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Explore the discussion on health equity, human rights, and Indigenous rights and how it relates to the health of Winnipeg residents. Discover key statistics on premature mortality, hospital utilization, and income distribution. Learn about the Community Health Assessment and its impact on neighborhood knowledge. Find out how to address health inequities and remove barriers to accessing health services.
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Health for All Discussion with WRHA Programs, Sites & Teams 2016
Health for All = Health Equity Human Right, Indigenous Right, Treaty Right Health Equity means that all people can reach their full health potential and should not be disadvantaged from attaining it because of social and economic status, social class, racism, ethnicity, religion, age, disability, gender, gender identity, sexual orientation or other socially determined circumstance.
Premature mortality rate (PMR) by Winnipeg Neighborhood Cluster Age- & sex adjusted annual rate of death before age 75 (per 1,000 residents), 2002-2006 & 2007-2011 http://www.wrha.mb.ca/research/cha2014/index.php
Hospital Days Used in Short Days (1-13 days) http://www.wrha.mb.ca/research/cha2014/index.php
Hospitalization for Ambulatory Care Sensitive Conditions (per 1,000 residents aged under 75 years) http://www.wrha.mb.ca/research/cha2014/index.php
Distribution of Income Quintiles by Census Dissemination Area in WRHA WRHA Income Quintile Maps http://www.wrha.mb.ca/about/healthequity/QuintileMaps.php
Team Discussion • How do we use the Community Health Assessment data? How well do we know our neighborhoods and communities? • What information is not available in the Community Health Assessment? What opportunities exist to gather that information? Helpful Links: Community Health Assessment: http://www.wrha.mb.ca/research/cha2014/index.php Our City: A Peg Report on Health Equity: www.mypeg.ca/node/42
Health Inequity • Differences in health that are: • Systematic • Avoidable • Unfair or unjust Differences are rooted in unequal social relations, such as gender inequity, racism, and social and economic exclusion. 8
From Equality to Equity Everyone receives the same supports. This is equality in action. Assumption: everyone will benefit from the same supports. All people can see the game without any supports or accommodations because the cause of the inequity was addressed. The systemic barrier has been removed. People are given different supports according to their needs to make it possible for them to have equal access to the game. They are being treated equitably. http://documents.ottawa.ca/sites/documents.ottawa.ca/files/documents/adv_equity_en.pdf
Health Care Costs of Inequity Estimated 15-20% of health care expenditures are related to preventable social and economic disadvantage
WRHA Equity Landmarks • WRHA Board Position Statement (December 2012) • Health for All: Building Winnipeg’s Health Equity Action Plan (June 2013) • Health For All Coordinating Committee & Working Groups (2012 – present) http://www.wrha.mb.ca/about/healthequity
Framework for understanding and addressing health equity http://www.wrha.mb.ca/about/healthequity/
Equity in the WRHA 2016-2021 Strategic Plan http://www.wrha.mb.ca/about/strategic-plan/index.php
Truth andReconciliation “Of the 94 calls to action, seven speak specifically to the health system and the health status of Indigenous people. They challenge us to look at new ways we can deliver health services to ensure health equity and cultural safety for Indigenous people.” – Milton Sussman, email April 22, 2016 http://nctr.ca/reports.php
Opening the Discussion • How might people experiencing social and economic disadvantage face barriers to benefiting from the services of our program/site? • What can we do differently to remove barriers to health and other relevant services? • What can we do differently to reach people experiencing social and economic disadvantage? • How can we support people in situations of disadvantage and create conditions where every person can reach their full health potential?