«Promotion de la santé aujourd’hui » déménage!

Nexus Santé a récemment remanié son site Web (www.nexussanté.ca). Le site a un look blog_trans._frplus moderne, intégrant mieux tous nos médias sociaux. Le réaménagement vous permet de trouver une mine d’informations sur tous les sujets liés à la promotion de la santé plus rapidement. Dans cette foulée, le blog « Promotion de la santé aujourd’hui » peut maintenant être repéré sur notre nouvelle page d’accueil.

La meilleure façon de vous assurer que vous ne manquerez pas un poste est de vous abonner au flux RSS en français et en anglais.

http://fr.nexussante.ca/news/rss

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Nous vous remercions de votre soutien et votre intérêt au blog!

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Health Promotion Today is moving!

Health Nexus has recently overhauled its website (www.healthnexus.ca). The website now blog_transhas a newer, cleaner look which is integrated with our social media. You can now find a wealth of information on all topics related to health promotion more rapidly. As part of this redesign, the Health Promotion Today blog can now be found on our new homepage. The best way to ensure that you don’t miss a post is to subscribe to the RSS in English and French.

http://fr.nexussante.ca/news/rss

http://en.healthnexus.ca/news/rss

Thank you for your continued support and interest in our blog!

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Ontario government releases new report aimed at reducing childhood obesity

This morning the Ontario government released the report, No Time to Wait: The Healthy Kids Strategy from the Healthy Kids Panel.  The panel was convened last year with a mandate to develop recommendations to help the government achieve its goal of reducing childhood obesity by 20% over five years.  The strategy presented, and its 23 recommendations are organized around  three main pillars – Start all kids on the path to health; change the food environment; and healthy communities.  The strategy is comprehensive with a strong emphasis on prevention and reflects health promotion principles. I was pleased to see the inclusion of key issues such as poverty, breastfeeding and the importance of building healthy, strong communities. I look forward to reviewing the report in more detail and I am hopeful that my initial sense of optimism will hold.  My thanks to the panel members and their efforts to examine evidence and engage parents and stakeholders.Their task was by no means easy. However, as we know, the real impact of this report is in the hands of the government and how they choose to respond.

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A recap of the 2013 Best Start Conference

By Kathy Wang

In February, Best Start Resource Centre hosted its annual 3-day conference, which took place in Markham, Ontario. This event attracts public and social service providers, and policy-makers working in child and maternal health to learn about innovative and new health promotion strategies relevant to their work. Attendees are also able to share their knowledge and experience, and most importantly to network with each other in order to enhance partnership among various sectors to promote child and maternal health.

I had the opportunity to help out the Best Start team with various tasks at the conference and to attend different sessions each day. There were so many interesting concurrent sessions, and I really had a hard time choosing them. The topics ranged from childhood obesity, food allergy, mental health and prescription drug misuse in pregnancy to the importance of community engagement, ways to build a ‘culture of resilience’ and the role of social media. Moreover, I liked the fact that a large portion of the conference was dedicated to Aboriginal child and maternal health. A great and compassionate keynote speech was delivered by Sylvia Maracle addressing some of the social determinants of Aboriginal child and family health. And lastly, the conference included sessions in French focusing on the needs of the Francophone community in Ontario.

On Wednesday, I sat through an all day session on tackling the challenge of reducing childhood obesity in Ontario. I chose this session because not only the issue has been always a great interest of mine, but there seems to be a buzz around it in Ontario and other provinces in Canada. Some of the speakers included Dr. Patricia Parkin, a pediatrician from Hospital for Sick Children, and Dr. Heather Manson from Public Health Ontario, who stressed the importance of having multi-component interventions and the involvement of various sectors in tackling obesity issues in children. I particularly enjoyed the presentation by Dr. Zachary M. Ferraro because his topic was somewhat new to me. He presented some laboratory and clinical evidence that demonstrated the link between maternal obesity and excessive gestational weight gain (GWG), and the risk of having larger babies. Often, the fetal body weight can track into adulthood. His presentation was nicely followed by Dr. Michelle Motolla, where she focused on the importance of maternal lifestyle and diet during pregnancy and how to prevent early childhood obesity through educating pregnant women about healthy lifestyle using the Nutrition & Exercise Lifestyle Intervention Program (NELIP).

I think the presentation I enjoyed the most was Dr. Chaya Kulkarni’s, a director for Infant Mental Health Promotion at SickKids. Dr. Kulkarni is very passionate about this topic, mainly because she recognizes the importance of mental health in infants, which is not understood by most professionals. The majority of doctors, nurses and other health care providers still don’t believe that infants have mental health, and unfortunately, there isn’t enough research to support that simply because most studies do not include infants. At the beginning of her presentation, Dr. Kulkarni showed a video of Christian, the lion http://www.youtube.com/watch?v=btuxO-C2IzE.

“It is such a powerful video” stated Dr. Kulkarni, because it proves that even though you might not have specific memories of the past events, but the positive or negative emotions associated with the past are embedded in you forever and can have a tremendous impact on your mental health later in life.

Presentations from the conference are now available online.

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Finding common ground and common language – Making the #sdoh and #healthequity more accessible

In a recent #HealthPromoChat hosted via Twitter, the National Collaborating Centre for Determinants of Health and Health Nexus engaged in a discussion about intersectoral action on health equity which led to a discussion on the language used to explain or to frame issues related to the social determinants of health and health equity.

Many of us agreed, that the term “social determinants of health” is jargon, and only really meaningful to those who are already aware of the links between the determinants and health.

So how do we change this? How can we re-frame the language so that issues such as poverty, inequality, in mainstream media and elsewhere are linked to the whole system of factors that influence our health and well being?

Some of the thoughts and words shared during said Twitter chat are summarized here:

@Naturalweaver Also by finding ways to translate terminology across sectors.

 @Naturalweaver We talked about ‘fairness’ as word that makes sense.Also that ‘one size doesn’t fit all’!

@HannahMoffatt Using common language is important. I have heard people say they avoid language of #SDOH and even #healthequity

@MoreCoffeePls What may be common are underlying values becoming explicit

@HannahMoffatt That makes me think about how others say the determinants of health are also the determinants of crime, education etc.

 @equitysdhu At a recent @equitysdhu event our partners agreed that “opportunities for wellbeing” seemed to ring true

 @KidActiveCanada Social, structural and environmental determinants.people,places and spaces around us

 @LoriKleinsmith Another consideration is #SDOH discourse (D Raphael describes 7), we’re not always on the same page! healthypolicies.com/2011/09…

What are your thoughts on the current use and understanding of the social determinants of health and health equity?

If we had a non-jargon conversation about these two topics, what would it look like? Post your comments below!

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Chief Medical Officer of Health Report

by Barbara Willet

Dr. Arlene King, the Chief Medical Officer of Health for Ontario, recently released her latest report “Maintaining the Gains, Moving the Yardstick: Ontario Health Status Report, 2011”. This report identifies 12 health indicators that can be used to monitor how well we’re doing provincially on key health issues.

I was encouraged by the inclusion of mental health and healthy child development at school entry among others, as well as her repeated reference to the underlying determinants of health and the need to work across sectors particularly those beyond the traditional health and public health boundaries. As Dr. King states Ontario has much to be proud of in our accomplishments to improve the health of Ontarians but we still have much work ahead of us.

Essentially each indicator confirms that those living in disadvantaged situations experience poorer health outcomes. The report provides little detail but for those wanting more information about health inequities I recommend reports such as the POWER study (Project for an Ontario Women’s Health Evidence-Based Report) and the Health Equity Impact Assessment tool developed by The Ontario Ministry of Health and Long-Term Care to identify potential health equity impacts of programs, policies or initiatives on population groups and reduce avoidable disparities. We need strong public policies that address health inequities and promote health for all if we are to improve the health of individuals and communities across Ontario. Dr. King highlighted as much in her conclusions so I hope that we will see the reduction of health inequities become a provincial priority.

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Dr. Clyde Hertzman

We are deeply saddened to learn that Dr. Clyde Hertzman, Professor in the School of Population and Public Health and member of the Faculty of Medicine at the University of B.C., has passed away. As the Director of the Human Early Learning Partnership and Canada Research Chair in Population Health and Human Development, he played a key role in highlighting the role of early childhood development as a determinant of health. He and his colleagues also produced the Early Development Instrument (EDI) to measure a child’s preparedness for school. His research has informed initiatives and has shaped policies for healthy child development at many levels and we are very grateful for his many important contributions. His work will have a lasting legacy for the early child development field. Our thoughts are with his family during this difficult time.

Health Nexus

For more information on Dr. Hertzman’s work, go to http://earlylearning.ubc.ca/

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Health Promotion Headlines from Robyn & Meghan 2013/02/05

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Health Promotion Headlines from Robyn & Meghan 2013/01/29

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Aboriginal Community Development: a framework for health and healing

By Andrea Bodkin, Health Nexus

Recently I had the privilege of attending a training course on Aboriginal Community Development, co-presented by two federal government ministries. It was an incredible experience, full of information, emotion and optimism. While it’s certainly not possible to share all that I learned over the course of the two days, I would like to share some of the themes that emerged and my key learnings.

Health Nexus has, as have so many other organizations, been working with community development frameworks for decades. I think of community development as an approach where the community itself identifies its strengths, its issues or challenges, and determines how they can move forward to solve its problems or build on its progress. It’s the opposite approach to delivering a program or implementing a framework, where the ‘solution’ is imposed by an organization/group external to the community.

The Aboriginal Community Development framework recognizes that our First Nations, Inuit and Métis communities have inherent strengths and capacities, can use them to identify the challenges they face and determine how to move forward. It’s an approach that community partners, funders and organizations working with Aboriginal communities can use to build the capacity of communities. It marks an exciting change from colonialist approaches which separates Aboriginal Canadians from “other” Canadians and assumes that “we” have the answers to “their” problems.

Central to the framework is understanding the history of Canada’s Aboriginal peoples, their relationships with government and the impacts and effects of that history. Participants said over and over again that we wish that all Canadians had the opportunity to hear and learn about this four hundred plus year history. The need for this was demonstrated with Tuesday’s release of results from an Ipsos Reid poll, which found that about two-thirds of Canadians believe Canada’s Aboriginal peoples receive too much support from federal taxpayers; that Aboriginal peoples are treated well by the government; and that most of the problems of native peoples are brought on by themselves(*).

Statistics (though unfortunately the latest data is from 2006) shows that 49% of children under the age of 6 living on reserve were in low-income families; the unemployment rate on reserve was four times higher than the general Ontario public, and that funding for Aboriginal education is significantly lower that non-Aboriginal education(**). As a health promoter and public health professional, I am always curious about the determinants – the root causes – of the health and social and societal issues that we face. It’s one of the reasons that I love working at Health Nexus, an organization that has been seeking to address the determinants of poor health for more than 25 years. I understood from my post-graduate studies that many of the challenges faced by the world’s Aboriginal peoples come from colonization, but what I didn’t understand is that what is currently affecting Aboriginal communities today is trauma. Trauma which has resulted from hundreds of years of colonization, residential schools violence and suicide. The symptoms of trauma, which is often generational, are addiction, poverty, mental illness, suicide, issues with governance and financial accountability (to name just a few). The very things that we often see as the “problems” affecting Aboriginal communities are in fact symptom of even deeper challenges.

The good news is that there is an upstream approach in addressing the challenges faced by Aboriginal peoples. And that upstream approach is healing. Aboriginal communities that have had the opportunity and support to heal are actually thriving. They have stable and accountable governments, are functioning better than many Canadian municipalities, and have healthy and well community members. Healthy communities can access the capacities they have (and can access support to build their capacity) and create stable and healthy environments for all.

I left the course with a clear sense of optimism. We live in rapidly changing times and with more and more Canadians becoming aware of the situations and the determinants the underlay them in many Aboriginal communities and with governments using approaches that have proved successful. It’s my hope that healing will take place. In all Canadian communities.


* Fast Fallout: Chief Spence and Idle No More Movement Galvanizes Canadians Around Money Management and Accountability. Ipsos Reid, January 15 2013

** Why am I poor? First Nations Child Poverty in Ontario. 2012, Best Start Resource Centre (PDF)

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