2014-19
setting the pace
A revision to Peel Public Health’s
10-Year Strategic Plan 2009-19
Dr. David L. Mowat
MESSAGE FROM THE MEDICAL OFFICER OF HEALTH
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Guide all public health
decision-making:
The Public Health Way
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Build organizational
capability and capacity
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prioritizing:
Infrastructure
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Positively impact
the health of Peel’s
population through
all programs, currently
prioritizing:
Programs
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Goals of Peel
Public Health
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Setting the Pace:
table of contents
executive summary
4
I.
9
introduction
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II. the public health way
15
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III. infrastructure priorities
22
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IV. program priorities
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V. former strategic priorities
34
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VI. looking ahead
38
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appendices
41
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executive summary
4
executive summary
"A
Revised Strategic Plan
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Strategic Priorities for 2009–2013 and 2014–2019
2009 – 2013
Infrastructure Priorities:
2014 – 2019
Infrastructure Priorities:
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Program Priorities:
Program Priorities:
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5
setting the pace
"The
Public Health Way
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Looking Ahead: 2014-2019
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Communicating the Strategic Plan
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Conclusion
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executive summary
"
Infrastructure Priorities: In Brief
Priority
Vision
Explained
End-to-End Public
Health Practice
When all teams are engaged in
end-to-end public health
practice, we envision:
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end-to-end public health
practice processes and tools,
while applying creativity and
experience to solving public
health problems.
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team level, where the
extended team may also
include librarians, epidemiologists, knowledge brokers and
other supports based on the
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where we use the best available
research and health data in a
consistent way, set priorities,
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outcomes, and disseminate
what we have learned.
Applied to our context, “end-toFOEwJTBXBZPGQSBDUJDJOHQVCMJD
health which begins with understanding a health issue in our
community, assessing various
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public health decisions support
population level health outcomes.
In short, it is a process which
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Development
Peel Public Health recruits and
retains high calibre people in a
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them with opportunities to learn
and grow, thereby assisting them
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capacity.
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system, employees engage in
work that is interesting and
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right people with the right
capacity and the right human
resource processes it needs to
achieve its goals.
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Ethno-Culturally
Diverse Community
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their ethno-cultural background,
have the opportunity to enjoy
good health.
In order to best serve the public
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understand the ethno-cultural
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outcomes, health behaviours and
health care access and use.
We also need to understand the
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population.
7
setting the pace
"
Program Priorities: In Brief
Priority
8
Vision
Explained
Nurturing the
Next Generation
All children in Peel
reach their full
potential for lifelong
health and well-being.
The Family Health Division has always worked
to help children and families reach their full
potential. While the tenets of Nurturing the
Next Generation (NTNG) are inherent in the
work of Family Health, the establishment of
NTNG as a strategic priority provided an
opportunity for the entire public health unit
to influence the health trajectories of children
in Peel. Over the past five years, we have
conducted both primary research and
literature syntheses to understand the needs
of Peel families and to become experts in the
science of early child development. Moving
forward, we will use evidence-informed
population-based interventions to optimize
early childhood development.
Supportive
Environments for
Healthy Living
Residents of Peel live
in an environment
that supports physical
activity and healthy
eating.
The health and economic implications
associated with diabetes, sedentary
behaviour and unhealthy eating are vast. We
understand that the most effective way to
impact the high rates of obesity and diabetes
in Peel is to focus on policies and programs
that are the underlying determinants of
physical activity, unhealthy eating and
sedentary behaviour. Therefore, we are
influencing policy development in child care
centres, schools, workplaces and the built
environment to create supportive
environments for healthy living.
Living TobaccoFree
Fewer residents of
Peel start smoking;
more will quit and
there will be less
exposure to secondhand smoke.
Five years ago, Peel Public Health focused
largely on provision of direct service.
Although the program used evidenceinformed practices, it was resource-intensive
and its reach was limited. Today, through
surveillance data (see Burden of Tobacco)
and rigorous reviews of research evidence,
we now have a greater understanding of the
smoking issue in Peel. We have identified
target populations for both cessation and
prevention activities and also have an
understanding of effective interventions to
implement over the coming years.
I. introduction
Why a Revised Plan?
Our Planning Context
The Last Five Years
The Next Five Years
setting the pace
"Why
a revised plan?
In 2009, Peel Public Health started
down an ambitious path.
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The Region of Peel’s corporate
vision, mission and values.
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Our Population
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The Last Five Years
The challenge of tackling upstream
determinants of health has required a
different way of doing things.
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11
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Highlights from the last five years include:
Infrastructure Priorities
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13
setting the pace
Strategic Priorities for 2009–2013 and 2014–2019
2009 – 2013
Infrastructure Priorities:
2014 – 2019
Infrastructure Priorities:
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14
Program Priorities:
II. the public health way
The Roots of Public Health
Peel Public Health Today
Explaining the Public Health Way – The Goals
of Peel Public Health
More About the Public Health Way
setting the pace
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*1-/'("*+)#:8
the public health way
Peel Public Health Today
Public health cannot afford to
be all things to all people.
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Explaining the Public Health Way
– The Goals of Peel Public Health
The first goal highlights our responsibility
to the entire population:
1. The improvement and maintenance of
the health status of the population.
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17
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Health status, however, is
only part of the story. We must also
strive for our second goal:
2. The reduction of disparities in health
status.
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Our third goal reflects the trust which
the public and elected representatives
place in public health to protect them
from threats to their health, especially
emerging infectious diseases:
3. Preparation for and response to
outbreaks and emergencies.
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The original version of the strategic plan
included a fourth goal – enhancing the
sustainability of the healthcare system.
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1. Practice based in science.
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chapter #
chapter #
III. infrastructure priorities
New Priority: End-to-End Public Health Practice
Workforce Development
Serving an Ethno-Culturally Diverse Population
22
infrastructure priorities
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NEW PRIORITY: END-TO-END
PUBLIC HEALTH PRACTICE
VISION
When all teams are engaged in endto-end public health practice, we
envision:
t4UBGGJOWPMWFEJOQVCMJDIFBMUIEFDJsions using the full set of end-toend public health practice (E2EPH)
processes and tools, while applying creativity and experience to
solving public health problems.
t1SPCMFNTPMWJOHPDDVSTBUBUFBN
level, where the extended team
may also include librarians, epidemiologists, knowledge brokers
and other supports based on the
nature of the problem.
t1VCMJDIFBMUIQSPCMFNTPMWJOH
where we use the best available research and health data in
a consistent way, set priorities,
implement effectively, evaluate
outcomes, and disseminate what
we have learned.
Context
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23
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WORKFORCE DEVELOPMENT
The role of EIDM within end-to-end
public health practice
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Next Steps
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24
VISION
Peel Public Health recruits and
retains high calibre people in a variety of roles and provides them with
opportunities to learn and grow,
thereby assisting them to work to
their full scope and capacity.
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Elements of the Workforce System
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25
setting the pace
SERVING AN ETHNO-CULTURALLY
DIVERSE POPULATION
VISION
All residents of Peel, whatever their
ethno-cultural background, have the
opportunity to enjoy good health.
!-"+,)',"*+"0'(*"(',6'"*4'"%/0&12"4'#&*4"-'')("
+B".''&5(")16',('"%+%/&#*1+-;"<'"-'')"*+"
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Context
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+B"T/,+%'#-"+,171-;"$+,'",'2'-*"1$$17,#-*("
26
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*+"1$$17,#-*"#-)"'*4-+@2/&*/,#&"4'#&*4"#-)"
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Next Steps
Build on current initiatives
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Set a direction for Peel Public Health’s
role in serving an ethno-culturally
diverse population
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Ensure dedicated resources
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QH[W¿YH\HDUV
27
chapter #
chapter #
IV. program priorities
Nurturing the Next Generation
Supportive Environments for Healthy Living
Living Tobacco-Free
28
program priorities
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7,#$("#,'"$#-)#*')"#-)"B+,$"*4'"2+,'"<+,="+B"
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0:"+/,")')12#*')"(*#BB8"!-"#))1*1+-;"<'"<1&&"
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:KHQVHOHFWLQJSURJUDPSULRULWLHV¿YH\HDUV
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LQHDFKRIWKHVHSULRULW\DUHDVRYHUWKHODVW¿YH
\HDUVWLPHDQGSHUVLVWHQFHDUHUHTXLUHGWRVHH
FKDQJHVLQWKHFRPSOH[SROLF\HQYLURQPHQWV
*4#*"/-)',&1'"*4'$8
NURTURING THE NEXT
GENERATION
VISION
All children in Peel reach their full
potential for lifelong health and
well-being.
Context
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0,#1-("#,'-5*">/(*"0+,-;"*4':"#,'"0/1&*8"
T6',:*41-7"*4#*"+22/,("1-"*4'"'#,&1'(*"(*#7'("
RIOLIHLQÀXHQFHVQRWMXVWEUDLQGHYHORSPHQW
0/*"-'#,&:"#&&"#(%'2*("+B"4/$#-")'6'&+%$'-*8"
Q-:"%+&12:")+$#1-"*4#*"#BB'2*("4+<"%'+%&'"
&16'"%&#:("#",+&'"1-"*4'"4'#&*4:")'6'&+%$'-*"
+B"241&),'-8"3'#&*4:")'6'&+%$'-*")'%'-)("
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+B"B#$1&1'("<1*4":+/-7"241&),'-8"!-"B#2*;".''&"
4#("#-"#--/#&"01,*4"2+4+,*"+B"IN;YJJ;"*4'"
VHFRQGODUJHVWLQ2QWDULR%HWZHHQDQG
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E4'"9#$1&:"3'#&*4"V161(1+-"4#("#&<#:("
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*4'1,"B/&&"%+*'-*1#&8"C41&'"*4'"*'-'*("+B"
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%,+61)')"#-"+%%+,*/-1*:"B+,"*4'"'-*1,'"%/0&12"
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+B"241&),'-"1-".''&8"
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&'#,-')"*4#*D
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29
setting the pace
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21*1A'-,:"#-)"4'#&*48"
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-'1740+/,4++)(8
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1-B+,$#*1+-")'&16',:"#-)"#22'((8
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UH¿QHWKHVFRSHRIWKH171*SULRULW\
E+)#:;".''&"./0&12"3'#&*4"1(",'2+7-1A')"#("#"
&'#)',"1-"*4'"#,'#"+B"'#,&:"241&)")'6'&+%$'-*"
#-)"1("<'&&",'(%'2*')"0:"2+&&'#7/'("#-)"+*4',"
%/0&12"4'#&*4"/-1*(8"?/,",'2'-*&:"#)+%*')"
FRQFHSWXDOPRGHOVHH$SSHQGL[%JXLGHVWKH
<+,="+B"*41("%,1+,1*:"1-"B+/,"=':"#,'#("+B"B+2/(D
I8" '-61,+-$'-*"+B",'&#*1+-(41%(^
U8" 24'$12#&;"%4:(12#&"#-)"0/1&*"'-61,+-$'-*(^
M8" -/*,1*1+-^"#-)
W8" 4'#&*4"#-)")'6'&+%$'-*8"
7KHSURJUHVVPDGHE\171*LVGXHWRLWVGHG@
12#*')"%,+>'2*"*'#$"#-)"#-"#)61(+,:"7,+/%"+B"
DFDGHPLFVDQGSXEOLFKHDOWKH[SHUWVFRPPLW@
*')"*+"*4'"(/22'(("+B"*41("%,1+,1*:8"QB*',"*#=1-7"
WKHWLPHWRUHYLHZWKHOLWHUDWXUHDQGDFTXLUH
=-+<&')7';"<'"#,'"-+<",'#):"*+"(:-*4'(1A'"
*41("1-B+,$#*1+-"#-)"$#='"%,+7,#$")'21(1+-(8
Next Steps
Optimize early child development
using evidence-informed, populationbased interventions
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*4'",'(/&*("+B"+/,"(1*/#*1+-#&"#(('(($'-*;"
TXDQWLWDWLYHVXUYHLOODQFHGDWDGHPRQVWUDWHG
30
-'')("+B".''&"B#$1&1'("#-)"+/,"%/0&12"4'#&*4"
$#-)#*'8
‡(PSOR\SROLF\OHYHUVWKDWKDYHWKHJUHDWHVW
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+,)',"*+"'-4#-2'"2+$$/-1*:"#-)"2#,'716',"
2#%#21*:"#-)"1-"*/,-"%+(1*16'&:"1$%#2*"
241&),'-5("4'#&*4"#-)"<'&&@0'1-78
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2,'#*'"=-+<&')7'"*4#*"1("&+2#&&:",'&'6#-*8"
‡&ROODERUDWHZLWKH[WHUQDOVWDNHKROGHUV
%#,*12/&#,&:"1-"#,'#("*4#*"7+"0':+-)"*4'"(2+%'"
+B"*4'"%/0&12"4'#&*4"$#-)#*';"*+"1-B+,$"
2+$%,'4'-(16'"2+$$/-1*:"%&#--1-78
Share knowledge with our workforce
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1*("1$%#2*"+-"+/*2+$'("&#*',"1-"&1B'"#-)"4+<"
WKHLUZRUNFRQWULEXWHVWR171*
program priorities
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241&)")'6'&+%$'-*;"%,+7,#$"%&#--1-7"#-)"
'6#&/#*1+-;"-/$',#2:;"=-+<&')7'"*,#-(&#*1+-"
#-)",'('#,248
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'BB'2*16'"('*"+B"%,+7,#$("#-)"%+&121'(;"<'"
,'2+7-1A')"*4#*"#"(*,#*'7:"#-)"2+-(1(*'-*"
PHVVDJLQJZHUHUHTXLUHG
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(/22'(("+B"+*4',"(*,#*'712"%,1+,1*1'(8
E+"1-B+,$"*41("(*,#*'7:;"<'"2+-)/2*')"&1*',#@
*/,'",'61'<("+-"+0'(1*:"#-)"1*("2+-*,10/*1-7"
B#2*+,("#-)"&'#,-')"*4#*D
Monitor our progress
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B+/,"=':"#,'#(D"'-61,+-$'-*"+B",'&#*1+-(41%(^"
24'$12#&;"%4:(12#&"#-)"0/1&*"'-61,+-$'-*(^"
-/*,1*1+-^"#-)"4'#&*4"#-)")'6'&+%$'-*8"!-"
#))1*1+-;"$+-1*+,1-7"=':"241&)")'6'&+%$'-*"
LQGLFDWRUVZLOOKHOSLQIRUPDQGUH¿QHRXUDF@
*1+-(;"#("-'')')8
SUPPORTIVE ENVIRONMENTS FOR
HEALTHY LIVING
VISION
Residents of Peel live in an environment which supports physical activity and healthy eating.
Context
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#((+21#*')"<1*4")1#0'*'(;"(')'-*#,:"0'4#61+/,"
#-)"/-4'#&*4:"'#*1-7"#,'"6#(*8"!*"1("<'&&"
,'2+7-1A')"*4#*",#*'("+B"+0'(1*:"#-)"#((+21#*')"
%++,"4'#&*4"+/*2+$'("#,'"1-2,'#(1-7"#2,+(("
?-*#,1+"#-)"*4#*"*4'"0/,)'-"+B"1&&"4'#&*4"
#((+21#*')"<1*4"/-4'#&*4:"0'4#61+/,("1("
VLJQL¿FDQW3HHO3XEOLF+HDOWK¶V6WXGHQW+HDOWK
X/,6':"ZUJII]"B+/-)"*4#*"MO"%',"2'-*"+B"$#&'"
DQGSHUFHQWRIIHPDOHVWXGHQWVLQ*UDGHV
O"*+"IU"<','"+6',<'174*"+,"+0'('8"!-"#))1*1+-;"
DSSUR[LPDWHO\KDOIRI3HHODGXOWVDJHGDQG
ROGHUZHUHFODVVL¿HGDVRYHUZHLJKWDQGREHVH
LQ
916'":'#,("#7+;".''&"./0&12"3'#&*4"<#("
1$%&'$'-*1-7"('6',#&"+0'(1*:@,'&#*')"
‡2EHVLW\IRFXVHGLQWHUYHQWLRQVDUHPRUH
&1='&:"*+"1-2,'#('"%4:(12#&"#2*161*:"*4#-"*+"
UHGXFH%RG\0DVV,QGH[%0,EHFDXVHLWLV
YHU\GLI¿FXOWIRULQGLYLGXDOVWRORVHZHLJKW
)/'"1-"%#,*"*+"%4:(1+&+712#&"$'24#-1($(8"
‡,QGHSHQGHQWRIZHLJKWORVVLQFUHDVLQJDFWLY@
1*:"2#-")'2,'#('"*4'",1(="+B"24,+-12")1('#('8
E41("'61)'-2';"#&+-7"<1*4"2+-(/&*#*1+-"<1*4"
DQH[SHUWSDQHOOHGWRWKHGHYHORSPHQWRI
#"(*,#*'7:;"'-*1*&')"1(*%&$%&'1/23>""Z(''"
$SSHQGL[&DQGVKLIWHGRXUIRFXVIURP
+0'(1*:"%,'6'-*1+-"*+"1-2,'#(1-7"#2*161*:"#-)"
%,+$+*1-7"4'#&*4:"&161-78
E+)#:;".''&"./0&12"3'#&*4"1("/(1-7"*4'"(*,#*'7:"
+/*&1-')"1-"1(*%&$%&'1/23>"8"C'"/-)',(*#-)"
*4#*"*4'"$+(*"'BB'2*16'"<#:"*+"1$%#2*"*4'"4174"
,#*'("+B"+0'(1*:"#-)")1#0'*'("1-".''&",'71+-"1("
*+"B+2/("+-"%+&121'("#-)"%,+7,#$("*4#*"#,'"*4'"
/-)',&:1-7")'*',$1-#-*("+B"%4:(12#&"#2*161*:;"
/-4'#&*4:"'#*1-7"#-)"(')'-*#,:"0'4#61+/,8"C'"
DUHLQÀXHQFLQJSROLF\GHYHORSPHQWLQFKLOG
2#,'"2'-*,'(;"(24++&(;"<+,=%&#2'("#-)"*4'"0/1&*"
'-61,+-$'-*"*+"2,'#*'"(/%%+,*16'"'-61,+-@
$'-*("B+,"4'#&*4:"&161-78"!-"*4'"&#(*"B'<":'#,(;"
<'"4#6'D"
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+*4',">/,1()12*1+-("+-"24#-71-7"%+&12:"*+"2,'@
#*'"4'#&*41',"/,0#-")'(17-"<1*4"&+2#&"&'#)',(8
‡5HFHLYHGIRXUSROLF\GLUHFWLRQVIURP3HHO
G'71+-#&"F+/-21&"*+"1-2+,%+,#*'"#2*16'")'@
(17-"1-"#&&",'71+-#&"#-)"$/-121%#&"0/1&)1-7(8"
‡,PSOHPHQWHGDQHZUHJLRQDORI¿FLDOSODQ
#$'-)$'-*"*+"#))"4'#&*4"2,1*',1#"*+")'6'&+%@
$'-*"#%%&12#*1+-",'61'<(8"
31
setting the pace
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*+"+BB',"*,#1-1-7"#-)"')/2#*1+-#&"+%%+,*/-1@
*1'("*+"1-2,'#('"+/,"(*#='4+&)',(5"2#%#21*:"
B+,"#2*16'")'(17-;"B++)"%+&12:"#-)"4'#&*4:"
/,0#-"%&#--1-78"
‡'HYHORSHGDQHZVHWRIDFWLYHGHVLJQJXLGH@
&1-'("B+,"#BB+,)#0&'"4+/(1-78
Next Steps
:KLOHZHKDYHH[SHULHQFHGVRPHHDUO\VXF@
2'(('("1-"$+)1B:1-7"*4'"B++)"#-)"#2*161*:"'-@
61,+-$'-*("1-"G'71+-"+B".''&"0/1&)1-7(;"*4','"
1("(*1&&"$/24"<+,="*+"0'"2+$%&'*')"*+"2,'#*'"
(/%%+,*16'"'-61,+-$'-*("B+,"4'#&*4:"&161-7"
*4,+/74+/*".''&8"
2YHUWKHQH[W¿YH\HDUVZHZLOOLPSOHPHQWWKH
%&#-"+/*&1-')"1-"1(*%&$%&'1/23>""*+D
Create supportive environments in Peel
‡,PSOHPHQWQHZDFWLYHGHVLJQJXLGHOLQHV
IRUDIIRUGDEOHKRXVLQJLQ5HTXHVWVIRU
.,+%+(#&("ZG9.]"B+,"*4,''"#BB+,)#0&'"4+/(1-7"
)'6'&+%$'-*("1-".''&8"
‡'HYHORSDFWLYHGHVLJQLQH[LVWLQJRU
,')'(17-')"G'71+-"+B".''&"0/1&)1-7(8
‡3LORWIRXUW\SHVRIDFWLYHGHVLJQPHHWLQJ
,++$("#-)"<+,=(*#*1+-("#*"*4'"*<+"$#1-"
5HJLRQRI3HHORI¿FHEXLOGLQJV
‡,PSOHPHQWDQHZVHWRIIUHVKDQGQXWULWLRXV
B++)"7/1)'&1-'("B+,"*4'"$'-/("+B"G'71+-"+B"
.''&"2#B'*',1#("1-"UJIW"#-)"%,+$+*'"*4'"-'<"
+%*1+-("1-"UJIW@UJIY8
‡,PSOHPHQWQHZDFWLYHDUFKLWHFWXUDOGHVLJQ
B+,"*4'"OIUJ"3/,+-*#,1+"X*8"&+2#*1+-;"
LQFOXGLQJRXWGRRUH[HUFLVHHTXLSPHQW
<#&=1-7"*,#1&("#-)"#-"#2*16'")'(17-"$''*1-7"
(%#2'8"
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(*#='4+&)',("#-)"*4'"3/$#-"X',612'("
V'%#,*$'-*"+B"*4'"G'71+-"+B".''&"*+")'6'&+%"
B++)"#-)"%4:(12#&"#2*161*:"%+&121'(8
32
Measure our progress
C'"#,'"2+$$1**')"*+"$+-1*+,1-7"#-)"'6#&/#*@
1-7"24#-7'("#((+21#*')"<1*4"%+&12:")'6'&+%@
$'-*8"C'"<1&&",'61'<"0+*4"%,+2'(("#-)"+/*@
2+$'"$'#(/,'("*+")'*',$1-'"*4'"1$%#2*"*4#*"
6(+/LVKDYLQJRQWKH3HHOSRSXODWLRQ*LYHQ
WKHFRPSOH[LW\RIWKHUHODWLRQVKLSVEHWZHHQ
,1(="B#2*+,(;"(/24"#("%4:(12#&"#2*161*:;"#-)"
4'#&*4"+/*2+$'(;"(/24"#(")1#0'*'(;"$'#(/,1-7"
*4'"&+-7@*',$"(/22'(("+B"%+&12:")'6'&+%$'-*"
LVFKDOOHQJLQJ+RZHYHUZHZLOOXVHH[LVWLQJ
-#*1+-#&"#-)"%,+61-21#&")#*#8
LIVING TOBACCO-FREE
VISION
Fewer residents of Peel start
smoking; more quit and there is less
exposure to second-hand smoke.
Context
7KHUHDUHDSSUR[LPDWHO\FLJDUHWWH
VPRNHUVLQ3HHOZKLFKLVHTXLYDOHQWWRDERXW
IY"%',"2'-*"+B"*4'"%+%/&#*1+-"IU":'#,("+B"#7'"
#-)"+&)',8"T6',:":'#,"1-".''&;"*4','"#,'"$+,'"
*4#-"M;JJJ"4+(%1*#&1A#*1+-("#-)"#&$+(*"OJJ"
)'#*4("#**,10/*#0&'"*+"($+=1-78"
C41&'"($+=1-7"%,'6#&'-2'",#*'("1-":+/*4"#7'("
IU@I`"#,'"&+<;"($+=1-7"%,'6#&'-2'"1-"$#&'("
#7'("IR@WR",'$#1-("41748"!*"1("1$%',#*16'"-+*"
+-&:"*+"%,'6'-*"($+=1-7"1-1*1#*1+-"1-":+/*4;"
0/*"#&(+"*+"%,'6'-*":+/-7@#)/&*("B,+$"1-1*1#*@
1-7"($+=1-7"#-)"*+"'-#0&'"($+=1-7"2'((#*1+-"
1-"*4'":+/-7@#)/&*"%+%/&#*1+-8"
916'":'#,("#7+;".''&"./0&12"3'#&*4"B+2/(')"
&#,7'&:"+-"%,+61(1+-"+B")1,'2*"(',612'8"?/,"
($+=1-7"2'((#*1+-"%,+7,#$"1-2&/)')"2&1-12("
#-)"7,+/%"2+/-('&&1-7"('((1+-(;"<4','"-12+*1-'"
,'%&#2'$'-*"*4',#%:"<#("%,+61)')"#*"-+"2+(*"
*+"*4'"2&1'-*8"Q&*4+/74"*4'"%,+7,#$"/(')"
'61)'-2'@1-B+,$')"%,#2*12'(;"1*"<#(",'(+/,2'@
1-*'-(16'"#-)"1*(",'#24"<#("&1$1*')8"
program priorities
?/,"%,'6'-*1+-"%,+7,#$;"B/-)')"0:"*4'"
P1-1(*,:"+B"3'#&*4"#-)"K+-7@E',$"F#,';"
1-6+&6')"(24++&@0#(');":+/*4@&')"#)6+2#2:"
#-)"#2*161*1'(8"E4'"B/-)1-7"B+,"*41("%,+7,#$"
<#("2/*"1-"UJJR;",'(/&*1-7"1-"*4'"'&1$1-#*1+-"
+B"*4'"%,+7,#$8"
E+)#:;"*4,+/74"(/,6'1&&#-2'")#*#"Z(''"N23."%'
/0'6/8*++/]"#-)",17+,+/(",'61'<("+B",'('#,24"
'61)'-2';"<'"-+<"4#6'"#"7,'#*',"/-)',(*#-)@
1-7"+B"*4'"($+=1-7"1((/'"1-".''&8"C'"4#6'"
LGHQWL¿HGWDUJHWSRSXODWLRQVIRUERWKFHVVD@
*1+-"#-)"%,'6'-*1+-"#2*161*1'("#-)"#&(+"4#6'"#-"
/-)',(*#-)1-7"+B"'BB'2*16'"1-*',6'-*1+-(8
,QWKHODVW¿YH\HDUVZHKDYH
Initiate a range of activities focused on
prevention and cessation of smoking
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*1B:"'BB'2*16'"(*,#*'71'("*+"%,'6'-*":+/-7"
#)/&*("B,+$"0'2+$1-7",'7/&#,"($+=',(8"
‡&RPSOHWHWZRUHVHDUFKVWXGLHVWKDWH[SORUH
#**1*/)'(;"%',2'%*1+-("#-)"0'4#61+/,"#,+/-)"
*+0#22+"/('8"
‡8VHOHVVRQVOHDUQHGIURPWKHVHVWXGLHVWR
1-B+,$"%,+7,#$"#-)"%+&12:")'6'&+%$'-*"1-"
%,'6'-*1+-"#-)"2'((#*1+-8"
Collaborate with internal and external
stakeholders
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:HDUHH[SORULQJRSSRUWXQLWLHVWRFROODERUDWH
<1*4"*4'"G'71+-"+B".''&5("3/$#-"X',612'("
'HSDUWPHQWVH[XDOKHDOWKFOLQLFVDQGRWKHU
%,1$#,:"2#,'"%,+61)',(;"(/24"#("%4#,$#21(*(;"
WRH[SDQGWKHUHDFKRIFHVVDWLRQVXSSRUWVIRU
($+=',("1-".''&8"C'"<1&&"#&(+"2+&&#0+,#*'"<1*4"
*4'"T-61,+-$'-*#&"3'#&*4"V161(1+-"+-"4'#&*4"
%,+*'2*1+-"1-1*1#*16'(;"1-2&/)1-7D
‡&RPSOHWHGDFLJDUHWWHEXWWVWXG\WRXQGHU@
(*#-)"2+-*,#0#-)"/('"1-".''&8"
‡HYDOXDWLQJWKHUHFHQWO\HQDFWHGRXWGRRU
($+=1-7"0:&#<^"
‡,QLWLDWHGDSULPDU\FDUHFHVVDWLRQSURJUDP
<1*4"9#$1&:"3'#&*4"E'#$(8
‡LQYHVWLJDWLQJWKHXVHRIZDWHUSLSHVDQG
‡&RPSOHWHGDWREDFFRKHDOWKVWDWXVUHSRUW
<4124"#((1(*')"1-"('**1-7"*4'")1,'2*1+-"B+,"*41("
(*,#*'712"%,1+,1*:8
‡(VWDEOLVKHGDFURVVGLYLVLRQDOVWHHULQJFRP@
$1**''"#-)"<+,=7,+/%("*+"#)),'(("*4'"4174"
,#*'("+B"($+=1-7"1-"$#&'("#7')"IR"*+"UR8"
Next Steps
Build on our understanding of the
smoking issue in Peel
‡([DPLQHHPHUJLQJLVVXHVLQWREDFFRFRQ@
*,+&"#-)"/('"*41("1-B+,$#*1+-"*+")'6'&+%"#-)"
'6#&/#*'"2'((#*1+-"#-)"%,'6'-*1+-"%,+7,#$("
DQGSROLFLHVWKDWSURWHFWUHVLGHQWVIURPH[SR@
(/,'"*+"('2+-)@4#-)"($+='8"
‡H[SORULQJSROLF\RSWLRQVIRUVPRNHIUHH
$/&*1@/-1*")<'&&1-7(8
Measure our progress
C'"<1&&"$'#(/,'"+/,"%,+7,'(("1-"*+0#22+"
%,'6'-*1+-;"2'((#*1+-"#-)"2+-*,+&"0:"
PRQLWRULQJVPRNLQJUDWHVH[SRVXUHWRVHFRQG
4#-)"($+=';"($+=1-7@,'&#*')"2+$%&#1-*(;"
2'((#*1+-"(/%%+,*"#-)"%+&12:"1$%&'$'-*#*1+-8
‡'HYHORSDFRPSUHKHQVLYHWREDFFRVWUDWHJ\
*4#*"1-2+,%+,#*'("B#2*+,("B,+$"*4'"6#,1+/(")+@
PDLQVRIHYLGHQFHDQGLVÀH[LEOHDQGUHVSRQ@
(16'"*+"24#-71-7")'$#-)("+B"*+0#22+"2+-*,+&"
1-".''&8
33
V. former strategic priorities
Surveillance: Data for Action
Enhancing External/Internal Communication
Performance Management
former strategic priorities
E4','"#,'"*4,''"%,1+,1*1'("B,+$"*4'"+,171-#&"
VWUDWHJLFSODQWKDWQRORQJHUUHTXLUHVLJQL¿FDQW
1-6'(*$'-*"#*"*4'"+,7#-1A#*1+-#&"&'6'&"*+"2#*#@
&:A'"*,#-(B+,$#*1+-#&"24#-7'8"E4'('"%,1+,1*1'("
4#6'"0'7/-"*+"4#6'"*4'")'(1,')"1$%#2*"+-"+/,"
ZRUNHQYLURQPHQW%HORZLVDQDFFRXQWRI
WKHVLJQL¿FDQWHIIRUWWKDWKDVJRQHLQWRWKHVH
SULRULWLHVRYHUWKHSDVW¿YH\HDUV$OWKRXJK
*4'('"#,'#("#,'"-+"&+-7',"2+-(1)',')"(*,#*'712"
%,1+,1*1'(;"*4'"1$%+,*#-*"<+,="/-)',*#='-"0:"
*4'$"<1&&"2+-*1-/'8
SURVEILLANCE: DATA FOR ACTION
Vision in 2009
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(1+-')"#"(*,+-7"(/,6'1&&#-2'"(:(*'$"#*".''&"
./0&12"3'#&*4"*4#*"'-2+$%#((')"*4'"%,+2'(("
+B"(/,6'1&&#-2'"B,+$"0'71--1-7"*+"'-)D"B,+$"
*4'"*1$'&:")'*'2*1+-"+B"#"4'#&*4"'6'-*"/(1-7"
KLJKTXDOLW\VXUYHLOODQFHGDWDWRWKHH[HFXWLRQ
+B"*1$'&:"%/0&12"4'#&*4"#2*1+-"0#(')"+-"*41("
1-B+,$#*1+-8
Progress During the
Last Five Years
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2+$%+-'-*("+B"#"7++)"(/,6'1&&#-2'"(:(*'$"
#-)"%/*",'(+/,2'("*+<#,)("0/1&)1-7"#-)"(/(@
*#1-1-7"#-"1-B,#(*,/2*/,'"*+"2+-)/2*"'BB'2*16'"
(/,6'1&&#-2'8"X+$'"#2*161*1'("1-2&/)')D
‡,PSOHPHQWLQJQHZVXUYHLOODQFHV\VWHPVDQG
'-4#-2')"(/,6'1&&#-2'"B+,"('6',#&")1('#('("
DQGKHDOWKLVVXHVZKHUHGDWDJDSVH[LVWHG
‡,QFUHDVLQJDFFHVVWRVXUYHLOODQFHGDWD"
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COMMUNICATION
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35
setting the pace
Progress During the
Last Five Years
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36
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former strategic priorities
PERFORMANCE MANAGEMENT
Next Steps
Vision in 2009
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37
setting the pace
VI. looking ahead
Communicating the Strategic Plan
Conclusion
38
looking ahead
COMMUNICATING THE
STRATEGIC PLAN
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39
setting the pace
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40
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appendices
Appendix A: Peel Public Health Workforce Development Model
Appendix B: Framework for Reconceptualizing Early Childhood Policies
and Programs to Strengthen Lifelong Health
Appendix C: A Comprehensive Framework to Address Unhealthy Eating,
Physical Inactivity and Sedentary Behaviours
41
42
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Foundational Influences
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Workforce Development
Outcomes
WP Specific Goals
Processes/Activities
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Workforce Management
WORKFORCE
PLANNING
Appendix A: Peel Public Health Workforce Development Model
setting the pace
4
Private Sector Actions
Primary Health Care
Community Development
Family Economic Stability
Early Intervention
Child Welfare
Child Care and Early Education
3
2
Workplace
Skills and Knowledge
1
Neighbourhood
Appropriate
Nutrition
Safe, Supportive
Environments
Stable, Responsive
Relationships
Foundations
of Health
Settings
Programs
Financial, Psychological, and
Institutional Resources
Time and Commitment
Caregiver and
Community Capacities
Home
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During
Sensitive
Periods
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Over Time
Physiological
Adaptations or
Disruptions
Biology
of Health
Adulthood
Adolescence
Middle
Childhood
Early
Childhood
Prenatal
Health and
Development Across
the Lifespan
Preconception
"
Public Health
Policy Program
Levers for Innovation
(Source: Center on the Developing Child – Harvard University)
Appendix B: Framework for Reconceptualizing Early Childhood Policies and
Programs to Strengthen Lifelong Health
appendices
43
44
Principles
for Action
Foundational
Components
Priority
Settings
Workplaces
Addressing Social Norms through Social Marketing
Achieving Health Equity and Inclusion for Diversity
Achieving Policy Change
Schools
Built
Environment
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Surveillance, Evaluation, Research & Evidence-Informed Decision Making
Pre-School
Appendix C: A Comprehensive Framework to Address Unhealthy Eating,
Physical Inactivity and Sedentary Behaviours
setting the pace
"
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