June 2016 | Issue 1 Community Health Needs Assessments in Action COMMUNITY Leading Under one roof Cooking can Lending a hand 2 the way 8 Creating opportunity 13 be ‘Cool’ 17 Helping you Horizon Health and innovation The Oromocto get around in Network is helping in downtown area is gaining a Petitcodiac, communities be Fredericton fresh perspective on Salisbury, Elgin healthy healthy eating and Havelock Photo: Fredericton Tourism Horizon Health Network is CEO Message driven by its mission... Simply by picking up this publication Helping People you have expressed an interest in the health of your community. It looks like Be Healthy we have something in common. What you are reading today is not just Good health lies at the heart of another report. This is the fruit of our our daily quality of life. It is what labour. In the following pages you will all New Brunswickers want for learn about the challenges and the successes themselves and those they love. that our communities face while working Helping New Brunswickers be to improve the health of the people who live as healthy as they can be is the there. shared purpose that motivates all those who work at Horizon on You will be inspired by the work being done in the Fredericton Area, a daily basis. To achieve the best Oromocto Area and in Petitcodiac, Salisbury, Elgin and Havelock, results, Horizon puts patients following the completion of their Community Health Needs Assessment and clients at the centre of the (CHNA). CHNAs are conducted to help identify the unique strengths health delivery system with and needs in a community, and provide recommendations to improve a vision of delivering the health and wellness of its population. “Exceptional care. Every person. We will share some achievements from these three communities to Every day.” demonstrate to you how their hard work pays off for all of us. We want to get communities talking about this work, to understand that these Each New Brunswick community CHNA reports have not been shelved. To the contrary, they have been served by Horizon is unique. acted upon with passion at a community level. Our next publication will Working with key community partners, clinicians and other focus on successes from other areas, because there are more. stakeholders, progress has been To improve overall health, communities are taking action to address the made to identify and address many factors that influence it, including: health behaviours, social and their specific needs. This is an economic factors, the physical environment and health services. intentional effort initiated by So let us share more about how our communities are taking the lead Horizon to significantly improve to improve the lives of their residents. I can tell you the progress is community-based primary care, encouraging. and support expensive tertiary services required by John McGarry, President and CEO an aging population. 2 Horizon Health Network Fredericton and Table of 6 Surrounding Area Partnerships pay off for Community Health Centre, Contents vulnerable population in downtown Fredericton Oromocto and 10Surrounding Area Social worker takes community-wide approach to helping those in need Changes occurring in culture surrounding obesity Community Health Needs 14 Assessments in Action COMMUNITY Petitcodiac, Salisbury, June 2016 | Issue 1 Elgin and Havelock Contributors: Food-related projects adding value • Karen Scott • Christy English to communities in southeastern NB Creative lead: Rural Rides: A success story for • Sheena Dougan residents without other options Resources: • Jean Daigle • Bruce MacPherson • Allison Holland • Gabrielle Levesque • Janet Hogan Cover credits: • Photos submitted by: Fredericton Tourism, Town of Oromocto, W.I. Goddard & Sons Ltd. Printing: • Advocate Printing The following CHNA Summary documents were used as resources for this publication: • Oromocto And Surrounding Area Health And Well-Being Needs Assessment, 2011 • Fredericton & Surrounding Area Community Health and Well-Being Needs Assessment, 2012 • Community Health Needs Assessment: Petitcodiac, Salisbury and Surrounding 18 Area, 2014 Message from Jean Daigle Vice President Community for Horizon Health Network www.HorizonNB.ca 3 Health care today A well-designed health system With our province’s aging unique needs of the people in each should feature both strong population, southern migration, community. centres of hospital-based care and and shift from rural to urban The good news is that work appropriate community-based care living, health care as we know it is is underway. Horizon Health “close to home” for New Brunswick changing. Government and non- Network (Horizon) is working in residents. It’s a system that would government organizations and partnership with communities to ensure every New Brunswicker has communities alike are looking for provide better preventive, primary, access to the services they need to be ways to deliver care in a way that long-term and palliative care to as healthy as they can be. does a better job of meeting the everyone that lives there. Community Health Needs Assessments Since 2012, Horizon has been address the other 90%. The CHNA Table 1: Determinants of Health working with communities to gain a process provides an opportunity as categorized by the Public Health Agency of Canada better understanding of their health to get everyone around the table care needs using Community Health to look at all areas that are known Needs Assessments (CHNA). A to impact our health - health 1 Income and Social Status CHNA is a dynamic and ongoing determinants (Table 1). 2 Social Support Networks process that identifies the unique CHNAs help identify priority 3 Education and Literacy strengths and needs of a community. areas in the community that This information provides both need attention and support the Employment and 4 Horizon and the communities with development of action plans to Working Conditions a roadmap to achieving a common address them. This work influences 5 Social Environment goal: to improve the overall health of programming that better serves New Brunswick communities. the population and often supports 6 Physical Environment Have you ever considered how the efforts of primary health care Personal Health Practices 7 housing or access to transportation providers like family physicians, and Coping Skills might affect the health of an nurse practitioners and pharmacists. Healthy Child individual? You may not know it, 8 Nobody knows a community better Development but measuring community health than the people that live there. This Biology and Genetic goes far beyond studying rates of 9 work to address priority areas is Endowment disease and the availability of health being driven by a local committee care services. Health services account that is passionate about the well- 10 Health Services for only 10% of what influences our being of the community. With 11 Gender health (see pie chart), which is why support from Horizon and other Horizon is working with individuals stakeholders, they are advocating for 12 Culture and agencies at a community level to your health. What influences our health? 40% Health Behaviours 40% Social & Economic Factors 10% Physical Environment 10% Health 4 Services What is primary health care? Primary health care refers to an approach to health and a spectrum of services beyond Mental Primary Home Care the traditional health care system. It includes Health Health Care all services that play a part in health, such as income, housing, education, and environment. Primary care refers to health promotion, illness and injury prevention, and the diagnosis and Common treatment of illness and injury. (Health Canada) Themes Transportation Emerging Recreation 13 Community Health Needs Acute Assessments Care Access to Information, completed to date Awareness Intersectoral/ Obesity, Community Food Partnership Insecurity The province is divided into Housing Substance 33 unique communities to ensure a Poverty Abuse better perspective of regional and local differences. Community Health Needs Assessments have been completed in 13 of them. • Oromocto and • Moncton and Area Surrounding First Area Supporting Language • Fredericton and Families Nations Issues Surrounding • Grand Lake Area Area • St. Stephen, St. • Neguac Area In your community Andrews and • Miramichi Area Surrounding Knowing what is happening in your community is important. Horizon Area • Tantramar Area has collaborated with three communities that have completed CHNAs • Petitcodiac, • Central NB to let you know what they are doing to build a healthier community. Salisbury and • Albert County In the pages that follow, we will dig deeper into the specific priorities, Surrounding • Carleton challenges, and successes in the Fredericton Area, Oromocto Area and Area County in Petitcodiac, Salisbury, Elgin and Havelock. • Saint John Stay tuned for our next issue which will feature news from other Horizon communities. 5 About Fredericton and Surrounding Area Photo: Fredericton Tourism The Fredericton and Surrounding of Horizon Health Network, Area (F&SA) has been recognized municipalities and the provincial as resourceful in the way it has government. They were prioritized successfully established many ways by the original advisory committee, to deliver care. A diverse collection which has since disbanded, and of community agencies and assigned to four working groups: organizations as well as the business Primary Health Care Improvement, sector is delivering a substantial Improve Access