Canadian Partnership for Children's Health and Environment (CPCHE), Toronto, ON, Canada.
School of Kinesiology and Health Studies, Queen's University, 28 Division Street, Kingston, ON, K7L 3N6, Canada.
Can J Public Health. 2018 Jun;109(3):379-385. doi: 10.17269/s41997-018-0094-x. Epub 2018 Jun 15.
This paper chronicles the transformational process through which a national intersectoral collaboration, the Canadian Partnership for Children's Health and Environment (CPCHE), came to embrace a more upstream, equity-based focus in its mandate to advance children's environmental health.
After 15 years of working within a conventional, evidence-informed approach to health promotion and policy advocacy, in 2010-2013, CPCHE had the opportunity to collaborate on the development of equity-focused knowledge translation (EqKT). EqKT is a relational approach to knowledge practices that challenges intersectoral actors to work to uncover biases and limitations within their own institutional paradigms and professional practices that constrain their capacity to address population health inequities.
The ensuing transformation towards equity-focused intersectoral practice led CPCHE to create an intersectoral initiative called RentSafe. Conceptually and operationally, RentSafe provides an intersectoral space within which the grounded expertise of people with experience of unhealthy and undignified housing provides a roadmap for public health and other practitioners to critically explore professional and institutional blind spots and barriers. With RentSafe as its watershed moment, CPCHE is shifting from a top-down "for whom" orientation to an authentically engaged "with whom" approach that seeks to work integrally with community partners to expose and challenge systemic roots of health inequity.
The transformational story of CPCHE underscores the competencies needed for public health professionals to acknowledge the sources of our own biases and limitations as a necessary first step in equity-focused intersectoral practice (EquIP). It also affirms the value of working in partnership with those who experience the environmental health inequities that such efforts seek to address.
本文记录了一个国家跨部门合作组织——加拿大儿童健康与环境伙伴关系（CPCHE）的转型过程，该组织在其推进儿童环境健康的任务中，从传统的、以证据为基础的健康促进和政策倡导方法转变为更加关注上游和公平问题。
在以传统的、以证据为基础的健康促进和政策倡导方法工作了 15 年后，CPCHE 有机会在 2010-2013 年合作开展以公平为重点的知识转化（EqKT）。EqKT 是一种知识实践的关系方法，挑战跨部门行动者努力发现其自身机构范式和专业实践中的偏见和限制，这些偏见和限制限制了他们解决人口健康不平等问题的能力。
向以公平为重点的跨部门实践的转型导致 CPCHE 创建了一个名为 RentSafe 的跨部门倡议。从概念和操作上讲，RentSafe 为跨部门提供了一个空间，让有不健康和不体面住房经验的人的实地专业知识为公共卫生和其他从业者提供了一个路线图，使他们能够批判性地探索专业和机构盲点和障碍。以 RentSafe 为分水岭，CPCHE 正在从自上而下的“为谁”方向转变为真正参与的“与谁”方法，该方法旨在与社区伙伴合作，揭露和挑战健康不平等的系统性根源。
CPCHE 的转型故事强调了公共卫生专业人员在以公平为重点的跨部门实践（EquIP）中承认自身偏见和限制的根源的所需能力。它还肯定了与那些经历此类努力试图解决的环境健康不平等的人合作的价值。
