The 131st Annual Meeting (November 15-19, 2003) of APHA

Abstract #72143

Lisa E. Purdy, MSc, Department of Human Ecology, University of Alberta, B-117 Clinical Sciences Building, Edmonton, AB T6G 2G3, Canada, 780-908-2327, lpurdy@ualberta.ca and Kim D. Raine, PhD, Center for Health Promotion Studies, University of Alberta, 5-10 University Extension Center, 8303 - 112 Street, Edmonton, AB T6G 2T4, Canada.

The Alberta Heart Health Project (Canada) is exploring the process of capacity building for health promotion within the context of Regional Health Authorities (RHAs) as learning organizations. Capacity has been conceptualized as 1) the political will, 2) infrastructure and 3) leadership, necessary to implement health promotion initiatives. Objective: To examine whether capacity is the root of effectiveness in addressing social determinants of health (SDH). Methods: As part of an organizational capacity survey 144 respondents representing RHA board (30), senior middle management (58) and front line service providers (56) completed four validated subscales (knowledge, capability, belief, involvement) with items specific to organizational capacity in relation to SDH (socio-economic status, discrimination, poverty, work conditions, income gaps, social support, stress, self-esteem). A follow-up qualitative study explored the social context, values and norms associated with RHA capacity. Results: Respondents to the survey indicated that they have little to some knowledge of SDH and believe that their RHA should address SDH but their capability is only moderate and level of involvement is seldom. This indicates there is a gap between knowledge and practice in addressing SDH. Preliminary qualitative data indicate that RHAs identify having a champion within the organization, resources and community involvement as vital components for capacity. The extent to which capacity building will increase the RHAs’ level of involvement in addressing SDH is currently being explored. Implications: Understanding factors which influence health organizations capacity to address SDH may inform organizational and policy change to address root causes of health inequalities.

Learning Objectives:

• At the conclusion of this session the participant will have an understanding of the facilitators and barriers in health organizations to address social determinants of health

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.