This paper explores theoretical and practical distinctions between individual citizens ('citizens') and organized groups ('stakeholder representatives' or 'stakeholders' for short) in public participation processes convened by government as part of policy development. Distinctions between 'citizen' and 'stakeholder' involvement are commonplace in government discourse and practice; public involvement practitioners also sometimes rely on this distinction in designing processes and recruiting for them. Recognizing the complexity of the distinction, we examine both normative and practical reasons why practitioners may lean toward-or away from-recruiting citizens, stakeholders, or both to take part in deliberations, and how citizen and stakeholder roles can be separated or combined within a process. The article draws on a 2012 Canadian-Australian workshop of deliberation researchers and practitioners to identify key challenges and understandings associated with the categories of stakeholder and citizen and their application, and hopes to continue this conversation with the researcher-practitioner community.
In the last three decades, various concepts and strategies have been developed to address social determinants of health. This paper brings together the different focuses of health promotion, and demonstrates that effective health intervention programs need to be conducted at multiple levels and fronts. Specifically, based on the evaluation of KidsFirst, an early childhood intervention program in Saskatchewan, Canada, this paper presents the program practices effective in enhancing the social capital and social cohesion at the community and institutional levels. The findings fall into three interconnected areas: strengthening community fabric; building institutional social capital and bonding, linking and bridging. KidsFirst has brought the community together through conducting broad and targeted community consultations, and developing partnerships and collaborative relationships in an open and transparent manner. It has also developed institutional social capital through hiring locally and encouraging staff to deepen connections with the communities. Additionally, it has endeavoured to create conditions that enable vulnerable families to enhance connectedness among themselves, link them to services and integrate them to the larger community. The program's success, however, depends not only on the program's local practices, but also on the government's central policy framework and commitment. In particular, the program's focus on children's healthy development easily resonated with local communities. Its endorsement of local and intersectoral leadership has facilitated mobilizing community resources and knowledge. Further, its commitment to local ownership of the program and structural flexibility has also determined the extent to which the program could fit into the histories of local communities.
W alkability-the extent to which an area is supportive of walking-is a concept that emerged from the transportation literature and has been widely adopted in health research examining the impact of the built environment on physical activity and health outcomes. 1 Factors that make neighbourhoods more walkable include pedestrian amenities such as sidewalks, crosswalks, curb cuts and traffic lights; street connectivity; mixed-land use; and the presence of a variety of destinations within walking distance, features typically found in urban more than suburban neighbourhoods. 2-4 From a public health perspective, creating more walkable neighbourhoods might be expected to lead to a healthier environment by encouraging reduced car usage and therefore lower car emissions and air pollution, and also by increasing opportunities for active transportation (physically active modes of transportation, such as walking, biking, rollerblading, skateboarding), which could increase overall levels of physical activity and decrease obesity. 5-7 Although a significant amount of research has shown that adults living in urban neighbourhoods walk more and have a lower bodymass index (BMI) than their suburban counterparts, other studies have found that this association is not consistent in all urban neighbourhoods or with all demographic groups. 4,8,9 Very little research has examined the impact of neighbourhood design on activity levels in children and youth, and the few studies that have looked specifically at youth activity have also produced mixed findings. 10-13 A study of Belgian adolescents found that they were more likely to walk and bike in less walkable neighbourhoods than more walkable neighbourhoods. 14 Other studies have found that while boys are more active in neighbourhoods that are close to commercial areas and have connected streets, girls are more active in neighbourhoods with unconnected, curvilinear, low-traffic streets. 15,16 No consistent association has been established between children's BMI and neighbourhood design, but some research suggests that certain neighbourhood characteristics may be influential. For example, neighbourhood safety and access to parks, playgrounds, recreation centres and sidewalks were significantly associated with lower BMI in girls aged 10-11 years in a US study based on a survey conducted by the National Centre for Health Statistics. 17 Higher rates of overweight and obesity were found in both boys and girls
Citizen panels offer an alternative venue for gathering input into the policy-making process. These deliberative exercises are intended to produce more thoughtful and informed inputs into the policymaking process, compared to public opinion polls. This paper highlights a six day deliberative event about energy and climate issues, tracking opinion changes before and after the deliberation, as well as six months after the deliberation. In two of the five policy domains, opinions change as a result of the deliberation and these changes endure six months after the deliberation. The tracking of opinions across the three points in time reveals a pattern of convergence between panelists' views and poll results for three of the five policy domains. Panelists were overly optimistic about many of the policy options prior to deliberation, but became more critical of these policies post-deliberation, moving their opinions closer to those of poll respondents.
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