The synergistic relationship between Amartya Sen entitlement theory and the systems theory in developing a food security implementation model in Matabeleland South Province, Zimbabwe.

Food insecurity has increasingly become a topical issue that needs to be addressed before it goes out of hand. The article explores the synergistic relationship that exists between Amartya Sen entitlement and systems theories. The article hypothesises that food insecurity in Matabeleland South Province is mainly caused by a lack of understanding of food security pillars and how all the concepts dove tail into the food security discourse. The article further propounds that, for communities to go out of the food insecurity quagmire, they need to work collaboratively as a system as substantiated by the systems theory. Sen argues that the law stands between food availability and access. This is further simplified as follows: food can be available in the markets but the people might lack the purchasing power to purchase the food. When people try to acquire food through stealing, the law catches on them. On the other hand, the systems theory argues that for a community to function well all the parts should play their roles towards the survival of the whole. The theory further informs that government stakeholders and non-state actors must work together in addressing food insecurity without a clearly defined direction. Interactions with provincial stakeholders, revealed that, a leaf can be borrowed and applied from the two theoretical models to achieve food security in Matabeleland South Province in Zimbabwe.

Local worlds: Vulnerability and food insecurity in the Eastern Cape province of South Africa.

The overwhelming finding is that after more than a decade of democracy, the Eastern Cape (EC) province remains trapped in structural poverty. This shows in all aspects of its demographic, health and socio-economic profiles. Methods, measurements and statistics vary, but from the various studies and data sets one can attest that the majority of the population still lives in poverty. Despite the democratic transformation that began in South Africa in 1994, poverty, unemployment and inequality exist today along with the food insecurity that is symptomatic of them. Food insecurity in South Africa varies across its nine provinces, with the EC province frequently measured as the poorest province in the country. This article examines the extent to which the EC can be defined as vulnerable to food insecurity by using a review of current literature. These vulnerabilities are compounded by the environmental vulnerability factors of climate change and drought, which affect households' ability to grow food. The elderly and children are affected by life cycle vulnerability factors, with children prone to malnutrition and the elderly unable to work to produce food. Race and gender are associated with vulnerability to food insecurity. Most of the people in the EC who are poor and are African, and a high percentage of women-headed households is poor. The vulnerability factors identified suggest that job creation and agricultural productivity may be useful ways of targeting food insecurity. Interventions need to take local contexts into account and focus on particular communities and their unique needs.

Challenges of being new to Canada: considerations for physical activity.

Immigrants to Canada are less likely to be physically active compared with non-immigrants, and the interrelations between personal and environmental factors that influence physical activity for immigrants are largely unexplored. The goal of this qualitative descriptive study was to understand how the experience of being new to Canada impacts opportunities and participation in physical activity. Two focus group interviews with immigrants to Canada were conducted. The first group ( n=7) included multicultural health brokers. The second group ( n=14) included English as a second language students. Qualitative content analysis was used to determine three themes consistent with the research question: transition to Canadian life, commitments and priorities, and accessibility. Discussion was framed using a social ecological model. Implications for practice and policy are suggested including enhanced community engagement, and organizational modifications. Overall, the development and implementation of physical activity policies and practices for newcomers to Canada should be centered on newcomers' perspectives and experiences.

Education as a social determinant of health: issues facing indigenous and visible minority students in postsecondary education in Western Canada.

The level of educational attainment is increasingly being recognized as an important social determinant of health. While higher educational attainment can play a significant role in shaping employment opportunities, it can also increase the capacity for better decision making regarding one's health, and provide scope for increasing social and personal resources that are vital for physical and mental health. In today's highly globalized knowledge based society postsecondary education (PSE) is fast becoming a minimum requirement for securing employment that can afford young adults the economic, social and personal resources needed for better health. Canada ranks high among OECD countries in terms of advanced education, with 66% of Canadians having completed some form of postsecondary education. Yet youth from low income indigenous and visible minority (LIIVM) backgrounds continue to be poorly represented at PSE levels. The current study aimed to understand the reasons for this poor representation by examining the experiences of LIIVM students enrolled in a postsecondary program. Findings show that the challenges they faced during the course of their study had an adverse impact on their health and that improving representation of these students in PSE will require changes at many levels.

Work, employment, and mental illness: expanding the domain of Canadian social work.

Despite established evidence that work and employment are an important component of recovery for people who experience mental illness, social work education in Canada seldom offers graduate training or courses on the significance of work in peoples' lives or on the practices involved in helping to gain and retain employment for these individuals. In this article the authors argue that the high levels of unemployment among people who experience mental illness, and the rising incidence of mental health and addictions issues in workplaces, offer the opportunity, as well as the mandate, for social work educators to provide professional education in the area of employment support and assistance.

Advancing Health Promotion Priorities: Stories of Capacity Building from the Canadian Heart Health Initiative (CHHI).

The purpose of this paper is to explore how public health professionals built capacity to carry out health promotion despite a low level of investment and competition for financial resources with acute-oriented healthcare services. Three data sources are used in this analysis: key-informant interviews with project participants, final reports from three provincial Heart Health projects in Canada (Prince Edward Island, Ontario and Manitoba) and major provincial health policy documents prior to and during each project. We use a narrative policy analysis to identify contextual factors influencing health promotion priority and progress through capacity building. Common capacity building themes emerged from the data despite the different contexts within which the projects were situated: building community trust and support, developing a linking system that promotes provincial partnerships and assisting in sustainability efforts by coordinating resources and efforts towards a common chronic disease prevention strategy. Each of these provincial projects overcame instances of resistance to advancing a health promotion agenda by concentrating on building relationships, by making better use of existing structures and organizations and by developing new productive unions that shared a primary prevention agenda.

Resources for health promotion: rhetoric, research and reality.

BACKGROUND: Canadian political discourse supports the importance of health promotion and advocates the allocation of health resources to health promotion. Furthermore, the current literature frequently identifies financial and human resources as important elements of organizational capacity for health promotion. In the Alberta Heart Health Project (AHHP), we sought to learn if the allocation of health resources in a regionalized health system was congruent with the espoused support for health promotion in Alberta, Canada. METHODS: The AHHP used a mixed method approach in a time series design. Participants were drawn from multiple organizational levels (i.e., service providers, managers, board members) across all Regional Health Authorities (RHAs). Data were triangulated through multiple collection methods, primarily an organizational capacity survey, analysis of organizational documents, focus groups, and personal interviews. Analysis techniques were drawn from quantitative (i.e., frequency distributions, ANOVAs) and qualitative (i.e., content and thematic analysis) approaches. RESULTS: In most cases, small amounts (<5%) of financial resources were allocated to health promotion in RHAs' core budgets. Respondents reported seeking multiple sources of public health financing to support their health promotion initiatives. Human resources for health promotion were characterized by fragmented responsibilities and short-term work. Furthermore, valuable human resources were consumed in ongoing searches for funding that typically covered short time periods. CONCLUSIONS: Resource allocations to health promotion in Alberta RHAs are inconsistent with the current emphasis on health promotion as an organizational priority. Inadequate and unstable funding erodes the RHAs' capacity for health promotion. Sustainable health promotion calls for the assured allocation of adequate, sustainable financial resources.

The evolution of integrated chronic disease prevention in Alberta, Canada.

BACKGROUND: Recognition of the common risk factors for leading chronic diseases in Canada has contributed to the development of integrated chronic disease prevention and health promotion approaches. The Alberta Heart Health Project studied the capacity of health organizations in Alberta, Canada, to engage in heart health promotion. This article describes how the Alberta Heart Health Project acted on emerging research findings describing the preliminary stages of integrated chronic disease prevention in Alberta to provide leadership to encourage provincial chronic disease prevention efforts. CONTEXT: Political support for integrated chronic disease prevention was evident at the provincial and federal levels in Canada. As a result of organizational restructuring, loss of key health promotion champions, and decreased funding allocations, Alberta's regional health authorities sought increased efficiency in their chronic disease prevention efforts. METHODS: Descriptive data were derived from a brief questionnaire on regional health authorities' chronic disease prevention priorities and activities, an inventory of regional health authority health promotion programs and services, content analysis of key regional health authority documents, and focus groups with regional health authority staff, management, and policymakers. CONSEQUENCES: In 2002, the Alberta Heart Health Project data revealed that many regional health authorities were beginning to engage in integrated chronic disease prevention. However, little collaboration occurred across the health organizations; provincial leadership to facilitate collaboration and networking for integrated chronic disease prevention was needed. INTERPRETATION: Results supported the growing momentum for provincial leadership to enhance collaboration for integrated chronic disease prevention, which contributed to the development of the Alberta Healthy Living Network. The government's assistance is also needed to support the intersectoral collaborations essential for integrated chronic disease prevention.