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Welcome to HC Link's blog! Our blog will provide you with useful information on healthy community topics, news, and resources, as well as information on HC Link’s events, activities, and resources. Our bloggers include HC Link staff and consultants, as well as our partnering organizations, clients, and experts in the health promotion field.

Please note: opinions in posts are those of the author and are not necessarily the opinions of HC Link or our funder.

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Sustainability Planning Part Two: the Components of Community work

This post is part of a series of blogs on program sustainability and sustainability planning. Read the first blog in the series, Sustainability Planning Part one: What is sustainability?

 

As I often do when learning about something- in this case- sustainability- I turned first to HC Link’s resources. In this case, I turned waaaaaay back

sustain 4 componentsbeyond the 2009 inciption of HC Link, to a resource written by one of HC Link’s founding partners, the Heart Health Resource Centre. Written in 1999, the resource Health Heart Sustainability (available only as a scanned copy), was designed to support community partnerships participating in the Ontario Heart Health Program develop sustainability plans. While created specifically for the Ontario Heart Health Program, the ultimate goal of which was the reduction of behaviours that lead to cardiovascular disease (physical inactivity, unhealthy eating, smoking and stress), I think that this model is applicable to many other programs that focus on behaviour change, and in particular, involve multi-dimensional community partnerships.

This table suggests results for each component of sustainability, and gives a sense of various options within each category:

sustain table 3

What I really like about this model is that it goes beyond thinking how to replace expired program funding: it encourages us to think about what it is we are trying to change (the issue) the change we actually want to see (the behaviours), and the partnerships we’ve established to do the work.  Consider how to address sustainability of each of these components not only in your sustainability planning, but as you are designing your program.  

Stay tuned for the third post in this blog series, Developing a Sustainbility Plan. 

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Sustainability Planning Part one: What is sustainability?

This post is the first in a series of blogs on program sustainability and sustainability planning. Stay tuned for the next posts: Sustainability Components of Community Work and Developing a Sustainability Plan.

Lately we’ve been getting service requests from organizations and partnerships who are interested in sustaining their programs beyond the end of their funding period. “Sustainability” is one of those mysterious terms that is used a lot, though we don’t always know what we mean when we say it! I decided that I needed to find out more about what sustainability is and how to plan for it.

There are many different definitions of sustainability. Sustainability can be defined simply as a continuation1: the ability to carry on program services through funding and resource shifts or losses2. In other cases, sustainability can be about institutionalizing services; creating a legacy; upholding existing relationships and maintaining consistent outcomes2. Often we think of sustainability meaning about funding3:  however sustainability planning should focus on community needs, which shift and change over time2.  Sustainability is not a single event or a linear process: like many things in healthy communities and health promotion, sustainability planning is a continuous process that may involve one-step-forward-two-steps-back and multiple components happening at the same time2.

The Office of Adolescent Health (OAH) in the U.S. has several excellent resources on sustainability. In particular, their 2012 Tip Sheet titled Built to Last3 provides an excellent, 5 page primer to sustainability planning. In the tip sheet, the OAH lists four common challenges to sustainability of programs and services:

  • Organizations have difficulty in planning far enough ahead to secure necessary resources
  • There is a lack of well-documented successes to share with the community and funders, despite the quality of the program
  • There is a lack of stakeholder ownership of the program
  • Funding streams are finite and there is competition from similar organizations

Sustainability planning should not be automatic: in other words we should ask ourselves if the program should be sustained rather than simply assume that it should. I've adapted the below questions from the OAH tip sheet and a guidebook of the Department of Housing and Urban Development in the U.S.4:

  1. Does your program or service address a need in the community?
  2. Do your evaluation results demonstrate that you are making a difference?
  3. Do you need to sustain the entire program? What parts of the program are the most effective and needed?

What I’m taking away from this wee bit of reading that I’ve done on sustainability, is that we often focus our sustainability efforts on replacing program funding, with the assumption that our programs should continue.  Sustainability is not about replacing expiring funding- though obviously that’s a part of sustainability planning. Rather, sustainability planning should be a fluid, ongoing process that is specifically tailored to local needs and the environment in which the organization operates. We need to ask ourselves the hard questions (as per above) to make sure that our program should continue. Then, we can begin sustainability planning. 

Read the next post in this series, Sustainability Planning Part Two: the Components of Community work.

References

1Heart Health Resource Centre, 1999. @heart: Heart Health Sustainability. Toronto, Ontario

2Office of Adolescent Health, 2014. Building Sustainable Programs: The Framework.

3Office of Adolescent Health, 2012. Build to Last: Planning Programmatic Sustainability.

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Just Add Bikes! How cycling can help build a healthy, vibrant community

By: Sue Shikaze, Health Promoter, Haliburton, Kawartha, Pine Ridge District Health Unit

“Every time I see an adult on a bicycle, I no longer despair for the future of the human race” H.G. Wells


While it might be a stretch to claim that the bicycle can solve all the ails of the world, it can certainly be one solution to many challenges facing communities today. Making communities bicycle-friendly and getting more people on bikes can address issues of public health, safety, air quality, and traffic congestion. Cycling is a healthy, economical and sustainable transportation option as well as an attractor for tourism and economic development. It is an important quality of life feature that many people look for when choosing where to live, work or play. Not everyone can afford a car or wants to drive and a good cycling environment offers more mobility options. And let’s not forget: cycling is fun!

bikesmeanbusiness

Biking attracts people and brings business to the community


Evidence indicates that there is demand and need for improved conditions for cycling in Ontario. A 2014 poll conducted by the Share the Road Cycling Coalition indicated that 32% of Ontarians cycle at least once a month and 54% of Ontarians said they would like to cycle more often. What would most encourage people to cycle more often is better infrastructure, such as bike lanes and trails.1 The Ontario Medical Association recognizes cycling as an important solution to help address rising rates of chronic diseases associated with physical inactivity. They advocate for better and safer infrastructure in urban, suburban and rural settings, and that, “much more must be done by provincial and municipal transportation departments to make this form of exercise safer.”2

So what does a bicycle-friendly community look like? Assessment of the cycling environment is typically done around the “5 E’s”: engineering, education, encouragement, enforcement and evaluation and planning. These indicators address the range of needs to accommodate cycling.

Engineering refers to on-the-ground facilities and infrastructure. Good cycling facilities are carefully planned, designed and maintained to accommodate bicycles safely, conveniently and comfortably. A well-planned cycling network has good connectivity between routes and destinations, as well as things like secure bike parking and bike racks on buses to provide inter-modal connections. Facilities could include on-road accommodations such as designated bike lanes, separated cycle tracks or paved shoulders, or off-road paths and trails. There are also innovative design treatments such as bike boxes, which provide a designated space for cyclists to wait at an intersection, separated from cars.

greenbikelane
Green bike lane being installed in Thunder Bay


Education needs to address both cyclists and motorists to ensure that they know how to safely share the road. The goal of public education programs is to increase the knowledge and awareness of all road users on their rights and responsibilities, as well as to build practical skills. Education initiatives can include cycling skills workshops, share the road campaigns and tip sheets.

sharetheroad

Share the road promotion – an example of education


Encouragement initiatives are intended to get more people on bikes and to normalize cycling as a viable activity for both transportation and recreation. While it may be true that “if you build it, they will come”, many people still need encouragement to get rolling. Encouragement includes promoting the benefits of cycling, and of places and opportunities to cycle. Initiatives such as the Commuter Challenge, Active and Safe Routes to School and SMART Trips give information and incentives to support and encourage people to cycle more often. Cycling maps, signage and clubs are also ways that communities encourage cycling.

Enforcement ensures that all road users follow the rules of the road and share the road safely. In addition to traditional methods such as issuing tickets and fines, enforcement can also include education and public relations programs that remind cyclists and motorists of their responsibilities under the law. Recent updates to the Highway Traffic Act are intended to improve safety for cyclists, including the requirement for motorists to leave at least 1 metre of space when passing a cyclist, increased fines for dooring a cyclist and increased fines for cyclists who don’t use lights when needed.

Evaluation and planning refers to having systems in place to evaluate current activities and programs, and planning for the future. Becoming a more bicycle-friendly community is a process that requires ongoing measurement and monitoring in order to identify and meet future needs. The amount of cycling taking place, rate of crashes, and economic impact are all aspects of tracking progress. The development of a Cycling Master Plan is a key tool for planning, implementation and evaluation.

Plus a ‘P’: Partnerships

Cycling has multiple benefits for communities and can help address many issues including health, economic development, environment, sustainability and equity. Potential partners who have an interest in cycling include municipalities, public health, law enforcement, schools, community organizations, cycling clubs and committees, workplaces, business community, tourism and economic development, trails and environmental groups. Different partners have different skills, knowledge and resources; no one group can do it completely on its own.

If you are looking for an opportunity to learn more about making your community bicycle-friendly, meet other like-minded professionals and find out about innovative cycling initiatives, consider attending the annual Ontario Bike Summit hosted by the Share the Road Cycling Coalition. It is THE premier cycling networking and professional development event in Ontario. Whether you are an advocate or elected official, a professional in planning, transportation, health, tourism or economic development, there is something for you at OBS to get informed and inspired.

The 9th annual Ontario Bike Summit takes place on April 11 & 12 at the Eaton Chelsea in Toronto. This year’s theme is “Just Add Bikes: The role of cycling in urban mobility and community building”. The agenda features speakers from across Ontario and North America who will share successes for building bicycle-friendly communities. Presentation themes will include advocacy best practices, risk management, complete streets implementation and more. You will also hear from municipal and provincial elected officials about why cycling matters to them. Keynote and workshop sessions are carefully curated by a panel of professionals with cycling expertise from across the province, and selected to create a program that features the most innovative, current, and state-of-the-art initiatives for cycling. Sessions address issues and opportunities that are most relevant to communities, from policy to implementation to evaluation.

The Ontario Bike Summit has put cycling firmly on the radar of decision-makers at all levels of government. Find the 2017 draft agenda, registration information and more details at http://www.sharetheroad.ca/ontario-bike-summit-p157286 

pre summit

Participants in the pre-summit bike tour led by the City of Toronto.

 

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About Share the Road:
The Share the Road Cycling Coalition is Ontario’s premier cycling advocacy organization working to build a bicycle-friendly Ontario – a place where a cyclist of any age or ability can ride safely, wherever they need to go. Share the Road works with municipal, provincial and federal governments, the business community, public health practitioners, road safety and other not-for-profit organizations to enhance access, improve safety and educate the public about the value and importance of safe cycling for healthy lifestyles and healthy communities. www.sharetheroad.ca

 

1 Share the Road Cycling Coalition, (March 2014), polling conducted by Stratcom Communications
2 Ontario Medical Association, (2011), Policy Paper: Enhancing Cycling Safety in Ontario.

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Working Towards Zero -- Together

 
This post is part of a blog series leading up to Canada’s Vision Zero Summit on November 29, 2016. Learn more about Sweden’s Vision Zero approach and Parachute’s Canadian approach.

It struck me that the first panel at the Vison Zero Summit this morning was really about partnership. Partnership, of course, is a topic dear to the hearts of health promoters everywhere, so to hear its critical importance emphasized by speakers as varied as City Councillor and Chair of the Public Works and Infrastructure Committee, Jaye Robinson, event sponsor, State Farm, and transportation experts from Sweden and the USA was heartening indeed.

To reach zero road deaths, we need a collective effort. Every speaker this morning was clear: transport experts, planners, public health, educators, and all levels of government -- city, province, national (and even beyond) -- even car companies -- need to work together. Just as cooperation at every level was necessary for the near-elimination of polio worldwide, so too will it be necessary for Vision Zero to succeed.

Ian Grossman (@AAMVAConnection), of the Association of Motor Vehicle Administrators, talked about the challenge they had in the US getting transport people and public health into the same room when they were working on the reaching consensus while working on the Toward Zero Deaths report (http://www.towardzerodeaths.org/). Then they needed to decide whether to include only the small interventions that they knew would lead to large changes in road deaths or to have an all-inclusive document including smaller contributors to change, so that everyone could see themselves in the report. The all-inclusive approach won out and (as well as the report) they created an online database of resources and interventions (http://www.towardzerodeaths.org/resources/) at all levels, available to anyone.

Near the end of the session there was a question: What should Canada do? Should we work nationally? provincially? At the city level? The answer: Yes, yes, yes. We have to work at all levels, together, to reach zero road deaths – because one is too many.
 
This post is part of a blog series leading up to Canada’s Vision Zero Summit on November 29, 2016. Learn more about Sweden’s Vision Zero approach and Parachute’s Canadian approach.

HC Link’s blog series on Vision Zero
 
 
Looking to learn more about Vision Zero?
Sweden’s Vision Zero Website http://www.visionzeroinitiative.com/
Parachute’s Vision Zero Website http://www.parachutecanada.org/visionzero
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Public Health and Vision Zero: What role do we have to play?

By Andrea Bodkin, HC Link Coordinator

This post is part of a blog series leading up to Canada’s Vision Zero Summit on November 29, 2016. Learn more about Sweden’s Vision Zero approach and Parachute’s Canadian approach.

Today I’m live tweeting and blogging from Parachute’s Vision Zero Summit. It’s not quite 11 am but already I’m on fire for Vision Zero and everything that it stands for. In particular, I’m really reflecting on the role that public health can play within an initiative such as Vision Zero. Today’s conference opened with a video address by Dr Matts-Ake Belin from Sweden, where Vision Zero originates. Dr Belin proposed that public health and Vision Zero take opposite approaches: that public health starts with a problem that needs to be solved and applies intervention to address the problem, whereas Vision Zero starts with the vision of what needs to be achieved. Dr David Sleet, formerly from the Centres for Disease Control and Prevention and now a consultant, spoke about the role for public health in Vision Zero. Dr Sleet believes that traffic injuries and deaths are the number one public health issue of our time. Advances in road safety is listed as #10 on the CDC’s list of 10 Great Public Health Achievements in the 20th Century.

Dr Sleet asked the audience who among us work in public health. While about 10 percent of the audience raised their hands, Dr Sleet told us that today, we all work in public health because what we are doing here at the Vision Zero Summit is public health’s mandate the save lives and prevent deaths. Dr Sleet proposes that public health approach road safety in the same way as we do infectious diseases- like infection disease on wheels- by bringing the epidemiological and education lenses that we apply to outbreaks such as e-coli and Zika. In fact public health has a history of initiatives that focus on reducing to zero, such as polio.
 
VZ 1

While fellow panelist Ian Grossman from the American Association of Motor Vehicle Administrators stated that one of the challenges in the US has been to form connections between those who work in road safety and public health, here in Ontario public health professionals are used to working intersectorally and making a difference in their communities.  While there is a role for public health, Dr Sleet stated that Vision Zero should be everyone’s vision and should involve every sector.

HC Link’s blog series on Vision Zero
 
Looking to learn more about Vision Zero?

Sweden’s Vision Zero Website http://www.visionzeroinitiative.com/
Parachute’s Vision Zero Website http://www.parachutecanada.org/visionzero
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