A HEALTHY AND INCLUSIVE COMMUNITY Health Promotion in Community Health Colleen Slater Health...

A HEALTHY AND INCLUSIVE COMMUNITY

Health Promotionin

Community Health

Colleen SlaterHealth Promotion Coordinator

Inner South Community Health Serviceceslater@ischs.org.au

A HEALTHY AND INCLUSIVE COMMUNITY

Introduction

• Background• HP at Inner South

Community Health Service• HP Planning• Case studies

A HEALTHY AND INCLUSIVE COMMUNITY

Community Health

• Services for disadvantaged and marginalised groups

• Emphasis on health promotion and prevention

• Social model of health and principles of Primary Health Care

A HEALTHY AND INCLUSIVE COMMUNITY

Inner South Community Health Service (ISCHS)

• Multi-sited agency • Wide range of health and

community services• 245 staff across 5 program

areas all contributing to Health Promotion

A HEALTHY AND INCLUSIVE COMMUNITY

ISCHS Vision

“A healthy and inclusive community”

….innovative and targeted services ….ensure inclusion of members of the community who are marginalised and at highest risk of poor health….

A HEALTHY AND INCLUSIVE COMMUNITY

HP at ISCHS

• Key Priority area in 2005-2008 ISCHS Strategic Plan‘Responsive and Proactive Health Promotion’

• HP policy – all programs and staff commit to health promotion

A HEALTHY AND INCLUSIVE COMMUNITY

HP Principles

• Address the broader determinants of health• Base activities on best available data and

evidence• Act to reduce social inequities and injustice• Emphasise active consumer and community

participation• Empower individuals and communities• Explicitly consider difference in gender and

culture• Foster intersectorial collaboration

The Ottawa Charter and the DHS intervention types

DHS intervention types

Screening & risk factor assessment and immunisation

Health education and skills development

Social Marketing and Health Information

Community action (for social and environmental change)

Settings and supportive environments

Ottawa Charter for Health PromotionDevelop Personal Skills Strengthen

Community Action

Reorient health services

Build Healthy Public Policies

Create Supportive Environments 

Focus

DownstreamIndividual focus

UpstreamPopulation focus

A HEALTHY AND INCLUSIVE COMMUNITY

Health Promotion at ISCHS

Resources – Health Promotion Coordinator– Health Promotion Working

Group– QIPPS - online planning

program

Planned vs. opportunistic HP

A HEALTHY AND INCLUSIVE COMMUNITY

HP Planning

• Priority setting process– Physical Activity– Food Security and Nutrition– Social Inclusion– Freedom from discrimination &

violence

• Organisational goals and objectives developed for each priority area

A HEALTHY AND INCLUSIVE COMMUNITY

HP Planning cont.

• Annual Planning process– Develop strategies to meet HP

goals• HP Planning at multiple

levels– Program/team– Site– Cross-organisational

A HEALTHY AND INCLUSIVE COMMUNITY

Integrating into practice

Mental Health Program awareness among program

staff regarding physical activity– Clients very low PA levels– Health promotion initiative

aiming to • Build capacity in case managers• Reduce barriers to participation in

PA for clients

A HEALTHY AND INCLUSIVE COMMUNITY

Case study Physical Activity

Strategies include:• Physical health assessment

– physical activity levels• Targeted physical activity

programs• Support to attend/motivate• Incidental PA in case

management

A HEALTHY AND INCLUSIVE COMMUNITY

Food Security and Nutrition

…a nutritiously adequate, culturally acceptable diet through non-emergency sources…….

• Food security identified as priority area 2003

• Broader than nutrition staff awareness

A HEALTHY AND INCLUSIVE COMMUNITY

Food Security cont.

• Recommendations for action developed

staff capacity to identify and address FS

• Wide range of strategies – Staff training– Social Marketing - Nutrition Master– Screening– Modelling nutritious foods at events

A HEALTHY AND INCLUSIVE COMMUNITY

Conclusion

Primary care services provide great opportunity to incorporate HP into practice

HP needs to be a mix of upstream and downstream strategies

Need organisational structure and processes to support this.

A HEALTHY AND INCLUSIVE COMMUNITY

Thank youAny questions?

Colleen SlaterHealth Promotion CoordinatorInner South Community Health ServicePh: 03 9525 1300ceslater@ischs.org.au