Access Alliance Multicultural Health and Community Services improves health outcomes for the most vulnerable immigrants, refugees, and their communities.

Download the PDF summary of the annual report here »

Message from the Chair of the Board of Directors and the Executive Director

This past year has been very focused on strategic planning and wrapping up our 2011-14 plan; our priorities of Access, Clients at the Centre of Integration, Research for Change, and Efficient and Effective Programs have provided a solid framework over the last several years, building on our previous Access Model strategy.

We can proudly say that we have fully implemented our vision of locating services in those communities where they are most needed, diversifying programming, extending our work with priority populations and building organizational and sectoral capacity.

Our key stakeholders would describe Access Alliance as an ambitious organization, focused on community responsiveness and maximizing resources to ensure the greatest impact for vulnerable and disadvantaged populations.

We have lived up to our reputation this last year. Some of the year’s highlights include:

  • Our 25th Anniversary Gala which was a well-attended and fun celebration of our history and accomplishments.
  • Successful participation in accreditation, a process that validates our work, and supports implementation of best practices and adherence to high standards in community health.
  • Strengthening of partnerships through our participation in Health Links across the city, reflecting our commitment to collaboratively working to improve our health care system. In particular our participation in the SPIN initiative, linking solo physician and community health centres, has been very positive; preliminary evidence suggests this is an excellent strategy for linking vulnerable clients with necessary services.
  • The launch of a Call to Action to stop the rise of precarious jobs which harm workers’ health. This was the result of the Board of Directors endorsing the Raise the Minimum Wage Campaign. Access Alliance adopted an agency-level Good Jobs Strategy and encourages other employers to do the same.

While the year was exciting in many ways, it will also be remembered with sadness, as it marks the tragic death of our friend and colleague Nahom Berhane, who was killed September 27, 2014. An outstanding community activist and charismatic artist, his loss has saddened not only his family and friends, but the entire Access Alliance community. However, even in death Nahom has inspired us as we have come together to commemorate his life, his values and his contribution to community development and engagement.

As we continue moving forward together, we are proud to work with community members, staff, volunteers, students, partners, funders, donors and other stakeholders to fulfill our vision, Health With Dignity. The Board of Directors has worked on a new Strategic Plan which will be guiding our efforts for 2015-2018.

Rajesh Girdhari – Chair

Axelle Janzcur – Executive Director


We envision a future in which Toronto’s diverse communities can achieve health with dignity.


To improve health outcomes for the most vulnerable immigrants, refugees, and their communities by facilitating access to services and addressing systemic inequities.


We believe that:

  1. All people should have access to the resources and supports they need.
  2. Anti-oppression principles strengthen our work.
  3. The strength and resilience of immigrants and refugees enriches our City.
  4. Innovation thrives in a diverse environment.
  5. Diverse sources of knowledge inform our practice.
  6. Collaboration broadens our impact.
  7. We are accountable for the provision of high quality services and programs.

Programs and Services

Access Alliance provides services and delivers programming to various locations across the City of Toronto. This access point model is an innovative approach that brings services into the areas where people are, for better and easier access to strengthen communities from within. Taking a client centered approach to service delivery means that we are continually evaluating the effectiveness with which we are breaking down the barriers to service, and looking for new partners and strategies to build capacity in our communities. Working together to broaden our reach and build leaders from within communities has proven to have the most effective impact on the individuals we serve.

Primary Healthcare Services

identifier-dark-pinkHealth Clinic
identifier-pinkNewcomers Cooking Together;
identifier-orangeDiabetes Education Program

Our interdisciplinary team includes diabetes educators, community health nurses and nurse practitioners, physicians, administrative support staff, interpreters, psychiatrists, registered dietitians, registered practical nurses and counsellor therapists

Child and Family Program

identifier-women-childrenWomen & Children’s Programs
identifier-early-yearsEarly Years Outreach
identifier-expressive-artsExpressive Arts Program

A team of Health Promoters and Peer Outreach Workers provide community programs to women, men, children, and seniors. The Peer Outreach Model reaches families with children aged 0 to 12 years to create links with other newcomer women and children who speak the same language.

Youth Program

identifier-youth-programPrograms and services for youth aged 13 to 24 years range from primary health care to one0on-one counselling, peer mentorship, social and life skills workshops, educational sessions, arts, field trips, cultural and recreational projects.

Settlement Services

identifier-settlement-servicesThrough one-on-one settlement support and group workshops, Settlement Workers provide orientations to the Canadian systems, information about rights and entitlements, assistance completing forms and applications, referrals to programs and services, support and advocacy to deal with the effects of migration.

Language Services


This program is a social enterprise and works to help individuals and companies manage the language barriers they face in the delivery and receipt of services. It is an independent fee-for-service program offering high-quality interpretation and translation services. The RIO Network is a product of Language Services providing immediate over the phone and video interpretation.

Green Access Program

identifier-green-accessPrimarily located at the 6,500 square foot Green Roof at AccessPoint on Danforth, this program strengthens the health outcomes of our programs and services. The broader goal is community engagement, increasing access to healthy foods, community gardens in which to grow them, and environmental education that’s relevant to an inner city context.

Community-Based Research Program

identifier-community-based-researchResearch on the types of health issues faced by newcomers (e.g., diabetes, mental health issues) and about the social and economic factors that cause these health issues (e.g., poverty, access barriers, language barriers) conducted by, for and with communities with the goal of bringing positive social change.

LGBTQ + Services

identifier-lgbtqWorkshops and one-on-one support in an LGBTQ+ knowledgeable environment that recognizes that LGBTQ+ newcomers face particular challenges when settling in a new country. Working from an anti-oppressive framework is key to the services provided, creating safe, welcoming spaces to foster healthy communities.

Service Locations

Our Four Year Strategic Plan

We’ve come along way together and can proudly say that we’ve accomplished much of what we set out to do in our 2011 – 2014 strategic plan. With the lessons learned still top of mind, we’ve started the process of identifying new strategic priorities and with the support of our board of directors, developing a new strategic plan.

Let’s take a look back to see how far we’ve come and what we’ve been able to accomplish over the last 3 years.


  • Very strong referral relationships established with employment agencies, partnered with TESS and Culture Link (APOD) to run employment related activities.
  • Employment as a focus integrated into all youth programming.
  • New access initiatives launched: NIWIC, George Webster Paediatric clinic, SHY clinic.
  • LGBTQ services (re)launched.
  • Strengthened program and outreach materials (programs and services booklet).
  • Strengthened evaluation processes; programs evaluated annually; audit of evaluation results and implementation of recommendations in process of being finalized.

Clients at The Centre of Integration

  • Internal health promotion table convened – interdisciplinary focus on determinants of health.
  • Research on health impacts on precarious employment disseminated, grounding much of our external advocacy work.
  • Internal client pathways developed.
  • Partnership agreement developed with Syme Woolner Family Resource Centre (APOJ).
  • Meeting of the Hub Partners Leadership Table.

Research for Change

  • Three projects focused on internal capacity building – PEPSO (Immigrant Women and Job Skills Mismatch); Students as Researchers; Sense2Dollars
  • Access Alliance research reports routinely part of student required reading in MSW, MPH, MA in Immigration Studies and related academic programs (University of Toronto, York University, Ryerson)
  • Minimum Wage Campaign, Access Alliance commitment to $14/hour living wage
  • Racialization and Health Inequities in Toronto report (part of steering group – partner Toronto Public Health)

Effective and Efficient Programs/Services

Client experience surveys strengthened – Improvement in general satisfaction, responsiveness to client needs and accessibility

Team logic models for all key programming areas.

Full Electronic Medical Records; transition to new software completed.

Organizational targets developed for all program areas.

Attendance policy developed, benchmarks established, improvement in key areas.

Financial Highlights

Total 2014 Expenditures


  • 0.4% Amortization
  • 21.91% Operating Expenses
  • 23.86% Service Delivery
  • 53.83% Personnel Expenses

Total 2015 Expenditures

  • 0.06% Amortization
  • 20.27% Operating Expenses
  • 25.03% Service Delivery
  • 54.33% Personnel Expenses

Total 2014 Revenue


  • 1.00% Foundations
  • 1.51% Municipal Grants
  • 4.13% United Way Toronto
  • 7.01% Other
  • 10.20% Federal Grants
  • 18.97% Fees for Interpretation
  • 57.18% Provincial Grants

Total 2015 Revenue

  • 0.01% Foundations
  • 1.52% Municipal Grants
  • 3.14% United Way Toronto
  • 7.91% Other
  • 10.51% Federal Grants
  • 20.77% Fees for Interpretation
  • 56.13% Provincial Grants


  • 0.01% Foundations: Green Shield Canada
  • 1.52% Municipal: City of Toronto
  • 3.14% United Way Toronto
  • 3.41% Other
  • 4.50% Other Organizations
  • 10.51% Federal: HRSD Canada; Citizen & Immigration Canada
  • 20.77% Fees for Interpretation
  • 56.13% Provincial: Local Health Integration Network; Ministry of Citizenship & Immigration

Our Impact

Number of Clients by Site

  • 46.7% (4,688): Access Point on Danforth (APOD). Includes clients at Greenwood (79) and Paul Steinhauer Clients (445)
  • 29.5% (2,966): Access Point on Jane (APOJ). Includes Non-Insured Walk-In Clinic (NIWIC) (700).
  • 23.8% (2,386): College

New Clients

New Access Clients recorded for the 2014-2015 period.


Increase in number of new clients, compared to 2,017 in 2013.


Students and Volunteers


Hours contributed to the organization’s work from 305 students and volunteers.

Client Experience Survey

Accessible locations, effective language services, and anti-oppression practices were identified as related to high client satisfaction.


Clients who were both satisfied and agreed to refer their family and friends to the programs and services of Access Alliance.


Rating for the indicator Effectiveness of the programs and services, an increase from 83% in 2014.


Clients’ rating for practices, an increase from 94% in the previous year.


Client satisfaction rating with the Privacy and Confidentiality policy and practices of Access Alliance.


Overall client satisfaction rate with the programs and services of Access Alliance.

Staff, Partners, Funders

The volunteers and students that contributed their time over the past year are an essential part of the Access Alliance community. Volunteering provides invaluable experience, meaningful connections, and the opportunity to contribute to the community in a truly impactful way. Without the combined effort of our students and volunteers, Access Alliance would not be able to do all that we do.

Thank You!


Sabih-E-Zehra Abbas
Wisal Abugala
Adeyemi Adegbesan
Akm Alamgir
Antonia Aleluia
Halimo W. Ali
Honey Ali
Yetnayet Alito
Naghma Anwar Ali
Chibuikem (John) Anyachor
Sehr Athar
Jennifer Atkins
Sakshi Awasthy
Anabela Azevedo
Shankari Balendra
Violetta Barczay
Sarah Basma
Morris Beckford
Nahom Berhane
Srija Biswas (Student)
Mery Blanco
Nelson Cabral
Christine Chan
Alice Chan
Elaine V Cheng
Irene Cheung
Yousra Dabbouk
Sherine Dahy
Monika Dalmacio
My Nghi Dang
Jobelle de Leon
Helena De Oliveira
Winttana Debessai
Monica Diaz
Diane Dinong (Student)
Kathryn J. Droy
Grace Eagan
Duncan Eby
Natasha Eck
Rebecca Fortig
Anita Fortuno
Susanna Fung
Miechelle Gill
Thushari Gomez
Rory Goodman
Martha M Guzman
Mohammad Jamal Habibagahi
Bindiya Haria
Julie Anna Htoo
Saynay Htoo
Amy Huang
Jinan Ibrahim-Hashem
Syed Jalal
Axelle Janczur
Mellisha Johnson (Student)
Anantpreet Kaur
Kyoko Kennedy
Danielle Kenyon
Vera Kevic
Saleha Khan
Aarti Kibedi
Abeba Kifle
Ranjith P. Kulatilake
Clifford Ledwos
Jasmine Li
Michael A Lukenda
Helen Luu
Arezo Matiullah
Amanda Mcintyre
Justin Mensah
Lidia Monaco
Maritza Monsalve
Erin Montague
Krystyna Moore
Elaine Morris
Carla Moses
Lara Mrosovsky
Wahazit Mussie
Sideeka Narayan
Tenzin Ngodup
Nicole Nitti
Serena Nudel
Ahmad Shah Omary
Ana Maria Oyarzun
Christine Perestrelo
Pablo Pizarro Janczur (Student)
Elena Mae Poblacion
Joanna Potkanska
Ziadh Rabbani
Mahbub -Ur Rahman
Ajay Ram
Fouzia Rana
Carmela Reina (Student)
Krista-Danielle Richards
Jessica Rostan (Student)
Wazhma Sahle-Mohammad
Saeid Salimi Khoozani
Philippa Shaddick
Yogendra Shakya
Parveen Shojai
Marina Stojanovic
Thuy Tran
Christopher Trotman
Gisela Vanzaghi
Kristina Vermeulen Awad
Diana Wahidi
Ruth Wilson
Joanna Wu
Maham Yazdani (Student)
Jasmine Yu
Leonardo Zuniga


Across Boundaries

Agincourt Community Services Association

Anishnawbe Health

Arts for Children and Youth

Association of Ontario Health Centres (AOHC)

Bangladeshi-Canadian Community Services

Barbra Schlifer Commemorative Clinic

Better Beginnings NOW CAP-C

Black Creek CHC

Boss Magazine

Cahoots Theatre Projects

Canadian Association of Family Resource Programs


Central Toronto Community Health Centre

Centre for Research on Inner City Health (St.Michael’s Hospital/St.Joe’s TB Clinic

Centre Francophone de Toronto

“Centre of Excellence for Research on Immigration and Settlement – CERIS”

Children’s Peace Theatre

Community Empowering Enterprises

Community Social Planning Council of Toronto

COSTI Immigrant Services


Davenport Perth Neighbourhood and Community Health Centre

Doorsteps Neighbourhood Services

Driven Accelerator Group

East Scarborough Storefront

East York East Toronto Family Resources-

Flemingdon Neighbourhood Services

Focus on Youth Program

For Youth Initiative

Four Villages Community Health Center

George Harvey Collegiate Institute

Girl Guides of Canada

Greenwood Secondary School

Harmony Hall Centre for Seniors

Harmony Movement

Humber College

Kensington Midwives


Learning Enrichment Foundation


Mentoring Juniors Kids Organization (MJKO)

Mid-West Toronto Health Link

Muskoka Woods Leadership Studio

Neighborhood Youth Alliance

Neighbourhood Link

NIA Centre for the Arts

Oakridge Community Recreational Centre


Parkdale CHC

Planned Parenthood Toronto

Publich Health Agency of Canada

Queens University – Faculty of Health Sciences (Nursing)

Regent Park Community Health Centre

Rexdale Community Health Centre

Rexdale Women’s Centre

Riverdale Immigrant Women Centre

Runnymede Collegiate

Ryerson University – Department of Nursing

Ryerson University – School of Social Work

Ryerson University, Continuing Education

Scarborough CARES

Scarborough Centre for Healthy Communities


Skills for Change

St. Christopher House

St. Joseph’s Health Centre

St. Stephen’s Community House

Stonegate Community Health Centre

Street Health Community Nursing Foundation

Syme Woolner Neighbourhood and Family Centre

Taylor Massey Youth Sexual Health Coalition

The 519 Church Street Community Centre

The Anne Johnston Health Station

The Neighbourhood Centre

The STOP Community Food Centre

Thorncliffe Neighbourhood Office

Toronto Central CCAC

Toronto Community Housing Corporation

Toronto District School Board

Toronto Employment and Social Services

Toronto Police Services 12 Division

Toronto Public Health

Unison Health and Community Services

University of Toronto, Department of Medicine. St. Joseph’s Hospital

University of Toronto, Faculty of Social Work

University of Toronto Faculty of Nursing

University of Toronto, School of Social Work

University of Toronto Centre for the Environment

University of Toronto Dalla Lana School of Public Health

University of Toronto Department of Medicine St. Joseph’s Hospital

Warden Wood Community Centre

West End Midwives

West Hill Community Health Care

West Scarborough Neighbourhood Community Centre

West Side Arts Hub

Women’s Health in Women’s Hands

Working Women Community Centre

York University – Faculty of Nursing

York University – Field Education-School of Social Work

York Youth Coalition



Citizenship & Immigration Canada
City of Toronto
Green Shield Canada Foundation
HRSD – Human Resources Development Canada
Local Health Integration Network (Ministry of Health)
Ministry of Citizenship & Immigration
Ontario Art Council
Ontario Trillium Foundation
Prosper Canada (SEDI – TD FLR)
TD Friends of the Environment Foundation
United Way Toronto


A Chuang
A S Rayter
A Spaxman
A Wong
B J Reid – Independent Quilters
D Richards
E Yoon
H Wu
J Scales
J Symons
K Olsen
LD Evans
M Christie
M Rincon
N Brooks
N Fullerton
R Gomez
R Kulatilake
Sung Hak Choi
W Kennedy

340 College St., Ste. 500
Toronto, ON M5T 3A9
Tel: 416.324.8677

3079 Danforth Ave.
Toronto, ON M1L 1A8
Tel: 416.693.8677

761 Jane St., 2nd Floor
Toronto, ON M6N 4B4
Tel: 416.760.8677

340 College St., Ste. 500
Toronto, ON M5T 3A9
Tel: 416.324.2731

social-icons-facebook /AccessAlliance

social-icons-twitter /AccessAlliance

social-icons-youtube /

Get In Touch