Title: Enhancing Capacity for Surveillance of Chronic Disease Risk Factors and Determinants Strategy
1Measuring the Health of the Population
Presented by Paula Stewart MD,
FRCPC Surveillance Division, CCDPC Public Health
Agency of Canada November 7, 2006
2Listening to the Population Health Surveillance
- The tracking and forecasting of any health event
or health determinant - through the continuous collection of high-quality
data, - the integration, analysis and interpretation of
those data into surveillance products (such as
reports, advisories, warnings) - and the dissemination of those surveillance
products to those who need to know. - Surveillance products are produced for a specific
public health purpose or policy objective.
3IDEAL SURVEILLANCE SYSTEM
Improve health of the population
Action Based on Information
Policies Programs Services
Identify need for population Information
Data Analysis/ Interpretation
Surveillance Products and Dissemination
Data Collection/ Collation
Indicator Framework
Management Coordination/Collaboration Legislation
Regulation
4Surveillance can be used to
- Plan health services gives context
- Monitor trends
- Clusters of risk factors/determinants, emerging
issues - Tailor policies and programs
- Complements research evidence
- Evaluate policies, programs and services
- Point to research questions
5Need to decide what to measure
- Based on programs, policies and service needs
what do we want to change? - Indicator framework development
- Involve key people/organizations
- Senior level committment
6PHAC chronic disease indicators
- Common framework
- Risk factor and disease-specific content
- Developed with experts and users
- Linked to public health importance, feasibility
and quality - SMART specific, measurable, actionable,
relevant, timely
7Chronic Disease Indicator Framework
Health promotion and prevention programs
policies
Community, school, workplace environment
Health Status
Individual knowledge, attitude, behaviours
Management programs policies
8Healthy Living and Chronic Disease
Surveillance Potential Data Sources
Administrative Databases - recreation,
municipalities, housing, transportation, police,
justice
Primary health care (CIHI)
Electronic Health Record Databases
Community environment
- On-going Surveys
- Central (CCHS, PAM, CTUMS, CLSCY)
- Regional/local (RRFSS, RHS First Nations)
Individual and Family
Health Services
P/T Health Admin - physician billing, hospital,
lab, drugs
School, workplace, other
Insurance Databases
Cancer Registries
EAP, school, prison databases
Mortality Databases
9Using surveillance information
- Accessing data
- Analysis and interpretation
- User- friendly products and dissemination
- PHAC NCD-infobase
10Examples
- Report The Face of Mental Health and Illness in
Canada 2006 - Many indicators
- Many data sources used
- Audience public, politicians, media, community
organizations, NGOs, academia, health service
providers - Available from PHAC booth
11Figure 1-5 Ability to handle unexpected problems,
by age, Canada, 2002
Source Statistics Canada, Canadian Community
Health Survey, 2002, Mental Health and Well-being
Cycle 1.2
12Figure 1-17 Ability to handle day-to-day demands
reported as fair or poor, by income adequacy,
Canada, 2002
Source Statistics Canada, Canadian Community
Health Survey, 2002, Mental Health and Well-being
Cycle 1.2
13Figure 1-8 Proportion of students who often feel
left out or lonely, by sex and grade, Canada, 2002
Source Health Behaviour of School-Aged Children
Survey, 2002, WHO.
14Figure 1-9 Proportion of students who feel they
do not belong at their school, by sex and grade,
Canada, 2002
Source Health Behaviour of School-Aged Children
Survey, 2002, WHO.
15Figure 1-12 Most important source of feelings of
stress among adults aged 25-44 years, by sex,
Canada, 2002
Respondents may have checked more than 1 source
of stress. Source Statistics Canada, Canadian
Community Health Survey, 2002, Mental Health and
Well-being Cycle 1.2
16Summary
- Important to know what is happening in the
population - Decide what you want to know about
- Use existing data sources where possible
- Interpret wisely and share results
- Create an environment and a thirst for
surveillance information