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Health in All Policies to Tackle the Wicked Problem of Inequities in Child Health © C.M. Christmas CPHA 2014 Candice M. Christmas, MA Doctoral Candidate,

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Presentation on theme: "Health in All Policies to Tackle the Wicked Problem of Inequities in Child Health © C.M. Christmas CPHA 2014 Candice M. Christmas, MA Doctoral Candidate,"— Presentation transcript:

1 Health in All Policies to Tackle the Wicked Problem of Inequities in Child Health © C.M. Christmas CPHA 2014 Candice M. Christmas, MA Doctoral Candidate, Health Policy & Equity, York University

2 ECD and the Life Course © C.M. Christmas CPHA 2014 1st Decade2 nd Decade3 rd & 4 th Decade 5 th & 6 th Decade Old Age Birth weightSchool failure ObesityDiabetesPremature aging NutritionDepression/ Suicide Depression Memory loss Family makeup Teen pregnancy Elevated blood pressure Coronary heart disease Dementia Early care & education CriminalitySubstance abuse 0 - 6 years and the Life Course: Effects of Epigenetics, Allostatic Load, etc.

3 Child Health and Equity: A wicked problem Social Gradient of Health Theory © C.M. Christmas CPHA 2014 Political Economy 200 million at risk

4 Child Health in Canada © C.M. Christmas CPHA 2014

5 The Ottawa Charter of 1986 Peace Social justice and equity Ecosystem health Empowerment (community and individual) “Whole” of government “Whole” of community/society © C.M. Christmas CPHA 2014

6 Study Objectives HiAPs to reduce the gradient of health Bridge from policies to health outcomes Investments in ECD © C.M. Christmas CPHA 2014

7 Study Methods Political Economy Approach Scoping review –HiAPS to promote health equity –“Family friendly” policies Australia Finland Netherlands United Kingdom © C.M. Christmas CPHA 2014

8 Study Results: Barriers “New” public health not yet achieved Lack of policy frameworks for joined-up government (intersectoral cooperation) Vertical orientation of expenditure and performance targets Management of multi-scalar activity and contexts Implementation of universal versus targeted interventions Mixed use of evaluation mechanisms and data collection © C.M. Christmas CPHA 2014

9 Leadership: PM level Values: health is a social right of all citizens National governance tables with public health, environment, social affairs, education, housing, transportation, etc. for “healthy public policy” Public health funding independent of health care Treasury based funding for horizontal “win-win” policy collaborations Concrete objectives and evaluation National, universal ECEC programs National standards Child health in national strategic plans Study Results: Enablers © C.M. Christmas CPHA 2014

10 Study Discussion Societal values and expectations of government re child health must be explicit HiAPs involve building broad consensus amongst government actors, requiring strong leadership © C.M. Christmas CPHA 2014 Messaging around the “health and wealth agenda” must motivate the public and policy makers alike

11 Policy Implications for Canada Child-centered perspective –Inter-disciplinary research –Inter-sectoral action and programming © C.M. Christmas CPHA 2014 National Housing Strategy National Food Security Strategy Building Relational Communities Public Health Council for Families Universal National Program of Early Child Education and Care Well-being for families of Canada

12 © C.M. Christmas CPHA 2014 Conclusion: ECD is health Potential

13 www.HorizonKMb.ca © C.M. Christmas CPHA 2014 http://www.linkedin.com/pub/ candice-christmas /43/51b/671 Thank you! cmc3@yorku.ca

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