Principle 9

Work-life balance

"Parents and people with caring responsibilities have the right to suitable leave, flexible working arrangements and access to care services. Women and men shall have equal access to special leaves of absence to fulfil their caring responsibilities and be encouraged to use them in a balanced way."

- Principle 9 of the European Pillar of Social Rights

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Work-life balance as a determinant of health

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When work becomes an overwhelming part of life, it can put additional time and emotional pressure on those with caring responsibilities and become an unmanageable burden. Conflicts between work and family responsibilities may trigger stress, burn-out, maladaptive coping mechanisms, and overall mental health decline.

On the other hand, flexible and gender-sensitive working and leave arrangements with fair compensation promote workers' psychosocial health, productivity and job retention. Work and meaningful employment also plays a significant role in shaping identities, providing for quality of life and social status.

What does the EPSR Action Plan say?

The EPSR Action Plan sets out five key goals for EU Member States:

  • The provision of formal early childhood education and care should be increased and made more affordable and accessible, as an enabler of work–life balance and women’s labour market participation to ensure that at least 78% of the population aged 20 to 64 is in employment by 2030. 

  • Member States had to transpose the Work-life Balance Directive by August 2022. By 2025, the focus is on effective implementation, uptake and enforcement of the Directive’s rights (including paternity and parental leave, carers’ leave and the right to request flexible working arrangements).  

  • Social partners should explore measures to ensure fair telework conditions and measures to ensure that all workers can effectively enjoy a right to disconnect. By 2026, this agenda has been taken forward through formal EU-level consultations with social partners on possible minimum rules on telework and the right to disconnect. 

  • Public authorities and social partners should cooperate to protect the rights of mobile workers, including seasonal workers. This increasingly emphasises practical cross-border enforcement and cooperation, including through the European Labour Authority. 

  • Member States need to invest in health and care workforce, improving their working conditions and access to training. This has become even more urgent recently, in light of persistent workforce shortages and rising demand for care, which directly affect access to childcare and long-term care services.

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Where are we now?

The Social Scoreboard measures progress on the principles of the EPSR. Linked to the principle of childcare and support to children, the Scoreboard outlines that in the EU:

  • The gender employment gap narrowed slightly but remains substantial, standing at 9.8 percentage points in 2024, down from 11.8 points in 2014. 

  • The overall employment rate of people aged 20–64 reached 75.5 % in 2024, moving closer to the 78 % target set for 2030. 

  • The gender gap in part-time employment continues to decline, falling to 19.9 percentage points in 2024, compared with 23.5 points a decade earlier. 

*Latest Eurostat and Social Scoreboard figures, released 2025

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What are public health actors doing?

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

Click on a country to learn about initiatives taking place.

EU tools that help implement Principle 9

There is a range of other policies and instruments at the EU level that can help relevant actors in the field, including in public health, to work together to achieve EPSR Principle 9 on work-life balance. In the last few years, implementation has shifted from legislative adoption to practical enforcement, monitoring and extension of rights to new forms of work.

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

Work-life Balance Directive for parents and carers

The Work-life Balance Directive mandates a more equal sharing of care responsibilities. As such it:

  • Introduces paternity leave of at least 10 working days.
  • Introduces a minimum of 4 months of paid parental leave, two non-transferrable between parents.
  • Introduces carers' leave of 5 days/year.
  • Extends the right of flexible working arrangements to all working parents of children up to 8 years old, and all carers.

Additional policy measures include:

  • Protection against discrimination and dismissal for parents and carers.
  • Encouraging a gender-balanced use of family-related leaves and flexible working arrangements.
  • Improving provision of formal care services (childcare, out-of-school care and long-term care).
  • Removing economic disincentives which prevent women from accessing the labour market or working full-time.
  • Designing support measures for informal carers, such as counselling, psychological support, respite care, together with policies to formalise informal care. 
  • By 2025, the focus is on effective enforcement and monitoring of uptake, supported by Commission reviews and peer-learning under the European Semester and the Social Convergence Framework. Several Member States (e.g. Poland, Ireland, Spain) have recently expanded paid leave entitlements beyond the Directive’s minimums. 
The European Care Strategy
European Commission Care Workforce Initiative
Council Recommendation on High-quality Early Childhood Education and Care Systems
Gender Equality Strategy 2020-2025
European Parliament resolution on Telework and the Right to Disconnect
Directive on adequate minimum wages in EU
European Semester Social Convergence Framework

Available resources

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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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