1 Update- Policy Analysis & Research Function Policy Observatory Meeting Montreal, May 2008 WHO Collaborating Centre on Chronic Noncommunicable Disease Policy

2 Policy Analysis & Research Analysis of policies (descriptive and analytical) in order to generate usable policy knowledge. –“Enlightenment” function –“Problem solving” function Analysis for policy

3 Policy Analysis & Research Using Quantitative and/or Qualitative Research methods To date, the Policy Observatory has relied mainly on qualitative-interpretive methods –Case study as a research method

4 Using the policy cycles approach: Past and current projects Phase 2: Implementation Case Study on Nutrition Labelling (Canada: Sandra Burt and Ellen Vogel) Phase 1: Formulation Case Studies: -Nutrition Labelling (Canada) -National Food & Nutrition Policy (Brazil) -Fortify Wheat Flour with Folic Acid (Costa Rica) Analysis of NCD-related policies in CINDI participating countries Decision-making Implementation Policy Formulation Agenda- Setting Evaluation

5 Phase 2 Canada-Implementation Title: Implementation Strategies for Nutrition Labelling: Forging A Strategy in the Face of Implementation Obstacles Objectives: To examine the strategies developed by Health Canada and the Canada Food Inspection Agency to implement the regulations introduced in Results: Six factors affect the implementation process: –1) Technical requirements; –2) Diversity and complexity of the problem being addressed; –3) Size of the target group; –4) Extent to which behavioural changes are involved; –5) Political and economic context; –6) Strength of the administrative group(s) charged with carrying out the policy

6 Developing, Implementing and Researching Integrated Approaches Case study on ActNow BC- a whole-of- government approach to health promotion (province of British Columbia) –“An integrated, partnership-based, health promotion and chronic disease prevention strategy”.

7 ActNow BC Key Targets Physical Activity – To increase by 20% the proportion of the B.C. population (aged 12+) who are physically active or moderately active during their leisure time (58.1%18 to 69.7%) Healthy Eating – To increase by 20% the proportion of the B.C. population (aged 12+) who eat the daily recommended level of fruits and vegetables (40.1%19 to 48.1%) Tobacco Use – To reduce by 10% the proportion of the BC population (aged 15+) that use tobacco from the current prevalence rate (16.0%20 to 14.4%) Overweight/Obesity – To reduce by 20% the proportion of the B.C. population (aged 18+) currently classified as overweight or obese (42.3%21 to 33.8%) Healthy Choices in Pregnancy – To increase by 50.0% the number of women counseled regarding alcohol useduring pregnancy

8 ActNow BC Key characteristics of ActNow BC –Assistant Deputy Ministers Intersectoral Committee –Minister of State for ActNow BC –Accountability Framework Logic Model- Each Ministry Programs/Policies/Activities contributing to meeting the ActNow targets must be included in each service plan –Partnership with a coalition of NGOs

9 Act Now BC Case Study +30 interviews with key informants Follow the initiative over time (sustainability) Advisory Board –PHAC, NGO, BC Ministry of Health, WHO

10 Future projects… Literature- systematic reviews PHAC priorities Emerging research topics This meeting…