Horsens
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Municipality of Horsens & Health International

The Municipality of Horsens has an urban population of 56,000 and is on the list of the ten biggest cities in Denmark. It is situated on the East Coast of Jutland, Denmark.

A Danish local Authority serving 56,000 inhabitants with a range of public services in a successful, attractive and dynamic City with an active Trade and Industry Council increasing International business, and a track record in International networking on experience exchange particularly in the Urban Health arena.

Horsens, together with its in-house health agency, Health International, has been working in Bangladesh for a number of years in health promotion work, and has an office base there. This experience will provide our partnership with the relevant skills base for work in the field, and to develop partnership office in Sylhet for this project. In addition, the established links that Health International has with the various agencies and NGO's in Bangladesh (and in other parts of Asia) will allow this project to build on these links and develop the capacity building work of this project.

Despite its age of more than a thousand years, the city is still impressive with its old renewed buildings in the city centre. Urban renewal is high on the list of priorities in the city, which has been awarded the coveted Urban Renewal Prize.

In recent years the city has been collecting prizes and honours, and in 1989 it was named Enterprise City of the Year. In 1992 Horsens received the Nordic Health Prize on the basis of its many health-promoting activities, which really took off when Horsens became the first city in Denmark to become involved in the WHO Health City 2000 project. Horsens involvement in the project has forged many international links that benefit the city and its trade and industry.

Recently the health theme has been supplemented with an ecological purchasing policy for the public sector, and a forum for environment has been established. Members of the forum are individual citizens and NGO's .

For the business world, Horsens is an attractive city. With what one is tempted to call a brilliant location in terms of traffic logistics, this fjord city has in recent years seen a great commercial and cultural development. The high concentration of business-related educational courses also means that a well-qualified workforce is always available.

For many years the City Council and the Trade and Industry Council have been active catalysts for increased internationalisation of the business world of the city. With the aid of the mayor many doors have been opened to difficult markets.

The most important sectoral competence areas are electronics, packaging, food, iron and non-ferrous metals, and furniture. The high technology companies are growing particularly rapidly, and it is not without reason that Horsens has become known as Denmark's Number One City for electronics

Horsens, together with its in-house health agency, Health International, has been involved for a number of years in health promotion work, and has an office base in Bangladesh. Since 1992, when Health International was developed, the company has worked with numerous organisations, including the World Health Organisation. The company is a profit making company, but does involve itself in non-profit tasks because it wishes to be involved in the sharing of experiences & best practice on urban health issues throughout all parts of the world. In addition, the company has been successfully carrying out many projects funded by the European Commission. Together with Health International, Horsens has implemented specific action on health issues and in particular, urban health.

Horsens was one of the very first cities in Denmark, which decided to put emphasis to international networking on experience exchange. The city has managed and participated in several major projects implemented by its private company and funded by the European Commission, the World Bank, the Danish Government, and the World Health Organisation.

The expertise disseminated in these projects come from 10 years of integrated work on Urban Health in Horsens.

The local organisation structure set up by the City Council and tested thoroughly for the last 10 years makes the basis for the local success with urban health. The organisational structure (Healthy Cities Resource Centre), the long-term strategy (political commitment), the short-term health and environmental activities/projects with a very high degree of citizen participation constitute the rational behind working with urban sustainable development.

The success of Horsens has most recently resulted in the designation of WHO Collaborating Centre for Training and Capacity Building in close co-operation with the World Health Organisations Regional Office for Europe.

This is the background of Horsens for being a partner in the Asia Urbs bid. We contribute our expertise to setting up shared vision and action plan, for developing the capacity of the Sylhet City Corporation, and for creating a partnership model at a local level.

Horsens has good professional links with Bangladesh and experience of delivering health projects in Bangladesh through our partner Danida (Danish International Development Agency) They have had an experienced project manager based in Bangladesh as adviser for Women's activities and Health, Nutrition and Family Planning in the Noakhali Integrated Rural Development Project (NIRDP). NIRDP covered the 3 districts of Noakhali, Feni and Laksmipur, a population of approximately 5 million. The project was an integrated co-operation between national government, government agencies, local governments and some NGO's. The project consisted of several components. The Project manager (Lis Aliminde) was Head of Women's Development Unit. Responsibilities were for implementation of service support for women and women's programmes in terms of recruitment policies, legal aid, review of gender policies, target group selection, preparation of development plans, liaison with NGO's, government agencies and municipalities, management, development and training of female project staff.

Other aspects of the project included planning, implementation and evaluation of activities of health, nutrition and family planning programme, including the training of village health workers and traditional birth attendants. Links were maintained with Ministry of Health and Family Planning, Civil Surgeons, Municipal authorities and NGO's. Planning, arranging and conducting workshops and seminars on health and health management was a key aspect.

Presently there are links with the Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), an enterprise of the Diabetic Association of Bangladesh (DAB) and operating along with the institute a 550 bed private hospital with priority for the diabetic patients.

Horsens has close links with DANIDA which supports several projects in Bangladesh e.g. construction of highways. These strong links means that we can call upon such partners for technical assistance and expertise. Horsens strength and expertise lies in the ability to develop links with and draw in the NGO's in Bangladesh as demonstrated through recent confirmation and support from the Centre For Cultural Development and RED BARNET (Danish Save the Children Fund) and Bangladesh Small Scale and Cottage Industries Corporation - Dhaka.

The Centre for Cultural Development may together with other agencies already working in Sylhet may be used in a volunteer capacity to assist in some aspects of this project. It is hoped that this project will work in collaboration with all the agencies, which are working in the field. This work may range from direct joint workings with some agencies to establishing new links, which will be developed later in the project.

Health International is a private share holding company. Under Danish legislation, municipalities are allowed to be shareholders of private companies. It is owned by the City of Horsens, the Union of Danish Nurses, a pension-fund company and Carl Bro Gruppe, a private consulting company.

In 1992, in order to provide operational management to international experience exchange projects regarding urban health issues, the Municipality of Horsens established the Health City Foundation whose staff were former members of the municipality. In 1998 in order to strengthen the expertise of its staff and to give the company a stronger foundation, Horsens Healthy City Foundation merged with the Union of Danish Nurses, a pension-fund company and Carl Bro Gruppe to become Health International.

Health International has worked, as a representative of the Municipality of Horsens, with numerous organisations, including the WHO Collaborating Centre, Horsens (World Health Organisation), the Resource Centre for Urban Health, and has successfully carried out many projects funded by the European Commission.

It functions as follows:

The Municipality of Horsens is contracted to provide expertise and operational management on urban health projects. The Municipality then delegates specific tasks to Health International who has the necessary expertise in this field. Health International carries out these tasks on a non-profit basis for organisations such as the World Health Organisation and the European Commission. Health International believes in the sharing of experiences & best practices in specialist fields. Of course as a private share holding company, Health International must also make a profit. This is done through work and Consultancy to organisations such as the World Bank, the Danish Ministries and to Consultancy companies etc.

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