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Explore strategies by Health Canada and CFIA to implement regulations, with case studies on policy cycles and ActNow BC's health promotion. Discussion on factors impacting policy implementation.
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Update- Policy Analysis & Research Function WHO Collaborating Centre on Chronic Noncommunicable Disease Policy Policy Observatory Meeting Montreal, May 2008
Policy Analysis & Research • Analysis of policies (descriptive and analytical) in order to generate usable policy knowledge. • “Enlightenment” function • “Problem solving” function • Analysis for policy
Policy Analysis & Research • Using Quantitative and/or Qualitative Research methods • To date, the Policy Observatory has relied mainly on qualitative-interpretive methods • Case study as a research method
Using the policy cycles approach: Past and current projects Phase 1: Formulation Case Studies: -Nutrition Labelling (Canada) -National Food & Nutrition Policy (Brazil) -Fortify Wheat Flour with Folic Acid (Costa Rica) Phase 2: Implementation Case Study on Nutrition Labelling (Canada: Sandra Burt and Ellen Vogel) Decision-making Analysis of NCD-related policies in CINDI participating countries Implementation Policy Formulation Agenda-Setting Evaluation
Phase 2 Canada-Implementation • Title:Implementation Strategies for Nutrition Labelling: Forging A Strategy in the Face of Implementation Obstacles • Objectives:To examine the strategies developed by Health Canada and the Canada Food Inspection Agency to implement the regulations introduced in 2002. • Results:Six factors affect the implementation process: • 1) Technical requirements; • 2) Diversity and complexity of the problem being addressed; • 3) Size of the target group; • 4) Extent to which behavioural changes are involved; • 5) Political and economic context; • 6) Strength of the administrative group(s) charged with carrying out the policy
Developing, Implementing and ResearchingIntegrated Approaches • Case study on ActNow BC- a whole-of-government approach to health promotion (province of British Columbia) • “An integrated, partnership-based, health promotion and chronic disease prevention strategy”.
ActNow BC Key Targets- 2010 • Physical Activity – Toincrease by 20% the proportion of the B.C. population (aged 12+) who are physically active or moderately active during their leisure time (58.1%18 to 69.7%) • Healthy Eating – To increase by 20% the proportion of the B.C. population (aged 12+) who eat the daily recommended level of fruits and vegetables (40.1%19 to 48.1%) • Tobacco Use – To reduce by 10% the proportion of the BC population (aged 15+) that use tobacco from the current prevalence rate (16.0%20 to 14.4%) • Overweight/Obesity – To reduce by 20% the proportion of the B.C. population (aged 18+) currently classified as overweight or obese (42.3%21 to 33.8%) • Healthy Choices in Pregnancy – To increase by 50.0% the number of women counseled regarding alcohol useduring pregnancy
ActNow BC • Key characteristics of ActNow BC • Assistant Deputy Ministers Intersectoral Committee • Minister of State for ActNow BC • Accountability Framework • Logic Model- Each Ministry • Programs/Policies/Activities contributing to meeting the ActNow targets must be included in each service plan • Partnership with a coalition of NGOs
Act Now BC Case Study • +30 interviews with key informants • Follow the initiative over time (sustainability) • Advisory Board • PHAC, NGO, BC Ministry of Health, WHO
Future projects… • Literature- systematic reviews • PHAC priorities • Emerging research topics • This meeting…