1. Promoting Health Equity in Health Care Systems: Leveling the Field Dr. Julie Kryzanowski PHPC Professional Development Day June 9, 2013

2. Health Disparity by Neighbourhood Income Study Life Expectancy in Saskatoon Health Region, Saskatchewan, Canada for 1997-2006.

3. Background Update on 2006 ‘Health Disparity by Neighbourhood Income Study’ Historical perspective on health equity over time in SHR (e.g., 1995-2011 for some indicators) Also assesses role of health sector in promoting health equity To be released near end 2013 Health Equity Over Time Report

4. Some Preliminary Results Health Equity Over Time Report

5. Some Preliminary Results Age and sex adjusted Lorenz curve for physician visits for diabetes in Saskatoon, Saskatchewan, Canada for 1996-2009. Health Equity Over Time Report

6. An Uphill Battle Impacts of Poverty on Marginalized Groups Advantage Health

7. Three Levels of Health Equity Action 3. Advocate and partner with other sectors to improve social determinants of health 2. Integrate health equity into all parts of the health care system 1. Deliver equitable health care services Response to Health Disparity Reports

8. Health Equity in Population & Public Health Health Equity Public Health Service Delivery Supporting Health Equity Assessments Health System Performance Monitoring Developing Tools for Health Equity Research & Evaluation Population Health Equity Surveillance Community Engagement & Partnership Advocacy & Policy Development Response to Health Disparity Reports

9. CHEP Good Food Inc. community kitchens children’s nutrition Good Food Box, local food QUINT Development Corporation affordable housing initiatives small business development and loans employment and educational support Saskatoon Health Region Mothers' Centre Kids' First Building Health Equity Program Good Food Junction Co-op neighbourhood-owned grocery store with good food at reasonable costs University of Saskatchewan community-engaged teaching and learning community-based scholarship and research www.station20west.org 1. Building Health Equity Program

10. Two-year-old immunization coverage for measles, mumps and rubella (MMR) by neighbourhood group, Saskatoon Health Region, 2007-2011 Health Care Equity Audit Cycle 2. HCEA and Performance Monitoring ProblemEvidenceInterventionEvaluation

11. www.saskatoonpoverty2possibility.ca 3. Saskatoon Poverty Reduction Partnership

12. Extensive research and reporting on the SDOH has been used by Saskatoon Health Region’s Population and Public Health (PPH) to understand health disparities Much health equity action has come from disparities analysis and has involved community partners Remember: Evidence, Action, Equity! Conclusion

13. Questions? Dr. Julie Kryzanowski Deputy Medical Health Officer Julie.Kryzanowski@saskatoonhealthregion.ca Cristina Ugolini Manager, Public Health Observatory Cristina.Ugolini@saskatoonhealthregion.ca Tanya Dunn-Pierce Manager, Health Promotion Department Tanya.Dunn-Pierce@saskatoonhealthregion.ca Acknowledgements