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A HEALTHY AND INCLUSIVE COMMUNITY
Health Promotionin
Community Health
Colleen SlaterHealth Promotion Coordinator
Inner South Community Health [email protected]
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 [email protected]
