Linking health with digital citizenship education

News & insights
December 2, 2025
Whitney Gray
By -

Throughout the European Year of Digital Citizenship Education (DCE), DTH-Lab has highlighted the untapped potential of DCE initiatives to promote the health and well-being of young people. The Council of Europe’s (CoE) new strategic roadmap presents a key opportunity to advance this agenda and place digital well-being at the heart of DCE, says DTH-Lab’s Youth Engagement Coordinator, Whitney Gray, who attended the closing conference of the European Year of DCE from 18–20 November in Ljubljana, Slovenia.

The closing conference of the European Year of Digital Citizenship Education 2025 brought together educators, member states, academia, youth and other key stakeholders. During the conference, the CoE presented the draft Road Map for Strengthening Digital Citizenship Education (2027–2031).

The roadmap’s vision is that “learners in Europe act as active, responsible and ethical digital citizens. They participate safely, inclusively and meaningfully in democratic digital environments, equipped with the competences to: navigate technologies critically, build trust and protect rights and contribute to a resilient digital society across generations”. It is an ambitious roadmap that sets out four key strategic pathways on policy advancements, education and training, learning environments and infrastructure and awareness raising. CoE’s multisectoral approach is also to be commended – the draft was prepared in consultation with diverse actors and the roadmap calls for multi-stakeholder collaboration and efforts to extend rather than compete with existing policies, frameworks or guidelines.

However, there are two profound gaps in the draft roadmap: youth as co-creators in their future and young people’s health and well-being in a digital world.

Youth health and well-being are not a priority in the current DCE movement

Youth health and well-being are not a priority in the current DCE movement

In a recent research paper, DTH-Lab found that health and well-being is not adequately considered in DCE initiatives and policy frameworks in Europe. Of 28 DCE initiatives analyzed, only 16 helped to build competencies related to the health and well-being of young people. Only 10 out of 25 European DCE-related policy frameworks, have an explicit linkage with health and well-being. 

As the roadmap moves into the validation and policy initiation phase, we must work to redefine digital citizenship education and acknowledge its undeniable link to and potential in improving the health and well-being of young people.

DCE and health: an undeniable link

DCE and health: an undeniable link

What many outside the health sector overlook and my health colleagues often take for granted is that health isn’t just the absence of illness or something that happens only in clinics – it’s shaped continuously in everyday life. This is a critical point when linking health with DCE. The digital world is a new sphere in which health is created and it is critical that actors in the educational ecosystem learn to operate within this expanded understanding. 

Digital citizenship for health (DC4H) provides a framework for combining efforts to enhance digital, health and civic literacy to equip the next generation in co-creating a positive health futures, but equitable health benefits can only be realized when people can critically engage with digital platforms, have access to safe online spaces and trustworthy health information and make informed choices in respect to their data. 

In the recent youth-authored statement on Digital citizenship for health, youth living in Europe raised key concerns they face in the context of digital transformations, including how digital spaces affect their health holistically and they need better digital, health and civic literacy and education. The statement called for improved accessibility and inclusivity of digital technologies, improved digital and data governance systems that better ensure their personal data is handled safely, so they can participate and connect confidently in digital spaces.  

These concerns from youth are not regionally specific. In a collection of youth-authored articles on digital citizenship for health (DC4H), young people from low- and middle-income countries stress that technology alone cannot improve health outcomes. Progress depends on combined digital, health and civic literacy, trust in institutions and inclusive governance that amplifies all voices.

The authors highlight how investing in DC4H can help to tackle urgent challenges such as bridging the digital divide, creating confidence in digital health platforms and advocating for policies that reflect diverse realities.

Supporting a new generation of digital citizens for health

Supporting a new generation of digital citizens for health

Countries should invest in young people’s combined digital, health and civic literacy and skills so they can safely navigate the digital world and participate in decision-making processes that impact their lives.

DC4H can play a crucial role in addressing the lack of empowerment experienced by young people in relation to digital transformations of health and to realize their rights both on- and offline. Young people are eager to shape health policies, to advance DC4H and restore a balance between the risks and benefits of digitalization for health, but don’t want to act alone. Youth living within and beyond Europe argue that they must be partners in design, policy and decision-making – not passive users.

Countries should also consider that DC4H is not only about awareness and participation, but also about cultivating the skillsets that will allow youth to thrive in an evolving digital landscape. 

However, education and skill-building is not enough; we need a stronger political will and cross-sectoral collaboration. Building on digital citizenship and considering the profound impact of digitalization on the health and well-being of societies, DC4H brings together traditional and non-traditional actors to create informed and capable citizens. Combining a top-down and bottom-approach, it enables intergenerational dialogue and exchange between young people and policymakers.

CoE recently reaffirmed that Europe’s democratic renewal depends on genuine intergenerational partnership, and adopted two milestone documents: the Final Declaration and the Resolution on the Council of Europe Reference Framework on a Youth Perspectives

It is surprising that, despite encouragement from CoE and the Secretary General  to build more bridges with youth, young people don’t play a larger role in co-creating the future of digital citizenship as put forward in the draft roadmap.

Moving the DC4H agenda forward through DCE

Moving the DC4H agenda forward through DCE

DTH-Lab has proven that health actors can create impact in the DCE space, and they can do it alongside youth and decision-makers alike. Since late 2024, DTH-Lab has centred its DC4H efforts around the European Year of DCE by developing research, surveying youth, convening a broad range of stakeholders through intergenerational dialogues, organizing spaces for solution creation and innovation, as well as building partnerships with youth-led organizations. 

Our work has identified both challenges and solutions: finding ways to equip youth to become digital citizens for health and creating evidence for policymakers. This builds on The Lancet and Financial Times Commission on Governing health futures 2030's recommendation to enfranchise youth to become a generation of digital citizens for health. 

The European Year of Digital Citizenship Education is a prime opportunity to unite efforts and build bridges between youth and policymakers. At DTH-Lab, we look forward to sharing our expertise with this diverse network and contributing to the strategic roadmap, ensuring the undeniable link between DCE and the health and well-being of young people is strengthened, with a clear path for member states to action.

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References

Whitney Gray is the Youth Engagement Coordinator at the Digital Transformations for Health Lab. She has a degree in pre-medical biology and medical ethics and holds two Masters degrees in Public Health and International Affairs. Ms Gray’s experience includes biomedical research, health systems strengthening, global health governance and civil society engagement. With a longstanding desire to advance the health and wellbeing of all, she works to improve the inclusivity of actors in the design and implementation of research, policy and solutions for health.

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