Towards an Integrated System for the Prevention of Chronic Disease in Canada Chronic Disease Prevention Alliance of Canada Nancy Dubois Presentation to the OHHN May, 2003
Towards an Integrated System for the Prevention of Chronic Disease in Canada
Chronic Disease Prevention Alliance of Canada
Nancy Dubois
Presentation to the OHHN
May, 2003
Presentation Outline
Foundation of CDPAC Building on previous gains Current Context
Direction Vision, provincial/territorial scan and
current activitiesPolicy Messages CDPAC engagement opportunities
CDPAC Foundation
Canadian Heart Health Initiative Canadian Diabetes Strategy Canadian Strategy for Cancer Control Risk Factor plans – e.g. tobacco
WHO Country-wide Integrated Non-Communicable Disease Intervention (CINDI)
Current Canadian Context
Government interest and/or investment in risk factors – sustainability of health care
Advisory Committee on Population Health and Health SecurityPolicy papers: public health capacity, chronic
disease preventionStrategy: development of a research agenda,
national consortium for BP in CDP, forum/meeting/summit
Current Canadian Context (cont’d)
Health reform - Kirby, Romanow & provincial/territorial reports
CIHR – health services and population research pillars
Chronic disease surveillance system development
National Best Practices Consortium
CDPAC VisionThere will be systems change to support health promotion and disease prevention efforts.
Canadians will have access to a comprehensive, sufficiently resourced, sustainable, and integrated system of research, surveillance, policies and programs that maintain health and prevent chronic disease.
The systems will link together and build upon existing initiatives in a coordinated and synergistic way.
The systems will be broader that just the health sector, and will include other relevant sectors such as transportation, education, social services, recreation, and others.
Mission
CDPAC will work to foster and help sustain a co-ordinated, countrywide
movement for an integrated, population health approach to chronic disease
prevention through collaborative leadership, advocacy and capacity
building.
November 2002
Current Structure
National Stakeholders Provincial and Territorial Alliances
Alliance members, active participants and subscribers
Steering Committee
Working Groups
Secretariat
Stakeholders:Engaged Communities of Practice
Nutrition PhysicalActivity
School Health
ProfessionalAssoc
Tobacco
Workplace
CanadianMunicipalities
PublicHealth
Others
PreventionResearch
Guiding Principles
Population-based Reduce inequalities Leadership Integration and coordination Comprehensiveness Focus on excellence
Guiding Principles (cont’d)
Best practices Capacity building Accountability Sustainability Linked to and shape developments in
Canada’s health system
Steering Committee
Canadian Cancer Society Cheryl Moyer
Canadian Council for Tobacco Control John Garcia
Canadian Public Health Association (Apr 03)
Christine Mills
Coalition for Active Living Nancy Dubois
Canadian Diabetes Association Donna Lillie
Dietitians of Canada Marsha Sharpe
Federation of Canadian Municipalities (May, 2003) John Burett
Health Canada Greg Taylor
Heart and Stroke Foundation of Canada Elinor Wilson
Provincial / Territorial Consultation
(November 2002)
Recommendations for CDPAC1. Assemble the evidence base
2. Facilitate transfer of best practices / knowledge
3. Champion CDP
4. Enable communication
5. Enable networking
6. Enable resources / capacity building
National Stakeholders Consultation
(April, 2003)
Recommendations for CDPAC
1. Build national stakeholders capacity to work together
2. Clarify the outcomes for the movement
3. Exercise leadership and engage others
CDPAC Functions & Activities
Collaborative Leadership - work together for integration / alignment of systems through working / reference groups and providing portal for others to lead
Capacity Building - work for resource and skill acquisition through advocacy and learning opportunities (web, workshops conferences)
Advocacy – work with decision-makers to ensure implementation of policies
Cheryl Moyer:
receied funding from Health Canada to support a start-up phase;
Cheryl Moyer:
receied funding from Health Canada to support a start-up phase;
CDPAC Policy Messages for Systems Change
(as of March 2003)
1. The framework needs to be comprehensive and built on demonstrated success.
2. Public health and municipal capacity needs to be a priority for sustained investment.
3. Government coordination and leadership is essential for successful implementation.
Systems Change:Next Steps
1. Engage the leaders for systems change
public health, primary care, education, recreation, transportation, etc.
2. Support Canada’s investment invest in provincial/territorial alliances, CDPAC
and risk factor alliances for integrated healthy living strategy
What the Alliance is not
Does not intend to become a mechanism for coordinating all aspects of chronic disease control -- primary prevention focus
Does not aspire to become the supra-ordinate alliance that can lead and coordinate all other prevention coalitions in Canada -- not the “mother of all coalitions”
Does not intend to be “top-down” and directive
Engagement Opportunities
Consider becoming an active participant on the CPDAC Web site (www.cdpac.ca OR www.apmcc.ca)
Use the Web site to share resources, participate in discussion forums & receive regular email newsletter and press releases
Web Site Tools CDPAC Definitions NewsBytes “The Case for Change” & other
documents Updates on each province National risk factor strategic papers
Concluding CDPAC Messages
1. The integrated CDP movement is gaining momentum and growing.
2. History will be a driver – “Standing on the shoulders of giants”
3. Success will be achieved through a systems approach – bring everyone to the table
4. The preventive dose needs to be achieved in communities.
Integrated Pan Canadian Healthy Living Strategy
Presentation Outline
http://healthyliving-viesaine.ca/english/index.html
Background What is Healthy Living? The Goals & Objectives of the strategy 4 Proposed Strategic Directions The process for the development of the
strategy
Background Renewed commitment by governments to health
promotion, and disease / injury prevention.
September 2002 agreement among Canada’s Federal/Provincial/Territorial (F/P/T) Ministers of Health to work together on pan-Canadian ‘Healthy Living’ strategies initially emphasizing nutrition, physical activity and healthy weights, and announcement of a national healthy living symposium to take place in 2003. (report on Web site)
Recent federally- and provincially-commissioned reports indicate that we need to pay more attention to the broader determinants of health and their impacts. (Health Care Renewal Accord on Web site)
What Is Healthy Living?Through a population health lens, healthy living encompasses a number of levels:
At a population level, healthy living refers to the practices of population and sub-population groups, that are consistent with improving, maintaining, and/or enhancing health.
As it applies to individuals, healthy living is the practice of health enhancing behaviours, or put simply, living in healthy ways. It implies the physical and mental capacity to make healthy choices.
At all levels the social, economic, political, cultural, and environmental conditions which support health must be in place for healthy living to become a reality.
An Integrated Pan-Canadian Healthy Living Strategy
What? The Integrated Pan-Canadian Healthy Living
Strategy is an umbrella framework under which links will be created among existing strategies around healthy living, those currently under development, and new strategies to be developed, in the short-, medium-, and long-term.
For example, through its overall integrative approach, the Strategy will link ongoing strategies on tobacco use and control, diabetes, heart health, and chronic disease prevention, with a new strategy for Healthy Eating and Physical Activity.
What? (cont’d)
Action in this area reflects an initial priority and emphasis on partnership (inter-jurisdictional, inter-sectoral, stakeholder) and collaborative action around physical activity, healthy eating, and their relationship to healthy weights.
Agenda will broaden to include other health issues over the medium- and long-term.
Overall Strategy is characterized by a collaborative effort for health promotion, and disease and injury prevention, based on a population health foundation.
Why?
Many successful health promotion and disease prevention efforts are underway. However, a more concerted Pan-Canadian and integrated approach is necessary to make substantive gains in health outcomes and to reduce health disparities, thereby improving the quality of life of Canadians.
Glossary of terms on the Web site
Goals of the Strategy
The Goals of the Strategy are:To improve overall health outcomesTo reduce health disparities
Objectives of the Strategy
To build partnerships among health jurisdictions and sectors, others that impact health, and key stakeholders, to take action on the determinants of health
To develop an integrated and collaborative Healthy Living Strategy consisting of short-, medium-, and long-term actions addressing the common risk factors for a range of health issues, working through the determinants of health and a population health approach
To draw upon and build on existing capacity, consolidating health promotion, and disease and injury prevention efforts targeting populations and sub-populations within life settings
4 Proposed Strategic Directions
as a Focus for ActionLeadership and Policy Development
E.g. Building relationships/partnerships among governments to develop healthy public policy
Knowledge Development and TransferE.g. Concerted initiatives in research and
surveillance
Community Development and InfrastructureE.g. Development of community-based
demonstration projects
Public InformationE.g. Public Awareness and Education/Social
Marketing
The Process:Building A Strategy
1. Pre-consultation (January-February): to share information with key stakeholders on the Healthy Living Initiative and engage them as partners in building the Healthy Living interactive consultation process Consultation Reference Group meeting with
key stakeholders and P/Ts on 30 January, 2003
CAL Workshop on 07 – 08 February, 2003 (update and seek advice on the Healthy Living agenda and consultation process)
The Process: Building A Strategy
2. Strategic Roundtables (February – March): to build partnership with a broader range of stakeholders in healthy living 9 Pan-Canadian Roundtables (including First Nations, Inuit, and Métis)–
February/March 2003 Roundtables Objectives:
• Share expectations of the Federal/Provincial/Territorial Ministers of Health on the development of the Integrated Pan-Canadian Healthy Living Strategy
• Invite participants to inform the development of the Healthy Living Strategy
• Identify key initiatives/actions/strategies for consideration as part of the development of the Healthy Living Strategy that can occur immediately or in the longer term
• Begin to build partnerships Web site has agenda, report, participants, evaluations by site
The Process: Building A Strategy
3. Consultation Workbook: The workbook was designed to:
Help inform the reader about the Healthy Living Strategy and some specific issues and challenges related to healthy eating, healthy weights and physical activity.
Enable interested Canadians to express their opinions and ideas on the Healthy Living Strategy and these issues.
Enable Canadians to identify initiatives and actions that they would like to see included in Phase I of the Healthy Living Strategy.
The Process: Building A Strategy
4. The Symposium (28-29 April, 2003 now June 16 & 17): Specific objectives of the Symposium are to present and invite input on: the context in which the Strategy is being developed the proposed framework, including the vision, goals,
foundational approach, guiding principles, strategic directions, and areas of emphasis of the Strategy
an overview and key findings of the consultation processesproposed elements of an action plan addressing physical
activity, healthy eating, and their relationship to healthy weights, as the initial area of emphasis of the Strategy.
5. Post-symposium: Conference of Deputy Ministers
of Health Meeting – June 2003 Ministers of Health Meeting –
September 2003
The Process: Building A Strategy
For more information, contact …
For specific information relating to the content on the website, including information on the roundtables, symposium or workbook, please contact Tina Lalande at Health Canada (613.957.0898), or use one of the following co-ordinates:
Email: [email protected] Fax: 613.241.8847 Mail: Healthy Living Strategy
c/o The Alder Group 1306 rue Wellington Street, Suite 200 Ottawa, ON Canada, K1Y 3B2
Health and Wellness, MOHLTC:
"Exploring Chronic Disease Prevention in Ontario:
How to Build Health Promotion Practice"
Focus Groups
Purpose of the Focus Groups To explore the value, feasibility and interest of
Ontario organizations in connecting in some way regarding chronic disease prevention.
To explore the related opportunities, challenges, expectations and conditions within which a partnership of some kind might work.
To explore the details of a partnership in terms of preferred type / structure including a leadership model, necessary supports and priority functions.
To recommend next steps in this process to move towards coordinated chronic disease prevention for Ontario.
Results of the Process 8 groups planned (7 held)
Voluntary non-government organizations Researchers OHPRS members Local practitioners Regional groups HPW, MOHLTC Provincial organizations MOHLTC (beyond HPW) & Education / Recreation
ministry repsApproximately 60 people attended
Results of the Process
6 themes of the discussion emerging Opportunities Challenges Needs The Model Potential functions in Ontario Recommendations
Next Steps in the Process
Report to be received by HP&W Circulation to the participants Discussion / decision regarding content