Event Details

PHO Rounds: Celebrating 40 year of the Ottawa Charter Part 2: Moving Health Promotion Upstream

In 1986, the Ottawa Charter for Health Promotion was adopted, fundamentally changing how health is viewed and promoted. In this PHO Rounds, we’ll celebrate 40 years of the Charter by exploring the origins of health promotion and how it’s practiced in Ontario today. 

We invite you to register for the remaining sessions in this series to continue the conversation and build knowledge shared throughout the series:

Upcoming Sessions:

Part Three: Setting Community Priorities for Health Promotion, Tuesday November 10, 2026.
Part Four: Details coming soon. Hosted in partnership with Health Promotion Ontario, Thursday November 19, 2026. Registration opening soon.
If you are unable to attend a session or missed a previous session, recordings will be posted on the PHO Presentations and Resources page shortly after the event.

We often use a stream analogy to describe levels of public health action, where working upstream means addressing the structural and social determinants of health. In the second of in this four-part series, join three dynamic speakers to hear how their organizations work upstream:
  1. Liben Gibremikael, Executive Director of TAIBU Community Health Centre will introduce us to the Cliff Analogy, created by Dr. Camara Jones, and outline how that approach drives all work at TAIBU;
  2. Tara Wincott will share Niagara Region’s approach to selecting mid-and-upstream initiatives; and
  3. Tawnia Healy from the North Bay Perry Sound Health Unit will discuss early adversity and building resilience as an upstream approach. 
By the end of this event, participants will be able to:
  • Describe the Cliff Analogy and the concepts of upstream, midstream and downstream impacts on health.
  • Differentiate between upstream, midstream and downstream health promotion approaches.
  • Reflect on where your current work is positioned and identify opportunities to move public health practices further upstream. 

We recommend the following pre-reading:

Presenter(s): Liben Gebremikael, Tawnia Healy and Tara Wincott

Liben Gebremikael, MA is the first executive director of TAIBU Community Health Centre and has led the organization for the past 18 years. Today TAIBU has strong community roots and has become a recognizable agency that is committed to addressing the impact of anti-Black racism on the health and wellbeing of Black communities. 

Liben has over 30 years of experience in primary healthcare, social services, mental health, and community capacity building and development fields. He holds an MA in Migration, Mental Health & Social Care from the University of Kent (UK), a Masters Certificate in Healthcare Management from Schulich School of Business. 

Tawnia Healy, RSW
is a Mental Health Coordinator with the North Bay Parry Sound District Health Unit. Drawing on 10 years of public health experience and 8 years in community mental health and social planning, she advances population mental health through upstream, cross-sectoral approaches that build resilience and address early adversity. As co-chair of the Adverse Childhood Experiences and Resilience Working Group, she brings organizations together across the Muskoka, Nipissing, and Parry Sound districts to advance collective action and supports implementation of the Ontario Early Adversity and Resilience Framework.

Tara Wincott, BAH is Manager of the Comprehensive Health Promotion team with Niagara Region Public Health & Emergency Services. With 25 years of public health experience in health promotion and community engagement, she provides strategic direction to a team of professionals responsible for planning, implementing, and evaluating initiatives addressing priority health issues under the Ontario Public Health Standards. Her work reflects strategic thinking, evidence-informed decision-making, collaborative team leadership, and a focus on interventions that improve health outcomes and advance health equity. Tara builds partnerships with community agencies, governments, health-care providers, and people with lived experience. 

Disclaimer

The opinions expressed by speakers and moderators do not necessarily reflect the official policies or views of Public Health Ontario, nor does the mention of trade names, commercial practices, or organizations imply endorsement by Public Health Ontario.

Accreditation

Public Health Ontario Rounds are a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada (RCPSC).

Other colleges, including the College of Family Physicians of Canada, Royal College of Dental Surgeons of Ontario and the Canadian Institute of Public Health Inspectors, may accept RCPSC accredited events on a per-hour basis. Please contact your relevant college should you have any questions.

In order to receive written documentation for Continuing Medical Education (CME) credits, please check "Yes" beside the question "Do you require CME credits?" on the registration form.

For more information or for a record of registration for other Continuing Education purposes, please contact capacitybuilding@oahpp.ca.

Accessibility

Public Health Ontario is committed to complying with the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodations to participate in this event, please contact 647-260-7100 or capacitybuilding@oahpp.ca.

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Contact

Capacity Building

capacitybuilding@oahpp.ca

Published 1 Oct 2026