title: Healthy Canada by Design CLASP: Lessons learned from the first phase of an intersectoral, cross-provincial, built environment initiative.
abstract: OBJECTIVE
  The Healthy Canada by Design (HCBD) CLASP (Coalitions Linking Action and Science for Prevention) Initiative promotes the building of communities that support health by 1) facilitating the integration of health evidence into built environment decision-making; 2) developing new, cross-sector collaboration models and tools; and 3) fostering a national community of practice.
  
  
  METHODS
  A coalition of public health professionals, researchers, professional planners and non-governmental organization (NGO) staff from across Canada developed, implemented and participated in the Initiative.
  
  
  METHODS
  In the first phase, HCBD interventions took place for the most part in large urban and suburban settings in Quebec, Ontario and British Columbia. National knowledge transfer and exchange (KTE) activities were delivered both locally and nationally.
  
  
  METHODS
  Project participants developed tools or processes for collaboration between the health and the community planning sectors. These were designed to increase the capacity of the health sector to influence decisions about land use and transportation planning. Tool or process development was accompanied by pilot testing, evaluation, and dissemination of findings and lessons learned. On a parallel track, NGOs involved with HCBD led national KTE interventions.
  
  
  RESULTS
  The first phase of HCBD demonstrated the potential for public health organizations to influence the built environment determinants of cancer and chronic diseases. Public health authorities forged relationships with several organizations with a stake in built environment decisions, including municipal and regional planning departments, provincial governments, federal government agencies, researchers, community groups and NGOs. The Initiative accomplished the following: 1) created new relationships across sectors and across health authorities; 2) improved the knowledge and skills for influencing land use planning processes among public health professionals; 3) increased awareness of health evidence and intent to change practice among built environment decision-makers; and 4) facilitated inclusion of health considerations in local plans, policies and decisions.
  
  
  CONCLUSIONS
  The first phase of HCBD engaged built environment stakeholders, including public health professionals, planners, researchers, community groups and NGOs, in ways that would be expected to influence health risk factors and population health outcomes in the long term.
authors.affiliation: Heart and Stroke Foundation of Canada. amiro@hsf.bc.ca.
authors.forename: Alice
authors.initials: A
authors.lastname: Miro
authors.forename: Natalie A
authors.initials: NA
authors.lastname: Kishchuk
authors.forename: Kim
authors.initials: K
authors.lastname: Perrotta
authors.forename: Helena M
authors.initials: HM
authors.lastname: Swinkels
mesh_terms: D002170:Canada; D002908:Chronic Disease; D004779:Environment Design / Q000706:statistics & numerical data*; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D011635:Public Health Administration; D012307:Risk Factors
keywords: Environment and public health; chronic disease; environment design; interinstitutional relations