Image of lightbeams from a projector © Stephen Krow

Photo Credits:
© Stephen Krow
For information about how to legally obtain these images,
click here.




Workshop - How to Choose an Ethics Framework for Public Health and Community Health - CHNC 2016
Olivier Bellefleur and Michael Keeling led this workshop at the Community Health Nurses of Canada's (CHNC's) annual conference in St. John's NL on May 31.
May 2016.  DescriptionDownload  1.75 MB
In this workshop, developed for community health nurses, we focused on getting to know public health and community health ethics frameworks. After identifying what ethics frameworks can help us to do, we applied two frameworks to guide brief analyses of some ethical issues that can arise with the introduction of a provincial tax on sugary drinks.

These short analyses were intended to help familiarize participants with some of the main characteristics of ethics frameworks: their methodologies, the practical and normative guidance they offer, their areas of applicability and the values they highlight. We then suggested that participants can use these characteristics to help choose a framework that is appropriate for their own contexts and needs.

How to Choose an Ethics Framework for Public Health and Community Health
36 slides
 1.75 MB
Image - first page of the presentation - click to download 

During the workshop, we invited participants to deliberate to identify ethical issues using ten Have et al.'s (2102) framework and then to write these on post-it notes; these were stuck to the wall.
Here are some of the comments from the notes that participants posted:
(With respect to the proposed provincial soda tax...)

• It does not address root causes
• It is not fairly balanced: it targets individuals, but not the companies
• It is not fairly balanced: will there be cheaper alternatives Lower milk prices?
• People with lower incomes are disproportionally affected
• This could do harm to social connections with some people being excluded
• Will there be information campaigns about the tax? What will they contain?
• Why not tax all sugar drinks, not just soda?

ten Have, M., van der Heide, A., Mackenbach, J., & de Beaufort, I. D. (2012). An ethical framework for the prevention of overweight and obesity: A tool for thinking through a programme's ethical aspects. European Journal of Public Health, 23(2), 299-305. Available at:  
Our adapted summary is available at:

To consult the conference's program, click here (on the site of the Community Health Nurses of Canada).
The production of the NCCHPP website has been made possible through a financial contribution from the Public Health Agency of Canada.