Interested in sharing best practices within your organization? Are you engaged in creating community health status reports? Are you interested in learning about how to improve health equity? The Equity-Integrated Population Health Status Reporting Action Framework can help health professionals at all levels identify and implement manageable steps for integrating equity into existing or new public health status reporting processes. The framework is suitable for use by health/public health staff, community organizations that provide local data, and academic researchers. This framework was developed collaboratively by the six National Collaborating Centres for Public Health, building upon earlier work by the NCC for Determinants of Health. To see the summary statement of this tool developed by NCCMT, click here: http://www.nccmt.ca/resources/search/240 The National Collaborating Centre for Methods and Tools is funded by the Public Health Agency of Canada and affiliated with McMaster University. The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada. NCCMT is one of six National Collaborating Centres (NCCs) for Public Health. The Centres promote and improve the use of scientific research and other knowledge to strengthen public health practices and policies in Canada.

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Funded by the Public Health Agency of Canada | Affiliated with McMaster University
Production of this presentation has been made possible through a financial contribution from the Public Health Agency of Canada. The
views expressed here do not necessarily reflect the views of the Public Health Agency of Canada..
Action Framework for Equity-Integrated
Population Health Status Reporting
Presenters:
Lesley Dyck
Susan Snelling
June 7, 2016 1:00 – 2:30 PM ET

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The PowerPoint presentation (in English and French)
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Poll Question #1
How many people are watching today’s
session with you?
a) Just me
b) 1 to 3
c) 4 to 5
d) 6 to 10
e) More than 10
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professionals (nurse,
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hygenist, etc.)
Librarian Physician / Dentist Other
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Action Framework for Equity-Integrated
Population Health Status Reporting
http://www.nccmt.ca/resources/search/240
Episode 26
6

7. Poll Question #2
Where are you from?
1. BC
2. AB
3. SK
4. MB
5. ON
6. QC
7. NB
8. NS
9. PEI
10. NL
11. YK
11. NWT
12. NU
13. Outside
Canada
7

8. NCC
Infectious
Diseases
Winnipeg, MB NCC
Methods
and Tools
Hamilton, ON
NCC Healthy
Public Policy
Montreal, QC
NCC
Determinants
of Health
Antigonish, NS
NCC
Aboriginal
Health
Prince George, BC
NCC
Environmental
Health
Vancouver, BC
8

9. Poll Question #3
What sector are you from?
1. Public Health Practitioner
2. Health Practitioner (Other)
3. Education
4. Research
5. Provincial/Territorial/Government/Ministry
6. Municipality
7. Policy Analyst (NGO, etc.)
8. Other
9

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Lesley Dyck
Knowledge Translation Specialist
National Collaborating Centre for
Determinants of Health (NCCDH)
E: ldyck@stfx.ca
Presenter
10

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Susan Snelling
Senior Knowledge Translation
Specialist
National Collaborating Centre for
Methods and Tools (NCCMT)
E: snellin@mcmaster.ca
Presenter
11

12. The National Collaborating Centres for Public Health are funded by the Public Health Agency of Canada.
The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada.
Equity Reporting:
Putting knowledge mobilization for health
equity at the core of population health
status reporting
Spotlight Webinar
Tuesday June 7, 2016

13. Webinar Objectives
• To introduce the Action Framework for Equity-
Integrated Population Health Status Reporting.
• To engage participants in reflection on their own
current and potential roles in equity-integrated
population health status reporting.

14. National Collaborating Centre
for Determinants of Health
Our focus: Social conditions that
influence health & narrowing the gap
between the least and most healthy
Our audience: Canadian public
health organizations & practitioners
Our work: Explain and share what’s
known to help public health positively
influence health for EVERYone
through their work
14

15. NCC for Methods and Tools (NCCMT)
www.nccmt.ca
• Resources to help you find and use innovative,
high quality, up-to-date resources for moving
research evidence into practice
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16. Registry of Methods and Tools
Online Learning
Opportunities
WorkshopsMultimedia
Public Health+
Networking and
Outreach
NCCMT Products and Services
16d

17. 17
Health equity means all
people (individuals, groups
and communities) have a fair
chance to reach their full
health potential and are not
disadvantaged by social,
economic and environmental
conditions.
NCCDH Glossary of Essential Health Equity Terms http://nccdh.ca/resources/glossary/
Picture from:
http://kerncta.blogspot.ca/2013/04/obesity-
prevention-summit-2013.html
Health Equity

18. Purposeful Reporting
Purposeful reporting has
been identified as a
promising practice in
public health to help
address the social
determinants of health and
advance health equity.
Sudbury & District Health Unit. 10 promising practices to
guide local public health practice to reduce social inequities
(2009) http://nccdh.ca/resources/entry/10-promising-
practices-guide

19. Public health roles for improving health equity:
19
NCCDH, 2013
Let’s Talk… Public Health Roles for Improving Health Equity
http://nccdh.ca/resources/entry/lets-talk-public-health-roles

20. The Learning Circle told us …
“A report that doesn’t
get used won’t help us
to advance health
equity.”
NCCDH, 2013. Population health status
reporting: The learning together series.
http://nccdh.ca/resources/entry/population
-health-status-reporting

21. “Traditional indicators that measure morbidity and
mortality tend to either place responsibility for improving
health on the medical or public health communities or
on vaguely identified institutions such as the economy,
education, or built environment. The result is an
overemphasis on medical and public health solutions
while failing to articulate the specific institutions and
policies that might need to change to promote greater
health equity.”
Corburn & Cohen (2012, pg. 5)
Corburn J, Cohen AK. (2012). Why we need urban health equity indicators: Integrating
science, policy, and community. PLoS Med, 9(8): e1001285. Available from:
http://dx.doi.org/10.1371/journal.pmed.1001285

22. Developing the Action Framework
• Learning Circle Project (2013-2015)
• Key stakeholder interviews at local, provincial
and national levels (10)
• Conference workshops (3) and a webinar (1)
collecting feedback from over 100 public
health stakeholders

23. Putting knowledge mobilization at the core
A strong KM core,
guided by a health
equity lens, changes
the way we do
population health
status reporting
NCCPH 2016. Equity integrated
population health status reporting: Action
Framework. http://nccdh.ca/resources/entry/equity-
integrated-population-health-status-reporting-action-
framework

24. Equity-Integrated PHSR
Action Framework
KM Core:
Where – provides the context
Who – describes the primary actors
How – describes the approach
Reporting process/steps:
What – describes the steps of the
PHSR process, and the key
questions to consider for integrating
health equity

25. Equity-Integrated PHSR Action Framework
REPORTING PROCESS/STEPS
Search
Assess
Synthesize
& Adapt
Report
Implement
Evaluate
Prepare
• The reporting process
includes seven steps for
developing and
implementing PHSR.
• Each step includes key
questions to guide
activities and ensure
the right structures are
implemented to
support the work of the
Equity-Integrated PHSR
process.

26. Poll Question #4
In your organization, which of the steps
do you currently have a role in? (choose all
that are relevant)
a) Prepare
b) Search
c) Assess
d) Synthesize
and adapt
e) Report
f) Implement
g) Evaluate
h) None of the
above
26

27. “Drafting, measuring, tracking, and reporting of
indicators can be viewed not as a technical
process for experts alone, but rather as an
opportunity to develop new participatory
science policy making, or what we call
governance.”
Corburn & Cohen (2012, pg. 2)
Corburn J, Cohen AK. (2012). Why we need urban health equity indicators:
Integrating science, policy, and community. PLoS Med, 9(8): e1001285. Available
from: http://dx.doi.org/10.1371/journal.pmed.1001285

28. Equity-Integrated PHSR Action Framework
KNOWLEDGE MOBILIZATION CORE
Research, Health and
Community Context
(local, regional, national)
Outcome: the community is better
equipped to take action to address health
equity issues
1. Where
• A PHSR process can be done at
any level, local, regional, or
national.
• At each level there are different
people, organizations, political
cultures, and available data.
• Ultimately, the community context
and local issues inform the
reporting process, and are
impacted by it as part of the
larger system(s).

29. Public
Health
Researchers
Community
Partners
Equity-Integrated PHSR Action Framework
KNOWLEDGE MOBILIZATION CORE
Outcome: increased leadership capacity
2. Who
• The primary actors are the public
health sector, community partners
and researchers;
• A process led by any actor alone is
less likely to result in action.
• The capacity for leadership and
action of each is critical to being
able to effectively integrate health
equity into a PHSR process.

30. Community
Partners
Public
Health
Researchers
Communicate
CollaborateApply a Health-
Equity-Values Lens
Equity-Integrated PHSR Action Framework
KNOWLEDGE MOBILIZATION CORE
Outcome: an inter-sectoral and inter-
disciplinary process is in place
3. How
• There is no ‘one size fits all’
approach to mobilizing
knowledge in a PHSR
process.
• However, there are
principles that are essential
to apply throughout the
process, which have been
captured in the framework
as a series of questions
that must be considered.

31. Poll Question #5
In your context, in which aspects of the
knowledge mobilization core do you
believe you have a role to contribute?
(choose all that are relevant)
31
a) Public Health actor
b) Researcher
c) Community partner
d) Communication
e) Collaboration
f) Application of a health-equity-lens
g) None of the above

32. Equity-Integrated PHSR
Action Framework

33. Toronto Public Health: The Unequal City
• Strong reporting process
and steps
• KM Core still being
developed
• After the release they did a
workshop with 30 engaged
TPH staff to find out how
they use the data
TPH (2015). The Unequal City 2015
http://www.toronto.ca/legdocs/mmis/2015/hl/b
grd/backgroundfile-79096.pdf

34. 34
Key Learnings … so far!
• The social factors that affect health are not
universal; need to consider the meaning and
relevance of data in the local context
• The work of “doing” PHSR is not for experts
alone, but an opportunity to implement
participatory processes
• This requires PH to shift traditional monitoring
and surveillance and put a strong KM
strategy at the core … to drive action to
improve health equity.

35. Proposed future research:
• Assessment of current PHSR processes being
implemented by public health in Canada, with the
objective of evaluating both the process and
outcomes, including policy change
• Further development of standards for PHSR that
effectively integrate health equity, surveillance,
organizational and healthy public policy
objectives

36. How to use the Action Framework:
• Get a copy of your current population health status report
and meet with your colleagues … to explore your understanding
of health equity/inequity and discuss the extent to which these concepts are
part of each step in the PHSR process.
• Invite someone from the team that developed the report
to talk to your colleagues … about how and where the principles of
the knowledge mobilization core (application of an equity lens, communicate,
collaborate) were undertaken in the PHSR process.
• Convene a cross-disciplinary and inter-sectoral group to
discuss opportunities … to better integrate equity into the PHSR
process and implement a knowledge mobilization strategy from the
beginning of the process.

37. 37
A question to start our discussion:
What is an easy next step that will strengthen an
equity lens in your population health status reporting
process? What is your role in this?

38. Health Equity Clicks:
Organizations
Visit www.healthequityclicks.ca for a
growing list of organizations taking
action on the social determinants
of health
Workshops
& events
Visit our website to find out about the next
knowledge exchange opportunity!
http://nccdh.ca/connect/workshops-events/
Resource Library
Your one-stop-shop for public health
resources on the social determinants of
health & health equity!
http://nccdh.ca/resources/library/
Health Equity Clicks:
Community
Share what works to advance health
equity - join in online conversations,
networking events, and more!
www.nccdh.ca/community
Available at www.nccdh.ca
Sign up for our monthly e-news
38

39. Contact Us
NCC for Determinants
of Health
Email: NCCDH@stfx.ca
Web: www.nccdh.ca
@NCCDH_CCNDS
#sdoh #healthequity
39
NCC for Methods and Tools
Email: NCCMT@mcmaster.ca
Web: www.nccmt.ca
@nccmt (en)
@ccnmo (fr)
#KT #EIPH

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41. Your Feedback is Important
Please take a few minutes to share your thoughts
on today’s webinar.
Your comments and suggestions help to improve
the resources we offer and plan future webinars.
The short survey is available at:
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o72kiMPgpAxf
41

42. Poll Question #6
What are your next steps? I plan to …
A. Access the Action Framework.
B. Read the NCCMT summary of the Action
Framework.
C. Consider using Action Framework.
D. Tell a colleague about the Action
Framework.
42

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Funded by the Public Health Agency of Canada | Affiliated with McMaster University
The views expressed here do not necessarily reflect the views of the Public Health Agency of Canada.
For more information about the
National Collaborating Centre
for Methods and Tools:
NCCMT website www.nccmt.ca
Contact: nccmt@mcmaster.ca