Influences on health

1
Influences on health

• Examples
• Access to employment
• Access to education
• Housing
• Health, social and community infrastructure

2
Health inequalities

• Ensuring equity is about
• moving beyond equity of access to
• ensuring equity of opportunity and
• measuring equity of outcomes.

3
Equity triangle lens
4
Our goal
Challenges us to go further and extend the equity
focus
Achievable, Realistic, Possible
5
Equity of access

• Cost
• Culturally appropriate service delivery
• Physical barriers

6
Equity of access

• 1.1 Is there a cost in participating?
• Walking shoes is there a budget for this? What
  shoes are suggested? Where could you get these at
  low cost?
• 1.3 1.4 Access to childcare or respite care?
• Need to build partnerships with occasional
  childcare and respite service

7
Equity of access

• 2.1 In what ways will the focus population be
  involved in planning, delivery, participation and
  evaluation of the work?
• Never too late to hold a focus group and get
  ideas from the participants or invite group
  members on to the project steering committee
• 2.11 How are new arrival communities engaged and
  level of worker awareness of these populations?
• One group will encourage Somali women (gender
  cultural issues acknowledged) but what is
  important to these women? Eg. Shopping/dietary
  needs, perceptions of safety, etc??

8
Equity of access

• 3.1 Are venue layout and scheduled times of
  activities physically accessible?
• Yes for Greensborough Plaza, but how do people
  get there?
• 3.5 Have transport routes been mapped?
• Probably needs to be done for Greensborough
  Plaza group and possible link to community
  transport?

9
Equity of opportunity

• Employment/income opportunities
• Reflect on local place barriers and enablers
• Social influences linking/bridging capital and
  contact hypothesis

10
Equity of opportunity

• 4.5 Is there a high outlet density of places that
  sell tobacco, alcohol and fast food? Is there
  local access to fresh fruit and vegetables?
• Greensborough encouragement not to use fast
  food places as social opportunities/walking
  destinations
• Heidelberg safe walking and practical routes
  from homes to fruit and veg/grocery outlets

11
Equity of opportunity

• 5.1 Does the project offer opportunities for
  participants to improve their own reading,
  numeracy and other skills?
• Invite adult education onto project steering
  group invite English tutor on to walk
  audit/discuss (eg. Deb from Preston)
• 5.6 Are their ways the project can reduce the
  current income participants would spend?
• Seems a possibility with Greensborough Plaza
  end with a catalogue review or walk on a day when
  theres regular grocery bargains

12
Equity of opportunity

• 5.3 Does the project develop skills that increase
  the opportunities for participants to access
  education and employment opportunities?
• 5.8 Are there longer-term opportunities to hire
  project participants?
• Invite adult education onto project steering
  group Focus on volunteer leaders could training
  be modelled on units of Frontline Mngt, Workplace
  Training or other?
• Are there future employment opps in Community
  development with NR, BCHS or Council?

13
Equity of impact and outcome

• Going beyond throughput measures
• WHO is using your services/programs?
• Can this be built into KPIs/contractual
  arrangements?

14
Equity of impact and outcome

• 7.1 Are statistics collected and used in
  planning..?
• Do volunteer leaders fill out a tally sheet each
  week? Are these looked over by the project
  steering group to monitor participation?
• 7.4 How will the program show ongoing benefits
  for participants and maintain community and
  partner commitment?
• Aim is for groups to be sustainable so the
  equity lens is always relevant revisit and
  enhance on a regular basis