2014 A picture of our health Community Health Assessment Intro Intro Intro Intro Acknowledgements The work of the Community Health Assessment (CHA) in Southern Health-Santé Sud is very much an ongoing process. Although the statistics are compiled into one report, there was a lot of work that happened behind the scenes in preparation for the five-year comprehensive report. Choosing the indicators was a provincial collaboration with members of the Community Health Assessment Network (CHAN), with careful consideration to ensure that they are robust and measureable over time. While this is fourth cycle for CHA in Manitoba, it really is the first report for Southern Health-Santé Sud. Within Southern Health-Santé Sud, the CHA working group is a sub-committee of the Decision Support Team. The goal of the team was to produce a report which is both informative and inspirational for many years to come. In addition to our team, this process would not be successful without the generous support and leadership of our CEO, Kathy McPhail. CHA working group: (from left to right) Trish Braun, Ales Morga, Dr. First and foremost, sincere appreciation is extended to the Shelley Buchan, Jane Curtis, Shawna Moodie, Claudette Lahaie Board of Directors for Southern Health-Santé Sud who have Missing: Dr Anna Johnston, Cynthia Carr been fully engaged and committed to the entire CHA process. The team also hopes that your involvement with CHA has been valuable in preparation for the Strategic Planning process. We no longer live in a time where data shortage is an issue. Although we are always striving to fill in gaps, the amount of population health information available in our province is impressive. Thank you to the Senior Leadership Team and Regional Leadership Team for your insight. Your feedback has really helped to shape the CHA key themes for our region. The generous cooperation of regional residents is gratefully acknowledged. The team would like to express gratitude to those that have participated and contributed to the CHA process. Statistics alone cannot paint a true picture of health. Your willingness to engage with the Regional Health Authority helps to make information real and relevant. Special thanks, to the Corporate Communications staff for the beautiful design and formatting of this report. Finally, we would like to thank all the staff at the Acute Tertiary and Specialty Care Branch and Health Information Management at Manitoba Health Healthy Living and Seniors for your continued support and guidance with the CHA process in Manitoba. As well, thanks to all the researchers at the Manitoba Centre for Health Policy and CancerCare Manitoba for providing the data and statistical support to our region. We are truly blessed to have such commitment and dedication in Manitoba. If you wish to provide feedback to the report, please email: [email protected] Introduction| page i Intro Dedication This report is dedicated to the memory of Dr. Patricia Martens, who was a passionate and dedicated researcher and Director of the Manitoba Centre for Health Policy. Pat was also very proud to live in the rural region of Southern Health-Santé Sud. She opened her heart and home to the community of Kleefeld. Wherever she went, Pat spoke with gratitude for the care she received by all the care providers who were involved in her care as she battled cancer. As a trailblazer, Pat has greatly impacted the CHA process through her wisdom and expertise. As a friend and colleague she is sadly missed, but as our teacher her legacy lives on forever. We will always remember to think upstream and remember to “shift and squish” so that all residents of the region will have equitable access to health care. Introduction| page ii Intro Table of Contents Page Acknowledgements........................................................................................................................... i Dedication.......................................................................................................................................... ii About the Assessment....................................................................................................................... ix CHA in Manitoba........................................................................................................................ ix CHA Indicators........................................................................................................................... x Health Equity............................................................................................................................. xi Data Limitations......................................................................................................................... xii Executive Summary........................................................................................................................... xiv Key Themes................................................................................................................................ xiv Chapter 1 – Overview of Region........................................................................................................ 1 1.1 Vision, Mission, and Values................................................................................................. 2 1.2 Board ENDs.......................................................................................................................... 2 1.3 Map...................................................................................................................................... 3 1.4 List of Municipalities and Districts....................................................................................... 4 1.5 List of Programs and Services.............................................................................................. 5 1.6 About the Region “A Picture of our Health”........................................................................ 6 Chapter 2 – The People of Southern Health–Santé Sud................................................................... 9 2.1 Chapter Highlights............................................................................................................... 12 2.2 Population............................................................................................................................ 13 Population 2014................................................................................................................ 13 Population Growth........................................................................................................... 16 Age Group Comparisons................................................................................................... 17 District Population Changes.............................................................................................. 18 Population Growth........................................................................................................... 20 Population Density............................................................................................................ 21 2.3 Aboriginal Population.......................................................................................................... 22 Aboriginal Identity............................................................................................................ 23 Younger Population.......................................................................................................... 25 Growing Fast..................................................................................................................... 25 2.4 Immigration......................................................................................................................... 26 Citizenship......................................................................................................................... 26 Immigrant Status.............................................................................................................. 26 Introduction| page iii Intro Recent Immigration by Place of Birth............................................................................... 27 2.5 Language.............................................................................................................................. 29 Language Spoken Most Often at Home............................................................................ 29 2.6 Family Structure................................................................................................................... 30 Marital Status.................................................................................................................... 30 Lone Parent Families......................................................................................................... 31 2.7 Education............................................................................................................................. 31 2.8 Income................................................................................................................................. 33 Median Individual and Household Income....................................................................... 33 After-Tax Low-Income Measure (LIM-AT)......................................................................... 34 Socioeconomic Factor Index (SEFI)................................................................................... 35 2.9 Employment........................................................................................................................