Principle 3

Equal opportunities

"Regardless of gender, racial or ethnic origin, religion or belief, disability, age or sexual orientation, everyone has the right to equal treatment and opportunities regarding employment, social protection, education, and access to goods and services available to the public. Equal opportunities of under-represented groups shall be fostered."

- Principle 3 of the European Pillar of Social Rights

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Equal opportunities as a determinant of health

Equal opportunities are not just a legal commitment; they are a prerequisite for health equity. When people face unequal access to quality education, decent work, social protection and public services — or experience discrimination — the result is chronic stress, income insecurity and barriers to care. These mechanisms drive poorer physical and mental health over the life course and widen avoidable health gaps between groups.  

As underscored by the 2025 report by EuroHealthNet and CHAIN, tackling such upstream social determinants is essential to improve population health and resilience. 

What does the EPSR Action Plan say?

The EPSR Action Plan sets out several overarching goals for EU Member States for Principle 3:

  • Increase employment: By 2030, at least 78% of those aged 20-64 should be employed. 

    • At least half the gender employment gap compared to 2019, to progress on gender equality and achieve the employment target for the entire working age population.
    • Increase access to formal early childhood education and care (ECEC), enabling parents and carers to better reconcile work and private life, while supporting women into work.

    • Decrease the rate of young people neither in employment, nor in education or training (NEETs) aged 15-29 from 12.6% (2019) to 9%, namely by improving their employment prospects.

    • Focusing on under-represented groups – including young, female, and low-skilled workers at risk from labour-market change, as well as persons with disabilities, people in rural and remote areas, LGBTIQ people, Roma and other racial/ethnic minorities, and people with a migrant background. 
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  • Reduce poverty and social exclusionBy 2030, lift at least 15 million people (including 5 million children) out of poverty or exclusion through an integrated, life-course approach tackling its root causes, and in case of children and young people by giving them access to new opportunities that break the intergenerational cycle of disadvantage and reduce their risk of poverty or social exclusion in adulthood. 

  • Skills, competences and capacity-building: By 2030, increase the annual participation of all adults in training and life-long re-and up-skilling to 60% to improve employability, boost innovation, ensure social fairness, and close the digital skills gap.

    • At least 80% of 16-74-year-olds should have basic digital skills 

    • Reduce early school drop-outs and increase participation in upper secondary education 

Where are we now?

The Social Scoreboard measures progress on the Principles of the EPSR. Linked to Principle 3, the Scoreboard outlines that in the EU:

  • Unemployment rate was 5.9among the total EU population, with 1.9of all unemployed long-termwhile youth unemployment was 14.6% and 11.1% of young people aged 15-29 were not in employment, education or training (NEETs). 

  • While the general EU employment rate reached 75.8%, the gender employment gap was 10% and disability employment gap was 24%. 

  • 21% of EU population was at risk of poverty or social exclusion, with 24.2% of children experiencing child poverty. 

  • 13.5% of adults participated in training55.6% of the population 16+ had basic or above basic digital skills, while the school dropout rate was 9.4%. 

  • 8.2% of employed individuals were in-work poor, meaning earning an income that is below the poverty threshold, despite having a job. 

  • 2.5% of the EU population reported unmet need for medical care. 

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What are public health actors doing?

The following actions taken by public health actors at (sub)national level can support the implementation of EPSR principle 3.

EU tools that help implement Principle 3

There are EU policies and instruments that can help relevant actors in the field, including public health, to work together to achieve EPSR Principle 3.

More information about the EU institutions and programmes is available on EuroHealthNet's Health Inequalities Portal.

Youth Employment Support

Launched in 2020 to counter the COVID-19 shock for young people, the Youth Employment Support package builds on four strands that together offer a “bridge to jobs” for the next generation. The Reinforced Youth Guarantee is a commitment by all Member States to ensure that all young people under 30 receive a quality offer of employment, continued education, apprenticeship, or traineeship within four months of becoming unemployed or leaving education, through tailored support aligned with local labour-market needs and the green and digital transitions. 

EU Joint Employment Reports
Integration of the long-term unemployed
European Child Guarantee and National Action Plans
European and national Roma strategies
European Skills Agenda
EU Action Plan on Integration and Inclusion (2021-2027)
EU Anti-racism Action Plan 2020-2025
LGBTIQ+ equality strategy 2026-2030
Disability rights

Available resources

For more supportive policy instruments on the topic, consult our other flashcards:

More information about the EU institutions and programmes is available on EuroHealthNet’s Health Inequalities Portal.

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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.

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.

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