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

2. Healthy Communities Consortium
Overview
Purpose: To focus attention on the broad determinants of health and collaborative approaches to creating healthy communities.
Definitions of Health and Determinants of Health
Health Promotion and Healthy Communities
Community Capacity and Collaboration
Examples of Collaborations
Questions/Dialogue
Peggy
Healthy Communities Consortium

3. 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)
Peggy: Emphasize that the WHO has recognized the holistic nature of health since 1948

4. HEALTH VALUES BELIEFS ASSUMPTIONS
Health Services
Income and Social Status
Education
Social Support Networks
Physical Environments
Employment and Working Conditions
Biology and Genetic Endowment
Healthy Child Development
Social Environments
Peg
As usual, what we see is just the tip of the iceberg - catches our attention- and that of the media, then health services
Our inventory of what’s beneath the waterline is evolving – as new research allows us to identify other biological, psychological, social and economic factors that impact upon our health and that of our communities
The World Health Organization defines these prerequisites somewhat differently, specifying peace, shelter, food, social justice, human rights and equity. And defines poverty as the ‘greatest threat to health.’ Income is, of course, intimately linked with many of the other determinants.
NOTE: Values, Assumptions & Beliefs – at individual and societal level – let’s keep these in mind as we move through the day…
Personal Health Practices and Coping Skills
Gender
Culture
VALUES
BELIEFS 4
ASSUMPTIONS

5. Socio-environmental Model
3 Models of Health
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.
Peg
Highlight each of these – adding how we then think about prevention & HP in each model
We and often our professions differ in how we think about, and how we address issues of health illness and care. Today it’s not our purpose to make one model ‘right’ or ‘wrong’.
(HP 101 On-line Course)

6. 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.
Peg
Truth in each – yet need to connect the individual behaviours with actual conditions in which we live, work, play and love.

7. Health Status
Lorna
* Data from CIAR (Canadian Institute for Advanced Research).
Graph created by Saskatchewan Health. June 1997
Health Canada, Population and Public Health Branch AB/NWT

8. 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.
Lorna
Health Canada, Population and Public Health Branch AB/NWT

9. How we can get there . . .
One way
build new alliances for health and well-being
work better across jurisdictions (health, education, justice, employment)
work better across government, voluntary and private sectors
Lorna
Health Canada, Population and Public Health Branch AB/NWT

10. Ottawa Charter For Health Promotion
Strengthen
Community Action
Enable
Mediate
Advocate
Create
Supportive
Environments
Health Services
Reorient
Develop
Personal
Skills
Peg
Charter – health as resource for everyday living – where we learn, work, play and love – goes beyond the health care system…
The release of the Ottawa Charter for Health Promotion (WHO 1986) and Achieving Health for All: A Framework for Health Promotion (Epp, 1986) further developed some of the basic principles articulated in the White Paper.
The Charter defined peace, shelter, education, food, income, a stable ecosystem, sustainable resources, social justice, and equity as pre-requisites to health. Both documents emphasized strategies such as mutual aid and healthy public policy to promote health and underscored the importance of community development principles in promoting health.
Health Canada, Population and Public Health Branch AB/NWT

11. Health Promotion Values
Holistic view of health
Social justice and equity
Power sharing and respect
Social inclusion
Empowerment
Evidence-based practice
Collaboration
Peg
These values may/may not resonate with everyone and/or we may need to explore what they mean in our contexts – but important to come back to as we consider the opportunities and challenges…over to Jeff
Enable control
Use participatory approaches
Focus on determinants of health
Focus on strengths and assets
Focus on goals, rather than problems
Use multiple strategies in multiple settings
Acknowledge the importance of context

12. Creating a Healthy Community
Environment
Viable
Livable
Health
Convivial
Equitable
Sustainable
Adequately
prosperous
Community
Economy
Lorna
Based on a model from: Hancock, Trevor “Health, human development and the community ecosystem: three ecological models.” Health Promotion International, Vol.8 No.1.
In creating a healthy community, health is put at the centre. The community, its environment and economy all exist within the natural ecosystem that encircles the whole model.
A healthy community should be sustainable, livable, viable, equitable and prosperous. The goal is to create communities of people empowering each other to stay well.
Health Canada, Population and Public Health Branch AB/NWT

13. Collaboration Full Collaboration Coalition Partnership Alliance
Complexity of relationship
Commitment
Investment
Ownership
Lorna
Alliance
Network

14. What is community engagement?
Community engagement means people working collaboratively, through inspired action & learning, to create and realize bold visions for their common future.
Peg
Acknowledge this as one definition -
Source: Tamarack Institute of Community Engagement

15. 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
Peg
Keeping in mind - what has been emerging with participants … expand a bit on social capital and emphasize the 2nd bullet point re: ‘have more control’ – leading into next slide…
Social capital = people who get to know one another through social networks/institutions/organizations/voluntary associations build a form of trust that over time allows us to see beyond immediate interests – encourages social cohesion and enables people to work together for common goals

16. Four Levels of Engagement
Our Communities, Our Health, Our Future
Four Levels of Engagement
Region of Waterloo Public Health
Peg
Clockwise from top-left

17. 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
Peg

18. 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.
Lorna

19. Outcomes of Community Capacity Building
Expanding, diverse, inclusive citizen participation
Expanding leadership base
Strengthened individual skills
Widely shared understanding and vision
Strategic community agenda
Consistent, tangible progress towards goals
More effective community organizations and institutions
Better use of resources by the community
Lorna
The outcomes of community capacity building, to varying extents. are (read page)
Welcoming diversity means acknowledging and respecting differences, and recognizing the value of every individual to their communities and to society at large

20. Examples of Collaboration
Healthy Communities – Communautés santé
Connecting the Dots
FoodNet Ontario
Healthy Communities Consortium
The outcomes of OHCC’s work, to varying extents. are (read page)
Welcoming diversity means acknowledging and respecting differences, and recognizing the value of every individual to their communities and to society at large

21. Partners BC Healthy Communities
Mouvement Acadien des Communautés en Santé du Nouveau-Brunswick
Ontario Healthy Communities Coalition
Réseau quebecois de Villes et Villages en santé

22. Healthy Communities Framework

23. Healthy Communities Consortium
Connecting the Dots
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.
Healthy Communities Consortium

24. FoodNet Ontario
4/21/2017
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.
Working together to achieve a food-secure Ontario

25. MHPS Healthy Communities Fund
The Ministry of Health Promotion and Sport recognizes that health is determined by complex interactions between social and economic factors, the physical environment and individual behaviour.
By focusing on the broad determinants of health we have a much greater opportunity to reduce barriers and improve the health of all Ontarians where they live, learn, play and work.
Understanding the Factors that Influence Community Health and Well being
So often we think of the middle circle first – our genes influence our health
Then we think of the next circle - our lifestyle choices
The Fourth circle shows the role that other factors play
For example, we know that those with higher incomes and education levels are healthier
Unsafe water effects your health
Having adequate housing is critical to being healthy
It’s hard to get people to stop smoking if they have other pressures they’re facing (where to live, finding a job, not having adequate income) so we always have to consider the role that other factors play
Hence, we need to work with others in the community to effect health and wellbeing
For example, we know people in suburbs where it’s harder to walk to places, tend to be more overweight
We know the way communities are designed can effect people’s health
The last circle shows that we need to understand the role played by socio-economic, cultural and environmental conditions to figure out what intervention will improve health and think about the role that other sector can ply to help out (e.g. planners, transportation and food industry)
Source: Dahlgren, G. and Whitehead, M. (1991). Policies and Strategies to Promote Social Equity in Health. Stockholm: Institute for Future Studies.
Source: Dahlgren, G. and Whitehead, M. (1991).

26. 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).
The Healthy Communities Consortium is a 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), and the Ontario Public Health Association (OPHA).
Together we have decades of experience in providing a wide range of capacity building services to those working on community-based health promotion programs and initiatives. We have a proven track record in providing services that are not only responsive to client needs but also anticipate emerging trends and issues in the field.
Healthy Communities Consortium

27. Healthy Communities Consortium
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
We specialize in building the capacity of individuals, organizations, networks and communities to help them plan and deliver programs and services which positively impact the health of those who live, work and play in their community. We offer a continuum of services, based on identified needs as well as current happenings in the field, designed to help you help your community.
Our two main client groups are
Healthy Communities Partnerships: local networks and groups working in communities to improve health outcomes through the development of healthy public policies
Community groups and organizations interested in and eligible for the Grant Stream of the Healthy Communities framework: local groups and organizations delivering programs (or seeking to develop programs) within the 6 priority areas of the Healthy Communities framework
Healthy Communities Consortium

28. Healthy Communities Consortium
Consortium Services
Consultation Services
Personalized on-site or phone/ 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
Our continuum of services are designed to increase capacity in a variety of health promotion topics and processes.
Consultation services
Our staff and consultants will work with you to determine and meet your needs- whether that facilitating planning sessions, providing professional development workshops for your network, or one-on-one support via phone or .
Training
Based on identified needs and trends in the field, we develop series of webinars and regional workshops on a variety of health promotion topics such as healthy communities, partnership development, community engagement and the 6 priority areas of the Healthy Communities framework. We also have at least one provincial workshop each year.
Knowledge Transfer and Exchange
We have a large library of resources we’ve developed on topics such as policy development, the social determinants of health, strategic and program planning and many more. We develop new resources based on identified needs.
We also have two e-newsletters: OHPE (in English) and Le Bloc Note (in French) which deliver health promotion news around the country and internationally. Partnership-Links is a two-way listserv for those working within the Partnership Stream of Healthy Communities to share information about their work, and receive information from the Consortium and other stakeholders.
Network Support
The Consortium is available to participate in your network meetings to provide expertise, contacts and resources.
Referrals
We have partnerships with a variety of health promotion organizations with additional expertise. By contacting us, we will work with our partners to meet your needs
Healthy Communities Consortium

29. Contact the Consortium
To learn more about the Consortium or to request a service:
Visit (English) or (Français)
Call or ext. 3
You can access the Consortium through ‘one window’ via , phone or our website.
Healthy Communities Consortium