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Community Profiles Have Been Developed to Inform Clinical Services/ Population: 112,382 Health System Planning for Community-Based Programs at Capital Health

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Community Profiles Have Been Developed to Inform Clinical Services/ Population: 112,382 Health System Planning for Community-Based Programs at Capital Health CommunityCapital Health Community Clinical Profile Services / Health System Planning Group (2014) Created by the Capital Health Community Clinical Services/ Health System Planning Group November 2014 Dartmouth / Contact: Primary Health Care, Capital Health [email protected] Southeastern Community Health Network 1 Overview: Community Profiles have been developed to inform Clinical Services/ Population: 112,382 Health System Planning for community-based programs at Capital Health. The Community Profiles, including citizen engagement results from the Community Health Boards, provide a community lens that will inform an evidence-based approach to future planning at a local level. The purpose of the profile is to provide a snapshot of the populations and communities within each of the five Community Health Networks (CHNs; formerly referred to as Zones). Please refer to the Glossary and Data Dictionary for key definitions and data sources for each of the indicators/concepts mentioned in the report. These community profiles build upon the work of the Population Health Status Report (Public Health, Capital Health, 2013), which can be referenced for further detail regarding demographics, methodology, and additional analysis of selected variables. A full list of contributors to this report is located in Appendix A. Table of Contents: (for a full table of contents and list of tables and figures, refer to Appendices B-D) I. Geography II. Community Health Board Engagement III. Community Health Network Inventory IV. Population Demographics V. Health Status VI. Service Delivery Locations VII. Health Service Utilization Data VIII. Summary of Observations for each Community within the Community Health Network GEOGRAPHY CHN 4 CHN 5 CHN 3 CHN 1 CHN 2 Figure 1: Community Health Network 1 and Capital District Health Authority Geography. There are five proposed Community Health Networks (formerly referred to as Zones) across the district. Community Health Network 1: Dartmouth / Southeastern Page | 1 Capital Health Community Clinical Services / Health System Planning Group (2014) Community Composition Figure 2: Community Health Network 1 Geography Community Health Network 1 (CHN 1) includes the communities of: Table 1: CHN 1 Communities and Populations Community Population Cole Harbour 25,161 Dartmouth East 23,616 Dartmouth North 19,238 Dartmouth South 24,719 Eastern Passage 11,740 Lawrencetown 5,639 Preston 2,269 CHN 1 Total 112,382 Source: 2011 Canadian Census data (Government of Nova Scotia, 2013. Nova Scotia Community Counts). The population of CHN 1 is 112,382 citizens, which accounts for 26.6% of the population of the Capital District Health Authority (CDHA). The Milbrook First Nation Community - Cole Harbour 30 is also located within this geography; however, no population or demographic data is available. CHN 1 encompasses the Dartmouth Community Health Board (population: 68,210) and the Southeastern Community Health Board (population: 43,393). Together, the two CHBs represent 99.5% of the population of the CHN, thus combined data for the two CHBs are used as a geographic comparator (e.g., a proxy measure of the CHN average) where aggregate data is not available. Comparisons made within CHNs are based on observation only; statistical tests for significance were not completed for the purposes of this project. Please refer to Appendix E for a data disclaimer applicable to all readers and users of this report. Community Health Network 1: Dartmouth / Southeastern Page | 2 Capital Health Community Clinical Services / Health System Planning Group (2014) Rurality Figure 3: CHN 1 Rurality (Canadian Census, 2011; Community Counts Community Boundaries, 2011). Communities were categorized as being urban, suburban, or rural, using a definition1 based on population density and proximity to the urban core: Rural Rural Communities 2.0% of Population Preston Suburban 5.0% of Suburban Communities Population Lawrencetown Urban Communities Urban Cole Harbour, Dartmouth East, Dartmouth 93.0% of North, Dartmouth South, Eastern Passage Population 1 Urban: greater than 280 people per km2; Suburban: between 46 people per km2 and 280 people per km2 and surrounding an urban core; Rural: <46 people per km2 and/or identifying pockets of higher population density that may be above 46 people per km2, but not surrounding the urban core (definition adapted for Capital Health by Public Health & Primary Health Care, Capital Health). Community Health Network 1: Dartmouth / Southeastern Page | 3 Capital Health Community Clinical Services / Health System Planning Group (2014) Population Projections Figure 4: Percentage of population change from 2014-2024, by community (Environics Analytics Group LTD., 2014, modeled from Census Canada data, 2011). Population projections for communities in the Capital Health district were obtained from Environics Analytics Group Ltd (2014) and analyzed for Capital Health. This data provided five and ten year projections for six-digit postal codes in Capital Health, which were aggregated to the community level. The five and ten year projections for each community, as well as projections for the youth (<20 years of age) and senior (65 years and above) population are highlighted in Table 2. Figure 4 depicts the percent change in population for communities within the CHN over a ten year period (2014-2024). Refer to Appendix E for a detailed breakdown of all ages groups by community. Trends in projected populations are generally consistent with the trends reported in the Ivany Report (2014) for the Halifax Regional Municipality. The Ivany Report noted a decrease in the percentage of population of youth and a 49% increase in population for the age category >64 years. This will result in a +1% net increase in population for the HRM by the year 2034 (Nova Scotia Department of Finance, 2013). Population growth in CHN 1 is relatively stable over the next ten years, with the CHN experiencing a 3% increase in population by 2019 and a 5% increase in population by 2024. Within the CHN, the majority of communities show small increases or decreases over a ten year period, with the exceptions being Dartmouth South and Lawrencetown. Lawrencetown is the community within CHN 1 experiencing the larger growth in population over a five year and ten year period (32% and 38% population growth, respectively). Lawrencetown is also the community that will have the largest percent increase in senior population, while Dartmouth North will have the lowest percent increase in the senior population. Dartmouth South will have the larger percent increase in the youth population, while Preston will experience the largest percent decrease of the youth population. Refer to Table 2 for a detailed breakdown by community. Community Health Network 1: Dartmouth / Southeastern Page | 4 Capital Health Community Clinical Services / Health System Planning Group (2014) Table 2: 2019 (5 Year) and 2024 (10 year) Population Projections for Communities within the CHN 20193 20244 20142 Percent Change (%) Percent Change (%) Projected Projected Population Population Total Youth Seniors Population Total Youth Seniors CDHA 423,163 463,931 10 -7 50 476,940 13 -4 78 CHN 1 112,382 116,044 3 -13 31 118,232 5 -11 58 Community Cole Harbour 25,161 24,074 -4 -24 59 24,509 -3 -26 100 Dartmouth 23,616 22,872 -3 -24 16 22,956 -3 -24 40 East Dartmouth 19,238 18,972 -1 -7 12 18,897 -2 -3 29 North Dartmouth 24,719 29,109 18 14 20 29,781 20 19 39 South Eastern 11,740 11,346 -3 -19 44 11,988 2 -15 85 Passage Lawrencetown 5,639 7,416 32 5 144 7,773 38 5 227 Preston 2,269 2,254 -1 -29 48 2,328 3 -32 91 Net Change for CHN 1 ↑3,662 citizens ↑5,850 citizens Source: Environics Analytics Group LTD., 2014 Note for Readers: Throughout the report, you will notice numbers bolded in red and blue (like the above example). This is to identify the highest value within a CHN (red) and the lowest value within a CHN (blue). In some cases, bolded numbers also designate when the CHN rate is higher than the district rate (red) or lower than the district rate (blue). 2 As reported by 2011 Canadian Census Data 3 All percentages reported for population projections are relative to the 2014 population: 5 year projections are calculated based on percent change from 2014-2019 4 All percentages reported for population projections are relative to the 2014 population: 10 year projections are calculated based on percent change from 2014-2024 Community Health Network 1: Dartmouth / Southeastern Page | 5 Capital Health Community Clinical Services / Health System Planning Group (2014) COMMUNITY HEALTH BOARD (CHB) ENGAGEMENT Dartmouth Community Health Board findings from 2013 Community Health Plan The Dartmouth CHB includes the communities of Dartmouth North, Dartmouth East, and Dartmouth South Working groups that support mental health, healthy eating, and physical activity within the community are a key activity These groups will support and provide education on mental health and foster community partnerships that promote healthy food options in Dartmouth area schools Social media will be used to highlight resources including 211, community health initiatives, and the Helping Tree Southeastern Community Health Board findings from the 2013 Community Health Plan The Southeastern CHB includes Eastern Passage, Cole Harbour, Preston and Lawrencetown Residents do not know about existing programs and services provided by Capital Health in the community; therefore, a goal for the SECHB is to become a hub for information and learning about
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