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Ontario Health Promotion E-Bulletin
- Looking forward / looking back 2009: Reflections on the year that was and the year coming
Contents
I Introduction
II Ministry of Health Promotion
III 2009: A bad year for health promotion? Will 2010 be better?
IV Health Promotion, Chronic Disease and Injury Prevention at the Ontario Agency for Health Protection and Promotion
V Health Nexus
VI The Health Communications Unit, 6 mandates, 6 observations
VII Chronic Disease Prevention Alliance of Canada (CDPAC) year in reviewI Introduction
Each year the OHPE invites organizations and individuals working in health promotion to reflect on the past 12 months and make some predictions about the implications for the coming year. This is the first part of the reflections piece and the final OHPE feature for 2009. The second half of the reflections will run on the January 8, 2010.
II Ministry of Health Promotion
Submitted by Laura BelfieThis year the Ministry of Health Promotion has been active on a number of fronts:
Development of guidance documents for the Ontario Public Health Standards
The Ministry of Health Promotion initiated a process earlier this year to develop Guidance Documents for the Ontario Public Health Standards (OPHS) for which the ministry is responsible. Working collaboratively with public health practitioners and other Ministry partners (Ministry of Health and Long-Term Care, Ministry of Children and Youth Services) through a Steering Committee as well as eight working groups, several documents have been created.
An Oral Health Guidance Document was approved and posted on the OPHS web page in September 2009.
Draft documents have been completed and will be out for review to the field shortly. The documents will address the following:
- Child Health
- Comprehensive Tobacco Control
- Healthy Eating, Physical Activity, Healthy Weights
- Prevention of Injury
- Prevention of Substance Misuse
- Reproductive Health
- School health
Launch of After School Initiative
In 2009, the Ministry of Health Promotion has partnered with a variety of provincial and community organizations in priority neighbourhoods to deliver after-school programs and services. More than 15,500 children and youth in over 270 sites across the province will benefit from the Ontario’s After-School Initiative. These programs include:
- healthy eating and nutrition education to help combat childhood obesity
- physical activity to encourage active lifestyles
- personal health and wellness education to promote self-esteem
- other activities to address specific priorities based on local community needs.
The programs align with findings of the Review of the Roots of Youth Violence Report, which recommended that after-school programs be available to promote good nutrition and positive activity, and to help keep youth off the streets.
The after-school initiative is also an important part of Breaking the Cycle: Ontario’s Poverty Reduction Strategy, which aims to reduce the number of children living in poverty by 25 per cent over 5 years — lifting 90,000 kids out of poverty — by boosting benefits for low–income families and enhancing publicly-funded education.
Launch of Healthy Communities Ontario
The growing complexity of health problems requires new ways of working together across disciplines and sectors. The Ministry of Health Promotion launched its new Healthy Communities Approach in June 2009 that applies community development principles and builds on multi-sectoral planning to create the conditions for community health and wellbeing.
Goals of Healthy Communities include: support for Ontarians and their local and provincial leaders to work together to improve community health and well-being; promote greater partnerships at the local, regional and provincial levels to create policies, plans and programs that make it easier for Ontarians to be healthier where they live, work, study or play; further the goals of various Ministry of Health Promotion strategies aimed at keeping people healthy and reducing health care costs of preventable diseases, conditions and injuries; and aligning provincial, regional and local health promotion efforts to achieve common goals.
This year, the ministry rolled out three pillars to support its approach to building Healthy Communities:
Healthy Communities Fund provides one window for groups looking for assistance from the Ministry of Health Promotion to promote physical activity, sport, recreation, healthy eating, injury prevention, tobacco control and mental health promotion projects.
Healthy Community Partnerships provide an infrastructure at the local, regional and provincial levels that brings people together to design and implement community healthy living plans that can create new policies and an environment that promotes health.
Healthy Communities Consortium brings together services of five health promotion resource centres to support communities with partnership and community development, training and best practices. In the coming year, the ministry will continue to develop the three pillars of the approach.
III 2009: A bad year for health promotion? Will 2010 be better?
Submitted by Irv RootmanFrom where I am sitting, on the “wet” coast, 2009 looked liked a pretty bad year for health promotion in Canada. Not only did the Canadian Consortium for Health Promotion dissolve, but two of the leading university-based centres for health promotion research, including the one at the University of Toronto, did as well. Perhaps some people would say that this is not a bad thing to happen in that it may mean that such organizations have “outlived their usefulness” or that health promotion has become “mainstream.” While there may be some validity to these arguments, there are valid arguments on the other side as well. For one, the two centres both focused on community-based health promotion research, which may or may not be picked up by other institutions or organizations. They also both have organized summer schools on health promotion for many years which contributed significantly to knowledge exchange and the development of capacity for work in health promotion at various levels. Again, this may or may not be picked up by others. The centres and the Consortium also provided leadership to health promotion across the country and internationally, and facilitated networking and collaboration. This is not to suggest that they were the only organizations providing these functions, but they certainly made a significant contribution which will be missed. So overall, I would argue that 2009 has in fact been a very bad year for health promotion in Canada which may reverberate into the future.
So is 2010 going to be a better year? The good news is that several other organizations and programs focused on health promotion still exist and are active. These include several other university-based centres, training programs, government agencies, a provincial health promotion association, a clearinghouse, and a federal health promotion centre. There are also many people working in health promotion and related fields who have training in health promotion and are fully aware of and committed to its core values. In addition, there are a number of communication vehicles such as the OHPE and Click4hp. The bad news is that as far as I can determine, there does not appear to be any organization or person who is prepared to offer “inspired leadership” to the field equivalent to that provided by people like Ron Draper, Lavada Pinder and Trevor Hancock who put health promotion in Canada on the map here and internationally. So until such people and organizations step forward I find it hard to be optimistic about 2010 in terms of health promotion in Canada. On the other hand, being a “terminal optimist,” I remain hopeful that there will be a renaissance in health promotion in this country and that it will take its rightful place among the key strategies for creating a healthier Canada.
IV Health Promotion, Chronic Disease and Injury Prevention at the Ontario Agency for Health Protection and Promotion
Submitted by Dr. Heather MansonHealth promotion, chronic disease and injury prevention are an important part of the Ontario Agency for Health Protection and Promotion’s (OAHPP) mandate. In keeping with the recommendations of the Agency Implementation Task Force and the priorities identified in OAHPP’s first strategic plan, the Health Promotion, Chronic Disease and Injury Prevention (HPCDIP) Section of OAHPP focused its attention on a number of activities during 2009. Much of this work centred on identifying gaps and opportunities, setting priorities and establishing linkages and collaborations with partner organizations.
In the late fall of 2009, the OAHPP and the Ministry of Health Promotion (MHP) completed negotiations involving the transfer of four Ministry of Health Promotion-funded resource centres: The Alcohol Policy Network, the Health Communications Unit, the Ontario Injury Prevention Resource Centre, and the Program Training and Consul