Released REGIONAL PUBLIC HEALTH Under ANNUAL REPORT FOR THE TheMIN ISTRY OF HEALTH 1 July 2017 – 30 June 2018 Official Contract: 353575 Provider: 102501 Information Act 1982 CONTENTS Introduction ............................................................................................................................................ 3 ReleasedAction Plan reports 1.3: Building healthy social environments .............................................................................................. 7 1.5: Promote the health of refugees (includes Schedules B and C) ...................................................... 10 1.6: Work with schools to identify and address health needs (not MoH contract) ............................. 12 1.7: Improving vision and hearing (not MoH contract) ........................................................................ 12 1.8: SupportUnder for Work and Income clients to improve their health outcomes (not MoH contract) .... 13 2.1: Smokefree Nation 2025 ................................................................................................................. 13 3.1: Nutrition and physical activity ....................................................................................................... 16 4.1: Alcohol and other drugs ................................................................................................................. 21 4.2: CAYAD (non-core MoH contract)The ................................ ................................................................... 25 5.1: Communicable diseases ................................................................................................................. 26 5.2: Promote and facilitate immunisation ............................................................................................ 36 5.3: Deliver Year 7 and 8 Boostrix and GardasilOfficial vaccination programmes (not MoH contract) ........... 37 5.5: Sexual health promotion ............................................................................................................... 37 5.6: Deliver neonatal BCG vaccination (not MoH contract).................................................................. 38 6.1 Minimise environmental hazards promote safe drinking water sustainable resource management ................................................................................................Information....................................................... 39 6.2: Promote safe and healthy urban environments ............................................................................ 57 6.4: Health Promoting Schools (non-core MoH contract) .................................................................... 59 6.6: Border health and response to emergency events........................................................................ 59 7.1: Business support ............................................................................................................................ 65 7.2: Maori action plan ........................................................................................................................... 66 7.4: Public health infrastructure ........................................................................................................... 68 7.6: Public health analytical services ................................................................................................Act.... 69 7.8: Communications support and health information dissemination ................................................. 70 7.9: Central region public health advice (Schedule D) .......................................................................... 711982 Financial summary ................................................................................................................................ 74 INTRODUCTION On behalf of Regional Public Health (RPH) I am pleased to present this report on our activities funded by the Ministry of Health for the past year. It documents RPH’s progress using the measures Releasedagreed in our Annual Business Plan under our core contract with the Ministry of Health. It should be noted that reporting for activities that are funded from contracts other than the core public health contract, are not included. Highlights from January to June 2018 have been included, with reference to the full year, as well as comments on relevant issues, challenges and risks. During this Underreporting period RPH undertook an organisational change process in response to the changes around us with an eye to the future and returning RPH to a viable, fiscally neutral population health influencer and provider for the greater Wellington region. I believe that overall RPH has met the requirements of the contract and has performed commendably in the period 1The July 2017 to 30 June 2018. Peter Gush Service Manager Official Information Act 1982 Contract: 353575 Provider: 102501 Regional Public Health annual report for Ministry of Health 1 July 2017 – 30 June 2018 Page 3 HOW THE REPORT IS STRUCTURED Our services are grouped into action plans made up of a set of related activities. For the purposes of aligning with the terminology used in the Ministry’s planning and reporting guidelines for 2017- Released2018, an action plan is a ‘service grouping/programme.’ For a summary description of each action plan, refer to the RPH 2017-2018 Annual Plan (www.rph.org.nz/about-us/our-publications/). We are working towards understanding and following the Ministry’s direction for planning and reporting of public health services using an approach based on Results Based Accountability (RBA). The Ministry’s approach to RBA, focuses an annual report on measuring an organisation’s annual ‘provider performance.’ It is not focused on measuring the attributable contribution to ‘higher level’, population health outcomes. Identifying and agreeing practicable and meaningful accountability measures isUnder work in progress. The activity tables include three performance accountability measures, based on RBA and the Ministry’s guidelines for PHU planning. These measures cover the three dimensions of performance accountability: How many did we do?The (quantity of effort): # (number) How well did we do it? (quality of effort): % (percentage) Is anyone better off? (quantity and quality of effect): # and %. Official From the Ministry’s guidelines: “ ’Is anyone better off’ equates to ‘client outcomes’. ‘Client’ in Public Health means ‘the people, organisations, settings, partners who engage with or receive benefit/services from working with a public health service provider’.” Four categories are required to identify the direct/indirect ‘client’ outcome or ‘effect’ of the activities provided – i.e. ‘is anyone better off’: Information SK: change in skills/ knowledge AO: change in attitude/opinion BC: behavioural change CC: circumstance change Also required is: S: subjective data O: objective data Act 1982 Contract: 353575 Provider: 102501 Regional Public Health annual report for Ministry of Health 1 July 2017 – 30 June 2018 Page 4 Table 1. MoH core contract issues mapped to MoH core contract activities MOH ISSUE ACTION PLAN ACTIVITIES Alcohol and other drugs 4.1 1-7 Communicable disease 5.1 1-8 Released 5.2 5 Mental health 1.3 2,3 Nutrition and physical activity 3.1 1-8 Physical environments 1.3 4,6 6.1 1-21 6.2 1,2 Under 6.6 1-5 Generic/Public health infrastructure 7.4 1-4 7.6 1,2 7.8 1-3 Sexual and reproductive health 5.5 1-3 Social environments The 1.3 1,5,7,8 Tobacco control 2.1 1-3 Schedules B and C: Refugee and other asylum seekers 1.5 1-5 Schedule D: Central region public health adviceOfficial 7.9 1-5 Table 2. Core public health functions mapped to MoH core contract activities CORE PUBLIC HEALTH FUNCTION ACTION PLAN ACTIVITIES Health Assessment and Surveillance 4.1 3,4,7 Public Health Capacity Development Information1.5 2,5 5.1 5 7.4 1-4 7.6 1,2 7.8 1,2,3 Health Promotion 1.3 1-9 1.5 1,4 2.1 2-4 Act 3.1 1-8 4.1 5,6 5.5 1-3 1982 6.2 1,2 Health Protection 1.5 3 2.1 1 4.1 1,2 5.1 1-4,6-8 5.2 5 Contract: 353575 Provider: 102501 Regional Public Health annual report for Ministry of Health 1 July 2017 – 30 June 2018 Page 5 CORE PUBLIC HEALTH FUNCTION ACTION PLAN ACTIVITIES 6.1 1-21 6.6 1-5 Preventive Interventions - - Released Table 3. MoH non-core contracts mapped to action plans and activities CONTRACT ACTION PLAN ACTIVITIES Community Action on Youth and Drugs (CAYAD) 4.2 1-4 Drinking Water Assistance Programme Facilitation 6.1 5 Health Promoting Schools 6.4 1 Public HealthUnder Clinical Network Secretariat 8.1 1 Table 4. DHB contracts mapped to action plans SERVICE WDHB HVDHB CCDHB ACTION PLAN Porirua Mobile Ear Nursing Service 1.7 Primary Healthcare Nursing InnovationThe – Public Health 1.8 Nurse in WINZ, Porirua DHB NIR Administration Services 5.2 Outreach Immunisation Coordination Official 5.2 Public Health Nurse - Healthy Housing 6.2 Hutt Valley DHB Tobacco Control 2.1 Wairarapa DHB Tobacco Control 2.1 BCG Nurse Services 5.6 Healthy Housing Programme Information 6.2 HPV and Boostrix Immunisation Programme 5.3 Vision and Hearing Technicians 1.7 School Based Public Health Nursing 1.6 Table 5. Other contracts mapped to action plans OTHER CONTRACTS ACTION PLAN Central Region Registrar Supervision 8.1 MidCentral Medical Officer of Health Act8.1 Table 6. Action plans across all contracts 1982 ACROSS ALL CONTRACTS ACTION PLAN Business support 7.1 Māori action plan 7.2 Contract: 353575 Provider: 102501 Regional Public Health annual report for