Health Promotion and Policy Analysis

The assignment requires a detailed analysis of health promotion policies and programs, with a focus on addressing social determinants of health inequities. A case study on the formation, evolution, and sustainability of child health networks in Canada is also presented. The assignment aims to provide a comprehensive understanding of health promotion practices and policies.

Public health intervention programs in Canada
Public health intervention program on active transportation (AT) in Canada
Active transportation (AT) as a form of public health promotion program involves the
defined mode of transportation such as walking, cycling, and public transit (Saidla, 2017). Active
transport has quite a number of measurable public health benefits attributed to it such as reduced
risk of cardiovascular disease, obesity and diabetic among other chronic conditions as suggested
by (Macridis et al., 2016). At the same time, there are environmental benefits including reduction
in carbon dioxide emission which translates to reduced Air pollution and ease of traffic
congestion. For example, in Canada research findings have established high physical inactivity
as a result of a low number of individuals walking and cycling in communities as compared to
use of the automobile as means of transport according to (Parkin et al., 2008).
World health organization classifies AT as healthy public polies (WHO, 2015), the same
has been classified as health in all polies in Finland as suggested by (Chan, 2013). Such
approaches have been taken to provide solutions to health determinants by focusing on clear
considerations of health effects of strategies that are not regularly found within the health sector.
According to (Newman et al., 2015), social determinants that are focusing on health advocacy
have experience challenges to have their approvals rendered into the real implementable policies.
Some of this challenges have been attributed to the fact that most of the researchers involved in
the policy formulation are all from the health sector with little grasp on the public policy.
Recommendation from different quarters has suggested that political scientists are involved in
such policy formulation due to their knowledge of the theoretical framework as suggested
(Bernier and Clavier 2011). For example, Advocacy Coalition Framework (ACF) has been
recommended as the best approach to use for the analysis of social determinant-based health
policies (SDH). ACF has been successfully used in mental health intervention related policies
and tobacco control policies as suggested by (Swigger and Heinmiller, 2014).
The government Canada and non-government organization supported the active
transportation as a way of public health intervention policy. Whereas, planning, design, and
implementation was a sole responsibility for the municipalities and regional governments. Active
transportation is an area of specific interest for health promotion for the Public Health Agency of
Canada due to it would assist in increasing physical activity levels (Saidla, 2017). According to
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Public health intervention programs in Canada
(World health organization, 2015), being physically inactive have been ranked fourth leading
risk factor for cardiovascular diseases with highest mortality rates registered in the industrialized
countries. Moreover, research has revealed that policies encouraging active transportation
positively correlate with pedestrians and cyclist safety as suggested by (Saidla et al., 2017). AT
public health policy promotion in Ottawa has adopted a theory of policy process as a model that
focuses on factors affecting politics resulting in ultimate policy choices. Therefore the
government of Canada opted for ACF adoption for the full analysis of the social determinants of
health.
However, there are challenges facing the active transportation policy in Canada, there are
gaps in the way evidence and effective practices regarding the AT policy was shared a cross
Canada. For example, to fill those gaps a project referred to as Mobilizing Knowledge for active
Transportation (MKAT) was formed and championed by center for disease prevention a unit
within Public Health Agency of Canada. MKAT played a key role in promoting effective
approaches to active transportation. The overall objective for MKAT was to solicit for evidence
based information that influenced the strategies used in active transportation in Canada as
suggested by (Breton and Leeuw, 2010). The AT policy promotion in Ottawa through MKAT
used different strategies in order to achieve its objective on information gathering in order to
produce implementable policy. For example, information on current strategies and policies were
gathered through interviews with regional government officials and internet search.
Public Health intervention policy on Mental Health in Canada
It is projected that persons with severe mental disorders (SMD) such as schizophrenia
and bipolar die 10-20 years much earlier that the general population as suggested by (Liu et al.,
2017). Moreover, high premature mortality rates for the SMD have been reported across
different countries globally. However, despite such worrying trend there are no progress made to
curb the high mortality rates from different governments around the world. In fact, new emerging
empirical data revels that the gap has widened four times with recently published articles
revealing standardized mortality ration that is greater than the earlier released as suggested by
(Olfson et al., 2015). It is reported that most of the reported deaths among the individuals
suffering from SMD are related to physical inactivity which is a risk factor for diseases such as
cardiovascular disease. According to (Walker et al., 2015; Olfson et al., 2015), persons suffering
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Public health intervention programs in Canada
from SMD have 2-3 times chances of dying of cardiovascular diseases than the general
population according to.
The already existing intervention public health promotion programs that are meant to
curb the high mortality rates among SMD person’s faces numerous challenges. Some of those
challenges include cultural believes and attitude of various stake-holders involved, limited
resources and mental health experts, and the ability of the individuals suffering from SMD to
access public health intervention programs. Whereas, at the policy level lack of priority is a
major problem, which needs top-level incorporation and promotion of various intervention
programs including mental health, nutrition and physical activity as suggested by (McPherson et
al., 2017). For example, in Canada youth and children mental health system lacks proper funding
and there is clear fragmentation as suggested by (Kutcher et al., 2015). Moreover, the problem
has been worsened by the severe shortage of mental health experts within the rural communities
in Canada. Geographical and professional isolation has been cited as a barrier to successful
implementation of the public health intervention program in the rural parts of Canada and as a
result it has hindered expert retention in those areas (Boydell, & Pignatiello, 2014). Within the
urban areas the prevalent challenges facing mental health intervention policies fronted by the
public health are structural related including lack of proper mental health facilities cost and
transportation.
In Canada the use of technology to deliver mental health care services have been
successfully utilized to reduce the barrier on the service delivery to the persons suffering from
SMD living in the rural communities. The use of videoconferencing has been used for
assessment, consultancy and delivery of therapy to the SMD patients, the measurable success has
been filling the gaps created by geographical and professional isolation experienced in rural
areas of Canada (Macnaughton et al., 2017). The government of Canada prioritized the effective
approach of addressing social determinants of health (SDH) and health equity, as a key
component of promoting public health policies on mental health (McPherson et al., 2016). The
government of Canada has defined SDH in terms of economic and social environment that shape
the health of persons, communities and authorities whereas health equity is defined as lack of
systemic differences in health or in major SDH as suggested by (Raphael, 2009). It is worth
noting that collaboration with different levels of government, local communities and other health
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Public health intervention programs in Canada
partners such as NGO’s have been as been a key attribute of Canadian mental health intervention
policy.
Similarities between the two public health intervention programs in Canada
Involvement of different of level of leadership has been identified as a key ingredient to the
successful implementation of the public health intervention program in the Canada case. For
example leadership was well defined at different level that include individual, organization and
systemic for the public health intervention program on mental health. Whereas, for the public
health policy on active transportation (AT), the political goodwill has been cited as one of the
factor that contributed to the acceptance of the policy through advocacy. At the same time,
collaboration between government and other actors has been witnessed in both public health
policies. Use of social determinant of health (SDH) has been exploited the government of
Canada in order to achieve the objectives of the two public health intervention policies.
Moreover, some of the challenges faced during the implementation of the two policies were
avoided through the use of technology. General public are in danger of increased death from
cardiovascular diseases in absence of the two public health policies.
Differences between the two public health interventional programs
One of the key contributing factor to the successful implementation of the Active transportation
(AT) in Canada is good Transport system, whereas lack of good transportation within the local
communities areas have been cited as a challenge foe successful for implementation mental
health intervention program. Geographical and professional isolation has been cited as a barrier
to successful implementation of the intervention program on mental health, whereas for active
Transportation system there was no barrier due to such. There is lack of government
commitment with regards to resource allocation for the public health interventional program for
the mental health, the same is not witnessed in the active transportation program where the
government resources have been cited as a major contributor for the successful implementation.
Conclusion
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Public health intervention programs in Canada
In conclusion it is evidence that leadership at different levels including individual, organization
and systemic that is combined with social strategy and political goodwill have also contributed
immensely to the success of the mental health intervention and health equity programs and active
transportation (AT) in Canada. Leadership at an individual level include competencies such as
skills and attitude that are necessary for effective policy advocacy; at the organizational level it
entails funds allocation, human resource mobilization and adherence to external policies.
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