Peer Leadership Model: Maximizing Access to Public Health Services for Diverse Communities June 4, 2014 Ella Manowiec, RD, MHSc Nutrition Promotion Consultant, Toronto Public Health emanowi@toronto.ca of 120
Program Focus • Type 2 diabetes - public health challenge • High-risk populations: – – – – –
South Asian East Asian Black Aboriginal Other non-white (Latin American, Arab)
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Peer Leadership – Key Players Toronto Public Health
Community Agencies
Peer Leaders
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Toronto Public Health Team • Roles: – Program coordination – Selection process – Funding – Training & ongoing support – Evaluation
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Community Agencies • Who are they?
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Community Agencies • Roles – Recruitment – Coordination – Administration
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Peer Leaders • Who are they?
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Peer Leaders • Roles: – Plan & implement diabetes prevention workshops – Program evaluation
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$5,000
Other
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Evaluation Findings
• Copy of report available from: preventdiabetes@toronto.ca
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Program Reach Peer-led vs. TPH Staff-led activities 6000
5686
5000 4000 3000
2295
# people reached
2000 1000 0 Peer-led (1 yr)
TPH staff-led (3 yrs) of1220
Reaching Those At Risk Participants in Peer-led Health Education Sessions
8
6 3
East Asian Black 40
8
South Asian Latin American
• Over 90% of individuals were from the high-risk populations
Caucasian
16
Other 19
Aboriginal
*Based on ethnic group participant’s parents belong to
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Positive Outcomes •Program Participants: •Increase in knowledge •Increase in healthy behaviours
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Positive Outcomes •75% of community agencies plan to continue activities
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Why Peer Leadership Works? Funding + Training + Recruitment +
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Why Peer Leadership Works? •Peer Leaders •Community members •Cultural awareness •Speak the language •Location
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Conclusion •Peer Leadership Model: •higher program reach •enhanced public health capacity •access hard-to-reach populations •build relationships with new community agencies •potential for greater sustainability
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Conclusion
Peer Leadership – useful strategy to maximize program delivery. 20 of 20