REV ISED REGIONAL PUBLIC HEALTH PLAN District Council of Ceduna, District Council of Streaky Bay, District Council of Elliston and Wudinna District Council Revised Regional Public Health Plan pursuant to section 51(19) of the SA Public Health Act 2011 following a 5 yearly review undertaken by the partner Councils of the initial Regional Public Health Plan issued 10 March 2015. Date: 31 March 2021 Regional Public Health Plan Review-2020 1 Table of Contents 1. Western Upper Eyre – Planning for a Healthy Region ............................................................. 3 2. Plan Scope – Council functions and Impacts to Public Health .................................................. 3 2.1 Planning for a healthy population........................................................................................... 3 2.2 Strengthening the Role of Councils ......................................................................................... 3 3. Planning Principles ................................................................................................................ 4 4. Review of the Plan ................................................................................................................ 4 5. The Regional State of Health ................................................................................................. 5 6. The Region ........................................................................................................................... 7 6.1 Regional Profile ......................................................................................................................... 7 6.2 The Population ........................................................................................................................ 9 7. Population Health Status .................................................................................................... 12 7.1 Personal Health and Well-being ........................................................................................... 12 7.2 Stakeholder Priorities for Personal Health and Well-being .................................................. 14 8. Socio-economic and Environmental Determinants of Health ................................................ 15 8.1 Stakeholder Priorities for Socio-economic and Environmental Determinants of Health ..... 22 9. Strategic Plan for Public Health ........................................................................................... 23 10. Governance and Implementation ........................................................................................ 29 11. References.......................................................................................................................... 29 12. Abbreviations and acronyms ............................................................................................... 30 Regional Public Health Plan Review-2020 2 1. Western Upper Eyre – Planning for a Healthy Region Good health and positive wellbeing are essential for any thriving community. Everyday life is improved by public health systems and services that support a clean, safe and healthy environment. In order to develop a sustainable health system for the future, we need to reduce the burden of disease and associated costs to our community by focusing on protecting and promoting health and wellbeing and preventing illness. 1 The District Council of Ceduna, District Council of Streaky Bay, District Council of Elliston and Wudinna District Council with Healthy Environs Pty Ltd issued their first Regional Public Health Plan 10th of March 2015 and continued to work collaboratively to perform its first 5 yearly review. The Public Health and Community Wellbeing of the Western Upper Eyre and West Coast Region 2 is supported through the efforts of a range of government sectors, non-government organisation, schools and local community groups. This plan also recognises where Council has a support, advocacy or promotion role for initiatives primarily managed by other sectors within the community. 2. Plan Scope – Council functions and Impacts to Public Health 2.1 Planning for a healthy population A healthy, liveable and connected community for all South Australians 3 The plan seeks to uphold and align strategies within the councils` sphere of influence to accomplish the vision of the State Public Health Plan (2019-2024) for our region2. The scope of our Regional Public Health Plan remains to promote health and well-being through the physical and social environment within the realm of Councils` sphere of influence. This revised plan has regard to strategic priorities outlined by the State Public Health Plan (2019-2024) to embrace the vision of “a healthy, liveable and connected community for all South Australians”. • Promote- Build stronger communities and healthier environments. • Protect – Protect against public and environmental health risks and respond to climate change. • Prevent – Prevent chronic disease, communicable disease and injury. • Progress – Strengthen the systems that support public health and well-being 2.2 Strengthening the Role of Councils Referencing the State Public Health Plan (2019-2024); Councils as part of their first Regional Public Health Plan consistently focus on key determinants of health including built and natural environments, social cohesion and inclusion, social protection, climate change, food and water safety and security, economic development and local employment, education and learning, crime and safety and the cultural determinants of health.1 A continued focussed effort across all government sectors, non-government agencies and community groups is key for ongoing support of our community well-being in the region. 1 State Public health Plan (2019-2024) 2 Region indicate the District Councils of Ceduna, Elliston, Streaky Bay and Wudinna District Council 3 Vision – State Public health Plan (2019-2024) Regional Public Health Plan Review-2020 3 3. Planning Principles In its pursuit to promote and to provide for the protection of the health of the public of South Australia and to reduce the incidence of preventable illness, injury and disability; the South Australian Public Health Act 2011 (the Act) recognises principles further its objectives. Table 1 – Principles to be recognised pursuant to SA Public Health Act 2011 Principle Our Approach Precautionary We will adopt a precautionary approach to managing public health risks. Proportionate regulation Our regulatory measures take into account impacts on business and members of the community whilst ensuring requirements to protect and promote public health are met. Sustainability Our focus is on the promotion of regional social, economic and environmental sustainability to support good health. Prevention We will support pro-active intervention to prevent health conditions in the community. Population focus The focus of this plan is on the broader public health of the population, with a consideration of vulnerable groups in the region. Participation Communities will be encouraged to take responsibility for their own health and engage with the different government and non-government agencies. Partnership We recognise that addressing health priorities for the region requires involvement across a range of sectors and stakeholders. Equity We will consider the health disparities between groups within our community. Our focus will be to support equitable benefits and services across the regional population. 4. Review of the Plan Pursuant to section 51(19) of the Act, a 5 yearly review is required following the issue of our Regional Public Health Plan in 2015. A review framework4 was developed during September 2019 in accordance with the SA Health and LGA Guidelines. The Guidelines provide the framework for the required review process and outlined the following: • Provide a summary; • Affirm council representation; • Outline review deliverables; and • Review process Regional Public Health Plan Review-2020 4 In summary the review process considered the following areas (Figure 1). Figure 1 Review Framework Consultation on a revised plan Amendments to the plan requires consultation steps prescribed by the Act in addition to any relevant Council policies on consultation. The review process itself is not required to be submitted to external parties as per SA Health/LGA guidelines. The flowchart below (Figure 2) depicts the formal requirements to consult providing an opportunity for communication about strategic alignments and policy directions relevant to the renewed RPHP. Source: SA Health Factsheet (Figure 2) 5. The Regional State of Health Referencing our State Public Health Plan (2019-2024); many South Australians enjoy a high standard of living, live in safe neighbourhoods, have stable employment, secure housing, are well educated and have easy access to services; like schools, transport, health and social Regional Public Health Plan Review-2020 5 services. These social determinants of health contribute to improved health and wellbeing, however 4: • on every measure of social determinants, Indigenous people have lower levels of health. Additionally, they have higher rates of the risk factors that contribute to chronic diseases like type 2 diabetes, heart disease and some cancers, as well as poorer access to health services. Overall, Indigenous people have higher rates of disease and shorter life expectancy 5; • South Australians living in rural and remote areas, have higher rates of chronic conditions and have poorer physical