Case study: Osteoporosis and fragility fractures

The Health Policy Partnership

HPP conducted a landmark policy analysis in osteoporosis and fragility fractures in Europe, and built a toolkit to guide advocates to drive change.


A staggering 3.5 million fragility fractures related to osteoporosis occur in the EU each year. This represents a social and economic burden that is higher than that of other major chronic diseases, such as stroke and coronary heart disease. The cost of managing fragility fractures, already at €37.4 billion per year, is expected to soar as the European population ages. Yet efforts to detect and manage osteoporosis and fragility fractures are often not seen as a priority by policymakers.


The osteoporosis and fragility fracture community across Europe required a dedicated roadmap and call to action to engage decision-makers on the evidence and mount a political case for change. HPP was commissioned to conduct an analysis of central leadership and system barriers across ten European countries. We convened a multidisciplinary working group of key stakeholders and political leaders to help advance this issue and co-produce our work.


Our analysis formed the cornerstone of an extensive policy toolkit comprising a pan-European consensus report, 11 case studies, 10 country profiles, 10 local-language infographics and supporting resources. The work has been endorsed by 11 organisations, including the International Osteoporosis Foundation (IOF) and the Fragility Fracture Network, and served as a basis for the IOF’s Guidance for Policy Shaping. The project continues with work in additional countries.