The Culture, Diversity and Equity Project - Ensuring Accessibility to Appropriate Health Care for All - updated April 30, 2010


Despite Health Canada’s stated overall goal—to maintain and improve the health of the entire population and to reduce inequities in health between population groups (Health Canada, 1998)—there is mounting evidence that Canadians who are socially or culturally marginalized  experience worse health outcomes than the general Canadian population.


In order to ensure “equal opportunity for good health for all” (Gardner, 2008), the Central East LHIN initiated the Culture, Diversity, and Equity Project (CDE Project), aimed at reducing these health differences within its geographic boundaries by proposing:

  • Policies for health service organizations
  • A monitoring system through compliance and accountability agreements
  • An educational framework for health service providers

Project Actions

  • Conduct an extensive literature review with a regional, national and international scope 
  • Conduct 23 focus groups with diverse community members and health care professionals in Scarborough, Durham, and the North East clusters
  • Conduct 3 community forums to share our findings and discuss our proposed recommendations
  • Conduct an online community consultation (survey) for community members and health service providers to review the draft recommendations

Project Outcomes

  • User guides for health service providers and newcomers in the Central East LHIN to facilitate access to culturally and linguistically competent services and services for uninsured clients
  • Recommendations to the Central East LHIN board regarding culture, diversity, and equity for policies, monitoring, and education
  • A policy implementation framework for health service organizations

Project Report - new 

The project has now been completed and the Project Committee delivered their Final Report to the Board of the Central East LHIN in March 2010.  To access a copy of the Report, please click on the links below: 

Culture Diversity and Equity Project - Final Report 

Project Committee

The project was hosted by the Yee Hong Centre for Geriatric Care.

Name Central East LHIN Affiliation Organization
Eric Hong, Co-Chair Seamless Care for Seniors Network, Scarborough Agincourt Rouge Collaborative Yee Hong Centre for Geriatric Care
Joan Lesmond, Co-Chair Health Service Provider Saint Elizabeth Healthcare
Brigid Phelan  Seamless Care for Seniors Network Durham Mental Health Services
Christine Kent Durham West Collaborative  
Jay Wilson Chronic Disease Prevention and Management Network The Scarborough Hospital
Joyce Irvine French Language Health Services CollaborativeChair  French Language Health Services Ministry of Health and Long-Term Care
Liben Gebremikael  Health Service Provider TAIBU Community Health Centre
Manon Lemonde  French Language Health Services Collaborative  University of Ontario Institute of Technology
Raymond Chung Scarborough Agincourt Rouge Collaborative  Hong Fook Mental Health Association
Sandra Flemmings Scarborough Cliffs Centre Collaborative  Central East CCAC
Felix Munger Project Manager  
Zarsanga Popal Project Support  
Erik Rutherford Project Support  
Gobi Jeyaratnan Project Support  
Jai Mills Sector Co-Lead, Mental Health and Addictions

Central East LHIN


  • Health Canada. (1998).Taking action on population health. Ottawa, Canada: Published by authority of the Minister of Health.
  • Gardner, B. (2008a). Toronto Central LHIN Health Equity Discussion Paper. uploadedFiles/Home_Page/Report_and_Publications/Health%20Equity%20Discussion%20Paper%20v1.0.pdf.