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Okanagan Similkameen Healthy Living Coalition. Ours will be the healthiest community in BC. Who we are. Regional authorities: Municipalities (7) SDs (3) Indian Bands (2) RDOS Interior Health OS Healthy Living Society – convenor UBCO Okanagan College Community working groups.
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Okanagan Similkameen Healthy Living Coalition Ours will be the healthiest community in BC
Who we are • Regional authorities: • Municipalities (7) • SDs (3) • Indian Bands (2) • RDOS • Interior Health • OS Healthy Living Society – convenor • UBCO • Okanagan College • Community working groups
Structure • Community-driven, bottom up planning and delivery • Enabling and supportive governance: Constellation Model • Community Groups: • Identify assets, gaps, opportunities, champions • Spawn constellations • Hub: • Develop community capacity and competency • Knowledge Transfer, Knowledge Exchange, Worldview • Set scope; quality standards; grant writing support, project management, evaluation, data management, seed grants
Our Approach • Move beyond harm avoidance to reward pursuit: paradigm shift • Health behavior determinants are complex, interactive and non-linear • To be sustainable, healthy lifestyles must become a new norm • Strategy for cultural change, not just a strategy for individual lifestyle change • Success will be achieved through multipronged and simultaneous community-level interventions that reach a critical mass • Social marketing will be key to success.
A Couple of Old Nuggets: Every system is perfectly designed to achieve exactly the results it gets. - W. Edwards Demming Culture eats strategy for breakfast - Peter Drucker
Success Lies in the Community • Capacity (Quantitative) • The number of people with the will and motivation to bring about change • Competency (Qualitative) • The knowledge and skills community champions bring to the task • Understand and address the health challenge • Understand and address the cultural challenge • Understand and address complexity • Capacity + Competency = Empowerment
Choices • “Make the healthy choice the easy choice” • Awareness • Accessible • Affordable • Attractive
Choices • “Make the healthy choice the preferred choice” • Perceived reward • Social norm • Personal norm
A Model For Mediators of Lifestyle Choice Preferred Choice
Conclusion • Emergence of sustainable healthy lifestyles is a challenge in personal and cultural NORMS • Norms are based on authentic values, satisfaction and reward • Personal norms are strongly influenced by community norms: the culture we live in and belong to • Health and change management professionals don’t have the “cure”: this rests with the individual and community • Our role is to help them figure it out for themselves. We need to develop a curriculum for empowerment that recognizes complexity.