Manitoba Risk Factor

Surveillance –

Building on Success

Growing Up: Expanding from

Youth to Adult Risk Factor Surveillance

January 26th, 2011

Outline

• Where it began….• Becoming Partners in Planning for Healthy

Living• Developing a Framework

• Youth Health Survey: What were our successes?• Created Provincial System for RFS • Integrated into Planning Cycles• Found Funding

• What we learned from YHS?• Partnerships• Multi-level Leadership

• Who to thank?• Moving Towards ARFS

WHO STEPwise approach to chronic disease surveillance

Providing evidence in an integrated way

Where it began…

• Partners came together to develop an integrated knowledge system to inform local planning based on evidence (MIKS)

• Common mandate for prevention of chronic diseases: IRHA, CCS, CCMB, H&SF, Alliance

• Partners in Planning for Healthy Living

• SNOWMAN – conceptual framework

Becoming Partners in Planning for Healthy Living

• Formalized our partnerships• NGOs, RHAs, MECY, HCMO, MHHL, HIC,

PHAC, etc.• Expanding is based on common mandates• Shared values and principles• Ongoing at all levels – school, community,

region and provincial

Our Vision:

To build…• Prevention capacity in Manitoba• 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

Partners in Planning

for Healthy Living

Partners in Planning for Healthy Living

Our Values:– We are inclusive and flexible.– We are non-judgmental.– We are community friendly.

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.

Reporting

Evaluation

Surveillance

Best Practice

EVIDENCE-BASED PRACTICE

PRACTICE-BASED

EVIDENCE

KnowledgeExchange

Evaluation

Surveillance

Best PracticeIdentification & Dissemination

Program Development

Developing a Framework

Manitoba Risk Factor Surveillance

The goal is to develop an integrated system of ongoing risk factor surveillance in MB at the community level:

• Produces practice-based learning• Is consistent and sustainable across province• Is based on evidence• Builds capacity to plan at all levels (community,

school, region, province)• Allows us to ‘learn as we go’

Youth Health Survey: What Were Our Successes??

1. Created a Provincial RFS System• Census of grades 9 to 12 in all schools (some schools

6 to 8)• Census chosen to provide local-level data for local

planning• Avoids study design & weighting issues• Straight-forward & easy to manage • Economies of scale (printing surveys, report

production, common health promotion messages)

Youth Health Survey: What Did We Do?

2. Integrated into Planning Cycles

• Chronic Disease Prevention Initiative• Community Health Assessment• Regional Health Plans• Baseline for Physical Education/Health Education

Policy implementation (MB Education and HCMO)

Strategic Planning

Youth Health Survey: What Did We Do?

3. Found Funding• CancerCare MB Foundation• Heart & Stroke Foundation

of MB• Public Health Agency of

Canada• Chronic Disease Prevention

Initiative MH• Canadian Partnership

Against Cancer• Coalitions Linking Action in

Science and Prev’n• Canadian Institutes of

Health Research

Funding and Collaboration

What We Learned from YHS

Partnerships• 46,919 students participated

in the survey (or approximately 50,000)

• Over 400 schools; 265 of these schools included grade 9-12

• All 11 Manitoba Regional Health Authorities participated

• Reports at School, School Division, Regional, and Provincial levels

What we Learned from YHS

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 government departments

Who to Thank?

The RHAs…• For leadership• For staff time and energy to collect data, forge

new relationships, and extend the reach of their RHA activities

• For supporting staff to take part in PPHL planning, activities, and working groups

• For collaborating with other RHAs, NGOs and government departments to produce YHS Provincial Report and RFS System

Moving Towards ARFS

Moving Towards ARFS

• Continue to share the lessons learned and best practices from the YHS

• RHAs continue to be involved, and assume a leadership role in collecting, disseminating and using the data

• Take what we’ve learned about evidence-based practice, communicating and mobilizing, collaboration and partnerships, and apply it to Adult RFS

• Plan collection of Adult RFS data beginning with Jan 2011 Symposium

Acknowledge Changing Roles

• RHAs own their data, together decide how to collect and share

• Governments benefit from regional leadership, concentrate on infra-structure to support

• Lack of resources not always a barrier – i.e. Education policy in place, resources will come

What Do We Need to Conduct ARFS ?

• Champions• Funding• A commitment to the values and principles

of Partners in Planning for Healthy Living

Conclusions

• On-going surveillance allows for future tool development, a coordinated approach and shared experience for all involved

• Supporting research- validation of physical activity, policy, etc.

• Challenge to develop shared meaning, link surveillance to planning, interventions, and further evaluation…

To think and act as a system

A Manitoba Initiative

Thank you.