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The object of this forum was to bring together health care, literacy and early childhood professionals and others to identify issues and further develop promising practices and possibilities for health and learning.
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One key characteristic is the importance of the social context in which health takes place. This includes the socio-economic conditions of people's lives. While providing clear information to individuals and acknowledging individual learning abilities with respect to health services is important, it is critical to address the larger social determinants of health.
Strategies and promising practices need to mirror people's understanding of their health as interconnected in terms of physical, mental, and spiritual dimensions.
The importance of taking time to build relationships and trust between individuals and professionals, listening to concerns, and working in the spirit of inclusion and respect for people were emphasized in terms of an ethics of care. Taking the time to understand clients' needs and explain diagnoses were important. Sharing power, respect for culture, and respect for the knowledge that people bring to the context are critical.
Organizations and sectors working together to improve access to services and the health of clients is key. This collaboration includes a case management approach and a referral process among different organizations. It also includes opportunities, such as this forum, for different sectors to come together to share knowledge and to plan action on a regular basis.
Promising practices are tailored to particular communities and local situations. They are developed respecting particular contexts and experiences. If they are adapted for other contexts, the particular shape of these new contexts must be considered. The importance of community inclusion, leadership, and engagement are vital for any initiatives in which communities will be the recipients or beneficiaries.
Promising practices build capacity for health service providers and for individuals who access health services. This requires support for providers in terms of professional development, and for individuals in terms of being empowered. There must also be sustainable resources built into the system.
The importance of a rigorous research and evaluation component of promising practices is important for understanding what works, what progress is being made, and the impact of these interventions. Similarly, consultations with stakeholders and evaluation of needs are also essential. Research and evaluation can build knowledge and capacity for the future.
Promising practices collected from forum participants can be found in the accompanying document In From the Margins: Promising Practices and Possibilities for Health and Learning.
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