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Elvie Hales & Maree Gleeson,Tasmania Medicare Local: Charting the Course of Change: Tasmania’s Response to Addressing the Social Determinants of Health
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Elvie Hales & Maree Gleeson,Tasmania Medicare Local: Charting the Course of Change: Tasmania’s Response to Addressing the Social Determinants of Health

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Elvie Hales, Director and Maree Gleeson, Manager – Social Determinants of Health and Health Risk Factors, Tasmania Medicare Local delivered this presentation at the 2013 Social Determinants of Health …

Elvie Hales, Director and Maree Gleeson, Manager – Social Determinants of Health and Health Risk Factors, Tasmania Medicare Local delivered this presentation at the 2013 Social Determinants of Health conference. The conference brough together health, social services and public policy organisations to discuss how social determinants affect the health of the nation and to consider how policy decisions can be targeted to reduce health inequities. The agenda facilitated much needed discussion on new approaches to manage social determinants of health and bridge the gap in health between the socially disadvantaged and the broader Australian population. For more information about the event, please visit the conference website: http://www.informa.com.au/social-determinants.

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  • 1. Charting the Course of Change: Tasmania's response to addressing the social determinants of health Elvie Hales Director Primary Health Services Maree Gleeson Manager Social Determinants of Health & Health Risk Factors Funded through the Australian Government Department of Health
  • 2. Tasmania – A Great Place !! Here is where we live ….
  • 3. Great scenery …. but…. About 500,000 people in the state Two main population centres (Launceston in north and Hobart in south) with most decentralised population in all other regions Very little public transport between population centres
  • 4. But… We will die sooner Life expectancy is lower than other states (by average 2 years) We are older Over 65 - (16.3 % over 65) compared with (SA 16.1%, VIC 14.2% and NSW 14.7%) Others are lower We are sicker (3 or more chronic diseases – Tasmania 44.9% compared with lowest NSW at 37.4 %)
  • 5. And … We smoke more (second highest at 21.8% Tasmania, NT 23.9% lowest ACT 13.4%) We are poorer Approximately one third of population on a benefit or pension
  • 6. And … We are less educated A report by the Australian Bureau of Statistics for 20112012 shows half of all Tasmanians aged 15 to 74 are functionally illiterate, and more than half are functionally innumerate—meaning they don’t have the skills needed to get by in the modern world, like filling out forms, or reading the instructions on their prescription Also concerning is the number of young people who are not earning or learning, often described as disengaged. Tasmania is second only to the Northern Territory with 33.4% of 17-24 year olds not engaged
  • 7. Tasmanian Health Assistance Package Australian government announced assistance package in mid 2012. Approx. 400 million to the state (over 4 years). (July 2012 – June 2016) Most money went to state government to assist with hospital waiting times as well as some prevention programs. About 12% of the total to Tasmania Medicare Local for a number of initiatives, including Social Determinants of Health
  • 8. Social Determinants of Health project Department of Health “As part of the Tasmanian Health Assistance Package this project will focus on improving the health of Tasmanians through addressing the social determinants of health such as, but not limited to, social disadvantage, transport, housing, health literacy and education” Knowledge speaks, but wisdom listens. Jimi Hendrix
  • 9. Principles for how we work  Using an equity lens  Building stronger workers and communities  Partnerships with communities and organisations  Adding value, filling gaps  Investing in the future and addressing the ―hard stuff‖ – resourcing Tasmanian solutions  Acting as advocates for change Try not to become a man of success but a man of value. Albert Einstein
  • 10. Social Determinants of Health project “The causes behind the causes” The art of living lies less in eliminating our troubles than in growing with them. Bernard M. Baruch
  • 11. Timelines for Development of the Plan 3 Great spirits have always encountered violent opposition from mediocre minds. Albert Einstein
  • 12. Social Determinants of Health project In developing the Social Determinants of Health project a threestaged approach was taken to inform the content and process of the Plan. This involved:  Stage 1 - Community consultation  Stage 2 - A visioning and priority setting workshop with the Steering Group and project team  Stage 3 - A scan of the literature, data and other policies and programs. All are lunatics, but he who can analyse his delusion is called a philosopher. Ambrose Bier
  • 13. Social Determinants of Health project Some clear themes emerged to inform development of the Plan. These include: 1) Undertaking a place based approach to working with communities across the State 2) Identifying ―Communities of Priority‖ based on need and readiness 3) Resourcing communities to assist them in identifying and addressing the social determinants of health relevant to their circumstance so as to support long term sustainability and building stronger communities 4) Building capacity within communities and across the State to harness sustainability beyond the life of the project. The time is always right to do what is right. Martin Luther King Jr
  • 14. Social Determinants of Health project April 2016 Activities informing and complementing each other State-wide Capacity Building Activities Input TML May to June 2016 Place Based Activities Input Community Feb 2014 Final Evaluation Phase  Feb 2014 June 2016 Sometimes it is not enough to do our best; we must do what is required. Winston Churchill
  • 15. Social Determinants of Health project Place-based activities Communities of Priority may be funded across the state and identified in relation to:  a range of socio-economic criteria, (including state and national data)  assessment of ability/capacity to implement a project  in consideration of other initiatives that may already be in operation in the region  a defined list of social determinants of health  additional determinants that may be more relevant for the local community. The thing always happens that you really believe in; and the belief in a thing makes it happen. Frank Lloyd Wright
  • 16. Social Determinants of Health project State-wide workforce and community capacity building activities could include:  Training:  project management, strategic planning, governance structures and Bridges Out of Poverty  Community Forums  Asset Reviews  Other as identified There’s always free cheese in the mouse traps – but the mice there ain’t happy. Unknown
  • 17. Social Determinants of Health project Evaluation and Promotion An important aspect of the project is to:  undertake a meaningful evaluation  tell ―everyone‖ about our story Some mornings it just doesn’t seem worth it to gnaw through the leather straps. Emo Phillips
  • 18. Social Determinants of Health project “The causes behind the causes” Promotional Video http://youtu.be/POKT4Yp71PA The person born with a talent they are meant to use will find their greatest happiness in using it. Johann Wolfgang Von Goethe
  • 19. Charting the Course of Change: Tasmania's response to addressing the social determinants of health Funded through the Australian Government Department of Health