Strengthening public health nutrition: findings from a situational assessment to inform system-wide capacity building in Ontario, Canada

Prowse, Rachel; Richmond, Sarah; Carsley, Sarah; Manson, Heather; Moloughney, Brent

doi:10.1017/s1368980020001433

Cited by 6 publications

(4 citation statements)

References 36 publications

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“…Our findings highlight similarities with and map well onto common components of capacity building frameworks [9,46] such as training, tools, and technical assistance [47]. The four themes that were determined in our study also aligned with those from situational assessments on other public health practices in Ontario, specifically needs related to data, evidence, and collaboration [29][30][31]. Such consistencies across other areas underscore the need for broader capacity building efforts to support public health actions in Ontario [29][30][31].…”

Section: Discussionsupporting

confidence: 70%

“…Meanwhile, focus groups captured factors influencing community overdose response plans including what was and was not working well. The methodological approach of our study was similar to other recently published situational assessments conducted at Public Health Ontario [29][30][31] with the addition of co-design techniques structuring the focus group materials and agenda. Our focus was on professionals coordinating plans to understand this experience, as well as barriers and facilitators, to implementing the community-wide plan, rather than perspectives of all partners and individuals served.…”

Section: Study Design and Settingmentioning

confidence: 99%

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Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment

et al. 2022

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Background Many communities across North America are coming together to develop comprehensive plans to address and respond to the escalating overdose crisis, largely driven by an increasingly toxic unregulated drug supply. As there is a need to build capacity for successful implementation, the objective of our mixed methods study was to identify the current planning and implementation practices, needs, and priority areas of support for community overdose response plans in Ontario, Canada. Methods We used a situational assessment methodology to collect data on current planning and implementation practices, needs, and challenges related to community overdose response plans in Ontario, consisting of three components. Between November 2019 to February 2020, we conducted ten semi-structured key informant interviews, three focus groups with 25 participants, and administered an online survey (N = 66). Purposeful sampling was used to identify professionals involved in coordinating, supporting, or partnering on community overdose response plans in jurisdictions with relevant information for Ontario including other Canadian provinces and American states. Key informants included evaluators, representatives involved in centralised supports, as well as coordinators and partners on community overdose response plans. Focus group participants were coordinators or leads of community overdose response plans in Ontario. Results Sixty-six professionals participated in the study. The current planning and implementation practices of community overdose response plans varied in Ontario. Our analysis generated four overarching areas for needs and support for the planning and implementation of community overdose response plans: 1) data and information; 2) evidence and practice; 3) implementation/operational factors; and 4) partnership, engagement, and collaboration. Addressing stigma and equity within planning and implementation of community overdose response plans was a cross-cutting theme that included meaningful engagement of people with living and lived expertise and meeting the service needs of different populations and communities. Conclusions Through exploring the needs and related supports for community overdose response plans in Ontario, we have identified key priority areas for building local capacity building to address overdose-related harms. Ongoing development and refinement, community partnership, and evaluation of our project will highlight the influence of our supports to advance the capacity, motivation, and opportunities of community overdose response plans.

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Section: Discussionsupporting

confidence: 70%

Section: Study Design and Settingmentioning

confidence: 99%

Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment

et al. 2022

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“…According to Hughes healthcare have six basic aims; safe, effective, patient centered, efficient, timely and fair. The quality of healthcare sector can be improved through effective implementation of quality improvement strategies; Health-provider reminder systems, facilitated relay of clinical data to providers, Audit and feedback, Provider education, Patient education, Promotion of selfmanagement, Organizational change and financial incentives, regulation and policy (Prowse et al, 2020).…”

Section: Need For Continuous Education (Knowledge)mentioning

confidence: 99%

Assessment of Capacity-Building Needs Challenges and Opportunities

2023

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The present research work asses the capacity-building needs and perceived challenges and further opportunities in the school health nutrition program. In this research, demographic factors act as a control variable. The deductive research approach was applied with positivist philosophy. The focal teachers and school health nutrition supervisors were the respondents for this study that was chosen from convenience sampling method. The statistical tests were applied through SPSS software. The reliability of all variables was above 0.8. The response rate was 98 percent. The statistical confirmed that demographic has no impact on variables association. The liner regression models demonstrate that perception and knowledge, workload capacity, facility support service capacity and system, structural role capacity have significant positive effect on the skills and practices of SHNSs and teachers. This research is one of the rare studies in Pakistan which examine a comprehensive model using; perception and knowledge, workload capacity, facility support service capacity and system, structural role capacity as an independent variable and skills and practices of SHNSs and teachers as a dependent variable and test the ecology of human performance theory in Pakistani context.

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“…including smoking cessation, public health inspector enforcement of the Smoke-Free Ontario Act (2017), physical activity promotion initiatives, leading local initiatives for food security and promoting healthy choices(Prowse et al, 2020), and supporting schools with implementation of nutrition and physical activity programs(Allison et al, 2018;Carsley et al, 2020; Public Health Ontario (PHO), 2013). Comparing distributions of these risk factors may inform individual PHU priorities for modifiable risk factor preventive interventions.…”

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confidence: 99%

Population health indicators across Ontario’s Public Health Units: a cross-sectional analysis of the Canadian Community Health Survey

Kanoatova

Harris

2021

Environ. Health Rev.

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Background Currently, 34 public health units (PHUs) in Ontario deliver public health programs and services to reduce preventable diseases, promote and protect health of their communities, and reduce persistent health inequities. Changes to the structure of Ontario PHUs have been proposed. This analysis compares the current 34 Ontario PHUs based on key health indicators for the purpose of determining local health needs in delivering public health programs and as a baseline for measuring the effect of any future changes to PHU structure. Methods We used data from the 2015–2016 Canadian Community Health Survey (CCHS), a voluntary cross-sectional survey about health status of Canadians. Twenty-one health indicators measured by the CCHS and particularly relevant to PHU responsibilities were identified and compared across units. In this descriptive, cross-sectional analyses we used survey-weighted frequency calculations of the selected indicator variables by PHU and χ2 analyses to test differences in indicator distribution across PHU. Results All indicators except for sex were distributed unevenly by PHU. We particularly highlight differences across units in modifiable indicators and risk factors such as obesity, fruit and vegetable consumption, physical inactivity, smoking, and access to primary care physicians. Impact of the study While all PHUs strive towards the same mandated responsibilities, considerable variations in health indicators exist between health units. This underscores the necessity for PHUs to tailor programs and deliver services based on local needs. Future changes to PHU structure must be tested against baseline to determine if they ameliorate or exacerbate health inequities in Ontario.

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Strengthening public health nutrition: findings from a situational assessment to inform system-wide capacity building in Ontario, Canada

Abstract: Abstract Objective: To assess public health nutrition practice within the public health system in Ontario, Canada to identify provincial-wide needs for scientific and technical support. Design: A qualitative descriptive study was conducted to identify activities, … Show more

Cited by 6 publications

References 36 publications

Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment

Supporting community overdose response planning in Ontario, Canada: Findings from a situational assessment

Assessment of Capacity-Building Needs Challenges and Opportunities

Population health indicators across Ontario’s Public Health Units: a cross-sectional analysis of the Canadian Community Health Survey

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