1. ANGEL- HP: Frameworks for Understanding Determinants and Taking Action

2. The BIG Question
In your community and experience, what are the factors influencing (+ or -) pregnancy/ postpartum health outcomes?

4. Determinants of Healthy Pregnancy/ Post-partum
Individual determinants (Behaviour)
Diet, physical activity, substance use
Environmental determinants
Context for behaviour (barriers, facilitators)
Social context (family, SES, rurality, culture)
Health care/ services

5. Environment: Conceptual Framework (ANGELO -Swinburn, Egger & Raza, 1999)
Environment Type
Physical
Economic
Socio-cultural
Political
Environment Size
Settings
Sectors

6. Analysis Grid for Environments Linked to Healthy Pregnancy/ Post-partum (ANGEL-HP)
DOMAIN
Behaviours Social Context
Health Care
Physical
Economic
Political
Sociocultural

7. Applying ANGEL-HP Framework
Stakeholder group
Apply ANGEL-HP
Develop list of factors and options
Rate options
Prioritize research
Prioritize interventions
Research projects
Intervention projects

8. Small Group Exercise Break into 3 groups Think of your community
Behaviours (Food/ Diet/ Physical Activity/ Substances)
Social context (Family/ Work/ Stress)
Health care/ services
Think of your community

9. Brainstorm: STEP 1a (20 Mins)
As a group, brainstorm potential actions to address your factor in your community(ies).
Everyone record on own worksheet.

10. Scoring: STEP 1B (10 mins) Score individually on your Own Worksheet
Importance (what is the relevance and impact of this in our situation?)
Changeability (how feasible is it to do this in the next 3 years?)
1 = not important at all
2 = a little important
3 = somewhat import
4 = very important
5 = extremely important
1 = very hard to do
2 = hard to do
3 = possible to do
4 = easy to do
5 = very easy to do
Multiply I X C for total score (Max 25)

11. Group Score: Steps 1C & D (15 mins)
As a group add up the total score for each of the listed potential actions using the sheet “Scoring Sheet for Small Groups”. (Calculator)
 As a group prioritise the top 5 potential actions (from I x C score)
Write top 5 potential actions on the flip chart paper for reporting back

12. Domain – Social Context
MERGE: STEP 2
List the top 2 potential actions (those with the highest points) in the table. YOU WILL REPORT BACK ON THESE
Domain – Social Context
Priority
Local programs and activities
Best/better/most promising practices

13. ACTION PLAN: STEP 3 Name for the program
Overall aim (or goal): what will be achieved - this is 1 sentence that explains the program which will be measured as the program’s outcome
Objectives (are able to be measured as program impacts) SMART
Strategies (How to do it)
Action Steps – timelines, person responsible