Development of English-speaking communities in Québec

1. Development of English-speaking communities in Québec Paule Simard, Ph.D. Mary Richardson, Ph.D. Développement des individus et des communautés Institut national de santé publique

2. Québec’s Public Health Institute Institut national de santé publique du Québec (INSPQ): Created in 1998 What does INSPQ do? • A centre of expertise and reference on public health • Knowledge and experience based (research, literature reviews, support of local communities ) • Intersector strategies and actions aiming to improve health and well-being

3. Development of individuals and communities UNIT • Support for the Québec Healthy Cities and Towns Network (± 180 municipalities are members) • Training on public health and community development for regional and local managers • Assessing community capacity • Training and support on participatory process evaluation • Publishing : Journal Développement social • WHO Collaborating Center on the Development of Healthy Cities and Towns 3

4. What is Community Development ? “ A voluntary cooperative process of mutual assistance and of building social ties between local residents and institutions, with the goal to improve physical, social and economic living conditions.” INSPQ and MSSS, 2002 4

5. Action on health determinants Physical Environment Biological and Genetic Heritage Life styles and personal competencies Social and Economic Environment Health Services

6. What link is there between community development and health determinants? THEREFORE • Local communities are the governance structure closest to the population who have the political legitimacy and the levers to act on most of these determinants • There are major differences between communities in terms of health, well-being and quality of life; and individuals and communities can help reduce these inequalities

7. Governance Economy Environment Culture Social capital Healthy Public Policies Governance Skills and behavior Knowledge Legislation Participation Social Inclusion Programs Life styles Health Status Healthy Public Policies Working document, please do not reproduce Settings • Social Core Value Capacity of individuals and communities to empower themselves Action on health determinants Strategies Participation and municipal engagement  Intersectoral partnership and collaboration Resources and assets sharing and strengthening Public policies Cultural Individual Political and economic Regional/ National Environmental Healthy Communities and Cities Approach: a Framework Outcomes Community Organizations Individuals Participation Skills Recognition Critical knowledge Communication IMPACT : Healthy Communities with Healthy Citizens

8. Joint project with the CHSSN • PURPOSE : Promoting health in official language minority communities • 3 member committee : CHSSN + MSSS + INSPQ • 3 years + 3 months • 3 priorities : • Statistics on health among English-speaking Quebecers • Adapting health and social services to improve access • Community development • … in a perspective of knowledge transfer 8

9. Community development priority Three phases • Develop a better understanding of English-speaking communities in Québec • Develop locally-adapted tools to support strong community leadership • Support CHSSN to support E-S communities in applying a community development approach

10. Spring- summer Fall Winter Spring- summer Fall Winter -------------- 2010 2012 2013 2011 Time line Survey with networks Choice of communities for portraits Community portraits Apply community development approach with pilot communities TOOLS: Collect, adapt, develop, test… Training in C.D.

11. Survey with networks All networks will be asked to participate in a survey focusing on themes such as: • Forms of community organization • Local dynamics • Leadership • Sense of belonging • Governance Time required: a few hours What’s to be gained? Resultswill help get an overview of E-S communities in Québec and will be available to all 11

12. Community portraits A few (3 -5) pilot communities will participate in an in-depth portrait of their community • Not networks but communities • A participatory process • Principle of diversity • Voluntary • Same themes as in survey Time required :on-going part-time; will include developing tools and implementing the CD approach • Portraits : Sept. 2010 to March 2011 • Implementation : April 2011 to March 2012 What’s to be gained? • Process will give communities a better understanding of their situation • Results will be used to develop tools that will benefit the network as a whole

13. How will communities be identified for the portraits? • Are you interested in participating in the community portrait? • Are you able to set aside a little time to participate? • We need to have a broad range of communities • rural/urban/remote • large/small E-S community • different regions • established/new networks • other things we should consider?

14. TOOLS: Adapt, develop, test… Objectives : • Build on what you are already doing • Work with and adapt existing tools • Experiment with other tools • Develop new tools based on experience For example : • Guides for implementing a community development approach • Training manuals • Etc… Time required : part of the community initiative What’s to be gained? • Tools will be developed and tested with pilot communities • Tools will be available to all 14

15. Apply community development approach with pilot communities • Objectives and outputs : • 1. Support for pilot communities (by CHSSN and INSPQ) • Training in community development • Support in using the tools developed • Follow-up • Assistance with healthy villages and cities approach, if desired • 2. Transfer lessons learned to all networks • On-going • CHSSN will have all new tools (on-line toolbox) • Training will be offered through all networks • Presentations for public health staff • Training for other organizations • Time required : part of the community initiative 15

16. Spring- summer Fall Winter Spring- summer Fall Winter -------------- 2010 2012 2013 2011 Time line Survey with networks Choice of communities for portraits Community portraits Apply community development approach with pilot communities TOOLS: Collect, adapt, develop, test… Training in C.D.

17. In short Support CHSSN in supporting networks and communities Support for pilot communities through portraits and on-going assistance Tools for all networks Any questions? 17

18. Thanks!