Keeble Jenna
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Can J Public Health. 2025 Mar 18. doi: 10.17269/s41997-025-01015-7.
The Health Promotion Solutions Surveillance (HPSS) framework is proposed to enhance public health systems by systematically identifying, cataloguing, and supporting community-driven public health solutions. Developed in response to limited public health resources and the dominance of problem-focused health protection surveillance systems, this framework can complement current infrastructure using a proactive and solutions-oriented approach. Designed for implementation by government public health systems, it focuses on interdisciplinary collaboration, equity, and engagement with communities and their grassroots initiatives. Rooted in health promotion principles, it seeks to address systemic inequities and bridge public health gaps that fail to adequately resource people and communities to address identified public health issues. Although the framework has not been implemented in its intended context, its ability to recognize various methodologies and use diverse methods, including community network identification, digital ethnography, and participatory action research, would position public health systems to promote innovation, collaboration, and sustainable public health outcomes. An accompanying visual guide outlines practical steps and principles for operationalizing this framework, offering public health professionals and policymakers a tool to align local interventions with public health goals.
健康促进解决方案监测（HPSS）框架旨在通过系统地识别、编目和支持社区主导的公共卫生解决方案来加强公共卫生系统。该框架是针对公共卫生资源有限以及以问题为重点的健康保护监测系统占主导地位的情况而制定的，它可以采用积极主动且以解决方案为导向的方法来补充当前的基础设施。该框架旨在由政府公共卫生系统实施，侧重于跨学科合作、公平以及与社区及其基层倡议的互动。它以健康促进原则为基础，力求解决系统性不平等问题，并弥合公共卫生差距，这些差距未能为个人和社区提供足够资源来解决已确定的公共卫生问题。尽管该框架尚未在预期背景下实施，但其识别各种方法并使用多种方法（包括社区网络识别、数字民族志和参与式行动研究）的能力，将使公共卫生系统能够促进创新、合作并实现可持续的公共卫生成果。一份配套的视觉指南概述了实施该框架的实际步骤和原则，为公共卫生专业人员和政策制定者提供了一个使地方干预措施与公共卫生目标保持一致的工具。
