Your SlideShare is downloading. ×
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Paul Pholeros - Healthabitat Overview (Bellagio Center Oct. 17, 2011)

362

Published on

Paul Pholeros, Director, Healthabitat - presentation at the Rockefeller Foundation's Bellagio Center on October 17, 2011 (View the video on YouTube-http://www.youtube.com/watch?v=GsS9Lg8C3pI)

Paul Pholeros, Director, Healthabitat - presentation at the Rockefeller Foundation's Bellagio Center on October 17, 2011 (View the video on YouTube-http://www.youtube.com/watch?v=GsS9Lg8C3pI)

Published in: Health & Medicine, Business
1 Comment
0 Likes
Statistics
Notes
  • Be the first to like this

No Downloads
Views
Total Views
362
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
3
Comments
1
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Preface Why does improving housing for Indigenous people seem to be such a long road?  Expanding - Housing for HealthPaul PholerosDirector of HealthabitatBellagio Residency PresentationOctober 2011  
  • 2. Preface   Why does improving housing for Indigenous people seem to be such a long road? We believed the publication of Housing for Health (1994) was the proof that housing and health improvement were possible. It not only described how to do it, but also revealed how throughout the year long project, the local Aboriginal people were involved in both the work and the results.  
  • 3. Housing for Health projects, immediate change not policy promises Why does improving housing for Indigenous people seem to be such a long road? We believed the publication of Housing for Health (1994) was the proof that housing and health improvement were possible. It not only described how to do it, but also revealed how throughout the year long project, the local Aboriginal people were involved in both the work and the results. Seventeen years later we’ve developed a robust methodology for assessing houses and specifying urgently needed works.
  • 4. Preface   Why does improving housing for Indigenous people seem to be such a long road? We believed the publication of Housing for Health (1994) was the proof that housing and health improvement were possible. It not only described how to do it, but also revealed how throughout the year long project, the local Aboriginal people were involved in both the work and the results. Seventeen years later we’ve developed a robust methodology for assessing houses and specifying urgently needed works with a safety and health priority to focus small amounts of money to improve existing houses.   1985-2011 $7,500 av. per house
  • 5. Preface   Why does improving housing for Indigenous people seem to be such a long road? We believed the publication of Housing for Health (1994) was the proof that housing and health improvement were possible. It not only described how to do it, but also revealed how throughout the year long project, the local Aboriginal people were involved in both the work and the results. Seventeen years later we’ve developed a robust methodology for assessing houses and specifying urgently needed works with a safety and health priority to focus small amounts of money to improve existing houses. A large, skilled, national team has completed this work, on over 7,000 houses.  
  • 6. Preface   Why does improving housing for Indigenous people seem to be such a long road? We believed the publication of Housing for Health (1994) was the proof that housing and health improvement were possible. It not only described how to do it, but also revealed how throughout the year long project, the local Aboriginal people were involved in both the work and the results. Seventeen years later we’ve developed a robust methodology for assessing houses and specifying urgently needed works with a safety and health priority to focus small amounts of money to improve existing houses. A large, skilled, national team has completed this work, on over 7,000 houses. Over 75 percent of this team are Indigenous people from each local community.  
  • 7. Preface   Why does improving housing for Indigenous people seem to be such a long road? We believed the publication of Housing for Health (1994) was the proof that housing and health improvement were possible. It not only described how to do it, but also revealed how throughout the year long project, the local Aboriginal people were involved in both the work and the results. Seventeen years later we’ve developed a robust methodology for assessing houses and specifying urgently needed works with a safety and health priority to focus small amounts of money to improve existing houses. A large, skilled, national team has completed this work, on over 7,000 houses. Over 75 percent of this team are 1985-2011 Indigenous people from each local community. The Housing for Health principles, informed and honed by data gathered from over 180 projects nationally,
  • 8. Housing and health   Yami  Lester  –  “Stop  people  ge=ng  sick”  1985   Uwankara  Palyanku  Kanyintjaku     1985-20110-­‐5  years     mid  teen  years     40  years  of  age  +  Ear  infec*on   Loss  of  hearing  capacity   Loss  of  hearing  capacity  Eye  infec*ons   Eyesight  loss     Eyesight  loss    Respiratory  infec*ons  and     Reduced  lung  capacity     Reduced  lung  capacity    Skin  infec*ons       Annoying       Increased  renal  failure  risk        
  • 9. Preface   Why does improving housing for Indigenous people seem to be such a long road? We believed the publication of Housing for Health (1994) was the proof that housing and health improvement were possible. It not only described how to do it, but also revealed how throughout the year long project, the local Aboriginal people were involved in both the work and the results. Seventeen years later we’ve developed a robust methodology for assessing houses and specifying urgently needed works with a safety and health priority to focus small amounts of money to improve existing houses. A large, skilled, national team has completed this work, on over 7,000 houses. Over 75 percent of this team are Indigenous people from each local community. The Housing for Health principles, informed and honed by data gathered from over 180 projects nationally, are described in the National Indigenous Housing Guide (3rd edition 2007) and have been accepted and adopted by all Australian governments since 1999.
  • 10. Preface   So why isn’t this a happy end to the story?    
  • 11. the last 25 years Myths slow progress“The problem is…- damage by residents...’they’ destroyhouses”
  • 12. Why is the fix work needed? Damage? Faulty? Installed incorrectly, by the residents poor construction Routine? normal wear
  • 13. National Fix work showing reason fix work was required, as reported by licenced trades (All FHBH and HfH projects). (All Housing for Health projects) Damaged: overuse, Faulty: poor initial misuse, abuse or construction, vandalism incorrect product 9% or specification 21% Routine: normal wear and tear, routine maintenance 70%
  • 14. the last 25 yearsMyths slow progress“The problem is………•  damage by residents….•  ‘they’ are hopeless and need our help
  • 15. 2009-2010931 Indigenous staff60 trade teams50 team leaders17 managers1 statistician1 national manager3 directors
  • 16. the last 25 yearsMyths slow progress“The problem is………•  damage by residents….•  ‘they’ are hopeless and need our help•  change in Aboriginal health or housing issimply not possible…..”
  • 17. Housing, health and the evidence of consistent policy chaos2004 = 2,701 houses2011 = 7,308 houses + - - - - ? -
  • 18. Washing people, clothes and bedding, removing waste Shower, Laundry & Toilet block designApplied Research andDevelopment projectsShower,laundryand toilet areas
  • 19. Detail matters50 R&DProjects2005-11
  • 20. Reducing trachomaIn 1985 around 95% ofschool age childrenhad active trachomaBy 2000 levels haddropped to around 50%
  • 21. Reducing trachoma
  • 22. Mid 1980 s = 95% trachoma No environment change With environment change… trachoma reducedPIPALYATJARA EYE HEALTH PROJECT: ResultsReducing trachoma
  • 23. NSW - Housing for Health NT – Strategic Indigenous Housing and Infrastructure Program (SIHIP)2,230 houses 200 houses (approx refurbs )$11,000 per house (average) $75,000 per house 100 houses per year (average in NT over 2 years)Baseline housing safety and health No agreed baseline housing data and nofunction data with defined improvement available measure of defined improvementOver 75% of all program staff are localindigenous people (planning, design, 36% local indigenous “on site”tools, data, finance) employment (1 project) with the aim of “20% indigenous employment” No health measures for key40% reduction in hospital environment related illnesses, and noseparations for key environmental agreed, defined house function testshealth related illnesses (acute at handover - as surrogate healthrespiratory, gut, skin and ear infections) measures.
  • 24. Housing for Health New York City  Paul Pholeros Director of
  • 25. Survey Fix Day 1Teams walking from theBrownsville Partnershipoffice to variousapartments to start work
  • 26. Locations of the 10 apartments for the Housing for Health pilotThe apartments were selected by the Brownsville Partnership and included a wide variety of building types within the area.This 10 apartment trial was to enable the feasibility and costs to be assessed to improve 4,300 units in this area.
  • 27. we need toilets….the provision of toilets for 400 people in Bhattedande Village,Nepal 2007- 2010 and new projects ongoing
  • 28. Stage 1Toilet design+Water ?+Gas $=Trees x=Erosion !+Smoke !!!
  • 29. Start building two toilets first……..Build a local, resilient team
  • 30. Redesign and improve thehardware
  • 31. Toilet + light = wedding
  • 32. $1800 = 1 toilet, biogas system and help build a local teamDispose of human waste safely - 58 toilets – with 28 bio gas and 30 septicsystems, for a village of 400+ people, with a full Nepali team. The work has nowmoved to two new villages with the same needs.
  • 33. “…an Australian Aboriginal problem….too hard to solve”“…poverty is not natural…it is man-made and it can be overcome and eradicated by the actions of human beings” Nelson Mandela, University of Sydney, 2005 Expanding… Housing for Health
  • 34. Expanding…Housing for Health www.healthabitat.com Thanks

×