RELIEVE – Reducing the health system burden of pneumococcal infections

Sponsor: MSD
Project Status: ONGOING (January 2024 – December 2026)

 

What aims and scope

Pneumococcal disease is a significant cause of illness and hospitalisation among older adults and people with underlying health conditions. Despite the availability of effective vaccines, adult vaccination coverage remains uneven across Europe, placing avoidable pressure on health systems. RELIEVE aims to reduce this burden by improving understanding of the impact of pneumococcal infections, identifying effective vaccination practices and advocating for stronger adult immunisation policies across Europe.

How it will become possible 

RELIEVE combines health systems research, practical guidance and policy advocacy to strengthen adult pneumococcal vaccination. Beginning with research into the burden of pneumococcal infections across five European countries, the initiative progressed to identifying promising vaccination practices and mobilising support for a European vaccination target. It now focuses on translating these findings into practical approaches through engagement with health managers, policymakers and national stakeholders.

Where EHMA delivers

2024 – Understanding the health system burden
EHMA conducted research in Austria, Belgium, France, Italy and Portugal to examine how pneumococcal infections affect healthcare services and resources. Drawing on the experiences of health managers and healthcare professionals, the findings informed the report Strengthening Health Systems: Tackling the Impact of Pneumococcal Disease in Europe, highlighting the importance of prevention and life-course vaccination.

2025 – From evidence to action
Building on the 2024 findings, EHMA identified promising adult vaccination practices across Europe and developed an Adult Vaccination Handbook offering practical guidance for health managers and public health authorities.
EHMA also launched a European Call to Action advocating for a pneumococcal vaccination coverage target of 75% among adults aged 65 and over, bringing together stakeholders to strengthen political commitment to adult immunisation.

2026 – Supporting implementation
At the European Health Management Conference 2026 in Barcelona, EHMA organised a session exploring how to translate evidence and recommendations into effective adult vaccination strategies.
The initiative also includes a national stakeholder workshop in Spain to examine operational challenges, identify promising practices and develop recommendations for improving pneumococcal vaccination services.

 

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This project is supported by MSD. MSD has had no influence or editorial control over the project and its outputs. The views and opinion of any project outputs are of the authors and not necessarily those of MSD.

CALL TO ACTION

Establishing a European vaccination coverage target for pneumococcal disease in adults

EHMA advocates for a European pneumococcal vaccination coverage target of 75% among adults aged 65 and over, encouraging stronger political commitment, better monitoring and more coordinated prevention efforts across Europe.

We invite civil society organisations, medical societies, public health authorities and other healthcare stakeholders to endorse the Call to Action and support this shared European ambition.

Read the Call to Action
Endorse the Call to Action

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What our Members say

I have been active in EHMA since the first years of the '90s and I have seen its evolution from a small association of members interested in sharing knowledge on health management practices to the current status of reference and advisory key player for EU, health systems and organisations, stakeholders associations, industry and universities. EHMA is now a unique knowledge hub, policy advisor, community of practice and network of best in class organisations involved in health policy and management. A place where health managers can build their competences, policy-makers and stakeholder associations envision how to implement and sustain change through health management, industry leaders understand how to engage more effectively with health organisations and systems. The right place to nurture and grow health management capabilities and capacity for every stakeholder of health systems.

Prof Federico Lega, University of Milan, Italy

Health management has a crucial function in shaping public health and health system challenges. The Medical University of Varna, Bulgaria had success in collaborating with EHMA on EU-funded projects that has resourced us to create new health management competencies for the future workforce. In addition to all classical definitions, health management is a science dealing with individuals, groups, and society at large. It is an art contributing to the beauty of our lives and an interactive communication process at all levels of institutions and human energy. I have also had the pleasure to chair the South Eastern European Special Interest Group which gives members a space to discuss and tools to address how health systems are managed in our regions.

Prof Todorka Kostadinova, Medical University of Varna, Bulgaria

I enjoy the high level of interaction and engagement in EHMA’s activities, in particular during the annual conference where the panel discussions are rich and well prepared. As a hospital manager and professor of health management, EHMA motivates and inspires me to be creative. You go back home feeling energised from seeing old friends and making new connections, as well as being convinced of serving as EHMA’s ambassador. It’s a strong feeling of interdisciplinary engagement, but it also feels like being part of family-like community.

Prof Sandra C. Buttigieg, MD, University of Malta, Malta

Health workforce has become more essential in operating, managing and maintaining health systems lately, particularly in crisis and emergency situations. European healthcare professions and the workforce need to be high on the agenda of managers and decision makers. The Health Services Management Training Centre, Semmelweis University in Hungary is a longstanding EHMA member, because it connects us with collaborators and experts, with whom we can have complex debates, from whom we can learn and at the end find solutions in various challenging fields of healthcare management.

Dr Eszter Kovács, Health Services Management Training Centre, Semmelweis University, Hungary

As a hospital administrator and health management professor, I see on a daily basis that the healthcare challenges require talented and skilled managers to transform it. the EHMA membership has been beneficial to bring healthcare management research and education to the demanding healthcare services world, promoting healthcare management competencies and knowledge creation.

Dr Alexandre Lourenco, APAH - Association of Portuguese Hospital Managers, Portugal

Many healthcare systems in Europe and beyond are facing similar challenges which require innovative and creative solutions. EHMA’s annual conference, webinars, Programme Directors’ group and other activities and resources provide incredible opportunities for networking, connecting and sharing experiences. A distinct feature of EHMA is the diversity of members with representation from many countries, sectors and different communities of practice – academic, policy-makers, practitioners, managers, leaders and students. The annual conference is a highlight in the calendar year, offering a friendly, fun and learningful environment for emerging and established members to engage, collaborate and meet up with old and new friends. I am proud to be a member of the EHMA Board.

Prof Ann Mahon, University of Manchester, UK

Society evolution, pandemics and ageing modify health needs. So, health policies and services are to change dramatically. EHMA, through webinars, workshops and annual conference provides an excellent insight to a professional changing world, favouring closeness to management innovation and the protagonists of these changes. As a primary care services’ manager, participating in EHMA activities is really worth it and allows to involve oneself in the innovation processes.

Antoni Peris-Grao, MD, Consorci Castelldefels Agents de Salut (CASAP), Spain

EHMA
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