David,
Could you elaborate further on Duff Conacher's comments regarding the political do's and don't's of influencing policy change?
Thank you!
Marie
**********************
Marie S. Carlson
Population Health Consultant
Capital Health
Suite 300, 10216 - 124 St.
Edmonton, AB. T5N 4A3
(780) 413-7786
[log in to unmask]
> ----------
> From: David Burman[SMTP:[log in to unmask]]
> Reply To: Health Promotion on the Internet
> Sent: Sunday, September 26, 2004 7:23 PM
> To: [log in to unmask]
> Subject: Re: Is health promotion 'dead'? Or quietly building capacity of others?
>
> It seems to me that we can affect the social determinants of health, that
> we all agree are fundamental, at both the community and policy levels.
> Policy can work top down to enable or hinder community, or community action
> can develop to cause policy change. In fact, most progressive policy change
> is in response to sustained, astute, community based pressure. On the other
> hand, the European healthy cities movement was very much a top down
> initiative. Can we call it complementary? But neither of these approaches
> focus on trying to get individuals to change their lifestyle.
>
> I've just returned from the Ontario Healthy Communities Coalition
> conference where many examples of citizen initiatives in community economic
> development, for example, were having an effect at the local level. In
> addition, Duff Conacher gave us some very pointed advice about the
> political do's and don'ts in influencing policy change. Excellent conference.
> david
>
> At 11:12 AM 9/21/2004, you wrote:
> >Hello,
> >
> >Last week I posted a message titled "Does endorsement of lifestyle
> >programs = health promotion?" with a link to a Toronto Star article about
> >the Canadian provincial premiers endorsing lifestyle programs of the
> >federal government. I noted that Dennis Raphael had responded to this
> >article on the SDOH list commenting on the neglect of determinants of
> >health. I suggested that the same could be said about the broad concepts
> >of health promotion, and invited CLICK4HP subscribers to add comments.
> >
> >Robyn Kalda replied, asking about language use of 'health' instead of
> >'medical' care, and when that change occured.
> >
> >I also received a message directly back from Dennis Raphael, which he
> >agreed could be posted to the CLICK4HP (he is not a subscriber).
> >
> >Dennis Raphael had some provocative comments about the question of
> >lifestyle = health promotion. To reply directly to him, please contact
> >[log in to unmask] Or post your reply back to this list and keep the
> >discussion going...
> >
> >The following comments are not my own opinion (which is that health
> >promotion may be a 'quieter' field than others, and is quite broad in
> >perspective and participants):
> >
> >
> >Dennis Raphael [mailto:[log in to unmask]]
> >09/16/2004 05:25 PM
> >Subject: HP is dead
> >
> >It is dead because its advocates have let it die. When Toronto public
> >healthy renamed all of its community health nurses to healthy lifestyle"
> >nurses. No body said a word! This has happened all across Canada. Indeed,
> >click4hp is dominated by lifestyle discourse and adherents. H.P. R. I. P.
> >
> >[he added that an unpublished letter signed 'anonymous' and attached, said
> >it all. that unpublished letter is not included here]
> >
> >Dennis added in a later email:
> > "I tell people that the middle has fallen out of HP.
> >People have either moved into policy -- like me -- or retreated to
> >lifestyle approaches like... "
> >
> >Anyone wish to respond? Does it feel like health promotion is either
> >policy or lifestyle?
> >
> >I believe that the 'middle' is still vigorously alive. The strategies and
> >places that we use may be more focused on enabling communities to take
> >control of the conditions affecting the health of their communities,>
> >rather than being outspoken advocates for our field.
> >
> >
> >Alison
> >
> >~~~~~~~~~~~~~~~~
> >Alison Stirling
> >health promotion consultant (on leave until Aug 2005)
> >co-facilitator, CLICK4HP listserv
> >email: [log in to unmask]
> >
> >To unsubscribe send one line: unsubscribe click4hp to: [log in to unmask] .
> >To view archives or modify subscription see:
> >http://listserv.yorku.ca/archives/click4hp.html
>
> David Burman DDS PhD
> University of Toronto Dental Care Centre
> 19 Russell Street 81 St. Clair Ave E
> 416-978-0536 416-961-8778
>
> www.rael.org
>
> To unsubscribe send one line: unsubscribe click4hp to: [log in to unmask] . To view archives or modify subscription see: http://listserv.yorku.ca/archives/click4hp.html
>
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