Week 4 Flashcards
Unless ____________ is considered the public health programs are poor
socio-structural determinants of health
To have a successful public health program you need
community engagement
Social Determinants of Health -
Review
-Income and social protection
- Education
- Unemployment and job
security
- Working life conditions
- Food insecurity
- Housing, basic amenities,
and the environment
- Early childhood
development
- Social inclusion and
non-discrimination
- Structural conflict
- Access to affordable
health services of decent
quality
Considerations to take into account when creating a program framework
𖤓Consideration #1: Community health agencies may
have their own standard used across departments- A consistent and coherent approach
𖤓 Consideration #2: Can be funding dependent
𖤓 Consideration #3: Selecting a framework based on a
specific consideration ie, marginalized populations
𖤓 Consideration #4: Influenced by underlying values
or principles of a program ie, improving participation
Program Logic Model
𖤓 Commonly used by Public Health Agencies in Canada + Federal
government
𖤓 Coherent structure for complex programs
𖤓 Help identify gaps
𖤓 Yield an overview
𖤓 Simple and can be used in partnership with community and academic
partners
5 parts of the program logic model
Inputs–> actvivties–> outputs–>impacts–>outcomes
Two phases of planning (program logic model)
CAT: Components,
activities (specific
intervention
strategies), target
groups
SOLO: Short-term outcomes
and long-term
outcomes
Intersectional Theory
A framework that describes how our
overlapping social identities relate to social
structures of racism and oppression
𖤓 A way of understanding the complexity in
the world, in people, and in human
experience
𖤓 Helps explain power dynamics and factors
that influence how power is used in society
𖤓 Clear emphasis on factors such as class,
religion, culture, race, and gender
health inequalities
𖤓 The burden of disease and health conditions
isn’t shared equally amongst all Canadians
𖤓 Some are more likely to get sick, or die
because of social and economic conditions
During the first two years of the pandemic, there
was a __ % increase in opioid-related deaths
91 (115 in first nations)
Precede-Proceed Planning Model
Tool that enables the community program
develop to think logically about the desired
end point and work “backwards” to achieve
the goal
𖤓 Requires efficient involvement of community
partners in planning as this builds commitment
to the program and aids in design
𖤓 Tools like environmental scans gather
important information and can help engage
community partners
SWOT Analysis
Strengths, Weaknesses, Opportunities,
Threats
𖤓 Identifies internal strengths & weaknesses of
an organization/program + external
opportunities and threats
Gantt charts
𖤓 Tabular format and
commonly used to
present the sequence
and timing of activities
𖤓 Helpful when planning
complex programs
Socioecological Examination
Requires assessing the social
determinants of health
𖤓 “Socio-structural
determinants” is a term used to
reinforce the fact that some
determinants are embedded in
social structures like legislation,
standards, and regulations that
generate or perpetuate social
and health inequities
Multiple Intervention Program Framework (MIP)
In Ontario in the 1980’s we
shifted away from public
health programs focused on
home visits and clinically
oriented services in schools +
workplace
𖤓 Evidence of the determinants
helps us change our approach
