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Report of an equity-focused health impact assessment of a proposed universal parenting program in Manitoba

  • Public Health Intervention
  • Published:
Canadian Journal of Public Health Aims and scope Submit manuscript

Abstract

OBJECTIVES: To assess potential inequitable impacts of a proposed Teen Triple P Positive Parenting Program (Teen PPP) in Manitoba to achieve equity of access and outcomes for families of diverse backgrounds; recommend (if required) alternative actions to promote greater equity of access and outcomes for families participating in Teen PPP; and evaluate the influence of recommendations on implementation of the proposed program.

INTERVENTION: An equity-focused health impact assessment (EfHIA) of the proposed Teen PPP was conducted, using a standard EfHIA framework. Methods used to assess potential Teen PPP impacts included: a literature review, key informant interviews and 14 community consultations. Evidence was analyzed, summarized and presented to the project Steering Committee (SC), along with draft recommendations for ensuring that equity is considered in Teen PPP planning and rollout.

OUTCOMES: The SC prioritized 12 possible inequitable impacts of Teen PPP with potential to prevent certain parents/caregivers either from accessing the proposed program or benefitting adequately from the program, causing them to drop out prematurely. Recommendations for avoiding these impacts were finalized by the SC and presented to provincial government officials responsible for the proposed program. Follow-up interviews with these individuals indicated that the recommendations were well received and raised equity-related issues that will be considered in future program planning decisions.

CONCLUSION: EfHIA is a proven planning tool for ensuring that health equity is considered in all policies, which is one of the necessary conditions for reducing inequities and closing the health equity gap throughout Canada within a generation.

Résumé

OBJECTIFS: Évaluer les effets potentiellement inéquitables d’un projet de programme de pratiques parentales positives (Triple P) pour les parents d’adolescents au Manitoba afin d’offrir un accès et des résultats équitables aux familles de divers milieux; de recommander (au besoin) des mesures de rechange pour promouvoir plus d’équité dans l’accès et les résultats des familles participant à Teen Triple P; et d’évaluer l’influence des recommandations sur la mise en oeuvre du programme proposé.

INTERVENTION: Nous avons mené une évaluation d’impact sur la santé axée sur l’équité (ÉISAÉ) du programme Teen Triple P proposé, à l’aide d’un cadre d’ÉISAÉ type. Les méthodes suivantes ont servi à évaluer les effets potentiels de Teen Triple P: une revue de la littérature spécialisée, des entretiens avec des informateurs et 14 consultations communautaires. Les données probantes ont été analysées, résumées et présentées au comité directeur (CD) du projet, accompagnées de recommandations préliminaires pour que l’équité soit prise en compte dans la planification et le déploiement de Teen Triple P.

RÉSULTATS: Le CD a priorisé 12 effets inéquitables possibles de Teen Triple P qui risqueraient d’empêcher certains parents ou aidants d’accéder au programme proposé ou d’en bénéficier convenablement, ce qui les ferait abandonner prématurément le programme. Les recommandations pour éviter ces effets ont été parachevées par le CD et présentées aux fonctionnaires provinciaux responsables du programme proposé. Des entretiens de suivi auprès de ces personnes ont indiqué que les recommandations ont été bien accueillies et qu’elles ont soulevé des questions d’équité qui seront prises en compte dans les futures décisions de planification du programme.

CONCLUSION: L’ÉISAÉ est un outil de planification éprouvé pour que l’équité en santé soit prise en compte dans toutes les politiques, ce qui est l’une des conditions nécessaires pour réduire les iniquités et combler le fossé de l’équité en santé partout au Canada en une génération.

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Authors and Affiliations

  1. College of Nursing, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada

    Benita E. Cohen PhD & Christine A. Ateah PhD

  2. Department of Community Health Sciences, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada

    Mariette J. Chartier PhD & Marcia Anderson DeCoteau MD, MPH

  3. Centre for Primary Health Care and Equity, Faculty of Medicine, University of New South Wales, Sydney, Australia

    Elizabeth Harris PhD

  4. Public Health Branch, Manitoba Health, Healthy Living and Seniors, Winnipeg, MB, Canada

    Karen Serwonka MHSc

Authors
  1. Benita E. Cohen PhD
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  2. Christine A. Ateah PhD
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  3. Mariette J. Chartier PhD
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  4. Marcia Anderson DeCoteau MD, MPH
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  5. Elizabeth Harris PhD
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  6. Karen Serwonka MHSc
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Corresponding author

Correspondence to Benita E. Cohen PhD.

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Conflict of Interest: None to declare.

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Cohen, B.E., Ateah, C.A., Chartier, M.J. et al. Report of an equity-focused health impact assessment of a proposed universal parenting program in Manitoba. Can J Public Health 107, e112–e118 (2016). https://doi.org/10.17269/cjph.107.5108

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  • DOI: https://doi.org/10.17269/cjph.107.5108

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