Introduction
Evaluating HiAP initiatives presents several challenges due to the complexity of the HiAP approach, the longevity of an initiative, the dynamic nature of political environments and the different operational contexts in which implementation occurs. It can also be difficult to attribute specific population health outcomes to HiAP initiatives, as multiple factors—both within and outside the initiative’s purview —can influence these outcomes. Notwithstanding, monitoring progress and evaluating an initiative are crucial for adjusting processes, adapting to changing environments and demonstrating the effectiveness of HiAP approaches.
Developed by the CNHiAP Working Group for Monitoring and Evaluation, this workshop aimed to enhance participants’ capacities to implement a monitoring and evaluation plan for their current or future HiAP initiatives. It was held on February 27, 2025.
Specific objectives:
- Identify the key areas that can be assessed within the implementation of a HiAP initiative.
- Examine evaluation approaches through real-world case studies, with a focus on developing indicators, metrics, and evaluation frameworks.
- Analyze real-world case studies to uncover opportunities for enhancing the monitoring and evaluation of HiAP initiatives.
- Foster reflective practice by encouraging participants to critically assess their current monitoring and evaluation practices, recognize challenges and explore areas for improvement.
Audience
This workshop was open only to CNHiAP members or their delegates.
The following documents are for internal use only and may be shared within your organization. External distribution or public sharing is not authorized by the presenters. Thank you for your cooperation.
Agenda
Workshop Agenda
Workshop Summary
Summary of key discussion points
CNHiAP Working Group for HiAP Monitoring and Evaluation
PPT Presentations
1. Introduction – Approaching the Monitoring and Evaluation of HiAP
Ketan Shankardass, Associate Professor, Department of Health Sciences, Wilfrid Laurier University
2. Government Policy for Health Prevention. Monitoring and Evaluating a Health in All Policies Implementation in Québec
Horacio Arruda
Prevention and Public Health
Ministère de la Santé et des Services sociaux du Québec
(Québec’s Ministry of Health and Social Services)
3. Investing Upstream: Placing infants, children and youth at the forefront of lifelong mental well-being – a shift in policy direction for PEI
Patsy Beattie-Huggan, ASI Project Coordinator & Nishka Smith, Evaluator
Content
This workshop focused on discussing and analyzing, through real-world examples, how to monitor and evaluate HiAP initiatives. We started the discussion by presenting the WHO’s checklist of indicator areas to be monitored by organizations engaged in facilitating HiAP: Inputs, Processes, Outputs, Outcomes, Impacts at the Policy Level (WHO, 2023). Discussion and reflection on these indicator areas were anchored in real-world public health practice through the presentation of two case studies from the ministère de la Santé et des Services sociaux (MSSS) du Québec (Quebec’s Ministry of Health and Social Services) and the Atlantic Summer Institute (ASI).
Participants engaged in case study analysis and interactive group discussions to explore monitoring and evaluation practices, identify gaps, and determine actionable steps to enhance monitoring and evaluation of HiAP implementation.
Speakers
Ketan Shankardass
Associate Professor
Department of Health Sciences
Wilfrid Laurier University
.
Horacio Arruda
Assistant Deputy Minister
Prevention and Public Health
Ministère de la Santé et des Services sociaux du Québec
(Québec’s Ministry of Health and Social Services)
.
Patsy Beattie-Huggan
Coordinator
Atlantic Summer Institute (ASI)
Nishka Smith
Evaluator
Facilitation
Gillian Connelly
Program Manager, Healthy Supportive Environments
Ottawa Public Health