Planned Structure and Operation of the Foundation

Decision making and administrative structures of the Foundation

The Foundation is an independent health promotion foundation, a privately funded NGO as registered by the Court of the City of Budapest under the serial number 7495/99. The Court declared that based on its objectives the Foundation is a public service corporation.

Dr Péter Kricsfalvi, former Commissioner for Public Health of the Ministry of Welfare, founded the Foundation. Decisions related to the strategy of the Foundation are made by a Board of Trustees (BoT) of five. The BoT regularly supervises the financial affairs and professional work of the Foundation’s staff.

BoT is led by President Károly Ambrus, former Head of Department of the Ministry of Internal Affairs and lecturer of the College of Finance and Accounting.

The Vice-President is Dr Lajos Döbrõssy, MD, former Regional Adviser for Cancer to the WHO’s Regional Office for Europe, consultant to the World Bank and Hungarian Ministry of Health.

The Secretary of the Foundation is Dr Tibor Szilágyi, MD, former scientific co-ordinator of the Tobacco and Alcohol Policy Development Project, previously consultant to the World Bank and Hungarian Ministry of Health, former Hungarian National Counterpart for the Action Plan for a Tobacco-Free Europe.

Two further members of the BoT are Dr. Magdolna Méhész, family doctor and special expertise in workplace health care and Gabriella Fon, actress and journalist.

The number of members of BoT and the persons who can undertake these responsibilities must be reconsidered according to the new concepts and functions of the Foundation.
 

Internal professional functions

Some of the planned activities are considered as core activities with high relevance in Hungary. These are: national tobacco control office, tobacco control research centre, detecting inequalities concerning women's health, health policy analysis, health impact assessment and database on NGOs' health promotion activities.

Some of them will need an international participation in their leadership. These are: tobacco control research centre, international network for providing better health for Romas, introducing and developing methods of health impact assessment in CCEE. Specific international task forces, to ensure active participation of all involved countries will provide these functions with relevance to the health of the regions’ population. International scientific advisory committees will be organised to help the activities of the task forces.

The capacities will be developed by the Foundation's permanent expert team. The BoT will set out goals and monitor the task forces' activities and evaluate and supervise the achievements.

The expert team of the Foundation will consist of a limited number (at the beginning 1 and 1/2 full-time-equivalent) employee. They must have experience in planning and implementation of health development programmes. Their education and management skills should make possible the management of the Foundation’s activities at the highest attainable levels. The work of expert team must be facilitated by an administrator/co-ordinator.
 

External professional functions

Other functions will be executed in co-operation with selected partner organisations as implementers. The Foundation's staff will prepare the background documents for these organisations, such as terms of references, implementation contracts, monitoring criteria. The permanent staff will evaluate the implementers and represent the opinion of beneficiaries of health development programmes.

The large-scale health development projects will be outsourced in a formal application system supervised by the BoT. The basic guiding values and principles of the Foundation's activities are the transparency and effectiveness. The Foundation will be accountable towards its donors concerning the content of programmes and the appropriateness of utilisation of funds.

The quality of outsourced programmes will be supervised by the Foundation as well. The frame of quality assurance for health promotion programmes is developed by the permanent staff and approved by the BoT.
 

International Advisory Board (IAB)

To involve national and international expertise and to ensure the possibility of adoption of best practice, future experiences and lessons learnt the Foundation is organising an IAB. The IAB will consist of 8-10 health promoters from Hungary and abroad. The Board should advocate the Foundation’s expert team in the development of long-term strategies and should help monitoring and evaluation of activities.

The Board will be convened at least once a year by the BoT. Additional meetings must be held if needed; the Foundation’s expert team should indicate points when and should recommend to the BoT the need to convene the IAB as often as it seems necessary for ensuring a continuous high professional standard for all the Foundation’s activities.
 

Fund Raising

Financial mechanisms, which could ensure long-term, secure and predictable financing for health development activities in the civil sphere, are not available so far in Hungary. The tender processes, in which civil organisations are forced to participate from time to time if they want to survive, do not ensure the sustainability and continuity necessary for strategic planning and sound participation in providing better health for all Hungarians. In addition, lack of a national health development strategy makes impossible the sharing of roles and responsibilities between state and NGO sector and results in a hardly efficient set of interventions. Earmarking or dedication of a given part of collected taxes for health development has no tradition in Hungary. There are some examples for additional taxes for creating extra funds for activities protecting the environment, but the attempts to use this concept for funding health promotion failed in Parliament a couple of times.

The Foundation’s key principles include strategic thinking and transparency of processes/programmes and resource allocation.

The internal professional team will be made responsible for raising international resources not for the entire strategy of the Foundation but for Action Plans based on the concepts laid down in this document. Networking, creating new partnerships and collaboration with international organisations may help to develop twin programs and to adopt best international practice in Hungary.

After a few years of functioning and acceptance of the Foundation in and outside the country the internal professional team will try to advise decision makers to introduce tools providing long-term financing for the involvement of the civil sector, including the Foundation, in health development.
 

Communication strategy

The Foundation must put emphasis on adequate communication of its scopes and objectives from the beginning. The involvement of a health communication expert as a member of the BoT or as an independent expert is unavoidable.

When the Foundation’s strategy is passed by the BoT, the internal staff and the communication expert must take up the responsibility for developing the communication strategy. This will be submitted and debated by the BoT as well.

In the communication strategy special attention must be paid for addressing as large target audience as requested by the program/project in question or by the importance and relevance of information. The Foundation’s activities and Hungarian health development in general must be held at the highest attainable level in the Hungarian media to ensure continuous information of people and transparency, which is one of the key principles of the Foundation.

Other key target groups must be: health professionals, including health promoters, research institutions, decision makers working at different levels of state administration, non-traditional sectors for health and the private sector and media representatives themselves.

The internal staff of the Foundation and the communication expert must ensure the adequate packaging of information and must get it to the target audience.
 

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