title: Report of an equity-focused health impact assessment of a proposed universal parenting program in Manitoba.
abstract: To assess potential inequitable impacts of a proposed Teen Triple P Positive Parenting Program (Teen PPP) in Manitoba to achieve equity of access and outcomes for families of diverse backgrounds; recommend (if required) alternative actions to promote greater equity of access and outcomes for families participating in Teen PPP; and evaluate the influence of recommendations on implementation of the proposed program.
  
  
  
  An equity-focused health impact assessment (EfHIA) of the proposed Teen PPP was conducted, using a standard EfHIA framework. Methods used to assess potential Teen PPP impacts included: a literature review, key informant interviews and 14 community consultations. Evidence was analyzed, summarized and presented to the project Steering Committee (SC), along with draft recommendations for ensuring that equity is considered in Teen PPP planning and rollout.
  
  
  
  The SC prioritized 12 possible inequitable impacts of Teen PPP with potential to prevent certain parents/caregivers either from accessing the proposed program or benefitting adequately from the program, causing them to drop out prematurely. Recommendations for avoiding these impacts were finalized by the SC and presented to provincial government officials responsible for the proposed program. Follow-up interviews with these individuals indicated that the recommendations were well received and raised equity-related issues that will be considered in future program planning decisions.
  
  
  
  EfHIA is a proven planning tool for ensuring that health equity is considered in all policies, which is one of the necessary conditions for reducing inequities and closing the health equity gap throughout Canada within a generation.
authors.affiliation: College of Nursing, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada. Benita.Cohen@umanitoba.ca.
authors.forename: Benita E
authors.initials: BE
authors.lastname: Cohen
authors.affiliation: College of Nursing, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
authors.forename: Christine A
authors.initials: CA
authors.lastname: Ateah
authors.affiliation: Department of Community Health Sciences, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
authors.forename: Mariette J
authors.initials: MJ
authors.lastname: Chartier
authors.affiliation: Department of Community Health Sciences, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
authors.forename: Marcia Anderson
authors.initials: MA
authors.lastname: DeCoteau
authors.affiliation: Centre for Primary Health Care and Equity, Faculty of Medicine, University of New South Wales, Sydney, Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Harris
authors.affiliation: Public Health Branch, Manitoba Health, Healthy Living and Seniors, Winnipeg, MB, Canada.
authors.forename: Karen
authors.initials: K
authors.lastname: Serwonka
mesh_terms: D000293:Adolescent; D005500:Follow-Up Studies; D062489:Health Impact Assessment; D054624:Health Status Disparities; D006801:Humans; D008350:Manitoba; D016487:Parenting; D010290:Parents / Q000193:education*; D015397:Program Evaluation; D035862:Vulnerable Populations / Q000706:statistics & numerical data