Presentation on theme: "Ontario Food and Nutrition Strategy Possibility Conversation Meeting #2 Ontario Collaborative Group on Healthy Eating and Physical Activity (OCGHEPA)"— Presentation transcript:
1Ontario Food and Nutrition Strategy Possibility Conversation Meeting #2 Ontario Collaborative Group on Healthy Eating and Physical Activity (OCGHEPA)November 28, 2011
2Agenda for this session WelcomeUpdate on the work of the OFNS Design TeamQuick Huddle – Sense makingConversation CafeMoving forward
3What is the Vision for an Ontario Food and Nutrition Strategy? A cross-government, multi-stakeholder coordinated approach to food policy development.
4Vision – Long-term Outcomes Safe, nutritious, affordable and accessible food for all OntariansFood skills and community developmentHealthy eating throughout lifetimeSustainable local food and agriculture businessesImproved health economy, equity, environmental sustainabilityOn-going monitoring, measurement and evaluationFrom draft logic model – could be discussed if they agree with the long term outcomes
5What is the process that brought us here today? Initiated by the Ontario collaborative group on healthy eating and physical activity (OCGHEPA)A provincial collaboration of health professionals from non-profit, health and academic organizations dedicated to addressing population-based issues relating to healthy eating, physical activity, healthy weights and the determinants of health, including food access, availability and adequacy.The Canadian Cancer Society acts as a secretariat for the group.Our mission is to improve the health of all Ontarians by advancing healthy eating and active living initiatives through strategic partnerships, knowledge exchange and collective action. Our vision for 2015 is an Ontario that supports healthy eating and active living for all.We envision Ontario becoming the healthiest province in Canada through an inclusive participatory approach that leverages the strengths, energy and resources of the various ministries within government and other important health partners and stakeholders.
6Phase 1 - May 2009-September 2010 May 2009 OCGHEPA recognized the need for a more comprehensive approach in the area of food and nutrition to promote health and wellness in Ontarians.Fall 2009 – Summer 2010Preliminary meetings and researchSeptember 2010Created background document assessing functional areas of capacitySeveral nutrition and physical activity programs and activities have been proposed and/or attempted in recent years but there has been a lack of an overall food and nutrition strategy for the province.Programs and initiatives are currently offered by many different ministries and organizations within the province without the coordination of a broad based provincial action plan.Improved linkages and more multisectoral planning through an overall food and nutrition strategy may improve the outcomes of all of these programs – that is a well nourished, healthier, more productive population, and lower health care and social costs.
7Phase 2 – Dialogue – Sept 2010 to Present Used results of Phase 1 analysis to identify specific priorities and recommendations.Phase 2 report produced to generate and facilitate dialogue.Recommendations discussed among Ontario government officials and staff as well as key health partners and stakeholders.Bringing key stakeholders into the process and moving towards actionOCGHEPA is calling on the Ontario government to begin a cross-government coordinated approach in the area of food and nutrition to improve the health and productivity of Ontarians and lower the healthcare and social costs to the province.Why - Ontario’s health care costs reached 46% of the province’s total operating budget – $44.6 billion - in By 2022, they are projected to reach 70%. Moreover, the number of Ontarians over 65, the most frequent users of the healthcare system, is expected to double to 8 million over the next 20 years. At the same time, childhood obesity has tripled since 1981 (Source: George Zegarac, Deputy Minister OMAFRA. Sparling Report, 2010).An Ontario Food and Nutrition Strategy will have economic, social and health benefits.At least 80% of premature heart disease, stroke and type 2 diabetes, and 40% of cancer could be preventedthrough healthy diet, regular physical activity and avoidance of tobacco products. Cost-effective interventionsexist: the most successful strategies have employed a range of population-wide approaches combined withinterventions for individuals. Using these approaches, Canada has already made important gains in reducingchronic disease death rates: WHO estimates that from 1970 to 2000, over 1 million cardiovascular diseasedeaths were averted in Canada.Source: WHO: Facing the Facts: The Impact of Chronic Disease in CanadaFacts on Chronic Disease:Will affect 89% of all CanadiansPreventable91% of diabetes90% of cardiovascular disease50% of cancerAvoidance of morbidityQuality of lifeReduction of health care costs - $180 B annuallySource: School of Public Health University of Alberta
8Context for OFNS 8 International: WHO’s global strategy on diet, physical activity and healthWHO European action plan for food and nutrition policyUN Summit on Non Communicable Diseases 2011National:CSCC Pan-Canadian Nutrition Strategy Framework for Health Promotion & Chronic Disease PreventionHealthy Canada Curbing Childhood ObesityCanadian Agri-Food Policy InstituteCanadian Federation of Agriculture National Food StrategyConference Board of Canada – Centre for Food in CanadaResetting the Table – A People’s Food Policy for CanadaProvinces:BC ActNow!Nutrition in Nunavut-a Framework for Action 2007Healthy Eating Nova Scotia 2005Eating Healthier in Newfoundland and Labrador 2006Live well, be well New Brunswick’s Wellness StrategyOntario:CMOH Healthy Weights, Healthy Lives 2004MHPS HEAL 2005Menu 2020 Ten Good Food Ideas for Ontario, 2010Planning for Food Systems in Ontario, OPPA, 2010OCDPA ‘Make Ontario the Healthiest Province’ 2011Vote on Food, Sustain Ontario Election Campaign 2011CDP Blueprint (CCO PHO)PanAm Games 2015Understanding where an Ontario-based Food and Nutrition Strategy fits in the larger context of food policies. What does Ontario based strategy add to the context?8
9Actors and Stakeholders OFNS Design TeamPlayers suggested in the OCGHEPA OFNS Discussion Paper:Ministries:Aboriginal AffairsAgriculture, Food and Rural AffairsChildren and Youth ServicesCommunity and Social ServicesCultureEducationEnvironmentFinanceHealth Promotion and SportHealth and Long-term CareMunicipal Affairs and HousingFood Industry and Businesses:Canadian Restaurant and Foodservice AssociationAlliance of Ontario Food ProcessorsCanadian Federation of Independent GrocersCanadian Council of Grocery DistributorsFood and Consumer Products of CanadaOntario Fruit and vegetable Growers AssociationOntario Federation of AgricultureChristian Farmers FederationNational Farmers UnionOther potential stakeholders:Green ProsperityOntario Association of Food BanksOntario Good Food Box NetworkVineland Research GroupOntario Collaborative Group on Healthy Eating and Physical Activity:Breakfast for LearningCanadian Cancer Society-ONCancer Care OntarioCanadian Diabetes AssociationDietitians of CanadaHeart and Stroke FoundationOntario Chronic Disease Prevention Management in Public HealthOntario Ministry of Agriculture, Food and Rural AffairsMHPSOPHA-Nutrition Resource CentreOntario Society of Nutrition Prof in PHOntario Society of Phys Activity Promoter in PHOntario Physical and Health Education AssociationParks and Recreation OntarioSustain OntarioU of Guelph, Human Health and Nutritional ScienceU of Waterloo, Health Studies and GerontologyOFNS Design Team:Cancer Care OntarioCanadian Cancer Society - ONDietitians of CanadaHeart and Stroke FoundationOntario Public Health AssociationOntario Professional Planners InstituteOntario Tobacco Research UnitPublic Health OntarioSustain OntarioToronto Food Policy CouncilU of WaterlooYork USo far – Strategy is led by OCGHEPA – so really is a ‘health-focussed’ strategy, but to address the other components of food in ontario – need to work with the other players mentioned in the background document.Consideration of how the strategy and group will engage with the Food industry partners listed? Other food partners to consider, eg. Convenience store owners association; Catering industry for hospitals/schools/universities/etc; hospitality industry?9
10DRAFT - Ontario Food and Nutrition Strategy, 2011 High level overview of components of an OFNSShort-term OutcomesMid-term OutcomesLong-term OutcomesOutputsInputsCapacities1.Planning and management (of organizations, partnerships and relationships)2.Research and innovation3.Knowledge exchange and capacity building4.Goal and objective setting5.Advocacy and policy development6.Program development7.Communications8.Financial transfers9.Evaluation and learning10.Surveillance11.Performance monitoring and accountabilityNew provincial mechanism to address complex food systemProvincial policies reviewed for their impact on food system including dietSystematized coordination between government and stakeholders for achieving food outcomesSafe, nutritious, affordable and accessible food for all OntariansProvincialGovernmentIndicators, data, information, analysis and disseminationFood skills and community developmentProvincial Legislation, regulatory changes, and programs to improve food content, safety, availability, accessibility, production, and sustainabilityOFNS owned by Civil Society and stakeholdersDecreased availability and marketing of unhealthy foods and increased healthy foodsHealthy eating throughout lifetimePolicy, legislation, regulation, programming recommendations to support healthy, thriving food systemSustainable local food and agriculture businessesLegislation and regulation to support safe and sustainable food productionIndustry, Agriculture, StakeholdersCoordination between health, food production industry, agriculture and social systemsImproved health economy, equity, environmental sustainabilityRecommendations for municipal and federal policyBased on the Smoke Free Ontario logic model – very draftOngoing monitoring, measurement, and evaluationDietitians of Canada statement - Ontario needs a coordinated provincial food and nutrition strategy to improve the health and productivity of Ontarians and contain healthcare and social costs to the province caused by poor health. A Food and Nutrition strategy will also encourage and support a sustainable food and agricultural system, leading to food security and economic benefits.HSF – shied away from health related outcomes and used a developmental approach and building capacityHealthy Province – is on the political agendaBylaws – Tobacco had a map of Ontario showing jurisdictions as bylaws were enacted – we could ID food policies and follow a similar approachReduce reliance on rescue systemsResearchEquity and Life-course considerationsOngoing monitoring, measurement and evaluationDRAFT - Ontario Food and Nutrition Strategy, 2011
11Moving Forward OFNS Taskforce Our goal is to work with the Government of Ontario to create a Food and Nutrition Taskforce to enable a coordinated approach to delivering food policy priorities.This taskforce would involve the participation of senior policy staff from all relevant ministries and key stakeholders from health, agriculture, environment, and business.The taskforce would provide strategic cross-sectoral perspectives to advise on the development, implementation, coordination, monitoring, and evaluation of policy and legislation related to food and food systems.
12Sense Making Does the idea of a Provincial Task Force make sense? Are there better organizing approaches that we have not thought about yet?Do we have agreement on the mandate of the Task Force?
13Conversation Cafe Questions: 1. How do we get some energy behind this? 2. What can we start to work together on now that will have a quick impact?3. Who needs to be involved/ who’s missing?
14Next StepsHow do you want to see yourselves engaged in moving forward?Who would like to join the design team/taskforce?Next meeting
15Acknowledgements…OFNS Design Team Cancer Care Ontario – Rebecca TruscottCanadian Cancer Society – ON – Florentina Stancu-Soare/Joanne DiNardoCanadian Diabetes Association – Sharon ZeilerDietitians of Canada – Lynn Roblin/Leslie Whittington-CarterHeart and Stroke Foundation – Carol DombrowOntario Public Health Association – Cindy ScythesOntario Tobacco Research Unit – Cathy MahPublic Health Ontario – Heather Manson/Michelle Murti/Mary O’BrienSustain Ontario – Ravenna Nuaimy-BarkerToronto Food Policy Council – Lauren BakerUniversity of Waterloo – Rhona Hanning, Jessica Wegener, Ellen DesjardinsYork University – Rod MacRae
16Links For More Information Canadian Agri-food Policy InstituteCanadian Federation of AgricultureCanadian Partnership Against CancerChair in Sustainable Food Production, U of GuelphChronic Disease Prevention Alliance of CanadaConference Board of Canada – Centre for Food in CanadaCurbing Childhood Obesity – FPT Framework for Action to Promote Healthy WeightsFood & Health: Advancing the Policy Agenda – Workshop Report, March 2010Joint Consortium for School HealthLiberal Party National Food Policy ignatieff-commits-to-canadas-first-national-food-policy/New Democratic Party (NDP) Canadian Food Strategy democrats-call-for-national-food-security-policyPeople’s Food Policy ProjectPublic Health is Everyone’s Business, Dr. Arlene King, CMOH Report pxSustain Ontario