A Community Needs and Resources Assessment for the Port Aux Basques and Burgeo Areas

PRIMARY HEALTH CARE IN ACTION A Community Needs and Resources Assessment for the Port aux Basques and Burgeo Areas 2013 Prepared by: Danielle Shea, RD, M.Ad.Ed. Primary Health Care Manager, Bay St. George Area Table of Contents <ul style="display: flex;"><li style="flex:1">Executive Summary </li><li style="flex:1">Page 4 </li></ul>Community Health Needs and Resources Assessment Survey Overview Page 6 Page 6 <ul style="display: flex;"><li style="flex:1">Survey Results </li><li style="flex:1">Page 7 </li></ul><ul style="display: flex;"><li style="flex:1">Demographics </li><li style="flex:1">Page 7 </li></ul>Community Services Health Related Community Services Community Groups Community Concerns Other Page 8 Page 10 Page 15 Page 16 Page 20 <ul style="display: flex;"><li style="flex:1">Focus Group Overview </li><li style="flex:1">Page 20 </li></ul>Port aux Basques: Cancer Care Highlights Burgeo: Healthy Eating Highlights Page 21 Page 22 Page 23 Page 24 Port aux Basques and Burgeo Areas Overview Statistical Data Overview Page 26 Page 28 <ul style="display: flex;"><li style="flex:1">Statistical Data </li><li style="flex:1">Page 28 </li></ul><ul style="display: flex;"><li style="flex:1">Page 38 </li><li style="flex:1">Community Resource Listing Overview </li></ul>Port aux Basques Community Resource Listing Burgeo Community Resource Listing Page 38 Page 44 <ul style="display: flex;"><li style="flex:1">Strengths </li><li style="flex:1">Page 50 </li></ul>Page 51 Page 52 Page 54 Page 55 Recommendations Conclusion References Appendix A Primary Health Care Model <ul style="display: flex;"><li style="flex:1">Appendix B </li><li style="flex:1">Page 57 </li></ul>Community Health Needs and Resources Assessment Policy Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 2 </li></ul><ul style="display: flex;"><li style="flex:1">Appendix C </li><li style="flex:1">Page 62 </li></ul>Page 70 Page 72 Community Health Needs and Resources Assessment Survey Appendix D Port aux Basques Focus Group Questions Appendix E Burgeo Focus Group Questions Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 3 </li></ul>Executive Summary Primary health care is defined as an individual’s first contact with the health system and includes the full range of services from health promotion, diagnosis, and treatment to chronic disease management. The World Health Organization (1998) defines primary health care as “essential health care made accessible at a cost which the country and community can afford, with methods that are practical, scientifically sound and socially acceptable ” . The Primary Health Care Model (See Appendix A) is rooted in the determinants of health and looks at a comprehensive, intersectoral approach to enhancing health based in the five principles of primary health care: Collaboration, Access, Public Participation, Technology/Communication and Health Promotion and Wellness. The Community Health Needs and Resources Assessment policy and process was developed and implemented through a partnership between the Health Promotion and Primary Health Care, Population Health Branch, and Planning and Research, Quality Management and Research Branch. The purpose was to assess community health needs and resources to support planning within Western Health. The Community Health Needs and Resources Assessment completed in 2009 took a regional approach to identifying community health needs. This Community Health Needs and Resources Assessment assessed health needs in the Primary Health Care areas through the region. Overall, the findings of this needs assessment indicate that there are concerns about lifestyle choices and risk factors. There were concerns related to physical activity, healthy eating, and tanning bed use. Chronic diseases including diabetes and cancer Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 4 </li></ul>and distracted driving were reported to be key community concerns. Access to Western Health programs and services were also reported in this assessment. The information obtained will be valuable in determining organizational priorities and identifying the concerns in the Port aux Basques and Burgeo Primary Health Care team areas. Some of these areas include enhanced service delivery within the Chronic Disease Prevention and Management model, community based health promotion, injury prevention, physical activity and healthy eating programs. The conclusions and recommendations made in this report will be instrumental in the development of work plans to moving forward to addressing concerns using a population health approach in these respective areas. Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 5 </li></ul>Community Health Needs and Resources Assessment Survey Overview A policy was developed outlining the Community Health Needs and Resources Assessment process (Appendix B). The four categories of information in a Community Health Needs and Resources Assessment includes health needs identified by community (survey), public feedback (key informants, focus groups, consultation with community advisory committee), health status (statistics), and Community Assets (profile). This policy outlines the data to be collected, the methods, and timeframes. Data collection includes household telephone surveys (See Appendix C), focus groups, Statistics Canada data, Canadian Institute for Health Information indicators, and community resource listing. After the community health needs and resources assessment process is complete, a thorough evaluation of the process will be conducted. During the policy development, it was agreed that the Primary Health Care Managers would conduct the Community Health Needs and Resources Assessments as a means to obtaining information and learning about the areas under their jurisdictions. The Regional Manager Research and Evaluation provided education on how to administer telephone surveys and consulted with the managers throughout the process to address issues or concerns. When identifying the top three and lowest three community services and health related community services, community groups, and community concerns, the “don’t know” and “not available” and “no response” categories were excluded. The “don’t know” responses could have been a result of either the survey respondents needing specific programs and services but not being aware of them or not needing the specific programs or services and therefore not being aware of them. The “don’t Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 6 </li></ul>know” and “not available” responses were considered when recommendations were identified. The surveys collected both quantitative and qualitative data that described the households’ perceptions of health beliefs and practices, satisfaction with health and community services, major community problems and concerns, and utilization of selected health services. The surveys were categorized according to the households’ awareness of the availability of health and community services workers, satisfaction with community services, satisfaction with health and community services, utilization of health services, awareness of self-help groups, influence of community groups and community concerns. The Primary Health Care Managers submitted the surveys to the Regional Manager Research and Evaluation, either electronically or manually. The Regional Manager Research and Evaluation coordinated a student to enter the survey data into Statistical Package for Social Sciences (SPSSx) and collated and summarized the results. The yes, no, don’t know, and not available scale was analyzed by calculating the frequencies and percentages of responses for each survey question. Qualitative data from the participants’ surveys were transcribed and analyzed for common and recurring themes. The following report provides a summary of the information collected in the Port aux Basques/Burgeo surveys. Survey Results Demographics A total of 95 surveys were conducted in the Port aux Basques and Burgeo areas (confidence level of 95% and confidence interval of 10%). Given that the surveys were only one means of collecting data on the communities and additional information would be collected, it was agreed that this number would be appropriate. Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 7 </li></ul>Of the 95 surveys collected, 77.9% were female and 22.1% were male. The average age of the respondents were 53 and the average years living in that community was 43.64. Community Services Survey respondents were asked to report on whether they were satisfied with a list of community services (See Table 1). Of those services that respondents knew about or used (excluding the “don’t know”, “not available”, and “no response” responses), the top services that respondents were most often satisfied with were: banking, fire protection, postal service and garbage collection and disposal. When all responses were considered, the three community services with the higher percentages of satisfaction remained the same. Of those community services that respondents knew about or used (excluding the “don’t know”, “not available”, and “no response” responses) respondents reported being less often satisfied with: child care/day care, shopping, and literacy support. When all of the responses were considered, the three community services with the lower percentages of satisfaction included shopping, grocery stores, and recycling. Comments indicated that there was a lack of preschool, child care/day care, after school, and children and youth programs and also senior programs. Some also suggested that preschool and child/day care programs were expensive. Respondents indicated that some community programs and services need improvements: it was reported that in some areas there is always a boil order and that the water was not good to drink; the recycling programs should expand to include more materials; lack of cell phone service; police should be more visible; shopping was expensive and limited; only taxis for public transportation; lack of recreation programs and library services; and abuse of the food bank service. Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 8 </li></ul>Other community services that respondents wanted to comment on were the lack of snow clearing and road repair, abuse of social assistance, and the need for more community groups such as a Lion’s Club. Table 1: Percent Satisfied with Community Services Don’t know 42.1% (40) 40.0% (38) <ul style="display: flex;"><li style="flex:1">Not </li><li style="flex:1">No </li></ul><ul style="display: flex;"><li style="flex:1">Community Services </li><li style="flex:1">Yes </li></ul>42.1% (40) 35.8% (34) No 13.7% available response 2.1% (2) 1. Preschool programs (13) 6.3% (6) 17.9% (17) 2. University / College 56.8% (54) 13.7% (13) 28.4% (27) 1.1% (1) 3. Schools 4. Child Care/day care 12.6% (12) 30.5% (29) 42.1% (40) 14.7% (14) 28.4% (27) 16.8% (16) 49.5% (47) 4.2% (4) 1.1% (1) 5. After school programs 6. Children/Youth programs 7. Seniors programs (55+) 8. Recycling 33.7% (32) 12.6% (12) 47.4% (45) 6.3% (6) 46.3% (44) 14.7% (14) 33.7% (32) 5.3% (5) 65.3% (62) 30.5% (29) 1.1% (1) 3.2% (3) 77.9% (74) 18.9% (18) 3.2% (3) 9. Water and sewage 10. Garbage collection and disposal 94.7% (90) 5.3% (5) 11. Hazardous waste disposal 55.8% (53) 15.8% (15) 26.3% (25) 2.1% (2) 12. Community planning (Town Council) 13. Telephone 70.5% (67) 18.9% (18) 7.4% (7) 3.2% (3) 82.1% (78) 17.9% (17) 14. Fire protection 95.8% (91) 4.2% (4) 88.4% (84) 9.5% (9) 2.1% (2) 15. Police 16. Libraries <ul style="display: flex;"><li style="flex:1">64.2% </li><li style="flex:1">5.3% </li><li style="flex:1">14.7% </li><li style="flex:1">14.7% </li><li style="flex:1">1.1% </li></ul>Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 9 </li></ul><ul style="display: flex;"><li style="flex:1">(61) </li><li style="flex:1">(5) </li><li style="flex:1">(14) </li><li style="flex:1">(14) </li><li style="flex:1">(1) </li></ul>17. Postal services 18. Banking 93.7% (89) 5.3% (5) 1.1% (1) 95.8% (91) 2.1% (2) 2.1% (2) 19. Grocery stores 20. Shopping 56.8% (54) 43.2% (41) 27.4% (26) 68.4% (65) 1.1% (1) 2.1% (2) 1.1% (1) 21. Public transportation (Ex. buses, taxis) 55.8% (53) 10.5% (10) 20.0% (19) 13.7% (13) 22. Recreation programs 23. Recreation facilities 62.1% (59) 14.7% (14) 15.8% (15) 7.4% (7) 74.7% (71) 10.5% (10) 4.2% (4) 10.5% (10) 24. Career development services 42.1% (40) 6.3% (6) 36.8% (35) 14.7% (14) 25. Literacy support 26. Food bank 14.7% (14) 14.7% (14) 49.5% (47) 21.1% (20) 36.8% (35) 8.4% (8) 40.0% (38) 14.7% (14) Health Related Community Services Respondents were asked to indicate whether they were satisfied with a number of health related community services (See Table 2). Of those health related community services that respondents knew about or used (excluding the “don’t know”, “not available”, and “no response” responses), respondents reported being more satisfied with: pharmacy services, immunization services, diabetes services, and telehealth services. When all of the responses were considered, the three health related community services with the higher percentages of satisfaction included pharmacy services, immunization services and diagnostic services. Of those health Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 10 </li></ul>related community services that respondents knew about or used (excluding the “don’t know”, “not available”, and “no response” responses), respondents were less often satisfied with: addiction treatment centres, physiotherapy services, and meals on wheels type services. When all of the responses were considered, the three health related community services with the lower percentages of satisfaction included physiotherapy services, supportive housing, and ambulance services. Comments on mental health, drug, alcohol, and gambling addiction services related to the perceived lack of services and the long wait times. Some suggested that the ambulance service needed improvements including quicker response times. Respondents also indicated that emergency health services and general practitioners had long wait times and that there was a lack of obstetrics services for pregnant women in their area. Several respondents commented on the excellent nurse practitioner services. A common response regarding the health line was that they always recommended going to the emergency department. There were several comments regarding home support services including the fact that there were not enough workers, the criteria for eligibility was too stringent and that workers required more training. Many also commented that there were not enough supportive housing services or long term care services. Services to the elderly and disabled were also lacking. Respondents indicated that the physiotherapy service had a long wait time. Respondents indicated that there was no choice of where to receive dental health or vision services in their communities. When respondents were given the opportunity to comment on other health related services, some comments included;  Services in communities are limited Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 11 </li></ul> There needs to be more flexible scheduling of appointments for mammography  More information on drug use for youth  Physical access to the hospital at night is an issue.  Seniors housing  Enhanced wound care services  Traveling clinics, specifically for obstetrics and gynaecology The majority of respondents commented that the long wait times, lack of services, travel, geography and cost were barriers to access services. Table 2: Percent Satisfied with Health Related Community Services Health related Community Services <ul style="display: flex;"><li style="flex:1">Yes </li><li style="flex:1">No </li></ul>Don’t know <ul style="display: flex;"><li style="flex:1">Not </li><li style="flex:1">No </li></ul>available response 27.4% 24.2% 45.3% (26) (23) (43) 21.1% 15.8% 61.1% (20) (15) (58) 15.8% 17.9% 64.2% (15) (17) (61) 15.8% 18.9% 63.2% (15) (18) (60) 14.7% 16.8% 66.3% (14) (16) (63) 2.1% 13.7% 18.9% (2) (13) (18) 24.2% 16.8% 51.6% 3.2% 1. Mental health services (3) 2.1% (2) 2. Addiction services 2.1% (2) 3. Drug addiction services 4. Alcohol addiction services 5. Gambling addiction services 6. Addiction treatment centres 7. Counselling services 8. Family planning 2.1% (2) 2.1% (2) 65.3% (62) 7.4% <ul style="display: flex;"><li style="flex:1">(7) </li><li style="flex:1">(23) </li></ul>30.5% 5.3% (29) (5) 24.2% 4.2% (23) (4) <ul style="display: flex;"><li style="flex:1">(16) </li><li style="flex:1">(49) </li></ul>57.9% (55) 5.3% (5) 1.1% (1) 67.4% (64) 4.2% (4) 9. Sex education <ul style="display: flex;"><li style="flex:1">56.8% 26.3% 11.6% </li><li style="flex:1">5.3% </li></ul>(5) 10. Ambulance services <ul style="display: flex;"><li style="flex:1">(54) </li><li style="flex:1">(25) </li><li style="flex:1">(11) </li></ul>11. Emergency health services 70.5% 21.1% (67) (20) 7.4% (7) 1.1% (1) Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 12 </li></ul>41.1% 16.8% 40.0% (39) (16) (38) 64.2% 13.7% 22.1% (61) (13) (21) 45.3% 13.7% 36.8% (43) (13) (35) 37.9% 27.4% 26.3% 2.1% (2) 12. Income support services 13. Home support services 14. Respite care services 4.2% (4) 8.4% (8) 15. Supportive housing (e.g. personal alternate family care) (36) 51.6% 16.8% 29.5% (49) (16) (28) 23.2% 16.8% 58.9% <ul style="display: flex;"><li style="flex:1">(26) </li><li style="flex:1">(25) </li></ul>2.1% (2) 16. Long term care 1.1% (1) 17. Services for pregnant women 18. Services for new mothers/babies (22) 32.6% 7.4% (31) (7) <ul style="display: flex;"><li style="flex:1">(16) </li><li style="flex:1">(56) </li></ul>57.9% (55) 2.1% (2) 38.9% 9.5% (37) (9) 48.4% (46) 3.2% (3) 19. Services for seniors (e.g. foot care) 20. Services for people with chronic diseases (disease longer than 3 months for example, asthma, diabetes, cancer <ul style="display: flex;"><li style="flex:1">34.7% 25.3% 36.8% </li><li style="flex:1">3.2% </li></ul><ul style="display: flex;"><li style="flex:1">(3) </li><li style="flex:1">(33) </li></ul>26.3% 9.5% (25) (9) <ul style="display: flex;"><li style="flex:1">(24) </li><li style="flex:1">(35) </li></ul>60.0% (57) 3.2% (3) 1.1% (1) 21. Wellness/Illness prevention 22. Services for people with disabilities 41.1% 18.9% 37.9% (39) (18) (36) 13.7% 10.5% 68.4% (13) (10) (65) 26.3% 34.7% 37.9% (25) (33) (36) 15.8% 12.6% 65.3% 2.1% (2) 7.4% (7) 23. Rehabilitation services 24. Physiotherapy services 1.1% (1) 25. Services for victims of physical or sexual abuse 6.3% <ul style="display: flex;"><li style="flex:1">(6) </li><li style="flex:1">(15) </li><li style="flex:1">(12) </li><li style="flex:1">(62) </li></ul><ul style="display: flex;"><li style="flex:1">38.9% 6.3% </li><li style="flex:1">34.7% </li></ul>(33) 20.0% (19) 78.9% (75) 5.3% (5) 26. Adult day programs (37) 4.2% (4) (6) 5.3% (5) 11.6% (11) 27. Meals on wheels type services 28. Dental health services 29. Health inspection services 63.2% 23.2% (60) (22) 25.3% 6.3% (24) (6) 97.9% 1.1% (93) (1) 87.4% 1.1% (83) (1) 8.4% (8) 67.4% (64) 1.1% (1) 1.1% (1) 30. Pharmacy services 31. Immunization services 11.6% (11) Community Health Needs and Resources Assessment <ul style="display: flex;"><li style="flex:1">Port aux Basques/ Burgeo Area </li><li style="flex:1">Page 13 </li></ul>

A Community Needs and Resources Assessment for the Port Aux Basques and Burgeo Areas

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