INTEGRATED HEALTH PROMOTION STRATEGIC PLAN 2017-2021 INTRODUCTION Central Bayside Community Health Services (CBCHS) has a long history of health promotion and prevention work. By taking a population health approach in our planning we aim to improve the health and wellbeing of our community and to reduce health inequities among population groups Our Vision: We believe empowering people to increase control over their health will improve their health outcomes. In seeking to address the broad range of issues impacting on health, this agency has a commitment to working in partnership with its community and service providers. The action areas of the Ottawa Charter (1986) guide our thinking and planning in working to achieve our vision; Building healthy public policy Creating supportive environments for health Strengthening community action Developing personal skills Reorienting health services. Along with the Ottawa charter the following principles underpin the planning and delivery of integrated health promotion plan: Focus on the broad determinants of health Interventions are evidenced based Consumers, carers and community members involved in all levels Empowering individuals, families and communities Consider equity, social justice, gender and culture Develop collaborative partnerships Consider health literacy needs 1
CBCHS recognises the importance of engaging our community in the development and delivery of solutions that address issues that affect their health and wellbeing. Likewise, we are committed to developing collaborative relationships with local organisations and stakeholders to deliver this plan. The 2017-2021 Integrated Health Promotion Strategic Plan is the overarching document that provides the direction CBCHS will take to address issues affecting the health and wellbeing of our community. STRATEGIC DIRECTIONS The Victorian public health and wellbeing plan 2015-2019 underpins the development of this strategic planning process and in particular we acknowledge the importance of 1 ; focusing on equity the determinants that contribute to inequalities improving health and wellbeing across the life course whole-of-community and whole-of-system response. Our process In developing the Integrated Health Promotion Strategic Plan local needs were identified through the analysis of local health and wellbeing data, community consultations, consultations with local service providers and review of our previous health promotion and prevention work. The City of Kingston Health and Wellbeing Profile and the subsequent Municipal Health Plan (draft) document was a valuable resource in identifying the priorities for the plan. As was the catchment planning process led by the Southern Melbourne Primary Care Process (SMPCP). The priorities identified for the strategic plan align with the City of Kingston Public Health and Wellbeing Plan 2017-2021 (draft), the SMPCP Strategic Plan 2017-2021 (draft) and the priority areas of Victorian Public Health and Wellbeing Plan 2015-2019. PRIORITY AREA Identified priorities for the 2017-2021 Integrated Health Promotion Strategic Plan are; 1. Healthier eating and active living Victorian public health and wellbeing 2015-2019 priority. City of Kingston Public Health and Wellbeing Plan Priority, SMPCP Strategic Plan priority 2. Improving sexual and reproductive health Victorian public health and wellbeing 2015-2019 priority. 3. Preventing violence and injury. Victorian public health and wellbeing 2015-2019 priority. City of Kingston Public Health and Wellbeing Plan Priority, SMPCP Strategic Plan priority. 2 1 Victorian public health and wellbeing plan 2015-2019
RATIONALE Healthy Eating Rates of obesity among Victorian children and adults are increasing. There is also a low percentage of adults and children meeting the Australian dietary guidelines 2. Kingston has a greater proportion (56.9%) of adults who are overweight or obese than the Southern Metropolitan region. Only two-thirds of Kingston population eat the recommended amount of vegetables three times a week. 12% of our population eat take-away meals or snacks at least three times a week 3 Active Living Low levels of physical activity and high levels of sedentary behaviour are increasing in Victorian children and adults becoming a major risk factor for ill health and contributing factor in increasing obesity rates Less than one-third of the Kingston population meets the recommended amount of physical activity each week. Kingston residents spend on average 4:37 hours sitting at work on a usual day 4 Sexual and Reproductive Health Sexually transmitted infections (STI s) continue to be a public health concern in Victoria. STI s, in particular Chlamydia are a major cause of infertility in women 5 Kingston has a higher number of Chlamydia notifications in both men and women than the state average. Notifications for Hepatitis B are higher in women in Kingston than the state average In 2016 less people felt confident in knowing how to protect themselves against sexually transmitted infections than they did in 2012. 3 2 Victorian public health and wellbeing plan 2015-2019 3 3 City of Kingston Health and Wellbeing Profile 4 City of Kingston Health and Wellbeing Profile 5 Women s Sexual and Reproductive Health Key Priorities 2017-2020
Preventing Violence and Injury Challenging and changing harmful attitudes towards women and children, promoting gender equality and encouraging respectful relationships was identified in the Royal Commission into Family Violence as a means to addressing family violence 6 Women in Kingston are three times more likely to experience family violence than men. While rates of family violence in Kingston were lower than the state average there was an increase in family violence incidents in 2015/16 compared to 2010/11. There was a significant deterioration in the percentage of Kingston residents who identified certain actions as family violence ADDRESSING PRIORITY ISSUES In addressing the priorities identified, our focus will take a placed-based approach. Working collaboratively with local organisations to ensure planned activities have the greatest impact. At a settings level, focussing on early years services, schools, workplaces, sporting clubs and more to deliver health and wellbeing improvements for our community 7. Our objectives within these settings over the next four years will be to; 1. Support early childhood services (ECS) and primary schools in the Kingston community to become health promoting settings. 2. Support the promotion of health and wellbeing opportunities in workplaces. 3. Support health and wellbeing opportunities through community settings. CBCHS supports the work of the SMPCP and as such has committed resources to address healthy eating, family violence and health literacy as reported in the SMPCP Strategic Plan 2017-2021. The specific PCP work will be reported through the PCP and is not included in CBCHS annual action plans 2017/2018. MONITORING AND EVALUATION Monitoring progress of the Integrated Health Promotion Strategic Plan will occur annually. An annual action plan developed for each priority will include local indicators of success including progress and performance measures. The annual action plan will be evaluated each year with a final report provided in 2021 stating key results against the indicators of success as outlined below. 4 6 Implementing the Victorian Health and Wellbeing Plan 2015-2019 7 Delivering place-based primary prevention in Victorian Communities.
Long-term goal Outcome Measures Increase healthy eating and active living Increase sexual and reproductive health Reduce the prevalence and impact of family violence Mean daily serves of fruit and vegetables in adults and children Proportion of community who consume sugar sweetened beverages daily. Proportion of adults who eat take-away meals or snacks three or more times per week. Proportion of population who participate in physical activity 4 or more days per week. Incidence of sexually transmissible infections Incidence of Chlamydia notifications Family incidents recorded by police region and local government area Rating of agreement with actions which are considered to be family violence Proportion of population who have a low gender equality score. BUDGET CBCHS will ensure all health promotion funding received from the Department of Health and Human Service as per the Funding and Service agreement is committed to the integrated health promotion strategic plan. An annual budget will be included with the Annual Action Plan with a budget acquittal be provided as part of the annual reporting requirements. 5