30 years 1987

of

VicHealth 2017 © Copyright VicHealth 2017 November 2017 C-499 ISBN: 978-1-922251-11-4

Acknowledgement: Nick Richardson, writer

Products, services and brands that are mentioned or appear in this publication are owned by and/or are registered trademarks of their respective proprietors. VicHealth –30years 04 05 06 10 13 14 18 22 26 30 34 38 42 42 46 50 54 58 62 63 | | | | | | | | | | | | | | | | | | | | MESSAGES FOREWORDS

WHERE ITBEGAN HEALTH PROMOTION, THENANDNOW THEMES ANDAPPROACHES GENDER YOUTH COMMUNITY HEALTH EQUITY PARTNERSHIPS SPORT INNOVATION STRATEGIC IMPERATIVES PROMOTE HEALTHY EATING ENCOURAGE REGULARPHYSICALACTIVITY PREVENT TOBACCO USE PREVENT HARMFROMALCOHOL IMPROVE MENTAL WELLBEING BOARD CHAIRS CHIEF EXECUTIVEOFFICERS

03 |  Messages | 04 State Government of Victoria of Government State Health for Minister The Hon. MP Jill Hennessy Western Pacific Region World Health Organization Director Regional Young-soo Shin Dr VicHealth Patron-in-Chief of Victoria Governor AC Dessau Linda Hon. The Messages

health promo for standard gold international the set has VicHealth then, Since tobacco. on atax by funded be to in the body world health promotion first the VicHealth –making 1987 in legislation control tobacco visionary Victoria’s through establishment its with beginning, very the from Vic together across government, organisations organisations government, across together work to need the highlights 2015–2019 Plan Wellbeing and Health Public Victorian The impact Victorians. that inequity of causes underlying the tackle can we how and wellbeing, and health better promote to work can we –how prevention on focus to need we ever, than more Now, state. our across all by shared not is wellbeing and health good that know we And prevalent. more are diseases chronic and ageing are people Our challenges. some facing are we But us healthy. keep to services and support excellent to access have and wellbeing, and health good By international enjoy Victorians standards, we love. people the with lives fulfilling long, live to us allowing all, us to important is communities and friends families, our of wellbeing and health The cigarette replaced that programs successful delivered VicHealth year, first its only In present. and past staff, its and VicHealth of work tireless the to gratitude its owes – future the of –and today of Victoria The addressed. or acknowledged rarely was violence family and publicly, of spoken seldom was health Mental venues. sporting our at and television on norm accepted an was advertising Tobacco places. public and restaurants offices, homes, our in prevalent was Smoking place. different avastly was Victoria 1987, in established was VicHealth When Victoria. and active informed more a for healthier, the charge leading abeen pioneer in health promotion, has VicHealth years, 30 last the For Health has been a pathfinder a been pathfinder Health has tion foundations. tion foundations.

for a healthier world. ahealthier for together fighting keep to future, the into long VicHealth with working to forward look We before. ever than important more be will of partnership, collaboration and innovation approach the VicHealth Goals, Development Sustainable the of era the enter we As World Health Organization. the to partner and friend agreat is VicHealth Victorian community. community. Victorian the for wellbeing and health supporting in efforts collective our strengthen to continuing to forward Ilook –and all us unites that –one vision shared our is Victorian every of wellbeing and health the Improving today. continues 1987 in received VicHealth support cross-government the and act apioneering was inception very its Indeed, world. the around and here –both beginnings its since apioneer been has VicHealth equity. health on focus its in particularly Victorians, of wellbeing and health the championing in role vital and aunique played has VicHealth time that Over anniversary. 30-year its of achievement the on VicHealth I congratulate results. real see can we that so wellbeing and health of determinants social the addressing on attention our focuses also It wellbeing. and health poor for factors risk major the tackle to sectors and and wellbeing. health good advocating in achievements anniversary, and for your exceptional Congratulations VicHealth on your 30th world. wider the to taken been that many of VicHealth’s initiatives have now pride with Inote Patron, as and, Victorians all of lives the on impact apositive making continues it as success every VicHealth I wish wellbeing. mental improving and alcohol from harm preventing use, tobacco preventing activity, physical regular encouraging its strengthin promoting healthy eating, proves today and work its expanded has VicHealth decades, three just of course the In messages. health heart and SunSmart promoted that and campaign, Quit the with advertising

Forewords VicHealth Chief Officer Executive Jerril Rechter VicHealth Board the of Chair Fiona McCormack

many people and partners. of work hard and commitment the of representative truly are achievements Our promotion. and health government in partners our and members, staff and Board current and previous champions, and members founding –the many so of contribution the reflects success Our consequences. health mental and physical to alink prove to kind its of first –the women against violence in work pioneering preventing Victoria’s informing research based evidence- world-leading and seatbelt a wearing as normal as protection sun rates, smoking low remarkably such enjoy wouldn’t we work, this Without partners. its importantly, and, VicHealth of work the by improved been have lives innumerable that realise not may community wider the in Many decades. three last the over Victorians many so benefited has work VicHealth’s the world. across promotion health changed has that legacy Act Tobacco the of part as established was foundation, health promotion first world’s the VicHealth, 1987, In research and hard work we’re celebrating. we’re work hard and research evidence-based achievements, collective our It’s organisation. one any than greater far is which Victoria, in promotion health of acelebration also it’s –but anniversary 30th VicHealth’s celebrates book This health challenges. complex tackle collectively to media, the and sector; private the communities; local arts; the and education research, sports, health, promotion, health in working individuals and organisations the not-for-profit sector; of government; levels all includes This organisations. and groups diverse together bringing in role acritical plays VicHealth in change our communities. positive lasting, make can we knowledge, sharing and together working by how, shows that health public in strength an undeniable There’s . In 2017, we celebrate a 30-year a30-year 2017,. In celebrate we

of Victorians. wellbeing and health the improve to change supporting and challenges the managing work, evidence-based innovative of years many on build to continue will VicHealth that say to pleased I am partners. and stakeholders many so from support continued and staff, committed and passionate of ateam Board, dedicated a with story, the of part one be to proud I’m opportunity. been a wonderful has dedication and success much so in steeped history incredible an with organisation, aunique of helm the Taking it. inherited we when than shape abetter in is that a world inherit to generations future the want We system. medical the of out people keeping and disease chronic preventing – well and happy healthy, people keep to work We Victorians. all for wellbeing and health of achampion is VicHealth of the next 30 years. 30 next the of challenges health the face to well-placed are we Iknow dedication, and innovation continued with and, VicHealth of years 30 celebrating in pleasure great I have today, But do. to much so still is There healthy. and safe inclusive, just, is that aVictoria towards work to responsibility collective our is It Victorians. all by equally enjoyed is wellbeing and health where avision is Promotion Health for Agenda Action VicHealth’s of core the At success. future our to critical be will equity health on focus Our and expertise. practice promotion health Victorian evidence-based improving continuously for resource and ally an as works VicHealth sense, this In and approaches. practice promotion health into integration its supporting and garnered, information the sharing in innovation, investing and researching on focuses particularly VicHealth role. and complementary distinct VicHealth’s by supported is Victorians all for community safer and healthier a creating of effort collective The

Forewords | 05 Where it began | 06 Where itbegan It was difficult to miss the anti-smoking message emblazoned on 200 prime-site billboards around Melbourne city in early January 1989. The signs signs The 1989. VicHealth. by January launched early in city campaign Melbourne anti-smoking around long-term in a billboards first the were prime-site 200 on emblazoned message anti-smoking the miss to difficult was It the world – the Victorian Health Promotion Foundation. Promotion Health Victorian –the world the in agency promotion health first the creating by history make would they Together, agreed. Opposition Liberal the bipartisanship, and arm-twisting of piece stunning a like looks later, years 30 what, In tobacco. of scourge the as challenge health great next Victoria’s identified and leadership health strong demonstrated White harm. lethal tobacco’s about agitating been had years 20 for who Gray, Nigel Dr of commitment insistent but quiet the through support had which legislation of piece aradical for idea an had White away. hidden were security food and equality gender health, mental obesity, of issues and VFL the called still was AFL the conductors, had trams the Qantas, owned still government the Telecom, called was Telstra different: radically was nation the and 1987 October was It it. about something do to He wanted inhealth Victoria. and death ill of cause preventable single greatest the smoking was that Parliament Victorian the told Government, Health in John Labor Cain’s Minister the of White, David intervention. related illnesses without some form of health die tobacco- them would of of and 64,000 become adult would children school smokers The figures were stark: 320,000 Victorian

ballooning costs for health treatments. treatments. health for costs ballooning Victoria’s pondering started and Sydney, in beach Manly at up ended Worland landscape. health Victorian the about think somewhere, abeach on was he while and, a holiday take Worland, Peter advisers, his of one suggested had He benefits. health potential with something into tax tobacco the turn to how on idea an with armed already was White believers. the of resolve the reinforce to and doubters the convince to reason and figures facts, using and cajoling hands, shaking shoulders, tapping lobbying, his up stepped immediately he and arrived had change for opportunity best Gray’s desk. minister’s the on aproposal had Gray days, two within and interest White’s on seized 1987. Gray February was It receptive. very was minister health the time, This smoked. people fewer if fall would rates cancer that convince to tried had he minister health eighth the was White dangers. tobacco’s stressing time each ministers, health different seven of door the on knocked had Victoria, of Council Anti-Cancer the of Gray, Dr agreement. community generating and onside media the getting support, bipartisan engaging to commitment Gray’s Dr alongside attempted, had government other no that initiative an on embarking government abrave meant That areality. vision that make to determined were who vision, ashared with people key about was It outcomes. health better promoting of ways new kickstart would that timing sweet of apiece and loss personal perseverance, of atale is core, its to tobacco global shook that legislation of government Cain’s John by introduction the and advocacy, White’s behind story The

2 1 community. broader the and media the schools, in campaign education public anti-smoking the coordinate to established was Victoria Quit earlier, Two years smoking. children their of thought the to adults among opposition unanimous almost was there that showed –research side on be would public the that believed White arms. Liberal some twist to started and phone the up picked who Redpath was It Party. Liberal the to donor major and anti-smoker acommitted Redpath, Bruce businessman Melbourne prominent to case his make to managed Worland lobbying. behind-the-scenes vigorous some was success that to critical and Victoria in happened –it else anywhere happen didn’t it But world.” the in else somewhere happened have would it it, do didn’t we “If says. Worland tobacco,” on break to about was wave “The them. among media the and churches the businesses, big –the idea the support to get could they who see to office White’s told Cain it. behind in wheel would fraternity medical the maybe measured, more was himself Cain idea. crazy was a it thought office Cain’s Premier in advisers experienced The heresy. considered was it 1987, in thinking’; sky ‘blue called be would it days, These too? promotion, health around ideas the develop and projects the coordinate to foundation a establishing about –what idea the transformed that proposal the of stage next the was It arts?” the and sports of sponsorship their out buy to cigarettes on tax the used and tobacco with afight picked we if “What recalls. Worland prevention,” on all at nothing and treatment medical on billion $2 spending we’re thinking: was “I be physically active. to encouraged were Victorians events, premier cycling Australia’s Tour, of one Sun Herald the of sponsorship VicHealth’s Through Victoria Parliamentary Debates, Tobacco Bill Legislative Assembly, vol. 388–389, 28 October 1987, pp. 1848–1849 pp. 1987, October 28 388–389, vol. Assembly, Legislative Bill Tobacco Debates, Parliamentary Victoria  Hill, D 1988. Public opinion on tobacco advertising, sports sponsorships and taxation prior to the Victorian Tobacco Act 1987. 1987. Act Tobacco Victorian the to prior taxation and Community Health sponsorships Studies sports advertising, tobacco on opinion Public D1988. Hill, , XII, 3, 282–288 3, , XII,

population smokes, compared to just over 30 per cent in 1987. in cent per 30 over just to compared smokes, population adult state’s the of cent per 13.3 only Today, Victoria. in smoking of reduction the ensured has Quit and VicHealth between partnership The then distributed or marketed.” is product that which in way the in interfere not should government product, legal that taxes then and factor that recognises government if and produced, be to able is and legal is something if that says that life to approach aphilosophical Ihave because it to opposed totally was I and it, to opposed totally philosophically Iwas that admit must I introduced, first was Bill the “When debate: Bill’s the during Parliament to admitted later Kennett him. with agree didn’t Kennett Jeff leader Party Liberal initially, But Chair.) Board VicHealth became Birrell later, years (Some house. upper the through legislation the shepherding in pivotal become would He Liberals. Young Victorian the leading was he when advertising tobacco against campaigned had Birrell Mark Liberal senior however, house; upper Parliament’s the in legislation pass to numbers the have not did Labor enough? be that – would anti-smoking all were White and Cain Jolly, Yet it. against were experts department’s his of some that admitted Jolly Rob Treasurer Arueful proposing. was White that model tax the to resistance was there bureaucracy, the within But tuberculosis. against screening compulsory and diphtheria, and polio against immunisation for campaign the of too, true, was It toll. road the reduce help to laws drink-driving and legislation seatbelt introduced government state the when 1970s the in happened It goal. the was health community when change could behaviour sport and the arts. the and sport funding and research medical education, health to went revenue the if cigarettes of apacket of price the in rise cent per a50 support happily would respondents of cent per 84 that found 1987 in published study Council Anti-Cancer An 1 History had some lessons, too. Public Public too. lessons, some had History 2

Where it began | 07 Where it began | 08 3 later. said he discussion,” for basis no was there issue, a health not is there say to prepared are they as long As tobacco. of consumption with associated risk ahealth was recognise to had they principle first “The industry. tobacco the with consulting not towards line his in staunch was White gaze. public the from away refined and drafted secrecy, in shrouded was legislation proposed The possible. as long as for dark the in supporters its and industry tobacco the keep to was plan The emphysema.” of died father “My them: told he chiefs, tobacco’s with ameeting At outcome. the in stake –apersonal all of tool powerful most the with armed on, them took White legislation. of piece every fight would –they protected were earnings their ensure to determined were pockets deep with companies global of collection The swayed. easily so not was industry tobacco the Inevitably, children.” our for wish we what adults as ourselves asking than test greater no is There community. this in people young of interests best the in is think we what be to has line bottom the debate, we else what matter not does “It Parliament. told Kennett health,” their and people young to responsibility a have we primarily and ultimately but arts, the and sport to aresponsibility industry, the to aresponsibility have We awhole. as community the to aresponsibility have “[W]e view. his changed He school. to way their on smokes sharing and cigarettes cradling were who children of number the saw and Melbourne across stations train suburban visited had however, Kennett, community. the in members some with resonated that argument an was It Zimmet. Paul Professor expert diabetes with Galbally Rhonda CEO inaugural –VicHealth Institute Diabetes the with apartnership Celebrating Victoria Parliamentary Debates, Tobacco Bill Legislative Assembly, vol. 388–389, 28 October 1987, pp. 1848–1849 pp. 1987, October 28 388–389, vol. Assembly, Legislative Bill Tobacco Debates, Parliamentary Victoria 3

VicHealth has kept trust with the public.” the with trust kept has VicHealth years, the over “And says. Worland right,” morally was what do to had “We significant. and remarkable something of part were they feel now start the at there were who those And journey. extraordinary an been had It says. he end,” the in drained you’re – fight the in is elation “The relief. of wave the by struck was White pragmatism. and innovation of partnership abold was It sponsorships. tobacco existing out buy and funds tax increased the manage to foundation promotion health anew came advertising tobacco restricted and cigarettes on tax the increased that Bill same the From passed. finally was legislation Act Tobacco year,the parliamentary 1987 the of day sitting final the By world? new brave the in sponsors their choose to able be bodies arts and sports Would Health? of Department the from separate and government of independent Foundation new the keep to best How elections? during governments by misused be tax dedicated the through generated money the Would opinion. and speculation media amendments, debates, fro-ing, and to-ing of plenty still was There activities. cultural and sporting for sponsorship give and disease, of detection early and prevention in involved groups to grants provide programs, promotion health fund would Foundation new The illness.” smoking-related to limited not is it and community the throughout prevention and illness promotion health of issue “…the addressing as Foundation new the Health Promotion Foundation (VicHealth). White described Victorian the of establishment the also but sponsorship, and advertising tobacco around prohibitions the just not was legislation final the of element critical The

with Healthy Industry Healthy with billboards in which she features. she which in billboards VicHealth the of launch the at 1989 in Timms Michelle captain Spectre’s Quit Nunawading with Cain, John Hon. The Premier Victorian launch and birthday 5th Foundation’s the celebrate to 1992 December in Nossal Gustav Sir Board the of Chair VicHealth join Tehan Marie late) (the Minister Health and Stockdale Alan Treasurer Premier Victorian Former CAIN JOHN HON THE against tobacco products.” as ithas,maintainingthecontinually growing andeffective campaign other areas of societyactivity. Indoingthat, VicHealth mustcontinue the preventive health care messageandactionextending itinto VicHealth’s biggestachievementinthelast30yearsismaintaining “ . Partnerships Partnerships the cause as of it death. declaring and acorpse of out pulled being cigarettes of a packet The Anti-Cancer Council’s 1987 TV commercial commercial TV 1987 Council’s Anti-Cancer The (right). White David Minister Health and Galbally Rhonda CEO (left), Birrell Mark Minister Health Shadow with 1988 in first anniversary VicHealth’s celebrating here pictured is He Board. first VicHealth’s lead to choice inspired an was left) from (second Nossal Gustav Sir The Coroner The showed showed

Where it began | 09 Health promotion, then and now | 10 1 it.” of idea whole the and VicHealth defend know, you and, there out get really to do to job ahuge was there so media… this of alot behind much very was industry tobacco “The recalls. she tax,” tobacco the in also but behaviour, engineer and try would that campaigns promotion health running both of inappropriateness about talking being established… Foundation Promotion Health Victorian the to hostile very was media “[T]he do. to what Victorians telling actually force of the implication that the new organisation was the by struck was Galbally, Rhonda CEO, first VicHealth’s contested. became promotion health of notion the when aperiod in ushered it Instead, Victoria. in role health broader its about debate the of end the signal not did arrival VicHealth’s But established. was VicHealth 1986, November in Canada Ottawa, in conference promotion health first world’s the after day, the to almost Ayear, being. for reason VicHealth’s is promotion Health health. their improve and over control increase to people enabling of process –the promotion health is that in tool afundamental And costs. treatment ballooning paying than rather health ill preventing of benefit economic the understand stripes all of Governments cures. and prevention about saying old the to down comes argument the basic, most its At access to health. complicate disadvantage and equity of issues country, the across and, aproblem remains alcohol of misuse The lives. our of stages and ages the across a priority, become has wellbeing mental our of care Taking lives. our to integral are small, and large screens, sedentary; more become has Recreation work. physical do than rather desks, at sit –we changed have Jobs debate. health our of centre the in ominously, sits, Obesity less. exercise and grandparents and parents our than food processed more eat We common. too all become –has diabetes and cancer stroke, disease, heart –coronary disease Chronic wellbeing. and health done be to improve nation’s to the general much still is –there ignored be can’t that health public in about Australia fact astark is In a world of statistics, Health promotion, thenandnow Cancer Council Victoria http://www.cancervic.org.au/about/media-releases/2013-media-releases/august-2013/smoking-rates-victoria.html Victoria Council Cancer data and graphs, there there and graphs, data

the organisation in the years ahead. ahead. years the in organisation the for place important more even an forecast 2017 and April in event anniversary aspecial at role historic VicHealth’s hailed director, regional WHO’s Young-soo, Shin Dr region. Pacific Western the across people billion 1.8 representing governments and agencies health to mentor and leader aresource, as role its in formalised became VicHealth that meant designation The Promotion. Health in Leadership for World Health Organization (WHO) Collaborating Centre a of designation unique the given was 2014,In VicHealth Victorians. for programs on-the-ground delivering through from developing research-driven evidence to follow to capacity adeep it given has This approach. collaborative its been has success VicHealth’s to Critical government. local and groups community organisations, cultural and sports to grants VicHealth extensive the through supported been have Victorians of Thousands among Victorian adults had dropped to 13.3 per cent. per 13.3 to dropped had adults Victorian among rate smoking the that found report surveys population Victoria in consumption and prevalence Smoking the 2013, By side. its on be would evidence time, In 1

3 2 state’. a‘nanny being of accused often are they liberties, personal with engaged become governments whenever – promotion health to confined not apredicament is It concern? individual’s the only really these are or taxes additional through changes environmental creating by exercise, we much how and eat we what about decisions influencing in arole play governments Should intervention. government and choices individual about debate philosophical the been has issues these of durable most The promotion. health of importance the over shadows cast that impediments and issues been have there path: straightforward or easy an been not has health public in role promotion’s health support, WHO’s Despite resources. economic to access and discrimination from freedom inclusion, social operations: VicHealth’s of heart the at are ago years outlined WHO that health of determinants social key the one-way; not is VicHealth with relationship WHO’s And promotion. health for financing sustainable of model VicHealth the embraced who those of examples are region own our in Korea South and Thailand organisations. promotion health other for ablueprint as used being is VicHealth how reflects endorsement an Such ever.” than important more be will innovation and, crucially, collaboration partnership, of approach VicHealth the And apriority. be must promotion health Goals, Development Sustainable the of promises the on To deliver development… sustainable of, outcome an for, and a precondition is health Good linked. closely very are development sustainable and “Health says. Shin Dr agenda,” bold this of heart the at lies promotion, health implication by and “Health, Goals. Development Sustainable its in world equitable more and ahealthier for plan ambitious an unveiled Nations United the ago, years two than Less ACE Prevention Team 2010. Assessing Cost Effectiveness in Prevention, University of Queensland, Deakin University 2010. University Deakin Queensland, of University Prevention, in Effectiveness Cost Assessing 2010. Team Prevention ACE The Guardian thing’, right the do ‘Let’s N2004. Dickson , 17 November, quoted in VicHealth Letter, Number 25, Winter 2005, p.7 2005, Winter 25, Number Letter, VicHealth in quoted , 17 November,

wellbeing outcomes. wellbeing and health general improving and costs health reducing in gains clear had measures prevention that 2010 in –revealed apartner was VicHealth which –in University Deakin and Queensland of University the from Research works. promotion health that doubt no is there Yet audiences. of arange to appropriate and accessible promotion health make that devised be to concepts and made be to cases convinced, be to people are There advocacy. sustained demands messages promotion benefitfrom such initiatives.Communicating those health community and personal the denies one no But generation. a for line bottom budget the on impact an have not may active more get to today people Helping years. over in factored be to have promotion health and prevention illness from savings the that out point to quick are economists health And outcomes. long-term have that investments about careful more colour every of governments –makes generations previous than loyalties partisan less with electorate an –and cycle electoral A regular messages. health positive of face the in profit and share market losing of wary are who corporations large of products the –are alcohol and food –processed lives daily our up make that items the of many reality, In priorities. health public to contrary run interests whose groups industry powerful on take to is it hard how showed that stoush long-running and atough was It establishment. VicHealth’s to led that struggle the – tobacco big against fight the was Victoria in faced promotion health battle major first The wellbeing. mental and leadership equality, gender activity, –physical picture health big the of areas key on touches that story media ongoing aremarkable is league) football women’s (the AFLW – the successes notable are there But stories. their of narratives conventional the into promotion health about messages fit to struggles often media mainstream that is consequence The example. for obesity, of causes multi-faceted the around discussion complex the in found be to drama little is There consideration. and reflection moderation, of notions with up bound activity an also is promotion Health term planning and strategies. long- –demand illness mental as –such problems health critical those of some And outcomes. health some shift to is it hard how revealed also it promotion, and prevention of enabling, exhortation and enforcement.” and exhortation enabling, encouragement, between balance sensitive “a wanted respondents of majority The subtle. more is reality the that shows health to attitudes consumer on research UK But 3 But if the research proved the value value the proved research the if But 2

Health promotion, then and now | 11 Health promotion, then and now | 12 Blitz on cigarette advertising – The poster campaign drew attention to the decision by the Victorian Parliament to gradually phase out billboard billboard out phase gradually to Parliament Victorian the by decision the to advertising companies. by cigarette attention drew campaign poster –The advertising cigarette on Blitz equitable and healthy society. healthy and equitable afair, up make that resources and responsibilities rights, the to access have possible as people many as – ensuring equity health about concern central the is Interlinked meet. health of determinants social where areas –key community and youth –gender, themes key three through currently is drivers broader these with engagement VicHealth’s choices. health our drive and determine that reasons lifestyle and economic social, broader the are problems Central to the manifestation of these specific health thousands of Victorians. for life of quality the curtail to threatens that disease chronic of prevalence the and technology on reliant increasingly society urbanised ahighly population, ageing –an clear are challenges the But 2023. by wellbeing and health better have to Victorians more million one support to plan 10-year overall the of part are They wellbeing. mental improving and alcohol from harm preventing use, tobacco preventing activity, physical regular encouraging eating, healthy promoting 2013: in back imperatives strategic five current its identified VicHealth

health and wellbeing. health better to route best the find people more ensure to done be to work of plenty still is there level, public and apersonal at Victoria, in health of notions community shaping in integral been has VicHealth although And destiny. health world’s the shape to continue will and shaped has It movement. promotion health new the of aspirations the with reforms health public the of successes past the bridged 1986 Ottawa development.” health global in point tipping or fulcrum the been has Charter and Conference Ottawa the shortcomings, and spots blind the whatever but done, be to needs still much and achieved been has “Much wrote, Charter Ottawa the for team drafting the of part was who Catford, John Professor Chair, VicHealth Former Ottawa. in traction global get to started movement promotion health the when moment seminal that from sprang all It programs. School to Walk the or SunSmart Quit, as andprograms campaigns over the 30 years, past such promotion health of support successful VicHealth’s of benchmarks – success of measures specific are There

Over the past 30 years, VicHealth’s work has been identified in the public domain with a range of programs and initiatives that have helped shape better health and wellbeing outcomes.

The way VicHealth has approached this THEMES AND APPROACHES work is by using different themes and approaches – lenses to sharpen the focus 14 | GENDER on the underlying forces driving health and 18 | YOUTH equity in Victoria. The goals of each program, 22 | COMMUNITY key partnership or pioneering innovation do not exist in isolation, but form part of a 26 | HEALTH EQUITY broader priority that puts Victorians at the 30 | PARTNERSHIPS centre of the approach. 34 | SPORT The connection between these themes and 38 | INNOVATION approaches where social determinants of health meet form the foundation of STRATEGIC IMPERATIVES VicHealth’s work across its five strategic imperatives to 2023. 42 | PROMOTE HEALTHY EATING 46 | ENCOURAGE REGULAR PHYSICAL ACTIVITY 50 | PREVENT TOBACCO USE 54 | PREVENT HARM FROM ALCOHOL 58 | IMPROVE MENTAL WELLBEING Health promotion, then and now | 14 “I seeVicHealth’s biggest VicHealth pioneered primary years intheareas of gender work and actions. and work VicHealth’s inform that themes key the are Community, Youth and Gender, with society. along inclusive and safe afair, of respectful, principle acore is equality Gender Australian of the Year the 2015 of Australian Foundation Batty Luke Founder/Director/CEO BATTY ROSIE prevention in thisarea.” achievement inthelast30 equality andfamily violence. GENDER Health promotion, then and now | 15 Gender equality – a key priority for health | 16 against women before it starts. it before women against violence prevent and relations gender equal and safe foster to government local and clubs sporting workplaces, as such sectors diverse to resources and interventions evidence-based of set acohesive and training skills was outcome The program. building capacity workforce VicHealth aunique by supported also was framework This public debate. debate. public the entered yet women,health had not of on physical and mental the impact its alone Family applied. let violence, been previously had not analyses disease of burden where 2 1 women. against violence preventing for framework health apublic released VicHealth Government, Victorian the with year, partnership in following The 2006. in Women Against Violence to Survey Attitudes Community Victorian the with work, today’s of much for evidence-base the provided VicHealth knowledge. practitioners’ increasing and partnerships cross-sectoral research, new supporting through women against violence prevent to efforts in momentum the build to continued VicHealth Commission, Royal the and report landmark its between 11 years the In 2015. in problem the of examination public a on embarked Violence Family into Commission Royal Government’s Victorian the before decade another was It women. against violence reducing to contributions global significant most three the of one as it cited Organization Health World the release, report’s the after Two years shocking. still is smoking” and obesity pressure, blood high including factors, risk well-known the of other any than years 15–44 aged women Victorian in death premature and ill-health preventable more for “…responsible was violence partner intimate that conclusion Violence of Costs Health The report, 2004 seminal VicHealth’s But women against violence from thehealth on flag burden the raised first It partners was 2004 and its VicHealth when priority for health Gender equality–akey   Preventing violence before it occurs: A framework and background paper to guide the primary prevention of violence against women in Victoria in www.vichealth.vic.gov.au/media-and-resources/publications/preventing-violence-before-it-occurs women against violence of prevention primary the to guide paper background and Aframework occurs: it before violence Preventing 2007. VicHealth resources/publications/the-health-costs-of-violence violence partner intimate by caused disease of burden the Measuring Violence: of Costs Health The 2004. VicHealth , helped shift the conversation. Its confronting confronting Its conversation. the shift , helped 1 – an area area – an

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health and wellbeing strategy 2017–19 wellbeing and health equality, Gender strategy, its in outlined is equality gender improve to actions and approach VicHealth’s communities. cohesive more and healthier fostering in equality gender of importance the uncovered has research as issue, this with engaged been long has VicHealth subject. the on statement position equality gender its released 2017, May In VicHealth community. and youth with along priorities, three VicHealth’s of one as gender of adoption the in seen is violence family of drivers the address to VicHealth from commitment A broader these initiatives. of development the support to knowledge and experience its share to continues VicHealth agency. prevention a new of creation the and Act equality agender to commitment Strong Safe and strategy, equality gender its released Government Victorian the 2016, In Commission). Royal the from recommendations 227 the implements latter (the Government Victorian the as well as Centre, Research Social the Melbourne, of University The (ANROWS), Safety Women’s for Organisation Research National Australia’s children), and women against violence prevent to foundation national (the OurWatch including organisations, with up teamed has It evolve. issue the with engagement its seen has area the in stakeholders with partner to ability and record track VicHealth’s municipality. Monash broader the across equality gender of issue the with engagement deeper provided also It GEAR. of life the beyond continued that programs Health Link and council in activities embedded successfully program The home. at and schools community, work, as such places in women towards attitudes positive and norms non-violent valued that culture equitable agender and women against violence of causes deep-seated the of awareness building of aim the with Community, and Health Link with Council City Monash by implemented was program the 2015, in concluding and years three than more for Running suburbs. south-eastern in out Melbourne’s rolled program (GEAR) Respect and Equality Generating The location. asingle in program prevention aprimary sustaining and ‘saturating’ of approach aworld-first developed VicHealth 2012 In . www.vichealth.vic.gov.au/media-and- , and outlined its its outlined , and . . participation,” she said. women’s for equitable and accessible safe, are that sports create to partnerships strong establish ultimately and facilities inclusive more for plan policies, create models, role and leaders new identify will sports initiatives, participation programs. “Over time, through these these from was game end the what clear it made Walker Lyn manager executive VicHealth then ago, years Six League. Bash Big Women’s the in teams Renegades Melbourne the and Stars Melbourne the of partner major first the becoming by sport in participation women’s to commitment its underlined VicHealth development, aseparate In programs. activity flexible more devising in surfing and netball joined AFL the and gymnastics cycling, Tennis, summer. the during waterways inland and bays beaches, Victorian across available women for program paddleboarding astand-up Coasting, called initiative an with call the answered Victoria Surfing rules. flexible some with played and liked they what wore played, they when paid could, they when up turned players interested response: the up summed Game, the Changing through funded Victoria Netball from initiative an Netball, Up Rock girls. and women among social, programs unstructured to increase participation create to was organisations sports local to challenge the women prefer not to play structured sport. structured play to not prefer women active somewhat and inactive that showed Research forsportswomen. opportunities and profile sponsorship increased and sport, women’s in leadership for opportunities sport, women’s of coverage media probe also but active, get to girls and women for ways new investigate to only not was goal Game’s the Changing spotlight. media the in firmly was League, Basketball National Women’s and League Bash Big Women’s the League, Women’s AFL the including sport, women’s when atime at sportswomen elite from support the had Game initiative. An associated initiative, #ChangeOurGame, the Changing the through including girls, and women for engaging more and flexible are that programs offering by participation female increase to programs of forefront the at been also has VicHealth example, for sport, In in sport participation female Increasing 4 3   Australia's Hidden Resource: The Economic Case for Increasing Female Participation Female Increasing for Case Economic The Resource: Hidden Australia's 2009. Were JB Sachs Goldman www.vichealth.vic.gov.au/media-and-resources/publications/female-participation-in-sport-and-physical-activity-a-snapshot-of-the-evidence activity physical and sport in participation Female 2015. VicHealth 3 Therefore,

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of employment for women and men. and women for employment of rates equal were there if cent 11 per by increase would GDP nation’s the that shows research compelling; are positives potential The boardroom. the to fields playing from sport, in and work at fairness: fundamental is there ensuring about is equality gender on focus broader the But becoming physically active. ability of levels all and sizes, and shapes all of women celebrate to aims –VicHealth 2017 in launched campaign Vic Can Girl This where 2.8 million women embraced its message. its embraced women million 2.8 where UK, the outside adopted been has campaign the time first the is This 2018. early in debut will 2017 and July in announced was campaign The background. or shape body level, skill of –regardless women everyday active, of image positive empowering, an promotes Can Girl This statistic. this change to aims Can Girl This public. in exercise to intimidated or embarrassed too felt surveyed women of cent 41 per showed research Local active. physically being from women many stops often know we that judgement of fear the addresses name same the of campaign UK successful highly the of version VicHealth’s ago. it give and there out get to women encourages Can Girl This football, or running swimming, it’s Whether active. physically becoming ability of levels all and sizes, and shapes all of women celebrating campaign latest VicHealth’s is Can Girl This This Girl Can . 4

Gender equality – a key priority for health | 17 Gender equality – a key priority for health | 18 “VicHealth wasreally the first organisation that challenge they experience in their lives. in their experience they challenge or change any from back bounce and to adapt with, cope to ability their enhance to people in young resilience building on focus astrong has work VicHealth’s Melbourne of University The PATTON GEORGE PROFESSOR adolescents.” realised that times had different issues affecting changed andthere were YOUTH Gender equality – a key priority for health | 19 YOUTH | 20 wellbeing. mental to commitment organisation’s the to contributed also it in Victoria, young health the into people of insights only significant not provided Centre the VicHealth’s long-standing association with 1 alcohol. and tobacco with challenges their and wellbeing, physical people’s young supported have programs other many focus, youth VicHealth’s to key is wellbeing and health mental adolescent While technology. using people young of experiences the on focused initiatives these of All sexuality. and prevention suicide inclusion, digital of issues including wellbeing, mental people’s young on technology of impact the at look would projects research of series a years five next the During lives. people’s young in role technology’s investigated which Centre, Research Co-operative Well and Young the up set to organisations 70 of agroup joined it when institution, youth-focused another of forefront the at was VicHealth later, years Twenty grant.” first his McGorry Pat gave we that proud I’m day this to and headway some made We time. that at stigmatised very was… “It says. Nossal breakthrough,” a was health mental into edging the that think “I health. mental youth on work McGorry’s Pat Professor supported and area health mental the into moved organisation the how of proud remains Nossal, Gus Sir chair, VicHealth former now, Even Australians. young of health mental the for consequences with years adolescent the for hazards emotional new brought had change social rapid how about were issues those of Many adolescents.” for challenges health different were there and changed had times that realised that organisation first the really was “VicHealth said, Melbourne of University the at Research Health Adolescent of Professor Patton, George Professor As Melbourne. of University The at Health Adolescent for Centre the establish helped it In 1991, soon after VicHealth into came being Shaping younglives The Story of VicHealth – world first in health promotion health in first –world VicHealth of Story The 2005. Foundation Promotion Health Victorian 1

, had never played. they sports of arange to exposed and moving kids get to designed program this in key the was –participation Sports Out-of-Schools habits and their priorities, including meeting physical physical meeting including priorities, their and habits drinking their about questions some answer to awebsite to directed is person young the drink, they Before drinking. are they while people young to messages SMS tailored sends People) Young in Drinking for Intervention (Mobile MIDY The alcohol. from harm avoid and choices better make to them support consumption, alcohol about guidance provide –to smartphones ever-present their –and technology of love Victorians’ young use to been has initiative One session. aprogram after said child one ago,” get you sure make –they something try to get actually you sport, this “In key. the was Participation played. never had they sports of arange to them expose to but moving kids get only not to designed were Sports, Out-of-Schools as such in primary school children. Other schools-based programs, activity physical regular lifetime of value the establish to –aimed Bus School Walking the as –such initiatives Several generation. next ahealthier chart help and trends and issues future gauge to away as thinking are Victorians young what into tapped has VicHealth way, the Along .

individual – poverty, poor education and homelessness homelessness and education poor –poverty, individual the beyond are these to contributors the of some that awareness increased with wellbeing, and health mental of understanding our of improvement an notes report The engagement. online by provided opportunities negative and positive the to Victorians young expose will and relationships many drive will Technology models. traditional from shift these as structures family changing with faced be also will Victorians Young discrimination. by caused issues health mental the with along backgrounds, refugee and migrant from people young for integration of challenges the with society amulticultural culture, diverse amore be also will there research, the to According employers. multiple to knowledge and skills their sell who abode fixed no with workers of breed new is a There borders. national across flow culture and people Goods, operate. and individuals organisations way the changing and barriers old the down breaking is technology, digital with tandem in marketplace, global That jobs. limited for compete to Victorians young for harder it making world, the across levels skill rising and education increased of because competitive more become would from its ‘megatrends’ research was a future where jobs Futures Bright CSIRO’s to according opportunities, and challenges unique its has today Victorian ayoung being Overall, drinkers. young from feedback real-time some get to project alandmark is innovation The feel?" to going wake-up 7 am that "How’s as: such goals, those about areminder deliver and consumption measure that messages be will there evening, the During assignment. university a finishing or money, much too spending not commitments, training activity that tackles risky drinking. drinking. risky tackles that activity an create to musicians and artists visual local with work will project The Point. Turning and Whittlesea of City the by run program anew in targeted be will work or training school, from disengaged becoming of risk at are who groups particular from Teenagers 2019. and now between work change culture alcohol VicHealth’s in apriority are habits consumption Alcohol alcoholChanging the culture report commissioned by VicHealth. What emerged emerged What VicHealth. by commissioned report

socially connected through art. through connected socially and moving Victorians young got program, MOTION VicHealth’s by supported Festival, West Big by Republic Dance 2014, In communities. different by adopted be can that interventions evidence-based of aseries inform will research The students. among culture drinking risky the explore and identify to astudy started also has University Deakin a community awareness campaign. and parents for network asupport program, education aparent together putting of goal the with teenagers, to alcohol of supply parental at look to up team will University Federation and council local the Horsham, In generation. next state’s the in connections social and resilience of factors protective major the build to solutions new of design the in partners new and people young with directly engaging be will Afocus changes. rapid for Victorians young prepare and working not is what scrutinise approaches, relevant more develop to and future the into people young impacting issues the of foot front the on get to opportunity The 61.) page on more (See wellbeing. and health mental youth of management better for hope holds and stigma, associated the and illness mental around perceptions changing to vital is This them. among Bright Futures Bright report gives VicHealth an important important an VicHealth gives report

YOUTH | 21 Gender equality – a key priority for health | 22 “The biggestopportunity for VicHealth that Iseeisto Chief Commissioner of Police of Commissioner Chief GRAHAM ASHTON AM organisations, andreaching into engaged with other community members. community other with engaged and active physically more become residents helped and transformed was space unused previously The program. Activation Community the through supported was Council City in Latrobe Park Pop-up Tarwin The building effective connections across theprivate sector, all areas of thecommunity.” government, non-government continue itsleadershipin COMMUNITY Gender equality – a key priority for health | 23 Community | 24 which allowed Community Music Victoria to test models – – models test to Victoria Music Community allowed which 2001, in VicHealth of support the with began program The connection. social sustain and develop to way effective an is together singing that knowledge the on based is work The Victoria. of fabric cultural the into singing community weave to designed initiative state-wide asuccessful, is Sings Today, Victoria start. their get Sings Victoria as such programs participation community where often is and arts, the including settings and sectors of range a wide through delivered is work community-focused VicHealth’s had hoped. Turner John as just worked, it And stress. of atime at links community reinforce to way effective but asimple was It bus.” the on walk would teachers other or he Often in. lived kids the area the to route Bus School Walking the linked “He time. the at said source Council City aLatrobe help,” to wanted really he that families the targeted he so and all at school to getting not or late arriving were who kids the “John… noticed community. its and school the between links the strengthen help would it thought He also school. primary local the at punctuality and attendance school increasing of away as Churchill in estate Glendonald the in ‘bus’ the use to opportunity the saw Turner John principal vice- school primary Former initiative. Bus School Walking its introduced VicHealth environment, this Into industry. the in life for jobs longer no were there meaning mining coal to changes technology and Commission Electricity State suffering,with the combination of the privatisation of the was Valley the and century new the of turn the was It 1 cent. per 80 was unemployment Churchill, of area one In challenging. were 2000 in neighbourhoods Valley Latrobe some confronting and problems, economic social The health outcomes. achieve better to work its of part as building resilience and and organisations services programs, local between links increasing through including communities, strengthen to need the recognised has VicHealth wellbeing. on their impact health and general negative experience disadvantage and the consequent There are Victorian communities that Community  www.vichealth.vic.gov.au/media-and-resources/publications/lively-neighbourhoods-inspirational-stories-from-victorias-wsb Lively Neighbourhoods: 2006. Inspirational Stories fromVicHealth Victoria’s Walking School Buses.

1

sustain social connection. and develop to way effective an is together singing that the on knowledge based initiative state-wide asuccessful, was Sings Victoria across the state. the across councils in Plans &Wellbeing Health Public Municipal develop to used evidence of form akey provide Survey, Indicators VicHealth’s from data area government local and statewide with along profiles, government local CIV’s indicators. wellbeing community of set a comprehensive using level government local at communities local of and Victorians of wellbeing the on reports and data presents CIV policymaking. and planning community engagement, citizen improving of purpose the with Victoria, in indicators wellbeing community local of use and development the support to aimed has CIV 2005, in inception its Since Health. &Global Population of School university’s the to moved now has and Melbourne of University the at Unit Wellbeing Community VicHealth then-McCaughey the of part was CIV Initially (CIV). Victoria Indicators Community of development long-term and establishment the for support VicHealth’s through and refined strengthened significantly been has Victoria across communities local our of health the around base evidence The work. the on carry to group each in leader apotential develop then and group singing local their to tunes those teach songs, select to communities regional and rural their in work to people trained program The was. certainly sing and together get to wanting but aprerequisite, not were vocals Stunning sing. to state the across halls town and community to life of stages and ages all from people 7000 brought program the of phase early The situations. urban in recently more and communities regional and rural in first

Latrobe Valley Latrobe Express permission, with (Used Challenge. Community Valley Latrobe VicHealth’s from boost additional an received Valley, the Transitioning energy, in future its for Valley Latrobe preparing for idea Their Valley. the of Voices from Robinson Marianne and Ipsen Ron Farmer, Wendy promotion. to health approaches non-traditional deliver to well-placed are and wellbeing and health community better support to levers of range awide to access have they as councils with work to continued has VicHealth plans. their support to evidence the have councils level, alocal at health of determinants social the on focuses that data Survey Indicators VicHealth’s with Armed challenges. health to differently respond to opportunities have councils that underlined response Phillip’s Port of City The above all else. prioritised active transport, rather than prioritising cars It seating. public and crossings pedestrian footpaths, on focused that framework transport asustainable created council The program. the in participants enthusiastic many of one was Melbourne inner in Phillip Port of City The planning. environmental and economic social, core their of part become could issues health local to responding how about thinking councils get to was initiatives these of aim The councils. to training related and resources out rolling by consultation the to responded program The solutions. practical with issues health local to respond to councils equip and wellbeing, and health influencing factors economic and social the explain could that package aresource for need the on agreed Participants health. promoting in councils support could VicHealth how consider to asked were Department the and staff government local senior where MAV the with partnership in held forum aconsultation was program the for impetus The born. was program Way the Leading the so and communities, their in outcomes health better supporting in role acentral play councils local that believed it because (MAV) Victoria of Association Municipal the and Services Human of Department the with apartnership up set VicHealth 2002 In governments local Leading Way the with , Morwell).

communities, both key elements of a healthy community. community. ahealthy of elements key both communities, local within connection social and activity promoting of ways inexpensive and new test to more was intention The venues. leisure permanent become to intended necessarily weren’t initiatives these for used spaces The sport. and chi tai skills, circus for aspot into land vacant of aplot transforming to people, young and mums for centre leisure apop-up from everything developing part, took councils Five activity. physical for a space into municipalities within areas/venues underutilised or unused transform to aimed which program, Activation Community its launched VicHealth 2015 In Valley as a hybrid energy source. source. energy ahybrid as Valley Latrobe prepare and retool to thinking focused future- its for boost additional an received Valley, the of Voices through Valley, the Transitioning delivery. sustainable to closer them bring to projects four all support to continued has VicHealth Valley. the in jobs generating around ideas their develop and experts to access gain to them helped support This funding. seed and support planning business intensive months’ two given –were service linking job- ahospitality and program transition energy arenewable network, afood hub, learning and gallery artists’ –an ideas generated locally Four outcomes. health better to lead ultimately and equity, health affects that a factor as employment address capacity, decision-making their increase communities, empower could ownership local how showing of intent the with community-led, be would locals the with collaboration VicHealth’s wellbeing. and health community some build then and restore but economy region’s the revive only not to jobs local generate to need the identified debate public and in, participated has VicHealth which inquiry, fire mine The groups. local with reconnect and outcomes health improve to community the with working of way new a explore to opportunity an became It Challenge. Community Latrobe VicHealth’s was report inquiry’s the of release the following initiative An Valley. Latrobe the in change for aneed was there that community local the from knew VicHealth inquiry, Fire Mine Hazelwood second the of aftermath the In Community Challenge ValleyLatrobe

Community | 25 Community | 26 “VicHealth’s biggest with remedies toemerging and wellbeing outcomes across communities. across outcomes wellbeing and health better delivering consequently promotion, health through discrimination and disadvantage addressing of ways effective find and equity health of importance the affirm to strives VicHealth Premier Victorian Former JOHN HON. CAIN THE opportunity istorespond such asgenderandrace discrimination.” examples of socialinequality HEALTH EQUITY

Community | 27 HEALTH EQUITY | 28 pressure and heart rate and a low infant birth weight. birth infant alow and rate heart and pressure blood high and discrimination between alink revealed smokingand and cigarette drug misuse. Other research discrimination between alink also but race and ethnicity culture, on based discrimination and depression between 3 2 1 $212,000 totalling grants of arange with 1990 in started work This communities. across outcomes wellbeing and health better deliver consequently and promotion health through inequities addressing of ways effective find to and equity health of importance the affirm –to programs of development the in and research in analysis, –in balance the capture to strived has VicHealth years, the Across 2007. and 2006 in VicHealth by supported research of findings key the summarising Health for Diversity Embracing tolerance: than More in clearly made was point The wellbeing. mental and physical your to arisk posed To marginalised be disability. and religion disadvantage, social ethnicity, gender, on based discrimination, other of true also was health physical and wellbeing mental on impact discrimination’s race-based of true was what And Commission. Rights Human and Opportunity Equal Victorian the and Unit Health Koori Onemda the VicHealth Wellbeing, Community and Health Mental of Promotion the for Centre VicHealth McCaughey the VicHealth, by developed was framework The diversity. supporting and disadvantage race-based strengths our Building in on wrote Gus Sir disease,” cardiovascular and obesity diabetes, with associated possibly and depression, and anxiety of risk increased an with associated be to know we aproblem [is] discrimination, ace-based “[R] behind poor health outcomes. of discrimination and disadvantage are often in health public –howissues acombination broader many so underlines still that problem the of examples stark provided Nossal Sir Gus chair and VicHealth’sCouncil inaugural Reconciliation Aboriginal the chair of deputy former immunologist, In 2009, renowned disadvantage toimprove health Addressing discrimination and   health for diversity Embracing tolerance: than More 2007. VicHealth Nutr food Health for acar Public to access of Victoria, lack and lift Melbourne, to in study inability money, of amultilevel alack to due shopping: access food Reduced A2011. L&Kavanagh Thornton R, Bentley C, Burns www.vichealth.vic.gov.au/media-and-resources/publications/creating-healthy-workplaces-publications Preventing 2012, race-based discriminationVicHealth and supporting cultural diversity in the workplace , a health promotion framework for reducing reducing for framework promotion , ahealth 1 It not only showed a strong link link astrong showed only not It , a 2007 VicHealth report report VicHealth , a2007

. www.vichealth.vic.gov.au/media-and-resources/publications/more-than-tolerance 2 , vol. 14, no. 6, pp. 1017–1023. pp. 6, 14, no. , vol. became a significant barrier to shopping for fresh food. food. fresh for shopping to barrier asignificant became groups these for options transport private and public to access reduced and shops and supermarkets of location higher incomes. higher with those than food to access restricted have to likely more times six almost were brackets income lowest the in people that found Burns, Cate Professor Associate Fellow, Health Public VicHealth by study Melbourne-based A 2011 including recently refugees. arrived out, miss often who groups population of a range for connection social and housing food, including health of determinants key the to access increase to sought VicHealth partners, other of arange With communities. diverse culturally from people and adisability with people people, Aboriginal girls, and women for environments welcoming provide they ensure to clubs sports with worked VicHealth Wins, Everyone through recently, More played. they role whatever football, across women for environment inclusive and supportive asafe, create to aimed program This program. Responsibility and AFL’s the Respect of launch 2005 the as such sector sport the in partners with demonstrated was as years, many for work VicHealth’s of basis the been have framework Foundations Fair the of principles The health equity. support that conditions the to access increases action promotion health that ensure to guidance practical provide to aimed VicHealth’s application of this thinking to Fair Foundations conditions. such to access less or more receive groups different which through processes the described also It outcomes. health shaping in role amajor assume age and play work, live, grow, born, are people which in conditions the how showed that evidence presented Commission The Health. of Determinants Social the on Commission Organization Health World the of work ground-breaking the on draws tool planning This equity. health for framework VicHealth the Foundations: Fair released VicHealth 2013, In Foundations Fair central to VicHealth’s focus ever since. ever focus VicHealth’s to central remained has approach this and sport, in participate to adisability with people for opportunities increase to 3 This was because the combination of the the of combination the because was This

remains a VicHealth priority today and for the future. the for and today priority aVicHealth remains goal That 2009. in wrote he society,” prosperous and apeaceful as survival our to fundamental is It do. to thing right the just not is all for fair and welcoming organisations and communities our “Making outcomes. health improving in element avital is approach an such Nossal, Gus Sir For area.” Valley Goulburn the in families Aboriginal among connectedness of sense our reaffirming just is which Family, Strong Proud is motto the and community, Aboriginal of place heart the become “It’s role. club’s the up summed OAM Briggs Paul leader community and Club Netball and Football Rumbalara the of president Founding box) (See people. Aboriginal for health better to barriers the of some down breaking in connections community and leadership developing of importance the illustrate helps region Valley Goulburn the in community its for program Club‘s Netball and Football Rumbalara by developed project leadership The approach. acommunity-led of power the of symbol apotent remains 2005, in Program Leadership Communities Koori the of part as emerged which initiative, particular One approach. equity health VicHealth’s to core is them address to ways develop and issues priority identify to them resources and empowers that away in inequities health experience who communities with directly Working discrimination.race-based of harms the and diversity cultural about discussion promoted and discrimination experienced have who those to voice gave program Us About Arts the that ways the of some just were These dance. and theatre films, short cabaret, as such mediums creative of arange of use the through equity health increase to tried also has VicHealth food. and affordable appropriate culturally healthy, to including access, about also is equity Health

Netball Club. Used with permission.) with Used Club. Netball Football Rumbalara by (Photo players. netball Rumbalara (Below) /Newspix) Cisar-Wright Richard by (Photo players. football with Briggs Paul President Rumbalara and leader Aboriginal (Above) communities. Aboriginal in wellbeing and health to barriers of down breaking the and leadership of example ashining is Region Valley Goulbourn the in Club Netball and Football Rumbalara The explained at the time. the at explained Project, Leadership Youth Koori Rumbalara’s of coordinator project was who Doyle, Joyce future,” the in culture our and people our about out speak can who leaders Indigenous of group active and astrong build can we that so from... come they where and are they who of proud are people young that important is “It programs. Auskick and netball junior NetSetGO as well as teams, netball nine teams, football four supports now and community the in footprint its extended has Rumbalara region. the in diversity supporting and disadvantage race-based reducing for wellbeing and health improve helped and Valley Goulburn the across people Aboriginal to leadership and education jobs, provide helped has itself club The sport. beyond goes story Rumbalara’s The Rumbalara story

HEALTH EQUITY | 29 PARTNERSHIPS

“VicHealth is a great friend and partner to the World Health Organization. As we enter the era of the Sustainable Development Goals, the VicHealth approach of partnership, collaboration, and innovation, will be more important than ever before.”

DR SHIN YOUNG-SOO Regional Director, WHO Western Pacific Region

Improving health and wellbeing is a shared responsibility. Our partners come from many sectors, including all levels of government, non-government organisations, health, sport, research, media education, the arts, industry and local communities. SEE BEYOND RACE.

D. ALL OF THE ABOVE A. LAB ASSISTANT LAB A.

C. SHOPAHOLIC B. INTO ROM COMS SEE BEYOND RACE.

D. ALL OF THE ABOVE A. LAB ASSISTANT LAB A.

C. SHOPAHOLIC B. INTO ROM COMS SEE BEYOND RACE.

D. ALL OF THE ABOVE A. LAB ASSISTANT LAB A.

C. SHOPAHOLIC B. INTO ROM COMS

Addressing discrimination and disadvantage to improve health | 31 PARTNERSHIPS | 32 2 1 Party). (National McGrath William Hon. The Party), (Liberal Weideman Graeme Hon. The Party), Labor (Australian Arnold Michael Hon. The right): to (left Board: first VicHealth’s in representatives MP The sector. private and the organisations community bodies, peak workplaces, transport, justice, corporate, media, rights, human research, education, sport, – arts, sector health traditional the of outside organisations with been often have relationships These time on. that from promotion health to approach its of heart the at organisations with relationships put has VicHealth first. promotion and priorities health put would VicHealth that underscored and hue, political its of regardless day, the of government the with partnership the consolidate helped approach That patron. current and Chair inaugural VicHealth’s Nossal, Gus Sir says worthwhile,” so was initiative the because aside… differences partisan their put they and together worked and impeccably behaved board… the on politicians three “The ( legislation Victorian the in reflected was –and National and Liberal – Labor, parties political main three the from representatives have would board first VicHealth’s that vision Gray’s Nigel Dr chair deputy with began approach partnership The level. community to way the all changes and programs delivering in success its to critical been has subjects of range adiverse across partners of arange with work and identify to capacity organisation’s the that agree years 30 past the from leaders VicHealth’s mutual.” and respectful are relationships The VicHealth. for working of joy huge the was that and people other through done work its gets “VicHealth Moodie. Rob CEO “ skills. of diversity a together brings and work promotion Partnering strong partnerships Leading through VicHealth 2016. VicHealth Walk to School 2016 evaluation. www.vichealth.vic.gov.au/media-and-resources/publications/walk-to-school-2016-evaluation 2016. VicHealth Walk to VicHealth School 2016 www.vichealth.vic.gov.au/media-and-resources/publications/walk-to-school-2016-evaluation evaluation.  VicHealth 2014. VicHealth Water Initiative. www.vichealth.vic.gov.au/programs-and-projects/water-initiative It’s about mutual relationships,” says former VicHealth VicHealth former says relationships,” mutual about It’s is a powerful aspect of health health of aspect apowerful is Tobacco Act 1987 ). ). 112 times around Australia. around 112 times about walking to –equivalent kilometres million 1.6 than more walking School, to Walk in participating schools 758 from students 144,928 saw councils 62 with thanks to the program. SunSmart population Victorian the in place took changes attitudinal and behavioural Significant sun: the under Everything with a local council. alocal with achieved be can what to speaks visitors and workers city for refills water drinking free providing fountains water 70 than more of appearance the example, for Melbourne, of heart the In state. the across communities 79 their of each with link astrong provide they as governments local been have years the over VicHealth for partners delivery Critical Victoria. Diabetes of auspices the under operating food, healthy for advocacy its and Voice Parents’ to led Victoria across parents with connections grassroots And Foundation). Drug and Alcohol (now Foundation Drug Australian the with partnership in done was people young among use alcohol from harm minimise and prevent to A program campaigns. SunSmart and Quit their for Victoria Council Cancer and projects; research as well as sports, and arts in messages health heart deliver to Foundation Heart the with were partnerships formative early VicHealth’s 1 In October 2016, the partnership partnership the 2016, October In 2

4 3 pulled off for three decades. three for off pulled has VicHealth that one but act, balancing adelicate It’s explains. he diplomacy,” and –courage management stakeholder careful that’s –and wisdom parts equal need “[Y]ou landscape. health the in player independent and broker apartnership as role critical this play to VicHealth for takes it what identified has VicHealth, of CEO aformer and Victoria Council Cancer of CEO Todd Harper, forward. ways and issues about discussion in engaging by partnerships existing and new strengthen to ways on focus and established have they that partnerships the on reflect collaborations, for purposes of range the of idea aclearer develop to organisations guide helps McLeod, John late the by authored tool, The Tool. Analysis Partnership VicHealth’s informed has understanding That monitored. and planned carefully be and partners the of work the to value add purpose, aclear need they successful be to are partnerships if that knows VicHealth work partnerships Making program Sports Good The success. great seen also has years 30 across associations and clubs organisations, with partnerships VicHealth’s influence.” biggest and step biggest the was took VicHealth that leadership the respects, many “In Waterhouse. says work,” VicHealth the before circles academic outside well-known weren’t health and racism to links “The vital.” was that work pioneering VicHealth’s was it but policy, anti-racism an adopted council The strategy. anti-racism an developing council the to led actually program “The explains: Council, Whittlesea at now is and program LEAD the managing VicHealth at worked who Waterhouse, Benjamin As program. the trial to selected were Whittlesea of City the and Shepparton Greater of City The diversity. cultural support to and discrimination race-based reduce help to opportunity the up take to councils needed it program, (LEAD) Diversity Accepting and Embracing Localities its out rolled VicHealth When base. research VicHealth’s from evolved have that ideas on collaboratively working partners see initiatives and programs VicHealth’s experience alcohol-related harms. alcohol-related experience to likely less cent 42 per are program the in participating clubs that found Sports Good of trial control a randomised fact, In alcohol. serving to attitude aresponsible take that clubs in involved families and spectators sportspeople, of thousands now are there aresult, As 17 years. last the over country the across clubs sporting 7000 than more by adopted been –has Foundation Drug and   Kingsland M, Wolfenden L, Tindall J, et al 2015. Tackling risky alcohol consumption in sport: a cluster randomised controlled trial of an alcohol management management alcohol an of trial J Epidemiol Community Health clubs. controlled football randomised community a cluster with sport: in intervention consumption alcohol risky Tackling 2015. al et J, Tindall L, Wolfenden M, Kingsland https://adf.org.au/community/our-programs/good-sports/ 2016. and Good Foundation Sports. Drug Alcohol 3 – a partnership with the Alcohol Alcohol the with –apartnership 4

. http://jech.bmj.com/content/early/2015/06/01/jech-2014-204984 *  pivotal. be again once will sectors various and governments of levels all with engaging and initiatives health many so in apartner as experience deep VicHealth’s and outcome, and implementation design, its in exercise acollaborative is initiative This health. their on diet salt high of a effects the and food processed in salt of levels the about public the educate and manufacture, they foods the in levels salt reduce to industry food the with liaise action, initiate to communities mobilise to partnerships more require will program the of phase next The food. in levels salt and intakes salt on and monitoring and research frameworks, policy food Victorian for support produce, they food the reformulating manufacturers debate, and awareness public increased achieved has work far, this So Victoria. in industry and public the governments, from action reduction salt for commitment and consensus gaining at aimed actions of set a comprehensive outlining adocument released partnership the formation, its after Ayear action. joint undertake and plan to together came partnership committed The 2025. by cent per 30 by intake salt average reducing of goal Organization’s Health World the meeting to committed all organisations, research and health major other were there VicHealth with Along 2014. in Partnership* Reduction Salt Victorian the N A coalition salt against ine organisations were brought together for for together brought were organisations ine and the High Blood Pressure Research Council. Research Pressure Blood High the and Institute Diabetes and Heart Baker Services, Human and Health of Department Victorian the Australia, Health Kidney Foundation, Stroke National Research, Nutrition and Activity Physical for Institute University’s Deakin Victoria, Foundation Heart Health, Global for Institute George The VicHealth, comprises Partnership Reduction Salt Victorian The

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Leading through strong partnerships | 35 SPORT | 36 that their players were fully protected. fully were players their that knowing Saturday, given any on field the take to able being 3 2 1 outcomes. sport just not outcomes, health delivered –it sport Victorian for support VicHealth’s of mark enduring an became that change asignificant was This alcohol. of serving responsible the to SunSmart being from ranged which messages, health VicHealth’s support to keen were clubs them, helped had it how Given sponsorship. just than associations and clubs from more wanted VicHealth focus, promotion health its with keeping in But messages health broader Promoting bowlers. lawn for mats non-slip and gear, goalie hockey helmets, and gloves pads, batting cricket padding, goal-post buy to money the with clubs sporting Victorian 6000 provided grant popular hugely This prevention. injury sports for funds also were There Victoria. rural across golf in participation grassroots and juniors womens, boost to $125,000 afurther added it sponsorship, PGA Victorian its of part As wide. net funding its cast VicHealth meant That 1990. in Galbally Rhonda CEO first VicHealth’s said messages,” promotion health for sport in participation a broad provide can that programs and campaigns promotion health for profile public high a offer that programs between abalance achieve to seeks sponsorship sports on policy Foundation’s the of essence “The days. early the in sport elite to went sponsorships sports VicHealth’s of cent 5per Only clubs. lacrosse and fencing tennis, surfing, hockey, netball, local to championship, Golf PGA Victorian the or races Valley Moonee the VFL, the in Club Football Fitzroy the from spectrum, sporting the of ends both worked sponsorships Its and organisations. clubs sporting of a range for support and knowledge promotion health of source areliable sponsorships and became tobacco out bought It years. early in its for known was Foundation Promotion Sport Supporting sportat alllevels ABS 2011, Australian Social Trends June 2011, Sport and physical recreation, Cat. No. 4102.0. No. Cat. VicHealth 2012. Healthy www.vichealth.vic.gov.au/programs-and-projects/healthy-sporting-environments-program Environments. Sporting recreation, physical and Sport 2011, June Trends Social Australian 2011, ABS The Story of VicHealth – world first in health promotion health in first –world VicHealth of Story The 2005. Foundation Promotion Health Victorian was what the Victorian Health Health Victorian the what was 1 It was a vital part of clubs clubs of part avital was It

watching sport. watching and playing those for experience ahealthier create to up sign to codes different 25 across clubs 73 sporting got they Networks, Leisure with Together inclusive. and healthier them make to clubs sporting of culture the changing about was which program, Environments Sporting Healthy the with region Barwon wider the to went VicHealth 2011, In change. greater for opportunity the seized – VicHealth socialising and skills developing exercise, for opportunities –providing levels many at community the engaging clubs sports With supporters. and spectators volunteers, as Working with Regional Sports Assemblies, which became became which Assemblies, Sports Regional with Working program. Environments Sporting Healthy the in involved being for better was club their thought clubs participating of cent per 93 overwhelming an but list avaried was It prevention. injury and policies SunSmart for assessments also were There participation. female promote to and discrimination race-based against work lead would Two clubs spirits. and beer of price the to apremium add or sold beer of strength the restrict either to needed They menu. canteen healthier a offer and smoke-free be to expected were Clubs sugary drinks. drinks. sugary over choice of beverage their as water make them help to refills water drinking free to access fans sports of thousands give City Melbourne in Stadium Etihad of levels three the across fountains water Ten sport or active recreation. active or sport organised of form some in participated over and years 15 aged Australians of aquarter 2009–10, in example, For people. of number alarge reach could they sport, through delivered were messages promotion health when And

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4 promotion. health to approach modern its and history VicHealth’s between link enduring an are grants The sport. in people engage to thinking fresh applying and sport, in inclusion and participation broadening around revolve Grants Club Active ongoing Its Victoria. across organisations and clubs sports with engaged closely remained has VicHealth years, 30 For time. the at said he a career,” Ihave Now ajob. just was shop pizza the at working “To me, time. part working been had he where shop pizza Geelong the beyond prospects job offered that opportunities with Evans provided also It Course. Coaching 1Surfing aLevel included traineeship The in Torquay. Surfboards Strapper at traineeship 12-month a VicHealth-supported undertook man, Yorta and Yorta surfer atalented Evans, Cormach program, the Through Robertson) Liam (Photographer: leaders. potential of generation next the identifying also and communities Indigenous in skills surfing develop to helping program, Surfing Indigenous Victoria’s Surfing supported 2017. in VicHealth Bells at Beach title Surfing Indigenous Australian the out takes Carey Otis leaders. potential of generation next the identified also and communities Indigenous in skills surfing develop helped which program, Surfing Indigenous Victoria Surfing the was initiatives those of One VicHealth. for priority akey outcomes, equity health drive help to harnessed be also could sport of reach and power The choices. healthier supported that environments creating about just wasn’t sport through health Supporting Victoria. rural and regional across clubs sporting 250 another to expanded then was program the partners, delivery vital  www.vichealth.vic.gov.au/programs-and-projects/vichealths-water-refill-project-at-etihad-stadium fountains. water free into tap fans Footy 2015. VicHealth

have increased water consumption by 390 per cent. per 390 by consumption water increased have to said be could initiative the 2016, in litres 4780 year,to first the in litres 800 From consumption. water in increase remarkable a reveal figures the and dispersed water of amount total the measure to fountains the all on installed been have meters Flow events. Bash Big and A-League including events, entertainment and sports other but matches AFL for come only not fans These gates. its through passed have who fans million 4.8 to available been has water the started, initiative the since that estimate management Stadium Etihad fountains. water the of usage and visibility on the promotions of impact the understand to trials conducted –VicHealth stadium the at matches home playing were that clubs AFL with time –this partnership additional an In sugar. added with drinks of instead Water’ Choosing Victorians ‘More of goal VicHealth’s of part was initiative The water. free of availability the increase to levels three stadium’s the on fountains water 10 install to Water Valley Yarra and Stadium Etihad with partnered VicHealth 2015, In Etihad Water Activations taken advantage of the offering,” Green said. Green offering,” the of advantage taken have who fans of thousands many the been have winners the and fantastic been has feedback “[T]he day. game on one refillable afree get or bottle awater bring to patrons reminding messages drinks healthy pre-game were there and stadium, the at distributed were bottles water refillable VicHealth broadened the initiative. Branded approaches ‘nudge’ and insights behavioural Using watertrusty bottles.” their fill to fans by extracted been had water of litres 4780 2016, of end “To the said. Green Michael CEO Etihad season,” AFL 2018 the of start the before fountains six another to up add to looking is team management stadium’s the water, drinking chilled free the of popularity overwhelming the to “Due them money.saving and health patrons’ benefitting drinks, sugary of instead water drinking of awareness and promotion increase to facilities sporting with work to potential significant is there shown has data trial early The

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SPORT | 37 Leading through strong partnerships | 38 “At thecore, VicHealth’s the ‘how’.” Co-founder, NCDFree/TV Host Co-founder, NCDFree/TV PHD MPH MBBS RDEMAIO DR ALESSANDRO in the‘what’, butin greatest legacyisnot INNOVATION

and promotion can increase water increase can promotion and as part of wider efforts to reduce to efforts wider of part as Simple behavioural interventions interventions behavioural Simple to improve water supply, access water improve to consumption in licensed venues in licensed consumption alcohol-related harms.

Leading through strong partnerships | 39 innovation | 40 focus on the challenges obesity represented for the state. the for represented obesity challenges the on to focus Victorians ‘everyday’ 100 of group selected arandomly together bringing policy, health of discussion the to approach anew pioneered Obesity on Jury Citizens’ Victoria’s 2015 –The Obesity on Jury Citizens’ initiatives across the state. Challenge Innovation 13 funded VicHealth alone, year first its In solutions. different promises thinking fresh and currency, have always will ideas Good rewarded. and valued is innovation promotion –health clear is message The practice. in solutions the out test to support and funds start-up awarded are ideas promising most The people. young in wellbeing mental and cultures alcohol health, for arts participation, activity physical across problems existing tackle to solutions new devise to Victorians invites program Challenges Innovation VicHealth’s Challenges Innovation initiative. Thinkers Leading the and Challenge Innovation VicHealth the change: that of aresult 2014 in as launched were initiatives Two promotion. health about thinking new for search restless its with priorities research strong VicHealth’s blends statement This priorities. health our address to ways new bold driving innovation: of expression formal amore came that From priorities. innovation its refreshing started organisation the 2013, In years. 30 in evolved has innovation approaches VicHealth way the However, community. the for outcomes health and wellbeing better accelerate to ways findingnew prioritising promotion; inspired an health vision for from sprang VicHealth all, After works. organisation how the to central also is It Integrate.’ Inform. model –‘Innovate. organisational Innovation The innovation reflex is embedded is in VicHealth’s

memberships. memberships. flexible more and game the of form shorter a offering by families more to golf opened that program golf a Ballarat and competition, basketball inner-city an in kids Sudanese South for initiative mentoring and aleadership program, women’s Indigenous AFL an including programs, pilot sports-related innovative five funded 2017,In VicHealth app. the downloading by dancing got subsequently have Japan, and India Australia, across from world, the around people 20,000 than More connection. social and activity physical boost and moving groups large get to app the use can institutions and organisations large Schools, events. dance alcohol-free) and (drug Lycra No Lights No the behind pair the Barrett, Heidi and Glenn Alice by developed was It doing. are you whatever are, you wherever dance, and move you insists that track a dance with smartphone your on is what overrides app The funding. start-up given ideas early the of one was Break Dance momentum. gathered ideas the on, then From ideas. their develop –could professionals communication sector, designers universities, and government, arts, health mental the groups, –sporting sectors of a range so workshops of aseries convened VicHealth areas, these in initiatives with up coming of task the for organisations prepare To help food. sustainable and nutritious to access improving and arts, the in participation through wellbeing and health mental consumption, alcohol reducing sport, in participation increasing ideas new on was focus 2014,In the disadvantage,” Halpern explains. entrenched reducing and health mental improving exercise, encouraging consumption, water increasing consumption, alcohol reducing for insights behavioural of implications the at looked also we residency, the of course the “Through 2015. in Obesity on Jury Citizens’ Victoria’s of approach pioneering the in –resulting obesity on was focus Team initial Insights Behavioural the and Halpern Dr lifestyles. healthier creating into public the nudging gently for atool as insights behavioural of methodology the embraced 2014, VicHealth Team. In Insights Behavioural UK-based the of CEO Halpern, David Dr was program the to invited thinker leading first The issues. wellbeing and health key of analysis deep allows initiative the residency, second its in Now Victoria. in experts local key and policymakers senior with experts international connects which initiative, Thinkers Leading the is change delivering Also initiative Thinkers Leading

developed as part of the residency, explore how language language how explore residency, the of part as developed being trials many of one in and, equality gender around policy and discussions shape help will They years. 15 past the over equality gender and women against violence on done has VicHealth research the on build will Security, and Peace Women, for Institute Georgetown the from Klugman, Jeni Dr and University, Harvard at Government of School Kennedy the from economist abehavioural Bohnet, Iris Professor equality. gender and insights behavioural to shifted has program Thinkers Leading the of focus the Now (2016–19). residency Thinker Leading second the in collaborate Managing Security, Klugman, and Jeni Dr and Peace Women, for Government, of Institute School Kennedy Georgetown the of University’s Director Bohnet, Harvard Iris from Professor Economist (2014–16); Thinker Behavioural and Leading Policy inaugural Public of VicHealth’s and Professor (UK) Team Insights Behavioural the of Executive Chief Halpern, David Dr Sun Herald the with apartnership through community the to amplified were results and deliberations Jury’s The research, facilitation, design and social technologies. democratic in expertise together brought They project. the for planning of year initial the during together worked and partners became companies Four state. the for represented obesity challenges the on focus to Victorians ‘everyday’ 100 of group selected randomly a together bringing policy, health of discussion the to approach anew pioneered it because unique was Obesity on Jury Citizens’ Victoria’s 2015 The obesity. debate and reflect consider, to guidance VicHealth’s under Victorians everyday 100 and community, and industry health, public government, from experts comprising committee steering a team, design digital a outfit, adesign company, afacilitation institute, research a together brought and plan, to ayear almost took It Victoria’s Citizens’ Jury on Obesity , which helped promote and report on the event. event. the on report and promote helped , which

©Christian Dancker ©Christian communities and individual stakeholders. stakeholders. and individual communities governments, to message promotion health its deliver to sectors, across partnerships building in experience its well as practice, VicHealth’s of part been always have approaches innovative –how else something revealed it and work, important delivered Jury The VicHealth. by convened experts various of Group aSteering to asks 20 of presentation a in culminated meeting The days. two for Melbourne in met Jury the discussions, online of weeks six After eating choices that often go unnoticed. our on influences of range the and culture, current our in plays food role large the recognising Australia, in eat we way the choices, food their about discovery of ajourney through went collectively Jury The better? eat to easier it make we can How obesity. with aproblem have We this: answer –to remit one had They sport, to help drive better health and wellbeing outcomes. wellbeing and health better drive help to sport, in and work as such places in women Victorian against down entrenched attitudes and practices that discriminate break to thinking innovative deliver to promises VicHealth and experts these between partnership three-year The reporting. sports in particularly media, the in bias gender of incidence the examine also will They applicants. of split gender the on impacts advertisements job in

innovation | 41 innovation | 42 for allVictorians 4 3 2 1 culturally appropriate foods. appropriate culturally and safe nutritious, acquire) to (or affordable, of ability availability or uncertain have limited they is, –that insecurity food experiencing in ahousehold live Yet 1in around 20 Victorians part of the 1995 National Nutrition Survey Survey Nutrition National 1995 the of part of analysis aVicHealth-funded from come had research This later. years 20 than more mind her in sticks still that astatistic It’s more. buy to money no had and months few previous the in stage some at food of out run had Australians of cent 5 per that fact the about concerned was Jolly Kellie-Ann issue, aheadline was insecurity food before long 1995, in Back overweight. be to estimated are per cent, 30 adults, around of proportion ahigh In Victoria, STRATEGIC IMPERATIVE PROMOTE HEALTHY EATING integrated solutions to the food issue, and that meant meant that and issue, food the to solutions integrated on work to ideally, governments, local wanted “We security. food to barriers the down break to ways find to government local with working years, five for ran All For Food food.” and affordable appropriate culturally to access but food, to access about just wasn’t it “And Foundation. Heart the of CEO Victorian the now Jolly, says profile,” its raising and issue insecurity] [food the on taking for known became “VicHealth were experiencing socioeconomic disadvantage. socioeconomic experiencing were residents their of more or cent per 20 where municipalities Victorian eight in food fresh of availability the improve to away was All for Food better. no was situation the 2005, in program All for Food the on embarked Manager, Program Eating Healthy VicHealth’s then was who Jolly, time the By bare. security food of problem Healthy choices  ABS 1995. National Nutrition Survey: Selected Highlights, Australia,1995. www.abs.gov.au/ausstats/[email protected]/mf/4802.0 Promoting equity 2015, in healthy eating VicHealth  VicHealth 2003. Food for All: Food insecurity community demonstration projects. www.vichealth.vic.gov.au/media-and-resources/publications/food- projects. insecurity-community-demonstration-projects demonstration community insecurity Food All: for Food 2003. VicHealth disease to chronic contributing factors risk Melbourne. Government, 2014:Victorian Survey modifiable Health Population Victorian 2016, (DHHS) Services Human and Health of Department 2 , Victorian Health Promotion Foundation, Melbourne. Foundation, Health Promotion , Victorian 3 , which laid the the laid , which 4

affordable, nutritious foods more available for Victorians. Victorians. for available more foods nutritious affordable, make to ways sustainable with up come to operators digital vegetable industries, researchers, social innovators and and fruit the nutritionists, –asked challenge innovation first-ever organisation’s –the Challenge Seed The supply. vegetable and fruit improve to also but eating, healthy of importance the promote to only not was goal the 2013, in launched Challenge Seed the When Challenge Seed The to nourishing food for more Victorians. more for food nourishing to access increase to and eating healthy of value the reinforce to been always has issue the of heart the program, the whatever But problem. obesity the tackling to choices, food healthier developing to food growing from access, food of aspects of arange at look to research in invested and programs new developed VicHealth All, for Food of back the On VicHealth. for issue akey remains food healthy to Access solutions.” easy or fixes quick no with problem a was it But more. buy to afford not could and months 12 past the in food of out run had who residents 20 1in had Victoria in areas government local 79 of out 53 that revealed analysis VicHealth program, the “During explains. Jolly use,” land and economic development housing, transport, about thinking , 1

healthy eating | 43 healthy eating | 44 make affordable, nutritious foods more available for Victorians. Victorians. for available more foods nutritious affordable, make to ways sustainable with up come to operators digital and social innovators researchers, industries, vegetable and fruit the asked nutritionists, Challenge Innovation ever first VicHealth’s Challenge: Seed The this initiative.) on information more for 40–41 pages (See group. steering aVicHealth to delivered they ‘asks’ 20 at arrived ultimately jurors The obesity. to asolution consider to life of walks all from Victorians 100 asking about was Jury The area. this in initiatives future for way the paving is that 2015 in Obesity on Jury Citizens’ Victoria’s in techniques deliberative of use innovative the was it However, initiatives. and programs eating healthy many in posed been has better?”, eat to Victorians for easier it make we can “How question, key the to answers seek to determination VicHealth’s on Obesity Jury Citizens’ Victoria’s happen. it make help to ateam established and food growing for suitable was that Melbourne across land vacant identified project Acres 3000 The markets. farmers of version online an into consumers and suppliers growers, connect would Network Food Open The innovations. new-age and approaches established of amix generated program grant-based The other.” each and supporting connecting communities about all It’s together. eating sometimes and cooking the produce, the sharing been have people as benefits social also are there but lives, their on impacts diet their improving how of understanding abetter got people have only not outcomes: positive many had has Project Braystone “The Moodie: Rob CEO then VicHealth’s was So involved,” he said. everyone for outcomes positive has it that is Project Braystone the about thing great “The fan. unabashed an was Walton, David director, executive then WestNet’s Footscray. in areas housing public other and estate housing high-rise aWilliamstown school, primary aFootscray to travelled and established also was market amobile but Braybrook at office WestNet’s at based was shop The costs. running project’s the meet helped revenue shop’s the of percentage Ahealthy shop. the in work to chance the clients its of many gave also It employee. time full- a with it staffed and register acash and scales bought room, acool built shop, the up set WestNet shop. the run to opportunity –the disabilities intellectual with locals for opportunities training pre-job provided that –aservice WestNet gave Council the project, this to involvement community of layer another Adding 2003. in doors its opened and Council Maribyrnong to grant aVicHealth through funded was which shop, vegetable and fruit Braystone the was answer The service? adelivery with outlet, vegetable and fruit alocal up start and head-on, problem the meet to possible be it Would vegetables. and fruit fresh selling were that suburbs western Melbourne’s in areas Maidstone and Braybrook the in shops enough not were there complex: potentially solution the but obvious was problem The west Melbourne’s Fresh vegies to

A NetSetGo junior netball club is one of the participants in VicHealth and Netball Vic’s healthy eating choices ‘nudge’ trials making healthy choice choice healthy Vic). making Netball trials from ‘nudge’ permission choices with eating (Used healthy sport. in Vic’s choice Netball easy and the VicHealth in participants the of one is club netball junior A NetSetGo broader scale. scale. broader a on issue the with dealing in VicHealth for ahead road the chart help and sponsorship food junk about again think to organisations sporting other inspire to aims project the Ultimately, project. the of part integral an be will sponsorship food ajunk choosing not of benefits health and costs the on research and sponsorships, food-free junk of champions as identified be will organisations sporting Three sponsors. food junk to alternatives having of benefits other and health economic, the at look will project The sport. of levels all across organisations and clubs with partnerships extensive VicHealth’s on building by sponsorship food junk of role the about debate community increase to is goal Its sport. in sponsorship food junk of pervasiveness the reduce to aims projects newest VicHealth’s of One Targeting junk food sport in

support it,” says Jolly. says it,” support to helping then and locally action take to communities together, enabling people bringing building relationships, on itself prided has that organisation an is “VicHealth 37). page (see choice of beverage the as water of promotion and 33) page (see reduction salt in work VicHealth’s in today true remains This priorities. and interests competing the among forward way a finding been has progress to key The communities. and business of sectors all span issues food ago, adecade than more found Jolly As environment. achallenging remains it initiatives, eating healthy into VicHealth from investment and focus long-term the Despite Victoria. across facilities sports YMCA nine and Centre Recreation Melbourne North the Hospital, Alfred the at interventions successful from collected data using choices drink and food improving of case business viable the demonstrated work This facilities. government-owned as such settings community of range a in policies drink and food healthy implementing for case business the building was approaches these of One asks. Jury’s the of four including eating, healthy to approaches new of development the to lens innovation an bring to continues also It positions. policy and work funded programs, of a range inform to Jury the from learnings the using is VicHealth

healthy eating | 45 healthy eating | 46 and active recreation (All Abilities Basketball in Doncaster, 2011). in Doncaster, Basketball Abilities (All recreation active and in sport participate to able is ability or gender, group cultural age, of regardless community in the everyone ensures work VicHealth’s 4 3 2 1 young kids currently taking part. taking currently kids young 170,000 with program anational is NAB, by supported and, Auskick called now It’s 28,000. then and 21,000 to 15,000, then 7000, to grew program the schoolchildren, 5000 From time. the at explained CEO then VicHealth’s Galbally, Rhonda football,” in participate will girls and boys more that so networks grassroots other clubs, youth schools, primary Victorian all through participation increased encourage to is program this of objective primary “The sport. The bulk of the investment – and research – was –was research –and investment the of bulk The sport. elite to directed were sponsorships sports VicHealth’s of cent per 5 than less 1990, By different. was reality The level. elite an at sport with organisation the connected only people many meant days early its in sports high-profile in sponsorships tobacco back buying in role VicHealth’s activity. physical of form some in part take to Victorians supported that years 30 past the in initiative the old VicKick program. VicKick old the over take to volunteers and parents for aframework up set to Victoria crisscrossed who officers field five appointed and 1988 in established was Foundation Development Football Victorian the grants, VicHealth in $500,000 by Driven arrived. VicHealth then it; resource to battled system education Victoria’s program. the to devote to week busy the in time find to struggled teachers school primary But fans. younger game’s the in skills footy some foster to designed kids school primary It all started with VicKick with started all It 112about Australia. around times walking to –equivalent 1.6 kilometres than million more walked 2016October collectively during in School to VicHealth’s Walk participated who students school primary Victorian ENCOURAGE REGULARPHYSICALACTIVITY STRATEGIC IMPERATIVE Getting Victorians active for health AFL 1997. NAB and AFL Auskick. www.aflauskick.com.au/nab-and-afl-auskick/ Annual Report 2000–2001 2001. VicHealth Coaching Update Inc.), (Vic Association, Coaches Football Australian  Walk to School 2016 www.vichealth.vic.gov.au/media-and-resources/media-releases/record-number-of-schools-lace-up-for-this-years-walk-to-school 3

2 , a program for Victorian Victorian for , aprogram 4 It is just one VicHealth VicHealth one just is It . www.vichealth.vic.gov.au/about/annual-reports 1 , vol. 2, no. 1, April 1989 April 1, no. 2, , vol. of mainstream organised sport. organised mainstream of part be to difficult it found traditionally that groups among inclusion and diversity promote could VicHealth how out figuring included task This communities. strengthening and connection social supporting in sport of role the reinforce to ways finding was task challenging A particularly cancer. and 2diabetes type disease, heart of likelihood the reducing and wellbeing, health person’s a on impact apositive has activity physical regular that message the pioneer helped area this in work VicHealth’s females. older and adisability with people groups, diverse linguistically and culturally including groups, certain among lowest are the health benefits of physical activity.Participation rates enjoy to active sufficiently not are adults and children Australian of majority the suggests that research is approach this Behind active. currently not are who people on emphasis an with genders, and groups age across sport community in engagement and participation support to ways finding is program Grants Club Active the of A priority program. particular this through grants in million $20 nearly with state the across grants club sporting grassroots 12,285 funded has it established, was VicHealth Since Grants. Club Active ongoing the as such programs through sport grassroots help to communities local to out reached VicHealth games. organised or sport club in part taking and active people getting participation, community about

physical activity | 47 physical activity | 48 5 and sexist language. sexist and discrimination gender against action bystander for models role become to associations state equipped programs Other 36). page story (see environment inclusive and enjoyable an in so do could sport their in involved everyone that so changes implementing clubs 73 had that work pioneering million a$2 Project, Demonstration Environments Sporting Healthy the was initiative such One inclusive. and welcoming more and healthier become to places these for preferences community and evidence on built that programs on embarked community, the in clubs and organisations sporting of role the and reach the recognising VicHealth, belongingness. of feeling and interactions social improved anxiety, or depression of symptoms fewer –and recreation active or walking sport, –in active being between widely known, with research showing a direct relationship is wellbeing mental and activity physical between link The fitness just than More group. abroader to appeal game’s the extend to balls larger and tees batting with game, rules modified a offering while inclusion social of importance the about officials and coaches staff, for education and training provided It path. asimilar followed Victoria Cricket children. Sudanese 160 than more for routine aweekly of part became tennis program, (SAIL) Learning Integrated Australian Sudanese the with connecting after But start.” to where know to us for difficult was “It coordinator. programs and club former Victoria’s Tennis Hatzi, Tim says communities,” arrived newly for participation to barriers about learn to much so had “We removed. were participation to barriers any ensure to and participate to people those encourage to –how part hard the came Then why. and activities on out missing was who identify to was organisations sporting local for challenge key The cycle. funding million $20.4 the across agencies peak nine and assemblies sports regional nine associations, sporting 43 state involved program The program. soccer organised an or ride bike asocial group, awalking was it whether activities, recreation active and sport explore to invited were challenges cultural and language facing individuals and people Indigenous women, older disabilities, with People 2011. to 2002 from ran which program, Recreation) Active and Sport Community in (Participation PICSAR VicHealth’s of goal the was That  www.vichealth.vic.gov.au/media-and-resources/publications/physical-activity-and-sedentary-behaviour summary evidence an behaviour, sedentary and activity Physical 2016. VicHealth

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of Cricket Victoria’s Cricket4Me project which successfully boosted diverse boosted participation within a traditional sport. successfully which project Cricket4Me Victoria’s Cricket of part was cricketer, Test Zimbabwean aformer Mwayenga, Waddington communities. communities. their to program exciting this bring to funding into tapping now are associations and clubs hockey Grants, Club Active VicHealth’s to thanks And beginners. to game the introduce to way perfect a is It minutes. 40 only lasts and field asmaller on played is which J-Ball, called game the of form social anew pioneered has example, for Victoria, Hockey practice. in refined constantly being is it and programs VicHealth across times numerous out rolled been has inclusion of model This later. years 10 running still is program The players. tennis keen those for support sufficient was there ensure to program night Friday the for volunteered who University Victoria from students as well as Victoria, Tennis Seniors involved also initiative The Open in Melbourne. Australian the of home the at playing of thrill the feel and love they game the in join to people 40 supported initially program tennis tailored the program, PICSAR VicHealth’s through together Brought players. tennis vision-impaired or blind for program a offer to Tennis Victoria with partnered Victoria Sports Blind when step significant but asmall was It Everyone in join can

even greater hurdles. faced have –would women for –especially participation and equity increased for drive the ground, the on individuals key and clubs sports local government, local of support the Without goals. VicHealth’s achieving to are relationships cross-sector critical how reinforce initiatives these of Many to feeling socially connected with their community. their with connected socially feeling to contributed program the that felt cent) per (94 surveyed participants ten of out Nine spaces. local underused or unused transforming by dance, through including active, be to opportunities accessing members community 24,000 nearly get to councils five with worked VicHealth 2016, In Circus. Women’s the by program Play of Art The and Festival West Big the at event Republic Dance the included which program, the in part took 27,000 Victorians 7 6 construction. final the to vision planners’ the from community, built a newly of parks and streets the into promotion health embeds project The centre. neighbourhood a and paths bike tracks, walking interconnected through interaction social and activity physical for facilities and opportunities provides development housing The retrofit. to difficult very is It start. the from considered be to needs design urban healthy how of planners urban and Areas Government Local other to example important an is This area. that in living community the influences development Rise Selandra the in design urban healthy how at look to corridor south-eastern booming Melbourne’s in Casey of City the and Authority Planning Metropolitan then the Australia, of Institute Planning the Stockland, developer housing with up teamed VicHealth players, cross-sector with partnerships establishing of formula proven its Continuing activities. physical for opportunities more provide to environment social and built the shaping includes which recreation, and activity physical to approach holistic more the is development important another But stronger. become has moving keep and up get to needs everyone that argument the supporting 1987. in Data established was VicHealth since grown only has wellbeing general to is activity physical regular important how just of Evidence lifestyle into activity Building program. arts an in participation through active more become to people for opportunities create to groups culture and arts five funded program MOTION the 2013–14, In program. the of core the at is activity physical where activities cultural and arts to linking sport, beyond areas into move VicHealth seen has inclusion for push The arts through active people Getting  VicHealth 2015. Motion www.vichealth.vic.gov.au/programs-and-projects/motion-project Program. Physical-activity/2016-Community-Activation-Report.pdf Community 2016. Activation Program – evaluationsummaryVicHealth 6 More than than More 7

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involved, is one of VicHealth’s important roles. important VicHealth’s of one is involved, get to them for opportunities increasing and active, being from people prevent that hurdles the Identifying state. the across inequity health reduce to helping for strategy akey is communities all –for transport active or recreation active sport, through –whether activity physically for opportunities to access equal Ensuring Victorians. many for not) (or were were activities physical other and sport affordable and accessible how just was issue the of core the But facilities. of ashortage of problems measurable more the to confidence, of alack to safety, of lack aperceived from ranging activity, physical in participation to 11 barriers identified (2000) Framework Activity Physical VicHealth’s time. leisure children’s in use screen increasing is there and sedentary more become has life home and work where era an in important increasingly is activity physical Promoting across the community. the across exercise and sport in participation boosted has and Victoria across sports grassroots of development and growth the support to helping is approach this of impact The time-flexible. and engaging fun, social, is that activity physical of form some in part take to people for ways new provides and active less are who those of needs the addresses that amodel towards now is shift The options? your are what commitments, other or work family, with clashes it because bowls play cannot you If participate. to ways easy with and places local in times, flexible at activity recreational or sport organised providing means that –and active somewhat or inactive are who those particularly communities, diverse Victoria’s of needs the meet to way best the exploring is VicHealth Increasingly, costs. household other to compared when participation on spend to money limited and facilities recreational and sporting to access varied have time-poor, are people where aworld in that deliver to best how of challenge the addressing as well as participation, and equity of goals twin the address that programs need We activity? physical to comes it when VicHealth for priorities future the are what level, grassroots and elite an at sport in involvement direct years 30 With delivery flexible more A

physical activity | 49 physical activity | 50 The tobacco fight 3 2 1 13.3 per cent of adult Victorians smoked. Victorians adult of cent per 13.3 – Quit Victoria – Quit a charter to buy out sporting clubs’ tobacco sponsorships. sponsorships. tobacco clubs’ sporting out buy to a charter with arrived VicHealth year same 1987, in the Club Football Fitzroy the was sponsorship sporting first Victoria’s Quit smoking. reducing of task the to devoted singularly was it and VicHealth to prior existence into came Victoria Quit tobacco. of dangers lethal the promoted and smoking of acceptability the around thinking the shifted who others many and lawyers scientists, professionals, health NGOs, governments, of alliance broad and astrong of part became It smoking. against battle the in years 30 spent has VicHealth women. of cent per 22 only and smoked men Victorian of cent 1997, per 27 By smoked. women of cent per 29 and men Victorian of cent per 33 existence, into came VicHealth before year the 1986, In industry. tobacco organised highly and awealthy of face the in and considerably dropped has smoking people of number the carefully and slowly But Victorians. among illness and death preventable of cause leading the smoking, reduce to ways find –to enormous seemed ago years 30 over challenge The smoking. from death premature from havebeen saved people half amillion than more mean in Victoria years 30 in past the Tobacco measures reform STRATEGIC IMPERATIVE PREVENTTOBACCO USE Cancer Council Victoria http://www.cancervic.org.au/about/media-releases/2013-media-releases/august-2013/smoking-rates-victoria.html Victoria Council Cancer VicHealth Letter BMC Medicine al, VicHealth et Banks Division. Science Behavioural Victoria’s Council Cancer , Issue No. 14, 2000 No. , Issue

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2015, Volume 13 first racing club in the country to end tobacco sponsorship. sponsorship. tobacco end to country the in club racing first the became Club Racing Valley Moonee the meant change The Stakes. Manikato Australia Diabetes the became Stakes Manikato Sterling the racing, horse In Socceroos. Australian the simply became Socceroos Winfield The change. social for push the in part abig played VicHealth time. the at said Galbally seduction,” of apacket is “It days. five the across messages smoking 60,000 to subjected were aTest of day every attended who fans cricket and company, tobacco a was sponsor major cricket’s Test data. compelling with sport of sponsorship tobacco against case the prosecuted Galbally Rhonda CEO inaugural VicHealth’s sponsorship. tobacco of sport rid helping to integral was Research smoking. up taking people young prevent to working and quit to smokers helping including smoking, of prevalence the reduce to initiatives control tobacco of arange support to Quit with works VicHealth strength: to strength from gone has Victoria Quit and VicHealth between partnership The campaign. Quit the of years early the during message anti-smoking astrong had sport Victorian ensured goal anti-tobacco shared Their Victoria. Quit and VicHealth between partnership enduring an establish helping Club, Football Fitzroy the to support its added immediately VicHealth

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tobacco use | 51 tobacco use | 52 being replaced by other advertisers with big cheque books. books. cheque big with advertisers other by replaced being were dollars sponsorship its found VicHealth rooms. lounge in TVs around and venues to audiences huge attracted that landscape asporting of part be to wanted advertisers big well, As stakeholder. acommercial and sponsor health ateam’s between messages mixed were there Sometimes, changed. had sport with relationship VicHealth’s But minors. to tobacco sold who retailers for penalties increased and advertising point-of-sale on a ban dining, smoke-free for legislated had Government Victorian the millennium, new the of start the By smoking. passive about discussion emerging the to and contributed environments smoke-free around publicity extensive created followed that debate The breakfast. the after terminated was which time, the at Carlton with contract smoke-free a had VicHealth breakfast. final grand televised nationally a during smoking filmed was Elliott John President Club Football Carlton when 1998 in focus sharper into came debate tobacco the in role Sport’s tobacco to minors. sold who retailers for penalties increased and advertising sale point-of- on aban dining, smoke-free for legislated had Government Victorian the millennium, new the of start the By dining: Smoke-free

Goliath battle’. and a‘David as it described CEO), Victoria Council Cancer later (and CEO VicHealth became he before Victoria Quit ran who Harper, Todd companies. tobacco large the with fight afierce was it But strategy. the of part became smoking of dangers the about campaigns advertising Confronting smoking. reducing of importance health public the emphasised – plan anational by –followed 1997 in started that campaign anti-tobacco Anational deaths. tobacco-related about awareness community growing a –reflected media print the in advertising tobacco prohibiting and packs cigarette on warnings health aircraft, on smoking banning from –ranging control tobacco on initiatives National clubs. sporting local to grants with system, root the developing curate helping about set VicHealth tree, the of top the at prospered sport professional As level. grassroots a at development and participation sports on focus to VicHealth, for opportunity anew created however, This, respondents supported the innovation. the supported respondents of cent per 95 asurvey –in patrons Centre’s the with hit instant an was change smoke-free The food. healthy on focus astronger have to menus Centre’s the changing by smoke-free, Centre the making just beyond innovation the push to Foundation) Heart the as known (now Foundation Heart National the with worked VicHealth that.” about doubt no There’s adopters. early were “We explains: Nattrass, member, Sue board VicHealth aformer also and manager general former Centre’s The smoke-free. completely was venue the 1990 by but smoke, could patrons Centre Arts where areas the eliminate slowly to process agradual was It smoke-free. be to foyers, the to stage the from venue, whole the wanted singers opera’s the surprisingly, Not smoke-free. becoming Centre the of possibility the about Centre Arts Victorian the approached VSO The 1989. in sponsorship tobacco its abandoned which (VSO), Opera State Victorian the by triggered was venues public smoke-free of acceptance public in breakthrough A major Smoke-free opera

4 health. better from benefit and enjoy can Victorians all –so rates smoking down drive to continue to help can it how understanding to focus its turning now is VicHealth and disadvantage, economic or social experiencing people among rates smoking higher are there But 2012. and 2005 between smoking Victorians fewer cent 5per with down, is smoking in trend The smoking. of dangers the about warnings graphic larger and packs drab with replaced packaging, from disappeared names Brand first. aworld cigarettes, of packaging plain the for legislated it when 2012 in continued initiatives policy anti-smoking in pre-eminence Australia’s significant. been have gains the However, says. he fight,” afair been never “It’s well. too all problem the understood Moodie back. his had Moodie Rob CEO VicHealth then that knew Harper intense, became tobacco big with battle the when times, At debate. the shape helped that research and funding with Council Cancer Victorian the and Victoria Quit with working charge, the led VicHealth succeed.” didn’t we ensure to wanted industry tobacco the so control, tobacco in leader aworld was “Australia says. he failure,” Quit’s on depended success whose industry an had you that was tobacco of aspect unique “The out billboard advertising by cigarette companies. Half of cigarette company billboards had to be removed in 1989, and a further 25% the year after, after, year the 25% afurther and 1989, in removed be to had 1991. in removed billboards 25% phase final company the gradually with to cigarette of Half Parliament companies. Victorian the by cigarette by decision the to advertising attention drew billboard out campaign poster anti-smoking The advertising: cigarette on Blitz VicHealth 2016. VicHealth Tobacco Strategy 2016–2019. www.vichealth.vic.gov.au/media-and-resources/publications/vichealth-tobacco-strategy

a mental illness 32 per cent. per 32 illness a mental with living those for and cent, per 48 is rate the people Indigenous For 74 cent. is per it prisoners Among cent. per 77 is rate smoking the people homeless Among disadvantage. experiencing groups and subpopulation population general the between prevalence smoking in gap the overcome to trying is problem A broader efforts. renewed for afocus be will they and is, it hard how well too only know smoking quit to want who smokers older Many challenges. significant still are there control, tobacco on action dedicated of years 30 After The frontier next are stark. are stark. 4 The disparities disparities The

tobacco use | 53 tobacco use | 54 4 3 2 1

felt to drink – or drink to excess – around other drinkers. drinkers. other –around excess to drink –or drink to felt people young many pressure the identified which campaign, Needed Excuse No the for base the became website, Point That Name the with engaging public the from collected via Name That Point That Name via question VicHealth’s to responded people 45,000 than More home? way asafer and moderation promising road, well-travelled less perhaps other, the and alcohol more offering route one with road, the in fork the to come you did When enough? was enough realise you did drinks, afew having out were you when night the of stage what at fair: seemed question The hospitals to people 40,000 over 1200 nearly and sends deaths causes alcohol in year Victoria, Every STRATEGIC IMPERATIVE PREVENTHARMFROMALCOHOL according to a VicHealth report aVicHealth to according injury, of risk at them put that levels at drink whom of thirds two- Victorians, young of acommunity into idea serious a get to way afun was campaign Point That Name The night. fun and asafe have to how consider and out chill to decided you when moment the was That Point. Chill –The decided was entry winning the website, Point That Name the on lodged all suggestions, of weeks 15 After one. with up come to Victorians young asked VicHealth and aname needed decision, of moment that point, that But situation. asocial in consumed they much how and drank they what about decisions wiser make to started they where point own their identified and levels, consumption alcohol about and open discussion Changing drinkingcultures VicHealth 2014. A snapshot 2014. of Victoria’s alcohol culture: VicHealth Selected findings VicHealth 2013. Name That Point. www.vichealth.vic.gov.au/programs-and-projects/name-that-point   VicHealth 2016. Alcohol Cultures Framework background paper. A framework to guide public health action on drinking cultures, Victorian Health Health Victorian cultures, drinking on action health public www.vichealth.vic.gov.au/alcoholculturesframework guide to Australia. Melbourne, Foundation, Promotion Aframework paper. background Framework Cultures Alcohol 2016. VicHealth http://www.turningpoint.org.au/site/DefaultSite/filesystem/documents/EMBARGO-FARE-Alcohol-Burden-of-disease-Report.pdf Alcohol’s burden of disease in Australia in disease of burden Alcohol’s B2014. R&Lloyd, Ogeil, C, Gao, 1 . 2 , a campaign designed to spark frank frank spark to designed , acampaign 3 . The data in that report, report, that in data . The www.vichealth.vic.gov.au/programs-and-projects/name-that-point , FARE and VicHealth in collaboration with Turning Point, Canberra. Point, Turning with collaboration in VicHealth and , FARE . the intention of getting drunk is right. is drunk getting of intention the with drinking that believe not do majority –the on agreed 2013 in surveyed VicHealth whom Victorians young thing one is there subcultures, of dozens be might there While (music fan groups or university students). university or groups fan (music norms or values shared their through themselves identify which groups social or subculture and residence), private or (a pub place takes drinking where environment social or physical the cover which settings – level that at efforts focus to is approach VicHealth’s Thus, subpopulation. or people of groups between vary drinking of acceptability and norms social attitudes, beliefs, where cultures drinking overlapping different, of amix but Australia, in culture drinking single no is there belief, popular to Contrary less. drink to choose may who those on –exerted others –or they pressure the about and one, another want didn’t they saying simply than rather much, too drinking not for excuses make to need they that feel people make that cultures alcohol about questions important raised campaign The planned? they than drinks more have to pressure the to respond people did How pubs? and clubs bars, parties, at happening was what So drunk. get to intention the with alcohol drink not did 16–29 aged Victorians of two-thirds almost found 2013 in survey A VicHealth 4

alcohol | 55 alcohol | 56 to identify the extent of the problem. The research The problem. the of extent the identify to Centre Drug and Alcohol Point Turning and Education and Research Alcohol for Foundation the with worked VicHealth drinking, harmful on action for base evidence the To build out. anight on drinking their monitor people young help to messaging text-based of atest with up it followed and drinking, harmful reduce to apriority it made VicHealth clubs. sports Victoria’s of many at policy consumption alcohol a responsible developed has that program Sports Good the supported had it years 20 for And messages. reduction alcohol-harm had that Push, The and Eisteddfod Rock the Festival, Wave Next the including events, arts and sports sponsored VicHealth 1992–2000, From harm. alcohol reduce to research and programs in investing of history astrong has also VicHealth alcohol Reducing from harm action across industry and government. and industry across action and strengthening policies alcohol better for support public increasing alongside years, two next the for blueprint the is Framework Cultures Alcohol VicHealth The drinking. around cultures broader change to continuing and drinking risky of acceptability social the reduce to trying on remain VicHealth for priorities The important. more become only has harm and misuse alcohol preventing since, years the In the time. at said Todd Harper CEO VicHealth former researchers,” and workplaces, organisations, community of support and the governments, federal and state local, from commitment sustained need will strategy amulti-pronged “Such consumption). risky promote doesn’t that astandard to conform should example, for packaging, and content (alcohol product and drinkers); younger to messages directing (especially promotion open); stay they late how and alcohol buy to places of number (the place expensive); most the be to need products harmful most (the price strategies: crucial four alongside sit to need cultures alcohol to Changes had. has tobacco that funding prevention sustained the had not has alcohol that true also is it But cultures. drinking community in changes be can there consumption, alcohol around norms social and beliefs attitudes, rules, formal shift to trying by that shown has VicHealth environment, difficult this Into misuse. and consumption alcohol in trends global surveyed has and sustained over-consumption of alcohol over a number years from injury acute and illness chronic of dangers the about clear position its made has Organization Health World The statistic. asobering sense, every in was, It adecade. in cent per 62 by increased had deaths of number The 2010. in Australia in hospitalisations 157,000 than more and deaths 5554 caused alcohol 5 found found 5  documents/EMBARGO-FARE-Alcohol-Burden-of-disease-Report.pdf http://www.turningpoint.org.au/site/DefaultSite/filesystem/ Canberra. Point, Turning with collaboration in VicHealth and FARE Australia in disease of burden Alcohol’s B2014. R&Lloyd, Ogeil, C, Gao, drinking less alcohol by 2023. by alcohol less drinking Victorians 200,000 see to goal 10-year broader VicHealth’s of part be will achievement local That explains. Lowe Danny Councillor Wodonga community,” our in culture drinking the changing to key is which residents, local of wellbeing and health the on alcohol of impact the reduce and drinking low-risk for support social increase to aims program] “[The ajob. down holding and children their for model role apositive being money, saving including drinking, their on back cut to people many for incentives strong were there showed also research The circumstances. certain in alcohol for reaching drinkers many with habitual, was it that and home, at occurred usually drinking heavy that found Wodonga in research Initial alcohol. around change cultural driving in VicHealth by investment million a$3 up make that programs new several of one was initiative The program. support peer aworkplace and locals featuring film ashort campaign, marketing asocial using by drinking of levels acceptable as seen what’s challenges program Hurt? Gonna It Who’s The is recommended. than alcohol more drink who region the in workers collar blue for aprogram deliver to workplaces Deakin University, community organisations and with working is Council City Wodonga Initiative, Change Culture Alcohol 2016–2019 VicHealth’s of part As drinking. safe is what of misunderstanding a by part, in driven, is issue The basis. weekly or adaily on levels, risky at drink workers blue-collar of cent per 40 than more Wodonga, In too. share, its has Victoria regional and Rural Victorians. urban young, to confined not is drinking Risky drinking the in regionsRisky

, cultures across different subpopulations. different across cultures drinking of amix but Australia, in culture drinking single no is There the program has grown and expanded its sponsor base. base. sponsor its expanded and grown has program the as websites, club their on it displaying proudly them of many endorsement, Sports Good the carry to able now are country the across clubs sporting of Thousands sources. other of arange from funding attracted has that initiative anational into developed it as years 20 for supported then and piloted initially VicHealth initiative an program, Sports Good Foundation’s Drug and Alcohol the of part is Club Cricket Dennis them.” with cricket of love [their] share to able be to them love would sure I’m who children girlfriends, wives, have members senior “Many said. he hours,” all at out staying home from away hiding blokes of abunch just longer no “We’re everyone. for place safe and a welcoming club the make to incentive appropriate an was club the at juniors in growth the that newspaper local his told Haspell, Chris president, club cricket The clubrooms. its at final grand AFL the of screening and lunch, abarbecue matches, cricket and footy with day, family final grand alcohol-free an staged Club, Football Junior Northcote the with tandem in Club, Cricket Dennis The past. the from break aconscious making were suburbs inner-northern in Melbourne’s and families fans sports of group a final, grand AFL 2015 the for prepared being were that partying and celebrations the Amid A grand final with no beer (Photo by Andrew Brownbill /Newspix) Brownbill Andrew by (Photo and supporters. families members, for players, environment asafe and alcohol towards attitude aresponsible promoted which VicHealth, by supported Foundation, Drug and Alcohol the by program Sports Good the of part was Melbourne in Club Cricket Dennis The incentive to embrace the Good Sports model. Sports Good the embrace to incentive apowerful is data That harm. alcohol-related experience to likely less are they say cent 42 per afurther programs; the joining after premises their on drinking risky of odds the in decline cent per a 37 have clubs Sports Good that shown has Research place. in put be to has policy management alcohol an finally, and, explored be should revenue driven non-alcohol of sources alternative created, be should policy transport asafe alcohol, of service responsible the in trained be to need –people simple are steps The community. local club’s the strengthening of goal ultimate the with that, change to helping is Sports Good But harm. alcohol-related and drinking risky of scene the often are clubs sporting community that is evidence The culture. Australian in alcohol and sport between link critical the on focuses program The and supporters.” families members, players, for environment asafe provides it that and alcohol towards attitude a responsible promotes club the that confirms “It reads. message the community,” the and members club to message important an sends logo Sports Good the “Displaying

alcohol | 57 alcohol | 58 “Continued emphasis Victoria.” full destigmatisation NOSSAL, AC, CBE AC, NOSSAL, JOSEPH GUSTAVSIR VICTOR on allaspectsof most mentalillnessin mental health willsee and treatment of and early diagnosis Why mentalhealth 1 of them could be prevented rather than treated. treated. than rather prevented be could them of which identify to and disorders, mental to contributed that factors the at look to international, and local evidence, of review a‘rigorous’ undertaking recalls manager), executive (later, plan the on officer project first the Walker, Lyn develop. problems health mental before issues those address to strategies devise and health, mental person’s a affect adversely can that conditions and factors social the identify evidence, on act VicHealth sees plan That health. mental improving to approach our guide still that elements has later, years 20 almost that, framework a designed VicHealth Moodie, Rob CEO then Under attitudes. shift helped that perspective apioneering was it but simple, was idea The community. the all of responsibility abroader being as wellbeing and health mental promoting of awareness raise to sought VicHealth treatment. of terms in only framed solutions with disorder or illness an of stigma the in cloaked often was it was, it When about. talked rarely was that something was health mental 1999, In plan. promotion health mental first-ever Victoria’s released it created, was VicHealth after years Twelve ups and downs. life’s equipped cope with to and better depression to vulnerable less are happiness, of have higher levels networks and support social strong with Young Victorians STRATEGIC IMPERATIVE IMPROVEMENTAL WELLBEING and wellbeingis everyone’s business  VicHealth 2015. Community survey of young Victorians’ resilience and mental wellbeing, Deakin University’s Australian Centre on Quality of Life. Life. of Quality on Centre Australian University’s Deakin wellbeing, mental and www.vichealth.vic.gov.au/young-victorians-survey resilience Victorians’ young of survey Community 2015. VicHealth living in regional or rural areas. rural or regional in living and people new arrivals groups, Indigenous young people, people, older community: Victoria’s in groups particular facing situation the at look to was aim The organisations. diverse 100 than more of representatives together brought that consultation extensive an with started process The and regional Victoria. regional and Melbourne both in leaders choir community as trained be to people 100 enabled also initiative The singing. group regular through communities Victorian of wellbeing social and physical mental, the enhance to activity promotion ahealth became 2000s early the in Nosh Vocal 1

MENTAL WELLBEING | 59 This was a new way of doing health promotion business – to explore the role of the non-health sector in improving | 60 mental wellbeing. The critical part of the equation was that Teenagers in focus so many of the broader issues around mental wellbeing There was nothing simple about the Gatehouse were outside the influence of the health sector. The Project when it started in 1996. The research consultation tapped experts in education, employment, WELLBEING project was pioneering because it was targeted at housing, the arts, local government and sport to see what schoolchildren in an era when adolescent mental impact those areas had on a person’s mental health. All of ENTAL wellbeing was barely in the public consciousness. M these sectors would have a stake in the outcome. Twenty years after the Gatehouse Project was Engaging with these different groups meant VicHealth was initiated, George Patton, professor of adolescent accessing different expertise and resources. Importantly, health research at The University of Melbourne, it meant responsibility for mental wellbeing was spread still calls it ‘visionary’. across a greater range of the community. “VicHealth was so far ahead of every other This consultation identified four key areas in which to organisation at that time,” he says. build mental wellbeing in the community, based on factors that were found to contribute to poor mental health: the The Gatehouse Project ran as a trial from 1996– prevention of violence against women, reducing race-based 2001 and took a holistic approach to adolescent discrimination, and supporting social connection and mental health by involving schools in building a economic participation. They were huge issues to tackle, supportive environment for teenagers, through reflecting a complex set of social issues, economic and curriculum attending to emotional development, political priorities. There would be no quick wins, no easy teaching style, classroom management and school victories. policies.

As Moodie later admitted, “These programs take a really The aim was to promote better health and long run-up… and you need three things: persistence, emotional wellbeing among teenagers and reduce persistence and persistence.” harmful behaviour.

But VicHealth’s involvement was vital to the debate. VicHealth was one of the project’s key supporters, “People appreciated VicHealth would give legitimacy to and also had an important role in setting up an agenda that was seen at the time as ‘fringe’,” Walker the Centre for Adolescent Health at the Royal recalls. Children’s Hospital and University of Melbourne in 1991. The next step was to work out how VicHealth would best deal with these areas. A combination of research, The Gatehouse Project was built on strong community strengthening, advocacy and legislative evidence and evaluation, but it was not without change was at the heart of the plan, which recognised the its difficulties. “It brought health and education importance of delivering mutually reinforcing strategies people together and that wasn’t always a in successful health promotion efforts. comfortable mix,” says Patton.

The work generated international interest. Six years But it worked. The Gatehouse model is so after its plan was devised, VicHealth made an important adaptable it has been taken up in Canada, contribution to the World Health Organization’s ground- Pakistan, the United Kingdom and, most recently, breaking report on promoting mental health.2 Central to in the Indian state of Bihar on the Nepalese border, VicHealth’s input was the important role the non-health where Patton says the results of the impact sector could play. evaluation are “stunning”.

2  Herrman H, Saxena S, Moodie R & World Health Organization 2005. Promoting mental health: concepts, emerging evidence, practice: a report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne. What’s ahead | 61

Building resilience and mental wellbeing in young megatrends that will impact on young people in the people in Victoria is an important focus for VicHealth next 10–20 years, ranging from the changing nature of today, especially as this generation will grow into a employment, positive and negative engagement with WELLBEING world that is changing faster than ever. technology, the changing make-up of society (both its

diversity and age profile), plus an increasing openness ENTAL M VicHealth’s current mental wellbeing strategy, about mental health issues and dealing with them. unveiled in 2015, recognises the importance of hearing from young Victorians aged 12–25 to gather evidence Partnering with organisations in the arts, sport, and gain insights into the best ways to grow resilience. workplaces, online environments, education and government will be crucial to put in place the ideas Young Victorians face complex and challenging issues and strategies coming out of the mental wellbeing – national surveys have identified problems of stress, discussions prompted by the release of the megatrends social isolation, anxiety, depression and suicide. research.

Seeking new ways of developing appropriate solutions, The aim is to work with young people to build their a VicHealth–CSIRO partnership looked to the future to resilience and social connections for optimal mental plan for now. The resulting research has outlined five wellbeing in a rapidly changing future.

VicHealth continues to keep mental wellbeing at the heart of its operations, building new knowledge about factors that The ‘rising bar’ megatrend describes a world where entry into the labour market will involve clearing higher contribute to poor mental health and how to address them. educational and skills hurdles. The challenge is to ensure As an example, VicHealth’s long-term commitment to the the rising bar doesn’t knock out an already disadvantaged prevention of violence against women was recognised in the sector of the population who want a job and to be Victorian Government’s 2015 Royal Commission into Family productive members of society. Violence and then informed the Government’s response to the Commission’s recommendations. The ‘global reach’ megatrend is about the dissolving boundaries around individuals, organisations and Since the 1999 Mental Health Promotion Plan, many countries. The challenge is to ensure young people Victorian organisations have been engaged in mental are equipped with the aptitude and skills to be agile, connected and able to balance the challenges of wellbeing initiatives connected to the original plan. portfolio and peer-to-peer work. VicHealth’s offerings have included theMore than tolerance:

Embracing diversity for health research report in 2007 and ‘Life’s richer tapestries’ is about a much more diverse Building on our strengths framework in 2009 that provided world of cultures, peoples and lifestyles, with an the basis for future practice, programs and policies to explosion of choice for young people. The challenge is address race-based discrimination and promote diversity. to support and promote social cohesion to ensure this new world is rewarding for all young people. In 2003, based on the evidence base built on VicHealth’s investment in promoting mental health Moodie was able to The ‘overexposure online’ megatrend is about the new say, “We know that having strong social connections, being risks and opportunities arising from the quantity and free from discrimination and violence, and having a good accessibility of online content. The challenge is to improve our understanding of the issues, and support young people job provides strong protection for our mental health and to be more ‘streetwise’ in the online environment. wellbeing.”

Today, social inclusion and freedom from discrimination The ‘out of the shadows’ megatrend heralds a potentially brighter future for the treatment and management of remain a priority for VicHealth. VicHealth supported the youth mental health and wellbeing. The challenge is to Pride Game, working with Saint Kilda Football Club to send harness the rapidly improving measures to prevent and a message to young LGBTI people that they are welcome and treat mental health issues and improve the mental safe in AFL games. In 2017, VicHealth released its Marriage wellbeing of young people. Equality Position Statement following evidence from its own research that showed discrimination and exclusion taking 3 VicHealth 2017. VicHealth Indicators Survey 2015 Supplementary report: 3 its toll on the mental wellbeing of LGBTI Victorians. Sexuality. www.vichealth.vic.gov.au/indicators-sexuality BOARD CHAIRS | 62 1987 topresent July 2012 to September 2014 September to 2012 July The Hon. Birrell Mark November 1987 to March 1997 March to 1987 November CBE AC, Nossal Gustav Sir Prof. Emeritus Board Chairs September 2014 2016September to September JohnProf. Catford Emeritus March 1997 to March 2004 March to 1997 March FRACP PhD, MD, AO, Funder John Prof. October 2016 to present October Ms Fiona McCormack 2012 June to 2004 April AM Fenton Jane Ms 1987 topresent years of health promotion achievement in Victoria. in achievement promotion health of years 10 celebrate Funder John Professor Chair and Knowles Rob Minister Health former with (centre) Galbally Rhonda CEO VicHealth Inaugural Chief Executive Officers in 2012 with comedian Dave Hughes Dave comedian with 2012 in event 1More Not Day’s Ribbon White supporting Harper Todd CEO Third late) Hon. Lynne Kosky at the 2005 Walking School Bus symposium. Bus School Walking 2005 the at Kosky Lynne Hon. late) (the Minister Training and Education with Moodie Rob Dr CEO Second Boomers) at the 2017 launch of #ChangeOurGame. of launch 2017 the at Boomers) (Melbourne Garrick Maddie with Rechter Jerril CEO VicHealth Current

CHIEF EXECUTIVE OFFICERS | 63 Victorian Health Promotion Foundation PO Box 154 Carlton South Victoria 3053 Australia T +61 3 9667 1333 F +61 3 9667 1375 [email protected] vichealth.vic.gov.au twitter.com/vichealth facebook.com/vichealth

VicHealth acknowledges the support of the Victorian Government.

© VicHealth 2017 November 2017 C-499