Manitoba Risk Factor Surveillance – Building on Success

1. Manitoba Risk Factor Surveillance –Building on Success Growing Up: Expanding from Youth to Adult Risk Factor Surveillance January 26th, 2011

2. Outline • Where it began…. • Becoming Partners in Planning for Healthy Living • Developing a Framework • Youth Health Survey: What were our successes? • Created Provincial System for RFS • Integrated into Planning Cycles • Found Funding • What we learned from YHS? • Partnerships • Multi-level Leadership • Who to thank? • Moving Towards ARFS

3. WHO STEPwise approach to chronic disease surveillance

4. Providing evidence in an integrated way

5. Where it began… Partners came together to develop an integrated knowledge system to inform local planning based on evidence (MIKS) Common mandate for prevention of chronic diseases: IRHA, CCS, CCMB, H&SF, Alliance Partners in Planning for Healthy Living SNOWMAN – conceptual framework

6. Becoming Partners in Planning for Healthy Living Formalized our partnerships NGOs, RHAs, MECY, HCMO, MHHL, HIC, PHAC, etc. Expanding is based on common mandates Shared values and principles Ongoing at all levels – school, community, region and provincial

7. Partners in Planning for Healthy Living Our Vision: To build… • Prevention capacity in Manitoba • Province-wide chronic disease risk factor surveillance system that is integrated with community planning and best practices • A sustainable system which fits into the planning cycles at all levels

8. Partners in Planning for Healthy Living Our Values: • We are inclusive and flexible. • We are non-judgmental. • We are community friendly.

9. Partners in Planning for Healthy Living Our Principles: • We focus on evidence. • We support the development of knowledge and capacity within communities. • We support integrated, community planning for healthy living.

10. Surveillance Surveillance Evaluation KnowledgeExchange Evaluation PRACTICE-BASED EVIDENCE Reporting Developing a Framework Program Development EVIDENCE-BASED PRACTICE Best Practice Identification & Best Practice Dissemination

11. Manitoba Risk Factor Surveillance The goal is to develop an integrated system of ongoing risk factor surveillance in MB at the community level: • Produces practice-based learning • Is consistent and sustainable across province • Is based on evidence • Builds capacity to plan at all levels (community, school, region, province) • Allows us to ‘learn as we go’

12. Youth Health Survey: What Were Our Successes?? • Created a Provincial RFS System • Census of grades 9 to 12 in all schools (some schools 6 to 8) • Census chosen to provide local-level data for local planning • Avoids study design & weighting issues • Straight-forward & easy to manage • Economies of scale (printing surveys, report production, common health promotion messages)

13. Youth Health Survey: What Did We Do? • Integrated into Planning Cycles • Chronic Disease Prevention Initiative • Community Health Assessment • Regional Health Plans • Baseline for Physical Education/Health Education Policy implementation (MB Education and HCMO)

14. Strategic Planning

15. Youth Health Survey: What Did We Do? • Found Funding • CancerCare MB Foundation • Heart & Stroke Foundation of MB • Public Health Agency of Canada • Chronic Disease Prevention Initiative MH • Canadian Partnership Against Cancer • Coalitions Linking Action in Science and Prev’n • Canadian Institutes of Health Research

16. Funding and Collaboration

17. What We Learned from YHS Partnerships • 46,919 students participated in the survey (or approximately 50,000) • Over 400 schools; 265 of these schools included grade 9-12 • All 11 Manitoba Regional Health Authorities participated • Reports at School, School Division, Regional, and Provincial levels

18. What we Learned from YHS Multi-Level Leadership • Change in expectations for leadership –regional, school division, NGO, community, provincial and others could provide leadership • Change in expectations for resources – in-kind and financial from regions, NGOs, school divisions and other government departments

19. Who to Thank? The RHAs… • For leadership • For staff time and energy to collect data, forge new relationships, and extend the reach of their RHA activities • For supporting staff to take part in PPHL planning, activities, and working groups • For collaborating with other RHAs, NGOs and government departments to produce YHS Provincial Report and RFS System

20. Moving Towards ARFS

21. Continue to share the lessons learned and best practices from the YHS RHAs continue to be involved, and assume a leadership role in collecting, disseminating and using the data Take what we’ve learned about evidence-based practice, communicating and mobilizing, collaboration and partnerships, and apply it to Adult RFS Plan collection of Adult RFS data beginning with Jan 2011 Symposium Moving Towards ARFS

22. Acknowledge Changing Roles • RHAs own their data, together decide how to collect and share • Governments benefit from regional leadership, concentrate on infra-structure to support • Lack of resources not always a barrier – i.e. Education policy in place, resources will come

23. What Do We Need to Conduct ARFS ? • Champions • Funding • A commitment to the values and principles of Partners in Planning for Healthy Living

24. Conclusions • On-going surveillance allows for future tool development, a coordinated approach and shared experience for all involved • Supporting research- validation of physical activity, policy, etc. • Challenge to develop shared meaning, link surveillance to planning, interventions, and further evaluation… To think and act as a system

25. A Manitoba Initiative

26. Thank you.