investments in children’s health are community-based health services reaching those most at risk?...
TRANSCRIPT
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: HealthPresenter: Lauranne Matheson
Co-author: Kara Hayne, Kate-Lynn DuplessisYork, EnglandJuly 28, 2011
Public Health Agency of Canada | Agence de la santé publique du Canada 2
Outline
• Program context and description• Methodologies• Initial Results• Future work
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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
ConditionsOf Risk:-low income-young mothers-low education-isolation-recent immigrants-language
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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:1. Where are at-risk priority populations located? 2. 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
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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)
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Data Layer 1: INSPQ* Deprivation Index
Target Group
Material: 1) % with no high school degree; 2) ratio employment/population;3) average personal incomeSocial: 1) % living alone; 2) % of persons separated,
divorced or widowed; 3) % of single-parent families
*Institut national de santé publique du Québec
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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
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Analysis Layer 1: Priority Areas1. Priority Target GroupsChildren
AND
Deprivation
ANDAND
1,263 Dissemination Areas across Canada
AND
Analysis Layer 3: Driving DistanceIncremental distance from each site using Road Network (1, 5, 10, 20km)
AND
Off-reserve*
Using INAC Criteria for On-reserve
Analysis Layer 2: Site Locations2,300 street addresses geocoded across Canada
* Health Canada’s First Nations & Inuit Health Branch provides sister programs for on-reserve populations
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1km 22% (n=24)5km 68.8% (n=75)10km 72.5% (n=79)20km 72.5% (n=79)
109 Priority Areas
1km 26.3% (n=21)5km 70% (n=56)10km 82.5% (n=66)20km 87.5% (n=70)
80 Priority Areas
1km 34.1% (n=28)5km 67.1% (n=55)10km 68.3% (n=56)20km 68.3% (n=56)
82 Priority Areas
Alberta115 sites
Saskatchewan 27 sites
Manitoba14 sites
27.5% beyond 20km 31.7% beyond 20km 12.5% beyond 20km
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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
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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 15
Thank you!
Lauranne MathesonManager, PRPM
Public Health Agency of CanadaCentre for Health Promotion
Division of Childhood & AdolescencePlanning, Reporting and Performance Measurement
Kara Hayne
Strategic Research Analyst
Kate-Lynn Duplessis
Evaluation Analyst