Changes in chronic disease prevention resources and activities in Canada during the COVID-19 pandemic

BackgroundThe COVID-19 pandemic disrupted public health efforts for chronic disease prevention (CDP) in Canada and elsewhere. We describe COVID-19–related disruptions in CDP resources and activities among Canadian public health organizations. MethodsWe surveyed all or...

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Main Authors: Katerina Maximova, Maryam Marashi, Elizabeth Holmes, David L. Mowat, Greg Penney, Gilles Paradis, Jennifer L. O’Loughlin
Format: Article
Language:English
Published: Public Health Agency of Canada 2025-08-01
Series:Health Promotion and Chronic Disease Prevention in Canada
Online Access:https://www.canada.ca/en/public-health/services/reports-publications/health-promotion-chronic-disease-prevention-canada-research-policy-practice/vol-45-no-7-8-2025/changes-chronic-disease-prevention-resources-activities-canada-covid-19-pandemic.html
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author Katerina Maximova
Maryam Marashi
Elizabeth Holmes
David L. Mowat
Greg Penney
Gilles Paradis
Jennifer L. O’Loughlin
author_facet Katerina Maximova
Maryam Marashi
Elizabeth Holmes
David L. Mowat
Greg Penney
Gilles Paradis
Jennifer L. O’Loughlin
author_sort Katerina Maximova
collection DOAJ
description BackgroundThe COVID-19 pandemic disrupted public health efforts for chronic disease prevention (CDP) in Canada and elsewhere. We describe COVID-19–related disruptions in CDP resources and activities among Canadian public health organizations. MethodsWe surveyed all organizations in Canada with mandates for primary CDP, including “resource organizations” that develop or transfer CDP initiatives and “user organizations” that deliver these CDP initiatives to target populations. Key informants most knowledgeable about CDP activities and resources within each organization reported pandemic-related changes in CDP resources and activities. User organizations also reported on the status of 18 specific CDP activities and rated whether pandemic containment measures were barriers to or facilitators of CDP activities. ResultsOf the 298 participating organizations (88% response), 129 were resource organizations (37% formally mandated organizations [FMOs]; 63% non-governmental organizations [NGOs]) and 169 were user organizations (48% FMOs; 52% NGOs). Overall, 36% reported decreases in CDP funding (24% major, 12% minor), 30%–41% reported decreases in full-time, volunteer and managerial staff (19%–27% major, 11%–14% minor) and 32% reported decreases in CDP activities (23% major, 9% minor). User FMOs were most affected by decreases. Among user organizations, 16%–39% decreased, suspended or discontinued specific CDP activities. Still, 8%–39% increased their activities, particularly those targeting mental health, marginalized populations, racialized communities and specific gender groups. Half (53%) of user organizations perceived COVID-19 contagion restrictions as barriers to CDP activities. ConclusionContinued monitoring of CDP resources and activities can inform emergency preparedness and ensure that CDP remains a priority during public health crises.
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spelling doaj-art-b628074a94de4a7d9cc086c383881c1e2025-08-20T14:35:53ZengPublic Health Agency of CanadaHealth Promotion and Chronic Disease Prevention in Canada2368-738X2025-08-01457/833534410.24095/hpcdp.45.7/8.03Changes in chronic disease prevention resources and activities in Canada during the COVID-19 pandemicKaterina Maximova0Maryam Marashi1Elizabeth Holmes2David L. Mowat3Greg Penney4Gilles Paradis5Jennifer L. O’Loughlin6MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Ontario, CanadaFaculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, CanadaCanadian Cancer Society, Toronto, Ontario, CanadaMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Ontario, CanadaCanadian Public Health Association, Ottawa, Ontario, CanadaDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Quebec, CanadaCentre de recherche du centre hospitalier de l’Université de Montréal (CRCHUM), Montréal, Quebec, Canada BackgroundThe COVID-19 pandemic disrupted public health efforts for chronic disease prevention (CDP) in Canada and elsewhere. We describe COVID-19–related disruptions in CDP resources and activities among Canadian public health organizations. MethodsWe surveyed all organizations in Canada with mandates for primary CDP, including “resource organizations” that develop or transfer CDP initiatives and “user organizations” that deliver these CDP initiatives to target populations. Key informants most knowledgeable about CDP activities and resources within each organization reported pandemic-related changes in CDP resources and activities. User organizations also reported on the status of 18 specific CDP activities and rated whether pandemic containment measures were barriers to or facilitators of CDP activities. ResultsOf the 298 participating organizations (88% response), 129 were resource organizations (37% formally mandated organizations [FMOs]; 63% non-governmental organizations [NGOs]) and 169 were user organizations (48% FMOs; 52% NGOs). Overall, 36% reported decreases in CDP funding (24% major, 12% minor), 30%–41% reported decreases in full-time, volunteer and managerial staff (19%–27% major, 11%–14% minor) and 32% reported decreases in CDP activities (23% major, 9% minor). User FMOs were most affected by decreases. Among user organizations, 16%–39% decreased, suspended or discontinued specific CDP activities. Still, 8%–39% increased their activities, particularly those targeting mental health, marginalized populations, racialized communities and specific gender groups. Half (53%) of user organizations perceived COVID-19 contagion restrictions as barriers to CDP activities. ConclusionContinued monitoring of CDP resources and activities can inform emergency preparedness and ensure that CDP remains a priority during public health crises.https://www.canada.ca/en/public-health/services/reports-publications/health-promotion-chronic-disease-prevention-canada-research-policy-practice/vol-45-no-7-8-2025/changes-chronic-disease-prevention-resources-activities-canada-covid-19-pandemic.html
spellingShingle Katerina Maximova
Maryam Marashi
Elizabeth Holmes
David L. Mowat
Greg Penney
Gilles Paradis
Jennifer L. O’Loughlin
Changes in chronic disease prevention resources and activities in Canada during the COVID-19 pandemic
Health Promotion and Chronic Disease Prevention in Canada
title Changes in chronic disease prevention resources and activities in Canada during the COVID-19 pandemic
title_full Changes in chronic disease prevention resources and activities in Canada during the COVID-19 pandemic
title_fullStr Changes in chronic disease prevention resources and activities in Canada during the COVID-19 pandemic
title_full_unstemmed Changes in chronic disease prevention resources and activities in Canada during the COVID-19 pandemic
title_short Changes in chronic disease prevention resources and activities in Canada during the COVID-19 pandemic
title_sort changes in chronic disease prevention resources and activities in canada during the covid 19 pandemic
url https://www.canada.ca/en/public-health/services/reports-publications/health-promotion-chronic-disease-prevention-canada-research-policy-practice/vol-45-no-7-8-2025/changes-chronic-disease-prevention-resources-activities-canada-covid-19-pandemic.html
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