Manitoba Partners in Planning for Healthy Living

1. Manitoba Partners in Planning for Healthy Living

2. History

3. February 2006 – Manitoba Integrated Knowledge System (MIKS) • Members: CCS – MB Division CancerCare MB CancerCare MB Foundation Interlake Regional Health Authority Heart & Stroke Fdn of Manitoba Alliance for the Prevention of Chronic Disease (MB) • Coalition focused on blending practice-based evidence with evidence-based practice • May 2006 held first workshop – Integrating Evidence with Practice – RHAs, CancerCare MB, Heart & Stroke Fdn, MHHL, PHAC, NGOs

4. Emerging blueprint of a knowledge integration system for preventionRiley & Harvey, Mar 2006 P R O V I N C I A L Policy and Program Evaluation Implementation of Policies and Programs Surveillance PRACTICE-BASED EVIDENCE Knowledge Translation and Exchange I N T E R / N A T I O N A L EVIDENCE-BASED PRACTICE Strategic and Investigator Driven Research Best Practices Identification and Dissemination

5. Partnership Development

6. October 2006 - MIKS became Partners in Planning for Healthy Living (PPHL) • First AGM – May 2007 • Membership expanded to include: • All RHAs • MHHL • Healthy Child MB • PHAC, MB & Sask Div. • Health in Common • MECY • Potential future partners: sport, environment, other NGOs

7. PPHL members come together to • Pool resources • Work together to support use of evidence in planning interventions • Share common mandates for prevention of chronic diseases • Develop an integrated knowledge system to inform local planning based on evidence • PPHL is a community of practice

8. Partners in Planning for Healthy Living • Our Values • We are inclusive and flexible. • We are non-judgmental. • We are community friendly.

9. Partners in Planning for Healthy Living • Our principles • We focus on evidence. • We support the development of knowledge and capacity within communities. • We support integrated, community planning for healthy living.

10. Regional Risk Factor Surveillance in Manitoba Surveillance Surveillance Evaluation Evaluation KnowledgeExchange Reporting PRACTICE PRACTICE - - BASED BASED EVIDENCE EVIDENCE Program Development EVIDENCE EVIDENCE - - BASED BASED PRACTICE PRACTICE Best Practice Best Practice Identification And Identification And Dissemination Dissemination

11. Practice–Based Evidence Requires local data Created through action at the local level Context is added through local knowledge Based on reality and what makes sense Evidence becomes an integral part of interventions

12. Evidence-Based Practice • Dissemination of best practice information through KEN and PHAC Portal, etc. • Best practice information must be in a format and language that is easily understood at the community level • Requires investment and buy-in of research community to ensure research results reach those who can benefit

13. Key Successes

14. Partnerships • 20+ members & continuing to expand…! • Working groups carrying out specific tasks • PPHL Executive Committee • S/KEWG • YHS KE WG • Provincial roll up • New relationships forming – still fragile • Building capacity at all levels

15. Risk Factor Surveillance • 1st Youth Health Reports 2005– other RHAs follow • PHAC grants to IRHA and ARHA • 2nd version of the Youth Health Survey – developed in collaboration • Community surveys piloted • Youth Health Survey was completed across all RHAs (spring 2008) • 52,000 students grades 6 to 12 • ~400 individual school reports (School Division, community, region)

16. Risk Factor Surveillance • Working on the development of an integrated system of ongoing RFS at the community level: • Produces practice-based learning • Is consistent and sustainable across prov. • Is based on evidence • Builds capacity to plan at all levels (community, school, region, province) • Allows us to ‘learn as we go’

17. Knowledge Exchange • School & community workshops • Symposia (January 2008 & 2009) • Multi-stakeholder participation • Timely information based on KE needs • “expert” presenters • RHA specific workshops • Newly formed YHS KE Working Group to coordinate current & future needs

18. Multi-Level Leadership • Change in expectations for leadership –regional, school division, NGO, community, provincial and others could provide leadership • Change in expectations for resources - in-kind and financial from regions, NGOs, school divisions and other gov’t depts.

19. Lessons Learned

20. Lessons • RFS/KE activities does not need “provincial” leadership • Incorporating into regular health promotion activities, increasing likelihood of successful uptake of information • Constant care and feeding of partnerships

21. Challenges & Opportunities

22. Challenges/Opportunities • Manitoba approach supports multi-level leadership & collaboration (RHAs, School Boards, NGOs, Manitoba Health, PHAC, others) to build sustainability • Manitoba geography makes collaboration difficult & expensive

23. Challenges/Opportunities • Working & learning together while meeting local needs • Challenge to develop shared meaning; link surveillance to planning & interventions and further evaluation – to think and act as a system

24. Next Steps

25. Current Reality Stay abreast of current changes (regular physical activity in schools, surveys, KEN, multilevel leadership and collaboration) On-going surveillance allows for future tool development, a coordinated approach and shared experience for all involved Supporting research- validation of physical activity policy

26. ‘Our Vision’ To build • prevention capacity in Manitoba • a province-wide chronic disease risk factor surveillance system that is integrated with community planning and best practices. • A sustainable system which fits into the planning cycles at all levels Moving from ‘Chaos to Clarity’