MPH: Social and Behavioural Health Sciences (Health Promotion)

Field of Study
Degree Overview

Program Description

Founded in 1979, the MPH Program in the field of Social and Behavioural Health Sciences (Health Promotion) is a professional (non-thesis) graduate program, preparing its graduates for a wide range of career positions found at all levels of government as well as community health-relevant agencies. Sufficient training in research methods is provided to enable students to pursue doctoral studies and careers in health promotion/public health research.

The program takes an explicitly social science perspective in addressing issues related to the health of individuals, communities and populations. In particular, special attention is given to identifying, understanding and addressing the societal and personal determinants of health. Mutually reinforcing health promotion and public health strategies are covered such as health education and communications, community development, the role of organizational development and change, health advocacy, and the development of health promoting public policy.

Program Goals

  1. To train students to assess the health promotion needs of groups and communities, as well as design, implement and evaluate the impact of a broad array of health promotion strategies, programs and policies.
  2. To develop student research skills as a foundation for applied health research in the field of health promotion and public health (e.g., community health needs assessments, program evaluations), and/or as a foundation for further graduate study either in our own PhD programs or at other universities.
  3. Strives to ensure that its graduates have developed core health promotion competences that will enable them to contribute as practitioners and researchers in the fields of health promotion and public health.

Program Objectives

  1. Graduates will have a clear understanding of the issues related to the practice of health promotion
    1. Graduates will have a thorough understanding of the concepts of health and illness
    2. Graduates will appreciate that health promotion primarily involves changing the social and physical conditions that produce illness and disease, or enhance health
    3. Graduates will possess a critical understanding of the range of theoretical approaches, methods and strategies required for responding to health-related issues
  2. Graduates will possess the skills required for developing, implementing and evaluating health promotion interventions
    1. Graduates will possess skills required for assessing the health needs of individuals and communities
    2. Graduates will possess skills required for designing, implementing and evaluating health promotion interventions
    3. Graduates will possess skills in research and evaluation of health promotion interventions
    4. Graduates will possess the ability to critically appraise and use statistics, health surveys and epidemiological data
    5. Graduates will possess the ability to work effectively across disciplines, across sectors, and with members of the public
    6. Graduates will possess the ability to reflect on their own value system, and how it has an impact on professional behavior
  3. Graduates will possess a thorough understanding of the Canadian political system and its relation to health
    1. Graduates will have a thorough understanding of the social and political determinants of health and illness in Canada
    2. Graduates will recognize the effect of ideology on problem definition and choice of solution to health issues in Canada and internationally

Career Opportunities

Our graduates have developed successful careers in a wide range of settings in academic, public and private sectors (both in Canada and overseas); they are working with a diverse set of populations, and are addressing a broad array of health related issues.

Non-Government Organizations

  • Heart & Stroke Foundation
  • Canadian Mental Health Association
  • Health Nexus Santé (previously the Ontario Prevention Clearinghouse)
  • Ontario Chronic Disease Alliance
  • Ontario HIV Treatment Network
  • Cancer Care Ontario
  • Canadian Public Health Association
  • BC Mental Health and Addictions Agency

Federal Government/Health Agencies

  • Public Health Agency of Canada (PHAC)
  • Health Canada
  • National Collaborating Centre on Methods and Tools

Provincial Government/Health Agencies

  • Community Health Centres: Access Alliance, Flemingdon, South Riverdale, etc.
  • Centre for Addiction and Mental Health
  • Ontario Ministry of Health Promotion and Sport
  • Vancouver Coastal Health

Municipal Government/Health Agencies

  • Public Health Departments: Toronto, Durham, Peel, etc.
  • City of Toronto
  • Community Development Council Durham

Hospitals

  • Hospitals, including: Hospital for Sick Children, Toronto University Health Network, St. Michael’s, St. Joseph’s, Mount Sinai

Universities and Research Institutes

  • Universities, including: Toronto, McMaster, Ryerson, York, UBC
  • Ontario Tobacco Research Unit
  • Centre for Clinical Epidemiology and Evaluation
  • Women’s College Research Institute
  • Centre for Addiction and Mental Health
  • The Wellesley Institute
  • Arctic Health Research Network

Global Public Health

  • Canadian International Development Agency
  • Secretaria Municipal de Saude de Fortaleza, Brazil
  • Municipal Government, Mexico City
  • Ministry of Health, Kazakhstan

Admission Requirements

Entry into this program is very competitive; approximately one in ten applicants is offered admission each year. In addition to recruiting top students from a wide variety of undergraduate science and humanities programs, we are especially interested in receiving applications from mature applicants who have work or volunteer experience in health-relevant fields. Relevant fields might not deal specifically with health but might, for example, concern issues related to marginalization, social justice, inequity, etc.

Program Requirements

Students are required to complete 10.0 Full Course Equivalents (FCEs) within the maximum time limit of 3 years as a full-time student and 6 years as a part-time student. Please note, most full-time students complete their degree within 2 years. The table below outlines the distribution of required and elective courses, together with practica, which are taken throughout the program.

 

TERM Course/practicum FCEs
     
Term 1 (2.0 FCEs) CHL5004H: Introduction to Public Health Sciences1 0.5
  CHL5801H: Health Promotion 1 0.5
  CHL5105H: Social Determinants of Health 0.5
  CHL5221H: Community Health Appraisal Methods II: Introduction to Qualitative Research 0.5
     
Term 2 (2.0 FCEs) CHL5220H: Community Health Appraisal Methods I: Introduction to Epidemiology 0.5
  CHL5803H: Health Promotion 2 0.5
  CHL5110H: Theory and Practice of Program Evaluation 0.5
  PLUS 1 approved electives 0.5
     
Term 3 (2.0 FCEs) CHL6010Y: Required MPH Practicum (1.0FCE) + CHL6012Y: Long Extension to Required Practicum (1.0FCE) 2.0
     
Term 4 (2.0 FCEs) CHL5300H: Public Health Policy 0.5
  One approved advanced Research Methods course 0.5
  PLUS 2 approved electives 1.0
     
Term 5 (2.0 FCEs) CHL6020Y: Optional MPH Practicum 1
  CHL6021H: Optional Practicum Extension 0.5
  CHL5806H: Health Promotion Field Research 0.5
 Or any combination of practicum and electives equaling 2.0 FCE  
Totals   10

1CHL5004H begins earlier in September than regularly scheduled graduate.

Elective Courses

Students have an opportunity to take 2.5 FCE elective courses (or up to 4. elective courses if s/he decides not to pursue a second practicum in Term 4). These courses provide an important component of the Health Promotion curriculum. Through electives, students can tailor their academic work to suit their professional needs and career interests.

Students can take courses within the Dalla Lana School of Public Health, or (with permission) from other Graduate Departments at the University of Toronto. Students also have the opportunity to take courses outside of the University of Toronto and must consult with their Program Director and the Graduate Office.

Some Popular Electives within the DLSPH

 

Course Code FCE
CHL5101H: Social Theory and Health  0.5
CHL5105H: Social Determinants of Health 0.5
CHL5109H: Gender and Health 0.5
CHL5118H: International Health, Human Rights and Peace-Building  0.5
CHL5804H: Health Behavior Change 0.5
CHL5805H: Critical Issues in Health Promotion Practice 0.5
CHL5126H: Building Community Resilience 0.5
JXP5807H: Health Communication 0.5

 

Sample of elective courses taken by HP students outside DLSPH

 

Course Code FCE
HAD5768H: International Perspectives on Health Services Management 0.5
HAD5765H: Case Studies in Health Policy 0.5
JPG1421H: Health in Urban Environments 0.5
JPG1423H: Political Ecology of the Global Agrifood System 0.5
NUR1014H: The Politics of Aboriginal Health 0.5
NUR1038H: Social Determinants of Health in a Global Context 0.5
NUR1083H: Comparative Politics of Health Policy in a Globalizing World 0.5
NUR1047H: Community Participation and Health 0.5
PAS3700H: Multidisciplinary Aspects of Addictions 0.5
PLA1503H: Planning & Social Policy 0.5
POL2125H: Experiencing Public Policy-Making 0.5
PHM1124H: The Power and Politics of Global Pharmaceutical Policy 0.5
SWK4210H: Promoting Empowerment: Working at the Margins 0.5
UCS1000H: Community Development 0.5
   

 

Practica

***Potential Practicum Supervisors: If you are interested in engaging a student for a practicum experience, please complete this form and return it to practicum.dlsph@utoronto.ca.

Students are required to undertake a 16 week full-time practicum in their 1st year; this usually occurs in the summer term. Some students complete an optional 12 week full-time practicum in the winter term of their 2nd year. The purpose of the practicum is to enable students to develop “hands on” experience in health promotion, and to apply the theory and analytic skills acquired in the academic portion of their degree program. For more information on the MPH Health Promotion Practicum, consult the practicum guidelines.
 
To gain a better understanding of the work that MPH Health Promotion students have undertaken during their first practicum placement, click here for a listing of abstracts from summer 2014 placements. Students have given their consent to share these abstracts.

This presentation is offered during orientation to incoming MPH Health Promotion students. It contains, in ppt format, some basic information regarding the practicum. For more detailed information, please see the MPH Health Promotion practicum guidelines.

For further information regarding the Roles and Responsibilities of the student and practicum supervisor while on placement, as well as the process and requirements of practicum supervisors, please click here.    
 
The required forms for the MPH Health Promotion practicum are available in word format below:

Planning Framework/ contract
Midterm Evaluation Student
Midterm Evaluation Supervisor
Final Evaluation Student
Final Evaluation Supervisor
Amendment Form

For more information on finding a practicum placement, please contact the Practicum Placement and External Relations Officer (practicum.dlsph@utoronto.ca).  Practicum activities will depend on the nature of the practicum setting, the on-going projects and needs of the practicum agency/organization, and the student’s learning objectives. Students can fulfill their practicum requirements on a part-time basis, but the same number of hours needs to be completed.

 

Other Educational Opportunities

Global Health Emphasis
Collaborative Programs
Strategic Training Program in Public Health Policy
 

For more information about this program, please contact the Program Director, Professor Charlotte Lombardo at c.lombardo@utoronto.ca

FAQs

What is health promotion?

The MPH Program in Social and Behavioural Health Sciences is guided by the Ottawa Charter for Health Promotion (1986) which defines health and health promotion in the following way:

“Health promotion is the process of enabling people to increase control over, and to improve, their health. To reach a state of complete physical, mental and social well-being, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to well-being” 

       (www.who.int/healthpromotion/conferences/previous/ottawa/en)

There are three ways to think about health promotion: as field of study, as a field of practice, and as a profession.

  • As a field of study: Health promotion integrates and employs values, theory, evidence, research methodologies, and practices from a wide range of disciplines, including: the social sciences (e.g., sociology, psychology, anthropology, political science); health sciences (e.g., epidemiology, biostatistics, public health); other inter-disciplinary fields (e.g., education, social work, women’s studies, international development)
  • As a field of practice: health promotion is the multidisciplinary field of practice that is concerned with designing, implementing, and evaluating interventions (i.e., program, policies, services) that enable individuals, families, groups, organizations, and communities, to play active roles in achieving, protecting and sustaining health.
  • As a profession (NOTE: health promotion is not a regulated profession): Health promotion is the profession that is committed to employing health promotion best practices, that is: theories and beliefs, evidence, and understanding of the environment that are most likely to achieve health promotion goals with respect to any health-related issue, in a given context or situation;  in addition, health promotion employs processes and activities that are consistent with health promotion values, goals, ethics.

How do we assess applications to the MPH Program in Social and Behavioural Health Sciences (Health Promotion)?

We employ five criteria in assessing applications to our Health Promotion Program, namely:

  1. Academic grades
  2. Social science background
  3. A statement of intent outlining your vision of health promotion and your reasons for wishing to enter the program  (max. 2 pages)
  4. Experience in paid or volunteer capacities, addressing determinants of health (e.g., social justice and health inequities)
  5. Two letters of reference from persons familiar with applicants’ academic and/or paid/volunteer work performance

In general, admission is sufficiently competitive that we can insist on a high level of excellence in all five domains.  Not surprisingly, we prefer applicants with demonstrated capacity to excel in their studies. Nearly all of our successful candidates possess A’s in their final two undergraduate years; many have an A average; but we emphasize that grades are not the primary consideration.

We are looking for candidates who jump off the page because of their passion and (demonstrated) commitment to making the world a better place.

We are not interested in candidates who see health promotion primarily in terms of “teaching” people about “lifestyle” health promotion (e.g., smoking, diet, exercise); while lifestyles are important, we are looking for candidates who understand the broad determinants of health, and can fit lifestyles into this context.

Regarding social science background: Social science includes sociology, psychology, anthropology, economics, political science, or social science based interdisciplinary programs (e.g., health studies, international development, women’s studies, indigenous health)

We are looking for exposure to social science concepts and ideas that will help students understand the world and how it operates; social science courses also tend to enhance students’ writing ability (i.e., essays, as opposed to lab reports).

Regarding letters of intent: Candidates’ letters of intent and experience take precedence over grades and social science courses. We are looking for candidates with a passion for equity and social justice, who understand that health promotion is more than just lifestyles health education, can think and express themselves cogently about the social (i.e., broad) determinants of health, who have a sense of where they are going, and who can write well

Regarding applicants’ experience: We value paid and volunteer experience in public health and other community settings that address issues of equity and social justice, and social determinants of health.

We do not place a lot of weight on health care/clinical experience—though experience with marginalized populations and social justice issues within health care settings is given considerable weight.

Field experience is less important for candidates who clearly identify an interest in continuing their academic studies (e.g., doctoral level studies); in this case, research experience will take precedence (e.g., honours thesis, RA experience, presentations/manuscripts) .

Regarding letters of reference: Letters of reference are often the weakest element in candidates’ applications. Reference letters are often poor because: (1) Applicants do not choose the most appropriate people to write their references letters; (2) letters fail to provide very positive support for the candidate, and/or (3) letters provide little supporting evidence or “argument” in favour of the applicant.

I’m interested in pursuing a PhD or doing research after completing this program. Is this possible?

Students who wish to proceed to a PhD program at the University of Toronto, or elsewhere, should give careful consideration to the expectations and requirements of the PhD programs to which they might be applying.  In general, it is especially important to ensure that, by the time prospective PhD applicants have completed their MPH program, they will have acquired the necessary knowledge and experience related to both relevant theories and relevant research methods.

Potential PhD applicants should carefully consider how they will be able to demonstrate that they are familiar with theories and research methods that are relevant to his/her proposed research program.

Applicants coming from strong undergraduate social science programs (e.g., sociology, psychology) are often well prepared to address the demands of PhD programs with respect to both theory and research methods—though, of course, their application to PhD programs would be strengthened by taking additional courses related to theory and/or research methods.

Students who do not possess a strong undergraduate background in social science are very strongly advised to strengthen their knowledge and skills with respect to theory and research methods. While enrolled in our MPH Program, students can enhance their familiarity with relevant theories by taking courses that specifically deal with theories and/or conceptual frameworks (e.g., CHL5101H: Social Theory of Health; CHL5804H: Health Behaviour Change).  Knowledge and skills related to appropriate research methods can be acquired by taking courses (e.g., regarding biostatistics/epidemiology, statistics, qualitative methods, survey methods), and by involvement in research projects throughout a student’s MPH Program.

The two MPH practica are especially valuable for acquiring research knowledge and skills; for this reason, undertaking research-based practica is recommended for students contemplating a PhD program in the future. Research-based practica can include field-based research with a community agency, or involve work as a research assistant on a funded research study led by your academic supervisor or another faculty member—but it need not be limited to these options.

What kind of funding opportunities are available?

Please visit the School of Graduate Studies Funding Resources

Once I am in the program, whom do I speak to if I have a question about the program?

The MPH: Social and Behavioural Health Sciences (Health Promotion) program assigns all incoming students to a primary academic advisor on the basis of a (assumed) compatibility of interests. This faculty advisor will be the student’s first point of reference for interactions with the Program, School, or University. S/he is the first line of assistance if a student encounters problems of an academic or personal nature.

Please note these assignments should be seen as provisional, that is, a change can be requested/initiated by any student who feels their needs can be better met by matching up with different, or additional, faculty members. However, the primary advisor remains responsible for ensuring that students’ needs are being met.