Charito Gailling, HBE Project Manager, Population & Public Health team BC Centre for Disease Control, Provincial Health Services Authority

The HBE Linkages Toolkit: How can community planning & design make us healthier?

Nov 27th 2018, 11am-12pm PST HBE National Discussion Forum

Presenter: • Charito Gailling, HBE Project Manager, Population & Public Health, BC

Centre for Disease Control, Provincial Health Services Authority

Presentation Goals:

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1. How the Toolkit came to be

2. Review the Toolkit & examples of use

3. Enabling factors that support HBE in BC

4. Questions & discussion

Source: Canadian Medical Association - www.cma.ca/En/Pages/health-equity.aspx

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BC’s Regional Health Authorities

Province-wide Health Authorities: • First Nations Health

Authority • Provincial Health Services

Authority

Fraser Health Interior Health Northern Health Vancouver Coastal Health Vancouver Island Health Authority

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• UBCM • Planning Inst of BC• Local government -

planners, designers, administrative staff

• Private sector planners, designers, developers

• Simon Fraser University (SFU)

• University of BC (UBC)

• Capilano University • BC Institute of

Technology (BCIT)

• Heart & Stroke Foundation

• BC Healthy Communities

• BC Healthy Living Alliance

• BC Recreation & Parks Association

• Regional Health Authorities

• Ministry of Health • First Nations Health

Authority• Provincial Health

Services Authority

Healthy Built Environment Alliance – a cross-sectoral network

Health Planning & design

Academic Institutions

Non-profit orgs

HBEA >150 members

1. A conceptual framework to

start conversations

2. A quick reference to general principles of good planning & design that are broadly supported by health research

3. A roadmap to research findings which associate specific planning & design interventions to various health outcomes

What is the HBE Linkages Toolkit?

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Five components of the built environment (“features”)

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Neighborhood Design

Food Systems

Housing

Natural Environments

Transportation

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Considerations for Practice

3-4 planning principles for each feature

Fact Sheets

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e.g. key messages related to “Neighborhood Design”

PP1: Create complete neighbourhoods through mixed land use

- Grid-based neighbourhood designs increases physical activity and reduces vehicle use

- Walkable land-use patterns are linked to employment productivity

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Evidence Diagrams

1. Use street designs which prioritize active transportation

e.g. excerpt from ”Transportation Networks” diagram

Weighted arrows reflect strength of evidence which supports specific research associations

Summaries of Research Links

Planning principles

Intermediary Impacts

Health Outcomes

e.g. summary of the strongest health research associations related to “Transportation Networks”

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Considerations for Practice

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• Community dialogues with municipal election candidates, eg. Thunder Bay, Toi Te Ora

• Oregon Green Infrastructure & Health Guide • “Social Planning for Health”, Public Health England • OCP reviews, Peterborough Public Health Unit

How the Toolkit is used

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1. To frame conversations, events, training, related resources.

2. To support the review of OCPs and other community plans, eg. North Vancouver

3. To support further research and

show where more evidence is needed

UBCM Walkshop, 2013

Other provinces & international examples:

Enabling factors

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HBE in BC

HA leads & key partners Collaborative groups

- Regional health authorities: HC, HBE, etc

- Local governments

- Healthy Communities teams

- HBE teams

- PHSA, FNHA - BC Healthy Communities

(Plan H) - Non-profit organizations - Universities, research orgs - Union of BC Municipalities

- Healthy Communities WG

- HBE Alliance - Health Authorities

HBE Council

- Canadian Institute of Planners

- NCCEH, NCCDH

(previous) CLASP initiative, BC Heart & Stroke

Local & Regional

Provincial

National

Interactive versions of the Health Evidence Diagrams

Mental Health & the Built Environment resource National HBE Discussion Forum – NCCEH

In the works…

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Other practice resources:

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Practice documents & guides • The Evolution of BC’s Healthy Built Environment Teams (2018) • Supporting Health Equity through the Built Environment (2017) • Public Health Guide to Planning with Local Governments

(HAHBEC, 2015) • EHO Guide to Reviewing OCPs (NHA, 2014) • A Knowledge to Action Framework for Creating Healthier Built

Environments (2010) • Introduction to Land Use Planning for Health Professionals (2008)

Education & training • HBE Workshops Open Source Curriculum (Plan H) • Healthy Communities Online Course (BCIT)

• How has this conceptual framework supported your work?

(or how could it support your work, if this is your first time seeing it)

Discussion question 1:

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• What "wishes" do you have for the next revision of the HBE Linkages Toolkit?

• Are there other considerations or links that are not currently included that you would find valuable?

Discussion question 2:

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Forum overview

• Membership is free • Monthly live webinars and discussions for

knowledge sharing; archived online • Anyone with an interest in HBE can join

– Public health – Planners – Local governments – Researchers – Policy-makers – Industry

Discussion question 3

• How do you think the forum can support your work?

What are the benefits of joining the forum?

• Engage in a “community of practice” and network with other champions across Canada

• Share and learn from a broader network of partners for information and knowledge exchange (best practices, tools, successes + lessons learned, resources, etc.)

• Contribute to advancing and advocating for healthy built environment in Canada

Discussion question 4

• What are your thoughts and feedback on this webinar format, with 30 minutes for presentation and 30 minutes for discussion?

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Email:

charito.gailling@bccdc.ca

Thank you!

HBE Linkages Toolkit: www.bccdc.ca/health-professionals/professional-

resources/healthy-built-environment-linkages-toolkit

Linkages Diagrams: Grading Criteria

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Evidence Strength

Study Design Quality of Source

# of Sources

# of Studies

Consistency

Confidence in findings

STRONG

Reviews, meta-analysis, or synthesis

High, vetted 2 6 60% Strong/Mod

Reviews, meta-analysis, or synthesis

Moderate 5 8 60% Strong/Mod

Primary studies

High n/a 5 60% Strong

MODERATE Reviews High 1 4 60% Strong/Mod Reviews Moderate 3 5 60% Strong/Mod Primary studies

High n/a 2 60% Strong/Mod

Modelling High n/a 2 60% Strong/Mod Modelling Moderate 2 reviews or 5 primary 60% Strong/Mod

NEW RESEARCH AREA

4 experts agree on direction of effect, or 1 primary or 1 modelling study