“community influences the design of a primary health care centre for inner city edmonton”...
Post on 25-Dec-2015
214 Views
Preview:
TRANSCRIPT
“Community Influences the Designof a Primary Health Care Centre
for Inner City Edmonton”
Canadian Public Health Association ConferenceJune 2008
Halifax, Nova Scotia
Presented by: Delmarie Sadoway, Senior Operating Officer
Capital Health, Edmonton, Alberta
3
Demographics
• Population – 59,179
• Births / Year - 670
• Schools - 25
Students – 8,718
• Seniors – 7,309
• Aboriginal Population 15%
• Non-English speaking – 30%
4
Eastwood Boundaries
E A ST W O O D
Trave lR O YA L A LE X AN D R A
127 Ave .
B irth C on tro l
111 Ave .97
St.
109
St.
50 S
t.
Existing Site
7919–118 Ave
New Location
11240 – 79 Street
5
Eastwood Health Measures2000 Report
Maternal Child Health Teen Mothers
• 59.2/1,000 – Eastwood• 21.8/1,000 – Capital Health
Low Birth Weight Rate• 8.9/100 – Eastwood• 6.2/100 – Capital Health
Infant Death Rate• 7.9/1,000 – Eastwood• 6.0/1,000 – Capital Health
6
Eastwood Health Measures
Immunization Rates – 2004 4 month olds
• Eastwood – 90%• Capital Health – 93%
15 month olds• Eastwood – 82%• Capital Health – 89%
24 month olds• Eastwood – 90%• Capital Health – 94%
7
Current Eastwood Public Health Centre
Programs and Services to:
• New Moms and Babes – Home Visits, Parent Groups.
• Preschool Children – Clinics, Speech Therapy, Dental Program.
8
Current Eastwood Public Health Centre
Programs and Services to:
• School Children – Immunizations, Learning Assessments, Speech Therapy, Dental Prevention
• Seniors – Flu Clinics, Home Visits, Health Clinics at Seniors Centres
9
Proposed New Programs
Urgent Care Medical Clinic
Community Medicine Practice
Home Care
Communicable Disease Clinic
Specialty Clinics for:
• Children
• Chronically ill
Community Rehabilitative Services
Cultural enhancement
10
Formal Consultation Process - Multilayered
Phase I
Process began May 28, 2004May 28, 2004 - Capital Health sent letter to Edmonton Public Schools confirming interest in purchasing the School property
June 17, 2004 to June 5, 2005 – Seven Information meetings were held with
• Community League Executives
• City Councilors
• Business Association Leaders
11
Formal Consultation Process
Phase II
October 19, 2005 – February 3, 2006 – Seven additional meetings held with:
• City of Edmonton Councilors and Mayor’s office
• Community Action Program
• Condo Association
• MLA
• Community League Executives
12
Formal Consultation Process
Phase III
February 8, 2006 – June 12, 2006 First official community meeting. 115 community
residents attended. Mail drop to all households’ ads in community newspapers.
February 27, 2006 – First Design Workshop with the community, design charette
• Issues - use of former school, parking, and green space
• 60 local residents attended
• Mail out to 30,000 households, ads in community papers
April 4, 2006 – Second Design Workshop.
• 40 community residents attended.
• Invitations were sent out to 30,000 households, ads in community papers
14
Formal Consultation Process
June 12, 2006 – Meeting with the City of Edmonton Mayor, Chief of Staff, and Councilors – update
June 12, 2006 – Third Design Workshop
Design sketches:
retain the school,
use of underground parking,
maximize green space and save trees
20 local residents attended. 30,000 household mail drop
15
Formal Consultation Process
Set up website for questions
Sign on the site to invite community to meetings
Phase IV
December 2006 – Presentation to City Council
March 2007 – Presentation to Suburban Development Approval Board – Approved Permit
16
Outcomes from Consultation Retain and refit school and join it to the new building by pedway.
Requested Alberta Government cover additional funding to build full underground parkade for staff – approved
All above ground parking – dedicated for clients
Retained trees and monitored their health. Replaced trees which expired during construction process
Green grass maintained and growing above underground parkade
No needle exchange on site
No Methadone Clinic
No forensic psychiatry
17
Cultural Considerations
Hired Architects who have facilitated community consultations and worked with Aboriginal Communities
Aboriginal Community – 15% of population
New Canadians – 15% of population
Created a Cultural Committee
18
Design Decisions
Design decisions coming from Aboriginal Elders and Multicultural representatives
• Created a separate “Circular Gathering Room” for ceremonies and spiritual events – mats and couches for sweet grass ceremonies
• Created a circular waiting room on the main floor of the building
• Set up a separate office near building entrance for Aboriginal and Cultural workers
• Use natural light, rock, and water when possible
19
Design Decisions Continued
• Paint directions on the floor of building near entrance
• Create art and display boxes for Aboriginal and other cultural displays in waiting room
• Paint the wall 4 specific colours to reflect the 4 directions
• Erect a Teepee on the grounds during Spring and Summer
20
QUESTIONS?
top related