{"id":2578,"date":"2013-05-14T15:31:15","date_gmt":"2013-05-14T19:31:15","guid":{"rendered":"http:\/\/www.cachc.ca\/?p=2578"},"modified":"2022-10-14T13:24:05","modified_gmt":"2022-10-14T17:24:05","slug":"community-health-centres-my-aha-moment","status":"publish","type":"post","link":"https:\/\/www.cachc.ca\/fr\/community-health-centres-my-aha-moment\/","title":{"rendered":"Community Health Centres &#8211; My \u00ab\u00a0Aha Moment\u00a0\u00bb"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row padding_top=\u00a0\u00bb0&Prime;][vc_column][vc_custom_heading text=\u00a0\u00bbCommunity Health Centres &#8211; My \u00ab\u00a0Aha\u00ab\u00a0 Moment\u00a0\u00bb font_container=\u00a0\u00bbtag:h3|text_align:left\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-80530 size-medium\" src=\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg\" alt=\"\" width=\"300\" height=\"150\" srcset=\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg 300w, https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-768x384.jpg 768w, https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade.jpg 1024w, https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-100x50.jpg 100w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>I first began to work formally with Community Health Centres (CHCs) in 2004,\u00a0 when I accepted a role with the <a href=\"http:\/\/www.aohc.org\" target=\"_blank\" rel=\"noopener\">Association of Ontario Health Centres (AOHC)<\/a>, Canada\u2019s largest provincial CHCs association. However, my encounters with CHCs date back even further, as I would come to learn.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">In 2004, I had returned to Canada from work in global health with the <a href=\"https:\/\/www.who.int\/\" target=\"_blank\" rel=\"noopener\">World Health Organization (WHO)<\/a>, <a href=\"https:\/\/www.paho.org\" target=\"_blank\" rel=\"noopener\">Pan American Health Organization (PAHO)<\/a> and the <a href=\"https:\/\/www.iapac.org\/\" target=\"_blank\" rel=\"noopener\">International Association of Providers of AIDS Care (IAPAC)<\/a>. Having worked internationally for several years, the opportunity to contribute to health and development at home, in Canada, was an exciting new chapter, but in accepting a role with AOHC, I admit that I wasn&rsquo;t completely clear about what these <i>Community Health Centres<\/i> were and how they function.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">I suppose that, like the majority of Canadians who work in health care or social services but not directly in contact with CHCs, I had a vague sense that these so-called CHCs <\/span><span style=\"color: #000000;\">are community support hubs that help marginalized individuals and groups, <\/span><span style=\"color: #000000;\">provide primary care services, and <\/span><span style=\"color: #000000;\">there&rsquo;s something not quite \u201cmainstream\u201d about them. <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Thankfully, in my initial conversations with the Ontario CHCs association, the way that values were communicated and our extensive discussions about connections between healthcare and social justice made it clear to me that we were on the same page.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">What I very soon came to discover in working directly with Community Health Centres across Ontario is that they were actually putting into practice the sorts of solutions that, in my international work, we had always said are necessary to achieve global health and development goals. What&rsquo;s more, they were integrating multiple solutions into an integrated model and approach. <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">CHCs in Ontario were acting in a coherent and coordinated way to address many of the important, but fragmented and siloed goals being pursued by the World Health Organization, other United Nations agencies and global NGOs around the world. These goals and priorities included such things as:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"color: #000000;\">Advancing integrated primary care teams, where practitioners with different skill sets and scopes of practice work collaboratively to wrap services around patients;<\/span><\/li>\n<li><span style=\"color: #000000;\">\u201cTask-shifting\u201d in primary care, including the use of community health workers and peer educators as core contributors within the health system;<\/span><\/li>\n<li><span style=\"color: #000000;\">Addressing the lived, social realities of individuals, families and groups as core determinants of their health;<\/span><\/li>\n<li><span style=\"color: #000000;\">Increasing inter-sectoral action and coordination to make meaningful inroads in addressing social inequities; and,<\/span><\/li>\n<li><span style=\"color: #000000;\">Improving civic and community participation in building healthy and inclusive communities, including helping to guide local service planning based on local priorities.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">During my time in the international arena, goals such as these were hot topics. They were the focus of numerous WHO World Health Reports, the UN\u2019s Millennium Development Goals, and various priorities at UNAIDS. They seemed ever-present. However, these goals were most often articulated and acted upon in isolation. Where they were brought into a whole, it was generally as a theoretical vision or framework. There was little focus on coordinated and integrated action <i>mechanisms <\/i>for achieving all of these goals on the ground.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">In returning to Canada and beginning to work with CHCs, what was still missing from my conceptual frameworks and vocabulary was a way to discuss and describe what it looks like when these complementary pieces of the puzzle are actually brought together on the ground. It took my encounter with CHCs in Canada for an \u201caha moment\u201d to occur.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Working with CHCs here in Canada, it began to dawn on me that CHCs were actually integrating and coordinating action around most of those global priority areas described above. It took seeing this in action, and coming to know it by a specific name \u2013 the \u00ab\u00a0Community Health Centre\u00a0\u00bb \u2013 for this to sink in. <\/span><span style=\"color: #000000;\">Giving name to this approach and understanding it more fully also caused me to reflect and re-consider some of my previous global health experiences.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">It became clearer and clearer to me that I was not actually coming into contact with something <i>new <\/i>via CHCs in Canada. I just had a proper name, conceptual framework, and vocabulary for this model and approach, the \u00ab\u00a0Community Health Centre\u00a0\u00bb. <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Many of my experiences in the international arena now started to come back to me in new light.\u00a0 I realized that there was an actual name and way to describe some of the multi-faceted local health and social initiatives I had witnessed around the world. Unbeknownst to me then, I had been witnessing \u201cCommunity Health Centres\u201d in action. They had simply not been called a \u201cCommunity Health Centre\u201d nor was this used as a frame of reference. But that&rsquo;s what they were.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">I could now see that the inspirational work of<\/span> <a href=\"http:\/\/www.reachoutmbuya.org\/\" target=\"_blank\" rel=\"noopener\">Project Reach Out Mbuya<\/a><span style=\"color: #000000;\">, in Kampala, Uganda, with its integrated focus on primary care (priority on HIV prevention and care), micro-finance and poverty-reduction, community gardens and food security, and advocacy with local government, was a \u201cCommunity Health Centre\u201d. Reach Out Mbuya had never been described as a CHC during my visits with them, but that&rsquo;s what it was.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">I could also see that the cervical cancer screening and treatment work that I had done in Peru, via the<\/span> <a href=\"http:\/\/new.paho.org\/hq\/index.php?option=com_content&amp;view=article&amp;id=5040%3Acervical-cancer-prevention-in-peru%3A-lessons-learned-from-the-tati-demonstration-project&amp;catid=3458%3Ahsd0201c-publications-cervical-cancer&amp;lang=en\" target=\"_blank\" rel=\"noopener\">PAHO-coordinated Project TATI<\/a><span style=\"color: #000000;\"> was grounded in a Community Health Centre approach. This project had documented the impact of community participation in directing health services and peer-led health promotion in improving uptake of cervical cancer screening and treatment. It recommended these be embedded in primary health care service organizations.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">It really is amazing how giving <i>name<\/i> to something and identifying a model\/framework can bring things together. Giving a name to this successful model of community-based primary health care was a pivotal development for me, and something that enabled me to find coherence between my previous global work and my work with Ontario\u2019s CHCs. It has provided me a clarity of vision and purpose, and has helped me to better connect local, national and global action on health and human development.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Fast forward to 2013. I feel very fortunate that in my current role with the Canadian Association of Community Health Centres (CACHC) not only are we focused on increasing access to CHCs for Canadians, but also working collaboratively with global partners to share innovative practices among CHCs in different parts of the world.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Both in Canada and globally, the fact that Community Health Centres remain a well-kept secret in health care is something that confounds those of us who have experienced CHCs. <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">In the U.S., our colleagues are fond of saying: \u00ab\u00a0there are two types of folks, those who love CHCs and those who don&rsquo;t yet know CHCs\u00a0\u00bb. In Canada, we often call CHCs \u00ab\u00a0Medicare&rsquo;s best kept secret.\u00a0\u00bb We are working hard to let the secret out, fueled by evidence and lived experiences all pointing to the fact that the Community Health Centre model holds immense potential to make inroads on many of our most pressing health and social challenges across Canada.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">The idea of Community Health Centres is far from new and it is not isolated to one country or region. The first CHC in Canada &#8212; Mount Carmel Clinic, in Winnipeg &#8212; was actually established in 1926. In the U.S., a national network of CHCs was born out of two CHCs that were established in the 1960s as part of the war on poverty, inspired by CHCs in South Africa. <\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">Community Health Centres can be also found in China, India, throughout Europe,\u00a0 Brazil and elsewhere. Historically, CHCs have been rooted in the concepts of <i>social medicine <\/i>and<i> community-oriented primary care<\/i>. There is some lineage to be traced between CHCs in one region and another, including the import of the CHC concept to the United States from South Africa, and to Belgium from Qu\u00e9bec. However, the CHC vision and model have most often sprouted in one region isolated from CHCs sprouting up elsewhere at approximately the same time. This is surely one sign of a great and virtuous idea. <\/span><span style=\"color: #000000;\">It seems to me that this can be attributed to the basic fact that healthcare and community stakeholders in different jurisdictions are working earnestly to do what they can with what limited resources they\u2019ve got, and ultimately arrive at a similar conclusion: that an integrated and inter-sectoral model of healthcare and social supports, addressing people&rsquo;s diverse health and social needs in an integrated way, is the best and most sustainable way to improve health outcomes and build better societies.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #000000;\">The global movement of Community Health Centres is something that CACHC and our international partners are excited to be bringing to the world stage in 2013. We are currently preparing for launch of the new International Federation of Community Health Centres (IFCHC) and look forward to sharing important updates over the coming months. Stay tuned and please start connecting via the <a href=\"http:\/\/www.ifchc.org\" target=\"_blank\" rel=\"noopener\">IFCHC website<\/a> and\u00a0Twitter accounts (English<\/span>: <a href=\"http:\/\/www.twitter.com\/IFCHC\" target=\"_blank\" rel=\"noopener\">@IFCHC<\/a> <span style=\"color: #000000;\">and French\/Spanish:<\/span> <a href=\"http:\/\/www.twitter.com\/FICSC\" target=\"_blank\" rel=\"noopener\">@FICSC<\/a>).<\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;-<\/p>\n<p style=\"text-align: justify;\"><em><a href=\"https:\/\/www.cachc.ca\/chcommunity\/participants\/swolfe\/\" target=\"_blank\" rel=\"noopener\">Scott A. Wolfe<\/a> <span style=\"color: #000000;\">is Executive Director of the Canadian Association of Community Health Centres and Global Coordinator of the International Federation of Community Health Centres<\/span><\/em><\/p>\n<p>&nbsp;[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row padding_top=\u00a0\u00bb0&Prime;][vc_column][vc_custom_heading text=\u00a0\u00bbCommunity Health Centres &#8211; My \u00ab\u00a0Aha\u00ab\u00a0 Moment\u00a0\u00bb font_container=\u00a0\u00bbtag:h3|text_align:left\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text] I first began to work formally with Community Health Centres (CHCs) in 2004,\u00a0 when I accepted a role with the Association of Ontario Health Centres (AOHC), Canada\u2019s largest provincial CHCs association. However, my encounters with CHCs date back even further, as I would come to learn. In 2004, I [&hellip;]<\/p>\n","protected":false},"author":108,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[132,42],"tags":[],"class_list":["post-2578","post","type-post","status-publish","format-standard","hentry","category-perspectives","category-medicare-50"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Community Health Centres - My &quot;Aha Moment&quot; - ACCSC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Community Health Centres - My &quot;Aha Moment&quot; - ACCSC\" \/>\n<meta property=\"og:description\" content=\"[vc_row padding_top=\u00a0\u00bb0&Prime;][vc_column][vc_custom_heading text=\u00a0\u00bbCommunity Health Centres &#8211; My \u00ab\u00a0Aha\u00ab\u00a0 Moment\u00a0\u00bb font_container=\u00a0\u00bbtag:h3|text_align:left\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text] I first began to work formally with Community Health Centres (CHCs) in 2004,\u00a0 when I accepted a role with the Association of Ontario Health Centres (AOHC), Canada\u2019s largest provincial CHCs association. However, my encounters with CHCs date back even further, as I would come to learn. In 2004, I [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/\" \/>\n<meta property=\"og:site_name\" content=\"ACCSC\" \/>\n<meta property=\"article:published_time\" content=\"2013-05-14T19:31:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-14T17:24:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg\" \/>\n<meta name=\"author\" content=\"Scott Wolfe\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ScottAWolfe\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Scott Wolfe\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/\"},\"author\":{\"name\":\"Scott Wolfe\",\"@id\":\"https:\/\/www.cachc.ca\/#\/schema\/person\/d599e219fc0147ee7f612f745f78d1b7\"},\"headline\":\"Community Health Centres &#8211; My \u00ab\u00a0Aha Moment\u00a0\u00bb\",\"datePublished\":\"2013-05-14T19:31:15+00:00\",\"dateModified\":\"2022-10-14T17:24:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/\"},\"wordCount\":1536,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg\",\"articleSection\":[\"CHC Perspectives\",\"Medicare at 50: Our Healthy Future and the Role of CHCs\"],\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/\",\"url\":\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/\",\"name\":\"Community Health Centres - My \\\"Aha Moment\\\" - ACCSC\",\"isPartOf\":{\"@id\":\"https:\/\/www.cachc.ca\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg\",\"datePublished\":\"2013-05-14T19:31:15+00:00\",\"dateModified\":\"2022-10-14T17:24:05+00:00\",\"author\":{\"@id\":\"https:\/\/www.cachc.ca\/#\/schema\/person\/d599e219fc0147ee7f612f745f78d1b7\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#primaryimage\",\"url\":\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg\",\"contentUrl\":\"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg\"},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.cachc.ca\/#website\",\"url\":\"https:\/\/www.cachc.ca\/\",\"name\":\"ACCSC\",\"description\":\"Les centres de sant\u00e9 communautaire au Canada\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.cachc.ca\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.cachc.ca\/#\/schema\/person\/d599e219fc0147ee7f612f745f78d1b7\",\"name\":\"Scott Wolfe\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/www.cachc.ca\/wp-content\/uploads\/avatars\/108\/618d5a8854199-bpfull.jpg\",\"url\":\"https:\/\/www.cachc.ca\/wp-content\/uploads\/avatars\/108\/618d5a8854199-bpfull.jpg\",\"contentUrl\":\"https:\/\/www.cachc.ca\/wp-content\/uploads\/avatars\/108\/618d5a8854199-bpfull.jpg\",\"caption\":\"Scott Wolfe\"},\"description\":\"As Executive Director for the Canadian Association of Community Health Centres (CACHC), Scott is responsible for the association\u2019s overall operational management. He is also Acting Coordinator for the International Federation of Community Health Centres. Prior to joining CACHC in 2010, Scott was Senior Policy Advisor (2004-2008) for the Association of Ontario Health Centres during which time Ontario\u2019s network of Community Health Centres doubled in number and reach throughout the province. He has also served as Director of Global Health Policy for the International Association of Providers in AIDS Care (Chicago, Johannesburg) and Communications Advisor at the Pan American Health Organization \/ World Health Organization (Washington, DC).\",\"sameAs\":[\"http:\/\/www.cachc.ca\",\"https:\/\/ca.linkedin.com\/in\/scottalexanderwolfe\",\"https:\/\/x.com\/ScottAWolfe\"],\"url\":\"https:\/\/www.cachc.ca\/fr\/chcommunity\/participants\/swolfe\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Community Health Centres - My \"Aha Moment\" - ACCSC","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/","og_locale":"fr_FR","og_type":"article","og_title":"Community Health Centres - My \"Aha Moment\" - ACCSC","og_description":"[vc_row padding_top=\u00a0\u00bb0&Prime;][vc_column][vc_custom_heading text=\u00a0\u00bbCommunity Health Centres &#8211; My \u00ab\u00a0Aha\u00ab\u00a0 Moment\u00a0\u00bb font_container=\u00a0\u00bbtag:h3|text_align:left\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text] I first began to work formally with Community Health Centres (CHCs) in 2004,\u00a0 when I accepted a role with the Association of Ontario Health Centres (AOHC), Canada\u2019s largest provincial CHCs association. However, my encounters with CHCs date back even further, as I would come to learn. In 2004, I [&hellip;]","og_url":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/","og_site_name":"ACCSC","article_published_time":"2013-05-14T19:31:15+00:00","article_modified_time":"2022-10-14T17:24:05+00:00","og_image":[{"url":"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg","type":"","width":"","height":""}],"author":"Scott Wolfe","twitter_card":"summary_large_image","twitter_creator":"@ScottAWolfe","twitter_misc":{"\u00c9crit par":"Scott Wolfe","Dur\u00e9e de lecture estim\u00e9e":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#article","isPartOf":{"@id":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/"},"author":{"name":"Scott Wolfe","@id":"https:\/\/www.cachc.ca\/#\/schema\/person\/d599e219fc0147ee7f612f745f78d1b7"},"headline":"Community Health Centres &#8211; My \u00ab\u00a0Aha Moment\u00a0\u00bb","datePublished":"2013-05-14T19:31:15+00:00","dateModified":"2022-10-14T17:24:05+00:00","mainEntityOfPage":{"@id":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/"},"wordCount":1536,"commentCount":0,"image":{"@id":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#primaryimage"},"thumbnailUrl":"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg","articleSection":["CHC Perspectives","Medicare at 50: Our Healthy Future and the Role of CHCs"],"inLanguage":"fr-FR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/","url":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/","name":"Community Health Centres - My \"Aha Moment\" - ACCSC","isPartOf":{"@id":"https:\/\/www.cachc.ca\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#primaryimage"},"image":{"@id":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#primaryimage"},"thumbnailUrl":"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg","datePublished":"2013-05-14T19:31:15+00:00","dateModified":"2022-10-14T17:24:05+00:00","author":{"@id":"https:\/\/www.cachc.ca\/#\/schema\/person\/d599e219fc0147ee7f612f745f78d1b7"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.cachc.ca\/community-health-centres-my-aha-moment\/#primaryimage","url":"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg","contentUrl":"https:\/\/www.cachc.ca\/wp-content\/uploads\/2019\/09\/vulnerable-newcomers-fade-300x150.jpg"},{"@type":"WebSite","@id":"https:\/\/www.cachc.ca\/#website","url":"https:\/\/www.cachc.ca\/","name":"ACCSC","description":"Les centres de sant\u00e9 communautaire au Canada","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.cachc.ca\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Person","@id":"https:\/\/www.cachc.ca\/#\/schema\/person\/d599e219fc0147ee7f612f745f78d1b7","name":"Scott Wolfe","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.cachc.ca\/wp-content\/uploads\/avatars\/108\/618d5a8854199-bpfull.jpg","url":"https:\/\/www.cachc.ca\/wp-content\/uploads\/avatars\/108\/618d5a8854199-bpfull.jpg","contentUrl":"https:\/\/www.cachc.ca\/wp-content\/uploads\/avatars\/108\/618d5a8854199-bpfull.jpg","caption":"Scott Wolfe"},"description":"As Executive Director for the Canadian Association of Community Health Centres (CACHC), Scott is responsible for the association\u2019s overall operational management. He is also Acting Coordinator for the International Federation of Community Health Centres. Prior to joining CACHC in 2010, Scott was Senior Policy Advisor (2004-2008) for the Association of Ontario Health Centres during which time Ontario\u2019s network of Community Health Centres doubled in number and reach throughout the province. 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