blending targeted and universal approaches to advance health equity
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Blending targeted and universal approaches to advance health equity . CPHA Conference 2014 Hannah Moffatt, Miranda Elliott & Dianne Kinnon National Collaborating Centre for Determinants of Health . O bjectives. - PowerPoint PPT PresentationTRANSCRIPT
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Blending targeted and universal approaches to advance health equity
CPHA Conference 2014Hannah Moffatt, Miranda Elliott & Dianne KinnonNational Collaborating Centre for Determinants
of Health
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Objectives• Increase understanding and clarify the
concepts of targeted, universal and targeting within universal approaches to health equity in public health practice
• Discuss key factors that support - and challenge - using a targeting with universal approaches in public health practice, and their impact on improving the health of all
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The National Collaborating Centre for Determinants of Health
One of six National Collaborating Centres for Public Health in Canada
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Our audience:• Practitioners, decision
makers, and researchers working in public health
• Organizations in Canada’s public health sector
Our work:• Translate and share
evidence to influence interrelated determinants and advance health equity
Our focus:• Social determinants of
health & health equity
National Collaborating Centre for Determinants of Health
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Let’s Talk… Universal and targeted approaches to health equity
A discussion guide about when and
why to use a universal, targeted,
targeting within universal, or proportionate
universal approach
NCCDH. Let’s Talk seies. Available at: http://nccdh.ca/blog/entry/Two-new-releases-in-the-Lets-Talk-series
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Universal Approach Targeted Approach• Applies to an entire
population• Each member of
society has access• Universal in principle
may not be universal in practice
• Applies to a priority sub-group
• Interventions are designed to support populations experiencing disadvantage
• Can address the consequences of inequities, rather than the causesLet’s Talk: Targeted & universal approaches to
health equity. http://nccdh.ca/resources/entry/lets-talk-universal-and-targeted-
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Targeting within universalism –approaches define goals for all and tailor strategies to reduce barriers faced by specific groups
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“Focusing solely on the most disadvantaged will not reduce health inequalities sufficiently. To reduce the steepness of the social gradient in health, actions must be universal, but with a scale and intensity that is proportionate to the level of disadvantage” – Marmot
Marmot M. Fair society, healthy lives. Strategic review of health inequalities in England post-2010. The Marmot Review. 2010. Available from: http://www. instituteofhealthequity.org/projects/fair- society-healthy-lives-the-marmot-review 9
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Learning from Practice: Targeting within Universalism• How does the theory apply to practice?
• Three case examples describe their process and lessons learned
• Available onlinehttp://nccdh.ca/resources/entry/lets-talk-universal-and-targeted-approaches
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Sudbury and District Health Unit’s School Health Promotion
• Universal program with extra resources for CORE schools
• Comprehensive school health approach, multi-year strategy
• Partnership and relationship building
Learning from practice: Targeting wtihin universaliismhttp
://nccdh.ca/resources/entry/lets-talk-universal-and-targeted-
approaches 11
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Capital Health’s Healthy Beginnings Program• Universal program pre-natal
education and post-natal support with identification of families that require more intensive, long-term support
• Partnership with school boards, primary care practitioners, family resource centres
• Gathering feedback from clients and service providers Learning from practice: Targeting wtihin
universaliismhttp://nccdh.ca/resources/entry/lets-talk-universal-and-targeted-
approaches 12
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Vancouver Coastal Health’s tobacco reduction program• Universal programs to limit tobacco use and
second-hand smoke exposure
• Targeted tobacco reduction for priority groups
• Shift to increase emphasize populations with the highest rates of tobacco dependency and known barriers to universal program participation
Coming soon!13
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Overall Lessons• Various reasons and approaches to applying
the concept
• Strong partnerships, evaluation, and flexibility emphasized in the public health programs
• Efforts continue to seek balance to achieve best health outcomes for all
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Visit our website - Contact us
National Collaborating Centre for Determinants of HealthSt. Francis Xavier UniversityPO Box 5000, Antigonish, NS B2G 2W5Email: [email protected] and [email protected] Phone: (902) 867-5406 Fax: (902) 867-6130www.nccdh.ca and www.ccnds.ca
@NCCDH_CCNDS
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