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Promoting Health Equity in Health Care Systems: Leveling the
Field
Dr. Julie KryzanowskiPHPC Professional Development Day
June 9, 2013
Health Disparity by Neighbourhood Income Study
Life Expectancy in Saskatoon Health Region, Saskatchewan, Canada for 1997-2006.
Background
• Update on 2006 ‘Health Disparity by Neighbourhood Income Study’
• Historical perspective on health equity over time in SHR (e.g., 1995-2011 for some indicators)
• Also assesses role of health sector in promoting health equity
• To be released near end 2013
Health Equity Over Time Report
Some Preliminary Results
Health Equity Over Time Report
Some Preliminary ResultsAge and sex adjusted Lorenz curve for physician visits for diabetes in Saskatoon, Saskatchewan, Canada for 1996-2009.
Health Equity Over Time Report
An Uphill Battle
Impacts of Poverty on Marginalized Groups
Advantage
Health
Three Levels of Health Equity Action
Response to Health Disparity Reports
Health Equity in Population & Public Health
Response to Health Disparity Reports
CHEP Good Food Inc.•community kitchens •children’s nutrition •Good Food Box, •local food
QUINT Development Corporation•affordable housing initiatives •small business development and loans •employment and educational support
Saskatoon Health Region•Mothers' Centre •Kids' First •Building Health Equity Program
Good Food Junction Co-op•neighbourhood-owned grocery store with good food at reasonable costs
University of Saskatchewan•community-engaged teaching and learning•community-based scholarship and research
www.station20west.org
1. Building Health Equity Program
Two-year-old immunization coverage for measles, mumps and rubella (MMR) by neighbourhood group, Saskatoon Health Region, 2007-2011 Health Care Equity Audit
Cycle
2. HCEA and Performance Monitoring
www.saskatoonpoverty2possibility.ca
3. Saskatoon Poverty Reduction Partnership
• Extensive research and reporting on the SDOH has been used by Saskatoon Health Region’s Population and Public Health (PPH) to understand health disparities
• Much health equity action has come from disparities analysis and has involved community partners
• Remember: Evidence, Action, Equity!
Conclusion
Questions?
Dr. Julie KryzanowskiDeputy Medical Health Officer
Cristina UgoliniManager, Public Health Observatory
Tanya Dunn-PierceManager, Health Promotion Department
Acknowledgements
