CINDI. AHLN & WHO-CINDI Link. Healthy Alberta Communities. Health Promotion in Alberta AHLN HAC

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1 Healthy Alberta Communities: A Government--Academic Partnership Gail Diachuk RN, MN Alberta Education and Alberta Health & Wellness Kim Raine PhD, RD Professor Health Promotion in Alberta Setting the historical context for health promotion and disease prevention in Alberta Framework for a Healthy Alberta Healthy U (HealthyAlberta.com) Keep your Body in Check Healthy Alberta Communities Proposal for Healthy Alberta Communities project was funded by Health and Wellness in 2004 following: Alberta Healthy Living Network Alarming data on obesity epidemic Data from North Karelia with preventive dose and environmental change AHLN & WHO-CINDI Link Research & Best Practices Awareness & Education CINDI AHLN Surveillance Partnership Development & Linkages HAC Health Disparities Healthy Public Policies Informed by 7 priority strategies of the Alberta Healthy Living Framework expertise from researchers within CHPS and international connections to WHO-CINDI COUNTRYWIDE INTEGRATED NONCOMMUNICABLE DISEASE INTERVENTION Canadian Programme Director Sylvie Stachenko Age-adjusted mortality rates of coronary heart disease in North Karelia and the whole of Finland among males aged years from 1969 to 1995.

2 Healthy Weights in Healthy Communities Goal: To provide evidence of the effectiveness of health promotion and disease prevention programs Healthy Alberta Communities Healthy Kids Alberta Healthy Alberta School Communities Healthy Weights Initiatives Healthy Alberta Communities: Goals Reduce prevalence of overweight and chronic disease risk Increase community capacity to promote health Inform policy, practice, and research decisions Environment: Context for Behaviour as a point of access for environmental change Baseline Phone surveys Measurement Clinics Research and 2009 MID Phone surveys Measurement Clinics 2012 POST (Pending funding) The Healthy Alberta Communities Medicine Hat and Area Pop: 57,000 Older population Formal partnerships with health region and municipalities St Paul Rural area Pop: 5000 Aboriginal communities nearby Active participation of local businesses and service organizations Bonnyville Service centre for 10,000 people Extremely fast growth Over 60 oil and gas companies Formal partnership with health region Norwood/North Central Edmonton Culturally diverse inner city Pop: 48,000 Grassroots initiatives 2005 Planning and networking Phone surveys and measurement clinics capacity building workshops First initiatives 2007/08 HAC as a resource Sorting out priorities New partners/ new contributions The Process

3 Baseline Chronic Disease Risk Factors: Weight Over half (58%) of the adult population reported being overweight or obese (provincial: 50.5%). Baseline Chronic Disease Risk Factors: Fruits & Vegetable Consumption Most adults (82%) do not eat enough fruits and vegetables Baseline Chronic Disease Risk Factors: Physical Activity Behaviour Over two thirds of adults reported being moderately active or very active. One in three adults reported being inactive. An Ecological Approach to Changing Environments: ANGELO Framework (Swinburn, Egger & Raza, 1999) Medicine Hat: Coalition for Active & Alternate Transportation Priority: Promote alternative transportation, including walking and cycling Networking and partnering with KEY stakeholders Now housed at the Be Fit for Life Centre Norwood/ North Central Edmonton: The Good Food Project Priority: Support food security Urban social enterprise project Local food production/household food security Sustainable in 2010! Key partners: Alberta Hospital, City of Edmonton, EMCN, CCCR

4 Bonnyville Restaurant Program Priority : Healthier choices in restaurants. Developed criteria for participation. Promoted program to local restaurants. Addressed concerns of restaurant owners (newspaper articles and radio ads). Project evaluation by participants - what they need to continue. Expansion into neighboring community. St Paul: Garden Network Priority: To enhance food security and improve the quality of individuals diet, and health 3 and soon possibly a 4 th garden site Steering Committee Support from the community MLA, Initiative Grant, PDD and more Garden Coordinator Sponsorship of the garden and Incorporation Currently reports Phone surveys and measurement clinics follow ups Sustainability in communities Research: Analyzing Data An Investment in for Chronic Disease Prevention evaluation Partnerships that value the knowledge and expertise within the community lead to local capacity to act on determinants of health Changing environments supportive of healthy living Sustainability! Economic evaluation A small investment (< $2/ person/ year) has grown substantially Chronic Disease Outcomes: Pending/ Longer term Parallel evidence tells us that creating supportive environments changes behaviour and attitudes that lead to health outcomes NETWORKING INFORMATION EXCHANGE Model of Capacity Building Genevieve Selfridge, MSc thesis 2009 CONTEXTUAL INFLUENCES PARTNERING PRIORITIZING PLANNING/ IMPLEMENTING TIME SCALE EXISTING CAPACITY SOCIAL CONTEXT COORDINATOR ROLE COMMUNITY CONNECTIONS FUNDING SUPPORTING/SUSTAINING NATURE OF PARTNERSHIPS LANGUAGE OF HEALTH UNIVERSITY PARTNERSHIP Current government perspective Successes Challenges timelines, type of data that is valued, economic times Looking forward Funding priorities (wellness agenda)

5 Acknowledgements Additional Funding Support Funder and Project Partner: Alberta Health and Wellness University of Alberta ~ Project Team: Kim Raine, Director, CHPS Ron Plotnikoff, Director, CHPS Tatjana Alvadj & Heather Deegan, Project Coordinators Kate Storey & Eric Hemphill, Research Coordinators Candace Nykiforuk, Health Geography, CHPS Lisa Purdy, Medical Laboratory Sciences Donald Schopflocher, Biostatistics, Nursing Paul Veugelers, Epidemiology, Public Health Sciences Cam Wild, Social Psychology, CHPS (HAC) Coordinators: Dianne Gillespie, Norwood/North Central Edmonton Molly Hanson-Nagel, Medicine Hat Margo Fauchon, St. Paul Florence Sencal, Bonnyville Canadian Population Health Initiative (CPHI) PRE- [Baseline] MID - [36 months] POST - [72 months] Survey ~ 20 mins RDD n=4761 Economic Survey ~ 20 mins RDD n=4000 Economic Profiles & Maps Profiles & Maps Policy & Network Policy & Network n=1554 n=1640 n=1640 n=589 n=600 n=600