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Warrnambool Bowls Club
     Community Health Survey
Our Community
 Community = Older patrons (65+) of the Warrnambool
  Bowls Club (WBC)

 Social and sport club located at 75-79 Timor St
  Warrnambool
Our Community
Our Community
 Older populations have greater potential health needs
 “[Sport] not only provides an opportunity for physical
  activity and exercise, but also, and perhaps more
  significantly, it offers a forum for social interaction and
  engagement.” (Tonts, 2005)
Health Profile
 Our community faces the same health issues as the
  older Australian population

 Services available which could place people at risk
      Attraction for problem gamblers and alcoholics

 Lawn bowls provides and exercise option suited to
  older people
      Reduction in morbidity and mortality associated with regular
       physical activity
Demographics and
         statistics
 The WBC is one of the largest clubs in the region with
  over 3700 members
        Has doubled in trade and size in the last 6-7 years

 The average age of visitors to the club is 64 for males
  and 62 for females
        Approximately 37% of members are over 65 years of age
        Only 5-10% of members are below 50 years of age
        Therefore, our target community is approximately 1400 people
11 Qualities Of A
          Healthy City
1. Clean, safe, high quality environment
       Modern, newly renovated building
       Surrounded by quiet streets lined with tall Norfolk pines
       Gardens within the grounds, with shrubs and greenery
11 Qualities Of A
          Healthy City
2. Stable and sustainable ecosystem
       Residential zone
       Serves community needs within the area by providing
        recreational activities




              http://www.warrnamboolbowls.com.au/photo-gallery
11 Qualities Of A
         Healthy City
3. Strong, supportive community
      Welcomes all people, regardless of race, religion, age,
       gender, culture or playing ability
      Wheelchair accessible grounds and facilities
11 Qualities Of A
          Healthy City
4. High degree of public participation in health and
   well-being decisions
       Board of directors elected by club members
       Formal and informal feedback services
11 Qualities Of A
          Healthy City
5. Meeting of basic needs
       Provides hot and cold water, food, heating and cooling
        services, toilet facilities, shelter, vocational opportunities




               http://www.warrnamboolbowls.com.au/photo-gallery
11 Qualities Of A
          Healthy City
6. Access to a wide variety of experiences and
   resources
     Bowling for all levels, bingo, poker, meals, senior’s lunch on
      Sundays & events




                                                             VIDEO
                                                             LINK
11 Qualities Of A
        Healthy City
7. Diverse, vital and innovative city economy
     Diverse economy – memberships, gambling, hospitality,
      special events
     Gambling remains a significant community concern
11 Qualities Of A
        Healthy City
8. Connectedness with the past, and with cultural
   and biological heritage
     WBC is a club that is proud of its past and its champions




                                                       VIDEO LINK
11 Qualities Of A
          Healthy City
9. A compatible city form that enhances the above
       Structurally sound building, environmentally friendly
        ecosystem, opportunities for new members and growth




              http://www.warrnamboolbowls.com.au/photo-gallery
11 Qualities Of A
        Healthy City
10.Appropriate and accessible public
   health services
     Public health messages
     Cross promotion of relevant initiatives –
      Celebrage Festival
     Primary health care brought directly to
      members
11 Qualities Of A
           Healthy City
11.High health status
       Main focus on improving positive health status: social and
        physical wellbeing initiatives
       Indirectly promotes low disease status through these
        initiatives, however controversial gambling promotion




  http://www.dominobowlswear.com.au/index.php?option=com_content&task=view&id=154&Itemid=208
Windshield Survey
 Approach
    Wednesday 10th October during Clinical school visit
    Spent a afternoon and enjoyed a beverage at the WBC
    Began outside walking from town, observed the surroundings
     of the club and then observed the interior
    Took photos
Windshield Survey
 Infrastructure
     Residential 1 Zone
     Main building
          Gaming lounge,
          Function room,
          Bar, Bistro,
          Outdoor smoking area
     2 outdoor greens
     Wide and well maintained roads
     Tree lined footpaths
     Lack of pedestrian crossings
Windshield Survey
 Demographic
    Several different groups were witnessed socialising
        Most were men, aged 35+
        Caucasian
    High numbers in the gaming room throughout
Windshield Survey
 Transport and Mobility
       Central location
       Bus stop
       Taxi rank
       Large car park
       5 minute drop-off zone for vehicles
       No disabled carparks
Windshield Survey
 Recreation
     Lawn bowls!
     Dining – Cheap menu and daily specials
     Function room for hire
Windshield Survey
 Health Services
       Improves physical and mental health through its very nature
       First aid kit, defibrillator
       Health messages/brochures
       Hats and water
Windshield Survey
 Security
      Safe neighbourhood
      Close to police and
       fire services

 Religion & Spirituality
      Honour
       boards/Trophy
       cabinets
      No favoured religious
       denomination
Windshield Survey
 Challenges
     Warrnambool is 2.5 hours from Geelong!!
     Limited opportunity to revisit the WBC and chose timing of
        our visit
       Restricted access to patrons and the gaming room
       Rain and gale force winds
       No bowls at the time of the survey
       Limited response from WBC on follow up
Supporting community
     health objectives

 Identified health needs
       Problem gambling risk
       Delivery of physical health care needs
       Delivery of disability services
       Risk of social isolation in older population
Supporting community
     health objectives
 Overarching key groups
Supporting community
     health objectives
 Key groups within the club

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DPCI Group 21 Powerpoint

  • 1. Warrnambool Bowls Club Community Health Survey
  • 2. Our Community  Community = Older patrons (65+) of the Warrnambool Bowls Club (WBC)  Social and sport club located at 75-79 Timor St Warrnambool
  • 4. Our Community  Older populations have greater potential health needs  “[Sport] not only provides an opportunity for physical activity and exercise, but also, and perhaps more significantly, it offers a forum for social interaction and engagement.” (Tonts, 2005)
  • 5. Health Profile  Our community faces the same health issues as the older Australian population  Services available which could place people at risk  Attraction for problem gamblers and alcoholics  Lawn bowls provides and exercise option suited to older people  Reduction in morbidity and mortality associated with regular physical activity
  • 6. Demographics and statistics  The WBC is one of the largest clubs in the region with over 3700 members  Has doubled in trade and size in the last 6-7 years  The average age of visitors to the club is 64 for males and 62 for females  Approximately 37% of members are over 65 years of age  Only 5-10% of members are below 50 years of age  Therefore, our target community is approximately 1400 people
  • 7. 11 Qualities Of A Healthy City 1. Clean, safe, high quality environment  Modern, newly renovated building  Surrounded by quiet streets lined with tall Norfolk pines  Gardens within the grounds, with shrubs and greenery
  • 8. 11 Qualities Of A Healthy City 2. Stable and sustainable ecosystem  Residential zone  Serves community needs within the area by providing recreational activities http://www.warrnamboolbowls.com.au/photo-gallery
  • 9. 11 Qualities Of A Healthy City 3. Strong, supportive community  Welcomes all people, regardless of race, religion, age, gender, culture or playing ability  Wheelchair accessible grounds and facilities
  • 10. 11 Qualities Of A Healthy City 4. High degree of public participation in health and well-being decisions  Board of directors elected by club members  Formal and informal feedback services
  • 11. 11 Qualities Of A Healthy City 5. Meeting of basic needs  Provides hot and cold water, food, heating and cooling services, toilet facilities, shelter, vocational opportunities http://www.warrnamboolbowls.com.au/photo-gallery
  • 12. 11 Qualities Of A Healthy City 6. Access to a wide variety of experiences and resources  Bowling for all levels, bingo, poker, meals, senior’s lunch on Sundays & events VIDEO LINK
  • 13. 11 Qualities Of A Healthy City 7. Diverse, vital and innovative city economy  Diverse economy – memberships, gambling, hospitality, special events  Gambling remains a significant community concern
  • 14. 11 Qualities Of A Healthy City 8. Connectedness with the past, and with cultural and biological heritage  WBC is a club that is proud of its past and its champions VIDEO LINK
  • 15. 11 Qualities Of A Healthy City 9. A compatible city form that enhances the above  Structurally sound building, environmentally friendly ecosystem, opportunities for new members and growth http://www.warrnamboolbowls.com.au/photo-gallery
  • 16. 11 Qualities Of A Healthy City 10.Appropriate and accessible public health services  Public health messages  Cross promotion of relevant initiatives – Celebrage Festival  Primary health care brought directly to members
  • 17. 11 Qualities Of A Healthy City 11.High health status  Main focus on improving positive health status: social and physical wellbeing initiatives  Indirectly promotes low disease status through these initiatives, however controversial gambling promotion http://www.dominobowlswear.com.au/index.php?option=com_content&task=view&id=154&Itemid=208
  • 18. Windshield Survey  Approach  Wednesday 10th October during Clinical school visit  Spent a afternoon and enjoyed a beverage at the WBC  Began outside walking from town, observed the surroundings of the club and then observed the interior  Took photos
  • 19. Windshield Survey  Infrastructure  Residential 1 Zone  Main building  Gaming lounge,  Function room,  Bar, Bistro,  Outdoor smoking area  2 outdoor greens  Wide and well maintained roads  Tree lined footpaths  Lack of pedestrian crossings
  • 20. Windshield Survey  Demographic  Several different groups were witnessed socialising  Most were men, aged 35+  Caucasian  High numbers in the gaming room throughout
  • 21. Windshield Survey  Transport and Mobility  Central location  Bus stop  Taxi rank  Large car park  5 minute drop-off zone for vehicles  No disabled carparks
  • 22. Windshield Survey  Recreation  Lawn bowls!  Dining – Cheap menu and daily specials  Function room for hire
  • 23. Windshield Survey  Health Services  Improves physical and mental health through its very nature  First aid kit, defibrillator  Health messages/brochures  Hats and water
  • 24. Windshield Survey  Security  Safe neighbourhood  Close to police and fire services  Religion & Spirituality  Honour boards/Trophy cabinets  No favoured religious denomination
  • 25. Windshield Survey  Challenges  Warrnambool is 2.5 hours from Geelong!!  Limited opportunity to revisit the WBC and chose timing of our visit  Restricted access to patrons and the gaming room  Rain and gale force winds  No bowls at the time of the survey  Limited response from WBC on follow up
  • 26. Supporting community health objectives  Identified health needs  Problem gambling risk  Delivery of physical health care needs  Delivery of disability services  Risk of social isolation in older population
  • 27. Supporting community health objectives  Overarching key groups
  • 28. Supporting community health objectives  Key groups within the club

Editor's Notes

  1. The hospital, police station, railway station, communitycentre and senior citizens club are all within 3km of the bowls club
  2. We chose older patrons (65+) of the WBC as our community for a number of reasons:It is recognised that older people are often more vulnerable to both physical and mental health issues than the greater population, especially in rural areas where services are less abundantSporting clubs like the WBC are vital in small towns and can unite communitiesGreat way to get to know a bit more about Warrnambool and the services within the region, where we will be living for the next 2 years
  3. Urban planning, ecology and environmentThe newly renovated club is situated in a quiet residential locationThere was little traffic or noise, this left a pleasant environment surrounding the bowling greensThe central location of the club within the town allowed easy access by walking, taxi or bus. The club provides ample parking spaces in a private car park for patrons who drive
  4. Urban planning, ecology and environmentThe nature of activities undertaken at the club is estimated to produce minimal wastes such as air, noise or water pollutionThe gardens within the grounds create a natural environment and green ecosystem
  5. ConnectednessAnyone is welcome to start a membership with the club or visit the facilities as a casual patronThe recreational activities offer opportunities to meet a variety of people and form new friendshipsIt is well known that involvement in sport helps to develop self-confidence and self-esteem. Additionally, it promotes bonding and a sense of belonging and can reduce mental illnesses such as anxiety and depression
  6. Participation and controlThe board of directors which is elected by club members oversees the activities of the organisationThe annual general meeting, which can be attended by all members provides a formal feedback service
  7. Meeting basic needsThe WBC has indoor and outdoor seating areasThe outdoor areas have verandas providing shade from the hot sun or rainThe club provides its guest with free hot and cold water, has food available for purchase, and toilet facilitiesIt also has chairs, tables and lounge areas for comfort or activities
  8. WBC offers a wide range of experiences to our community including bowling for all levels, bingo, poker, dining and a specific senior’s lunch on Sundays. This variety of experiences on offer allows for wide social interaction within our community and more broadly.(participation and control)
  9. The WBC is set up as a corporation with a membership elected board responsible for strategic direction and long-term decision-making and a manager employed for daily operations management. The WBC has a diverse income base from its large membership base of nearly 4000 members; from 45 Electronic Gambling Machines (EGMs); and from its hospitality section which includes a restaurant, a bar and function facilities However the EGMs are controversial and as shown here is causing negative publicity for the club in the local newspaper and on online chats. Read out quotes!(urban planning, ecology and environment)
  10. Visiting the WBC instantly reveals a club that is proud of its past and its champions. Photos and name plates of past members and past competition champions are displayed throughout celebrating the extensive history of the club, which has established 1890. The club also has a strong emphasis on social connectedness and coaching which allows for extensive interaction between the older person’s community in the club and younger generations joining.(connectedness)
  11. Meeting basic needsThe modern, newly renovated building and facilities will enhance the longevity of the clubThe environment within the grounds such as the garden shrubs and greenery, along with the pines lining the streets and minimal waste production will support a clean ecosystem
  12. Public health initiatives at the club are broad and include visual health messages targeted at our community such as information on arthritis and bladder weakness.The club encourages physical activity and mental health directly through the bowls sport and the social environment and indirectly by promoting relevant broader community events such as the Celebrage festival, which further encourages activity and social connectedness.WBC also organises for doctors and optometrists to visit the club yearly, bringing primary health care directly to the members.(meeting basic needs)
  13. The club improves social well-being and has several preventative behaviour initiatives as discussed previously, in this way adopting a multifaceted approach to improving the positive health status of its members through social and physical wellbeing initiatives and indirectly promotes a low disease status through these initiatives.However controversy remains over the gambling revenue, with potential negative health effects including risk-taking behaviour.(meeting basic needs)
  14. The Windshield survey was conducted on Wednesday the 10th October in the afternoon/evening, during our Clinical School visit.Started on the outside and surroundings and then worked our way to the inside, to ensure we didn’t miss anything importantAs the Windshield survey is primarily an observational assessment, we sat inside the club for some time and just observed how the club operated
  15. The windshield survey was conducted in the afternoon/evening on the 10th October. The WBC is located on one of the main streets in Warrnambool. It occupies a large area of land and consists of a main single-story building with a gaming lounge, function/members room, bar, bistro, and an outdoor smoking area. While the building itself is quite large, the majority of the land is occupied by 2 well-maintained bowling greens surrounded by shaded seating areas and greenery.Roads and footpaths surrounding the club are in good condition and well-lit. There was, however, a noticeable lack of any pedestrian crossings around the club, which may make it difficult for elderly patrons to cross the wide streets and access the club facilities.
  16. While we were there we witnessed several different groups of people using the different areas/facilities of the club. Most were men aged 35 plus and caucasian. Not surprisingly, the gaming room was the busiest area of the club.No bowling games were being played – which may have been due to the torrential rain and gale-force winds in Warrnambool at the time.
  17. Accessing the WBC appeared to be relatively easy, with a number of different transport modalities available to patrons. There was a bus stop right outside the front door, a taxi rank, a large car park dedicated to patrons of the club, and a 5 minute vehicle drop-off zone. One striking absence noted was disabled car parks – this was quite unexpected due to the large elderly clientele base of the club. We believe that the large car park provided to patrons may offset this problem.The central location within Warrnambool also contributes to the easy access for patrons.
  18. As already mentioned, the WBC provides an enormous range of activities for patrons of all ages.Obviously, lawn bowls is one of the biggest attractions- the club caters for players of all ages and skill levels.The cheap menu and daily specials make the club a family friendly place, and a function room is available for hire.
  19. The WBC seemed very proactive and interested with regards to the health of their patrons. Health messages were littered throughout the building e.g. in toilets and on the green, for things like arthritis, incontinence, sexual assault/violenceBrochures for all sorts of health matters, and community events were available at the front desk.A first aid kit and defibrillator were noticed in a central location behind the bar.
  20. Community has negative attitude to gaming – this could have limited their openness to giving us access to the club for fear of any negative publicity (also a legal aspect to this)
  21. From the 11 Healthy Cities and Windshield Survey – these are the identified health needs of our community. These are in no particular priority order1) Problem Gambling Risk – this arises due to the fact that the club has 45 Electronic Gaming Machines “Pokies” and also a Bingo Night. Obviously these are both gambling activities and inherent to this is the risk of problem gambling arising. We feel that the club only really addresses this through there legislated involvement with the Victorian Commission for Gambling and Liquor regulation. 2) Delivery of health care needs – WBC actually does this really well, with annual medical health checks, hearing and eye tests. The following slides will outline how these initiatives at a club level are supported from overarching bodies3) Delivery of disability services – WBC again has great access to the facilities and caters very well to the disabled and older population that may have limited mobility and thus increased need for support. 4) Risk of Social Isolation – this is a risk amongst the older population in general, and the slides will show how the WBC combats this
  22. WBC is supported by the overarching national body- Bowls Australia, which encompassed Bowls Victoria. The Association with these larger bodies gives the WBC support and access to the resources offered by their corporate partners. This illustrates the levels of partnerships – BB partnered with Bowls Australia, and VicHealth and OPSM are funding partners of Bowls vict. Along with Australian Blind Bowlers Association,Deaf Bowls Victoria and Disability Sport and Recreation which are also partnered with Bowls vic.These supports then filter directly or indirectly through to WBC itself- where it is then responsible for the implementation of initiatives. BB also has direct impact and presence in the club – by the means of posters and also there is week of bowls dedicated to the awareness of depression, anxiety and other mental health issues amongst members.
  23. As mentioned the WBC is responsible for the implementation of health initiatives within the club with the support (either financial or logistical) from the overarching bodies. As you can see in this diagram – the Key groups within the club, in the middle, are addressing our health objectives, at the bottom. Inherent in the nature of a bowls club is the delivery of physical and social needs. It is a outdoor activity that promotes a healthy lifestyle, whilst being social and connected to the people around you. The incorporation itself also caters for the needs of its less abled patrons directly. The majority of the bowling members are high functioning, with one person who uses a wheel chair and a couple of legally blind participants. It is important to note that the disability is not limited to this and the older population have the opportunity to be supported through the bowling division of the club. They have direct access to the greens via a ramp for wheelchairs, they offer the hire and purchase of bowling arm aids. In conjunction with the partners of Bowls Vic- such as disability sport and recreation, WBC conducts All ability days. The club also has the potential to offer and support more of these days due to the good financial position of the club. Indirectly the Gaming room and the bingo night contribute to the physical needs of the members- some of their revenue is directed towards Southwest Healthcare (the hospital) or other health charities that have been decided upon by the club. Thus members who fall ill at the club, will inevitably use the facilities of the SWH.The risk of social isolation in the older population is high, and this is definitely very well support in the WBC with the Social Club, Friday night bingo and bowling division all offering a diverse range of opportunities and activities for members to enjoy and participate it. Also just the nature of the club set up, the bar and restaurants facilities support the friendly and social nature of the club. Thus WBC gets big Ticks in this department! The risk of problem gambling – is not really supported by these club structures, as discussed earlier this is an area governed by the VCGLR to promote responsible gambling. There is also a state funded initiative called Southwest Primary Care Partnership (which comprises community health centers, local general practices and the hospital) that works with WBC to create greater awareness of this issue. This is an area of need in the club. We do however, feel this is indirectly supported by the BB campaign running throughout the club.