Principle 19
Housing and assistance to the homeless
"Access to social housing or housing assistance of good quality shall be provided for those in need. Vulnerable people have the right to appropriate assistance and protection against forced eviction. Adequate shelter and services shall be provided to the homeless to promote their social inclusion."

Housing and assistance as a determinant of health

Access to quality housing is a human right. With people spending a vast majority of their lifetime indoors, housing conditions have significant effects on a person's health.
Poor housing increases the risk of respiratory and non-communicable diseases (NCDs) and negatively affects mental health. For example, household air pollution is responsible for 11% of the main NCDs in the European region.
The quality of housing affects exposure to harmful environmental factors, while its affordability determines people’s spare resources for nutritious food, healthcare, and education. Particularly people with lower socioeconomic status struggle to access adequate and healthy housing, with the most extreme form of deprivation being homelessness.
What does the EPSR Action Plan say?
The EPSR Action Plan sets several overarching goals for EU Member States for Principle 19:
The EU Affordable Housing Initiative pilots 100 renovation districts. It intends to double renovation rates by breaking down barriers to energy and resource-efficient renovation.
The European Commission has announced a new European Affordable Housing Plan to be published in 2025.
The European Platform on Combating Homelessness helps Member States, cities, and service providers share best practices and identify innovative approaches to end
The EU addresses energy poverty through the Green Deal, the Renovation Wave, the Commission Recommendation on Energy Poverty, and the revised Energy Efficiency Directive.

Where are we now?
The Social Scoreboard measures progress on the principles of the EPSR. Linked to principle 19, the Scoreboard outlines that in the EU:
Housing cost overburden, meaning housing costs more than 40% of someone’s disposable income, has increased to 8%, from 7.8% in 2020.
In 2023, 21.3% of the EU population was at risk of poverty or social exclusion, affecting 8% of children. While overall poverty has slightly decreased, more children have been at risk of poverty or social exclusion since 2019.
The self-reported unmet need for medical care has risen from 1.6% of the population in 2017 to 2.4% in 2023.

What are public health actors doing?
![AdobeStock_1004196058 [Converted] AdobeStock_1004196058 [Converted]](https://epsr-flashcards.eurohealthnet.eu/wp-content/uploads/2025/04/AdobeStock_1004196058-Converted.png)
The following actions taken by public health actors at (sub)national level can support the implementation of EPSR principle 19.
Click on a country to learn about initiatives taking place.
EU tools that help implement Principle 19
There are EU policies and instruments that can help relevant actors in the field, including those in public health, work together to achieve EPSR Principle 19.
More information about the EU institutions and programmes is available on EuroHealthNet's Health Inequalities Portal.
The Affordable Housing Initiative is part of the European Commission’s Renovation Wave strategy, aiming to make buildings more energy-efficient and improve lives. The initiative aims to ensure that social and affordable housing facilities also benefit from renovation measures.
Specifically, the initiative aims to enhance innovation capacity by piloting renovation districts that focus on energy efficiency, livability, and innovation, while mobilising cross-sectoral project partnerships to create an intersectional approach to renovation.
The European Commission has also announced a European Affordable Housing Plan, to be published by the end of 2025, prioritising funding and support for affordable housing initiatives across Europe.
Available resources
For more supportive policy instruments on the topic, consult our other flashcards:

Have your say
Would you like to share promising policies or practices carried out by your public health institute, which support the implementation of this EPSR principle?
Feel free to reach out to our EuroHealthNet colleague Silvia Ganzerla.
What's next?
About EuroHealthNet
Building a healthier future for all by addressing the determinants of health and reducing inequalities.
EuroHealthNet is the Partnership of public health agencies and organisations building a healthier future for all by addressing the determinants of health and reducing inequalities. Our focus is on preventing disease and promoting good health by looking within and beyond the health system.
Structuring our work over a policy, a practice, and a research platform, we focus on exploring and strengthening the links between these areas.
Our approach focuses on integrated concepts to health, reducing health inequality gaps and gradients, working on determinants across the life course, whilst contributing to the sustainability and wellbeing of people and the planet.


EuroHealthNet is co-funded by the European Union. However, the information and views set out on this website are those of the author and do not necessarily reflect the official opinion of the European Commission. The Commission does not guarantee the accuracy of the data included on this website. Neither the Commission nor any person acting on the Commission's behalf may be held responsible for the use which may be made of the information contained therein.