Healthy Communities Consortium Helping to build healthy communities Peggy Schultz, Health Nexus Lorna McCue, OHCC May 5, 2011 Collaboration for Healthy.

Healthy Communities ConsortiumHelping to build healthy communities

Peggy Schultz, Health NexusLorna McCue, OHCC

May 5, 2011

Collaboration for Healthy Communities

www.hcconsortium.ca

Overview

Purpose: To focus attention on the broad determinants of health and collaborative approaches to creating healthy communities.

Definitions of Health and Determinants of HealthHealth Promotion and Healthy CommunitiesCommunity Capacity and CollaborationExamples of CollaborationsQuestions/Dialogue

Healthy Communities Consortium

www.hcconsortium.ca

What is Health?

A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. (WHO, 1948)

Created and lived by people within the settings of their everyday life; where we learn, work, play and love.

(Ottawa Charter for Health Promotion, 1986)

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HEALTH

Health Services

Income and Social Status

Employment and Working Conditions

Biology and Genetic

Endowment

Culture

Social Support

Networks

Education

Social Environments

Physical Environments

Personal Health

Practices and Coping Skills

Healthy Child Development

Gender

BELIEFSVALUES

ASSUMPTIONS

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Biomedical Model

Behavioural Model

Socio-environmental

Model

cardiovascular diseases

cancer

HIV/AIDS

stroke

diabetes

obesity

hypertension etc.

smoking

poor eating habits

physical inactivity

substance abuse

poor stress coping

lack of lifeskills etc.

poverty

unemployment

powerlessness

isolation

environmental pollution

stressors

hazardous living and working conditions etc.

(HP 101 On-line Course)

3 Models of Health

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What causes heart disease?

Biomedical: Heart disease is caused by hypertension, family history, & build-up of arterial plaque.

Lifestyle: Heart disease is caused by smoking, physical inactivity, excess alcohol consumption & high fat diet.

Socio-environmental: Heart disease is caused by stress, poverty, unemployment & social isolation.

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Illness care system 25%

Biologicalendowment, genetics 15%

Physical environment 10%

Social and economicenvironment 50%

Health StatusHealth Status

Health Canada, Population and Public Health Branch AB/NWT

* Data from CIAR (Canadian Institute for Advanced Research). Graph created by Saskatchewan Health. June 1997

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What we need to do:

• Understand the interactions between individual characteristics, social and economic factors, and physical environments.

• Develop strategies that address the entire range of factors that determine health.

• Focus interventions on the health of an entire population, or significant sub-populations, rather than individuals.

• Foster shared responsibility for developing healthy public policies outside the traditional health system.

Health Canada, Population and Public Health Branch AB/NWT

www.hcconsortium.ca

How we can get there . . .

build new alliances for health and well-being

• work better across jurisdictions (health, education, justice, employment)

• work better across government, voluntary and private sectors

One way

Health Canada, Population and Public Health Branch AB/NWT

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Ottawa Charter For Health Promotion

Strengthen Community Action

Enable

Mediate

AdvocateCreate

SupportiveEnvironments

Health ServicesReorient

DevelopPersonal

Skills

Health Canada, Population and Public Health Branch AB/NWT

www.hcconsortium.ca

Health Promotion Values

Holistic view of health

Social justice and equity

Power sharing and respect

Social inclusion

Empowerment

Evidence-based practice

Collaboration

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Creating a Healthy Community

Health Canada, Population and Public Health Branch AB/NWT

www.hcconsortium.ca

Collaboration

Full Collaboration

Coalition

Partnership

Alliance

Network• C

omm

itmen

t

• Inv

estm

ent

• Owne

rship

• Com

plexit

y of

relat

ionsh

ip

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What is community engagement?

Community engagement means people working collaboratively, through inspired action & learning, to create and realize bold visions for their common future.

Source: Tamarack Institute of Community Engagement

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Why engage communities?

Encourages people to come together to create social change

Builds capacity for individuals & communities to have more control over the factors that influence health

Increases social capital in communities

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lic Health

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Inclusion and Equity

A lens to help focus on the political, social and economic factors that influence the health of populations

Focus on the structures and conditions, rather than the specific factors that contribute to each individual’s social exclusion or inclusion.

Inclusion helps focus on health inequities

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Community Capacity

…is the combination of a community's commitment, resources and skills that can be deployed to build on community strengths and address community problems and opportunities.

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Outcomes of CommunityCapacity Building

1. Expanding, diverse, inclusive citizen participation

2. Expanding leadership base

3. Strengthened individual skills

4. Widely shared understanding and vision

5. Strategic community agenda

6. Consistent, tangible progress towards goals

7. More effective community organizations and institutions

8. Better use of resources by the community

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Examples of Collaboration

Healthy Communities – Communautés santé

Connecting the Dots

FoodNet Ontario

Healthy Communities Consortium

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BC Healthy Communities

Mouvement Acadien des Communautés en Santé du Nouveau-Brunswick

Ontario Healthy Communities Coalition

Réseau quebecois de Villes et Villages en santé

Partners

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Healthy Communities Framework

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Connecting the Dots

Healthy Communities Consortium

CTD is a dynamic, multi-sectoral, community engagement model that helps communities “work together differently” for better chronic disease outcomes and improved health for all. Health Nexus works with communities to bring together a wide cross-section of community leaders to address complex problems in a new and innovative way.

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Working together to achieve a food-secure Ontario

FoodNet Ontario is a province-wide network that strengthens organizations and individuals committed to achieving community food security and creating sustainable local food systems. FNO members include a broad range of participants in the food system - including farmers, consumers, health promoters, community groups and government organizations – who are working together to create food systems that are healthy, just, accessible and sustainable.

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MHPS Healthy Communities Fund

Source: Dahlgren, G. and Whitehead, M. (1991).

www.hcconsortium.caHealthy Communities Consortium

Healthy Communities Consortium

We are group of four health promotion organizations that collaboratively support community organizations and partnerships in Ontario to build healthy communities.

Members of the Consortium are:• Health Nexus • Parent Action on Drugs (PAD)• Ontario Healthy Communities Coalition (OHCC)• Ontario Public Health Association (OPHA).

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Consortium Clients

The Consortium provides a continuum of services, in both official languages, to:

• Healthy Communities Partnerships• Community groups and organizations

interested in and eligible for Healthy Communities Fund Grants

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Consortium Services

Consultation Services• Personalized on-site or phone/email support

Learning Events• Webinars, provincial workshops and regional workshops on a variety of

health promotion and community development topics

Knowledge Transfer and Exchange• Educational resources, listservs and electronic bulletins

Network Support• Participation on and capacity-building services networks aligned with the

Healthy Communities framework

Referrals• Referrals to additional resource centres and organizations

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Contact the Consortium

To learn more about the Consortium or to request a service:

Visit www.hcconsortium.ca (English) or www.consortiumcs.ca (Français)

Call 416-408-4841 or 1-800-766-3418 ext. 3

Email [email protected]