Canada's Action on Social Determinants of Health by rt3463df

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Policy Analysis & Research Function

 WHO Collaborating Centre on Chronic Noncommunicable Disease Policy

               Policy Observatory Meeting
                    Montreal, May 2008

Policy Analysis & Research
• Analysis of policies (descriptive and
  analytical) in order to generate usable
  policy knowledge.

  –    “Enlightenment” function

  –    “Problem solving” function
      • Analysis for policy

Policy Analysis & Research
• Using Quantitative and/or Qualitative
  Research methods

• To date, the Policy Observatory has
  relied mainly on qualitative-interpretive
  –   Case study as a research method

                Using the policy cycles approach:
                    Past and current projects
Phase 1: Formulation
Case Studies:
-Nutrition Labelling (Canada)
-National Food & Nutrition Policy (Brazil)                                 Phase 2: Implementation
-Fortify Wheat Flour with Folic Acid (Costa Rica)                          Case Study on Nutrition Labelling
                                                                           (Canada: Sandra Burt and Ellen Vogel)

                                                                 Implementation      Analysis of NCD-related policies
                                                                                     in CINDI participating countries

                                  Setting                     Evaluation

    Phase 2 Canada-Implementation
•   Title: Implementation Strategies for Nutrition Labelling:
    Forging A Strategy in the Face of Implementation Obstacles

•   Objectives: To examine the strategies developed by
    Health Canada and the Canada Food Inspection Agency to
    implement the regulations introduced in 2002.

•   Results: Six factors affect the implementation process:
     –    1) Technical requirements;
     –    2) Diversity and complexity of the problem being addressed;
     –    3) Size of the target group;
     –    4) Extent to which behavioural changes are involved;
     –    5) Political and economic context;
     –    6) Strength of the administrative group(s) charged with carrying out the

Developing, Implementing and Researching
         Integrated Approaches

• Case study on ActNow BC- a whole-of-
  government approach to health
  promotion (province of British

  –   “An integrated, partnership-based,
      health promotion and chronic disease
      prevention strategy”.

ActNow BC Key Targets- 2010
•   Physical Activity – To increase by 20% the proportion of the B.C.
    population (aged 12+) who are physically active or moderately active
    during their leisure time (58.1%18 to 69.7%)

•   Healthy Eating – To increase by 20% the proportion of the B.C.
    population (aged 12+) who eat the daily recommended level of fruits
    and vegetables (40.1%19 to 48.1%)

•   Tobacco Use – To reduce by 10% the proportion of the BC
    population (aged 15+) that use tobacco from the current prevalence
    rate (16.0%20 to 14.4%)

•   Overweight/Obesity – To reduce by 20% the proportion of the B.C.
    population (aged 18+) currently classified as overweight or obese
    (42.3%21 to 33.8%)

•   Healthy Choices in Pregnancy – To increase by 50.0% the number
    of women counseled regarding alcohol useduring pregnancy

               ActNow BC
• Key characteristics of ActNow BC
  –  Assistant Deputy Ministers Intersectoral
  –  Minister of State for ActNow BC
  –  Accountability Framework
    • Logic Model- Each Ministry
    • Programs/Policies/Activities
       contributing to meeting the ActNow
       targets must be included in each
       service plan
  –  Partnership with a coalition of NGOs

      Act Now BC Case Study

• +30 interviews with key informants

• Follow the initiative over time

• Advisory Board
  –    PHAC, NGO, BC Ministry of Health, WHO

       Future projects…
• Literature- systematic reviews

• PHAC priorities

• Emerging research topics

• This meeting…


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