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Pacific Communities Health Needs Assessment

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Pacific Communities Health Needs Assessment PACIFIC COMMUNITIES HEALTH NEEDS ASSESSMENT “I am not an individual: July 2019 I am an integral part of the cosmos, I share divinity with my ancestors, the land, the seas and the skies. I am not an individual, because I share a “toft” (an inheritance) with my family, my village and my nation. I belong to my family and my family belongs to me. I belong to my village and my village belongs to me. I belong to my nation and my nation belongs to me. This is the essence of my sense of belonging.” Tui Atua Tupua Tamasese (2002) South Western Sydney Local Health District Liverpool Hospital Eastern Campus Locked Mail Bag 7279 Liverpool BC NSW 1871 Tel. (612) 8738 6000 Fax. (612) 8738 6001 www.swslhd.nsw.gov.au Wide distribution of this document is encouraged. It may be reproduced in whole or part for study or training purposes subject to inclusion of an acknowledgement of source. It may not be reproduced for commercial usage or sale. Copies may be made without permission; however, references made to acknowledgment to the South Western Sydney Local Health District. ISBN 978 1 74079 216 5 Project Teams Part 1: Epidemiological data Prof Bin Jalaludin, Director, Epidemiology, Healthy People and Places Unit, South Western Sydney Local Health District Dr Soumya Mazumdar, Epidemiologist, Healthy People and Places Unit, South Western Sydney Local Health District Dr Shanley Chong, Biostatistician, Healthy People and Places Unit, South Western Sydney Local Health District Part 2: Pacific Community Health Needs Assessment Dr Della Maneze, Multicultural Health Promotion Officer, Health Promotion Service, South Western Sydney Local Health District Dr Vilas Kovai, Manager, Research and Evaluation, Health Promotion Service, South Western Sydney Local Health District Tessa Bayrante, Multicultural Health Promotion Officer, Health Promotion Service, South Western Sydney Local Health District Naysan Rowhani-Farid, Multicultural Health Promotion Officer, Health Promotion Service, South Western Sydney Local Health District Yousef Barham, Senior Multicultural Health Promotion Officer, Health Promotion Service, South Western Sydney Local Health District Theodore Latu, Volunteer Pacific community member Dr Balwinder Sidhu, Deputy Director, Multicultural Health, Health Promotion Service, South Western Sydney Local Health District Mandy Williams, Director, Health Promotion Service, Health Promotion Service, South Western Sydney Local Health District Part 3: Building resilience and Ameliorating risk in Pacific Island children and young people in South Western Sydney Dr Priyaneela Kamalanathan, Community Child Health Advanced Trainee, Department of Community Paediatrics, South Western Sydney Local Health District A/Prof Shanti Raman (Project Supervisor), Community Paediatrician for Child Protection, Department of Community Paediatrics, South Western Sydney Local Health District Pacific Communities Health Needs Assessment Page 1 of 103 Contents ACRONYMS ...................................................................................................................................................... 3 LIST OF TABLES AND FIGURES........................................................................................................................... 4 EXECUTIVE SUMMARY ..................................................................................................................................... 6 INTRODUCTION ....................................................................................................................................................... 6 METHODOLOGY ...................................................................................................................................................... 6 FINDINGS ............................................................................................................................................................... 7 CONCLUSION AND RECOMMENDATIONS ..................................................................................................................... 10 BACKGROUND ................................................................................................................................................ 12 DOCUMENT STRUCTURE ......................................................................................................................................... 12 PART 1: EPIDEMIOLOGICAL PROFILE OF PACIFIC COMMUNITIES OF SWSLHD ................................................ 13 INTRODUCTION ..................................................................................................................................................... 13 METHODOLOGY .................................................................................................................................................... 13 SOCIO-DEMOGRAPHIC CHARACTERISTICS AND HEALTH PROFILE ....................................................................................... 13 FINDINGS ............................................................................................................................................................. 13 PART 2: HEALTH NEEDS ASSESSMENT OF PACIFIC COMMUNITY .................................................................... 35 INTRODUCTION ..................................................................................................................................................... 35 METHODS ............................................................................................................................................................ 37 RESULTS .............................................................................................................................................................. 39 DISCUSSION ......................................................................................................................................................... 59 PART 3: BUILDING RESILIENCE AND AMELIORATING RISK IN PACIFIC ISLAND CHILDREN AND YOUNG PEOPLE IN SOUTH WESTERN SYDNEY .......................................................................................................................... 66 INTRODUCTION ..................................................................................................................................................... 66 AIMS .................................................................................................................................................................. 66 METHODS ............................................................................................................................................................ 66 RESULTS .............................................................................................................................................................. 68 DISCUSSION ......................................................................................................................................................... 77 PART 4: CONCLUSIONS AND RECOMMENDATIONS ....................................................................................... 82 CONCLUSIONS ...................................................................................................................................................... 82 RECOMMENDATIONS ............................................................................................................................................. 86 ACKNOWLEDGEMENTS .................................................................................................................................. 87 REFERENCES ................................................................................................................................................... 88 APPENDICES ................................................................................................................................................... 94 PART 1 ................................................................................................................................................................ 94 PART 2 .............................................................................................................................................................. 100 Pacific Communities Health Needs Assessment Page 2 of 103 Acronyms AABS Australian Bureau of Statistics ADHD Attention Deficit Hyperactivity Disorder ADL Activities of Daily Living CALD Culturally and Linguistically Diverse ChYP Children and Young People COREQ Consolidated Criteria for Reporting Qualitative Research FGD Focus Group Discussion GP General Practitioner HELP Higher Education Loan Program JJ Juvenile Justice LGA Local Government Area NCD Non-Communicable Disease NSW New South Wales OOHC Out Of Home Care PCYC Police-Citizens Youth Club SA3 Statistical Area 3 SACC Standard Australian Classification of Countries SAPHaRI Secure Analytics for Population Health Research and Intelligence SMR Standardised Mortality Ratio SSR Standardised Separation Ratio SWS South Western Sydney SWSLHD South Western Sydney Local Health District T2D Type 2 Diabetes USA United States of America YP Young People Pacific Communities Health Needs Assessment Page 3 of 103 List of Tables and Figures Part 1 Epidemiological Profile of Pacific Island Communities of SWSLHD Tables 1 Countries comprising the Pacific Islands 2 Number of Pacific Island people by country o birth, SWSLHD, 2016 3 Age and sex distribution of Pacific Island people, SWSLHD, 2016 Key socio-demographic characteristics
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