building bridges between health promotion and social sustainability: an analysis of municipal...
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Building bridges between health promotion and social sustainability:
An analysis of municipal policies in Western Canada
Lori Baugh Littlejohns & Neale Smith
20th IUHPE World Conference on Health Promotion13 July 2010 Geneva, Switzerland
Acknowledgements
Alberta Heritage Foundation for Medical Research Community Health Research Travel Grant Program, Alberta Health Services, and The City of Red Deer for their support in this paper presentation.
Purpose
To look through population health and health promotion lens at municipal social sustainability policies, explore similarities and distinctions between these approaches, and determine what bridges could be built to join up efforts.
Health Promotion Lens
Determinants of Health
1. Income and social status
2. Social support networks
3. Education and literacy
4. Employment and working conditions
5. Social environment
6. Physical environment
7. Personal health practices and coping skills
8. Healthy child development
9. Biology and genetic endowment
10. Health services
11. Gender
12. Culture
http://www.phac-aspc.gc.ca/ph-sp/determinants/index-eng.php#determinants
Ottawa Charter for Health Promotion
Social Sustainability
Polese & Stren (2000)
“refers to policies and institutions that have the overall effect of integrating diverse groups and cultural practices in a just and equitable fashion.”
Dillard, Dujon & King (2009) “a) the processes that generate social health and well being now and in the future, and
b) those social institutions that facilitate environmental and economic sustainability now and for the future.”
Themes
• A process and an end state
• Social well being and/or quality of life
• Equity or fairness
• Governance and democracy
• Institutions and/or human services
Victoria, British Columbia
Vancouver, British Columbia
Surrey, British Columbia
Edmonton, Alberta
Strathcona County, Alberta
Determinants of Health
All DOH addressed to some extent
Gender was not explicitly discussed in any documents.
Culture was most notable in BC
Links between the physical and social environments was more pronounced in the BC documents (e.g., food security, accessibility, neighborhood design)
Alberta documents more emphasis on personal health practices and coping skills
Ottawa Charter for Health Promotion
Healthy public policy - implementation of social sustainability frameworks?
Creating supportive environments - inclusion a main theme.
Strengthening community action - building community capacity through participation.
Developing personal skills- explicitly stated as a goal/priority
Reorient Health Services- no references as per Charter intent.
Alberta documents have a stronger references to partnerships and intersectoral action.
Comments on our findings? Experience with municipal social sustainability?