Canadian Alliance for Regional Risk Factor Surveillance (CARRFS)

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Canadian Alliance for Regional Risk Factor Surveillance (CARRFS)
An Environmental Scan of Chronic Disease Risk Factor
Surveillance in Canada
A Collaborative project of the Canadian Alliance for Regional Risk
Factor Surveillance (CARRFS)
Dr. Dan Otchere
Environmental Scan
Implementation Working
Group - CARRFS
Acknowledgements

For the Report
Environmental Scan Implementation Working Group
 Public Health Agency of Canada


For support for my attendance at this conference


Region of Peel Health Department
For support to participate with CARRFS

Ontario Association of Public Health Dentistry
Scope of Today’s Presentation
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Brief history of CARRFS
Rationale for the scan
Development & Implementation
Results
Conclusion
Next steps
History of CARRFS
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2005 – a PHAC task group recommended locally/regionally
coordinated ongoing flexible public health data collection
systems
2007 Nov – Think Tank Forum (TTF) Planning
2008 Feb – TTF attended by 108 experts
2008 Feb – National Working Group (n=30)
2008 Feb – Terms of Reference Working Group
2008 Sep – CARRFS created (n=180)
2008 Oct – Canadian Coordination Committee (CCC)
Strategic Planning (n=11)
History
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2009 – National CARRFS Symposium
2009 – Member needs assessment
2009 – Environmental Scan
2009 – International Scan
2010 – E-learning sessions (n=3)
2010 – Regional Workshops (n=2)
History
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2010 – Development of membership database,
listserve capacity, website development, and
domain name
2009-2010 – presentations/announcements at all
levels from local to international
As of May 2010 – members in all provinces and
territories (n=439)
CARRFS
Mission
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To build and
strengthen the
capacity for
regional/local risk
factor surveillance in
Canada
Vision
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There is sustainable
and effective
regional/local
collection, analysis,
interpretation and use
of risk factor data to
inform program and
policy decisions in
Canada
Rationale for Environmental Scan
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Potential gaps, differences in tools and
inconsistencies in local/regional risk factor
surveillance
Understand the extent of local/regional risk factor
surveillance in Canada
To provide information for CARRFS strategic
planning
Need for an inventory of risk factor surveillance
systems at the local level
Main Objectives
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To describe the extent of chronic disease risk
factor surveillance in Canada
To identify gaps and redundancies in chronic
disease risk factor surveillance coverage and
resources
To explore inconsistencies in content and
methodologies
Methods
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Three phases of the scan
Phase 1
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Phase 2
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Survey all local/regional health units in Canada
In-depth Case studies of selected organizations
Phase 3
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International survey of local/regional surveillance
Survey Tool
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Health Unit/Region Organization
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Surveillance system
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geography, governance, population/communities
served
population covered, types of risk factors, purpose,
data collection methods
Challenges encountered at the local level
Respondent Contact by Location
Contact Source and Process
Direct calling of all organizations using
Public Health Directory*
Direct calling using CARRFS member
recommendations and contact information
Facilitation by province/territory lead for
chronic disease surveillance
Provinces Contacted
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British Columbia
Ontario
Newfoundland and Labrador
Yukon
Nunavut
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Alberta
Saskatchewan
Manitoba
New Brunswick
Nova Scotia
 Prince Edward Island
 Northwest Territories
*Canadian Public Health Directory 2007-8; Association of Local Public Health Agencies, Toronto
Local
Organizations
contacted
Organizations
responding
Organizations
engaged in
surveillance
Organizations
not engaged in
surveillance
Response & Participation
Canada
Alberta
88
4
56
2
49
2
7
British Columbia
Manitoba
Newfoundland and Labrador
New Brunswick
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Saskatchewan
Yukon
5
11
1
2
1
9
1
39
1
13
1
1
7
1
2
1
6
0
26
1
8
1
1
6
1
2
1
5
Location
Notes
Regional Health Authorities amalgamated
2008
1
Surveillance done provincially
Surveillance done territorially
1
Unclear, no response to inquiries
24
1
5
1
2
Surveillance done provincially
3
Surveillance done territorially
Identified Source for Surveillance Data
Data Source
 Rapid Risk Factor Surveillance
System (RRFSS Ontario)
 Ongoing local survey (community
wide, school-based, workplace …)
 Administrative databases (hospital
records, physician billing records ..)
 Ongoing provincial/territorial survey
 Clinical notes summaries
# Organizations
38
30
29
19
1
Most Commonly Tracked Risk Factors
Risk Factor
 Alcohol Consumption
 Physical Activity
 Tobacco Consumption
 Obesity
 Insufficient Nutrition
 High Blood Pressure
 Unsafe Sexual Activity
 Environmental Hazards Exposure
 High Cholesterol
# Of Organizations
47
47
47
45
42
32
27
18
13
Use of Surveillance Data
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Program planning and evaluation
Identifying populations at risk
Supportive material for policy
decision
Resource allocation or
prioritization
Basis for research
Act on immediate public health
concerns
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Reports to Council
Public and partner
education & health
promotion
Grant applications
Community
presentations
Press releases
Challenges – Data Sources
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Lack of current database of local public health
organizations
Within the same province differences exist in source
of data used (local/regional; provincial; national)
Administrative databases are used in small
populations while larger organizations use national
surveys
There is near universal use of RRFS across the
provinces
Different emphases on types of risk factor data
collected
Challenges – Surveillance Operations
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Competing Local/regional priorities
Funding issues – not reliable
Staffing issues (missing skills, too few, high turnover)
Dissemination of results (lack of knowledge
exchange)
Data (quality, access to local sources, timeliness)
IT support
Small populations and remote communities
Conclusion
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All provinces have some local/regional
organizations undertaking chronic disease risk
factor surveillance
There are different approaches to data collection
and sources of data
RRFSS is a data source for surveillance in nearly
all provinces
There are challenges including funding, skilled
staff, reliable data, effective
translation/application of results
Next Steps
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Use the results to develop training modules
Organizing workshops at the local regional
level for skills enhancements
Building capacity to conduct surveillance at
the local level
Engage CARRFS members in promoting risk
factor surveillance through presentations,
interactive database and social networking
Interested in CARRFS?
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For More Information

About this presentation
[email protected]

About CARRFS
[email protected]

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