PREVIOUSNEXT
Quarterly tribute:
Creative Change in EU Project Management

Q: What is EU4Health?
A: EU4Health is the European Union’s largest health programme in monetary terms, established by Regulation (EU) 2021/522 as a direct response to the COVID-19 pandemic.
Q: What is the budget allocation?
A: The programme initially allocated €5.3 billion for the 2021-2027 period, later revised to €4.4 billion following adjustments in the Multiannual Financial Framework.
Q: Who manages EU4Health?
A: The Health and Digital Executive Agency (HaDEA) manages the vast majority of the total EU4Health budget and implements the programme through calls for proposals and tenders.
Q: What are the main objectives?
A: EU4Health pursues four general objectives encompassing ten specific goals: improving health, protecting citizens from health threats, ensuring access to medical products, and strengthening health systems

EU4Health represents an unprecedented financial commitment to health from the EU, signaling prioritization of public health as a cornerstone of the European Health Union. The programme operates through annual Work Programmes categorized into four primary strands: crisis preparedness, health promotion and disease prevention, health systems and healthcare workforce, and digitalisation. With its €4.4 billion budget spanning 2021-2027, EU4Health provides funding through grants and public procurement to national authorities, health organisations, and NGOs from EU Member States and associated non-EU countries. The programme offers a standard funding rate of 60%, with exceptional utility projects eligible for up to 80% funding when specific criteria are met, including geographical distribution requirements and minimum participation thresholds. This robust financial framework enables comprehensive support for healthcare innovation across Europe’s diverse healthcare landscape.

EU4Health’s strategic framework rests on four fundamental pillars designed to address Europe’s most pressing healthcare challenges. The first pillar focuses on improving and fostering health through disease prevention, health promotion, and international cooperation initiatives. The second pillar tackles cross-border health threats by enhancing prevention, preparedness, and response capabilities, including national stockpiling of crisis-relevant products and establishing reserves of medical staff. The third pillar ensures access to affordable medicinal products, medical devices, and crisis-relevant products. The fourth pillar strengthens health systems by reinforcing health data, digital tools, and services while improving healthcare access and implementing evidence-based EU health legislation. These interconnected pillars create a comprehensive framework addressing both immediate health challenges and long-term system resilience, positioning EU4Health as a transformative force in European healthcare development.

The digital transformation of European healthcare represents a cornerstone of EU4Health’s strategic vision, with 44 new direct grants specifically targeting digital health infrastructure development. These grants support the implementation of the future European Health Data Space (EHDS), with 23 grants facilitating new electronic cross-border health services under MyHealth@EU, including e-prescriptions, patient summaries, medical images, laboratory results, and clinical documents. Additionally, 21 grants facilitate secondary use of health data for research, innovation, personalised medicine, and policy-making purposes. This digital infrastructure enables secure, efficient, and interoperable access to digital health data across Europe, allowing citizens to benefit from healthcare services regardless of location or timing. The programme’s emphasis on digitalisation extends beyond data sharing to encompass comprehensive digital transformation of healthcare systems, positioning Europe at the forefront of health technology innovation while ensuring patient privacy and data security remain paramount considerations.

Successfully accessing EU4Health funding requires navigating a structured application process through the EU Funding and Tenders Portal (FTP). Eligible organisations must first register in the Participant Register before submitting applications, with eligibility extending to entities established in EU Member States or associated non-EU countries. The application process involves responding to specific calls for proposals outlined in annual Work Programmes, with proposals evaluated by HaDEA and the European Commission, assisted by external experts when necessary. Applicants can access comprehensive guidance through online manuals, dedicated videos, and factsheets that outline funding opportunities and application procedures. The evaluation process considers multiple criteria including excellence, impact, and implementation quality, with successful proposals contributing to priorities identified in relevant annual work programme topics. Partner-finding tools within the FTP facilitate consortium building, essential for many EU4Health calls that require multi-country collaboration and interdisciplinary expertise.

EU4Health strategically invests in urgent health priorities beyond crisis response, addressing long-term healthcare challenges through targeted funding initiatives. The programme aligns with major EU health strategies including Europe’s Beating Cancer Plan and the Pharmaceutical Strategy for Europe, while championing digitalisation of health systems and addressing antimicrobial resistance. Investment priorities encompass cancer prevention and treatment, mental health promotion, infection prevention control, computer-aided drug repurposing, and genomics applications in diagnostics and treatment. The programme supports research and secondary use of health data, studies on assisted reproduction based on haematopoietic stem cells, and initiatives addressing pandemic impacts on mental health. These strategic investments reflect EU4Health’s commitment to evidence-based healthcare innovation, with funding calls worth €44 million supporting ambitious projects that translate research evidence into improved healthcare systems and patient outcomes. The programme’s comprehensive approach ensures sustainable healthcare transformation across Europe’s diverse healthcare landscapes.

EU4Health’s trajectory toward 2027 positions the programme as a catalyst for transforming Europe’s healthcare landscape through strategic collaboration and innovation. Success in securing EU4Health funding requires early preparation, strong consortium building, and alignment with programme priorities outlined in annual Work Programmes. Effective proposals demonstrate clear EU added value, sustainable impact beyond project duration, and meaningful contribution to European Health Union objectives. Organizations should engage with National Contact Points for guidance, participate in information webinars, and leverage partner-finding tools to build competitive consortiums. The programme’s emphasis on cross-border collaboration necessitates partnerships spanning multiple EU countries, particularly involving lower GNI countries to qualify for higher funding rates. As EU4Health continues evolving, successful applicants will demonstrate innovation in healthcare delivery, evidence-based approaches to health challenges, and commitment to sustainable healthcare system transformation. The programme’s legacy will be measured through strengthened health systems, enhanced crisis preparedness, and improved health outcomes for European citizens.