Northern Health Region Community Health Assessment 2019
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Northern Health Region Community Health Assessment 2019 Chief Executive Officer 84 Church Street Flin Flon, MB R8A 1L8 Telephone: (204) 687-3010 Fax: (204) 687-6405 Email: [email protected] A Message to the Residents of the Northern Health Region from Helga Bryant, Chief Executive Officer The Northern Health Region’s 2019 Community Health Assessment (CHA) is the product of an intensive year of work by our Community Health Assessment Working Group, staff, physicians, community partners, and residents. This CHA for the Northern Health Region builds on the previous assessment and depicts a true picture of the health of those living in the Northern Region. The health of our communities continues to emerge and we are excited about the direction we are heading; the information gained from the CHA enables our planning for those we serve as we strive for Healthy People, Healthy North. While we still have many health challenges facing our Region, there are some very good closer look stories submitted by our team showing the great strides we have made toward the priorities set out in our latest Strategic Plan. A backdrop to the 2019 CHA and our planning is the system transformation underway in the province. The Provincial Clinical and Preventive Services Plan was recently released and we look forward to working with Shared Health and the Manitoba Government to determine what this plan means for health care in the North. Numerous representatives from our Region participated in the development of this plan and we remain hopeful that the unique challenges for health care in the Northern Health Region are reflected. I would like to thank everyone who took part in the CHA process. Whether you were on our working group or participated in a closer look activity, your commitment to health in our Region is greatly appreciated. We are looking forward to the many initiatives planned in the coming years and our continued development as a Region. We have a dedicated team of health care providers and community partners who continue to work together towards our Vision of “Healthy People; Healthy North” as we continue to deliver on the promise of our Mission. We are dedicated to providing quality, accessible and compassionate health services. Meegwetch, Ekosi, Ekosani, Masi cho! Sincerely, Helga Bryant RN, BScN, MScA Chief Executive Officer Table of Contents Executive Summary .......................................................................................................................... vii Introduction ...................................................................................................................................... 1 Acknowledgements ................................................................................................................................... 2 Community Health Assessment (CHA) in Manitoba ................................................................................. 2 Population Health and Health Equity ........................................................................................................ 5 First Nations People’s Health in Manitoba ............................................................................................... 8 Data Sources and Limitations.................................................................................................................. 10 Data Presentation and Interpretation .................................................................................................... 13 Chapter One: Who Lives in Northern Health Region? ........................................................................ 21 Chapter One Table of Contents ..................................................................................................... 22 Chapter One Tables and Figures .................................................................................................... 24 At a Glance - Infographics ............................................................................................................. 25 Chapter One Key Findings ............................................................................................................. 26 Why is Chapter One Important? .................................................................................................... 26 Geographic Boundaries ....................................................................................................................... 27 Programs and Services ........................................................................................................................ 30 Population ........................................................................................................................................... 33 Population Pyramids ........................................................................................................................... 34 Birth Rate ............................................................................................................................................ 35 Internal Migrant Mobility ................................................................................................................... 37 Population Density .............................................................................................................................. 39 Population Change Over Time ............................................................................................................ 41 Population Projections ........................................................................................................................ 42 Indigenous Population ........................................................................................................................ 44 Visible Minority Population ................................................................................................................ 46 Language Most Often Spoken at Home .............................................................................................. 48 Knowledge of English and French ....................................................................................................... 49 Immigrant Status in Private Households ............................................................................................ 50 Immigration by Place of Birth ............................................................................................................. 51 Lone Parent Families ........................................................................................................................... 53 Dependency Ratio ............................................................................................................................... 55 Table of Contents page i Chapter Two: What Keeps us Healthy? ............................................................................................. 57 Chapter Two Table of Contents ..................................................................................................... 58 Chapter Two Tables and Figures.................................................................................................... 60 At a Glance - Infographics ............................................................................................................. 63 Chapter Two Key Findings ............................................................................................................ 64 What Influences How Healthy our Population is? .......................................................................... 66 Social Determinants of Health ............................................................................................................... 68 Social Deprivation Index ..................................................................................................................... 68 Material Deprivation Index ................................................................................................................. 71 Median Household Income – After Tax .............................................................................................. 73 Low Income Measure – After-Tax (LIM-AT) ........................................................................................ 75 Household Food Insecurity ................................................................................................................. 77 Housing Affordability .......................................................................................................................... 78 Educational Attainment ...................................................................................................................... 80 Labour Force Participation Rate ......................................................................................................... 82 Unemployment Rate ........................................................................................................................... 83 Industry Sectors .................................................................................................................................. 84 Work Stress ......................................................................................................................................... 85 Healthy Child Development .................................................................................................................... 87 Inadequate Prenatal Care ..................................................................................................................