8. Case Study: The Vancouver Agreement For The Downtown Eastside

The initiative examined in the case study of regional mobilization of population health for the British Columbia/Yukon Region is the Vancouver Agreement for the Downtown Eastside (DTES). This area of Vancouver includes historically and culturally important zones such as Gastown and Chinatown, as well as a mix of commercial and residential areas, with a large concentration of single-room occupancy hotels. This initiative addresses the panoply of social, economic and health problems, which led to the declaration of a major public health crisis in the DTES in the late 1990s.

• 8.1 Methodology
• 8.2 Description Of The Initiative
• 8.3 Analyses: How This Initiative Illustrates The Mobilization Of Population Health
  • 8.3.1 How the determinants of health are addressed
  • 8.3.2 How the focus is placed on the health of populations
  • 8.3.3 How upstream investment has occurred
  • 8.3.4 What accomplishments are anticipated in the short, medium and long term
  • 8.3.5 How multiple strategies are applied
  • 8.3.6 How collaboration across levels and sectors has occurred
    • 8.3.6.1 Nature and implications of collaboration
    • 8.3.6.2 Involvement and financial contribution of partners (5A, 5B, 5C, 5D)
    • 8.3.6.3 Gains and challenges from intersectoral collaboration
    • 8.3.6.4 Sustainability (5E)
  • 8.3.7 How mechanisms for citizen engagement have been employed
  • 8.3.8 How accountability for health outcomes has been increased
  • 8.3.9 How knowledge development has occurred

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