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Module 1 Activity Print E-mail
Module 1: Conduct a Socio-Ecological Assesment

iStock_000003922977XSmallIn the previous activity, your team reviewed its role, resources, and the extent of need to act on a health issue,and decided that a MIP approach was possible. This second activity will guide your team through the steps of conducting a socio-ecological assessment as you start to plan your MIP.


1. First analysis of health issue in population health terms

a) What health disparities are noted?

b) How are these created and maintained?

c) What can be changed?

2. Identify target population group(s) using health status indicators
a) Write down target group(s)

b) What do we know about their health status?

c) What is the source of that knowledge?

Target group

Health status indicators

Source of evidence











3. What factors (determinants) may be contributing to the health status of the target groups?

a) List the factors that are contributing or causing the problem

b) Circle those that are most significant

Socioeconomic environment


Physical environment


Child development


Personal health practices


Individual capacity and coping skills




Health services




Ethnicity & culture


4. How are these factors (determinants) linked?

a) Draw lines to illustrate how the factors are linked

b) Add comments about how and why they are linked.


5. Consider health disparities

a) What is the potential for health disparities?

In ascending order, list the population groups that might bear the greatest health burden related to this issue.

b) What evidence is there of health disparities?

Identify sources of evidence that confirm there are health disparities related to each target population group.

Target group health burden

Evidence of health disparity







6. What theories exist about how interventions address this health issue?
List theories and interventions that have attempted to address the health issue







7. How do different sectors/systems levels see the health issue?
Summarize how each sector describes the health issue:

Sectors/systems levels 1:


Sectors/systems levels 2:


Sectors/systems levels 3:




8. What are our working hypotheses about how the various interventions being considered to address this health issue will interact with the socio-ecological features of the problem?




9. What are local priorities, needs, resources and structures for implementation?

What might assist us as we address this health issue, taking into account our local situation? Think strategically…









10. What systems levels, partners, sectors, jurisdictions should be considered and/or involved in planning?

a) Look at the list above (4.) and check those that should be involved

b) List other system levels, partner, sectors, jurisdictions below and describe, why they should be involved.

c) Circle those that must be involved; or prioritize in order (assign numbers)

Systems level










11. What pathways will the combined interventions take to address the nested determinants?

Draw a picture or 'map' showing how interventions will get to determinants.


Last Updated on Sunday, 03 May 2009 07:45