Strategic Directions for Chronic Disease Prevention 2009-2012

Prevention

ChronicDisease

2009–2012

Strategic Directions

for

Division of the Chief Health Offi cer

Strategic Directions for Chronic Disease Prevention 2009–2012

Strategic Directions for Chronic Disease Prevention 2009–2012 is part of a suite of planning and reporting documents which describe the work of the population health services within the Division of the Chief Health Officer.

The complete suite includes:

Population Health Year in Review 2008-2009 ■

Prevention, Promotion and Protection Plan for the Division of the Chief Health Officer 2009–2014 ■

Strategic Directions for Cancer Prevention and Control 2009–2012 ■

Strategic Directions for Chronic Disease Prevention 2009–2012 ■

Strategic Directions for Communicable Disease Prevention and Control 2009–2012 ■

Strategic Directions for Environmental Health 2009–2012 ■

Strategic Directions for HIV/AIDS, Hepatitis C and Sexual Health 2009–2012 ■

Strategic Directions for Injury Prevention and Safety Promotion 2009–2012 ■

Strategic Directions for Mental Health Promotion 2009–2012 ■

Strategic Directions for Quality Management 2009–2012 ■


Division of the Chief Health Officer

Published by Queensland Health

August 2009

ISBN 978-1-921447-74-7

© The State of Queensland (Queensland Health) 2009

The Queensland Government supports and encourages the dissemination and exchange of information. However, copyright protects this material. The State of Queensland has no objection to this material being reproduced made available online or electronically, but only if it is recognised as the owner and this material remains unaltered. Inquiries to adapt this material should be addressed by email to: [email protected] or by mail to: The IP Officer, Office of Health and Medical Research, Queensland Health, GPO Box 48, BRISBANE QLD 4001.

An electronic copy of this document is available at:www.health.qld.gov.au/ph

Preferred citation: Queensland Health (2009) Strategic Directions for Chronic Disease Prevention 2009–2012 Division of the Chief Health OfficerQueensland Government, Brisbane


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Message from the Chief Health Officer

Queenslanders are generally very healthy compared to people in other parts of Australia and the world. However, there is still a range of population health challenges that need to be addressed. The rate of chronic diseases (such as diabetes, heart disease and cancer) is growing, and substantial inequalities in health status for Aboriginal and Torres Strait Islander people, socioeconomically disadvantaged people and those living in rural and remote locations continue to be of concern.

The Division of the Chief Health Officer is the primary provider of prevention, promotion and protection services for Queensland Health. These services are known collectively as population health or public health services, and are provided by statewide branches and units and 17 population health units located throughout the state.

Population health services work toward achieving a positive and healthy future for all Queenslanders, including reducing the health status gap between the most advantaged and the least advantaged people in the community.

Responsibilities of Queensland Health’s population health services include implementing health promotion interventions at the state and local level, undertaking health surveillance and disease control initiatives, developing and implementing public health legislation, and addressing environmental health hazards. Population health services are provided by a professional workforce comprising environmental health officers and scientists, health promotion officers, public health officers, epidemiologists, public health nurses, public health nutritionists, public health medical officers, immunisation nurses and physicists.

Population health staff work with a range of partners including local government, private industries, educational institutions, childcare providers, and other state government departments. These partners have an important role to play in creating physical and social environments which prevent illness and injury and promote health and wellbeing.

Our strategies contribute to Queensland Health’s commitments under the National Partnership Agreement on Preventive Health, and the National Indigenous Reform Agreement. The Queensland Government’s vision for 2020 has been described in Toward Q2: Tomorrow’s Queensland in terms of five ambitions. One of these ambitions is ‘making Queenslanders Australia’s healthiest people’. Our work will contribute significantly to this aspiration.

The complete body of work that the Division’s population health services will undertake over the next three years is identified in our eight strategic directions documents. These documents outline how we will contribute to the Q2 target. They also describe the current and proposed approach to manage health risks, and to prevent and/or respond to public health events. The arrival in Australia of Pandemic (H1N1) 2009 (Human Swine Influenza) acts as timely reminder of the need for meticulous health protection planning and response.

I trust that you find these strategic directions documents informative. For our staff, I hope these documents will enable us to work together to address priority issues over the next three years. For our stakeholders, I hope these documents give you an insight into our future directions to facilitate collaborative actions across a range of issues. I look forward to continuing to work with you all to promote and protect the health and wellbeing of Queenslanders.

Dr Jeannette Young

Chief Health Officer, Queensland Health


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Contents

Message from the Chief Health Officer ...............................................................................................i

Vision ...............................................................................................................................................iv

Introduction ..................................................................................................................................... 1

What are we seeking to achieve over the next three years? .............................................................. 3

Strategic agenda .............................................................................................................................. 4

1. Whole-of-government and across-government approach to chronic disease prevention........ 4

2. Organisational capacity and reporting ................................................................................... 6

3. Supportive physical and social environments: workplaces, children, communities ................ 7

4. Targeted risk modification programs .....................................................................................10

5. Social marketing and communication ....................................................................................11

Attachment A: Deliverables for 2009–2010 ................................................................................... 12

Attachment B: Ongoing work roles and responsibilities ................................................................. 26

References ..................................................................................................................................... 32


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Vision

Queenslanders report

the highest rates of adoption

of healthy lifestyle behaviours,

and the lowest rates of obesity, smoking,

heavy drinking and unsafe sun exposure


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Chronic diseases, including Type 2 diabetes, cardiovascular disease, oral disease and

some forms of cancer, are now the major cause of death and disability across the world1.

They are estimated to be responsible for nearly 80 per cent of the total burden of disease

and injury in Australia, and more than two thirds of health expenditure2. Chronic disease

has a disproportionate impact on some population groups, particularly Aboriginal and

Torres Strait Islander peoples and people with low socioeconomic status.

Introduction

Most chronic diseases are preventable. The major risk factors for chronic disease include poor nutrition, physical inactivity, sedentary behaviour, overweight and obesity, smoking and harmful alcohol use. Reducing the incidence, prevalence and impact of chronic disease leads to other substantial health benefits including increased resistance to infection, improved mental health, and a decreased risk of falls in older people.

The major risk factors for chronic disease are directly and indirectly influenced by the physical, social and economic environment. Social inequality is a risk factor in its own right. All are relevant in a range of settings, and there are opportunities across government to integrate strategies to address these risks and to create supportive environments. Responsibility for these environments is shared across many levels and sectors of government. Therefore, preventing chronic disease requires a whole-of-government approach, as reflected in the work and purpose of the National Preventative Health Taskforce, the National Partnership Agreement on Preventive Health3, and in the strategies contained in Toward Q2: Tomorrow’s Queensland4.

Population health services within the Division of the Chief Health Officer (the Division) use a multi-strategy approach to chronic disease prevention that incorporates supportive environments, organisational capacity building, social marketing and communication, and targeted risk modification programs. This approach is implemented in partnership with a wide range of stakeholders including local governments, Health Service Districts, non-government organisations, other government departments (including Education, Transport, and Sport and Recreation) and private industry.

There is an extensive and growing evidence base supporting the primary prevention of chronic disease, as outlined in the Chief Health Officer’s report The Health of Queenslanders 2008: Prevention of Chronic Disease5.

Optimum nutrition is essential for the normal growth and physical and cognitive development of infants and children, enhanced resilience and quality of life, good physical and mental health throughout life, resistance to infection, and protection against related chronic diseases and premature death. Evidence shows that breastfeeding provides significant health advantages for mothers and infants. Access to healthy food (particularly in rural and remote communities) and food security for socioeconomically disadvantaged groups significantly influence the prospects of all Queenslanders achieving optimum nutrition.

Regular moderate intensity physical activity reduces the risk of coronary heart disease, stroke, hypertension, diabetes, colon cancer and osteoporosis and promotes mental health and resilience. A sedentary lifestyle is an independent risk factor for being overweight or obese and for other chronic diseases such as Type 2 diabetes, regardless of physical activity levels. Strategic Directions for Chronic Disease Prevention 2008–2011

Physical inactivity, sedentary behaviour and/or inappropriate eating patterns cause overweight and obesity. Overweight and obesity prevention is a priority that requires whole-of-government action, as many underlying health determinants lie outside of the health sector. Queensland Health can play a key role in promoting healthy weight across the lifespan by working with government and non-government agencies to create supportive physical and social environments.

Despite the widely held perception that drug-related problems are mainly caused by illicit drugs, tobacco and alcohol are responsible for the most harm associated with drugs in our community.


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Drinking behaviours in Queensland are among the most dangerous in Australia. Young people between the age of 14 and 24 years, and especially young women, are consuming alcohol in an increasingly risky manner. Drinking above the National Health and Medical Research Council guidelines for low risk drinking increases both short and long-term problems, including heart disease, liver disease and stroke, injury, disability, and death.

While smoking rates have declined, tobacco use remains one of Queensland’s leading causes of preventable death and illness. Queensland’s daily smoking rate is of particular concern as it remains above the national average (especially among Aboriginal and Torres Strait Islander communities), with the male smoking rate being the second highest of all Australian jurisdictions. The smoking rate among young women is also concerning due to the impact on pregnancy outcomes and child health. Tobacco smoking is a proven risk factor for a range of fatal and debilitating diseases and conditions including lung cancer, at least 13 other cancers, cardiovascular disease, stroke, and chronic obstructive pulmonary disease.

Oral diseases are among the most common chronic diseases and have important public health implications due to their prevalence, social impact and treatment expense. Major oral diseases share risk factors such as tobacco smoking, inappropriate diet, alcohol consumption and poor hygiene with other major chronic diseases such as cardiovascular disease and diabetes. Significant progress has been made toward the statewide implementation of water fluoridation*.

Strategic Directions for Chronic Disease Prevention 2009–2012 will contribute toward the goals and objectives of the following key national and state policies, strategies and plans:

Primary

Toward Q2: Tomorrow’s Queensland ■ 4

National Partnership Agreement on Preventive Health ■ 3

Secondary

Australian Better Health Initiative ■ 7

Be Active Queensland 2006–2010: A framework ■

for health sector action for physical activity in Queensland9

Eat Well Queensland – Smart Eating for a Healthier ■

State 2002–201210

Healthy Mouths, Healthy Lives, Australia’s National ■

Oral Health Plan 2004–20138

National Aboriginal and Torres Strait Islander Nutrition ■

Strategy and Action Plan (NATSINSAP)6

National Alcohol Strategy 2006–2009: Towards Safer ■

Drinking Cultures11

National Tobacco Strategy 2004–2009 ■ 12

Queensland Drug Strategy 2006–2010 ■ 13

Queensland Strategy for Chronic Disease 2005–2015 ■ 14

Smart State Council Working Group Report: ■

Queenslanders tackling chronic disease – becoming Australia’s healthiest state15.

* Please note all actions related to the introduction of water fluoridation are included in Strategic Directions for Environmental Health 2009–2012.


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* Level one: LGA/city/major town(s) has/have an intersectoral group, strategic and operational plan and investment to address chronic disease risk factors and determinants.

** Level two: LGA/city/major town(s) has/have an intersectoral group, operational plan and investment to address chronic disease risk factors and determinants.

*** Level three: LGA/city/major town(s) has/have an intersectoral group and investment to address chronic disease risk factors and determinants.

What we are seeking to achieve How will we know?

Increased proportion of the population adopting healthy lifestyle behaviours in the areas of nutrition, physical activity, smoking and alcohol consumption in the general population, early years, young people (18–24 years), people with low socioeconomic status and among Aboriginal and Torres Strait Islander peoples

Percentage of Queensland population, ■

and the distribution within the state who:

– are non-smokers– consume alcohol at low risk levels– consume recommended levels of fruit and vegetables– engage in levels of physical activity for health

benefits– are a healthy weight

Creation of social and physical environments that are supportive of healthy behaviours

Percentage of local government authorities (LGAs)/ ■

cities/major towns achieving level one*, two** or three*** classifications, reported by a remoteness score

Number and reach of alcohol partnerships/Liquor ■

Industry Action Groups (LIAGs) established and operational, by Health Service District

Increased awareness of healthy lifestyle behaviours that influence the risk of developing chronic disease, and the creation of positive social norms through a well coordinated social marketing program

Percentage and number of targeted audiences at state ■

and local level who:

– are aware (able to recall and understand key campaign messages)

– have positive behaviour change (categorised by campaign)

What are we seeking to achieve over the next three years?This document identifies priority actions for preventing chronic disease over the next three

years. Overall progress against these actions will be assessed using the measures outlined

below. Performance will be assessed through qualitative reporting. Annual reporting will

inform decisions about policy, practice and future investment.


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Strategic agenda

Health promotion services within the Division are leading a whole-of-government approach to chronic disease prevention for Queensland, including coordinating Queensland’s response to the National Preventative Health Taskforce discussion paper Australia: the healthiest country in the world by 202016, and progressing implementation of the National Partnership Agreement on Preventive Health3 which is focussed on chronic disease prevention. Elements of this Agreement include physical activity and nutrition in children, support for workplaces and communities to implement healthy living programs, national social marketing campaigns and building an enabling infrastructure.

As part of the Toward Q24 process, our health promotion services are also leading the development of collaborative annual Target Delivery Plans for the ambitious Q2 Target to reduce by one-third obesity, smoking, heavy drinking and unsafe sun exposure (Q2 Chronic Disease Target). Achieving this target will require significant resources to implement evidence based interventions and commitment to improved coordination and integration of across-government approaches for the prevention of chronic diseases. The Division’s health promotion services also coordinate the whole-of-government response to the Smart State Council Report on chronic disease prevention15 and a Queensland Health submission to the Queensland Parliamentary Inquiry into Chronic Diseases in Queensland.

There has already been significant progress in developing and implementing inter-departmental and/or inter-agency strategies at a state level. Over the next three years, the Division’s population health services will continue to expand their role in chronic disease prevention, providing high level leadership, governance and advocacy to:

achieve seamless integration of chronic disease ■

prevention strategies into existing departmental processes (eg. ensuring that all cabinet submissions/departmental plans include mandatory health impact statements, including chronic disease)

share accountability for chronic disease prevention ■

across every state government department, including public reporting of progress against performance measures and targets

increase investment in chronic disease prevention ■

initiatives within business portfolios

progress the Q2 agenda in regional areas using ■

relevant networks, particularly the Regional Managers Coordination Networks

align Queensland’s chronic disease prevention ■

activities with the national prevention agenda, including supporting national social marketing campaigns and contributing to monitoring and surveillance.

1. Whole-of-government and across-government approach

to chronic disease prevention

Health is created in the complex everyday environments in which people live, work

and play. Therefore, chronic disease prevention requires a response which addresses this

complexity with a whole-of-government and across-government approach. This approach

involves the three tiers of national, state and local government in the development and

implementation of across-government policies and strategies which influence people’s

everyday environments (eg. education, employment, housing and industry)


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Toward Q2: Tomorrow’s Queensland

Making Queenslanders Australia’s healthiest people

2020 target: Cut by one-third

obesity, smoking, heavy drinking

and unsafe sun exposure

What are we going to do in the next three years?

Toward Q2: Tomorrow’s Queensland

Lead the development and implementation of a whole- ■

of-government integrated response to chronic disease prevention within Queensland, including managing the Toward Q2 Chronic Disease Prevention Target Delivery Plan by:

– establishing and providing support to the Chief Executive Officer’s (CEO’s) committee

– using linkages to other Q2 targets concerned with environmental sustainability (green environment) and social justice (fair communities)

Coordinate the whole-of-government response to the ■

Smart State Council Working Group report on chronic disease prevention

National collaboration

Lead the coordination and manage the Queensland ■

response to the National Partnership Agreement on Preventive Health

Action recommendations arising from the National ■

Preventative Health Taskforce Plan

Contribute to the redevelopment of the National Drug ■

Strategy and lead the review, redevelopment and monitoring of the Queensland Drug Strategy

Queensland Public Health Forum

Review, implement and report on achievements against ■

Queensland Health commitments under the following Queensland Public Health Forum auspiced strategies and frameworks:

– Eat Well Queensland: Smart eating for a healthier state 2002–2012

– Be Active Queensland 2006–2010: A framework for health sector action for physical activity in Queensland9.


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The Division’s population health services have a key role in providing support and resources for evidence based initiatives to Health Service District (HSD) and other primary health care service providers across government, non-government and private sectors. Investing in comprehensive and systematic monitoring and reporting for chronic disease risk factors will inform decision making and effective planning, monitoring and evaluation of interventions. Decision making requires the timely systematic collation, analysis, interpretation, presentation, dissemination of and access to quality assured data and information.


Support HSDs to consolidate and improve the quality ■

of chronic disease prevention initiatives across the health continuum, including:

– supporting a healthy hospital approach through activities to address staff smoking rates, implementation of A Better Choice, audiovisual chronic disease prevention resources for waiting room displays, healthy telephone hold messages, and progress reports

– engaging with clinical networks to promote uptake and implementation of best practice interventions, and to promote monitoring and reporting to inform future service planning

– collaborating on nutrition workforce issues

Provide support for primary health care providers ■

of chronic disease prevention services (across government, non-government and private sectors) to enable the delivery of evidence based interventions, facilitate professional networking and inform future service planning

Implement a sustainable, comprehensive and ■

systematic monitoring, surveillance and reporting system for chronic disease risk factors across the life course, which incorporates:

– self-reported health status, measured overweight/obesity assessment, and growth assessment and monitoring for infants and children

– reliable estimates for identified priority populations including Aboriginal and Torres Strait Islander groups, socioeconomically disadvantaged, and rural and remote groups

– local area reporting for chronic disease and its determinants, as described in Prevention, Promotion and Protection Health Performance Information Needs17 and other community based indicator programs (eg. The Wellness Footprint)

Develop skills within the Division’s population ■

health service workforce to support the effective and efficient integration of mental health promotion, injury prevention and safety promotion initiatives into chronic disease prevention initiatives and vice versa.

2. Organisational capacity and reporting

Addressing the burden of chronic disease is a long-term challenge requiring ongoing

investment to develop and implement evidence based initiatives which create and enhance

supportive physical and social environments, and address key behavioural risk factors.


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3. Supportive physical and social environments:

workplaces, children, communities

Supportive environments refer to the physical and social aspects of the places where

people live, work and play that encourage healthy behaviour by making healthy choices

easy choices (or only choices).

There is strong health, transport and urban planning evidence (both nationally and internationally) demonstrating that environmental and policy approaches can help people develop and sustain healthier behaviours. For example, the World Health Organization (WHO) has estimated that about one-third of current physical inactivity levels in North America and developed regions of the Western Pacific (including Australia) could be prevented through environmental interventions1. These include good urban design and land use at the community level (eg. connectivity of streets, population density and green spaces) and street level (eg. improved lighting and pathway continuity) as well as access to places for physical activity (eg. trails, facilities and parks).

Social environments which encourage healthy behaviour can be achieved through community capacity building and community-based programs which strengthen community connectedness, resilience, health and wellbeing. By empowering communities in this way, health problems can be addressed at the local level, and innovative and sustainable local solutions can be identified and implemented.

Supportive physical and social environments create a powerful means of enabling people to make healthy choices. The National Partnership Agreement on Preventive Health3 seeks to help Australians reduce their risk of chronic disease by creating supportive environments in workplaces, pre-schools, schools and communities. This will involve implementing programs to address smoking, nutrition, alcohol and physical activity, and engaging private, public and non-government sectors.

In recent years, Queensland Health’s population health services have been working with a range of key partners (including local government, private industries, education providers, childcare industry and other state government departments) to facilitate the development of supportive physical and social environments. The population health services have also conducted a number of place-based initiatives under

Eat Well Be Active18 and the Queensland Strategy for Chronic Disease14. Learnings from these initiatives will contribute to the evidence base for implementing the reforms and strategies required to fulfil the Queensland Government’s commitment to the National Partnership Agreement on Preventive Health, and to achieve the Healthy Queensland targets of Toward Q24.

Other recent activity to create supportive environments has included:

contributing funding to, and working with, the Heart ■

Foundation to produce Supportive Environments for Physical Activity and Healthy Eating (SEPAHE) guidelines and tools to help local governments support physical activity and healthy eating (eg. developing physical infrastructure such as walking and cycling paths, and public amenities such as breastfeeding facilities, play equipment, water fountains and adequate lighting)

enforcing world class tobacco legislation, developing ■

alcohol management partnerships and participating in the implementation of alcohol reform initiatives

exploring opportunities to enhance environments ■

through land use planning (eg. zoning, land allocation/use, safe building/site design relating to destinations, higher densities, active transport and recreational opportunities)

seeking to establish a dedicated Healthy Regions and ■

Communities workforce to facilitate the inclusion of population health issues in policy; state, regional and local planning; major developments; and other land use planning processes.

Over the next three years, Queensland Health’s population health services will continue to develop integrated approaches to deliver a combination of chronic disease prevention interventions in workplaces, school communities, child care programs, maternal health programs, sports venues and local community settings. We will consolidate and build on the work to date, and implement and/or support the implementation and evaluation of strategies, guidelines and tools.


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Healthy workplaces

Develop and implement workplace initiatives with ■

Queensland Government agencies, as identified in the Toward Q2 Chronic Disease Prevention Target Delivery Plan and the National Partnership Agreement on Preventive Health, including:

– implementing a healthy worker initiative, and promoting the uptake of programs supporting healthy lifestyles focused on the key risk factors of smoking, nutrition, alcohol, physical activity and unsafe sun exposure, in partnership with Workplace Health and Safety Queensland (Department of Justice and Attorney-General)

– using information and communication technologies to deliver healthy lifestyle messages and information, especially for the construction industry

– advocating for the implementation of policies for breastfeeding at work, healthy catering and vending machines, and expansion of the Queensland Health Smoking Management Policy

– collaborating with Workplace Health and Safety Queensland to investigate best practice approaches to embed brief interventions into comprehensive healthy lifestyle approaches in the workplace

Work with Queensland Government departments to ■

facilitate the inclusion of physical activity and healthy eating opportunities in all new and redeveloped government facilities (eg. end-of-trip facilities, active transport options, food preparation/eating areas, water fountains and breastfeeding facilities).

Healthy children

Develop and implement a coordinated statewide ■

approach to creating supportive environments for children by:

– working with the Office for Early Childhood Education and Care, Education Queensland and the early childhood sector to develop a statewide approach consistent with the National Partnership Agreement on Preventive Health Implementation Plan

– linking with early childhood education and care services to develop and implement programs including resources and websites

Assist the education system to support healthy and ■

active environments through Smart Choices and Smart Moves strategies by:

– working with local government and other state government departments to develop and implement policies on active transport options in proximity to schools, and appropriate sponsorship of children’s events

– taking steps to investigate banning or restricting the advertising of unhealthy foods during children’s peak television viewing times.


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Healthy communities

Assist the creation of environments supporting ■

physical activity and healthier eating by:

– working with key state government departments, local government, private developers and other key partners to implement initiatives identified in the Toward Q2 Chronic Disease Prevention Target Delivery Plan

– coordinating the implementation of the SEPAHE Program, and utilising the SEPAHE network to advocate for the use of SEPAHE guidelines and other best practice tools and resources

– developing materials and supporting reference documents to be used in impact assessments, and liaising with developers to promote the inclusion of physical activity and healthy eating structural considerations in proposals/planning schemes (specifically in new master plans) using planning expertise

Develop and implement an alcohol management ■

approach, in collaboration with key stakeholders, including:

– facilitating and/or supporting local LIAGs/Alcohol Partnerships

– supporting the implementation of a statewide safety action plan and implementing the Safer Venues program as part of local LIAGs/Alcohol Partnerships, to improve public safety and amenity in licensed premises

– delivering the Good Sports program through local community sporting clubs to promote responsible alcohol practices, in partnership with the Australian Drug Foundation and Department of Employment, Economic Development and Innovation (Office of Liquor, Gaming and Racing)

Manage and resolve outstanding issues relating to ■

the effectiveness of tobacco legislation, including implementing possible legislative reforms for smoke-free environments and tobacco product retail displays

Resource and implement a comprehensive multi- ■

strategy approach to address smoking uptake prevention and cessation among Aboriginal and Torres Strait Islander peoples

Develop and expand the Which Way, Our Way program ■

in North Queensland Aboriginal and Torres Strait Islander communities to strengthen community resilience and promote strong community messages related to alcohol harm minimisation

Respond to issues of food security and access by: ■

– advocating to the Australian Population Health Development Principal Committee for a national approach to food security, including the implementation of national Healthy Food Access Basket surveys as part of a national food and nutrition monitoring and surveillance system

– working with local governments and food retailers in rural and remote communities to improve food access, quality and affordability, and ensure adherence to food safety standards

– developing standardised tools to map local food environments

Promote participation in physical activity to people ■

least likely to be physically active and in priority population groups, including Aboriginal and Torres Strait Islander peoples and people from culturally and linguistically diverse backgrounds by:

– collaborating with and building the capacity of local councils, Aboriginal and Torres Strait Islander organisations, multicultural organisations and other key stakeholders to increase opportunities for participation in physical activity

– supporting the uptake of the Traditional Indigenous Games strategy by Education Queensland

Support local community action by: ■

– managing the Healthy Queensland Awards and supporting the winning organisations to deliver healthy infrastructure projects (in partnership with Keep Australia Beautiful Queensland, Sport and Recreation Services and Education Queensland)

– contributing to the implementation and evaluation of the Community Partnerships Program Grants (managed by Sport and Recreation Services)

– encouraging and supporting local communities to apply for the Healthy Queensland Awards and Community Partnerships Program Grants.


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Targeted risk modification interventions are delivered by health practitioners in the primary health care and acute health sectors. While the Division’s population health services are not accountable for the delivery of these programs, they have a clearly defined supporting role to:

assist with the development and periodic review ■

of evidence based brief intervention tools and approaches coordinate the development, review, and evaluation ■

of group-based risk modification programs, such as Lighten Up to a Healthy Lifestyle, and Living Strong (a healthy lifestyle program for Aboriginal and Torres Strait Islander communities)


Work with clinical networks, relevant divisions and ■

Health Service Districts to embed brief interventions into clinical pathways and models of care in primary health care and acute settings, including:

– packaging, promoting and providing resources and support for implementing best practice initiatives (eg. Lighten Up to a Healthy Lifestyle, A Better Choice, and SmokeCheck)

– support the development of sustainable mechanisms for the use of available brief interventions

Develop, revise, and support the implementation ■

and evaluation of policy and practice initiatives that promote healthy lifestyle behaviours in early life, in collaboration with the Maternal, Child Health and Safety Branch and clinical networks including:

– incorporating components of growth assessment and action into Aboriginal and Torres Strait Islander child health checks in North Queensland

– promoting Growing Strong resources– contributing to the COAG (Council of Australian

Governments) Indigenous Early Childhood Development National Partnership Agreement initiatives

– reviewing the smoking, nutrition, alcohol and physical activity components of the Personal Health Record, child health Information Book and fact sheets

– supporting and advocating for the Baby Friendly Health Initiative principles to be adopted within Queensland Health

– promoting the national physical activity recommendations for children under five, and aligning with the National Quality Framework for the Early Childhood Education and Care sector

– developing, implementing and evaluating a comprehensive approach to reduce smoking rates and alcohol consumption prior to and during pregnancy, and during the postnatal period

Work with the tertiary and vocational education ■

sector to include brief intervention approaches in the curriculum for health professionals, with a focus on increased access to child health information for Aboriginal and Torres Strait Islander people, including Growing Strong resources

Expand and use the existing 13Health service to ■

provide call-back counselling services, including:

– expanding Quitline provided by 13Health to provide telephone-based smoking cessation brief interventions including improving linkages with SmokeCheck

– investigating options for sustainable delivery (eg. accredited Lifestyle Modification Program, use of technology for marketing, telephone-based delivery)

Investigate the use of web-based and other ■

interactive technology in lifestyle risk modification initiatives (funded by Health Promotion Queensland)

Develop, implement and evaluate a brief intervention ■

tool to enhance capacity of Aboriginal and Torres Strait Islander health workers to implement local oral health promotion initiatives

Develop and implement strategies to inform and ■

improve support for the targeted and sustainable delivery of the Lighten Up to a Healthy Lifestyle and Living Strong programs by Health Service Districts and non-government organisations, including investigating the option for a registered training organisation to deliver facilitator training.

4. Targeted risk modification programs

Targeted risk modification programs aim to decrease the likelihood of developing chronic

disease in populations most at risk, and reduce disease progression for people who

already have a chronic disease. Key at risk groups include Aboriginal and Torres Strait

Islander peoples, people with low socioeconomic status, culturally and linguistically diverse

communities, and people who are obese, smoke and/or consume alcohol at harmful levels.


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5. Social marketing and communication

Social marketing is ‘the application of marketing concepts, tools, and techniques to

any social issue’17. These initiatives aim to change behaviour by increasing health

literacy, altering social norms and creating supportive physical and social environments.

Successful social marketing campaigns are targeted, evidence based, linked with policy

and incorporate local initiatives that reinforce key messages and provide levers to create

supportive environments within the community.

Governance of social marketing and communication strategies within Queensland Health is currently under review. The outcomes of this review will inform the roles of the Division’s population health services and the proposed social marketing unit in the delivery of campaigns. As a part of the National Partnership Agreement on Preventive Health, a National Preventive Health Agency is being established. A key role of the Agency will be to coordinate national social marketing campaigns. It will be essential for Queensland Health’s population health services to work collaboratively with the Agency.

The Queensland Strategy for Chronic Disease14 includes recurrent investments for social marketing. Our population health services will use these funds to develop, implement and evaluate a wide range of significant social marketing campaigns relating to the key chronic disease risk factors over the coming three years.

In addition, improved governance, coordination and action learning will be applied to all social marketing and community education campaigns to enhance the effectiveness of this investment, as part of the Division’s commitment to continuous improvement. This includes investing in:

research to provide the evidence base for campaign ■

messages, targeting and local support initiatives

statewide coordination to facilitate the transfers ■

of knowledge and ideas

improved collaboration with key stakeholders ■

and professional groups.

Enhancing the governance and coordination of social marketing campaigns will also improve Queensland Health’s engagement in national social marketing strategies and those led by other state government departments, such as Eat Well Be Active.


Develop, implement and evaluate the following ■

evidence based social marketing and community education campaigns:

– Go for 2 and 5®

– Breastfeeding– Quit– Smoke-free environments– Young Women and Alcohol/Young People and

Alcohol programs

Develop and implement enhanced campaign ■

lifecycle processes which align with the national social marketing campaign agenda of the National Partnership Agreement on Preventive Health, including:

– managing a transition to a national approach from a jurisdictional model

– managing a Queensland Health system for coordinated planning, implementation and evaluation processes

– developing Queensland-specific resources to support national campaigns with local level activities.


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Attachment A

Deliverables for 2009–2010*

* This attachment includes deliverables against the reform agenda only. Ongoing work is described in Attachment B. All population health strategies are conducted in a collaborative manner. Lead agencies have been identified in the responsibility columns.

What are we going to do?(3 years)

Statewide unit responsibilities(12 months)

Population health unit responsibilities(12 months)

1. Whole-of-government and across-government approach to chronic disease prevention

1.1 Lead the development and implementation of a whole-of-government integrated response to chronic disease prevention within Queensland, including managing the Toward Q2 Chronic Disease Target Delivery Plan (TDP)

Provide state level advocacy for the development of a high level, whole-of-government chronic disease prevention strategy for Queensland

Provide advice to the Parliamentary Social Development Committee on Chronic Disease (as required)

Lead the development of a TDP with other relevant state government agencies for 2009–2010

Develop and support the CEO’s committee to oversee the implementation of the TDP

Advocate for a planned and structured healthy public policy approach to the advertising of unhealthy food and drinks and alcohol

Provide advice to Queensland Health Policy Branch on the development, implementation and reporting against Q2 targets

Influence and support Regional Managers Coordination Network activity aimed at Q2 targets

Provide local data and information for advocacy efforts

1.2 Coordinate the whole-of-government response to the Smart State Council Working Group report on chronic disease prevention

Coordinate whole-of government response to the report

Incorporate Smart State Council recommendations into Q2 TDP processes

1.3 Lead the coordination and manage the Queensland response to the National Partnership Agreement on Preventive Health

Provide advice to Queensland Health Policy Branch on development, implementation and reporting against the National Partnership Agreement

Participate in national working groups developing implementation plans

Develop a Queensland implementation plan for priority areas

Develop a reporting structure

Contribute to the development of secondary prevention approaches specifically focussed on children

Develop implementation plans for key priority programs funded and/or developed through the partnership agreement


13




1. Whole-of-government and across government approach to chronic disease prevention (continued)

1.4 Action recommendations arising from the National Preventative Health Taskforce Plan

Respond to and action recommendations arising from the National Preventative Health Taskforce Plan

Assist with prioritising recommendations arising from the National Preventative Health Taskforce Plan

1.5 Contribute to the redevelopment of the National Drug Strategy, and lead the review, redevelopment and monitoring of the Queensland Drug Strategy

Contribute to the redevelopment and monitoring of the National Drug Strategy

Lead the review, redevelopment and monitoring on the Queensland Drug Strategy

1.6 Review, implement and report on achievement against Queensland Health commitments under the following Queensland Public Health Forum auspiced strategies and frameworks:– Eat Well Queensland:

Smart eating for a healthier state 2002–2012

– Be Active Queensland 2006–2010: A framework for health sector action for physical activity in Queensland

Assist Queensland Public Health Forum to develop a plan for the implementation of Eat Well Queensland up to 2012

Assist Queensland Public Health Forum to develop a plan for the implementation of the identified five priority ‘Smart Buys’ for the Be Active Queensland framework up to 2010

Assist with the regional implementation of, and provide regional input into, the review of, Eat Well Queensland and Be Active Queensland


14




2. Organisational capacity and reporting

2.1 Support Health Service Districts to consolidate and improve the quality of chronic disease prevention initiatives across the health continuum

Develop and implement the Alcohol Tobacco and Other Drugs Prevention Statement to guide the delivery of evidence based programs and provide support and advocacy within Health Service District work environments

Identify and coordinate strategies to increase professional support, direction and reporting mechanisms for nutritionists and advanced health workers (Nutrition Promotion) based in Health Service Districts

Provide four course fee scholarships for the Graduate Diploma in Indigenous Health Promotion, University of Sydney [Tropical]

Develop mechanisms to ensure the Division’s population health services are involved in all recruitment panels for, and provision of professional support for Health Service District Community Nutritionists, Advanced Health Worker (Nutrition Promotion) and Program Coordinator (Healthy Lifestyle) positions

Design and implement strategies that work with Health Service District staff, including induction and professional development, to deliver chronic disease prevention activities in a seamless and coordinated manner [Central]

Adopt learnings from the North Lakes and other place-based initiative projects [Central]

Review and develop Queensland specific oral health guidelines for Queensland Health child health services [Central]

Develop an oral health promotion demonstration project in the North Lakes/Deception Bay area [Central]


15




2. Organisational capacity and reporting (continued)

2.2 Provide support for primary health care providers of chronic disease prevention services (across government, non-government and private sectors) to enable the delivery of evidence based interventions, facilitate professional networking, and inform future service planning

Chair peer review panels assessing performance of the Queensland Strategy for Chronic Disease primary prevention positions and provide identified support to non-government organisations

Develop and implement the Alcohol, Tobacco and Other Drugs Prevention Statement to guide the delivery of evidence based programs and provide support and advocacy within primary health care environments

Develop mechanisms to ensure the Division’s population health services are involved in all recruitment panels and provision of professional support for non-government Community Nutritionists, Advanced Health Worker (Nutrition Promotion) and Program Coordinator (Healthy Lifestyle) positions

Partner with the Queensland Aboriginal Islander Health Council to advocate for and promote the workplace based Good Quick Tukka Project [Southern]

Deliver Introduction to Health Promotion Principles and Practice workshops and provide access to the five day health promotion short course and other relevant programs to support regional/local chronic disease prevention services [Tropical]

2.3 Implement a sustainable, comprehensive and systematic monitoring, surveillance and reporting system for chronic disease risk factors across the life course

Implement a sustainable, comprehensive and systematic monitoring, surveillance and reporting system for chronic disease risk factors across the life course

Scope the Wellness Footprint, in collaboration with Griffith University

Report, at state and Health Service Districts levels, on chronic disease risk factor prevalence in adults

Develop business plan level indicators for chronic disease


16




2. Organisational capacity and reporting (continued)

2.4 Develop skills within the Division’s population health service workforce to support the effective and efficient integration of mental health promotion, injury prevention and safety promotion initiatives into chronic disease prevention initiatives and vice versa

Refer to the Strategic Directions statements for Injury Prevention and Safety Promotion, Mental Health Promotion, and Cancer Prevention and Control for more detail

Develop and implement holistic approaches

Build workforce capacity


17




3. Supportive physical and social environments: workplaces, children, communities

3.1 Develop and implement workplace initiatives with Queensland Government agencies, as identified in the Toward Q2 Chronic Disease Target Delivery Plan and the National Partnership Agreement on Preventive Health

Trial and evaluate Quit Smoking For Life (Queensland Health’s staff quit smoking program) with Corrective Services personnel

Support Workplace Health and Safety Queensland to promote the uptake of programs supporting healthy lifestyles among Queensland Government staff

Support Workplace Health and Safety Queensland to implement strategies to reduce chronic disease among the construction workforce

Collaborate with Workplace Health and Safety Queensland to investigate best practice approaches to embed brief interventions into comprehensive healthy lifestyle approaches in the workplace

Support Health Service District Staff Wellness: Healthy Lifestyle Workplace Initiatives [Central]

Investigate worksite supportive environment approaches [Central]

Promote supportive community environments for breastfeeding [Central]

Implement the South West Parenting Room project [Southern]

Advocate for and promote the workplace-based Good Quick Tukka Project, in partnership with Queensland Aboriginal and Islander Health Council [Southern]

3.2 Work with Queensland Government departments to facilitate the inclusion of physical activity and healthy eating opportunities in all new and redeveloped government facilities (eg. end-of-trip facilities, active transport options, food preparation/eating areas, water fountains and breastfeeding facilities)

Establish links between Queensland Health, Department of Public Works and Queensland Transport for distribution and implementation of end-of-trip facilities policy


18




3. Supportive physical and social environments: workplaces, children, communities (continued)

3.3 Develop and implement a coordinated statewide approach to creating supportive environments for children

Work with the Office for Early Childhood Education and Care to develop resources and a portal website for the early childhood sector and support the roll out of the National Quality Framework including the Healthy Eating and Physical Activity Guidelines

Link with early childhood education and care services to undertake program development and implementation, including resources and website development

Develop initiatives, recruit and train health workers, and produce supporting resources for the SmokeCheck pregnancy program

Work with the Australian Food and Grocery Council, advocate for state-based regulatory approaches, and advocate through the Food and Drink Advertising and Marketing State and Territory Jurisdictional Working Party regarding advertising of unhealthy foods during children’s peak television viewing times

Work with local government and other state government departments to develop and implement policies on active transport options for schools

Use existing early years partnership structures and local and regional early years networks to distribute and promote uptake of national physical activity recommendations for children under five

Support the adoption and implementation of professional development in the areas of physical activity, nutrition and oral health with key early years stakeholders [Central]

3.4 Assist the education system to support healthy and active environments through Smart Choices and Smart Moves strategies

Fund the Queensland Association of School Tuckshops and Nutrition Australia to support the implementation of the Smart Choices strategy

Support Education Queensland to evaluate the Smart Moves strategy

Use existing school partnership structures to increase adoption of healthy eating and physical activity strategies [Central]


19





3.5 Assist the creation of environments that support physical activity and healthier eating

Coordinate the implementation and evaluation of initiatives to engage with local governments to create supportive environments, including:

– distributing SEPAHE resources– building the capacity of population

health services staff to implement SEPAHE

– linking SEPAHE with State Government award and funding processes and programs (eg. Healthy Queensland Awards)

Advocating for Local Government Association of Queensland to provide formal support for increased local government involvement to enable preparedness for the National Healthy Communities initiative (eg. linkages to SEPAHE, website information provision, training)

Develop a Queensland Health position on supportive environments for physical activity and healthier eating for planning matters

Investigate and progress policy initiatives to incorporate physical activity within state planning policy (eg. develop regional plan implementation guidelines and active transport metrics)

Work with Queensland Transport to develop environmental indicators on active and healthy communities and share data

Work with Queensland Transport and Department of Communities (Sport and Recreation Services) to support the re-development of the Queensland Streets guidelines

In partnership with Department of Communities (Sport and Recreation Services), develop, implement and evaluate healthy food and drink supply guidelines for the community sporting sector

Support the implementation and evaluation of Queensland Transport’s Travel Smart Communities project across South East Queensland

Commence implementation of Phase 3 of SEPAHE by presenting SEPAHE to local government, key community stakeholders and advocates, including:

– administering workshops – advocating for and supporting

local government and community activities that implement SEPAHE concepts

– supporting the primary prevention workforce (Health Service Districts and non-government organisations) to develop local government partnerships to implement SEPAHE [Central]

– implementing a local government policy and planning nutrition audit tool consistent with SEPAHE guidelines [Central]


20





3.6 Develop and implement an alcohol management approach, in collaboration with key stakeholders

Establish, facilitate and support local Liquor Industry Action Groups (LIAGs)/Alcohol Partnerships

Use LIAGs/Alcohol Partnerships to implement the Safety Action Plan and Safer Venues project to improve public safety and amenity in licensed premises across Queensland

Support local community sporting clubs, Australian Drug Foundation, Office of Liquor, Gaming and Racing, and other key partners to implement the Good Sports program and other initiatives

3.7 Manage and resolve outstanding issues relating to the effectiveness of tobacco legislation, including possible legislative reforms for smoke-free environments and tobacco product retail displays

Implement Tobacco Act amendments for smoke-free cars with children

Communicate information regarding changes to legislation and implementation of reforms to key stakeholders and general public

Implement changes to the tobacco legislation

3.8 Resource and implement a comprehensive multi-strategy approach to address smoking uptake prevention and cessation among Aboriginal and Torres Strait Islander peoples

Identify and optimise state and federal funding from the Indigenous Reform National Partnership Agreement to implement SmokeCheck enhancements, Event Support Program reforms, and social marketing campaigns

Progress Year 1 of the state implementation plan for the National Indigenous Reform Agreement

Support Redcliffe and Deception Bay Tobacco Action Group to reduce smoking uptake and raise awareness of harms associated with tobacco use within Aboriginal and Torres Strait Islander peoples


21





3.9 Develop and expand the Which Way, Our Way program in North Queensland Aboriginal and Torres Strait Islander communities to strengthen community resilience, and promote strong community messages related to alcohol harm minimisation

Implement and evaluate the Which Way, Our Way program in North Queensland Aboriginal and Torres Strait Islander communities

Identify, appoint and support local champions/ambassadors and develop key local partnerships

3.10 Respond to issues of food security and access

Conduct the 2010 Queensland Healthy Food Access Basket survey

Fund and work with retail stores and the Islander Board of Industry and Service to employ nutritionists and implement healthy eating initiatives in remote Aboriginal and Torres Strait Islander communities

Advocate through the National Nutrition Network to the Australian Population Health Development Principal Committee for a national approach to food security, including the implementation of national Healthy Food Access Basket surveys as part of national food and nutrition monitoring and surveillance system

Participate in the Remote Stores Divestment Project Government Stakeholders Group to ensure healthy food and food safety requirements are maintained in a new operating model

Work with Queensland University of Technology (pending successful Australian Research Council grant application) on the use of technology to develop sustainable food networks

Provide technical and professional support to store nutritionists in remote Aboriginal and Torres Strait Islander communities [Tropical, Central]

Document and communicate findings of community food assessments [Central]

Work in a multidisciplinary manner with local government in rural and remote communities to improve food access, safety and suitability

Implement the Remote Indigenous Stores and Takeaways project [Tropical]


22





3.11 Promote participation in physical activity to people least likely to be physically active and in priority population groups, including Aboriginal and Torres Strait Islander peoples and people from culturally and linguistically diverse backgrounds

Collaborate with the Department of Education and Training and the Department of Communities (Sport and Recreation Services) to establish the sustainable delivery of Traditional Indigenous Games

Work collaboratively to improve linkages between culturally and linguistically diverse groups and physical activity service providers, including local government

Develop a resource guide for exercise and physical activity for older Queenslanders for distribution across key partner agencies such as Department of Communities, health care providers, and non-government organisations

Collaborate with local government to implement culturally appropriate actions to support the SEPAHE project

3.12 Support local community action

Manage the promotion, implementation and evaluation of the Healthy Queensland Awards (healthiest community, healthiest school and healthiest workplace) in partnership with Keep Australia Beautiful Queensland, Department of Communities (Sport and Recreation Services) and Education Queensland

Provide funding and support for the workplace category prize winner/s and their healthy infrastructure project/s

Contribute to the governance of the Community Partnerships Program Grants, including advice on implementation and evaluation

Encourage and support local organisations, build local networks and partnerships to take advantage of the Healthy Queensland Awards and Community Partnerships Program Grants


23




4. Targeted risk modification programs

4.1 Work with clinical networks, relevant divisions and Health Service Districts to embed brief interventions into the clinical pathways and models of care in primary health care and acute settings

Evaluate A Better Choice program and support its implementation in collaboration with Statewide Food Services

Complete the accreditation process to achieve Medicare rebate and lifestyle modification program accreditation for Lighten Up and Living Strong programs

Coordinate the implementation of the staff QUIT Smoking for Life program across Health Service Districts

Explore the option of a central provision of brief intervention training and support through existing SmokeCheck infrastructure, chronic disease coordinators and self-management

Engage with Health Service Districts in relation to implementation and uptake of A Better Choice, based on evaluation results

4.2 Develop, revise, and support the implementation and evaluation of policy and practice initiatives that promote healthy lifestyle behaviours in early life, in collaboration with the Maternal, Child Health and Safety Branch and clinical networks

Work with the Maternal, Child Health and Safety Branch, the Maternity and Neonatal Clinical Network, and the Queensland Centre for Mothers and Babies to:

– contribute to development of relevant clinical guidelines and ensure clinical information supports population health outcomes

– contribute to the development of consumer information, including information in the patient-held antenatal health record, through the Centre for Mothers and Babies

– advocate for clinical network endorsement of the Baby Friendly Health Initiative status for all Queensland maternity hospitals

Work with the Maternal, Child Health and Safety Branch, and the Paediatric Clinical Network to train health workers in the use and interpretation of paediatric growth charts for the prevention of chronic disease

Contribute to the reviews of the Personal Health Record and Child Health Information Book

Develop and deliver online alcohol and tobacco brief intervention training for Queensland Health midwives

Deliver training and promote the use of the Growing Strong resources

Evaluate Growing Strong: Feeding You and Your Baby resources and review of Growing Strong health worker training format

Implement policy and practice initiatives that support good nutrition and physical activity in early life eg. Aboriginal and Torres Strait Islander growth assessments [Tropical]

Modify the Healthy Messages Staff Resource Package for suitability across maternity services [Central]


24




4. Targeted risk modification programs (continued)

4.3 Work with the tertiary and vocational education sector to include brief intervention approaches in the curriculum for health professionals, with a focus on increased access to child health information for Aboriginal and Torres Strait Islander people, including Growing Strong resources

Support the development of appropriate nutrition subjects in Certificate IV in Aboriginal and Torres Strait Islander Primary Health Care and Child Health

Advocate for the inclusion of a physical activity content unit in the Certificate IV in Aboriginal and Torres Strait Islander Primary Health Care training package (Community Care stream)

4.4 Expand and use existing 13 Health service to provide call-back counselling

Develop and pilot a service delivery model that links Quitline and the SmokeCheck program (including options such as clinical conferencing and support for SmokeCheck-trained health professionals)

Develop a model to expand the existing 13 Health COACH program to support workplace and community-based healthy lifestyle interventions

4.5 Investigate the use of web-based and other interactive technology in lifestyle risk modification initiatives (funded by Health Promotion Queensland)

Develop an Invitation for Offer; select a recommended provider; develop, negotiate and manage the contract including quarterly reviews


25




4. Targeted risk modification programs (continued)

4.6 Develop, implement and evaluate a brief intervention tool to enhance capacity of Aboriginal and Torres Strait Islander health workers to implement local oral health promotion initiatives

Develop a brief intervention tool to promote oral health to adult Aboriginal and Torres Strait Islander population [Central]

4.7 Develop and implement strategies to inform and improve support for the targeted and sustainable delivery of the Lighten Up to a Healthy Lifestyle and Living Strong programs by Health Service Districts and non-government organisations

Publish the results of evaluation of Lighten Up to a Healthy Lifestyle Program in a peer-reviewed journal

Fund improvement to the Lighten Up and Living Strong web-based data tool

Investigate and develop more efficient ways to recruit participants

Investigate the effectiveness of an integrated intervention for healthy lifestyles for socioeconomically disadvantaged communities

Support Department of Communities (Housing and Homelessness Services) to promote healthy lifestyle behaviours to social housing tenants

Contribute to investigating and developing more efficient methods for program recruitment, coordination, delivery and support [led by Central]

Undertake a quality assessment and a review of Living Strong training and support [Southern]

Develop and trial a new system to support the delivery of Living Strong in collaboration with the Brisbane South Division of General Practice [Southern]


26




5. Social marketing and communications

5.1 Develop, implement and evaluate the following evidence based social marketing and community education campaigns:– Go for 2 and 5®

– Breastfeeding – Quit – Smoke-free

environments– Young Women and

Alcohol/Young People and Alcohol programs

Coordinate project planning, formative research, campaign development and production, media placement and state-wide public relations for:

– Go for 2&5® (Phase 4)– Go for 2&5® (Aboriginal and Torres

Strait Islander campaign)

Complete the evaluation of the four year Go for 2&5® campaign

Develop a centralised breastfeeding website and ensure breastfeeding information is consistent with Baby Friendly Health Initiative principles

Implement and evaluate the Quit smoking mass media campaigns, including supporting local activities and specific messages for Aboriginal and Torres Strait Islander people

Implement and evaluate the Feeling Good campaign to provide age-appropriate anti-smoking messages to young people

Implement Young Women and Alcohol/Young People and Alcohol programs, including Safer Venues, Putting Youth In the Picture, First Responder hospitality training, drink spiking project, No Kidding campaign, and the Rural Young Males and Alcohol Rugby League Project in Southern Queensland

Support the Department of Communities (Sport and Recreation Services) Find your 30 campaign

Develop, implement and evaluate local initiatives to support campaigns, including the sharing of ideas/achievements


27




5. Social marketing and communications (continued)

5.2 Develop and implement enhanced campaign lifecycle processes, which align with the national social marketing campaign agenda of the National Partnership Agreement on Preventive Health

Participate in National Partnership Agreement working groups, and campaign reference group for Measure Up

Coordinate a statewide approach to support the national Measure Up campaign, including for Aboriginal and Torres Strait Islander and CALD groups

Fund the Ethnic Communities Council of Queensland Chronic Disease Prevention Lifestyle Package to develop and implement appropriate messages to support the Measure Up campaign

Fund the Heart Foundation to conduct a two-year health promotion project in Toowoomba to improve the prevention and management of chronic diseases and support the Measure Up campaign

Implement and report on local activity to support Measure Up

In partnership with Ethnic Communities Council of Queensland:

– further develop, pilot and evaluate the Living Well facilitator training

– plan, implement and evaluate primary health care training and launch the Living Well program model and resources

– develop a marketing plan to promote statewide uptake of Living Well [Central, Southern]


28

* Including Queensland Strategy for Chronic Disease Reference, Implementation and Evaluation Groups; Australian Population Health Development Principal Committee working groups including Australian Better Health Initiative working groups; National Aboriginal and Torres Strait Islander Nutrition Strategy and Action Plan; National Nutrition Network (Chair and Secretariat); Food Standards and related policy work; National Nutrition and Physical Activity Monitoring and Surveillance Working Group; National Go for 2 & 5® Licensees Committee; Technical Reference Group for National Children’s Nutrition and Physical Activity Survey; Intergovernmental Committee on Drugs; Review of NHMRC Dietary Guidelines Committee; and the Australian Better Health Initiatives Social Marketing Campaign Reference and Evaluation Groups.

Attachment B

Ongoing work roles and responsibilitiesOngoing work area Statewide unit responsibilities Population health unit responsibilities

1. Actively participate in relevant governance mechanisms*

Participate in national initiatives and advocate for and provide advice consistent with evidence based approaches

Participate in governance mechanisms for statewide projects and provide support/advice to facilitate the inclusion of chronic disease prevention strategies including:

– working groups under the Q2 Chronic Disease Prevention CEO’s Committee

– Smart Choices and Smart Moves governance groups

Participate in Queensland Public Health Forum working groups to progress cross-sector actions such as:

– Be Active Queensland and Eat Well Queensland implementation working groups

Chair and/or provide secretariat support for whole-of-government committees and processes including:

– Interdepartmental Working Group to address tobacco use in correctional centres (participant)

– Q2 Chronic Disease Prevention CEO’s Committee

– Queensland Drug Coordinating Committee

Contribute to national and state planning and coordination mechanisms, and provide implementation advice to members of working groups

Participate in National Aboriginal and Torres Strait Islander Nutrition Strategy and Action Plan sub-committees including the maternal and child health review and food supply [Tropical]


29

Ongoing work area Statewide unit responsibilities Population health unit responsibilities

1. Actively participate in relevant governance mechanisms (continued)

Lead and actively participate in governance arrangements relating to the:– primary prevention component of

the Queensland Strategy for Chronic Disease 2005–2015

– evaluation for the Queensland Strategy for Chronic Disease

– Queensland Government Implementation Plan for the National Strategic Framework for Aboriginal and Torres Strait Islander Health

Participate in intra-agency and inter-agency committees and other relevant groups to advocate and provide advice:– to enable the development,

implementation and evaluation of policy supporting the prevention of chronic disease

– for the inclusion of chronic disease primary prevention issues by Queensland Health clinical networks


30

* Relevant chronic disease guidelines include: Australian Alcohol Guidelines: Health Risks and Benefits20, Australian Guide to Healthy Eating21, DRAFT National Physical Activity Recommendations for Children 0–5 Years22, Australia’s Physical Activity Recommendations for 5–12 Year Olds23, Australia’s Physical Activity Recommendations for 12–18 Year Olds24, National Physical Activity Recommendations for Older Australians25, Dietary Guidelines for Australian Adults26, Dietary Guidelines for Children and Adolescents in Australia Incorporating Infant Feeding Guidelines for Health Workers27, Dietary Guidelines for Older Australians (rescinded)28, Helping Smokers Quit, A Health Professionals Guide to Brief Intervention29, National Physical Activity Guidelines for Adults30, Nutrient Reference Values for Australia and New Zealand Including Recommended Dietary Intakes31, Optimal Infant Nutrition: Evidence Based Guidelines 2003–200832 and SmokeCheck Tobacco Brief Intervention Guidelines.


2. Continue implementation of other key programs and initiatives of Queensland Health and other agencies to enable their ongoing provision

Provide statewide professional development, promotion, coordination and communication for a range of key programs and initiatives including:– 10,000 Steps– Growing Strong and Healthy For Life

initiatives (Cape York, Torres Strait, Tablelands and Mount Isa)

– Meriba Zageth: our work for diabetes

– Lighten Up– Living Strong– Smart Choices– A Better Choice

Provide training, professional development opportunities, advice and local support, and contribute to resource reviews for a range of key programs and initiatives including:– 10,000 Steps– Growing Strong and Healthy For Life

initiatives (Cape York, Torres Strait, Tablelands and Mount Isa)

– Meriba Zageth: our work for diabetes

– Lighten Up– Living Strong– Smart Choices– A Better Choice

Support place-based initiatives

3. Enhance capacity of the primary health care sector to implement best practice alcohol, tobacco, nutrition, oral health and physical activity health promotion programs

Actively promote best-practice policy, guidelines and practice at state level*

Provide professional development opportunities for alcohol, tobacco and other drugs prevention staff in Health Service Districts and non-government organisations via an annual state-wide alcohol, tobacco and other drugs prevention workshop

Actively promote best-practice policy, guidelines and practice at regional and local level

Provide support and coordination for Health Service District and non-government providers of chronic disease prevention services

4. Advocate for and promote supportive environments for alcohol, oral health, physical activity, tobacco and nutrition

Advocate for physical activity principles to be embedded into government legislative frameworks at a state level

Advocate at state and national levels about the advertising of unhealthy food and drinks

Provide advice and guidance on community needs assessment and supporting local level initiatives particularly to address the needs of Aboriginal and Torres Strait Islander communities and people with low socioeconomic status

Advocate for physical activity principles to be embedded into government legislative frameworks at a regional and local level (using SEPAHE and health impact assessment tools)

Participate in local area planning and health impact assessment processes to facilitate the inclusion of relevant chronic disease primary prevention issues into urban design and developments

Support local and regional cross-sector and community partnerships or taskforces to design and deliver good practice interventions that take account of equity issues [Tropical]


31


5. Enforce tobacco legislation, including possible legislative reforms for smoke-free environments and tobacco product retail displays

Develop and support tobacco legislation policies, procedures and guidelines (as required)

Provide statewide industry education and support through the Tobacco Hotline

Implement tobacco legislation in line with policies and procedures and observe guidelines (as required)

Provide authoritative advice to support the development of policies, procedures and guidelines (as required)

6. Implement ongoing organisational capacity initiatives

Support the development and delivery of chronic disease prevention training programs for the primary prevention workforce

Identify, undertake and support chronic disease prevention monitoring, surveillance, reporting and research

Support the development and delivery of chronic disease prevention training programs for the primary prevention workforce

Identify, undertake and support chronic disease prevention monitoring, surveillance, reporting and research

Work with the vocational education sector to deliver alcohol, tobacco and other drugs primary prevention training [Southern]

7. Provide advice to internal and external partners, including the Minister, Director-General, Chief Health Officer and local government

Prepare Ministerials, briefings and other advice (as required)

Prepare Ministerials, briefings and other advice (as required)


32

References

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National Health Priority Action Council. 2006, 2. National Chronic Disease Strategy, Australian Government, [Online] Available at: http://www.health.sa.gov.au/DesktopModules/SSSA_Documents/LinkClick.aspx?tabid=59&mid=413&table=SSSA_Documents&field=ItemID&id=69&link=H:\Uploads\Oral_Health_Care.pdf.

Council of Australian Governments. 2008, 3. National Partnership Agreement on Preventive Health, [Online] Available at: http://www.coag.gov.au/intergov_agreements/federal_financial_relations/docs/national_partnership/national_partnership_on_preventive_health.pdf.

Queensland Government. 2008,4. Toward Q2: Tomorrow’s Queensland, Queensland Government, Brisbane.

Queensland Health. 2008, 5. The Health of Queenslanders 2008: Prevention of Chronic Disease. Second Report of the Chief Health Officer Queensland, Queensland Health, Brisbane.

National Aboriginal and Torres Strait Islander 6. Nutrition Working Party. 2001, The National Aboriginal and Torres Strait Islander Nutrition Strategy and Action Plan 2000–2010, [Online] Available at: http://www.nphp.gov.au/publications/signal/natsinsa1.pdf.

Australian Government. 2008, 7. Australian Better Health Initiative, [Online] Available at: http://www.health.gov.au/internet/abhi/publishing.nsf/Content/factsheet-abhi.

National Advisory Committee on Oral Health. 2004, 8. Healthy Mouths Healthy Lives: Australia’s National Oral Health Plan 2004–2013, [Online] Available at: http://www.health.sa.gov.au/DesktopModules/SSSA_Documents/LinkClick.aspx?tabid=59&mid=413&table=SSSA_Documents&field=ItemID&id=69&link=H:\Uploads\Oral_Health_Care.pdf.

Queensland Public Health Forum. 2006, 9. Be Active Queensland, A Framework for Health Sector Action for Physical Activity for Queensland 2006–2010, [Online] Available at: http://www.health.qld.gov.au/QPHF/Documents/31830.pdf.

Queensland Public Health Forum. 2002, 10. Eat Well Queensland – Smart Eating for a Healthier State 2002–2012, [Online] Available at: http://www.health.qld.gov.au/QPHF/Documents/30434.pdf.

Ministerial Council on Drug Strategy. 2006, 11. National Alcohol Strategy 2006–2009: Towards Safer Drinking Cultures, [Online] Available at: http://www.alcohol.gov.au/internet/alcohol/publishing.nsf/Content/B83AD1F91AA632ADCA25718E0081F1C3/$File/nas-06-09.pdf.

Ministerial Council on Drug Strategy. 2004,12. National Tobacco Strategy 2004–2009, [Online] Available at: http://www.health.gov.au/internet/wcms/publishing.nsf/Content/E955EA2B5D178432CA256FD30017A522/$File/tobccstrat2.pdf.

Queensland Government. 2006, 13. Queensland Drug Strategy 2006–2010, [Online] Available at: http://www.health.qld.gov.au/atods/documents/31976.pdf.

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Smart State Council Working Group. 2008, 15. Queenslanders tackling chronic disease: Becoming Australia’s healthiest state, [Online] Available at: http://www.smartstate.qld.gov.au/resources/publications/ss_council/Queenslanders%20tackling%20chronic%20disease.pdf.

National Preventative Health Taskforce. 16. 2008, Australia: the healthiest country by 2020: A discussion paper, Commonwealth of Australia, Canberra. [Online} Available at http://www.preventativehealth.org.au/internet/preventativehealth/publishing.nsf/Content/discussion-healthiest.

Queensland Health (in development), 17. Division of the Chief Health Officer: Prevention, Promotion and Protection Health Performance Information Needs 2009–2012.

Queensland Government. 2005, 18. Eat Well, Be Active – Healthy Kids for Life. The Queensland Government’s First Action Plan 2005–2008, [Online] Available at: http://www.health.qld.gov.au/phs/Documents/shpu/29187.pdf.


33

Donovan, R.J. & Henley, N. 2003, 19. Social Marketing: Principles and Practice, IP Communications, East Hawthorne.

Australian Government, Department of Health and 20. Ageing. 2001, Australian Alcohol Guidelines: Health Risks and Benefits, [Online] Available at: http://www.alcohol.gov.au/internet/alcohol/publishing.nsf/Content/AAG01/$FILE/ds9.pdf.

Australian Government, Department of Health 21. and Ageing. 2001, Australian Guide to Healthy Eating, [Online] Available at: http://www.health.gov.au/internet/wcms/Publishing.nsf/Content/healthpubhlth-strateg-food-guide-index.htm.

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Australian Government, Department of Health 24. and Ageing. 2004, Australia’s Physical Activity Recommendations for 12–18 Year Olds, [Online] Available at: http://www.getmoving.tas.gov.au/RelatedFiles/Physicalguidlinesfor12-18yrolds.pdf.

Australian Government, Department of Health and 25. Ageing. 2009, National Physical Activity Guidelines for Older Australians. [Online] Available at: http://www.health.gov.au/internet/main/publishing.nsf/Content/phd-physical-rec-older-guidelines.

National Health and Medical Research Council. 2003, 26. Dietary Guidelines for Australian Adults, [Online] Available at: http://www.nhmrc.gov.au/publications/synopses/_files/n33.pdf.

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National Health and Medical Research Council. 1999, 28. Dietary Guidelines for Older Australians (rescinded), [Online] Available at: http://www.nhmrc.gov.au/publications/synopses/withdrawn/n23.pdf.

Queensland Health. 2006, 29. Helping Smokers Quit: A Health Professionals Guide to Brief Intervention, [Online] Available at: http://www.health.qld.gov.au/atods/documents/30593.pdf.

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www.health.qld.gov.au/ph