Strong Links I

I Strong Links Building better services to meet the health and disability support service needs of people in Porirua - ' The report of the Central Regional Health Authoritys Porirua Needs Assessment Project September 1994 - ISBN -0-478-04767-3 - Contents Contents List of tables iv List of figures v Executive summary vi 1. Introduction 1 1.1 The goal of the Porirua project............................................................................. 1 1.2 Needs assessment in the Central region................................................................ 1 1.3 Why Porirua?....................................................................................................... 2 1.4 The "core" area of southern Porirua ................................................................... 2 1.5 Community consultation and links with local agencies.......................................... 4 1.6 Personnel and methods......................................................................................... 4 2. Socio-demographic profile of Porirua City 5 2.1 introduction.......................................................................................................... 6 2.2 General description of the geography of the Porirua City area............................. 6 2.3 Population overview............................................................................................. 7 2.4 Ethnic group populations ..................................................................................... 8 2.5 Age and sex composition....................................................................................... 10 2.6 income profile ...................................................................................................... 12 2. 7 income support..................................................................................................... 13 2.8 Educational profile:.............................................................................................. 15 2.9 Occupation........................................................................................................... 16 2.10 Employment status.............................................................................................. 17 2.]] Household composition....................................................................................... 18 2.12 Residential mobility............................................................................................ 19 2.13 Access to transport............................................................................................. 20 2.14 Discussion.......................................................................................................... 22 3. Disability status in southern Porirua 23 3.1 introduction.......................................................................................................... 24 3.2 Prevalence of disability and support needs ........................................................... 24 3.3 Comment.............................................................................................................. 27 1 •1 4. Health status in southern Porirua 28 4.1 Introduction .................................................................................. 30 4.2 Morbidity...................................................................................... 30 4.3 Mortality...................................................................................... 35 4.4 Discussion of selected conditions................................................... 39 5. Services and their utilisation in southern Porirua 53 5.1 Primary health care services ......................................................... 54 5.2 Public health services.................................................................... 63 5.3 Secondary health services.............................................................. 64 5.4 Mental health services................................................................... 66 5.5 Disability support services ............................................................ 68 6. Consumer views 73 6.1 Introduction .................................................................................. 4 6.2 What consumers said..................................................................... 74 7. Consultation and the views of community groups 79 7.1 Introduction .................................................................................. 80 7.2 Consultation with Maori................................................................ 8] 7.3 Consultation with Pacific Island people......................................... 82 7.4 What the submissions said............................................................. 83 8. Provider views 90 8.1 Introduction................................................................................... 9] 8.2 What providers said....................................................................... 9] 9. Conclusion and recommendations 105 9.1 Key population and access features............................................... 105 9.2 Key health issues........................................................................... 106 9.3 Service provision - health: the current situation ............................ 108 9.4 A strategy for improving health status........................................... 1]] 9.5 Timetable and resources - health services...................................... 122 9.6 Key disability service provision issues........................................... 125 9. 7 A strategy for improving disability support.................................... 127 9.8 Disability action summary............................................................. 129 ii 9.9 Timetable and resources: disability support services 131 10. References 134 APPENDICES 137 Acknowledgments 137 Porirua City, population by age, sex and ethnic group, 1991 138 Comparative profile, Porirua City by ward, 1991 139 Comparative profile, Porirua City by ward: ratio to the Central region, 1991 140 List of submissions received from community groups 141 ii List of tables Table 1: Porirua City, usually resident population by ward ............................................................... 7 Table 2: Porirua City, population by ethnic group and ward, 199]...................................................8 Table 3: Porirua City, population by specific Pacific Island ethnic groups and ward, 1991..............9 Table 4: Porirua City, population by Iwi and ward, 199]..................................................................9 Table 5: Porirua City, population by age and sex, 1991...................................................................1] Table 6: Porirua City, population by 5 year age group and ward, 199]..........................................11 Table 7: Porirua City, household income distribution (%) by ward, 1991 ........................................13 Table 8: Porirua City, income support (%) by ward, 1991 ...............................................................14 Table 9: Porirua City, occupations of residents (%) by ward, 199]..................................................17 Table 10: Porirua City, occupation by ethnic group, 199] ............................................................... 17 Table 11: Porirua City, work status by ward (%), 199]....................................................................18 Table 12: Porirua City, full-time unemployment rate (%) by age and ethnic group, 1991.................18 Table 13: Porirua City, family type by ward, 1991 ............................................................................19 Table 14: Porirua City, private motor vehicles available per dwelling by ward, 1991 ......................21 Table 15: Assistance used in the previous 4 weeks by households in which there was aperson witha disability ............................................................................................................ 25 Table 16: Comparison of self-assessed health status by area and ethnic group (percentages) ..........30 Table 17: Hospitalisations involving people from southern Porirua. for 199]..................................31 Table 18: Comparison of southern Porirua age standardised rates of hospitalisation .for 1991, with northern Porirua and with the rest of Wellington/Wairarapa ................................ 33 Table 19: Hospital admissions of southern Porirua people by ethnic group, for 1991 ......................34 Table 20: Summary of selected services provided by Kenepuru Hospital. ........................................ 65 Table 21: Percentage ofpeopie who have used a service in the last two years who said itwas too expensive.....................................................................................................75 Table 22: Percentage ofpeople who have used the service in the last two years, who thought it took too long to get an appointment.............................................................................76 i), 1 List of figures Figure 1: Map of the Porirua City area showing ward boundaries....................................................3 Figure 2: Comparison of Porirua City and Central region populations...........................................10 Figure 3: Porirua City, population proportion by age and ethnic group, 1991 ................................12 Figure 4: Porirua City, household income by indicative ward, 199]................................................13 Figure 5: Porirua City, family type by ward, 199]...........................................................................19

Load more