**Empowering Communities: Chronic Disease Prevention** This initiative unites Manitoba communities in action to combat c

1. A Community of Partners 2006 Manitoba Chronic Disease Prevention Initiative

2. Workshop Overview LEARNINGS . . . . . • Provincial Partners • Federal Partner • Regional Partners • Communities in Action • Round Table Discussion Chronic Disease Prevention Initiative – A Community of Partners

3. “I am pleased to support the more than 47 communities that will receive funding for projects, enabling them to connect community residents and organizations. I know that together, they will develop innovative chronic disease programs for primary prevention that are relevant to their communities. I am particularly proud that 20 of these projects will be located in on-reserve First Nations communities in Manitoba.” Manitoba Minister of Health Chronic Disease Prevention Initiative – A Community of Partners

4. “The Chronic Disease Prevention Initiative is helping to support community action, and provide Manitobans with the resources to make healthier lifestyle choices. Communities across the province have come together to create innovative programs and services that will offer opportunities for healthy living.” Manitoba Minister of Healthy Living Chronic Disease Prevention Initiative – A Community of Partners

5. Provincial Partners The Manitoba Health Experience CDPI Project Summary This project evolved out of a willingness of the partners to work towards maximizing health gains for all Manitobans. It is based on a population health approach and has as its purpose to improve the health of Manitobans. Chronic Disease Prevention Initiative – A Community of Partners

6. Project Goals • To provide a community-led, evidence- based approach to primary prevention of the chronic diseases that are major contributors to mortality in Manitoba (cardiovascular disease, cancer, diabetes, lung and renal diseases). Chronic Disease Prevention Initiative – A Community of Partners

7. Project Goals • To implement a sustainable chronic disease prevention initiative that draws upon strong partnerships. • To add value to existing initiatives, by integrating them with the CDPI. • To improve the health of Manitobans by reducing health disparities. Chronic Disease Prevention Initiative – A Community of Partners

8. Risk Factors for Chronic Disease • Obesity • Smoking • Eating habits • Physical inactivity Chronic Disease Prevention Initiative – A Community of Partners

9. CDPI Partners Aboriginal Partners Alliance for the Prevention of Chronic Disease Public Health Agency of Canada Government of Manitoba Regional Health Authorities Community Partners Chronic Disease Prevention Initiative – A Community of Partners

10. Chronic Disease Prevention Initiative – A Community of Partners

11. Chronic Disease Prevention Initiative – A Community of Partners

12. Project Outcomes • Evidence-based community led approaches • Increased capacity to work collaboratively to build supportive environments at the local level • Communities with organized prevention and risk factor reduction activities Chronic Disease Prevention Initiative – A Community of Partners

13. Project Outcomes • Community led initiatives integrated and aligned with existing systems • Community led disease prevention models used by other jurisdictions • Prioritized participation by high risk populations through partnerships with key stakeholders Chronic Disease Prevention Initiative – A Community of Partners

14. Federal PartnerThe PHAC Experience History of PHAC Involvement • Public Health Agency Priorities • Community Led Consultation • Joint Federal Provincial Proposal • Collaborative Development of Charter Chronic Disease Prevention Initiative – A Community of Partners

15. Federal Funding • Integrated Strategy on Healthy Living and Chronic Disease Demonstration Project • Knowledge Development/Exchange Stream • National and Regional support Chronic Disease Prevention Initiative – A Community of Partners

16. Successes and Challenges • Collaborative approach • Best Practice Models • Support at various levels • Funder vs Partner Role • Jurisdictional Issues Chronic Disease Prevention Initiative – A Community of Partners

17. Regional PartnersThe Assiniboine Experience “The Chronic Disease Prevention Initiative funding has presented a wonderful opportunity to work with our many community partners and stakeholders to implement some very concrete actions at the community level.” Vice President, Community Health Services Assiniboine Regional Health Authority Chronic Disease Prevention Initiative – A Community of Partners

18. Partnership Building • Building capacity / Engaging community • Determining chronic disease risk • Planning with evidence • Building supportive environments Chronic Disease Prevention Initiative – A Community of Partners

19. Chronic Disease Prevention Initiative – A Community of Partners

20. Partnership Building • Building capacity / Engaging community • Determining chronic disease risk • Planning with evidence • Building supportive environments Chronic Disease Prevention Initiative – A Community of Partners

21. Regional PartnersThe Parkland Experience “We have integrated CDPI within our primary health care framework, and the community engagement approach used for CDPI has strengthened our relationship with the community.” Vice President, Community Health Parkland Regional Health Authority Chronic Disease Prevention Initiative – A Community of Partners

22. Ingredients for Effective Partnerships • Regional structure / Collaborative networks • Regional Committee • Community Committee • Innovative funding mechanisms • Flow of funding through Community Councils • Grant funding • Communication • Roles and responsibilities • Building respect and trust Chronic Disease Prevention Initiative – A Community of Partners

23. “Finally, an initiative that speaks to grassroots development. It has made a big difference for Waterhen, Mallard, Rockridge and Skownan. Because we are so remote and isolated, we are often forgotten.” CDPI Representative, Waterhen Chronic Disease Prevention Initiative – A Community of Partners

24. “It was over 20 years ago when communities came together to play ball. When CDPI brought the Summer Beach Volleyball Slam to nine communities, it was the first time I felt the wonder of days gone by. We need to keep building on that energy throughout the year.” Chair, North East CDPI Committee Reeve, RM of Lawrence Chronic Disease Prevention Initiative – A Community of Partners

25. Regional PartnersThe Interlake Experience Building It (Evidence Based Planning) Together Chronic Disease Prevention Initiative – A Community of Partners

26. Chronic Disease Prevention Initiative – A Community of Partners

27. Getting Started • Multi-sector Health Promotion Working Group (1999) • Knowledge Exchange Network (Canadian Cancer Society) • Knowledge broker (McMaster study) Chronic Disease Prevention Initiative – A Community of Partners

28. KEN - CCS CCMB IRHA HPWG SCHOOL DIVISIONS ALLIANCE reaching out to increase our capacity…. Chronic Disease Prevention Initiative – A Community of Partners

29. Workshop with CDPI Committees • Behavioural Objectives • Applying the PRECEDE Model • Predisposing Factors • Enabling Factors • Reinforcing Factors • Knowledge Exchange Network (KEN) resources • Evaluation Chronic Disease Prevention Initiative – A Community of Partners

30. Chronic Disease Prevention Initiative – A Community of Partners

31. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

32. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

33. Communities in Action “Community Gardening brings together shared activities, social interaction, dispersal of knowledge, and can transcend all age groups to build a healthier, happier community.” Chair, CDPI Community Committee Chronic Disease Prevention Initiative – A Community of Partners

34. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

35. Communities in Action “I felt proud to see how good my garden was growing. People who came to see it said, ‘Wow, I can’t believe this is your garden!’, and I felt good about all the positive comments I received.” Gardening Project Participant Duck Bay, Manitoba Chronic Disease Prevention Initiative – A Community of Partners

36. Communities in Action “I am really happy I joined the Walking Club. When I joined, I didn’t know what to expect. The club meets once a week for a group walk which made it easier for me to make friends and a chance to get active and socialize at the same time. I find that I have more energy to look after my family. Being in the Walking Club, I have received numerous personal invites to attend local educational sessions, which I find very encouraging. Overall, I feel welcomed into the community.” Walking Club Participant Duck Bay, Manitoba Chronic Disease Prevention Initiative – A Community of Partners

37. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

38. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

39. Communities in Action “CDPI is very beneficial for our community. Our community participated in an individual gardening project and are now planning to expand this initiative by having a community garden. I strongly believe this will help our people. By working on their own plots they will get physically active and have access to fresh vegetables.” Mayor Duck Bay, Manitoba Chronic Disease Prevention Initiative – A Community of Partners

40. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

41. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

42. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

43. Communities in Action “We should have done this a long time ago because in the sharing that happened today we have learned so much about each other that will benefit all of us in the future.” Community Partners Meeting on Nutrition Selkirk Chronic Disease Prevention Initiative – A Community of Partners

44. Communities in Action “I am so grateful to have a group to partner with who understands what I am trying to do and is able to help make it happen.” Recreation Director Selkirk Chronic Disease Prevention Initiative – A Community of Partners

45. Communities in Action MEXICAN CRUISE with SHOES Chronic Disease Prevention Initiative – A Community of Partners

46. Communities in Action “This is your Captain speaking. The Mexican Cruise line is now sailing with 40 groups and continuing to raise that number hourly. Everyone is very excited to be heading south for a wonderful experience and is looking forward to the prizes and surprises that are to come.” E-Mail from Coordinator Chronic Disease Prevention Initiative – A Community of Partners

47. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

48. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

49. Communities in Action Chronic Disease Prevention Initiative – A Community of Partners

50. Communities in Action “This Mexican Cruise idea is really working for me! I’ve had weeks with over 600 minutes of activity. Without this I know I’d be averaging less than a hundred.” Mexican Cruise Member Chronic Disease Prevention Initiative – A Community of Partners