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  • Photograph by Alvin Woon - Flickr

Let's talk... Moving upstream

We are loving the upstream language we are seeing over at the National Collaborating Centre for Determinants of Health. This great organization is committed to equipping the Canadian public health community with the resources and knowledge they need to address the social determinants of health. Take a look below at their 'Let's Talk' series, featuring a call to move upstream! 

Check out the original article here.

From the National Collaborating Centre for Determinants of Health. (2014). Let’s talk…Moving upstream. Antigonish, NS: National Collaborating Centre for Determinants of Health, St. Francis Xavier University.

"The fifth release in our “Let’s Talk” series defines and illustrates three levels where public health can intervene to reduce health disparities:

  • Downstream to address  immediate health needs
  • Midstream to address material circumstances such as housing and employment
  • Upstream to advocate for greater fairness in power structures and income

"We can adopt an upstream attitude by being alert to the causes-of-the-causes of poor health"

The four-page guide argues that we can adopt an upstream attitude by being alert to the causes-of-the-causes of poor health, whether we work in direct service, management or policy. It suggests ways that public health staff can contribute to an upstream shift:  among other things, we can challenge our assumptions about the causes of health and illness, and develop our skills in partnership building, advocacy, and community organizing.

The resource includes discussion questions to help public health staff examine their work in terms of its upstream, midstream or downstream placement, and think of ways to more fundamentally address why some populations are healthier than others."

Click here to read more and to download the full resource.

Connect upstream.