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Case 5: A Stakeholder Analysis: Developing An Indigenous-Specific Intercultural Competency Training Module (Part A), Andrea Dafel, Mark Speechley, Nitin Mohan, Danielle Alcock

Western Public Health Casebooks

The case focuses on developing an Indigenous-specific intercultural competency training module and outlines the steps needed to achieve this, with particular emphasis on the importance of conducting a stakeholder analysis and developing a stakeholder engagement plan. The protagonist of the case, Nia Singh, heads up the Intercultural Education Program at the Southwestern Ontario Intercultural Education Centre. After working at the organization as an intercultural education specialist for several years, Nia is looking to expand her project portfolio by redesigning the Intercultural Education Program’s pre-existing Indigenous intercultural competency training module. Nia determines the objective of the new training module will be …

Case 7: Implementation Research: A Strategy For Developing Indigenous-Specific Intercultural Competency Training Programs (Part B), Eshana Ghuman, Mark Speechley, Nitin Mohan, Danielle Alcock

Western Public Health Casebooks

Nia Singh is an intercultural education specialist and leads the Intercultural Safety Training Program (ISTP) at the Southwestern Ontario Intercultural Education Centre (SOIEC). She has undertaken significant work with the ISTP developing and implementing training sessions and webinars to help clients make their workplace more culturally competent. Nia has recently observed that the ISTP could greatly benefit from including training materials to help health care practitioners provide improved health care to Indigenous patients. Indigenous people face numerous social, political, historical barriers while accessing healthcare services in Canada. Cultural differences can also lead healthcare practitioners to discriminate against their Indigenous patients …

Case 7 : Going Beyond Bike Racks And Pedestrian Crossovers: Achieving Health Equity In School Travel Planning, Megan Graat, Andrew Clark, Jason Gilliland, Lloy Wylie

Western Public Health Casebooks

The Elgin-St. Thomas, London-Middlesex, and Oxford Active and Safe Routes to School (ASRTS) Steering Committee have established a School Travel Planning Equity Working Group. The goal of this group is to use the Government of Ontario’s Health Equity Impact Assessment tool to evaluate current inequities in school travel planning programming – a community-based approach to addressing barriers to and facilitators of walking and wheeling to and from school – by identifying relevant populations, potential impacts, and mitigation, monitoring, and dissemination strategies (Ministry of Health and Long-Term Care, 2018). The goal of the case is to provide readers with the opportunity …

Case 5: Making Oral Health Care More Palatable, Mark Gera, Lindsey Farias, Edesiri Udoh, Gerald Mckinley

Western Public Health Casebooks

Oral health is a major indicator for overall health; however, it is not covered under the Ontario Health Insurance Plan (OHIP), making oral health care relatively inaccessible to a large population. A large and diverse municipality has recently conducted a needs assessment that shows that there is a need to improve accessibility to dental care for its citizens. A Community Health Centre (CHC) spearheaded the development of an oral health coalition to help unify and steer the direction of oral health care in the region. The goal of the coalition is to bring oral health to the forefront of healthcare. …

Case 15 : Going Beyond The Wheel Chair Ramp: Public Health Sudbury & Districts’ Plan To Become Accessible To All, Akshay Varghese, Laurel O’Gorman, Joelle Martel, David Groulx, Mark Speechley

Western Public Health Casebooks

Following years of advocacy work, Christina Peterson, foundational standards specialist at Public Health Sudbury & Districts (PHSD) and co-chair of the Evidence-Informed Practice Working Group (EIPWG), facilitated the formation of the People with Disabilities Working Group in early 2015. People with disabilities (PWD) faced significant health inequities compared to people without disabilities. The People with Disabilities Working Group had established three long-term outcomes from their logic model:

1. Programs and services at PHSD are fully accessible and inclusive, particularly for people with disabilities (especially for unseen disabilities).
2. Staff at PHSD have the ability to recognize, understand, and apply attitudes and practices …

Case 4 : Returning To Our Roots: Building Capacity In Public Health For Action On The Social Determinants Of Health, Giovanna Longo, Kevin Churchill, Lloy Wylie

Western Public Health Casebooks

Canadians are healthier than ever before, and live longer. But improvements in health are not distributed evenly between population groups. In fact, studies show that only 25% of our health is determined by health care and 15% by our genetics. The remaining 60% is determined by factors outside the traditional health care system, such as our income and social status, education, employment and working conditions, social support networks, social and physical environments, and culture. These factors are called the social determinants of health (SDOH). When these conditions are distributed in ways that are unfair, unjust, or avoidable, they are termed …