Health Promotion International
Volume 34, Issue 4, 2019, Pages 697-705

HEIA tools: Inclusion of migrants in health policy in Canada (Article)

Pottie K.* , Agic B. , Archibald D. , Ratnayake A. , Tapia M. , Thanos J.
  • a Department of Family Medicine, University of Ottawa, 600 Peter Morand Cresc, Ottawa, ON K1G 5Z3, Canada, Department of Epidemiology and Community Medicine, Bruyère Research Institute, University of Ottawa, Ottawa, ON K1G 5Z3, Canada
  • b Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada
  • c Department of Family Medicine, University of Ottawa, 600 Peter Morand Cresc, Ottawa, ON K1G 5Z3, Canada
  • d C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, ON K1R 6M1, Canada
  • e Health Equity Unit, Ottawa Public Health, Canada
  • f Ontario Ministry of Health and Long-Term Care, Canada

Abstract

This paper introduces the Migrant Populations Equity Extension for Ontario's Health Equity Impact Assessment (HEIA) initiatives. It provides a mechanism to address the needs of migrant populations, within a program and policy framework. Validation of an equity extension framework using community leaders and health practitioners engaged in HEIA workshops across Ontario. Participants assessed migrants' health needs and discussed how to integrate these needs into health policy. The Migrant Populations Equity Extension's framework assists decision makers assess relevant populations, collaborate with immigrant communities, improve policy development and mitigate unintended negative impacts of policy initiatives. The tool framework aims to build stakeholder capacity and improve their ability to conduct HEIAs while including migrant populations. The workshops engaged participants in equity discussions, enhanced their knowledge of migrant policy development and promoted HEIA tools in health decision-making. Prior to these workshops, many participants were unaware of the HEIA tool. The workshops informed the validation of the equity extension and support materials for training staff in government and public health. Ongoing research on policy implementation would be valuable. Public health practitioners and migrant communities can use the equity extension's framework to support decision-making processes and address health inequities. This framework may improve policy development and reduce health inequities for Ontario's diverse migrant populations. Many countries are now using health impact assessment and health equity frameworks. This migration population equity extension is an internationally unique framework that engages migrant communities. © 2018 The Author(s).

Author Keywords

health system policy Refugees Migrants health equity impact assessment

Index Keywords

health impact assessment government immigrant leadership refugee decision making health care policy health equity Article health practitioner Ontario human adult public health

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062049787&doi=10.1093%2fheapro%2fday016&partnerID=40&md5=0f26645c648fbbfacf7a301c13397db8

DOI: 10.1093/heapro/day016
ISSN: 09574824
Cited by: 1
Original Language: English