COMMUNITY HEALTH & WELLBEING PLAN 2017-2021 53,326 51% FEMALE POPULATION 49% MALE

We are the ninth largest city in Victoria The ratio for the State of Victoria is the same

MORE THAN 70 39 YEARS DIFFERENT AVERAGE AGE CULTURES The average age of Victoria’s We have the second largest population population is 37 years of Aboriginal and Torres Strait Islander people in regional Victoria

9% SPEAK A 16% BORN LANGUAGE OTHER OVERSEAS THAN ENGLISH Majority of arrivals are from India, Italian is the second most common Afghanistan and England language spoken

$3 BILLION 22,300 SQUARE ECONOMY KILOMETRES Centred on our proud heritage as Mildura Rural City covers almost a major agricultural and ten per cent of Victoria

horticultural centre of Statistics, 2015 Census Australian Bureau Source: 1 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021

8 38-41 41 5 8 10 11 11 13 15 8 34-35 16-21 30-33 37

22-25 26-29

3 3

CONTENTS Victorians have the capabilities to participate community and connected to culture Victorians are Victoria is liveable Victorians are healthy and well Victorians are safe and secure Victorians are References Monitoring, Reporting and Evaluation Appendix 1 The Health Domains Health Priority Areas The Research Outcomes Framework Victorian Wellbeing Public Health and How the Community Health and Wellbeing Plan has been informed Wellbeing How the Community Health and Plan Health and Wellbeing Development of the Community What is Hands Up Mallee Our Partners in Health and Wellbeing to Collective Impact A Partnership Approach Background Planning Community Health and Wellbeing Message from the Mayor 2 the from Message Introduction 2 Country of Acknowledgement

preventing violence and injury preventing mental health improving harmful alcohol and drug use reducing living tobacco free healthier eating and active living health. women's sexual and reproductive I am proud to see collaborative efforts committed to to see collaborative efforts I am proud such as: priority areas as part of this plan, addressing • • • • • • I would like to thank everyone who has made a our commitment to contribution to this plan and offer health working together as a community to improve and wellbeing over the next four years. Cr Glenn Milne Mildura Rural City Council Mayor WELCOME challenges, and it’s everyone’s responsibility to responsibility everyone’s challenges, and it’s and supporting the overall play a part in protecting Partnerships wellbeing and health of our residents. essential to achieving this. and collaboration are healthy community. healthy community. These factors, along with maintaining a liveable, the cornerstones of our are community, resilient Plan 2017 – 2021. Community Health and Wellbeing As a municipality we face complex health and social well as comprehensive consultation with our key well as comprehensive and organisations. stakeholders - local residents our Our communities health and wellbeing are assets. Physical health, feeling safe and greatest and community, being connected to culture secure, crucial elements of a and the ability to participate are Together with the Community and Council Plan 2017- Together 2021, it outlines our strategic planning framework – our vision for the municipality in which we all live - for the next four years. The priorities and actions within this plan have been informed local data as by state-wide and Message from the Mayor Message from Plan 2017- The Community Health and Wellbeing key 2021 is one of Mildura Rural City Council’s strategic plans. municipalities. We pay our respects to Elders past and present; we celebrate and to Elders past and present; our respects pay municipalities. We and connection to the land. their continuing culture respect Acknowledgment of Country Acknowledgment of the land which now the traditional custodians Council acknowledges and to those of our neighbouring Mildura Rural City Council area, comprises the

2 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 3 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 Victorians are healthy and well Victorians are safe and secure Victorians are Victorians have the capabilities to participate and community connected to culture Victorians are Victoria is liveable with a range of health, human services, other with a range of health, human services, and community members to identify organisations and multi- initiatives that will enable an integrated sectoral approach. Community The aim of the Mildura Rural City Council Plan is to achieve maximum Health and Wellbeing identifying levels of health and wellbeing through public health and assessing the actual and potential and issues in the community and outlining strategies or minimise them. It also aims actions to prevent health and to identify the opportunities to support the Victorian Public Health and wellbeing through Outcomes Framework five domains of Wellbeing health: • • • • • Background Council Community Health The Mildura Rural City is a high-level plan Plan 2017-2021 and Wellbeing priorities for protecting, that sets the goals and health and wellbeing and promoting improving within the municipality. Plan brings The Community Health and Wellbeing municipality together the work being done within the of our that impacts on the health and wellbeing It embraces a collaborative approach community. and informs, aligns with or complements other Council policies, strategies and plans. partnership Council is also committed to working in INTRODUCTION Municipal Strategic Statement. Promote a collaborative approach including a collaborative approach Promote how Council will work in partnership with the Department of Health and Human Services and other agencies that undertake public health and programs; initiatives, projects Be consistent with the Council Plan and the Have regard to the State Plan (Victorian Public Have regard Plan 2015-2019); Health and Wellbeing and Draw on evidence; involve the community, planning and include evaluations to improve coordination; management, prevention of infectious diseases, food management, prevention safety and monitoring drinking water quality. planning processes, environmental monitoring and environmental planning processes, activities and more management, health promotion traditional public health concerns as waste such Local Government’s contribution to the promotion, contribution to the promotion, Local Government’s of public health and protection improvement a myriad of activities including occurs through • • • • needs and contexts, the Community Health and needs and contexts, the Community Health Plan needs to: Wellbeing completed within 12 months of the general election completed within 12 months of the general of a new Council. local that in addition to addressing The Act requires Plan) provides a framework that supports the health Plan) provides The Community and wellbeing of the community. Plan (CHWBP) must be Health and Wellbeing a Municipal Public Health and Wellbeing Plan a Municipal Public Health and Wellbeing and every four years. The Municipal Public Health Plan (or Community Health and Wellbeing Wellbeing community. Act 2008 The Victorian Public Health & Wellbeing local government to develop (the Act) requires improve health and wellbeing outcomes, reduce outcomes, reduce health and wellbeing improve healthy environments create health inequalities and learns,for everyone who lives, works or plays in our Mildura Rural City Council has a responsibility to has a responsibility Mildura Rural City Council 4 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 5 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 Links to Council Planning Health The Mildura Rural City Council Community Plan 2017-2021 is aligned to the and Wellbeing The Community and Council Plan 2017-2021. Community and Council Plan guides Council’s Community priorities over the next four years. Our of Vision has also been used to guide the preparation Plan. the Community Health and Wellbeing Vision: Making this the most liveable, people-friendly community in Australia impact the social, economic and environmental and environmental impact the social, economic This includes community influences of health. waste and drainage, like roads infrastructure recreational management services, land use planning, and facilities, parks and open space for leisure management planning and response. emergency include Council services that support our community arts and services for aged, families, youth, children, community events, public libraries programs, culture and community grants. COMMUNITY HEALTH AND HEALTH COMMUNITY PLANNING WELLBEING Ensuring that the municipal district is maintained in Ensuring that the municipal district is maintained a clean and sanitary condition within the municipal district is affected whose Facilitating and supporting local agencies wellbeing work has an impact on public health and immunisation services and providing Co-ordinating living or being educated within the to children municipal district; and Initiating, supporting and managing public health Initiating, supporting and managing public at the local government level planning processes Developing and implementing public health within the municipal district policies and programs up-to-date public health Developing and enforcing and intervening if the health of people standards Creating an environment which supports the an environment Creating health of the local community and strengthens to the capacity of the community and individuals achieve better health community infrastructure that directly or indirectly or indirectly that directly community infrastructure immunisation and regulation of businesses that pose immunisation and regulation to public health. a threat Council also delivers a wide range of services and through the delivery of health protection and health the delivery of health protection through of food safety, areas addressing programs promotion infectious disease management, tobacco control, actioned by Council are These responsibilities • • • • • • • the protection, improvement and promotion of the of the and promotion improvement the protection, public health and wellbeing of the municipality. They include: Council has a range of functions determinedCouncil has a range by the to 2008 that relate Act Public Health and Wellbeing 6 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 7 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 MALLEE MALLEE HANDS UP NORTHERN NORTHERN COMMUNITY PARTNERSHIP

PLAN 2017-21 REPORT 2017 REPORT HEALTH & HEALTH 2017-2021 COMMUNITY & COMMUNITY COUNCIL PLAN WELLBEING COMMUNITY STATE OF MILDURA STATE RURAL CITY COUNCIL measurable impacts and change measurable

Strategic Alignment to local action to deliver to local action Strategic Alignment OTHER 2015-2020 PLANS & VICTORIAN OUTCOMES STRATEGIES FRAMEWORK PUBLIC HEALTH & PUBLIC HEALTH WELLBEING PLAN HEALTH RELATED RELATED HEALTH

improve the systems that serve us. It will require the systems that serve us. It will require improve of advocating for State and Federal alignment social for the large-scale policies and resources change we need. with After over two years of intensive consultation organisations, local key and residents 1600 than more Hands Up Mallee has announced our community’s long term change. Common Agenda to create Our vision is to have; “A connected community thrive”, with a matter and children families where focus on four key age groups: The First 1000 Days years of age) (Pre-conception-2 Best Start to Life (3-8 years of age) People Matter Young (9-14 years of age) Own Path Your Tread (15-25 years of age) Hands Up Mallee Hands Up Impact initiative, Hands Up The local Collective Mallee, aims to make long term social change that overall lives and the quality of people’s will improve wellbeing of our community. and ideas The initiative brings together diverse views our community to identify the social across from impact on our long term issues that have the greatest them. wellbeing and determine how best to address all sectors across and resources effort It coordinates social services, business, including non-profits, and governments to communities, philanthropic

OUR PARTNERS IN OUR PARTNERS AND WELLBEING HEALTH and change the way the system operates. effective community participation and commits effective to ongoing communication between partners. A the ability to think big about offers systems approach solutions population health issues and find effective by considering the various elements of the system, how they interact and the opportunities to influence Systems Approaches emphasis is being placed on collective An increasing A collective impact and systems approaches. commits to a Common Agenda, impact approach of success, goals and measures establishes shared activities, ensures undertakes mutually reinforcing evolve and develop as the partnerships strengthen strengthen evolve and develop as the partnerships commence. and collaborative objectives and actions Collective Impact and conjunction with external partner organisations conjunction with external partner organisations to our to highlight specific priorities common a collaborative focus, which require organisations strategic leadership and advocacy to achieve collective impact for the community. Plan will The Community Health and Wellbeing Council recognises that there are many other are that there Council recognises Council in place across well-developed partnerships of health and wellbeing which influence a range in has been prepared outcomes. This document

8 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 9 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021

Changing the system will take years. We will try new Changing the system will take years. We ideas, succeed, fail, learn and adapt as we grow. existing Fortunately we can build on our already us in a partnerships and successes which places position. strong Our Common Agenda calls the community to action Our Common Agenda at the these and other factors, look to research people young our children, system that surrounds the do our best to provide and their families, and and opportunities so that all of our best environment thrives in the community, our and therefore children, long term. The Common Agenda is a plan that we years. will commit to for the next five to seven no quick fixes, this is long term work. are There the way we think around changing culture It requires how we make decisions about and work together, and ultimately how policies, resourcing programs, all part of serves our community. the system we are and learning, the presence of contributors to toxic and learning, the presence mental illness, family violence such as parental stress or substance abuse, unsafe neighbourhoods and schools, social isolation and poverty These include no positive attachments or warm behaviours poor parenting family relationships, such as punishment or lack of stimulation for play identify factors that impact negatively on young and eliminating these factors people. Addressing will be another focus of our Common Agenda. caring adults, a positive community environment, caring adults, a positive community environment, and economic opportunities. school environment to Hands Up Mallee has also been able Equally, They include relationship skills, self-regulation, skills, self-regulation, They include relationship involvement in positive activities, problem-solving, positive peers and competencies, parenting strong residents to these environments will also be key to these environments residents priorities. Hands Up Mallee’s research and consultation also research Hands Up Mallee’s that identified a number of key skills and factors people. contribute to positive outcomes for young younger Developing these skills and exposing our we aim to foster support for one another and look we aim to foster support for one another us. out for others around strengthening families will be a focus of the Common strengthening Agenda. where Citizens helping Citizens will also be a focus, Parenting, play and home environments are critical are play and home environments Parenting, influencing a child’s elements to achieve this, directly Therefore development and health and wellbeing. disadvantage, and ultimately creating long-term disadvantage, and ultimately creating change early years critical to and early intervention are Prevention existing cycles of social and economic breaking to residents from a diverse range of backgrounds, a diverse range of backgrounds, from to residents emerged: several clear directions our residents’ Priority should be given to investing in Throughout our exhaustive research and consultation and consultation our exhaustive research Throughout which included speaking over the past two years, WITH LOCAL CENSUS DATA PARTNERSHIPS CONSULTATION CONSULTATION MALLEE & PLAN HANDS UP

STRATEGIES STRATEGIES CONVERSATIONS CONSULTATIONS OTHER COUNCIL PLAN HEALTH & HEALTH 2017-2021 WELLBEING COMMUNITY been informed? DATA 2017-21 GOVERNMENT COMMUNITY & COUNCIL PLAN STATE & FEDERAL STATE How has the Community Health and Wellbeing Plan Wellbeing Community Health and How has the RURAL CITY REPORT 2017 REPORT CONSULTATION INTERNAL STAFF INTERNAL STAFF STATE OF MILDURA STATE

10 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 11 Review of Council plans and strategies from a from Review of Council plans and strategies health and wellbeing perspective Relevant Federal and State policies, health priorities and frameworks Review of the former Community Health and Plan 2013-2017 Wellbeing Consultations and planning sessions with and organisations key partner from representatives internal stakeholders Review of Mildura Rural City Council’s State of Review of Mildura Rural City Council’s Mildura Rural City Report 2017 – a comprehensive for the demographic, health and wellbeing profile Mildura municipality • • • • Research to understand and undertaken process The research determine the health and wellbeing priorities for Mildura Rural City Council included: • AND WELLBEING PLAN AND WELLBEING DEVELOPMENT OF THE OF DEVELOPMENT HEALTH COMMUNITY with building relationships that will be valuable in with building relationships Wellbeing implementing the Community Health and Plan. health and wellbeing needs of the community. It also health and wellbeing needs of the community. in an opportunity to identify the strengths provided along the municipality and understand the challenges population health outcomes across the municipality. the municipality. population health outcomes across Involving the community and internal and external the stakeholders was fundamental in understanding approach to the development of the plan. The approach consists of organisations membership of this group in improving and agencies, which play a pivotal role A Community Health and Wellbeing Project Control Control Project A Community Health and Wellbeing a partnership established to create was Group an analysis of comprehensive data and engagement an analysis of comprehensive range of stakeholders and community with a broad included members. Each stage of the process engagement, consultation and active feedback. Mildura Rural City Council’s Community Health and Mildura Rural City Council’s Plan 2017-2021 was developed through Wellbeing 12 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 13 -

Outcome Victorians have access to sustainable built and natural environments Indicators sustain environmental Increase ability and quality Indicators labour market Increase participation Outcome Victorians have financial security Indicators financial stress Decrease Domain 5: Victoria is liveable Outcome Victorians belong to resilient and liveable communities Indicators neighbourhood Increase liveability adaptation to the Increase impacts of climate change Domain 3: Victorians capabilities have the to participate Outcome Victorians participate in learning and education Indicators development Decrease vulnerability educational attainment Increase Outcome Victorians participate in and contribute to the economy

Indicators homelessness Decrease Indicators and impact Reduce prevalence of abuse and neglect of children and impact Reduce prevalence of family violence community safety Increase Outcome Victorians have suitable and stable housing Domain 2: safe and secure Victorians are Outcome abuse from Victorians live free and violence Increase tolerance of diversity Increase Indicators connection to culture Increase and communities access to social Increase support Outcome Victorians can safely identify and and connect with their culture identity Indicators Domain 4: connected to Victorians are and community culture Outcome socially Victorians are engaged and live in inclusive communities

Victorians are healthy and well healthy Victorians are safe and secure Victorians are Victorians capabilities to participate have the community and culture connected to Victorians are Victoria is liveable drug use increase immunisation drug use increase Reduce overweight and obesity Reduce smoking Reduce harmful alcohol and Indicators healthy eating and Increase active living Outcome and Victorians act to protect health promote Increase mental wellbeing Increase suicide Decrease Victorians have good mental health Indicators reproductive health reproductive Outcome Decrease unintentional injury Decrease oral health Increase sexual and Increase Reduce premature death Reduce premature chronic Reduce preventable diseases self-rated health Increase Indicators healthy start in life Increase Outcome Victorians have good physical health Domain 1: healthy and well Victorians are • • • • Wellbeing Plan 2015-2019 framework’s five domains of health: five domains framework’s Plan 2015-2019 Wellbeing • The Community Health and Wellbeing Plan is structured according to the Victorian and Public Health according is structured Plan Health and Wellbeing The Community 14 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 15 PRIORITY AREAS PRIORITY tobacco free living tobacco free healthier eating and active living health. women's sexual and reproductive preventing violence and injury preventing mental health improving harmful alcohol and drug use reducing promote collaborative work practices towards achieving collaborative work practices towards promote better health and wellbeing outcomes for our entire community. that these priority areas and issues do not sit in isolation that these priority areas intrinsically linked. The intention they are each other, from Plan is to further of the Community Health and Wellbeing It is acknowledged that these issues are not the only It is acknowledged that these issues are issues impacting on the health and wellbeing of the It is also acknowledged Mildura Municipal community. State of Mildura Rural City Council Report 2017 and it’s 2017 and it’s State of Mildura Rural City Council Report alignment to the Victorian Public Health and Wellbeing health. Outcomes framework five domains of The Steering Committee outcomes will be driven by the The Steering Committee outcomes will the system which will be built from measurement shared a pivotal role in improving population health outcomes in improving a pivotal role work The Steering Committee will municipality. the across and evaluate in partnership strategically to implement the life of the plan. activities across mutually reinforcing places and healthy people. This will be underpinned by places and healthy people. This will be Steering Committee a Community Health and Wellbeing consisting of internal and external stakeholders who play To ensure that work in the community is effective, the effective, that work in the community is ensure To Plan adopts a systems Community Health and Wellbeing community needs and support healthy to address approach • • • • Community Health and Wellbeing Plan 2017-2021 are: and Wellbeing Community Health • • The six priority areas provide the framework for the the framework provide The six priority areas

Mildura Mildura 25.5 24.0

Rank 6 Rank 2 Victoria Victoria 11.1 11.9 Human Services, 2014-15) (Source: Department of Health and (Source: 1,000 population, 2014-2015 rate of – decreasing Time Trend health clients per mental registered 1,000 population over the reporting period (2012-2013 – 2014-2015) Registered mental health clients per Registered

HEALTHY AND WELL HEALTHY DOMAIN 1: DOMAIN ARE VICTORIANS

health clients. The rate for Mildura LGA had declined slightly between the 2012-2013 and 2014-2015 25.5 to 24.0). In 2012-2013 periods (from reporting the Mildura LGA had the second highest number of clients of all Victorian mental health LGAs. registered (State of Mildura Report 2017) In 2014-2015 the Mildura Local Government Area In 2014-2015 the Mildura Local Government Area than twice the rate of (LGA) experienced more clients at 24.0 per 1,000 mental health registered population to the Victorian rate of 11.9 per 1,000 population. These rates placed the Mildura LGA mental 6th of the 79 Victorian LGAs for registered potential, can cope with the normal stresses of life, potential, can cope with the normal stresses and is able to and fruitfully, can work productively make a contribution to her or his community”. 2014, Mental Health: A Organisation, Health (World state of well-being) Council’s support and advocacy for mental health Council’s recognised services is imperative, with mental health as a key issue within the municipality. well-being Mental health is defined as “a state of his or her own in which every individual realises Mental Health, Health Mental Health, Health and Women's Promotion Sexual and Reproductive Health. Focus – Physical Health, Focus – Physical

16 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 17

Mildura 10.9

Rank 5 Victoria 5.0 and Human Services 2014-15) (Source: Department of Health (Source: Clients that received Alcohol Alcohol Clients that received Services per & Drug Treatment 2014-2015 1,000 population, supporting agencies to share information work and supporting agencies to share to harmful and alcohol together on actions related drug use and the dangers of smoking continuing to implement the Victorian Tobacco dining and smoke- Act, monitoring smoke-free education and and providing areas outdoor free to the sale and advertising in relation enforcement of tobacco in local premises continuing to work in partnership with to the social costs caused in relation organisations alcohol and other drug use, with a focus through on behavioural change that challenges social norms, attitudes and beliefs. LGA 11th of the 79 Victorian LGAs. (State of Mildura Report 2017) Council is committed to: • • • Data from the 2011 Victorian Population Health Data from the risk of short-term harmfrom Survey regarding LGA faring alcohol consumption sees the Mildura considerably worse than their Victorian peers with to 14.3% of Mildura LGA persons at risk compared which places Mildura only 9.1% of Victorian – a result support them to access relevant services relevant support them to access supporting the mental wellbeing of all individuals, supporting the mental at all stages of life families and communities the factors that to understand supporting residents and wellbeing and their own mental health affect of injury during or immediately after that occasion. (Department of Health and Human Services 2017) public safety. As more alcohol is consumed on a As more public safety. while single occasion, skills and inhibitions decrease risk leading to a greater risky behaviour increases, impact families and the broader community through community through impact families and the broader violence, sexual assault, family street-based increased trauma and reduced violence, avoidable injuries, road the risk of cardio vascular disease, diabetes, liver the risk of cardio cirrhosis and some types of cancers. Alcohol-related harmthe individual to can also extend beyond Excess alcohol consumption is responsible for a Excess alcohol consumption is responsible of death, disease and injury. considerable burden Excessive long-term increases alcohol consumption the unintentional injury burden (other than road (other than road the unintentional injury burden transport) is due to alcohol use”. (Department of Health and Human Services 2015) Health and Human Services 2015) of 14% “20% of the national self-harm burden, and 7.5% of the interpersonal violence burden “2.8% of Australia’s burden of disease is due to of disease is due burden “2.8% of Australia’s of alcohol use and 2.6% to drug use”. (Department (Victorian Perinatal Data Collection, Consultative on Morbidity, Obstetric and Paediatric Mortality and HOS data – May 2017) commissioned through 2013-2015 reporting period the proportion of period the proportion 2013-2015 reporting first mothers who smoked tobacco during their This is was 22.9 percent. 20 weeks of pregnancy double the State rate of 10.1 percent. than more periods of 2011-2012 and 2014-2015. the during In the Mildura Local Government Area Government Area show an increase in the proportion in the proportion show an increase Government Area smokers current of population aged 18+ who are between the Victorian Population Health Survey The impact of excessive alcohol, tobacco and The impact of excessive focus of drug use is central to the public health Local in the Mildura use trends Council. Tobacco continue to collaborate with partner organisations with partner organisations continue to collaborate the mental that promote and campaigns on projects of residents. health and wellbeing • • Council is committed to: Council is 18 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 19

and hygiene preparation practices across the practices across and hygiene preparation of to the requirements municipality and according the Food Act 1984. improving food literacy, knowledge and skills food literacy, improving the municipality across continuing to work in partnership to increase access to nutritious food and the opportunity for sell and buy local food people to produce, governance of food safety ensuring effective the environments in which they learn, and work the environments implementing the Cancer Council play through Victoria Achievement Program. Working with local food business to reformulate with local food business to reformulate Working and make the healthier choice food products the the easier choice for everyone through development of the Healthy Catering Handbook Services, schools and Engagement with Early Years change to workplaces to empower them to make and promotion of ‘Ride and Stride Zones’ and promotion to School approach Developed an area-based in the formation of resulting Programs, Breakfast Partnership the Mildura Region School Breakfast over schools and provides which operates in fifteen and youth to our children 1000 nutritious breakfasts per week Engagement with local primary schools to Engagement with local primary schools the installation encourage active transport through • • Council is committed to: • • • • Community Health and Wellbeing Plan 2013-2017 Community Health and Wellbeing achievements include: • understand the importance of good nutrition and understand the importance maintaining a healthy weight. Healthy eating and access to affordable nutritious access to affordable Healthy eating and and wellbeing. Promoting food is vital to health helps our community healthy eating initiatives development of stronger social connections and social development of stronger (State of Mildura Report mental wellbeing. improved 2017) social and economic benefits including improved benefits including improved social and economic disease, chronic risk of physical health, reduced or obese, the risk of becoming overweight reduced Increasing participation in physical activity has health, in physical activity participation Increasing Council Schools Workplaces Services Early Years Headspace Mildura Base Hospital Council Sunraysia Community Health Services Relevant stakeholder groups Council Mildura Base Hospital Headspace Mildura Relevant stakeholder groups Health service providers Relevant stakeholder groups Mallee District Aboriginal Services Relevant stakeholder groups Partners Relevant stakeholder Groups Northern Mallee Community Partnership Northern Mallee Mental Health Alliance Council Sunraysia Community Health Services Northern Mallee Community Partnership Local Drug Action Team Northern Mallee Community Partnership Northern Mallee Mental Health Alliance Council Council Lead Community Health and Steering Group Wellbeing Murray Primary Health Network

promotion of healthy eating and physical activity. promotion Increase participation rates for maternal and child Increase health services and immunisations for all. to the Undertake a settings based approach and integration of community youth services to youth health and wellbeing, self-care promote Engagement based on the Youth and resilience Strategy 2015-2018. Increase community capacity to understand and Increase to mental health and wellbeing. respond the coordination Develop activities to improve Lead collaboration to undertake an analysis of Lead collaboration to undertake an analysis drug and alcohol use support-service needs around these needs. and develop a plan to address Develop a local Community Based Suicide Develop a local Community Based Suicide Activity Plan. Prevention Lead collaboration to develop a plan to respond to respond Lead collaboration to develop a plan to health and wellbeing issues existing and emerging and trends. Strategy and positive health. environments and support healthy Promote Action Our goal is to improve the prospects of long the prospects is to improve Our goal term in our community. health and wellbeing

20 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 21 Heath service providers Mallee District Aboriginal Services Council Services Early Years Schools Workplaces Sporting Clubs Food Suppliers Healthy Eating Advisory Service Northern Mallee Community Partnership Relevant stakeholder groups Partners Council Services Early Years Dental Health Services Victoria Relevant stakeholder groups Council Sunraysia Community Health Services Sunraysia Community Health Services Sunraysia Community Health Services Lead Sunraysia Community Health Services

Health. Establish a working party to address local health Establish a working party to address Sexual and Reproductive to Women’s needs related sporting clubs through targeted partnerships with targeted sporting clubs through suppliers and the Victorian Healthy Eating Advisory Service. Improve the food supply to the priority settings Improve Services, schools, workplaces and of Early Years region through environmental, settings based and environmental, through region individual approaches. Develop a municipal partnership and Working Develop a municipal partnership and Working the rising smoking rates in the address to Group promotion of oral health. promotion Engage in local Early Years Services in the Engage in local Early Years Action Healthy Ageing Strategy Youth Engagement Strategy Youth Plan Early Years Community Access and Inclusion Plan Other Strategies and Plans 745.1 245.6

Victoria Female Male 1263 392 Maintain accreditation for the White Ribbon Maintain accreditation Program Workplace Recognise White Ribbon Day and International Day and conduct events to raise Women’s and community at these with our staff awareness times violence leave and support to staff family Provide our Enterprise Agreement through on family violence training to staff Provide with new and existing White Ribbon Work ambassadors to develop avenues to engage more and community in the organisation broadly Gender Equity Policy Review Council’s the and mentor new workplaces through Introduce process. White Ribbon accreditation Mildura Female Male and children. (Department of Health and Human and children. Services website) notification is A substantiated child maltreatment made if a child has been, is being, or is likely to be abused, neglected or otherwise harmed. The impact of child abuse can have life-long consequences and and physical health. (State of mental in poorer result Mildura Rural City Report 2017) Council, as a White Ribbon accredited organisation, organisation, Council, as a White Ribbon accredited will continue to: • • • • • • • generally While child abuse and family violence are it is important to acknowledge separately, considered between family violence and the inter-relationship child abuse. These forms often coexist, of violence both women towards with violence being directed Family Violence 2016 Reported Incidents

AND SECURE DOMAIN 2: DOMAIN ARE SAFE VICTORIANS is the leading cause of preventable death, disability is the leading cause of preventable and illness. The impact of violence against women is and long-standing, generating profound widespread personal, social and economic costs to individuals, the community and our nation. (Victorian Women’s Fact Sheet Mildura) Health Atlas Gendered (Victorian Premier’s introduction to Free from from to Free introduction (Victorian Premier’s Violence) Violence against women is experience by a significant number of women in Australia despite For Victorian women aged it being preventable. between 15 and 44 years, intimate partner violence been done to understand what drives a person to been done to understand what drives a supposed commit violence against someone they are to love, we still do not have all the answers. But we part – the part which women do know that a large the victims and men predominately are and children the perpetrators – is driven by gender inequality. causes a person to live in fear.” (Department of causes a person to live in fear.” Health and Human Services website) Family Violence is a complex issue that will require by a very and committed approach a coordinated of stakeholders and community to range broad has at our local level. While a lot of research address violence is any violent, threatening, coercive or coercive violence is any violent, threatening, or past behaviour that occurs in current controlling This domestic or intimate relationships. family, but also direct includes not only physical injury, sexual assault, emotional and threats, or indirect damage psychological torment, economic control, social isolation and any behaviour which to property, Safety and Homelessness stance against family Council has taken a very strong “Family and domestic violence in our community. Focus – Impacts of Family Focus – Impacts Violence, Community

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Mildura Mildura 47.5% 56.1%

Health Survey 2014) Victoria Victoria 55.1% 70.3% (Source: Victorian Population (Source: Perceptions of safety - walking of safety - walking Perceptions alone after dark, 2015 – Mildura LGA experienced Time Trend in feelings of safety a decrease after dark between 2011-2015 coordination is essential. coordination Council is committed to continuing to promote housing as a fundamental component of community health and wellbeing. Council will continue to promote community safety Council will continue to promote address and develop initiatives in partnership to Strategy 2015- crime based on the Community Safety 2018. essential needs “Adequate housing meets people’s Shelter is recognised security and privacy. for shelter, the world as a basic human right. throughout Homelessness is one of the most potent examples of most and one of the disadvantage in the community, important markers of social exclusion.” (Department of Health and Human Services, 2017) (MASP) Mallee Accommodation Support Program states that homelessness occurs when a person or family does not have access to a safe, secure, people This might represent home. affordable staying in temporary accommodation such as accommodation, caravan parks emergency refuges, couch and/or staying with friends/family temporarily, and unsafe surfing, and/or staying in inappropriate and service sector dwellings. Community awareness safe is asking people if they feel safe while walking safe while walking people if they feel safe is asking dark. the day and after alone during

Mildura Mildura 13.2 17.6

Rank 9 Rank 16 6.7 Victoria Victoria 11.4 and Human Services 2014-15) (Source: Department of Health (Source: Time Trend - increasing rates of child abuse rates of child abuse - increasing Time Trend and 2014-2015 substantiation 2010-2011 Child abuse substantiation* per 1,000 substantiation* Child abuse aged 0-17 years, 2014-2015 children Support and Safety Hub working in partnership with key stakeholders, and agencies and the community to address statistics our child maltreatment reduce in the delivery of Mildura’s playing a vital role for the future of our community. A measure of feeling A measure of our community. for the future Through the Hands Up Mallee Community Through Conversations, feeling safe was a common aspiration interactions between members of the community limited, placing them at risk of social become more isolation and mental illness.” (State of Mildura Rural City Report 2017) greater levels of trust and social connection. When greater their neighbourhoods to be individuals perceive unsafe, they experience higher levels of anxiety and individuals feel safe within their communities, they connect with friends, engage likely to more are with other community members and experience Strong relationships can be observed between relationships Strong people feeling safe in their community and the “When overall health and wellbeing of a community. • • family violence. Council is committed to: women, children, young people and older people women, children, need of experiencing family violence, families in wellbeing and development support with the care, and young people, and perpetrators of of children The Victorian Government that Mildura announced Support and is a pilot site for the newly created designed for Safety Hubs (Hubs). The Hubs are 24 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 25

groups Council Northern Mallee Community Partnership Council Northern Mallee Community Partnership Relevant stakeholder groups Victoria Police Relevant stakeholder groups Relevant stakeholder groups Council Haven Northern Mallee Community Partnership Partners Council Northern Mallee Community Partnership Council Relevant stakeholder Department of Health and Human Services Area and Youth Children Partnerships Mallee Family Violence Executive Council Council Mallee Accommodation Support Program Lead Mallee Family Violence Executive Family Safety Victoria Agency

Investigate and support service delivery models of social housing that meet the community needs for and longer term accommodation. emergency Strategy. Develop, implement and review the Public Lighting Develop, implement and review Develop, implement and review closed circuit closed circuit Develop, implement and review television (CCTV) Strategy. in the Loddon Mallee Action Plan for the Primary in the Loddon Mallee Action Plan for the 2016-2019. of Violence against Women Prevention Support implementation of the actions outlined Support implementation of the actions Continue to work towards an integrated Continue to work towards substantiated child to reduce community approach incidents. maltreatments the Victorian Government Support and Safety local Hub pilot. municipality. of Support and contribute to the implementation Promote an integrated approach to drive improved to drive improved an integrated approach Promote the of family violence services across coordination Action Strategy safety. of community perceptions of family violence and improve and impact Reduce prevalence Our goal is that all community members feel safe members feel safe is that all community Our goal abuse and violence from their life free and can live Community Safety Plan Management Strategy Municipal Emergency Related Strategies and Plans Gender Equity Policy health, depression or early parenthood. A school or early parenthood. health, depression range of options can include work, university leaver’s of or vocational training and many combinations is included to work and education. This measure engagement in education, quantify young people’s and Human training and work. (Department of Health Services 2017) Young people who are not engaged in education, people who are Young risk of poor at greater employment or training are

CAPABILITIES TO PARTICIPATE PARTICIPATE TO CAPABILITIES DOMAIN 3: DOMAIN THE HAVE VICTORIANS periods Mildura LGA children were faring worse than were periods Mildura LGA children their Victorian counterparts, although the ‘gap’ had (State of Mildura Report 2017) decreased. In 2015, 10.4 percent of children in their first year of of children In 2015, 10.4 percent (LGA) school in the Mildura Local Government Area developmentally vulnerable in two or more were significantly had improved domains. These figures were of the children since 2012 when 13.4 percent domains. Over both time vulnerable in two or more wellbeing and achievements throughout life. The wellbeing and achievements throughout school success, increased benefits include increased cost of health and and reduced productivity future public services. Physical and social developmental as to address difficult deficits or delays may be more older. grow children learning hubs, others talk about the difficulties in learning hubs, others talk about the difficulties education and relevant accessing local, appropriate and training. optimal physical, emotional Supporting children’s long lasting and social health in the early years has on their health, social and emotional positive effects Education and training are important opportunities Education and training are their full potential, develop for individuals to realise and informedtheir health literacy and make positive Mildura choices about their health. While many enjoy the local schools, libraries and residents Focus - Learning and Education, Developmental and Vulnerability Employment

26 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 27

Through the Mildura Best Start Partnership work the Mildura Best Start Through health, development, to improving and respond aged 0-8 learning wellbeing for children and to enable all young people to Advocate for funding and education access quality and affordable information access to youth friendly Improve and their and support services for young people families. Destination of School Leavers rates (based on 2011 rates (based on 2011 of School Leavers Destination Indicators VictoriaCensus data), Community (LGA) to: Council will continue • • •

Mildura Mildura 25.1% 54.2%

Destination of School Leavers Victoria Victoria 15% 72% rates (based on 2011 Census data), Community Indicators Victoria (LGA) (Source: (Source: (aged 15-19 years), 2011 Fully Disengaged School Leavers Fully Engaged School Leavers (aged 15-19 years), 2011 who are not involved in any work or study activities who are at all and defined as partly school leavers are the remaining engaged. fully engaged school leavers are defined as those leavers are fully engaged school non-school study involved in work and/or who are on a full-time basis defined as those disengaged school leavers are The percentage of fully engaged and disengaged The percentage below. presented school leavers are • • • 19 year-olds who are not attending school. This not attending who are 19 year-olds major into three population can be categorised groups: school have been sourced from the 2011 Australian the 2011 from school have been sourced describes the level of Statistics. This data Bureau and study activities of 15- of engagement in work The activities of young people who have left of young people The activities 28 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 29 - -

Council Headspace Mildura Relevant stakeholder groups Northern Mallee Commu nity Partnership Northern Mallee Local Learning and Employment Network Department of Education Schools Jobs Victoria Employment Network Job Service Providers Local employers Education and Training Providers Partners Council Community

Northern Mallee Community Partnership Hands Up Mallee Youth Council Council Lead Northern Mallee Community Partnership employment choices through the Jobs Victoria Real employment choices through Jobs Real People Employment Program. Facilitate sustainable employment opportunities to encourage education advancement and future Improve how we engage and re-engage young how we engage and re-engage Improve levels of education retention people to increase and completion. decisions that affect them and facilitate actions decisions that affect they may take to implement these. Facilitate the participation of young people in Facilitate the participation of young people principles of Collective Impact to build ‘A principles of Collective Impact to build families matter and connected community where thrive’. children Action Facilitate Hands Up Mallee and utilise the portunities. Strategy to a diversity of high quality lifelong learning, community access op vocational and employment Increase people to realise their full potential their realise people to Our goal is to create an economic and is to create Our goal that supports learning environment Youth Engagement Strategy Youth Real Jobs Real People Employment Program Plan Municipal Early Years Related Strategies and Plans Promoting and fostering social inclusion through and fostering social inclusion through Promoting and support policy and strategies that engage with including the needs of our diverse community, but not limited to culturally diverse communities, communities, our Indigenous new and emerging gender and sexuality diverse, our aged community, community and those with a disability and to improve with partner organisations Working collaboration between services and community. Council is committed to: • • “Statistics state that as at 2012 approximately of the Mildura Local Government four percent Strait of an Aboriginal or Torres are residents Area home to the Islander descent, making the area population of Aboriginal and Torres second largest Victoria. Local Strait Islander people in regional community knowledge indicates that the population is significantly higher than what is captured census data” (Mildura Rural City Council through Reconciliation Action Plan).

Mildura 38.4%

Health Survey 2014) Victoria 55.4% (Source: Victorian Population (Source: life in their area better, 2014 better, life in their area Proportion of adults who thought Proportion multiculturalism definitely made TO CULTURE AND COMMUNITY COMMUNITY AND TO CULTURE DOMAIN 4: DOMAIN ARE CONNECTED VICTORIANS understanding increasing acceptance of diversity in understanding increasing our community is a priority. in Australian communities are poverty and low in Australian communities are income, lack of access to the job market, limited of the local social supports and networks, the effect education, neighbourhood and exclusion from health and transport services” (Australian childcare, 2012). Based on this Social Inclusion Board, valued and have the opportunity to fully participate valued and have the opportunity to fully job, having a secure in life. Knowing your neighbour, your voice playing sport at a local club and having a community event all help us to connect at heard wellbeing. with others and support good health and inclusion Issues that compound and “hinder social Tolerance of Diversity of Tolerance Council a diverse and vibrant community. live in We a socially inclusive and is committed to creating feel connected community in which all members Engaged and Inclusive Engaged and Inclusive Communities, Connection and to Culture Increase Community, Focus – Socially Focus – Socially

30 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 31

managing existing townships and areas and managing existing townships and areas with the health and areas planning for new growth wellbeing of the community in mind and building on and supporting community spaces that opportunities for social connection. provide continuing to foster and support the arts, culture and support the arts, culture continuing to foster collaborations, through and heritage organisations promote policy and strategies that engage with, and support the needs of our diverse community They can also be an important expression of social They can also be an important expression and cultural identity.” (Planning and Open Space Strategy 2008). parks and Open spaces include the riverfront, open spaces, tracks ovals and recreation gardens, to and trails and footpaths. Council will continue of our maintain, upgrade and plan for the future open spaces. community’s Council is committed to: • • • that open spaces are “It has long been recognised provide important for our wellbeing. Open spaces interactions opportunities for a wide range of social and and pursuits that support community health with their wellbeing. They allow people to interact habitats for wildlife. and provide natural environment community. continuing to support activities that build community and social networks and address activities. barriers to accessing sport and recreation opportunities for engagement continuing to create and participation in arts and heritage that contribute to cultural vitality and viability in our our commitment to reconciliation and through our and through our commitment to reconciliation Reconciliation Action Plan continuing to lead and encourage campaigns that positively support diversity in our community such Zone and Racism it Stops as Refugee Welcome with Me working towards improving the health, social and improving working towards economic outcomes for Aboriginal and Torres Strait Islander people and communities through community and those with a disability and to improve with partner organisations Working collaboration between services and community. Promoting and fostering social inclusion through and fostering social inclusion through Promoting and support policy and strategies that engage with including the needs of our diverse community, but not limited to culturally diverse communities, communities, our Indigenous new and emerging gender and sexuality diverse, our aged community, • • • Council is committed to: • is significantly higher than what is captured is significantly higher than what is captured census data” (Mildura Rural City Council through Reconciliation Action Plan). second largest population of Aboriginal and Torres population of Aboriginal and Torres second largest Victoria. Local Strait Islander people in regional population community knowledge indicates that the four percent of the Mildura Local Government four percent Strait or Torres of an Aboriginal are residents Area home to the Islander descent, making the area “Statistics state that as at 2012 approximately • Council is committed to: Council is committed •

Communities Council Mallee Sports Assembly Relevant stakeholder groups Relevant stakeholder groups Sunraysia Mallee Ethnic Communities Council Relevant stakeholder groups Aboriginal Action Committee Mallee District Aboriginal Services Relevant stakeholder groups Partners Relevant State Government Agencies Relevant stakeholder groups Sunraysia Mallee Ethnic Council Council Council Council Lead Council - Continue to pursue reconciliation alongside the Continue to pursue reconciliation Aboriginal community and advocate for targeted services to meet their health and support needs. Improve collaboration between Council, services, Improve agencies and culturally diverse communities in the municipality. Embed ‘Healthy by Design’ principles into Council Embed ‘Healthy by Design’ principles into to support active living in planning processes areas. growth existing and future Continue to collaborate with local sport and active Continue to collaborate with local sport barriers to participa settings to address recreation within our community. tion by vulnerable groups Action the Public Open Develop, implement and review Space Strategy 2017-2022. Strategy connection to community and culture. engagement with and Increase Our goal is that all people are socially engaged, socially engaged, is that all people are Our goal and can celebrate communities live in inclusive and identity. with their culture and connect

32 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 33 Relevant stakeholder groups Partners Relevant stakeholder groups Council Lead Council

Inclusion Strategy 2018-2022. services. the Social Develop, implement and review in aged care and disability support services, in the in aged care aim with the context of the national sector reforms quality of facilitating continued access to relevant Action role Council’s reviewing Implement outcomes from Community Plans Healthy Ageing Strategy Management Plan Emergency Housing Strategy Community Access and Inclusion Plan Events Strategy Strategy Recreation Related Strategies and Plans Reconciliation Action Plan and Heritage Strategy Arts, Culture implementation of the Municipal Emergency implementation of the Municipal Emergency Management Strategy education awareness delivery of environmental activities the to improve managing our environment of key assets including our public open resilience spaces, native vegetation and water and Management Plan to implementation of the Energy gas emissions. green-house Council’s reduce Mildura Rural City Council currently plans for and Mildura Rural City Council currently the impacts of climate change through: reduces • • • • and enhance the Council will continue to protect for the use, wellbeing and natural environment generations. and future enjoyment of current

DOMAIN 5: DOMAIN IS LIVEABLE VICTORIA more sustainable manner. Local residents have Local residents sustainable manner. more connection between the health of drawn a strong and their own sense of health and the environment wellbeing. promoting our natural resources and spaces, our natural resources promoting recycling, preventing efficiency, energy increasing pollution and managing waste. to desire a strong The community has expressed our natural preserve with nature, connect more heritage for coming generations and to live in a housing. to these challenges, it is and respond prevent To important that communities, businesses and Council natural the region’s understand and appreciate their environmental heritage and work to reduce can do this by conserving and footprint. We protect us from disease and natural disasters. from us protect naturally linked and a Health and climate are the social and environmental changing climate affects clean elements of health and wellbeing including food and secure sufficient drinking water, safe air, We rely on our natural environment to provide us to provide on our natural environment rely We food and soil and to water, with clean and safe air, Environmental Environmental Sustainability Adaption to Climate Adaption to Climate Change, Access to Sustainable Built and Natural Environments, Focus – Resilient and Focus – Resilient Liveable Communities,

34 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 35 Relevant stakeholder groups Partners Relevant stakeholder groups Relevant stakeholder groups Council Lead Council Council Develop, implement and review Municipal Develop, implement and review Management Strategy 2017-2020. Emergency Develop, implement and review a long term Develop, implement and review strategy for the management of waste. and Recovery Plan 2018-2023. Action Resource Waste Develop, implement and review Increase community resilience to the impact of climate change. to the impact community resilience Increase Strategy Our goal is that we belong to resilient communities communities resilient is that we belong to Our goal natural environment. and value our that understand Energy Management Plan Energy Invasive Plants and Animals Plan Litter Strategy Education Plan Environmental Public Open Space Strategy Related Strategies and Plans Management Plan Vegetation 36 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 37 EVALUATION MONITORING, MONITORING, AND REPORTING Victorians have the capabilities to participate and community connected to culture Victorians are Victoria is liveable Victorians are healthy and well Victorians are safe and secure Victorians are Outcomes framework, five domains of health. The Steering Committee outcomes will be driven by the the system which will be built from measurement shared State of Mildura Rural City Council Report 2017 and it’s alignment to the Victorian Public Health and Wellbeing evaluation of the Community Health and Wellbeing Plan evaluation of the Community Health and Wellbeing 2017-2021. A Community Health and Wellbeing Steering Committee A Community Health and Wellbeing will consisting of internal and external representatives implementation and work in partnership strategically in the • • • • • across the Victorian Public Health Wellbeing Outcomes Victorian the Public Health Wellbeing across Framework five domains of health: space. that the measures framework will outline reporting Council’s impact of work will be used to monitor and evaluate the and evaluation are required to understand effectiveness, to understand effectiveness, required and evaluation are and learning and to for improvement identify areas work in this and future enhance the evidence for current The Community Health and Wellbeing Plan outlines the and Wellbeing The Community Health Council will work strategic health and wellbeing goals that the next four years. Monitoring, reporting over towards Victorians are healthy and well Victorians are safe and secure Victorians are and community connected to culture Victorians are Victorians have the capabilities to participate and Victoria is liveable. Commission into Family Violence and is a key part of the 10-year plan ending family violence: Victoria’s plan for change. population health and wellbeing priorities and their population health and wellbeing priorities Outcomes data is available, the determinants. Where health and Framework also enables assessment of wellbeing inequalities. Ending Family Violence – for Change Plan Victoria’s Details how the government will deliver the 227 made by the Royal commission recommendations into Family Violence and build a new system that families and holds perpetrators to account. protects Violence – from Free strategy to Victoria’s violence family prevent and all forms of violence against women This strategy is an integral element of the family violence system broader government’s It fulfils Recommendation 187 of the Royal reform. The Victorian Public Health and Wellbeing Outcomes The Victorian Health and Wellbeing Public monitoring to a new approach Framework provides health to improve on collective efforts and reporting the long term.and wellbeing over It uses a whole of and includes five domains: government approach • • • • • a comprehensive The Outcomes Framework provides set of public health and wellbeing outcomes, for our major and measures indicators, targets

APENDIX 1 APENDIX Victorian Suicide Prevention Framework Victorian Suicide Prevention Victorian state disability plan 2017-20 and the National Disability Insurance Scheme Aboriginal Social and Emotional Wellbeing Framework. Implementation of the Victorian Royal Commission into Family Violence recommendations Victorian gender equality strategy (under development) families, safe children Roadmap for Reform: strong 10-year mental health plan and the Victoria’s disease planning and preparedness. increased focus on the health and wellbeing of increased health and families sustainability and health protection Environmental including the impact of climate change, the spread of communicable diseases and the emergence of new diseases, and the need for communicable no improvement in others, particularly obesity and no improvement physical abuse associated with alcohol disease impact of chronic The increasing Persistent inequalities in health status new approaches that require Demographic trends for an including population ageing, the need Increases in some risks to health and only limited or Increases • • • • • • The State Plan places a strong emphasis on The State Plan places a strong and early intervention that is supported prevention State Government policies by a number of current and initiatives that include: • • • • and protecting the public health and wellbeing of and protecting all Victorians. The State Plan has an explicit aim inequalities in health and wellbeing. It to reduce of identifies challenges to the health status Victorians including: • State Context Plan 2015- Victorian Public Health and Wellbeing 2019 and Outcomes Framework Act 2008 Under the Public Health and Wellbeing role to play in promoting the State has a significant The Context of the legislative an overview This appendix provides the Community and policy context encompassing Plan. Health and Wellbeing

38 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 39 than treatment About populations rather than individuals illness About the factors and behaviour that cause and injury and About ways inequalities can be reduced. What we, as a society, can do collectively to assure can do collectively to assure What we, as a society, healthy the conditions in which people can be rather and protection promotion About prevention, • • • Victorian Acts and regulations At least 29 different to councils in contributing attribute responsibilities the health of their communities, and to protecting recent keeping people well. Some of the most Victorian legislation that will influence public health Cancer Outcomes Act 2014 and is the Improving Act 1987. amendments to the Tobacco Legislation The Local Government Act 1989 and the Public outline Council’s Act 2008 Health and Wellbeing life for the quality of for improving responsibility communities. Act 2008 The Victorian Health and Wellbeing Public achieve state-wide benefits (the Act) aims to help across to planning a consistent approach through governments.both state and local The Act is a the health and major legislative driver for improving wellbeing of Victorians. that the State has a significant The Act recognises the public health and protecting in promoting role and wellbeing of people living in Victoria and clearly defines public health to be: • • Improving mental wellbeing. Improving Promoting healthy eating Promoting physical activity Encouraging regular tobacco use Preventing alcohol harm from Preventing how to keep the population well. increasing prevalence of chronic disease and the of chronic prevalence increasing have led technology, escalating costs of health care attention at all levels of government on to increasing health experiences’ and responding to pressures that to pressures health experiences’ and responding system. face the health care and ageing, along with the Population growth priorities for Victoria’s health system. This framework priorities for Victoria’s is an important component identifies that prevention and health status every Victorian’s for ‘improving The Victorian Health Priorities Framework 2012-2022 articulates the long-termand development planning Health Priorities framework • • • • • work. The five strategic imperatives identified in the work. The five strategic imperatives identified plan are: The 2016 Action Agenda update sets out priorities The 2016 Action Agenda update sets out youth and for the 2016-2019 period. Gender, priorities to frame future community themes are VicHealth Agenda Action for Health Promotion points for action. for Health Equity is a planning tool for health for Health Equity is policy and practice. It outlines the social promotion determinants of health inequities, suggesting entry individual choices are shaped by the environment by the environment shaped individual choices are us. around VicHealthFair Foundations: The Framework Equity Foundation or The Victorian Promotion Health VicHealth a focus on equity and how our also has VicHealth Fair Foundations for Health Framework these measures in their council plan (rather than their these measures health and wellbeing plans) [within 12 months]. the to reduce Council will include measures the municipality incidents of family violence across This will in the integrated Council Plan 2017-21. the demonstrate a commitment to work with community to act on the Royal Commission’s and work in partnership with recommendations the incidence of family the community to reduce violence. Royal Commission into Royal Commission Family Violence Royal Commission into The State Government’s recommendations practical Family Violence provided based on an family violence, and address to prevent system and best service current examination of the practice approaches. is that: Recommendation 94 The Victorian Government section 26 of the amend Act 2008 (Vic) which Public Health and Wellbeing a municipal public that councils prepare requires councils to health and wellbeing plan - to require to take the council proposes the measures on report to the needs family violence and respond to reduce the Victorian Government of victims. Alternatively, could amend section 125 of the Local Government each council to Act 1989 (Vic) - which requires councils to include a council plan - to require prepare

the built and natural environment - buildings, the built and natural environment - influence our parks and gardens streetscapes, to prevent quality of life. The Acts impose controls human health and minimise damage, and protect and ecosystems issue. Local government is specifically required required issue. Local government is specifically of climate change in the preparation to address to mitigate the Health Plans as part of the effort risks. Act 1987 and the The Planning and Environment that Act 1970 recognise Protection Environment regard to human rights. The Charter can be to human rights. The Charter regard of the Public Health the role seen to reinforce it explicitly requires Plan because and Wellbeing in Council decision making. consideration of equity a legal Act 2010 creates The Climate Change this framework for actions and initiatives on The Charter of Human Rights and Responsibilities The Charter of Human specific legal obligations Act 2006. This places such as local councils with on public authorities Climate Change For example, if a small shift to active travel (walking and cycling) and public transport was achieved gas emissions could be in Australia, greenhouse for peak travel and by up to two-thirds reduced travel. The joint for off-peak by about 95 percent and reduce our environment potential to improve diseases is significant. chronic occur after an event and can exacerbate existing health inequalities. benefits associated with often additional are There the impact of climate actions designed to reduce health and wellbeing. change or promote changing climate affects the social and environmental the social and environmental changing climate affects safe determinants - clean air, of health and wellbeing housing. food and secure sufficient drinking water, impact of climate change is likely to result The direct events such as flooding or weather extreme from likely to health impacts are heatwaves. The indirect Act 2010 and the Sport and Recreation Act 2008. Act 2010 and the Sport and Recreation intrinsically linked and a Health and climate are Other legislation that protects the health and safety Other legislation that protects of Victorians include community safety laws that road of children, and care focus on the protection food and liquor regulation safe drinking water, safety, use and access to drugs and poisons. and controlling and supported Health and wellbeing is promoted Integration legislation such as the Transport through • • Victorian for particularly important legislation that is health planning includes: •

40 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 COMMUNITY HEALTH & WELLBEING PLAN 2017– 2021 41

commissioned through commissioned through

REFERENCES victorian-population-health-survey/victorian-population-health- survey-2014 Accessed 20/04/2017 https://www2.health.vic.gov.au/about/publications/data/ Source: Accessed 11/06/2017 mallee-area-2015 2014, Mental Health: A state of Health Organisation, World well-being Source:https://www2.health.vic.gov.au/about/publications/ policiesandguidelines/Mildura%20RC Accessed 13/03/2017 Source: https://www2.health.vic.gov.au/about/publications/data/ Source: Accessed 11/06/2017 mallee-area-2015 VicHealth Indicators Survey 2011, 2015 Mildura LGA Profile State of Mildura Rural City Report 2017 Plan 2015–2019, The Victorian Public Health and Wellbeing Department of Health and Human Services in hospital per 1,000 population, Unintentional injuries treated 2014, Victorian Admitted Victorian sourced Injury Surveillance Unit (VISU) using data Source: Victorian and Victorian Admitted Episodes Dataset (2014-2015) from Minimum Dataset (2014) Emergency https://www2.health.vic.gov.au/about/reporting-planning-data/gis- Accessed 13/06/2017 and-planning-products/geographical-profiles Victorian Data Collection, Consultative on Obstetric Perinatal and Paediatric Mortality and Morbidity, Victorian Hospital Data Reports – May 2017 Victorian Health Survey 2012, 2014 Population Department of Health and Human Services, 2017, Source: Inequalities in the social determinants of health and what it means the 2014 Victorian for the health of Victorians: findings from State of Victoria, Melbourne. Population Health Survey, https://www2.health.vic.gov.au/public-health/population-health- systems/health-status-of-victorians/survey-data-and-reports/ Australian Social Inclusion Board, 2012 Board, Australian Social Inclusion Child abuse substantiation* 0-17 years, 2014-2015 aged per 1,000 children Client Relationship Information System (CRIS)/ Client Source: (CRISSP), Relationship Information System for Service Providers Human Services 2014- 2015 Department of Health and https://www2.health.vic.gov.au/about/reporting-planning-data/gis- 13/06/2017 Accessed and-planning-products/geographical-profiles Census data), Destination of School Leavers rates (based on 2011 Community Indicators Victoria (LGA) http://www.communityindicators.net.au/wellbeing_reports/mildura Accessed 09/04/2017 2014–Oct Family violence incidents (per 1,000 population) Sept 2015, Corporate Statistics, Victoria Police (LGA) TL/R Dementia (added 2012). Mental health (first set of conditions, 1996) Diabetes mellitus (added 1997) Asthma (added 1999) Arthritis and musculoskeletal conditions (added 2002) Obesity (added 2008) Cancer control (first set of conditions, 1996) Cancer control health (first set of conditions, 1996) Cardiovascular (first set of conditions, and control Injury prevention 1996) • • • • • • • • • groups of interest. interest. of groups are: The 9 NHPAs information on the NHPAs and their associated information on the NHPAs the Australian indicators and risk factors across population with a focus on particular population contribute significantly to the burden of illness and contribute significantly to the burden The Australian injury in the Australian community. (AIHW) publishes Institute of Health and Welfare The National Health Priority Areas (NHPAs) are are (NHPAs) The National Health Priority Areas governmentsdiseases and conditions that Australian they have chosen for focused attention because National Context National Health Priority Areas violence. community to act on the Royal Commission’s the Royal Commission’s community to act on in partnership with and work recommendations incidence of family the the community to reduce incidents of family violence across the municipality across incidents of family violence Plan 2017-21. This will in the integrated Council to work with the demonstrate a commitment Council will include measures to reduce the to reduce include measures Council will

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