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Atlantic Region. Reducing health inequities by enhancing the development of healthy Acadian and francophone communities in Atlantic Canada. June 1, 2008. Objectives. To increase awareness and knowledge of the Acadian and francophone population in Atlantic Canada - PowerPoint PPT Presentation
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1
Atlantic Region
Reducing health inequities by enhancing the development of
healthy Acadian and francophone communities in Atlantic Canada
June 1, 2008
2
Objectives
• To increase awareness and knowledge
of the Acadian and francophone
population in Atlantic Canada• To share learnings on PHAC Atlantic’s
work to enhance the development of
healthy Acadian and francophone
communities in Atlantic Canada
3
Overview
• About PHAC Atlantic • PHAC Atlantic’s involvement with the
Acadian and francophone population• Atlantic Canada’s Acadian and
francophone communities (ACAFC)• PHAC Atlantic’s Five-Year Action Plan• Learnings, progress and next steps
4
About PHAC
Mission:• To promote and protect the health of
Canadians through leadership, partnership, innovation and action in public health
Vision:• Healthy Canadians and communities in
a healthier world
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PHAC Atlantic Region
Our main areas of work:
• Health promotion, injury / disease prevention
• Health emergency preparedness and response
Our regional structure and programs
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Key Activities: we contribute to…
• Community-based capacity building• Intersectoral collaboration• Public and professional education• Evaluation, Knowledge development
and exchange• Policy and program development
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PHAC Atlantic’s approach and involvement with Acadian and francophone communities:
• Population health, health determinants• Reduction of health disparities• Social inclusion, social justice • Marginalized populations• Acadian and francophone communities• Culture, linguistic minority status • Official Languages Act• Five-Year Action Plan
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Culture, language and minoritystatus as health determinants
“Some persons or groups may face additional health risks due to a socio-economic environment, which is largely determined by dominant cultural values that contribute to the perpetuation of conditions such as marginalization, stigmatization, loss or devaluation of language and culture and lack of access to culturally appropriate health care and services.” (PHAC Web site)
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Culture, language and minority status as health determinants
• Francophones living in a linguistic minority situation are more apt to indicate a lower health status than Anglophones living as a majority.
• Linguistic minority status also impacts on other health determinants, leading to health inequities. (L. Bouchard, U. of Ottawa, Nov. 2007)
• Bouchard recommends that linguistic minority status be included as a health determinant, to be sampled systematically by governments.
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About Atlantic Canada’s Acadian and Francophone Communities (ACAFC)
History:
• 1604 - 1754: Settlement, growth, politics• 1755 - 1763: Deportation and impacts• 1763 onward: Return from exile, challenges • Mid-1800’s to present: Collective action and
renaissance• 1960’s to present: Maritime and Canadian
legal context for OLMC• Info: www.acadie1755.ca www.rdee.ca• www.cma2009.ca www.snacadie.org
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Current ACAFC demographics
• About 275,000 Acadians or 12.2 % of Atlantic Canada population
• 28 % of Canada’s francophone Official Language minority community outside Quebec
• PEI: 5,135 (3.8 %) NS: 32,225 (3.6%) • NL: 1,935 (.4 %) NB: 235,130 (33 %)• Predominantly rural communities in
rural provinces
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Acadian Regions in the Atlantic
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Five-Year Action Plan to increase vitality of ACAFC
Methodology:
• Contracted with Institut canadien de
recherches en politiques et en administration
publique (ICRPAP)• Consulted with 65 A/F organizations and
stakeholders in 4 provinces• Final report, plan, draft evaluation framework• AMT approval, presentations, on Web site
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Learnings : Provincial ProfilesPopulation
ProfileNL
FR EN
PEIFR EN
NSFR EN
NBFR EN
Population Age:
19 years & under 14% 25% 16% 28% 13% 26% 22% 26%
65 years & older 16% 12% 22% 12% 19% 13% 13% 13%
Median Age (yrs) 45 38 48 37 46 38 40 37
Level of Education:
Less than 9 yrs 14% 15% 23% 10% 17% 9% 22% 9%
University degree 17% 9% 10% 11% 13% 14% 10% 12%
Unemployment rate 16% 22% 13% 13% 10% 11% 14% 12%
Language transfer
rate
63% n/a 53% n/a 46% n/a 10% n/a
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Reflexions on profiles• ACAFC contain fewer young people, more
seniors and an older population than anglophone communities (except NB)
• ACAFC have a higher rate of functional illiteracy (less than 9 years’ education) (except NL)
• Language transfer rate / loss of mother tongue a serious concern for ACAFC
• ACAFC have specific profiles, by province• Implications for health determinants, health
status, public health work
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Learnings: Primary needs of ACAFCs related to public health
NF-Lab PEI NS NB
1. Access to services
in French
1. Access to services
in French
1. Access to services in
French
1. Prevention, awareness
activities
2. Access to
francophone HR
2. Access to
resources, materials
in clear French
2. Access to resources,
materials in clear French
2. Initiatives targeting
specific groups (infants,
youth seniors)
3. Access to
resources, materials
in clear French
3. Access to project
funding
3. Prevention, aware-
ness activities
3. Access to resources,
materials in clear French
4. Strategies for
remote communities
4. Prevention,
awareness activities
4. Access to
francophone HR
4. Data on francophone
health
5. Initiatives
targeting specific
groups (infants,
youth)
5. Data on
francophone health
5. Strategies targeting
vulnerable groups:
(seniors, infants, youth
5. Access to services in
French
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Reflexions on needs identified in public health
• Access to services and resources in French• Access to plain-language spoken and written
information, adapted to A/F literacy levels• Access to information /initiatives on health
promotion, disease prevention• Access to research, databases on ACAFC
health status and determinants• Access to more and sustained project funding• Strategies to overcome geographic isolation
and dispersion
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Suggested methods for consulting ACAFC:
• Meeting with heads of A/F community
organizations, individually and in person, and
with current and potential partnering
stakeholders• Working with existing A/F networks to
circulate information & mobilize communities• Organizing regular provincial A/F health
forums
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Suggested methods for contributing to A/F development
• More funding to ACAFCs to carry out projects,
initiatives or events affecting public health• Producing, facilitating and distributing
research on A/F health• Proactive approach, developing programs
adapted to needs, realities of ACAFC
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Recommended PHAC Atlantic roles • Partner and facilitator of A/F community
development in public health awareness, knowledge, capacities
• Support for ACAFC-focused research and KD on health status, determinants
• Facilitate access to other funding sources, resources, support
• Adapt and promote programs to meet ACAFC needs
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PHAC Atlantic’s Five-Year Action Plan (2007-2012)6 Strategic Directions:• Awareness (in-house)• Consultations (external)• Communications• Coordination and liaison• Program and Service funding, delivery• Accountability
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Strategic Directions and Objectives
1. Awareness: Improve knowledge of PHAC Atlantic employees and management about ACAFC issues, needs and challenges related to public health
2. Consultations: Provide ongoing cooperation with ACAFC organizations in public health
3. Communications: Enhance communication between PHAC Atlantic and ACAFC
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Strategic Directions and Objectives
4. Coordination and liaison: Strengthen collaboration with other governmental and non-governmental bodies working in public health and ACAFC development
5. Program and Service funding & delivery: Enhance the abilities of ACAFC to promote public health
6. Accountability: Implement a process and tools to measure performance
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What works well to date
• AMT champions Official Languages• Regional OL committee, coordination• Contract with Research Institute• Yearly work plans & evaluation plan,
based on Five-Year Action Plan• Respect, work with AF recommendations • Build direct relationships, knowledge• Emerging collaborations• Build, use e-mail distribution list • Bilingual PHAC Atlantic Web site
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Five-Year Action Plan: Next steps
• 2nd annual work plan and evaluation activities• Staff resource kits • Regional A/F reference group • A/F Communications strategy• Plans & partnerships for provincial A/F health
forums • Plans & partnerships for ACAFC-focused
research on health status, determinants
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PHAC Atlantic’s Five-Year Action Plan to increase the vitality of Atlantic Canada’s Acadian and Francophone Communities(2007-2012)
Please see the Plan on our Web site @
atlantic.phac.gc.ca / Atlantique.aspc.gc.ca
Thank you for your interest! Questions ?