Capacity Building and Implementation Priorities for Chronic Disease Prevention and Healthy Living St

1
Capacity Building and Implementation Priorities
for Chronic Disease Prevention and Healthy Living
Strategies

• Kerry Robinson, Susan Elliott, Dexter Harvey,
• John Eyles, Roy Cameron, Jennifer OLoughlin
• Canadian Heart Health Dissemination Project
• McMaster University, Hamilton, ON.
• http//www.science.mcmaster.ca/chhdp
• Email krobins_at_mcmaster.ca

2
Study Rationale

• WHO identified capacity building and
  dissemination as requirements to support
  integrated CDP strategies.
• We know little about the state of chronic disease
  prevention capacity and implementation across
  Canada.
• Canadian Heart Health Initiative
  (CHHI)-Dissemination Phase as a rich
  research-intervention exemplar that can inform
  CDP capacity building and implementation
  priorities.

3
(No Transcript)
4
Research Context Canadian Heart Health
Dissemination Project

• Designed to assess the activities and learnings
  of CHHI provincial dissemination projects.
• Overall goal determine the relationship between
  dissemination and organizational capacity
  building, and the context and factors mediating
  this relationship for CDP/health promotion.
• 7 provinces (ON, MB, PEI, SK, NL, BC, AB)

5
Design Methods
6
Inputs Human Financial Investments
7
Capacity Building Interventions

• Workshops, training, summer schools
• Consultations, technical support, facilitation,
  mentoring
• Networking opportunities or network development
• Material resource production and distribution
• Orientation, communication, meetings
• Research feedback, sharing evidence/best
  practices
• Seed funding, grant programs

8
Capacity Dimension Changes
N/A- not available, NC- no consistent change
9
Implementation Changes
N/A- not available, NC- no consistent change
10
Examples of Progress

• Priority
• ON 29 increase in level of priority for heart
  health in public health units.
• Skills
• SK 11 increase in Health District staff planning
  skills.
• Partnerships
• NL 37 increase in number of coalition partners.
• Program Comprehensiveness
• BC 25 increase in scores (RF, setting, strategy,
  target population).

11
Highlights National Survey Results
Scale of 1-5, very low/poor-very high/very good
12
(No Transcript)
13
Dissemination Phase Summary

• Provincial projects generated a complex array of
  capacity building interventions.
• Positive, modest change in organizational
  capacity and program implementation for CDP was
  documented by all provincial projects.
• Despite progress, skills, resources and
  involvement in HP practices and program
  implementation are low to moderate.

14
Development Priority Areas

• Skill development
• Social determinants, stress, physical activity
• income inequality, social exclusion
• Evaluation, implementation strategies
• Resource allocation (HR, funding)
• Implementation areas
• Settings health care settings, workplaces
• Strategies healthy public policy development,
  service provider skill building, volunteer
  development

15
A Way Forward

• Foster health promotion policy champions.
• Target provincial level for capacity building.
• Greater investment in capacity building including
  central provision of technical supports and
  training tailored to regional needs.
• Greater national provincial policy coordination
  and integration.
• Focus on regional networking and partnerships.
• Monitor change over time.

16
CDP Strategy Learnings

• Combination of federal funds and matching
  contributions (provincial, regional).
• Minimum of 5 years to see change.
• Common objectives key indicators with
  flexibility for some provincial differences.
• Facilitate cross-provincial pollination on
  research intervention activities.
• Consistency in national provincial policy and
  funding champions is key.

17
Acknowledgements

• The researchers would like to thank Nancy
  Hanusaik for her work on the national survey,
  CIHR for funding this project study and the CHHDP
  Advisory Groups for their support and counsel.