Primary Health and Health

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Primary Health and Health Promotion Directorate
Suzy Pinchen
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Primary Health and Health Promotion Strategic
Directions and Key Messages

• The Australian Primary Health Research Institute
  Definition of Primary Health
• Socially appropriate, universally accessible,
  scientifically sound first
• level care provided by a suitably trained
  workforce supported by
• integrated referral systems and in a way that
  gives priority to those
• most in need, maximises community and individual
  self-reliance and
• participation and involves collaboration with
  other sectors.
• It includes the following
• health promotion
• illness prevention
• care of the sick
• advocacy
• community development

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Face Page Image Amanda Barnes a young
Aboriginal women in the ATSI Arts Health
Promotion Program. This image is to be
transferred to the Dianella Bus

• The image represents the Primary Health Approach
  which embeds its services in the strengths of the
  culture and social capital of the community to
  respond to the challenges which impact on the
  health status of that community

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• Primary Health and Health Promotion have explicit
  links to improving
• the Health Status of the Community as reflected
  in this definition of
• Social Health sourced from the Hume Municipal
  Public and Community
• Health Plan
• Definition of Social Health
• The Social Determinants of Health is a term that
  refers to the underlying
• causes of ill health in a community such as the
  need for economic
• opportunity, education, social connectedness and
  social standing,
• transportation, food security, and employment,
  and economic
• opportunity. Underpinning this conceptual
  framework is the World
• Health Organization definition of health Health
  is a complete state of
• physical, mental and social wellbeing, not merely
  the absence of
• disease or infirmity.

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• The Dianella Community Health Primary Health
• and Health Promotion Directorate
• Physical Wellbeing and Health Promotion Team
• Counselling Team
• Service Co-Ordination and Intake
• Community Asthma Program
• Child Youth and Family Health

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• Primary Health and Practice Based Evidence
  Approach
• Rationale There is a growing body of evidence
  demonstrating a
• relationship between the health status of people
  within societies and the
• socio-economic indicators that influence their
  lives. People in different
• social groups are exposed to different social and
  economic conditions
• from which they can have positive or adverse
  health outcomes.
• Source Dianella Service Plan 2007

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• Demand Drivers
• The Burden of Disease knowledge base enables us
  to represent the Demand Drivers for service and
  respond to the whole range of social health risk
  factors undermining the health of our community.
• The Key concepts are the measurement of Disease
  burden in Disability adjusted life years, the
  Mortality burden in terms of Years of life lost
  (YLL) and Morbidity burden in Years lived with
  disability (YLD). These measurements enable us at
  the community level to articulate what the
  community have known for years.

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• Demand Drivers Highlights from the MPCHP 2007
• The burden contributed by domestic violence in
  particular Intimate Partner violence is greater
  then the combined impact of many other risk
  factors such as obesity, high cholesterol, high
  pressure and illicit drug use. Source DHS Report
  2005 A report on health of Australians.
• There are 24.2 births for 1000 female aged 15-19
  in the period 2003 2004 compared with 19.00
  births per thousand for Victoria for the same
  period. Teenage mothers in general are more
  likely to live in areas of disadvantageexperience
  higher levels of psychological distress, sexual
  abuse, endure domestic violence and themselves be
  the product of teenage mothers.
• Source Family Planning Victoria

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• The Years lost through disability by congenital
  abnormalities, respiratory disease and mental
  illness are higher in Hume than the rest of the
  Northern Metropolitan region.
• Years of Life Lost for both neonatal conditions
  and congenital abnormalities are higher in Hume
  than the rest of Australia
• There is a higher rate of depression among males
  in Hume then the rest of Victoria. Depression
  accounts for 10 of all years lost through
  disability
• Asthma is the largest contributor to years lost
  through disability to men Hume
• Mental and emotional ill health, for example
  social phobias, anxiety and borderline
  personality disorders are all large contributors
  to years lost through disability.

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• Attention Deficit Disorder is the fourth largest
  contributor to mental and emotional ill health
  for males and 6th largest for females in the City
  of Hume with a presentation of 1102 cases noted
  within the Hume Health Snapshot.
• Years lost through suicide is higher in Hume
  (5.6) than in Victoria (4.0)
• For Males tobacco use is the largest contributor
  to health risk
• For Women lack of physical activity is the
  largest contributor to health risk closely
  followed by tobacco consumption.
• Life style issues such as inadequate consumption
  of fruit and vegetables present a greater risk
  than some of the more widely acknowledged risks
  such as high blood cholesterol or drug use.

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• An associated risk is food insecurity poor
  access to food needed for a health life with
  only 6.7men in the north west region eating
  enough vegetables with the consequent impact of
  high levels of obesity and related disease.
• The number of referrals to combined GP and
  Maternal and Child Health Nurses by mothers of
  young children is more than twice as likely to be
  due to emotional issues than physical issues
• Young People identified their 7 greatest risk
  factors as alcohol and substance abuse , eating
  related disorders, sexual health issues, crime
  and safety issues, in particular as victims of
  violence and crime, lack of recreational
  facilities and access (knowledge about) services

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• Supply Response
• Our Challenge
• Our challenge as service providers is to build in
• protective factors as well as to respond to these
• presentations Dianella Service Plan 2007.
• What will continue to happen if we fail?
• The gap between the wealthy and poor in terms of
  average household income in Australia is
  widening Hugh McKay, Sociologist and
  Psychologist

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• Social class of parents and early rank position
  in tests

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Primary Health and Health Promotion Strategic
Directions and Key Messages

• The Australian Early Development Index (AEDI)
• The AEDI was completed in Hume City in 2005. This
  index
• enables us understand how a child is developing
  at the time
• of entry into primary school. After 4 years of
  Dianella
• participating in the Best Start and Communities
  for Children initiatives we know that what
  happens when a child is very young will impact on
  his/her life chances for the rest of his/her
  life. Within Hume 2508 children and 45 schools
  were involved in the Study.

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Primary Health and Health Promotion Strategic
Directions and Key Messages
Summary of AEDI Findings for Broadmeadows
compared with Brighton
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Primary Health and Health Promotion Strategic
Directions and Key Messages

• We begin with the combined capacity
• of our communitys strength and our
• service profile and growth capacity
• Primary Health and Health Promotion Current
  Capacity and Growth

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Primary Health and Health Promotion Strategic
Directions and Key Messages
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Primary Health and Health Promotion Strategic
Directions and Key Messages
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Primary Health and Health Promotion Strategic
Directions and Key Messages
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Primary Health and Health Promotion Strategic
Directions and Key Messages - Challenges
We prioritize challenges prioritised against the
MPCHP and based on assessment of risks and
opportunities - THE ART OF THE POSSIBLE
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Primary Health and Health Promotion Strategic
Directions and Key Messages
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Primary Health and Health Promotion Strategic
Directions and Key Messages - Response
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Primary Health and Health Promotion Strategic
Directions and Key Messages