Western Victoria Primary Health Network Needs Assessment 2018 Western Victoria PHN Regional Map Page 2 of 104 Contents Western Victoria Primary Health Network ............................................................................. 1 Western Victoria PHN Regional Map .................................................................................... 2 Contents ............................................................................................................................... 3 Section 1 – Narrative............................................................................................................. 7 Needs Assessment process and issues ......................................................................... 7 Additional Data Needs and Gaps ................................................................................... 9 Additional comments or feedback ................................................................................. 11 Section 2 – Outcomes of the health needs analysis ............................................................ 12 General Population Health ............................................................................................ 12 Population health – chronic conditions......................................................................... 12 Population health – chronic conditions, diabetes .......................................................... 13 Population health – cellulitis ......................................................................................... 14 Population health – iron deficiency anaemia ................................................................ 14 Population health – urinary tract infections, including pyelonephritis ............................ 14 Population health – chronic conditions, chronic obstructive pulmonary disease .......... 15 Population health – influenza and pneumonia ............................................................. 16 Population health – accidental falls .............................................................................. 16 Population health – chronic conditions, musculoskeletal disease ................................ 16 Population health – chronic conditions, asthma ........................................................... 18 Population health – chronic conditions, circulatory system disease ............................. 18 Population health – health behaviours and risk factors, smoking................................. 20 Population health – health behaviours and risk factors, physical activity ...................... 21 Population health – health behaviours and risk factors, fruit and vegetable consumption .................................................................................................................................... 21 Population health – health behaviours and risk factors, sugar-sweetened soft drinks .. 22 Population health – health behaviours and risk factors, alcohol ................................... 22 Population health – health behaviours and risk factors, overweight/obesity ................ 22 Population health – health behaviours and risk factors, high blood pressure ................ 24 Population health – social determinants of health ........................................................ 24 Population health – social determinants of health, Index of Relative Socioeconomic Disadvantage ............................................................................................................... 25 Population health – social determinants of health, unemployment ............................... 25 Population health – social determinants of health, children assessed as developmentally vulnerable .................................................................................................................... 26 Population health – social determinants of health, expenditure on electronic gaming machines ..................................................................................................................... 26 Population health – social determinants of health, belonging and social connectedness .................................................................................................................................... 27 Population health – social determinants of health, family incidents .............................. 27 Population health – health literacy ............................................................................... 28 Population health – cancer ........................................................................................... 28 Page 3 of 104 Population health – ageing population ......................................................................... 30 Population health – oral health ..................................................................................... 30 Maternal and child health – smoking during pregnancy ................................................ 31 Maternal and child health – low birthweight babies ...................................................... 32 Maternal and child health – antennal visits in the first trimester .................................... 32 Child and maternal health – infant and young child mortality rates ............................... 32 Population health – life expectancy .............................................................................. 33 Population health – participation in the National Bowel Cancer Screening Program .... 33 Population health – participation in BreastScreen Australia program ........................... 34 Population health – participation in the National Cervical Screening Program .............. 34 Mental health – prevalence of mental health conditions and psychological distress ..... 34 Population health – dementia and Alzheimer’s disease ............................................... 34 Population health – childhood immunisation rates ....................................................... 35 Population health – human papillomavirus immunisation rates .................................... 36 Population health – persons with a disability ................................................................ 36 Population health – eye health ..................................................................................... 37 Primary Mental Health Care (including Suicide Prevention) ...................................... 39 Mental health as a community issue ............................................................................ 39 Prevalence of psychological distress............................................................................ 39 Prevalence of anxiety and depression .......................................................................... 40 Mental Health and social determinants ........................................................................ 41 Children and youth ....................................................................................................... 42 Risk of poor mental health outcomes for rural and remote, under-serviced and/or hard to reach groups ................................................................................................................ 43 People with severe and complex mental illness ........................................................... 45 Suicide ......................................................................................................................... 46 Comorbidity - alcohol and other drug ........................................................................... 47 Comorbidity - Long-term health conditions in people with mental illness ...................... 47 Alcohol and Other Drug Needs ..................................................................................... 49 Substance misuse within the Western Victoria PHN region. ......................................... 49 Substance misuse resulting in harm and violence. ....................................................... 52 Comorbidity .................................................................................................................. 54 Hard to reach populations are at increased risk of substance misuse. ......................... 56 Indigenous Health (including Indigenous chronic disease) ....................................... 58 Social determinants of health ....................................................................................... 58 Self-rated health .......................................................................................................... 58 Childhood immunisation rates ...................................................................................... 59 Long-term conditions ................................................................................................... 59 Chronic conditions, asthma .......................................................................................... 59 Maternal and child health– smoking during pregnancy ................................................. 60 Maternal and child health– low birthweight babies ....................................................... 60 Maternal and child health– antenatal visits in the first trimester .................................... 60 Smoking ....................................................................................................................... 60 Page 4 of 104 Alcohol and Other Drug use ......................................................................................... 61 Prevalence of mental health conditions .......................................................................