Chronic Disease Prevention Alliance of Canada

1. Chronic Disease Prevention Alliance of Canada John M. Garcia Director Prevention Unit Cancer Care Ontario March 21, 2002

2. Canadian Heart Health Initiative • Heart HealthSurveys • Documentation of the problem • Demonstration • Determine whether experience from other jurisdictions can be applied in Canada • Adoption and adaptation • Innovation • Dissemination • Understanding the processes/mechanisms of diffusion/dissemination • Guidance for wide spread application • Deployment • Systems change • Delivery of effective dose • Andre Petrasovits’ dream lives on

3. Building on past successes and current infrastructure • Canadian Heart Health Initiative • Canadian Diabetes Strategy • Canadian Strategy for Cancer Control • WHO Country-wide Integrated Non-Communicable Disease Intervention (CINDI)

4. Chronic disease prevention • Not all chronic diseases • Three health behaviours • Non-communicable disease prevention • Disease prevention in health promoting way • Legitimate objective of government policy • Socio-behavioural orientation: broader than “lifestyle”

5. Vision “Canadians will have access to a comprehensive, sufficiently resourced, sustainable, and integrated system of research, surveillance, policies and programs that maintain health and prevent chronic disease.” “The system will link together and build upon existing initiatives in a coordinated and synergistic way.”

6. Vision (continued) “The system will be broader that just the health sector, and will include other relevant sectors such as transportation, education, social services, recreation, and others.” “System development will proceed within Canadian society that values health as a fundamental goal and right.”

7. Membership • Coalition of organizations and individuals who share a common vision for an integrated system of chronic disease prevention in Canada • Organization or individual that ascribes to the vision and principles of the work of the Alliance can be a member of the Alliance

8. What the Alliance is not • Does not intend to become a mechanism for coordinating all aspects of chronic disease control -- primary prevention focus • Does not aspire to become the supra-ordinate alliance that can lead and coordinate all other prevention coalitions in Canada -- not the “mother of all coalitions” • Does not intend to be “top-down” and directive

9. Practical orientation • Alliance members have a practical orientation and work together in different ways on a mutual action plan to achieve the integration of chronic disease prevention system activities in Canada • Now formulating an action plan

10. CDPAC Management Committee • Canadian Cancer Society • Heart and Stroke Foundation of Canada • Canadian Diabetes Association of Canada • Dieticians of Canada • Coalition for Active Living • Canadian Council on Tobacco Control • Health Canada, ex officio

11. Guiding Principles • Population-based • Reduce inequalities • Leadership • Integration and coordination • Comprehensiveness • Focus on excellence

12. Guiding principles (continued) • Best practices • Capacity building • Accountability • Sustainability • Linked to and shape developments in Canada’s health system

13. Strategic alignment • New Directions for Tobacco Control in Canada - A National Strategy (1999) • Six Point Action Plan of the Coalition for Active Living (2002) • Nutrition for Health: Agenda for Action (1996)

14. Chronic disease prevention system and subsystems • Goal and objective setting • Policy development, including healthy public and private policy • Media advocacy and policy advocacy • Mass media communications, including social marketing, message selection, etc. • Knowledge development and synthesis • Enabling system • Technical assistance and training for “best practices” • Networking and information exchange • Intervention development and dissemination, including formative and summative evaluation • Surveillance/monitoring progress

15. Resources for capacity building and community change: enabling system 4. Risk Factors Tobacco Food and nutrition Physical Activity Equal opportunities

16. CDC, Best Practices for Comprehensive Tobacco Control Program, August 1999 • Informed debate regarding Master Settlement between State Attorneys’ General and Tobacco Companies, and subsequent appropriations • Elements: Community programs, chronic disease programs, school programs, enforcement, statewide programs, counter marketing, cessation programs, surveillance and evaluation, administration and management • Cost of implementation: range between $5-16 and $7-20/capita (small states requiring more)

17. Aspirations for the CDPA? • National coordinating committee/alliance • National centre/staff support • Provincial/regional and local alliances • Practical technical assistance, training and network support • Focus on coalition building, media advocacy (agenda setting), and policy advocacy • Modest funding requirements for start-up

18. Current activities • Grants • Health Canada • Voluntary Sector Initiative • Subcommittees • Implementation framework • Communication / advocacy • Business case • Forum

19. Getting involved in CDPA • Involvement • become active at national level through committees/working groups • provide advice, input, expertise, documents information • provincial alliances: liaison and develop common agenda • distribution lists • For more information and to get involved • contact Christeen Frederick • cfrederick@cancer.ca (416-934-5667)