Title: Towards an Integrated System for the Prevention of Chronic Disease in Canada
1Towards 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
2Presentation Outline
- Foundation of CDPAC
- Building on previous gains
- Current Context
- Direction
- Vision, provincial/territorial scan and current
activities - Policy Messages
- CDPAC engagement opportunities
3CDPAC 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)
4Current Canadian Context
- Government interest and/or investment in risk
factors sustainability of health care - Advisory Committee on Population Health and
Health Security - Policy papers public health capacity, chronic
disease prevention - Strategy development of a research agenda,
national consortium for BP in CDP,
forum/meeting/summit
5Current Canadian Context (contd)
- Health reform - Kirby, Romanow
provincial/territorial reports - CIHR health services and population research
pillars - Chronic disease surveillance system development
- National Best Practices Consortium
6CDPAC Vision
- There 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.
7Mission
- 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
8Current Structure
Alliance members, active participants and
subscribers
National Stakeholders
Provincial and Territorial Alliances
Steering Committee Working Groups
Secretariat
9StakeholdersEngaged Communities of Practice
Tobacco
Prevention Research
Canadian Municipalities
Professional Assoc
Nutrition
Physical Activity
Others
Workplace
Public Health
School Health
10Guiding Principles
- Population-based
- Reduce inequalities
- Leadership
- Integration and coordination
- Comprehensiveness
- Focus on excellence
11Guiding Principles (contd)
- Best practices
- Capacity building
- Accountability
- Sustainability
- Linked to and shape developments in Canadas
health system
12Steering 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
13Provincial / Territorial Consultation
(November 2002)
- Recommendations for CDPAC
- Assemble the evidence base
- Facilitate transfer of best practices / knowledge
- Champion CDP
- Enable communication
- Enable networking
- Enable resources / capacity building
14National 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
15 CDPAC Functions Activities
- Cheryl Moyer
- receied funding from Health Canada to support a
start-up phase
- 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
16CDPAC Policy Messages for Systems Change(as of
March 2003)
- The framework needs to be comprehensive and built
on demonstrated success. - Public health and municipal capacity needs to be
a priority for sustained investment. - Government coordination and leadership is
essential for successful implementation.
17Systems ChangeNext Steps
- Engage the leaders for systems change
- public health, primary care, education,
recreation, transportation, etc. - Support Canadas investment
- invest in provincial/territorial alliances, CDPAC
and risk factor alliances for integrated healthy
living strategy
18What 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
19Engagement 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 -
-
20(No Transcript)
21Web Site Tools
- CDPAC Definitions
- NewsBytes
- The Case for Change other documents
- Updates on each province
- National risk factor strategic papers
22Concluding CDPAC Messages
- The integrated CDP movement is gaining momentum
and growing. - History will be a driver Standing on the
shoulders of giants - Success will be achieved through a systems
approach bring everyone to the table - The preventive dose needs to be achieved in
communities.
23Integrated Pan Canadian Healthy Living Strategy
24Presentation Outline
- http//healthyliving-viesaine.ca/english/index.ht
ml - Background
- What is Healthy Living?
- The Goals Objectives of the strategy
- 4 Proposed Strategic Directions
- The process for the development of the strategy
25Background
- Renewed commitment by governments to health
promotion, and disease / injury prevention. - September 2002 agreement among Canadas
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)
26What 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.
27An 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.
28- What? (contd)
- 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.
29(No Transcript)
30- 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
31Goals of the Strategy
- The Goals of the Strategy are
- To improve overall health outcomes
- To reduce health disparities
32Objectives 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
334 Proposed Strategic Directionsas a Focus for
Action
- Leadership and Policy Development
- E.g. Building relationships/partnerships among
governments to develop healthy public policy - Knowledge Development and Transfer
- E.g. Concerted initiatives in research and
surveillance - Community Development and Infrastructure
- E.g. Development of community-based demonstration
projects - Public Information
- E.g. Public Awareness and Education/Social
Marketing
34The ProcessBuilding 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)
35(No Transcript)
36The 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/Terri
torial 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
37The 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.
38The 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
processes - proposed 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.
39The Process Building A Strategy
- 5. Post-symposium
- Conference of Deputy Ministers of Health Meeting
June 2003 - Ministers of Health Meeting September 2003
40For 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 info_at_healthyliving-viesaine.ca
- Fax 613.241.8847
- Mail Healthy Living Strategy c/o The Alder
Group 1306 rue Wellington Street, Suite
200 Ottawa, ON Canada, K1Y 3B2
41Health and Wellness, MOHLTC "Exploring Chronic
Disease Prevention in Ontario How to Build
Health Promotion Practice" Focus Groups
42Purpose 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.
43Results 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 reps - Approximately 60 people attended
44Results of the Process
- 6 themes of the discussion emerging
- Opportunities
- Challenges
- Needs
- The Model
- Potential functions in Ontario
- Recommendations
45Next Steps in the Process
- Report to be received by HPW
- Circulation to the participants
- Discussion / decision regarding content