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Funded by the Public Health Agency of Canada | Affiliated with McMaster University Production of this presentation has been made possible through a financial contribution from the Public Health Agency of Canada. The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada..

Action Framework for Equity-Integrated Population Health Status Reporting

Presenters:

Lesley Dyck Susan Snelling

June 7, 2016 1:00 – 2:30 PM ET

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After Today

The PowerPoint presentation (in English and French) and English audio recording will be made available. These resources are available at: PowerPoint: http://www.slideshare.net/NCCMT/ Audio Recording: https://www.youtube.com/user/nccmt/videos

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Poll Question #1 How many people are watching today’s

session with you?

a) Just me b) 1 to 3 c) 4 to 5 d) 6 to 10 e) More than 10

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Action Framework for Equity-Integrated Population Health Status Reporting

http://www.nccmt.ca/resources/search/240

Episode 26

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Poll Question #2 Where are you from?

1. BC 2. AB 3. SK 4. MB 5. ON 6. QC

7. NB 8. NS 9. PEI 10. NL 11. YK 11. NWT

12. NU 13. Outside

Canada

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NCC Infectious Diseases Winnipeg, MB NCC

Methods and Tools Hamilton, ON

NCC Healthy Public Policy Montreal, QC

NCC Determinants of Health Antigonish, NS

NCC Aboriginal Health Prince George, BC

NCC Environmental Health Vancouver, BC

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Poll Question #3 What sector are you from?

1. Public Health Practitioner 2. Health Practitioner (Other) 3. Education 4. Research 5. Provincial/Territorial/Government/Ministry 6. Municipality 7. Policy Analyst (NGO, etc.) 8. Other

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Lesley Dyck Knowledge Translation Specialist National Collaborating Centre for Determinants of Health (NCCDH) E: ldyck@stfx.ca

Presenter

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Susan Snelling Senior Knowledge Translation Specialist National Collaborating Centre for Methods and Tools (NCCMT) E: snellin@mcmaster.ca

Presenter

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The National Collaborating Centres for Public Health are funded by the Public Health Agency of Canada. The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada.

Equity Reporting: Putting knowledge mobilization for health equity at the core of population health status reporting

Spotlight Webinar Tuesday June 7, 2016

Webinar Objectives

• To introduce the Action Framework for Equity-Integrated Population Health Status Reporting.

• To engage participants in reflection on their own current and potential roles in equity-integrated population health status reporting.

National Collaborating Centre for Determinants of Health Our focus: Social conditions that influence health & narrowing the gap between the least and most healthy

Our audience: Canadian public health organizations & practitioners Our work: Explain and share what’s known to help public health positively influence health for EVERYone through their work

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NCC for Methods and Tools (NCCMT) www.nccmt.ca

• Resources to help you find and use innovative, high quality, up-to-date resources for moving research evidence into practice

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Registry of Methods and Tools

Online Learning Opportunities

Workshops Multimedia

Public Health+

Networking and Outreach

NCCMT Products and Services

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Health equity means all people (individuals, groups and communities) have a fair chance to reach their full health potential and are not disadvantaged by social, economic and environmental conditions.

NCCDH Glossary of Essential Health Equity Terms http://nccdh.ca/resources/glossary/ Picture from: http://kerncta.blogspot.ca/2013/04/obesity-prevention-summit-2013.html

Health Equity

Purposeful Reporting

Purposeful reporting has been identified as a promising practice in public health to help address the social determinants of health and advance health equity.

Sudbury & District Health Unit. 10 promising practices to guide local public health practice to reduce social inequities (2009) http://nccdh.ca/resources/entry/10-promising-practices-guide

Public health roles for improving health equity:

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NCCDH, 2013 Let’s Talk… Public Health Roles for Improving Health Equity http://nccdh.ca/resources/entry/lets-talk-public-health-roles

The Learning Circle told us …

“A report that doesn’t get used won’t help us to advance health equity.”

NCCDH, 2013. Population health status reporting: The learning together series. http://nccdh.ca/resources/entry/population-health-status-reporting

“Traditional indicators that measure morbidity and mortality tend to either place responsibility for improving health on the medical or public health communities or on vaguely identified institutions such as the economy, education, or built environment. The result is an overemphasis on medical and public health solutions while failing to articulate the specific institutions and policies that might need to change to promote greater health equity.”

Corburn & Cohen (2012, pg. 5) Corburn J, Cohen AK. (2012). Why we need urban health equity indicators: Integrating science, policy, and community. PLoS Med, 9(8): e1001285. Available from: http://dx.doi.org/10.1371/journal.pmed.1001285

Developing the Action Framework

• Learning Circle Project (2013-2015) • Key stakeholder interviews at local, provincial

and national levels (10) • Conference workshops (3) and a webinar (1)

collecting feedback from over 100 public health stakeholders

Putting knowledge mobilization at the core

A strong KM core, guided by a health equity lens, changes the way we do population health status reporting

NCCPH 2016. Equity integrated population health status reporting: Action Framework. http://nccdh.ca/resources/entry/equity-integrated-population-health-status-reporting-action-framework

Equity-Integrated PHSR Action Framework

KM Core: Where – provides the context Who – describes the primary actors How – describes the approach

Reporting process/steps: What – describes the steps of the PHSR process, and the key questions to consider for integrating health equity

Equity-Integrated PHSR Action Framework REPORTING PROCESS/STEPS

Search

Assess

Synthesize & Adapt

Report

Implement

Evaluate

Prepare • The reporting process

includes seven steps for developing and implementing PHSR.

• Each step includes key questions to guide activities and ensure the right structures are implemented to support the work of the Equity-Integrated PHSR process.

Poll Question #4 In your organization, which of the steps do you currently have a role in? (choose all that are relevant)

a) Prepare b) Search c) Assess d) Synthesize and adapt

e) Report

f) Implement g) Evaluate h) None of the above

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“Drafting, measuring, tracking, and reporting of indicators can be viewed not as a technical process for experts alone, but rather as an opportunity to develop new participatory science policy making, or what we call governance.”

Corburn & Cohen (2012, pg. 2) Corburn J, Cohen AK. (2012). Why we need urban health equity indicators: Integrating science, policy, and community. PLoS Med, 9(8): e1001285. Available from: http://dx.doi.org/10.1371/journal.pmed.1001285

Equity-Integrated PHSR Action Framework KNOWLEDGE MOBILIZATION CORE

Research, Health and Community Context

(local, regional, national)

Outcome: the community is better equipped to take action to address health equity issues

1. Where • A PHSR process can be done at

any level, local, regional, or national.

• At each level there are different people, organizations, political cultures, and available data.

• Ultimately, the community context and local issues inform the reporting process, and are impacted by it as part of the larger system(s).

Public Health

Researchers

Community Partners

Equity-Integrated PHSR Action Framework KNOWLEDGE MOBILIZATION CORE

Outcome: increased leadership capacity

2. Who • The primary actors are the public

health sector, community partners and researchers;

• A process led by any actor alone is less likely to result in action.

• The capacity for leadership and action of each is critical to being able to effectively integrate health equity into a PHSR process.

Community Partners

Public Health

Researchers

Communicate

Collaborate

Apply a Health-Equity-Values Lens

Equity-Integrated PHSR Action Framework KNOWLEDGE MOBILIZATION CORE

Outcome: an inter-sectoral and inter-disciplinary process is in place

3. How • There is no ‘one size fits all’

approach to mobilizing knowledge in a PHSR process.

• However, there are principles that are essential to apply throughout the process, which have been captured in the framework as a series of questions that must be considered.

Poll Question #5 In your context, in which aspects of the knowledge mobilization core do you believe you have a role to contribute? (choose all that are relevant)

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a) Public Health actor b) Researcher c) Community partner d) Communication e) Collaboration f) Application of a health-equity-lens g) None of the above

Equity-Integrated PHSR Action Framework

Toronto Public Health: The Unequal City

• Strong reporting process and steps

• KM Core still being developed

• After the release they did a workshop with 30 engaged TPH staff to find out how they use the data

TPH (2015). The Unequal City 2015 http://www.toronto.ca/legdocs/mmis/2015/hl/bgrd/backgroundfile-79096.pdf

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Key Learnings … so far! • The social factors that affect health are not

universal; need to consider the meaning and relevance of data in the local context

• The work of “doing” PHSR is not for experts alone, but an opportunity to implement participatory processes

• This requires PH to shift traditional monitoring and surveillance and put a strong KM strategy at the core … to drive action to improve health equity.

Proposed future research:

• Assessment of current PHSR processes being implemented by public health in Canada, with the objective of evaluating both the process and outcomes, including policy change

• Further development of standards for PHSR that effectively integrate health equity, surveillance, organizational and healthy public policy objectives

How to use the Action Framework:

• Get a copy of your current population health status report and meet with your colleagues … to explore your understanding of health equity/inequity and discuss the extent to which these concepts are part of each step in the PHSR process.

• Invite someone from the team that developed the report to talk to your colleagues … about how and where the principles of the knowledge mobilization core (application of an equity lens, communicate, collaborate) were undertaken in the PHSR process.

• Convene a cross-disciplinary and inter-sectoral group to discuss opportunities … to better integrate equity into the PHSR process and implement a knowledge mobilization strategy from the beginning of the process.

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A question to start our discussion: What is an easy next step that will strengthen an equity lens in your population health status reporting process? What is your role in this?

Health Equity Clicks: Organizations

Visit www.healthequityclicks.ca for a growing list of organizations taking action on the social determinants of health

Workshops & events

Visit our website to find out about the next knowledge exchange opportunity! http://nccdh.ca/connect/workshops-events/

Resource Library Your one-stop-shop for public health resources on the social determinants of health & health equity! http://nccdh.ca/resources/library/

Health Equity Clicks: Community

Share what works to advance health equity - join in online conversations, networking events, and more! www.nccdh.ca/community

Available at www.nccdh.ca

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Contact Us

NCC for Determinants of Health

Email: NCCDH@stfx.ca

Web: www.nccdh.ca @NCCDH_CCNDS #sdoh #healthequity

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NCC for Methods and Tools Email: NCCMT@mcmaster.ca Web: www.nccmt.ca @nccmt (en) @ccnmo (fr) #KT #EIPH

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Participant Side Panel in WebEx Your Comments/Questions

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Your Feedback is Important

Please take a few minutes to share your thoughts on today’s webinar. Your comments and suggestions help to improve the resources we offer and plan future webinars. The short survey is available at: https://nccmt.co1.qualtrics.com/SE/?SID=SV_1RYo72kiMPgpAxf

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Poll Question #6 What are your next steps? I plan to …

A. Access the Action Framework. B. Read the NCCMT summary of the Action

Framework. C. Consider using Action Framework. D. Tell a colleague about the Action

Framework.

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Funded by the Public Health Agency of Canada | Affiliated with McMaster University The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada.

For more information about the National Collaborating Centre for Methods and Tools: NCCMT website www.nccmt.ca Contact: nccmt@mcmaster.ca