Think Upstream Project

Thinking upstream means looking at the social determinants of health
Think Upstream is a project of the Canadian Centre for Policy Alternatives National Office. We’re working with a growing network of people who recognize that social, ecological, and economic conditions shape people’s health and the wellbeing of our communities. We call these the social determinants of health.
Your newsroom for social determinants of health
- Budgeting for well-being
- Public health and health equity
- A poverty reduction plan
- The determinants of health
- An inclusive economy
Our publications are available to all at no cost. Please support the CCPA and help make important research and ideas available to everyone. Make a donation today.
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Towards an equity-centered political economy
We live in an age of “polycrisis”, which lies at the intersection of a failure to prioritize social and ecological determinants of health, including their…
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What we can learn from Québec’s Health in All Policies approach
One notable element is that it requires a health impact assessment to be conducted on policies within and outside of the health sector. This is…
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Decent work: A shared vision
The National Collaborating Centre for Determinants of Health has released a comprehensive and super useful guide to decent work from an intersectional standpoint. It provides…
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What does inclusive infrastructure look like?
Yet, in the context of infrastructure planning, inclusion is often ignored or it takes a back seat to growth.
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Beyond health care
The unequal distribution of health-damaging experiences is not in any sense a ‘natural’ phenomenon but is the result of a toxic combination of poor social…
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Canada’s dual public health crisis
Giving advice that’s difficult or impossible to follow is where the inequitable response to COVID-19 has met the inequitable and inadequate responses to the overdose…
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Awakening from our COVID-19 winter
Things have changed. We are awakening to a paradigm shift. This isn’t some dream; it’s happening.
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Does Canada’s federal budget address the social determinants of health?
COVID-19 caught us unprepared Does the federal budget deliver? Yes and no. No major changes to public health care spending
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Roaring ’20s?
“Charleston dance contest”by Missouri Historical Society is licensed under CC BY-NC-ND 2.0
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The case for a publicly owned vaccine plan in Canada
The adoption of this laissez faire ideology by mainstream political parties was a major factor in enabling large companies to move production across the globe…
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3 steps to public health reform
Basic problems with the vaccine rollout hint at why: confusion over who can get vaccinated and when, as well as uncertainty of vaccine supply, are…
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Hindsight is 2020
It was a year like no other, 2020. And while we’re all glad to put this one behind us, many challenges remain. We asked some…
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