The Second International Conference on Gross National Happiness
Local Pathways to Global Wellbeing
St. Francis Xavier University, Antigonish, Nova Scotia, Canada
June 20 to June 24, 2005
|June 22 pm||
Workshop Report 2219
People Assessing Their Health (PATH)
Lucille Harper, Antigonish Women's Resource Centre, Nova Scotia
Colleen Cameron, Nova Scotia
Susan Eaton, consultant, Nova Scotia
The presentation was a collaboration between presenters.
Rapporteur: Sarah Strapps
Objectives of Workshop:
PATH in Nova Scotia:
PATH was initiated as a community response to the restructuring of the health care system in Nova Scotia. The purpose is to examine the networks and resources that affect people's health and to measure the impact of the restructuring and other policies on health.
Focus of PATH was on rural communities and the socio-economic changes that were occurring: decline in natural resources as a viable livelihood; rural exodus; declining infrastructure; an ageing population etc. The PATH network has worked in almost 10 communities in Nova Scotia and in India.
|Questions from the workshop participants|
|Q||Can the tool adapt to new situations?|
|A||The PATH Network will be returning to a community in Nova Scotia where they worked 10 years ago and will be better able to judge if the CHIA tool has / will evolve.|
|Q||Is the process of developing a greater understanding of what a healthy community is as important or more important than actually using the CHIA tool to evaluate policies?|
|A||The process of developing the tool is empowering to communities and the evaluation process can inform future decisions of the community. Which aspect is more important is debatable.|
|Q||When engaging in the process, how do you ensure that the group that is gathered is representative of the population?|
|A||The process of promoting a more holistic understanding of the determinants of health is significant. Sometimes the process is focused on one element of the population and the process can be useful for that part of the community and can inform the community decision making process.|
|Q||Does the Community Health Impact Assessment have an impact?|
It is hard to determine the impact a community development process has on policy development etc. In the local community, the tool has been used and has served to evaluate local programs and has informed the decision making processes. The purpose of the PATH process is to allow the community to develop a voice and to enable them to actualize their vision of a health y community.
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