working together to build healthy communities · test & finalize module march 2011 –june 2012...
TRANSCRIPT
Working Together to Build Healthy Communities
CIPHI (Ontario Branch) Annual Educational Conference Brampton, Ontario, Oct 3 rd, 2017Kevin Haley and Lorenzo MeleMembers of Ontario Public Health Association (OPHA) Built Environment Workgroup (BEWG)
Presentation Outline
• OPHA Built Environment Workgroup
• Public Health and Planning 101 course
• “Two Way Street Project” - Public Health & Transport ation Working Together
• Environmental Assessment (EA) Survey of Ontario Pub lic Health Units
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Health and the Built Environment
• The built environment refers to anything in our physical environment that is human-created. In addition to things like buildings, parks and neighbourhoods, it includes land use patterns, transportation systems and design features of communities.
• Research shows that the built environments in which we live, work and play have a direct impact on our health.
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OPHA Built Environment Working Group Members
Fabio Cabarcas, Region of Peel Public Health
Jackie Gervais, Niagara Region Public Health
Kevin Haley, York Region Public Health
Jason Weppler, Grey Bruce HU
Krista Rempel, Windsor Essex County HU
Kim Bergeron, Public Health Ontario
Kendra Willard, Halton Region HU
Inge Roosendaal, Ottawa Public Health
Tina Chen, NCCEH 4
Dr. Charles Gardner, MOH, Simcoe Muskoka District HU
Morgan Levison, Simcoe Muskoka District HU
Tanya Hill, Hastings Prince Edward County HU
Janet Dawson, Peterborough County-City HU
Lorenzo Mele, Region of Peel Public Health
Sue Shikaze, Haliburton, Kawartha, Pine Ridge District HU
Ahalya Mahendra, Public Health Agency of Canada
Sherry Biscope, Toronto Public Health
Robin Kang, OPHA
OPHA BEWG Task Groups
• Public Health and Planning 101
• Public Health and Transportation Planning Two Way Street Project
• Built environment considerations for the Ontario Public Health Standards
• Increasing Driver Awareness and Knowledge of Safely Sharing the Road with Cyclists
• Affordable Housing
• Feasibility of a Comprehensive Healthy Community Audit
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OPHA Actions on Healthy Built Environments• Public Health and Planning 101 online course
• Two Way Street: Public Health and Transportation Planning white paper and Environmental Assessment report
• Coordinated Land Use Planning Review
• #CycleON: Ontario’s Cycling Strategy
• Long-Term Affordable Housing Strategy Review
• Moving Ontario Forward Outside the GTHA
• MTO’s: Default speed limit; Driver’s Handbook; Discussion Papers on Cycling Initiatives; the Next Regional Transportation Plan
• Provincial Policy Statement6
Public Health and Planning 101Introductory Online Course for Public Health and Planning Professionals to Create
Healthier Built Environments
Project Approach & Timelines
Phase 1: Planning & Needs Assessment
Phase 2: Education
Module Development
Phase 3: Pilot
Test & Finalize Module
March 2011 – June 2012
Aug. 2012 – Dec. 2014
Jan. 2015 – May 2016
June 2016
Public Health Knowledge
on Land Use Planning
Public Health and Planning 101
Online Course
Module 1: Introduction to Health and the Built Environment
Module 2: Policy, Legislation and Standards • for Planners• for Public Health
Module 3: Roles and Responsibilities• for Planners• for Public Health
Module 4: Public Health and Planning Professionals Working Together
*868 registered users (June 2016-Sept 2017)
*Course received approval in 2016 for 4 hours of PDHs by CoPE as part of CIPHI’s Continuing Professional Competencies Program
Module 1
Module 2
Module 3
Module 4
Course Feedback Results
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Agree/Strongly Agree Planners Public Health
Satisfaction with course content 85% 83%
Course helps Public Health and
Planning professionals to better
collaborate
82% 77%
Recommend course to a
colleague
79% 83%
Course Demonstration
https://opha.actoapp.com/user/myactionpacks
To register for the course please visit:
http://opha.on.ca/What-We-Do/Projects/Built-Environment.aspx
“Two Way Street” Project
OBJECTIVES
• To better understand challenges and opportunities to strengthen collaboration between public health and transportation professionals.
• A stakeholder consultation to identify scenarios to strengthen collaboration between public health and transportation professionals in Ontario.
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Consultation Approach
Ongoing consultation/planning about next steps
Group and analysis and peer validationInterviewees (misrepresentation or confidentiality) Peer-reviewed by 2 recognized transportation experts
In-depth semi-structured interviews with transportation professionals (n=7)
Purposive and snowballing samplingExperience in active transportation (municipal, consulting,
academic or professional organization)
Scan of transportation stakeholders
Scan of relevant literature and policy initiatives
Challenges to Improving Active Transportation
1. Need for more provincial leadership AND local autonomy 2. More exclusive and predictable funding for active transportation3. Gaining support: public elected officials 4. Improving existing technical guidelines and regulations5. Information gaps about active transportation6. Limited land use policy tools for changing existing built forms7. Diversity in professional approaches (e.g. within transportation) 8. Lack of coordination across jurisdictions
How can public health help?
• Harness additional policy/funding support locally, provincially
and/or federally
• Promote mutual understanding of transportation & public health
• More data/evidence supporting active transportation benefits
• Public outreach and education efforts
• Participation in scenarios such as environmental assessments
Select Quotes
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“Public health can provide the preventative
health angle which is important to the
funders.“
“…we all hear the reports- the relationship with health is very well established- it is about
going beyond this so that we think how we maintain what we have today to include all
holistic components without compromise on level of service ([a local municipality] can accept
level of service F- other municipalities would not support that)”.
Select Quotes
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“…educate yourself- public health practitioners may get
the big picture but they also need to better understand the
transportation practice.”
“(Environmental Assessments) are the best time to be involved, probably.
Are there sufficient alternatives to motor vehicle? Are there enough? To
ensure that you are not dismissed as the public health folk, connect with the
transportation professional off line so that you engage in the process and
understand the process- so that you are not perceived as (here they are
again).”
EA Survey of Ontario Health Units
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OBJECTIVE
To understand the current state of engagement within public health units and
the environmental assessment process, OPHA undertook an online survey.
METHODOLOGY
• On-line survey - all public health units (36 in total) in Ontario, circulated via the Council
of Medical Officers of Health list serve
• Conducted over a 4-6 week period and consisted of 18 multiple choice and free text
questions
• One consolidated survey response per health unit was requested
OPHA’s Built Environment Work Group members participated in the collection of data, survey administration and
development of questions
EA Survey of Ontario Health Units3. Has your health unit participated in an Environmental Assessment Process?
Please choose one:
Response Chart Percentage Count
Yes (Continue to question 4) 53.6% 15
No (Skip to question 13) 46.4% 13
Total Responses 28
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8. How does your health unit currently participate in the EA process? Please
choose all that apply:
Response Chart Percentage Count
Submits written comments 100.0% 15
Attends open houses 100.0% 15
Reviews plans 93.3% 14
Meets with staff and consultants 93.3% 14
Other 40.0% 6
Total Responses 15
EA Survey of Ontario Health Units12. Has your health department developed any tools or guidelines to assess the
health promoting impact of EAs?
Response Chart Percentage Count
Yes, please specify... 26.7% 4
No 80.0% 12
Total Responses 15
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16. Would you/your health unit like to get more engaged in EA process?
Response Chart Percentage Count
Yes 96.3% 26
No (if no, skip to question 18) 3.7% 1
Total Responses 27
Emerging Tools and Guidelines
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• Peel Public Health - community-based walking audit to
engage communities and local government to develop
recommendations to make a neighbourhood more
walkable.
• An expert facilitator and health promoter works with a
core team - residents, municipal staff and other
decision makers to complete the walking audit.
• The audit is used to support - EA’s, corridor studies
and Master Planning initiatives by developing
recommendations to assist in recommending short-
and long-term infrastructure changes that support
walking.
Emerging Tools and Guidelines
Evaluation Criteria• Reduces the risk of chronic
conditions through Active
Transportation (AT)
• Supports Age Friendly and
Accessible living (accessibility)
• Reduces risk of respiratory and
cardiovascular outcomes
associated with exposure to
traffic related air pollution (air
quality)
Healthy Community - New umbrella category used in select Peel
Region EA’s to include all health related evaluation criteria.
EA’s - Next Steps
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• Develop and deliver capacity and knowledge building
opportunities to support the desire of Ontario’s PHUs to
become more effectively involved in EA’s
• Engage the PHUs already involved in the EA process to
compile a registry of their frameworks, internal
processes, guidelines and associated policies to guide
other PHUs in Ontario who express a desire to
participate in the EA process
• August 2017 Grant proposal for the Places to Grow
Implementation Fund to support capacity and
knowledge building
To consider
• Do you see a role for PHIs to get involved in addressing the built environment and land use planning? If so can you describe it.
• Do you have any experiences specific to your Health Unit related to EA’s or land use planning that you can share?
• What would you recommend for enhancing inter-sectoral collaboration between - public health, planning and transportation?
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Thank you
Contact
Lorenzo Mele
905-791-7800 x2074
Email: [email protected]
Kevin Haley
Phone: 905-830-4444 x74571
Email: [email protected]
OPHA Built Environment Work Group