Investments in Children’s Health
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Investments in Children’s Health Are community-based health services reaching those most at risk? A spatial analysis. International Society for Child Indicators Conference Presentation Sub-theme: Health Presenter: Lauranne Matheson Co-author: Kara Hayne, Kate-Lynn Duplessis York, England

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International Society for Child Indicators Conference Presentation Sub-theme: Health

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International society for child indicators conference presentation sub theme health

Investments in Children’s HealthAre community-based health services reaching those most at risk? A spatial analysis

International Society for Child Indicators Conference Presentation

Sub-theme: Health

Presenter: Lauranne Matheson

Co-author: Kara Hayne, Kate-Lynn Duplessis

York, England

July 28, 2011


Outline

Outline

  • Program context and description

  • Methodologies

  • Initial Results

  • Future work

Public Health Agency of Canada | Agence de la santé publique du Canada


Program context

Program Context

  • Public Health Agency of Canada

    • Centre for Health Promotion

      • Division of Childhood & Adolescence:

        Aboriginal Head Start in Urban and Northern Communities (AHSUNC)

  • 4,800 children & families

  • 129 sites

    Community Action Program for Children (CAPC)

  • 441 projects

  • 65,000 participants/month

    Canada Prenatal Nutrition Program (CPNP)

  • 325 projects

  • 50,000 women each year

  • Conditions

  • Of Risk:

  • low income

  • young mothers

  • low education

  • isolation

  • recent immigrants

  • language

Public Health Agency of Canada | Agence de la santé publique du Canada


On the ground

On the ground…

Public Health Agency of Canada | Agence de la santé publique du Canada


Project description

Project Description

  • Purpose:

    • The purpose of this pilot project is to determine the location of at-risk populations in Canada, and to assess through spatial analysis, whether CAPC and CPNP projects are reaching these populations.

  • Specific questions to answer:

    • Where are at-risk priority populations located?

    • Are CAPC/CPNP projects located in close proximity to priority populations?

  • Uses:

    • Resulting map products to be exploratory in nature as GIS has been largely underused up to this date. Initial results expected to create further discussion and fine tuning for future analysis and application

Public Health Agency of Canada | Agence de la santé publique du Canada


Collaborative approach

Collaborative Approach

  • Program Consultants located in regional offices across Canada:

    • Gathered 100% of program delivery street addresses

    • Guided methodology selection

    • Feedback & support (Advisory Committee)

  • Geomatics Expertise:

    • Data clean-up

    • Requirements gathering

    • Spatial Analysis

    • Cartography & Map output

  • Management & National Office Evaluation Analysts:

    • Coordinating body bridging geomatics expertise and program consultants

    • Feedback & support to Geomatics Expertise (Advisory Committee)

Public Health Agency of Canada | Agence de la santé publique du Canada


Data layer 1 inspq deprivation index

Data Layer 1: INSPQ* Deprivation Index

  • Material:

  • % with no high school degree;

  • ratio employment/population;

  • average personal income

  • Social:

  • % living alone;

  • % of persons separated, divorced or widowed;

  • % of single-parent families

*Institut national de santé publique du Québec

Target Group

Public Health Agency of Canada | Agence de la santé publique du Canada


Data layer 2 children

Data Layer 2: Children

Variable:

Proportion of Adults 15 and over with at least 1 child under the age of 6 years,

by Dissemination Area 2006

Target Group

Public Health Agency of Canada | Agence de la santé publique du Canada


Analysis layer 1 priority areas

Analysis Layer 2: Site Locations

2,300 street addresses geocoded across Canada

Analysis Layer 1: Priority Areas

1. Priority Target Groups

Deprivation

Off-reserve*

Using INAC

Criteria for

On-reserve

Children

AND

AND

1,263 Dissemination Areas

across Canada

AND

AND

Analysis Layer 3: Driving Distance

Incremental distance from each site using Road Network (1, 5, 10, 20km)

* Health Canada’s First Nations & Inuit Health Branch

provides sister programs for on-reserve populations

Public Health Agency of Canada | Agence de la santé publique du Canada


International society for child indicators conference presentation sub theme health

Public Health Agency of Canada | Agence de la santé publique du Canada


International society for child indicators conference presentation sub theme health

Public Health Agency of Canada | Agence de la santé publique du Canada


International society for child indicators conference presentation sub theme health

Alberta

115 sites

Saskatchewan

27 sites

Manitoba

14 sites

27.5% beyond 20km

31.7% beyond 20km

12.5% beyond 20km

Public Health Agency of Canada | Agence de la santé publique du Canada


Desktop mapping tool arcexplorer esri

Desktop mapping tool – ArcExplorer (ESRI)

Layers (on/off):

  • CAPC/CPNP sites

  • Priority Areas (analysis results)

  • Incremental Driving Distance from sites

  • Deprivation Index

  • Children

  • Aboriginals

  • Recent Immigrants

  • Visible Minorities

Public Health Agency of Canada | Agence de la santé publique du Canada


Considerations for future work

Considerations for Future Work

  • Application to other programs:

    • Fetal Alcohol Spectrum Disorder, Aboriginal Head Start

  • Additional data layers:

    • Public Transportation

    • United Way 211

    • Early Development Instrument

    • Community Services

  • Retrospective Analysis

    • Trends, changes over time- both in deprivation and participation.

More complete picture

Public Health Agency of Canada | Agence de la santé publique du Canada


Thank you

Thank you!

Lauranne Matheson

Manager, PRPM

[email protected]

Public Health Agency of Canada

Centre for Health Promotion

Division of Childhood & Adolescence

Planning, Reporting and Performance Measurement

Public Health Agency of Canada | Agence de la santé publique du Canada


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