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This document describes and analyzes five Canadian experiences of intersectoral action for health linked to local and regional governments. The main objective of this text is to provide examples for institutions who may wish to draw inspiration from these previous experiences. It is intended equally for local and regional health organizations and for local policy makers and non-governmental organizations.
The cases presented are:
- Vancouver’s Healthy City Strategy, in British Columbia;
- A healthy built environments initiative, in Saskatoon, Saskatchewan;
- The Grey Bruce Healthy Communities Partnership, in Ontario;
- The Table intersectorielle régionale en saines habitudes de vie (TIR-SHV), in the Mauricie region of Québec;
- The Mobile Food Market initiative, in the Halifax region of Nova Scotia.
The origin and objectives of each case of intersectoral action for health are presented, along with the actors involved,...
February-19-20At the Intersection of Language Definitions: A Portrait of Linguistic Communities in Québec and Its Territorial Service Networks in 2016
The Integrated Health and Social Services Centres (CISSS) and Integrated University Health and Social Services Centres (CIUSSS) are at the center of the twenty-two territorial service networks (RTS). The RTS are responsible for providing health care and services to their population, which includes minority linguistic communities that may face communicational obstacles.
In this report, the variables "mother tongue", "language spoken at home" and "knowledge of official languages" from the 2016 census, as well as their intersection, were analyzed for the population of Quebec and that of the RTS.
Overall this report confirms the presence of potential linguistic barriers among minority linguistic communities and shows that those communities served by RTS institutions are quite heterogeneous.
- In 2016, the population of Québec was 78% francophone as defined by mother tongue or 81% as defined by language spoken at home....
In Quebec, the deprivation index was created first and foremost to overcome the lack of socioeconomic data in most administrative databases.
Developing an ecological proxy was the only way to monitor social inequalities related to important health issues such as mortality, hospitalization and the use of health services. The proxy’s main purpose is to assign area-based socioeconomic information to every individual by linking the geography of the census with the one found in the administrative databases. As a result, the index assists in the surveillance of social inequalities in health in Québec and Canada since the end of the 1980s.
While it was shown that the deprivation index underestimates inequalities (Pampalon, Hamel, Gamache, 2009), it is the best alternative in the absence of socioeconomic information.