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International Society for Child Indicators Conference Presentation Sub-theme: Health

Investments in Children’s Health Are community-based health services reaching those most at risk? A spatial analysis. International Society for Child Indicators Conference Presentation Sub-theme: Health Presenter: Lauranne Matheson Co-author: Kara Hayne, Kate-Lynn Duplessis York, England

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International Society for Child Indicators Conference Presentation Sub-theme: Health

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  1. Investments in Children’s HealthAre community-based health services reaching those most at risk? A spatial analysis International Society for Child Indicators Conference Presentation Sub-theme: Health Presenter: Lauranne Matheson Co-author: Kara Hayne, Kate-Lynn Duplessis York, England July 28, 2011

  2. Outline • Program context and description • Methodologies • Initial Results • Future work Public Health Agency of Canada | Agence de la santé publique du Canada

  3. Program Context • Public Health Agency of Canada • Centre for Health Promotion • Division of Childhood & Adolescence: Aboriginal Head Start in Urban and Northern Communities (AHSUNC) • 4,800 children & families • 129 sites Community Action Program for Children (CAPC) • 441 projects • 65,000 participants/month Canada Prenatal Nutrition Program (CPNP) • 325 projects • 50,000 women each year • Conditions • Of Risk: • low income • young mothers • low education • isolation • recent immigrants • language Public Health Agency of Canada | Agence de la santé publique du Canada

  4. On the ground… Public Health Agency of Canada | Agence de la santé publique du Canada

  5. Project Description • Purpose: • The purpose of this pilot project is to determine the location of at-risk populations in Canada, and to assess through spatial analysis, whether CAPC and CPNP projects are reaching these populations. • Specific questions to answer: • Where are at-risk priority populations located? • Are CAPC/CPNP projects located in close proximity to priority populations? • Uses: • Resulting map products to be exploratory in nature as GIS has been largely underused up to this date. Initial results expected to create further discussion and fine tuning for future analysis and application Public Health Agency of Canada | Agence de la santé publique du Canada

  6. Collaborative Approach • Program Consultants located in regional offices across Canada: • Gathered 100% of program delivery street addresses • Guided methodology selection • Feedback & support (Advisory Committee) • Geomatics Expertise: • Data clean-up • Requirements gathering • Spatial Analysis • Cartography & Map output • Management & National Office Evaluation Analysts: • Coordinating body bridging geomatics expertise and program consultants • Feedback & support to Geomatics Expertise (Advisory Committee) Public Health Agency of Canada | Agence de la santé publique du Canada

  7. Data Layer 1: INSPQ* Deprivation Index • Material: • % with no high school degree; • ratio employment/population; • average personal income • Social: • % living alone; • % of persons separated, divorced or widowed; • % of single-parent families *Institut national de santé publique du Québec Target Group Public Health Agency of Canada | Agence de la santé publique du Canada

  8. Data Layer 2: Children Variable: Proportion of Adults 15 and over with at least 1 child under the age of 6 years, by Dissemination Area 2006 Target Group Public Health Agency of Canada | Agence de la santé publique du Canada

  9. Analysis Layer 2: Site Locations 2,300 street addresses geocoded across Canada Analysis Layer 1: Priority Areas 1. Priority Target Groups Deprivation Off-reserve* Using INAC Criteria for On-reserve Children AND AND 1,263 Dissemination Areas across Canada AND AND Analysis Layer 3: Driving Distance Incremental distance from each site using Road Network (1, 5, 10, 20km) * Health Canada’s First Nations & Inuit Health Branch provides sister programs for on-reserve populations Public Health Agency of Canada | Agence de la santé publique du Canada

  10. Public Health Agency of Canada | Agence de la santé publique du Canada

  11. Public Health Agency of Canada | Agence de la santé publique du Canada

  12. Alberta 115 sites Saskatchewan 27 sites Manitoba 14 sites 27.5% beyond 20km 31.7% beyond 20km 12.5% beyond 20km Public Health Agency of Canada | Agence de la santé publique du Canada

  13. Desktop mapping tool – ArcExplorer (ESRI) Layers (on/off): • CAPC/CPNP sites • Priority Areas (analysis results) • Incremental Driving Distance from sites • Deprivation Index • Children • Aboriginals • Recent Immigrants • Visible Minorities Public Health Agency of Canada | Agence de la santé publique du Canada

  14. Considerations for Future Work • Application to other programs: • Fetal Alcohol Spectrum Disorder, Aboriginal Head Start • Additional data layers: • Public Transportation • United Way 211 • Early Development Instrument • Community Services • Retrospective Analysis • Trends, changes over time- both in deprivation and participation. More complete picture Public Health Agency of Canada | Agence de la santé publique du Canada

  15. Thank you! Lauranne Matheson Manager, PRPM lauranne.matheson@phac-aspc.gc.ca Public Health Agency of Canada Centre for Health Promotion Division of Childhood & Adolescence Planning, Reporting and Performance Measurement Public Health Agency of Canada | Agence de la santé publique du Canada

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