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P u b l i c H e a lt h A g e n c y o f C a n a d a
REPORT TITLE
Rio Political Declaration on
GOES HERE
Social Determinants of Health:
REPORT SUB-TITLE
A Snapshot GOES
of Canadian HERE2015
ActionsTO PROMOTE AND PROTECT THE HEALTH OF CANADIANS THROUGH LEADERSHIP, PARTNERSHIP,
INNOVATION AND ACTION IN PUBLIC HEALTH.
— Public Health Agency of Canada
Également disponible en français sous le titre :
Déclaration politique de Rio sur les déterminants sociaux de la santé : aperçu de mesures canadiennes 2015
To obtain additional copies, please contact:
Public Health Agency of Canada
Address Locator 0900C2
Ottawa, ON K1A 0K9
Tel.: 613-957-2991
Toll free: 1-866-225-0709
Fax: 613-941-5366
TTY: 1-800-465-7735
E-mail: publications@hc-sc.gc.ca
This publication can be made available in alternative formats upon request.
© Her Majesty the Queen in Right of Canada, as represented by the Minister of Health, 2015
Publication date: July 2015
This publication may be reproduced for personal or internal use only without permission provided the source is
fully acknowledged.
Cat.: HP35-41/2015E-PDF
ISBN: 978-0-660-02686-2
Pub.: 150050ACKNOWLEDGEMENTS
The Public Health Agency of Canada would like to recognize these groups for their support, and thank
them for their contributions:
British Columbia First Nations Health Authority
Canadian Council on Social Determinants of Health
Canadian Institutes of Health Research — Institutes of Gender and Health, Population and
Public Health, Aboriginal Peoples’ Health
Canadian Medical Association
Department of Foreign Affairs, Trade and Development
Inuit Tapiriit Kanatami
Mental Health Commission of Canada
National Collaborating Centre for Determinants of Health
National Collaborating Centre for Healthy Public Policy
New Brunswick Economic and Social Inclusion Corporation
Pan-Canadian Public Health Network
Public Health Ontario
The Canadian initiatives or tools profiled in the report were informed through input from the
Pan‑Canadian Public Health Network and the Canadian Council on Social Determinants of Health.
The Canadian Council on Social Determinants of Health also provided advice on initiative/tool
selection criteria.
iiiTABLE OF CONTENTS
Acknowledgements........................................................................................................................................................................ iii
Summary.............................................................................................................................................................................................. v
Canadian initiatives/tools at-a-glance..................................................................................................................................... vi
1.0 Introduction. . ............................................................................................................................................................................. 1
1.1 Background.................................................................................................................................................................... 1
1.2 Report purpose............................................................................................................................................................. 1
1.3 Audience.......................................................................................................................................................................... 1
1.4 Canadian context......................................................................................................................................................... 2
1.5 Methods........................................................................................................................................................................... 2
1.6 Report organization..................................................................................................................................................... 3
2.0 Canadian actions across the five Rio Declaration themes.................................................................................... 4
2.1 Rio Declaration theme: To adopt better governance for health and development............................ 4
2.2 Rio Declaration theme: To promote participation in policy-making and implementation............. 10
2.3 Rio Declaration theme: To further reorient the health sector towards reducing
health inequities.. ........................................................................................................................................................ 14
2.4 Rio Declaration theme: To strengthen global governance and collaboration.................................... 21
2.5 Rio Declaration theme: To monitor progress and increase accountability......................................... 24
3.0 Conclusion............................................................................................................................................................................. 30
iv1 | Political
Rio REPORT TITLE GOES HERE
Declaration on Social Determinants of Health
SUMMARY
DESCRIPTION
The purpose of this report is to showcase Canada’s recent actions that contribute to the advancement
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The 29 initiatives profiled here demonstrate actions to advance health equity and
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following groupings:
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• To adopt better governance for health and development:
○○ Experiences
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such as housing
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• To promote participation in policy-making and implementation:
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○○ Reforming government processes to increase openness of data, transparency and participation,
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•Duis
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health inequities:
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○○ Integrate equity, including gender-related considerations, into the design lacus sedandcommodo
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programs
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○○ Provide capacity and tools to advance health equity
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• To strengthen Vestibulum facilisis
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collaboration:
○○ Provide financial contribution to countries and international organizations
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• To monitor progress and increase accountability:
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health inequalities
○○ Share evidence to inform policy and action
This report intends to stimulate exchange of promising practices to advance health equity within
Canada and with other countries.
http://www.who.int/sdhconference/declaration/en/
1
A Snapshot of Canadian Actions 2015 vRio Political Declaration on Social Determinants of Health
Canadian Initiatives/Tools at-a-Glance
Rio Political Declaration on Social Determinants of Health
A Snapshot of Canadian Actions 2015 Across the Five Themes of the Rio Declaration
To Further Reorient the
To Adopt Better Governance To Promote Participation in To Strengthen Global To Monitor Progress and
Health Sector Towards
for Health and Development Policy-Making and Implementation Governance and Collaboration Increase Accountability
Reducing Health Inequities
Support Development of Healthy Open, Transparent and Engaging Strengthen Health Systems Through Provide Financial Contribution Strengthen Monitoring Systems to
Public Policies Governments Health Sector Leadership for Health Equity to Countries and International Report on Health Inequalities
• Canadian Experiences in Institutionalizing • Select Canadian initiatives on open • Toward Health Equity: Canadian Organizations • Pan-Canadian Baseline Reporting
Health Impact Assessment, 2013 government: Approaches to the Health Sector Role, • Canada’s Ongoing Leadership to on Health Inequalities**, 2015
(National Collaborating Centre ––C anada’s Action Plan on 2014 (Public Health Agency of Canada) Improve the Health of Mothers, (Pan-Canadian Public Health Network,
for Healthy Public Policy) Open Government 2014–16 • Select Canadian provincial/territorial Newborns and Children (2015–2020) Public Health Agency of Canada,
(Government of Canada) wellness plans/wellness strategies (Government of Canada) Statistics Canada, Canadian Institute
Work Across Sectors to Combat Poverty for Health Information)
• Cross-country Analysis of the
REPORT TITLE
and Improve Social Protection ––Newfoundland and Labrador ––On the Path Together: Wellness Plan for
Open Government Initiative, 2014 Yukon’s Children and Families, 2014 Institutionalization of Health Impact • Trends in Health Inequalities in
• Alberta’s Social Policy Framework, 2013 Assessment. Social Determinants of Canada**, 2015 (Canadian Institute
(Government of Newfoundland (Yukon Health and Social Services)
(Alberta Government) Health Discussion Paper Series 8, 2013 for Health Information)
and Labrador) ––A lberta’s Strategic Approach to
• Select provincial/territorial poverty (World Health Organization) • The Chronic Disease and Injuries Indicator
Wellness, 2014 (Alberta Government)
GOES HERE
reduction strategies/poverty Engage and Empower Communities Framework, 2014 (Public Health Agency
reduction plans: to Participate in Decision-Making ––New Brunswick’s Wellness Strategy Foster North-South Support
of Canada)
2014–2021. The Heart of Our Future in Information Sharing and
––Newfoundland and Labrador • Communicating the Social Determinants • Social Determinants of Inuit Health in
(Government of New Brunswick) Technical Expertise
Poverty Reduction Strategy, 2014 of Health: Guidelines for Common Canada, 2014 (Inuit Tapiriit Kanatami)
(Government of Newfoundland Messaging, 2013 (Canadian Council • The Handbook on Health Inequality
Integrate Equity, Including Gender-
and Labrador) on Social Determinants of Health) Monitoring: with a Special Focus on Provide Methodologies for Monitoring
Related Considerations, into the Design
Low- and Middle-Income Countries, 2013 and Reporting on Health Inequalities
––Overcoming Poverty Together: • Select YouTube videos mobilizing action and Delivery of Programs and Services
REPORT SUB-TITLE GOES HERE
(World Health Organization)
The New Brunswick Economic and on social determinants of health: • Ontario Public Health Standards, 2008, • Select reports providing methodologies
Social Inclusion Plan, 2014–2019 ––Let’s Start a Conversation About updated 2014 (Ontario Ministry of Health for monitoring and reporting on
(Economic and Social Inclusion Health… and Not Talk About Health and Long-Term Care) health inequalities
Corporation) Care at All (Sudbury District Health Unit) ––A Strategy and Indicators for
• Promote, Protect, Prevent: Our
––S askatchewan Poverty Reduction ––S ocial Inequalities in Health, 2014 Health Begins Here. BC’s Guiding Monitoring Social Inequalities in Health
Strategy, 2014 (Montréal Public Health) Framework for Public Health, 2013 in Québec, 2013 (Institut national
––C ollaboration for Poverty Reduction (British Columbia Ministry of Health) de santé publique du Québec)
• A Guide to Community Engagement
Act, 2013 (Government of Nunavut) Frameworks for Action on the Social • Shaping Science for a Healthier World: ––Summary Measures of Socioeconomic
––G overnment of Northwest Territories Determinants of Health and Health Strategy 2017, 2014 (Canadian Institutes Inequalities in Health, 2013 (Public
Antipoverty Action Plan, 2014 Equity, 2013 (National Collaborating of Health Research) Health Ontario)
(Government of Northwest Territories) Centre for Determinants of Health) • Physicians and Health Equity: • Maps to Inform Intersectoral Planning and
Opportunities in Practice, 2012–2015 Action, 2014 (Canadian Council on Social
Collaborate Across Sectors to Address Empower Aboriginal Peoples Determinants of Health)
(Canadian Medical Association)
a Key Social Determinant of Health for Self-Governance
• Framework for Early Childhood • Update on British Columbia Tripartite Provide Capacity and Tools to Advance Share Evidence to Inform Policy
Development: Right from the Start, 2013 Framework Agreement on First Nation Health Equity and Action
(Government of the Northwest Territories) Health Governance (Government of • Health Equity Impact Assessment • The Canadian Institutes of Health
• National At Home/Chez Soi Final British Columbia, Government of Canada (Ontario Ministry of Health and Research: Federal investments in health
Report, 2014 (Mental Health and BC First Nations) – Establishing the Long-Term Care) inequalities and health equity research*
Commission of Canada) First Nation Health Governance Structure (Canadian Institutes of Health Research)
• Dedicated human resources and training
in British Columbia • Canadian Best Practices Portal —
for health equity application in select
• Roots of Resilience: Overcoming Canadian provinces/territories and Equity-sensitive Interventions, 2015
Inequities in Aboriginal Communities, select federal government departments* (Public Health Agency of Canada)
2013 (Canadian Council on Social
Determinants of Health)
*For initiative web links refer to initiative summary ** Initiative forthcoming1 | Political
Rio REPORT TITLE GOES HERE
Declaration on Social Determinants of Health
1.0 Introduction
DESCRIPTION
1.1 Background
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In May
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felis dui, States endorsed
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declaration
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sets out actions to address health inequities in five areas: to adopt better governance
health
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collaboration, and; to monitor and increase accountability. The World Health Organization will
adipiscing elit. Sed elit quam, lacinia eu viverra sed, pretium pharetra diam.
report on regional and Member State action on the Rio Declaration since 2012 at the World Health
Assembly in May 2015.
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2
, whichelit.
profiles evidence-based Canadian action on social determinants of
health and health equity across various sectors, within health and public health systems, and within
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research institutes.
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quis fermentum
In May 2014, Canadaquam.andNunc
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Health Equity. This resolution calls on nations
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3
to coordinate and align action across sectors and
levels of government in pursuit of health and development, and health inequity reduction as a shared
societal goal. Itpellentesque
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for health and development, which calls for action across sectors for health and health
non scelerisque ante pulvinar. Nulla posuere fringilla turpis. Phasellus luctus ultrices equity.
elementum. Morbi convallis ultrices luctus. Etiam aliquet massa pretium felis elementum luctus.
1.2 magna
Duis Report purpose
velit, tristique vel sollicitudin placerat, condimentum ac dolor. Proin dolor turpis,
elementum eget sagittis tristique, lobortis in urna. Donec vehicula, lacus sed commodo blandit,
nisi purpose
The erat accumsan ipsum,
of this report is in volutpat anteCanada’s
to demonstrate turpis eget risus. actions
concrete Integeraligning
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the five risus of
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undertaken Nulla Itvel
since 2013. sem neque,
provides in sagittis
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the diverse spectrum
porta.
of Maecenas
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of government Sed
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sectors sed mauris
to advance healthtristique tristique
equity and ut
address
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social determinants of health in Canada.
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1.3 Audience
nec sem nunc. Nulla est velit, molestie vel luctus quis, bibendum et turpis. Nulla congue massa
quisinitiatives
The odio rhoncus ut in
profiled iaculis auguewill
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be of interest to aliquet
regionalpulvinar
and localnunc, eu porttitor
authorities, lectus
national
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governments sollicitudin consequat
and non-government commodo.
organizations, academicInorganizations,
hac habitasse platea
and dictumst.
professional and
Suspendisse
civil est orci, feugiat
society organizations gravida
working tincidunt
to advance theac, semper
social nec diam.
determinants of health in Canada and
internationally. This report intends to support global and domestic exchange of concrete approaches
undertaken by a variety of stakeholders to advance health equity and illustrate how they are making
a difference.
http://publications.gc.ca/site/eng/444978/publication.html
2
http://apps.who.int/gb/ebwha/pdf_files/EB134/B134_R8-en.pdf
3
A Snapshot of Canadian Actions 2015 11 | Political
Rio REPORT TITLE GOES HERE
Declaration on Social Determinants of Health
1.4 Canadian
DESCRIPTION context
Canada is a large, culturally, geographically and linguistically diverse nation with the majority of
Canadians reporting overall good health.4 However, health inequities in Canada continue to persist or
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are growing among certain populations. For example, Aboriginal peoples, Canadians with low income
consectetur et, gravida id tortor. Aenean accumsan sodales lacus eget iaculis. Phasellus non
and education, and residents of rural and remote communities experience patterns of poorer health,
orci tortor, non consequat sem. Etiam felis dui, elementum eu laoreet eget, suscipit id elit. Nam
whereas new immigrants to Canada are more likely to face various barriers to accessing health care
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services. Various health differences are also noticeable when considering sex and gender.
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nec nunc
Canada is et magna
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and
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provincial/territorial governments have unique responsibilities for the delivery of health and social
services, with the provinces/territories playing the greatest role in their delivery.
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consectetur
Canada has aadipiscing elit. Sed
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system which at inpublicly
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health care coverage for medically necessary services; public pensions; supports for workers eget
who lose
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their jobs or are injured, and; income assistance for those temporarily or permanently unable to work,
disabled persons, families with children and low wage workers; primary and secondary education,
and some child
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education services.
aliquam. Ut ultricies imperdiet ultrices. Aenean aliquam
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quis fermentum quam. Nunc justo ipsum, aliquam ut pharetra at, vehicula sodales erat.
1.5 Methods
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pulvinar. Duis
Selection quis
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were sapien,and
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used to capture
initiatives or tools demonstrating action across the Rio Declaration themes, with advice from the
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of Health 5
. Nullam pellentesque nibh nec ligula mollis
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Initiatives or tools included:
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• aligns with velit, tristique
at least one or vel
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themes ofcondimentum ac dolor. Proin dolor turpis,
the Rio Declaration
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• was published in 2013 or after
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•ornare eget
profiles placerataction
Canadian tortor/ ultricies.
showcases Nulla vel sem
Canada’s neque,
value in sagittis leo. Ut aliquet rhoncus
added:
porta. Maecenas blandit interdum velit ut dapibus. Sed nec justo collaborative
○○ national, provincial/territorial and/or federal/provincial/territorial sed mauris tristique
efforts tristique ut
vulputate ipsum. Vestibulum facilisis bibendum dui at euismod. Curabitur rutrum varius sem.
○○ public, non-government organizations, or private sector efforts
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○○ intersectoral quis ultrices
partnership efforts est. Mauris sit amet ipsum id nulla lacinia tempor. Praesent
nec sem nunc. Nulla est velit, molestie vel luctus quis, bibendum et turpis. Nulla congue massa
• may profile a compilation of Canadian experiences from different jurisdictions, including local level
quis odio rhoncus ut iaculis augue posuere. Mauris aliquet pulvinar nunc, eu porttitor lectus
•rhoncus
profilesat. Vivamus
proven, sollicitudin
promising consequat
or innovative commodo.
action In initiative
(ideally, the hac habitasse platea demonstrate
or tool should dictumst. the
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evidence baseest of
orci, feugiat results/its
evaluation gravida tincidunt
impact) ac, semper nec diam.
• profiles action and not position statements/recommended actions
• underwent an appropriate review, for example, a peer-review process, approval process or is
informed by evaluation data
• is publicly accessible, i.e. posted on the internet (preferable)
4
as of July 1, 2014 the canadian population was equal to 35,540,419.
5
the canadian council on Social determinants of Health is a collaborative, multisectoral leadership table established
to work with the Public Health Agency of Canada (the lead on implementation of the Rio Declaration within the
Government of Canada) on the implementation of the Rio Declaration and to facilitate and leverage action on
the social determinants of health through intersectoral initiatives (http://ccsdh.ca/).
A Snapshot of Canadian Actions 2015 21 | Political
Rio REPORT TITLE GOES HERE
Declaration on Social Determinants of Health
Efforts were also made to:
DESCRIPTION
• profile a balance of upstream and downstream interventions improving health and advancing
health equity
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed orci justo, commodo rutrum
• profile Aboriginal populations (First Nations, Métis, Inuit)
consectetur et, gravida id tortor. Aenean accumsan sodales lacus eget iaculis. Phasellus non
•orci tortor,
apply non consequat
a common sem.
definition Etiamequity
of health felis6dui, elementum eu laoreet eget, suscipit id elit. Nam
eleifend
• reflectullamcorper erat sed placerat.
Canada’s commitment to genderNullam
equity imperdiet risus quis nisi porta luctus. Sed ut justo
vel mi condimentum faucibus vel suscipit est. Fusce porttitor velit eros, eu sagittis est. Nullam
nec nunc et magna ornare molestie sit amet sed lectus. Lorem ipsum dolor sit amet, consectetur
1.6 Report
adipiscing elit. Sed organization
elit quam, lacinia eu viverra sed, pretium pharetra diam.
Canada’s actions are presented as a selection of recent (2013 or after) summaries with web links to
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exemplary Canadian initiatives or tools. For each of the five themes of the Rio Declaration, a theme
summary andadipiscing
consectetur a collectionelit. Sed eu mi
of example ac orciorcommodo
initiatives ultricies atCanadian
tools are presented. in neque.actions
Fusceunder
vitae each
sollicitudin
of nulla. Nulla
the Rio Declaration risus are
themes magna, luctus
further eget dignissim
categorized nec, tempus
into groupings of similarvel augue.
type Donec
of activity eget
being
nunc massa, tempor ornare elit.
undertaken in Canada. Taken together, these groupings provide a flavour of the diverse and multiple
types of action undertaken at different levels of government and with non-government actors. Some
Phasellusofacinitiatives
examples nunc velorsemtoolslaoreet
fit underaliquam.
more than Ut one
ultricies imperdiet ultrices.
Rio Declaration theme. An Aenean aliquam
at-a-glance visual
hendrerit lacus, ac sodales dolor cursus in. Quisque vitae libero eget massa dignissim
of Canadian actions across the five themes of the Rio Declaration in 2015 can be found on page vi. tempor
quis fermentum quam. Nunc justo ipsum, aliquam ut pharetra at, vehicula sodales erat.
Phasellus ultrices tristique lectus molestie eleifend. Aliquam luctus massa nec nunc porttitor
pulvinar. Duis quis arcu sapien, ut commodo tellus.
Sed tincidunt pellentesque metus adipiscing aliquam. Nullam pellentesque nibh nec ligula mollis
non scelerisque ante pulvinar. Nulla posuere fringilla turpis. Phasellus luctus ultrices
elementum. Morbi convallis ultrices luctus. Etiam aliquet massa pretium felis elementum luctus.
Duis magna velit, tristique vel sollicitudin placerat, condimentum ac dolor. Proin dolor turpis,
elementum eget sagittis tristique, lobortis in urna. Donec vehicula, lacus sed commodo blandit,
nisi erat accumsan ipsum, in volutpat ante turpis eget risus. Integer accumsan odio vel risus
ornare eget placerat tortor ultricies. Nulla vel sem neque, in sagittis leo. Ut aliquet rhoncus
porta. Maecenas blandit interdum velit ut dapibus. Sed nec justo sed mauris tristique tristique ut
vulputate ipsum. Vestibulum facilisis bibendum dui at euismod. Curabitur rutrum varius sem.
Donec sed nulla urna, quis ultrices est. Mauris sit amet ipsum id nulla lacinia tempor. Praesent
nec sem nunc. Nulla est velit, molestie vel luctus quis, bibendum et turpis. Nulla congue massa
quis odio rhoncus ut iaculis augue posuere. Mauris aliquet pulvinar nunc, eu porttitor lectus
rhoncus at. Vivamus sollicitudin consequat commodo. In hac habitasse platea dictumst.
Suspendisse est orci, feugiat gravida tincidunt ac, semper nec diam.
Unless in the context of monitoring, where the term ‘health inequalities’ is applied.
6
A Snapshot of Canadian Actions 2015 31 | Political
Rio REPORT TITLE GOES HERE
Declaration on Social Determinants of Health
2.0 Canadian
DESCRIPTION Actions across the Five
Rio Declaration Themes
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed orci justo, commodo rutrum
consectetur et, gravida id tortor. Aenean accumsan sodales lacus eget iaculis. Phasellus non
2.1
orci tortor,Rio Declaration
non consequat Theme:
sem. Etiam felis dui, elementum eu laoreet eget, suscipit id elit. Nam
eleifend ullamcorper erat sed placerat. Nullam imperdiet risus quis nisi porta luctus. Sed ut justo
To adopt better governance for health and development
vel mi condimentum faucibus vel suscipit est. Fusce porttitor velit eros, eu sagittis est. Nullam
nec nunc
This themeet magna ornare
highlights molestie
the need for: sit amet sed lectus. Lorem ipsum dolor sit amet, consectetur
adipiscing elit. Sed elit quam, lacinia eu viverra sed, pretium pharetra diam.
• effective cross-sectoral partnerships across levels of government and various sectors;
Proin ut enim
• policy mi. and
design Aliquam eleifend
delivery turpis
that takes atconsideration
into elit iaculis imperdiet. Lorem
vulnerable ipsum dolor sit amet,
populations;
consectetur adipiscing elit. Sed eu mi ac orci commodo ultricies at in neque. Fusce vitae
• research programs that inform policy;
sollicitudin nulla. Nulla risus magna, luctus eget dignissim nec, tempus vel augue. Donec eget
nunc massa,
• tools and tempor ornare
capacities elit. health inequities;
to reduce
• universal access to health and social services, and;
Phasellus ac nunc vel sem laoreet aliquam. Ut ultricies imperdiet ultrices. Aenean aliquam
• collaboration with the private sector, while safeguarding against conflict of interest,
hendrerit lacus, ac sodales dolor cursus in. Quisque vitae libero eget massa dignissim tempor
to develop policies on social determinants of health.
quis fermentum quam. Nunc justo ipsum, aliquam ut pharetra at, vehicula sodales erat.
Phasellus ultrices tristique lectus molestie eleifend. Aliquam luctus massa nec nunc porttitor
pulvinar. DuisACTIONS
CANADIAN quis arcu sapien,
RELATED ut commodo
TO THIStellus.
THEME:
• Support development of healthy public policies
Sed tincidunt pellentesque metus adipiscing aliquam. Nullam pellentesque nibh nec ligula mollis
•non scelerisque
Work ante pulvinar.
across sectors to combat Nulla posuere
poverty fringillasocial
and improve turpis.protection
Phasellus luctus ultrices
elementum.
• Collaborate across sectors to address a key social determinant of pretium
Morbi convallis ultrices luctus. Etiam aliquet massa health felis elementum luctus.
Duis magna velit, tristique vel sollicitudin placerat, condimentum ac dolor. Proin dolor turpis,
elementum
2.1.1 eget sagittis
Canadian tristique, in
Experiences lobortis in urna. DonecHealth
Institutionalizing vehicula, lacus Assessment,
Impact sed commodo 2013
blandit,
7
nisi erat(National
accumsanCollaborating
ipsum, in volutpat ante for
Centre turpis eget risus.
Healthy PublicInteger accumsan
Policy) 8 odio vel risus
ornare eget placerat tortor ultricies. Nulla vel sem neque, in sagittis leo. Ut aliquet rhoncus
porta. Maecenas blandit interdum velit ut dapibus. Sed nec justo sed mauris tristique tristique ut
Summarizes a national meeting which:
vulputate ipsum. Vestibulum facilisis bibendum dui at euismod. Curabitur rutrum varius sem.
• Provided an opportunity for various canadian jurisdictions (federal, provincial/territorial) to share
Donec sed nullaabout
information urna,implementation
quis ultrices est.
andMauris sit amet
use of Health ipsumAssessment;
Impact id nulla lacinia tempor. Praesent
nec sem nunc. Nulla est velit, molestie vel luctus quis, bibendum et turpis. Nulla congue massa
• Identified conditions that can support the incorporation of health and health equity considerations
quis odio rhoncus ut iaculis augue posuere. Mauris aliquet pulvinar nunc, eu porttitor lectus
in all policies.
rhoncus at. Vivamus sollicitudin consequat commodo. In hac habitasse platea dictumst.
Suspendisse est orci, feugiat gravida tincidunt ac, semper nec diam.
On April 18, 2013, the National Collaborating Centre for Healthy Public Policy (NCCHPP) hosted a
meeting of public health officials from 11 Canadian provinces and territories and the federal government
(deputy ministers responsible for public health, chief medical officers of health and directors of
population health) to discuss the implementation and use of health impact assessment at the provincial/
territorial level. This was the second such meeting convened by the NCCHPP to address this subject.
The first meeting took place in 2009.
7
http://www.ncchpp.ca/133/publications.ccnpps?id_article=975
8 for descriptions of organizations follow web links.
A Snapshot of Canadian Actions 2015 41 | Political
Rio REPORT TITLE GOES HERE
Declaration on Social Determinants of Health
The objectives of the 2013 meeting were to share knowledge and experiences regarding the
DESCRIPTION
implementation of health impact assessment strategies as a mechanism for integrating health
in all policies including conditions for success, barriers, strategies and models envisioned by
the various jurisdictions.
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed orci justo, commodo rutrum
consectetur
Considering the et, diverse
gravidainstitutional,
id tortor. Aenean
politicalaccumsan
and culturalsodales
contextslacus eget
across iaculis. provinces
Canadian Phasellusand non
orci tortor, non consequat sem. Etiam felis dui, elementum eu laoreet eget, suscipit
territories, the means chosen to promote healthy public policy can vary. The initiatives presented in id elit. Nam
eleifend ullamcorper erat sed placerat. Nullam imperdiet risus quis nisi porta luctus.
this workshop nevertheless shed light on certain conditions that can facilitate such policies, including:Sed ut justo
vel mi condimentum faucibus vel suscipit est. Fusce porttitor velit eros, eu sagittis est. Nullam
•necA nunc
strongetlink
magna ornare
between molestie
health impactsit amet sedproponents
assessment lectus. Lorem
andipsum
higher dolor
levels sit amet, consectetur
of authority;
adipiscing elit. Sed elit quam, lacinia eu viverra sed, pretium pharetra diam.
• A rapid impact assessment process (to address decision-making needs) that generates reliable results;
• An approach that relies more on incentives than on coercion;
Proin ut enim mi. Aliquam eleifend turpis at elit iaculis imperdiet. Lorem ipsum dolor sit amet,
•consectetur
An approachadipiscing
based onelit. Sed eu other
supporting mi acsectors
orci commodo ultricies
in achieving at in thus
their goals, neque. Fusce
gaining vitae
their commitment
sollicitudin nulla. Nulla risus magna, luctus eget dignissim nec, tempus vel augue. Donec eget
to the process;
•nunc massa,
A legal tempor
basis, whichornare elit. a powerful incentive, and;
constitutes
• A prospective approach, aimed at seizing opportunities to influence the policy development process
Phasellus ac nunc vel sem laoreet aliquam. Ut ultricies imperdiet ultrices. Aenean aliquam
as early as possible.
hendrerit lacus, ac sodales dolor cursus in. Quisque vitae libero eget massa dignissim tempor
quis fermentum quam. Nunc justo ipsum, aliquam ut pharetra at, vehicula sodales erat.
2.1.2 Alberta’s Social Policy Framework, 2013 9
Phasellus ultrices tristique lectus molestie eleifend. Aliquam luctus massa nec nunc porttitor
(Alberta Government)
pulvinar. Duis quis arcu sapien, ut commodo tellus.
Sed Provides apellentesque
• tincidunt comprehensive framework
metus to guide
adipiscing development
aliquam. Nullam of policies and nibh
pellentesque programs that mollis
nec ligula
influence determinants
non scelerisque ante pulvinar.of health
Nullaunderpinning population
posuere fringilla turpis.vulnerabilities;
Phasellus luctus ultrices
elementum. Morbi convallis
• Applies across ultrices luctus.
sectors (including, but notEtiam
led by,aliquet
health) massa pretium
and includes felis elementum
reduction luctus.
of inequalities
Duis asmagna velit,
a priority tristique
social vel
policy sollicitudin placerat, condimentum ac dolor. Proin dolor turpis,
goal.
elementum eget sagittis tristique, lobortis in urna. Donec vehicula, lacus sed commodo blandit,
nisi erat
More thanaccumsan ipsum, in
31,000 Albertans volutpat
took part inante turpis eget risus.
the development IntegerSocial
of Alberta’s accumsan
Policyodio vel risus
Framework,
ornare
including eget placerat
Aboriginal tortorbusiness
Elders, ultricies.leaders,
Nulla vel sem neque,non-profit
communities, in sagittis leo. Ut aliquet
organizations, rhoncus
service delivery
porta.
agencies, municipalities, elected officials, and Government of Alberta staff. The resulting framework isut
Maecenas blandit interdum velit ut dapibus. Sed nec justo sed mauris tristique tristique
vulputate
being usedipsum. Vestibulum
to clarify Albertans’facilisis
commonbibendum dui and
goals, plans, at euismod.
roles and Curabitur rutrumcoordinate
responsibilities; varius sem. and
align activities across government departments and with other stakeholders, and; influence planning
Donec sed nulla urna,
and decision-making quis sectors.
across ultrices est. Mauris sit amet ipsum id nulla lacinia tempor. Praesent
nec sem nunc. Nulla est velit, molestie vel luctus quis, bibendum et turpis. Nulla congue massa
Communities,
quis non-profit
odio rhoncus organizations,
ut iaculis government,
augue posuere. andaliquet
Mauris businesses
pulvinarusenunc,
the framework as alectus
eu porttitor lens
to evaluate and target supports and services to achieve the identified four key
rhoncus at. Vivamus sollicitudin consequat commodo. In hac habitasse platea dictumst.social policy goals:
reduce inequality,
Suspendisse est protect vulnerable
orci, feugiat people,
gravida enable
tincidunt ac,collaboration
semper necand partnerships, and create a
diam.
person-centred system of high quality services. Health is one of several social policy outcomes
identified (others include safety, inclusion, health, education, training, recreation, and cultural
opportunities), with the health outcome described as ‘achieve the highest attainable standards
of health and well-being’. Early childhood development initiatives, a poverty reduction strategy,
and a renewed partnership with First Nation, Métis and Inuit communities to address underlying
causes of recognized inequalities were among eight priority initiatives identified in the framework.
http://socialpolicyframework.alberta.ca/files/documents/ahs-nonannotatedfrmwrk-webfinal.pdf
9
A Snapshot of Canadian Actions 2015 51 | Political
Rio REPORT TITLE GOES HERE
Declaration on Social Determinants of Health
2.1.3 Select provincial/territorial poverty reduction strategies/poverty
DESCRIPTION
reduction plans:
Newfoundland and Labrador Poverty Reduction Strategy, 201410
•
Lorem ipsum dolor sit amet,
(Government consectetur adipiscing
of Newfoundland elit. Sed orci justo, commodo rutrum
and Labrador)
consectetur et, gravida id tortor. Aenean accumsan sodales lacus eget iaculis. Phasellus non
• Overcoming Poverty Together: The New Brunswick Economic and
orci tortor,Social
non consequat
Inclusion sem.
Plan, Etiam felis11dui, elementum eu laoreet eget, suscipit id elit. Nam
2014–2019
eleifend ullamcorper erat sed placerat.
(Economic and Social Inclusion Nullam imperdiet risus quis nisi porta luctus. Sed ut justo
Corporation)
vel mi condimentum faucibus vel suscipit est. Fusce porttitor velit eros, eu sagittis est. Nullam
• Saskatchewan Poverty Reduction Strategy, 201412, 13
nec nunc et magna ornare molestie sit amet sed lectus. Lorem ipsum dolor sit amet, consectetur
adipiscing elit. Sed elit quam,
• Collaboration laciniaReduction
for Poverty eu viverraAct,
sed,2013
pretium
14
pharetra diam.
(Government of Nunavut)
Proin ut• enim mi. Aliquam
Government eleifend turpis
of Northwest at elit Antipoverty
Territories iaculis imperdiet.
ActionLorem ipsum
Plan, 2014 15 dolor sit amet,
consectetur adipiscing elit. Sed eu mi ac orci
(Government of Northwest Territories) commodo ultricies at in neque. Fusce vitae
sollicitudin nulla. Nulla risus magna, luctus eget dignissim nec, tempus vel augue. Donec eget
nunc massa, tempor ornare elit.
• Promote and strengthen universal access to social services and social protection;
Phasellus ac nunc
• Represent vel targeting
policies sem laoreet aliquam.
the entire Ut ultricies
population with imperdiet ultrices.
specific attention toAenean aliquam
vulnerable groups
hendrerit lacus, acareas;
and high-risk sodales dolor cursus in. Quisque vitae libero eget massa dignissim tempor
quis fermentum quam. Nunc justo ipsum, aliquam ut pharetra at, vehicula sodales erat.
• Use transparent and inclusive decision-making processes.16
Phasellus ultrices tristique lectus molestie eleifend. Aliquam luctus massa nec nunc porttitor
pulvinar. Duis quis arcu sapien, ut commodo tellus.
16
The Rio Declaration calls on Member States to bring together actors, who have accountability
for determinants
Sed of health, with
tincidunt pellentesque non-governmental
metus organizations
adipiscing aliquam. Nullamand civil societynibh
pellentesque to improve the mollis
nec ligula
living and working conditions of those affected negatively by unequal distribution
non scelerisque ante pulvinar. Nulla posuere fringilla turpis. Phasellus luctus ultrices of resources.
Globally,
elementum. good health
Morbi varies inultrices
convallis a stepwise gradient
luctus. with
Etiam income,
aliquet making
massa income
pretium among
felis the most
elementum luctus.
important
Duis magna velit, tristique vel sollicitudin placerat, condimentum ac dolor. Proin dolor turpis, or
determinants of health. In Canada, nine provinces and three territories have announced
implementedeget
elementum poverty reduction
sagittis strategies/action
tristique, plans,
lobortis in urna. whichvehicula,
Donec aim to reduce
lacus poverty and mitigate
sed commodo its
blandit,
effects on quality of life and, by extension, improve health.
nisi erat accumsan ipsum, in volutpat ante turpis eget risus. Integer accumsan odio vel risus
ornare eget placerat
The example strategiestortor ultricies.
and plans fromNulla vel sem neque,
Newfoundland in sagittis
and Labrador, Newleo. Ut aliquet
Brunswick, rhoncus
Saskatchewan,
porta. Maecenas blandit interdum velit ut dapibus. Sed nec justo sed mauris tristique
Nunavut, and the Northwest Territories represent different stages in implementing plans which tristique
unite ut
vulputate
sectors ipsum.
and engageVestibulum
citizens to facilisis
influencebibendum dui at
this important euismod. of
determinant Curabitur
health. rutrum varius sem.
Donec
The sed nulla
province urna, quis ultrices
of Newfoundland est. Mauris
and Labrador sit amet
was among theipsum id nulla lacinia
first provinces tempor.
to launch Praesent
a poverty
nec sem nunc.
reduction Nulla
strategy estand
(2003) velit, molestie
action vel luctus
plan (2006) quis,
and has bibendum
recently et turpis.
released Nulla
a report congue massa
on progress.
quis odio rhoncus
Highlights ut iaculis
of progress include augue posuere.
a reduction in theMauris
numberaliquet
of people pulvinar nunc,
living in eu porttitor
poverty lectus
from 63,000 in 2003
to 27,000 at.
rhoncus Vivamus
in 2011; mediansollicitudin consequat
family income commodo.
has increased In hac
by 26%, habitasse
while platea
at the same timedictumst.
the number of
families relyingest
Suspendisse orci, feugiat
on social gravida
assistance tincidunt
decreased ac,36,700
from semper nec diam.
in 2003 to 29,650 in 2013.17, 18
10
http://www.releases.gov.nl.ca/releases/2014/swsd/1117n05.aspx
11
http://www2.gnb.ca/content/dam/gnb/Departments/esic/pdf/NBEconomicSocialInclusionPlan2014-2019.pdf
12
http://www.gov.sk.ca/Default.aspx?DN=eaa4dd0b-a9dc-4d68-b859-a2b6e43f2103
13
Also see: Group of Eleven Will Help Reduce Poverty
(http://www.saskatchewan.ca/government/news-and-media/2014/december/22/eleven-help-reduce-poverty)
14
http://www.gov.nu.ca/sites/default/files/2013-05_nr31_-_poverty_reduction_act_bill-59_-_eng.pdf
15
http://www.hss.gov.nt.ca/sites/default/files/gnwt-anti-poverty-action-plan.pdf
16
initiatives therefore also fit under Rio declaration theme: to promote participation in policy-making and implementation.
17
Population of newfoundland and labrador as of July 1, 2014 was equal to 526,977.
18
newfoundland and labrador Poverty Reduction Strategy Progress Report, 2014
A Snapshot of Canadian Actions 2015 61 | Political
Rio REPORT TITLE GOES HERE
Declaration on Social Determinants of Health
New Brunswick’s Overcoming Poverty Together: The New Brunswick Economic and Social Inclusion
DESCRIPTION
Plan, 2014–2019, is the second of such plans, the first of which was launched in 2009. The plan is led by
the Economic and Social Inclusion Corporation and is governed by a board of directors which includes
members representing government, business, non-profit community organizations, and individuals who
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed orci justo, commodo rutrum
have experienced poverty. The plan includes four pillars:
consectetur et, gravida id tortor. Aenean accumsan sodales lacus eget iaculis. Phasellus non
orci tortor, nonempowerment,
• Community consequat sem. Etiamactions
includes felis dui, elementum
addressing eu laoreet
community eget, suscipit
development, id elit. Nam
communication
eleifend ullamcorper erat sed placerat.
and networking, and volunteerism; Nullam imperdiet risus quis nisi porta luctus. Sed ut justo
vel mi condimentum faucibus vel suscipit est. Fusce porttitor velit eros, eu sagittis est. Nullam
• Learning, includes actions addressing child and youth education and adult education, training,
nec nunc et magna ornare molestie sit amet sed lectus. Lorem ipsum dolor sit amet, consectetur
and preparation for work;
adipiscing elit. Sed elit quam, lacinia eu viverra sed, pretium pharetra diam.
• Economic inclusion, includes actions addressing participation in the labour market and business
Proin ut enim
activity, and;mi. Aliquam eleifend turpis at elit iaculis imperdiet. Lorem ipsum dolor sit amet,
consectetur adipiscing
• Social inclusion elit.actions
includes Sed euaddressing
mi ac orcifood
commodo
securityultricies at infood
and healthy neque. Fusce vitae
availability, housing,
sollicitudin nulla. Nulla risus magna, luctus eget dignissim nec, tempus vel augue. Donec eget
and transportation.
nunc massa, tempor ornare elit.
By law19, the plan must be renewed every five years through a public engagement process.
Phasellus ac nunc vel sem laoreet aliquam. Ut ultricies imperdiet ultrices. Aenean aliquam
The Government of the Northwest Territories Antipoverty Action Plan builds on the territory’s first
hendrerit lacus, ac sodales dolor cursus in. Quisque vitae libero eget massa dignissim tempor
antipoverty strategic framework released in 2013 and was developed through input from the Northwest
quis fermentum quam. Nunc justo ipsum, aliquam ut pharetra at, vehicula sodales erat.
Territories Anti-Poverty Round Tables engaging representatives from all sectors in every region and
Phasellus ultrices tristique lectus molestie eleifend. Aliquam luctus massa nec nunc porttitor
under the leadership of an Anti-Poverty Advisory Committee. The action plan outlines actions for
pulvinar. Duis quis arcu sapien, ut commodo tellus.
the Government of Northwest Territories in five areas to address poverty:
Sed tincidunt
• Children andpellentesque
family support; metus adipiscing aliquam. Nullam pellentesque nibh nec ligula mollis
non scelerisque ante pulvinar. Nulla posuere fringilla turpis. Phasellus luctus ultrices
• Healthy living and reaching our potential;
elementum. Morbi convallis ultrices luctus. Etiam aliquet massa pretium felis elementum luctus.
Safe
•Duis and affordable
magna housing;
velit, tristique vel sollicitudin placerat, condimentum ac dolor. Proin dolor turpis,
elementum eget sagittis
• Sustainable communities; tristique, lobortis in urna. Donec vehicula, lacus sed commodo blandit,
nisi erat accumsan ipsum, in volutpat ante turpis eget risus. Integer accumsan odio vel risus
• Integrated continuum of services.
ornare eget placerat tortor ultricies. Nulla vel sem neque, in sagittis leo. Ut aliquet rhoncus
porta.
In May Maecenas
2013, Nunavutblandit interdum
passed velit ut dapibus.
the Collaboration Sed nec
for Poverty justo sed
Reduction mauris
Act to affirmtristique tristiqueofut
the commitment
vulputate
the ipsum.ofVestibulum
Government facilisis bibendum
Nunavut to participate dui with
as a partner at euismod.
Nunavut Curabitur
Tunngavik rutrum varius
Inc., Inuit sem.
organizations,
other governments, non-government organizations and businesses on the Nunavut Roundtable for
Donec
Povertysed nulla urna,
Reduction. quis ultrices
The Nunavut est. Mauris
Roundtable sit amet
for Poverty ipsum idis nulla
Reduction laciniabytempor.
co-chaired Praesentof
the Government
nec semand
Nunavut nunc. Nulla Tunngavik
Nunavut est velit, molestie vel luctus
Incorporated quis, bibendum
and recognizes the rightetofturpis. Nulla
Inuit, as congue
set out massa
in Article 32
quis
of theodio rhoncus
Nunavut LandutClaim
iaculis augue posuere.
Agreement, Mauris
to participate in aliquet pulvinar nunc,
the development euand
of social porttitor lectus
cultural policies,
rhoncus
and in theat. Vivamus
design sollicitudin
of social consequat
and cultural programscommodo. In hac
and services, habitasse
including theirplatea
method dictumst.
of delivery.
Suspendisse
Through a publicestengagement
orci, feugiatprocess,
gravida atincidunt ac, semper
shared approach nec diam.
to poverty reduction has been developed
in the territory focused on eight areas for action:
• Working together;
• Community decision-making;
• Local economies;
• Healing and wellbeing;
• Life-long learning;
19
Economic and Social Inclusion Act (http://laws.gnb.ca/en/ShowPdf/cs/E-1.105.pdf)
A Snapshot of Canadian Actions 2015 71 | Political
Rio REPORT TITLE GOES HERE
Declaration on Social Determinants of Health
Food security (a food security strategy and action plan have been developed);
DESCRIPTION
•
• Income assistance;
• Housing.
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consectetur
Based on thiset, gravida
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approach, theAenean accumsan
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to finalize theeget iaculis. Five
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Year Poverty
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Plan and tosem. Etiam
develop felis dui,
indicators to elementum eu laoreet
measure progress eget, suscipit
in reducing poverty.id elit. Nam
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Saskatchewan is among the most recent provinces to announce an antipoverty strategy (October 2014).
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In Saskatchewan, an advisory group on poverty reduction consisting of community leaders and
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government officials was formed by the provincial government to review the work done to address
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poverty in Saskatchewan and identify any gaps where more work is needed. For more information on
the role that the health sector played in informing the development of the Saskatoon antipoverty action
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plan see summary of Toward Health Equity: Canadian Approaches to the Health Sector Role (page 14).
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sollicitudin nulla. Nulla risus magna, luctus eget dignissim nec, tempus vel augue. Donec20eget
2.1.4 Framework for Early Childhood Development: Right from the Start, 2013
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(Government of the Northwest Territories)
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• Provides
hendrerit a framework
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reducecursus
barriers
in.toQuisque
a key determinant of eget
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within dignissim
challengingtempor
contexts and conditions;
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Phasellus ultrices
• Reflects tristique lectus
a collaborative molestie
partnership eleifend.
between healthAliquam
and the luctus massa
education, necand
culture nunc porttitor
pulvinar. Duis quis
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sectors;
• Prioritizes system integration and collaboration as a specific goal.
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non scelerisque ante pulvinar. Nulla posuere fringilla turpis. Phasellus luctus ultrices
The Northwest Territories Framework for Early Childhood Development guides its programs
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and initiatives to support healthy development of all children from birth through the first years
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of life, within the diversity of the Northern context. The Departments of Education, Culture and
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Employmentcand Health and Social Services partnered in its development, which included a
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comprehensive public engagement process involving parents and caregivers, community members,
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elders, eget childhood
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experts, Nulla vel
and Northern sem neque,
leaders. in sagittisgoals
The framework’s leo. Ut
are:aliquet rhoncus
porta. Maecenas blandit interdum velit ut dapibus. Sed nec justo sed mauris tristique tristique ut
•vulputate
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accessibility facilisis bibendum
and participation in early dui at euismod.
childhood Curabitur
development rutrum services,
programs, varius sem.
and
supports for children and families;
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• Enhanced quality of early childhood development programs, services, and supports, and;
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• Improved integration and collaboration at all levels of the early childhood development system.
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rhoncus at. Vivamus sollicitudin consequat commodo. In hac habitasse platea dictumst.
Suspendisse est orci, feugiat gravida tincidunt ac, semper nec diam.
20
http://www.ece.gov.nt.ca/files/Early-Childhood/0002_699_early_child_dev_framework-action-plan-proof-1.pdf
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