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
Multiple Intervention Program Framework Consists of
five main elements
MIP Element #1
Identifying the Community Health Issue That Is The Program Focus
MIP Element #1 purpose
Epidemiological and
surveillance data
𖤓 Describe the current shifting
patterns of illness within the
population
𖤓 Must identify population
subgroups that may be
disadvantaged because they
bear an unequal or
inequitable burn of the health
problem
MIP Element #2
Describe Socio-structural Features
MIP Element #2 purpose
𖤓 Describing the socio-structural features of the problem
𖤓 Identify factors that directly contribute/cause the problem, produce
disparities
𖤓 Assess how determinants determinants are interconnected and
which are imbedded in the system (ie racist policies)
𖤓 Strength analysis may help reveal potential solutions to the problem
MIP Element #3
Intervention Options
MIP Element 3 purpose
Consider strategies that have
demonstrated effectiveness +
theoretically sound
𖤓 Must have community input
𖤓 Needs to be feasible
𖤓 When selecting an
intervention, be aware of the
reach, dose, and intensity of
the strategies
𖤓 Choosing strategies requires an in-depth knowledge of the
community characteristics that may influence uptake
𖤓 It’s important to select a mix of theories pertinent to the
problem at hand
𖤓 Use theories from various disciplines ie, psychology,
sociology, political science, health science
𖤓 Theory informs decisions on how to blend intervention
strategies
MIP Element #4
: Intervention Impact
MIP Element #4 purpose
Identifying optimal set of intervention strategies for
maximum impact
𖤓 Increases the likelihood of interventions working well,
and adapting to both historical and contemporary
contexts
𖤓 Must be aware of ways in which political, social,
organizational and policy environments are changing
MIP Element #5
Implementation, Impact, and
Consequences
MIP Element #5 purpose
𖤓 Outputs, outcomes,
impacts
𖤓 Expected and unexpected
consequences
𖤓 Program spin-offs,
sustainability
𖤓 Outcomes are changes
that can be attributed to
the program
