Table 1 Groupings related to local structures and environments and PHUs’ SDH activity
Public Education and Public Advocacy | |
Regional (1 PHU) | Urban (1 PHU) |
Urban centre within larger geographical area. | Urban jurisdiction. |
Well developed network of social service and support agencies within the urban centre. | Well developed network of social service and support agencies. |
PHU reaches out to these agencies and provides both leadership and support. | PHU reaches out to these agencies and provides both leadership and support. |
Progressive political environment. | Progressive political environment. |
Board of Health provides both impetus and support for SDH-related action. | Board of Health provides both impetus and support for SDH-related action. |
Intersectoral and Community Focused | |
Urban (2 PHUs) | Regional (2 PHUs) |
Urban jurisdiction. | Regional jurisdiction spread over larger area. |
Well-developed network of social service and support agencies. | Undeveloped network of social service and support agencies. |
PHU reaches out to these agencies and provides support for intersectoral action. | Works primarily within regional government structures and participates with networks. |
Progressive political environment. | Conservative political environment. |
Board of Health is supportive but does not provide impetus for action. | Board of Health consists of entire regional council and has been brought along on issues. |
Regional/Service Delivery-Oriented (3 PHUs) | |
Regional jurisdiction spread over larger area. | |
Undeveloped network of social service and support agencies. | |
PHU has not yet reached out to social service and support agencies. | |
Conservative political environment. | |
Board of Health consists of entire regional council and has not been concerned with these issues. | |