for the EPW2. These hearings provide a platform for Member States, civil society representatives and other partners to share insights, priorities and recommendations for shaping a unified health agenda for the Region up to 2030 and beyond.

The feedback gathered through these sessions will inform the EPW2, ensuring that it addresses key health challenges and promotes equity and resilience. The hearings are conducted online, enabling broad participation and fostering collaboration across diverse stakeholders.

For further information, write to epw2@who.int.