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March 29, 2026Can J Public HealthOpen Access

Two decades of change: The evolution of Canadian public health organizations in chronic disease prevention, 2004–2023

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Authors

KMKaterina MaximovaGPGilles ParadisEHElizabeth Holmes

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Overview

National study shows shifting priorities and increasing NGO influence in chronic disease prevention in Canada, suggesting a need for stable funding and evaluation systems.

Key Points

  • To examine changes in Canadian public health organizations related to chronic disease prevention over 20 years.
  • Conducted national censuses of chronic disease prevention organizations in 2004, 2010, and 2023.
  • Included governmental and non-governmental organizations in the assessments.
  • Utilized a standardized questionnaire to gather data on organizational characteristics, funding, staffing, and activities.
  • Applied descriptive statistics and stratified analyses to assess trends over two decades.
  • Shift towards more centralized delivery of chronic disease prevention activities.
  • Increase in the role of NGOs, with their presence rising among resource and user organizations.
  • Declining prioritization of chronic disease prevention among governmental user organizations.
  • Reduced reliance on federal/provincial funding, with a shift to municipal and private sources.
  • Persistent gaps in evaluation, with a small percentage reporting adequate resources.

Cite This Study

Maximova et al. (2026) studied this question.

synapsesocial.com/papers/69c8c277de0f0f753b39cc55https://doi.org/10.17269/s41997-026-01188-9
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Also Consider

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