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 [email protected]
1 of 20
Program Focus
• Type 2 diabetes - public health challenge
• High-risk populations: – South Asian – East Asian – Black – Aboriginal – Other non-white (Latin American, Arab)
2 of 20
3 of 20
Peer Leadership – Key Players
4 of 20
Toronto Public Health
Peer Leaders
Community Agencies
5 of 20
• Roles: – Program coordination – Selection process – Funding – Training & ongoing support – Evaluation
Toronto Public Health Team
Community Agencies
• Who are they?
6 of 20
Community Agencies
7 of 20
• Roles – Recruitment – Coordination – Administration
Peer Leaders
• Who are they?
8 of 20
Peer Leaders
9 of 20
• Roles: – Plan & implement diabetes prevention workshops – Program evaluation
10 of 20
$5,000
Other
Program Reach
12 of 20
5686
2295
0
1000
2000
3000
4000
5000
6000
Peer-led (1 yr) TPH staff-led (3 yrs)
Peer-led vs. TPH Staff-led activities
# people reached
Reaching Those At Risk
13 of 20
40
19
16
8
86 3
Participants in Peer-led Health Education Sessions
East AsianBlackSouth AsianLatin AmericanCaucasianOtherAboriginal
*Based on ethnic group participant’s parents belong to
• Over 90% of individuals were from the high-risk populations
Positive Outcomes
14 of 20
•Program Participants: •Increase in knowledge •Increase in healthy behaviours
Positive Outcomes
•75% of community agencies plan to continue activities
15 of 20
Why Peer Leadership Works?
Funding + Training + Recruitment +
16 of 20
Why Peer Leadership Works?
17 of 20
•Peer Leaders •Community members •Cultural awareness •Speak the language •Location
Conclusion
19 of 20
•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
20 of 20
Peer Leadership – useful strategy to maximize program delivery.
Conclusion