As the spread and impact of the COVID-19 pandemic has accelerated in Canada and the world, we find ourselves in a cycle of planning, response and recovery. The National Collaborating Centres for Infectious Diseases and Determinants of Health (NCCID and NCCDH, respectively) have responded by reviewing lessons learned and recommendations on health equity from past pandemics in Canada.
This Let’s Talk document discusses the ethics embedded in of health equity. It draws on the concepts of currencies and principles of justice as they relate to interventions designed to improve health equity.
This curated reading list includes resources that explore the ethical foundations of health equity and the implications for public health action.
This guide explores tools that can be used to assess organizational capacity as a facet of existing organizational assessments. This guide is part of the National Collaborating Centre for Determinants of Health (NCCDH)’s Organizational Capacity for Health Equity Action Initiative (OCI).
This document focuses on collectively built change processes and their connection to successful organizational change. It is a part of the NCCDH’s Organizational Capacity for Health Equity Action Initiative (OCI).
This curated list developed jointly by the NCCDH and National Collaborating Centre for Infectious Diseases (NCCID) highlights resources that support public health planning and intervention to address tuberculosis (TB) risk and control in homeless shelter settings.
This conceptual model identifies four concepts for successful organizational change and how change capacity applies to health equity action in public health. It is a part of the NCCDH’s Organizational Capacity for Health Equity Action Initiative (OCI).
This case story from the Toronto Indigenous Health Advisory Circle (TIHAC), the NCCDH and Muskrat Media describes the formation of TIHAC and the creation of the first self-determined Indigenous health strategy in Canada. It outlines the relationships, conditions and decisions that led to the creation of a strong strategy for Toronto.
This summary document provides an overview of recent work by RentSafe, a program under the Canadian Partnership for Children’s Health and the Environment (CPCHE), including recent findings and recommendations that can inform public health action on housing as a social determinant of health.
This curated list from the National Collaborating Centre for Determinants of Health (NCCDH) highlights resources that support and inform public health action on the built environment as a determinant of health inequities.
This curated list from the National Collaborating Centre for Determinants of Health (NCCDH) highlights resources that support and inform public health action on housing as a key influence on health equity.
This self-directed learning tool is designed for public health middle-managers with diverse experiences, disciplines and tenure. The tool helps cultivate the knowledge, skills and attitudes public health middle managers need to facilitate the development and implementation of public health strategies and interventions that reduce health inequities.
This gap analysis by the NCCDH focuses attention on the most pressing needs in advancing health equity in public health. It offers guidance for researchers, policy-makers, government decision-makers and public health practitioners.
This third environmental scan from the NCCDH responds to recent concerns about the Canadian health sector’s significant decline in commitment to public health programs and services. The scan explores implications for the public health sector in undertaking effective action to address the social determinants of health and improve health equity in this context.
This curated list from the National Collaborating Centre for Determinants of Health (NCCDH) outlines key resources to support Master of Public Health (MPH) students looking to incorporate health equity action into their career in Canadian public health.
This report summarizes the key findings of a scoping review and metasummary on public health leadership action for health equity. It explores essential elements and opportunities for leadership development.
This report offers a summary of the comprehensive literature review that Dr. Claire Betker completed as part of her dissertation research. It provides an overview of the available literature regarding public health leadership for action on health equity.
This reading list is designed to offer a starting point for public health practitioners hoping to deepen their understanding of the causes and implications of structural racism. In addition, the collection highlights different strategies for dismantling racist systems and offers examples of communities that have experience success with these aims.
The seventh release in our Let’s Talk series discusses racism as a critical factor that impacts health and wellbeing. The concepts of race, racism and racialization are described, with attention to settler colonialism and structural racism.
This paper presents findings on two surveys of how public health professionals exchange knowledge and act to improve the social determinants of health and health equity in digital spaces like social media.
A groundswell of interest has emerged recently in using collective impact (CI) to tackle entrenched social problems. This blended case story describes two CI initiatives in which public health is significantly involved: London Ontario’s Child & Youth Network and The Child & Youth Health Network on Vancouver Island.
This paper highlights the experience of the non-profit group Generation Squeeze in advocating for increased investment in people in their 20s, 30s and 40s and their children.
This curated list offers tools and resources to facilitate action on policy solutions related to food insecurity.
This curated list offers resources that support collaborative action in the process of working with multiple partners to advance health equity.
NCCDH staff chose seven documents that have significantly informed our understanding of how health is affected by structural (e.g., global and national economic policy) and intermediate (e.g., income and education) determinants of health. This list provides a brief description of the contribution for each of these documents.
Key resources for environmental public health practitioners to address health equity: A curated list
This curated list of resources for environmental health practitioners provides concrete information on addressing the social determinants of health (SDH) and health equity.
A framework and user guide have been developed for environmental public health staff, and other public health agencies or departments that deal with environmental health issues, to help identify potential actions on the social determinants of health and health equity.
This paper identifies eight common priorities of public health stakeholders who are working to improve the social determinants of health and health equity.
This discussion paper presents key economic arguments that support the call to re-think how we distribute health care dollars, concluding that a shift towards the upstream determinants of health is warranted on the basis of economics, as well as social justice values.
This paper highlights the experience of Hamilton Public Health in advocating for the social determinants of health and health equity.
Public health practitioners and researchers discuss the application of intersectionality in social determinants of health and health equity practice, policy and research.
These proceedings summarize an open space forum held in Quebec City in 2015. The event explored the question: “What are the opportunities to reduce social inequities in health if we bring together knowledge gathered from experience, intervention, research, and decision-making?”
An overview of proceedings from a May 2014 meeting of senior leaders and decision-makers in Canadian public health about advancing provincial/territorial capacity for health equity.
This curated list points to key resources to support advocacy for health equity by public health practitioners.
The Path Taken: Developing organizational capacity for improving health equity in four Ontario health units
This document describes how four public health units in Ontario have worked to integrate health equity into strategic planning and everyday practice. The report describes the variety of approaches, lessons learned and first-hand staff experiences.
The latest addition to the NCCDH’s “Let’s Talk” series discusses advocacy within public health. Attention is brought to the shift towards advocacy in upstream policy and structural change. Discussion questions are included to help public health staff examine their work.
This resource presents an accessible action framework for those directly engaged in creating community health status reports, as well as those interested in learning how to use population health status reporting to drive action to improve health equity.
This document summarizes an online conversation—hosted by the NCCDH in 2013— about the use and value of a four-role model for public health action to improve health equity.
This document summarizes an online conversation hosted by the NCCDH in 2013 about public health leadership for health equity.
This document summarizes an online conversation—hosted by the NCCDH in 2013— about developing the skills and competencies needed by public health staff, and the organizational systems that need to be in place, to support health equity work.
This document applies common messaging guidelines to the challenge of communicating the connection between income inequality and health inequality. The guidelines were published by the Canadian Council on the Social Determinants of Health.
Learning to work differently: implementing Ontario’s Social Determinants of Health Public Health Nurse Initiative
This case study explores the development and implementation of social determinant of health public health nurse (SDH PHN) positions across Ontario’s 36 public health agencies. The report explores the supports and barriers to implementing equity-focused positions to improve public health organization capacity to act on SDH and advance health equity. This is one of a series of case studies about leadership for health equity.
This is the story of Saskatoon Health Region’s (SHR) work to improve immunization rates and reduce the spread of influenza in Saskatoon’s six core neighbourhoods. SHR’s existing strong socio-economic and health disparities data made it possible to prioritize these core neighbourhoods for H1N1 vaccination programs.
This story describes how Manitoba Health, Healthy Living and Seniors prioritized Aboriginal peoples in its response to the 2009-10 H1N1 influenza pandemic, and used this experience to further develop influenza prevention and immunization equity measures.
In this video, public health decision-makers and researchers describe “targeted universalism” as an approach to reducing health inequities across the entire population.
This story about leadership at Western Health in Newfoundland is one of a series of case studies about leadership for health equity. This case explores the structures and processes the health authority put in place to support intersectoral action and community engagement for health equity.
In this video, public health decision-makers and researchers discuss the necessity to work across sectors and organizations to improve the social and economic factors that affect the distribution of health.
Fostering health through healing: engaging the community to create a poverty reduction strategy in Nunavut
This story is about Nunavut’s highly collaborative approach to poverty reduction, and is part of an NCCDH series about leadership for health equity. It discusses the roots of poverty in the territory, and how government and community organizations set out together to build health through poverty reduction.
This report is a follow-up to the NCCDH’s 2010 environmental scan, Integrating social determinants of health and health equity into Canadian public health practice. It is based on a literature review, focus groups and key informants, and identifies ways that the context and practice of health equity work in the public health domain have changed since 2010.
A guide to community engagement frameworks for action on the social determinants of health and health equity
This guide is designed to help public health practitioners choose or adapt a community engagement framework that focuses on achieving greater health equity through the social determinants of health.
Building a business case for preventive home visiting for pregnant women and mothers of young children: A review of the literature
This rapid review uses evidence from research reviews to develop a business case for home visiting programs in Canada.
Public health practitioners discuss strategies to address the social determinants of tuberculosis.
This series of practice examples describes how three public health units use a targeting within universalism approach to advance health equity.
This condensed guide describes how public health works at three levels—downstream, midstream, and upstream—to improve everyone’s chance for good health. It provides definitions, examples and strategies to help practitioners and decision makers think about, and work with, the upstream determinants of health.
Alberta Health Services: Establishing a province-wide social determinants of health and health equity approach
This case study of an Alberta Health Services’ (AHS) initiative is one of a series of profiles on effective leadership in advancing health equity work. The case describes the process—with challenges and success factors—used by AHS leaders to develop a province-wide health equity strategy.
This condensed guide was designed to help individual practitioners, teams and organizations be more intentional about the language we use to describe populations, so that our words empower people and communities.
Four public health experts talk about how both having organizational standards, and going through a process of developing standards, can build an organization’s capacity to advance health equity.
This project set out to identify factors or conditions that influence effective public health leadership to improve health equity. Interviews were conducted with 14 Canadian public health leaders and themes were identified using an appreciative inquiry method.
The four public health roles is a framework that can help organizations make health equity a strategic focus of their governance, policies, and partnerships.
While research is growing about effective ways to improve health equity, action lags behind. This resource describes six knowledge to action models that can help you translate evidence in a way that promotes and supports action on the social determinants of health.
Research indicates that interventions designed to close the gap between the most and least healthy can unwittingly result in a wider gap. This resource is a condensed guide to the differences, strengths and challenges of targeted, proportionate and universal approaches to improving health equity.
What is the difference between health inequality, health inequity, and health equity? This document explores the concept of health equity and how it applies to public health practice.
Tools and approaches for assessing and supporting public health action on the social determinants of health and health equity
This quick-reference guide is intended for public health practitioners, planners and decision makers who want to strengthen the equitability of public health and health sector programs and services.
Core competencies for public health in Canada: An assessment and comparison of determinants of health content
This assessment explores how the determinants of health are reflected in Core Competencies for Public Health in Canada: Release 1.0.
This reference provides brief annotations for 147 articles related to early child development and public health home visiting.
This tool increases understanding about issues that influence early child development.
This report identifies and summarizes research on the impacts of family literacy on health.
This document provides key facts and a glossary based on a pan-Canadian environmental scan conducted by the NCCDH on public health early child home visiting programs.
This rapid systematic review examines the impact and effectiveness of intersectoral action as a public health practice to advance health equity.
This factsheet provides background information on the social determinants of health.
This review of the literature describes school readiness from a health and early child development perspective.
This document contains a description of the methods used to develop four case studies to support a workshop hosted by the NCCDH and the CIHR-IPPH in Toronto, Ontario on February 14-15, 2012.
These documents summarize the NCCDH and CIHR-IPPH co-hosted “Researcher-Practitioner Health Equity Workshop: Bridging the Gap” held in February 2012.
This case study starts at the beginning – building support for health equity among senior health managers. It outlines how to find and nurture health equity champions.
This case study shows how leadership, local data and strong community support drove intersectoral action on health equity.
This case study will help others plan or support community-driven action on poverty reduction.
This case study shows how a public health director took advantage of a reorganization of public health services to embed a population health approach, first into her region, then into the entire province.
This report provides an overview of the three day conference that took place in Baddeck, Nova Scotia during August 20-27, 2007.
This report describes the proceedings of the Early Child Development Forum held October 14-18, 2008 in Saskatoon, Saskatchewan.
This evidence review presents a discussion on how the social determinants of health impact young children and their families.
This report provides details on consultations held throughout Canada in 2006-2007 regarding the experiences of individuals with low literacy skills, immigrants, and refugees and service providers who work with these groups.
This document provides a brief overview of the Working Poor Project conducted in the City of Greater Sudbury, Ontario.
This document provides an overview of the work conducted by the NCCDH in 2008-09 on public health early childhood visiting.
This report describes Canadian experiences in attending the “Health Observatories: Learning from Our World Neighbours, 2008” meetings hosted by the London Public Health Observatories.
Environmental scan - Integrating social determinants of health and health equity into Canadian public health practice
This analysis informs the priorities and activities of the National Collaborating Centre for Determinants of Health.