Hps&ecs forum-zinc-22 nov2011 (pp-tminimizer)


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Directions in Prevention and Health Promotion
ZINC, Federation Square 22 November 2011 Dr Shelley Bowen Senior Public Health Advisor

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Hps&ecs forum-zinc-22 nov2011 (pp-tminimizer)

  1. 1. Directions in Prevention and Health PromotionZINC, Federation Square22 November 2011Dr Shelley BowenSenior Public Health Advisor
  2. 2. Overview of presentation• The policy directions for prevention “tour”• The policy levers for early childhood and schools• Policy case study: COAG NPAPH
  3. 3. Why health promoting settings and whynow? “Problem, politics and policy streams provide a major window of opportunity” Kingdom, 1984
  4. 4. Policy context for prevention in Victoria
  5. 5. Victorian Public Health and Wellbeing Plan 2011-2015 http://www.health.vic.gov.au/prevention/vphwplan
  6. 6. The goal of the plan Improve the health and wellbeing of all Victorians by engaging communities in prevention, and by strengthening systems for health protection, health promotion and preventive health care across all sectors and levels of government.
  7. 7. Overview: roadmap for action
  8. 8. Focus of the Victorian Public Health and Wellbeing Plan
  9. 9. Early childhood and education settings: State policy investments 2011-15• A new Victorian Healthy Eating Advisory Service to support early childhood settings and schools• A new Victorian Prevention and Health Promotion Achievement Program• New health promotion policy for promoting the physical health and social and emotional development of children and young people• Department of Education and Early Childhood Development and Department of Health high-level State Steering Group
  10. 10. Policy case study: COAGNational Partnership Agreement on Preventive Health New $870 million investment
  11. 11. NPAPH Authorisations Victoria’s NPAPH Implementation Plans (IPs) endorsed by Cabinet in April 2011 On 25 May 2011 the Minister for Health and Ageing advised that Victoria’s Healthy Children and Healthy Workers IPs were approved. Funding for Victoria 2009-10 to 2014-15 = $81.79m Reward payments: substantial rewards payments to Victoria up to the amount of $74M are proportionately available contingent on attaining the NPAPH performance benchmarks related to fruit and vegetable consumption, physical activity and overweight and obesity targets in 2013 and 2014.
  12. 12. Prevention resource allocation Possible Approaches Single intervention (eg .social marketing) Multiple interventions Best likely Community $80 million package Prevention +economic modeling Model 100 flowers bloom Capacity building e.g. workforce
  13. 13. A real opportunity for a prevention system
  14. 14. Victorian Prevention System
  15. 15. Community Prevention Model
  16. 16. The Prevention Community Model• 14 Local Government Areas (randomly selected)• Over 40 communities• Up to 520 schools and 938 early childhood services, including: 350 Primary schools 84 Secondary schools 66 Primary/Secondary combined schools 20 Specialist schools• Up to 600 larger workplaces (over 100 employees) and 890 small- medium workplaces (50-99 employees).• Over 1.3 million Victorians• 25% of the Victorian population
  17. 17. The NPAPH Prevention Community Model Prevention delivered where people live their lives:  Recognises that too often, prevention efforts are spread too thinly to achieve an effect.  Whole-of community model to influence behaviour change  Sustained, consistent and coordinated action across community, family, councils, schools, early childhood settings, health services and workplaces  Complemented with action at a state level  Strong and emerging evidence in Australia and internationally that concentrated community-level interventions can deliver results  International efforts point to key role of local government leadership* EPODE: Ensemble, prévenons lobésité des enfants [Together, lets prevent obesity in children]
  18. 18. New Prevention System Areas to support thebuilding of “Prevention Communities”State NPAPHSystem 12 Prevention AreasTowns (Healthy) statewide Communities/Towns (n=43)Effort 15-20Prevention workforce Team Healthy Living PartnershipsInformation and Financing Health Promoting Children Approx Health PromotionTeam Health & Wellbeing in 1 per townGovernance and workplacesLeadership Team Partnerships andPrevention Partnerships EngagementTeam Research and EvaluationCEIPS linksVicHealth
  19. 19. Centre of Excellence in Intervention andPrevention Sciences (CEIPS) • Brokerage role (Strategic projects, reviews, relationships) • Independent Research e.g., health economics • Oversight of the evaluation of the NPAPH • Integrated knowledge exchange
  20. 20. Just remember when it all seems toocomplex
  21. 21. Today’s forum is timely• Update on statewide policy for healthy children and young people• To increase knowledge and understanding of a whole- of-school approach to health promotion among health and education professionals.• To share insights from health professionals that have worked with schools and early childhood services on health promotion about effective strategies for local areas.• To facilitate the opportunity for networking and relationship building between health and education professionals.
  22. 22. Thank you, enjoy the day