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West Tamar Community Health and Wellbeing Mapping Project

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WEST TAMAR COMMUNITY HEALTH AND WELLBEING MAPPING PROJECT Part B- Southern Section: Riverside, Trevallyn, Legana, Grindelwald, Exeter December 2011 Written and developed by the University Department of Rural Health in collaboration with the West Tamar Council Table of Contents TABLE OF CONTENTS 2 TABLE OF FIGURES AND TABLES 4 FOREWORD FROM THE MAYOR 7 ACKNOWLEDGEMENTS 8 LIST OF ABBREVIATIONS/ACRONYMS 9 TERMINOLOGY USED IN THIS REPORT 10 EXECUTIVE SUMMARY 12 1. INTRODUCTION 22 1.1: ABOUT THE WEST TAMAR MUNICIPAL AREA 23 1.2: ABOUT THE WEST TAMAR STUDY AREA 23 1.3 WEST TAMAR HEALTH SERVICES 26 1.4 WINDSOR COMMUNITY PRECINCT 26 1.5 WEST TAMAR’S COMMUNITY HEALTH PROFILE: WHAT WE KNOW 27 1.6 SECTION SUMMARY 28 2. LITERATURE REVIEW 31 2.1 AUSTRALIA’S HEALTH 31 2.2 DEMOGRAPHIC CHANGE AND AGEING 32 2.3 HEALTH IN THE RURAL CONTEXT 33 2.4 TASMANIA’S HEALTH PROFILE 35 2.5 OVERVIEW OF RELEVANT HEALTH POLICIES AND DOCUMENTS 36 2.6 SECTION SUMMARY 41 3. DEMOGRAPHIC PROFILE OF THE WEST TAMAR STUDY AREA 43 3.1: KEY POPULATION CHARACTERISTICS OF WEST TAMAR MUNICIPAL AREA 43 3.1.1: POPULATION AND AGE STRUCTURE 43 3.1.2: ANCESTRY AND ETHNICITY 46 3.1.3: HOUSEHOLD SIZE AND STRUCTURE 47 3.1.4 EDUCATIONAL QUALIFICATIONS 49 3.1.5 LABOUR FORCE AND OCCUPATION 50 3.1.6 HOUSEHOLD INCOME 54 3.1.7 SOCIO-ECONOMIC PROFILE 55 3.2 SECTION SUMMARY 56 4. REVIEW OF WEST TAMAR COUNCIL PARTNERSHIPS AND COLLABORATIONS AND POLICIES 60 4.1 A REVIEW OF KEY SPORT AND RECREATIONAL RESOURCES AND FACILITIES IN THE WEST TAMAR STUDY AREA 64 4.2 SECTION SUMMARY 66 5. PROJECT DESIGN AND APPROACH 68 5.1 OVERVIEW OF KEY CONCEPTS 68 5.1.1 WHAT DO WE MEAN BY COMMUNITY? 68 2 5.1.2 WHAT IS HEALTH AND WELLBEING? HOW IS IT DETERMINED 68 5.2 THE PROCESS OF MAPPING COMMUNITY HEALTH AND WELLBEING 71 5.2.1 WHAT IS A COMMUNITY HEALTH AND WELLBEING MAP? WHY IT IS IMPORTANT? 71 5.2.2 ETHICAL CONSIDERATIONS 72 5.2.3 WHO WILL USE THE INFORMATION? HOW WILL IT BE USED? 72 5.2.4: HOW WAS THE PROJECT MANAGED AND GOVERNED? 73 5.2.5 HOW WAS THE WEST TAMAR COMMUNITY INVOLVED IN THE PROJECT? 74 5.3 PROJECT DESIGN AND METHODS 75 5.3.1 COMMUNITY PROFILE AND LITERATURE REVIEW 76 5.3.2 COMMUNITY SURVEY 76 5.3.3 YOUTH SURVEY AND FORUMS 77 5.3.4 COMMUNITY FORUMS 78 5.4 PROJECT STAGES 79 5.5 PROJECT STRENGTHS AND OPPORTUNITIES 80 5.5.1 PROJECT LIMITATIONS 81 5.6 SECTION SUMMARY 81 6. RESULTS AND FINDINGS: ISSUES AND PRIORITIES FOR COMMUNITY HEALTH AND WELLBEING IN THE WEST TAMAR STUDY AREA 82 6.1 RESULTS OF THE COMMUNITY SURVEY 83 6.1.1 KEY DEMOGRAPHICS OF RESPONDENTS 83 6.1.2 THE HEALTH AND WELLBEING OF RESPONDENTS 86 6.1.3 ACCESS TO AND USE OF COMMUNITY/HEALTH SERVICES AND RESOURCES IN THE STUDY AREA 88 6.1.4 THE NEEDS OF OLDER RESIDENTS IN THE WEST TAMAR STUDY AREA 95 6.1.5 THE NEEDS OF FAMILIES IN THE WEST TAMAR STUDY AREA 98 6.1.6 PARTICIPATION AND ENGAGEMENT IN THE WEST TAMAR STUDY AREA 99 6.1.7 THE WEST TAMAR ENVIRONMENT 100 6.1.8 KEY FUTURE ISSUES AND PRIORITIES FOR THE WEST TAMAR 101 6.1.9 SECTION SUMMARY 102 6.2: RESULTS OF THE YOUTH SURVEY 105 6.2.1 KEY DEMOGRAPHICS OF YOUTH RESPONDENTS 105 6.2.2 YOUTH SELF-RATINGS OF HEALTH AND WELLBEING 106 6.2.3 ISSUES AND CONCERNS ABOUT YOUTH HEALTH AND WELLBEING 106 6.2.4 RESPONDING TO THE NEEDS OF YOUNG PEOPLE 108 6.2.5 YOUTH SUGGESTIONS FOR IMPROVING THE ENVIRONMENT AND COMMUNITY 109 6.2.6 SECTION SUMMARY 110 6.3 RESULTS OF THE COMMUNITY FORUMS 111 6.3.1 FACILITATORS AND ENHANCERS OF COMMUNITY HEALTH AND WELLBEING IN THE WEST TAMAR 111 6.3.2 BARRIERS TO COMMUNITY HEALTH AND WELLBEING IN THE WEST TAMAR 115 6.3.3 SUPPORTS FOR AND BARRIERS TO POSITIVE AGEING IN THE WEST TAMAR 119 6.3.4 SUPPORTS AND BARRIERS TO YOUTH HEALTH AND WELLBEING IN THE WEST TAMAR 122 6.3.5 SECTION SUMMARY 124 6.4 RESULTS OF THE STAKEHOLDER AND SERVICE PROVIDER CONSULTATION 125 6.4.1: YOUTH HEALTH AND WELLBEING: KEY THEMES AND ISSUES 125 6.4.2 FAMILY HEALTH AND WELLBEING: KEY THEMES AND ISSUES 130 3 6.4.3 GENERAL COMMUNITY: KEY THEMES AND ISSUES 132 6.4.4 OLDER RESIDENTS: KEY THEMES AND ISSUES 134 6.4.5 SERVICE PROVISION ISSUES 137 6.4.6 SECTION SUMMARY 138 7. FUTURE DIRECTIONS: AN INTEGRATED APPROACH TO A HEALTHY AND WELL WEST TAMAR COMMUNITY 140 7.1 KEY THEME AREAS FOR COMMUNITY HEALTH AND WELLBEING IN THE WEST TAMAR STUDY AREA 141 7.2 FUTURE DIRECTIONS TO A HEALTHY AND WELL WEST TAMAR COMMUNITY 141 7.2.1 INFRASTRUCTURE, ENVIRONMENT AND SAFETY 143 7.2.2 INCLUSION, ENGAGEMENT AND PARTICIPATION 145 7.2.3 INFORMATION, FACILITATION AND SUPPORT 146 7.2.4 PARTNERSHIPS AND COLLABORATION 149 7.2.5 SERVICES AND RESOURCES 151 7.3 CONCLUSION 152 REFERENCES 153 Table of Figures and Tables TABLE 1: HEALTH AND HUMAN SERVICES IN THE WEST TAMAR STUDY AREA .............................................................................. 26 1 TABLE 2: KEY AUSTRALIAN HEALTH STATUS STATISTICS AND ISSUES: A SNAPSHOT ..................................................................... 32 TABLE 3: HEALTH PROFILE OF TASMANIA USING KEY LIFESTYLE AND CHRONIC DISEASE INDICATORS ................................................. 35 TABLE 4: OVERVIEW OF RELEVANT HEALTH POLICIES AND DOCUMENTS .................................................................................... 37 TABLE 5: COMPARISON OF THE WTMA, TASMANIA AND AUSTRALIA POPULATION BY AGE GROUP AND PERCENTAGES FROM THE 2006 CENSUS DATA........................................................................................................................................................ 43 TABLE 6: COMPARISON OF THE THREE CATCHMENT AREAS AND THE WTMA POPULATION BY COUNT, AGE GROUP AND PERCENTAGES FROM THE 2006 CENSUS DATA. ............................................................................................................................... 44 TABLE 7: HOUSEHOLD SIZE IN NUMBER AND PERCENTAGE FOR WTMA, COMPARED WITH PERCENTAGES FOR TASMANIA, AUSTRALIA AND THE STUDY DISTRICTS .............................................................................................................................................. 47 TABLE 8: HIGHEST EDUCATIONAL QUALIFICATION OF USUAL RESIDENT POPULATION OF WTMA BY NUMBER AND PERCENTAGE COMPARED WITH PERCENTAGE OF TASMANIA, AUSTRALIA, AND THE THREE DISTRICTS. ........................................................................ 49 TABLE 9: OCCUPATION OF USUAL RESIDENTS OF WTMA BY NUMBER AND PERCENTAGE COMPARED WITH PERCENTAGES OF TASMANIA, AUSTRALIA, AND THE THREE DISTRICTS UNDER STUDY. ................................................................................................... 52 TABLE 10: 2006 SEIFA INDEX OF DISADVANTAGE- WEST TAMAR’S SMALL AREAS .............................................................. 55 TABLE 11: OVERVIEW OF KEY SPORT AND RECREATIONAL RESOURCES AND FACILITIES IN THE WEST TAMAR STUDY AREA ..................... 65 49,55 TABLE 12: BENEFITS OF CONDUCTING A COMMUNITY HEALTH AND WELLBEING NEEDS ASSESSMENT ...................................... 72 TABLE 13: THE KEY ROLES OF THE UDRH IN THE PROJECT ...................................................................................................... 74 TABLE 14: OVERVIEW OF KEY PROJECT STAGES AND RESPONSIBILITIES ....................................................................................... 79 TABLE 15: SUBURB OF RESIDENCE...................................................................................................................................... 84 TABLE 16: INTENTION OF SURVEY RESPONDENTS TO STAY RESIDING IN WT FOR 5-10 YEARS BY AGE (N=404) .................................. 84 TABLE 17: HOUSEHOLD STRUCTURE OF SURVEY RESPONDENTS (ALL RESPONDENTS N=402) ......................................................... 85 TABLE 18: ISSUES AFFECTING HEALTH AND WELLBEING BY AGE CATEGORY .................................................................................. 87 TABLE 19: MOST POSITIVE THINGS ABOUT THE WEST TAMAR AS CITED BY SURVEY RESPONDENTS .................................................. 88 TABLE 20: EXAMPLES OF QUALITATIVE COMMENTS GIVEN BY RESPONDENTS .............................................................................. 88 TABLE 21: SERVICES IN WT MOST COMMONLY USED BY SURVEY RESPONDENTS (N=386) ............................................................. 89 TABLE 22: SERVICES USED INSIDE THE WEST TAMAR BY AGE BREAKDOWN OF RESPONDENTS ......................................................... 90 TABLE 23 : HEALTH AND COMMUNITY SERVICES USED OUTSIDE THE WEST TAMAR STUDY AREA (ALL RESPONDENTS) ......................... 90 TABLE 24: SERVICES ACCESSED OUTSIDE WEST TAMAR STUDY AREA BY AGE CATEGORY ................................................................ 91 4 TABLE 25: MOST USED RECREATIONAL FACILITIES IN WEST TAMAR STUDY AREA ......................................................................... 92 TABLE 26: RECREATIONAL FACILITIES USED BY AGE CATEGORISATION ........................................................................................ 93 TABLE 27: FACTORS LIMITING ABILITY TO ACCESS HEALTH AND COMMUNITY SERVICES INSIDE WEST TAMAR .................................... 93 TABLE 28: FACTORS LIMITING ACCESS TO SERVICES BY AGE CATEGORY ....................................................................................... 94 TABLE 29: SERVICES MOST LIKELY TO BE USED BY RESPONDENTS AT WCP .................................................................................. 94 TABLE 30: KEY HEALTH ISSUES AND PRIORITIES IDENTIFIED BY RESPONDENTS AGED 50+ .............................................................. 95 TABLE 31: FACTORS INFLUENCING INTENTION TO STAY IN WEST TAMAR ..................................................................................
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