Download - Community Conversations Spring 2010
Community Conversations Spring 2010
Guysborough County Antigonish Town and County
Strait RichmondCommunity Health Boards
Presentation Staying Healthy Together, April 7, 2011
Planning Process
• Gathering information through community engagement
• Workshops to develop the plan
• Identify Strategic Directions and Recommendations
• Develop CHB Operational Plans
How did we engage the community?
• Community Conversations
• Understanding Our Health Survey
• Presentations from GASHA Departments and Community Agencies
• Direct links to community organizations and coalitions
• Reviewed other information and relevant reports
Community Conversations - Purpose
• Provide information and discussion on important health issues
• Identify factors affecting health
• Identify and prioritize the serious health issues
• Identify some ways to address health issues
• Identify effective communication strategies
Community Conversations
• 40 Focus Groups held across the district – 36 reports
• 344 participants
• Included geographic communities as well as specific populations: youth, young families, seniors, African Nova Scotians, Acadian/francophone and First Nation communities, the business sector, and community agencies.
Lack of Physical Activity - 50% (18/36)
For Youth, Seniors and Young Families • Access to motivational fitness and wellness leaders (ATC; SR)• Organized recreational activity in local communities (SR; ATC;
GC);• Leadership by those responsible for recreational activities (ATC);• Young people need more physical activity (ATC; SR); • Safe walking routes for seniors (ATC);• Accessible, affordable, local, and age appropriate programs and
facilities, including attention to the needs of seniors (SR);• Equipment, education, and some organized fitness programs
Introduce equipment better and at younger age (GC).
Poor Nutrition – Obesity: 78% (28/36)
• Poor nutrition, unhealthy eating, poor eating habits (ATC; SR; GC);
• Lack of awareness of healthy food choices (GC.);• Need good reliable information and knowledge of community
gardens (ATC; GC); • Easy access to junk food and convenience foods (ATC; SR); • Use of technology encourages inactivity and bad eating habits
(ATC; SR);• Lack of access to healthy food choices (GC).
Need for Prevention & Wellness: 39% (14/36)
• Need prevention and wellness activities in our communities (SR; ATC);
• Need for awareness and education about benefits of changing lifestyles (GC);
• Need more focus on relationship between physical activity and wellness (ATC).
Need for Supportive Environments: 39% (14/36)
• Need support systems and motivation to facilitate understanding that change is required (GC);
• Need support from friends, family, and extended family; for example, not giving kids unhealthy food. (GC.);
• Need to support and motivate youth (GC.);
• Need increased workplace wellness, physical activity opportunities at work, and support for employees and employers; for example a tool kit for employers (SR).
Addictions & Substance Abuse: 56% (20/36)
• Drugs, alcohol and gambling, both youth and adults (SR); • Drugs, smoking, alcohol concerning to youth (ATC); • Many adults are smoking and using drugs and alcohol (GC); • Access is easy for youth. Adults help youth get drugs, alcohol
and cigarettes (GC);• People have multiple addictions (GC);• High percentage of youth in school smoke (GC); • Smoking an issue, especially with young families (ATC); • Peer Pressure – youth want to fit in (GC); • Starting younger in usage (GC); • Lack of enforcement by police for smoking underage (GC).
Chronic Disease: 50% (18/36)
• In all three CHB areas, diabetes identified as a health issue; including, African Nova Scotians and First Nations communities.
• In the Guysborough County CHB area, cancer, and heart disease were also identified as priority health issues.
• In Antigonish County, cancer was identified as the top priority health issue by one focus group.
Factors Affecting Chronic Conditions
• Lack of physical activity
• Obesity, poor diet and lack of awareness of healthy food choices
• Mental health issues, such as stress
• Drugs, drinking and smoking
• Lack of education and information
• Access to services and transportation
• Lack of supports, programs and isolation
• Lack of motivation; people have difficulty making changes
• Economic issues, low and fixed income; high cost of healthy food and drugs
• Pollution
Mental Health – 58% (20/36)
Factors Contributing to Mental Health • Isolation and loneliness, particularly for elderly in rural
communities;• Stress and time management for students and young families; • Relationship between mental health and having a chronic
condition; • Other factors such as economic stress, relationship issues,
racism, stereotypes/stigma, low literacy, lack of physical activity, and family history.
Mental Health – 58% (21/36)
Access to Services• Lack of self awareness about mental health status and
conditions, hence the need for “mental health literacy;”• Lack of awareness about services available;• Stigma remains a barrier to accessing mental health services; • Need for more community-based programs, support and self
help groups;
First Nations Communities• Report mental health as a major health issue. Discharge
planning is of particular concern. • Memorandum of Understanding (MOU) - mental health one area
outlined for action
What We Heard from our Consultation - Access
Key challenges:
• Growing seniors population requiring supportive environments
• Homecare requires improvements
• Public transportation
• Better access to health information and services & programs
• Community-based services & programs closer to home
• Continue to improve services to communities that have been historically excluded and marginalized
• Implementation of Dr. John Ross report will require full community consultation and attention to recruitment and retention of staff.
Seniors – Supportive Environments 39% (14/36)
• Growing Aging Population
• Homecare
• Elder abuse
• Poverty
• Cost barriers to programs & services
• Lack of communication & awareness about services & programs
• Adequate, affordable housing
• Rural transportation
• Safe places for walking & physical activity
• Housing supports for snow removal, lawn mowing, etc.
• Isolation: support systems for elderly and caregivers; smaller families and people moving away.
Access to Homecare
• Gap in supportive care upon leaving hospital and returning to home (ATC);
• Cost of and access to adequate caregivers which would allow seniors to stay in own home (ATC);
• Need support systems for elderly and their caregivers (SR; ATC);
• Home care services received are very limited and need to be expanded (SR);
• Housing supports for seniors and individuals living by themselves for snow removal, lawn mowing etc. (SR).
Transportation – 58% (21/36)
Antigonish Town & County CHB area: • Affordable and accessible transportation - over ½ of focus
groups. Lack of rural transportation, especially for seniors.
Strait Richmond CHB area, • Affordable transportation – in particular lack of access to
services
Guysborough County CHB area - one of priority health issues • Lack of transportation to appointments, clinics and education
programs as well as lack of access to programs and facilities. • African Nova Scotian community of Lincolnville - lack of public
transportation major issue in accessing services and programs as many residents do not have cars.
Communication and Engagement 47% (17/36)
• More information about community programs & services in local communities (GC; SR; ATC);
• Access to health information (AC; SR; GC)
• More promotion on what to do to improve health (SR).
• Suggestions to promote programs and services: brochures in communities; information on internet and website; CAP sites to have safe health links; pamphlets available on reliable health links; promotion of the 811 service. (GC; SR; ATC);
Supportive Environments for Young Families: 28% (10/36)
• Child and parenting supports
• Child care in order to access programs
• Locally organized recreational activities
• Isolation and stress - many young mom’s are on their own – ‘single moms’ while partners are working away
• Need to keep young families in our communities through support for economic sustainability
Community-based Services/Programs 83% (30/36)
• Chronic disease programs/self help groups, support programs (ATC, GC, SR)
• Health education (ATC, GC, SR)
• Screening programs - monthly clinics (ATC, GC, SR)
• Outreach health and wellness programs (ATC, GC, SR)
• Expanded hours at existing walk-in clinic; more walk-in clinics and clinical services, youth health centres (ATC, GC, SR)
• Community gardens; good nutrition, meal preparation, healthy meal planning (ATC, GC, SR)
Health Inequities Physical & Built Environments: 22% (8/36)
Strait Richmond CHB area:• Safe drinking water; particularly well water; education about
water testing; cost for well water test can be a barrier to testing.
Guysborough County CHB: • Education and better information about well water testing and
how the test works. • Lincolnville identified insufficient water supply as one of their
priority health issues.
Strait Richmond and Antigonish Town & County CHB areas• Safe areas for walking, particularly those living in rural areas.
Health Inequities – Poverty/Income 39% (14/36)
In all three CHB areas, poverty identified as a factor affecting health and linked to a number of other factors as follows:
• Food security and ability to buy nutritious food;
• Ability to access to services due to lack of transportation, especially in rural areas;
• Adequate and affordable housing;
• Ability to access recreation opportunities;
• Ability to participate in programs due to cost barriers;
• Access to prescriptions due to costs.
What We Heard from Consultation: Youth (7 gps)
• Most common health issues: (1) mental health (2) drugs, smoking and alcohol; and (3) obesity.
• Need places for youth to gather – youth health centres & after school recreational and social activities
• Affordability & transportation in rural areas critical to engaging youth
• Need to improve physical activity levels
• Healthy eating/obesity need to be addressed
• Readiness for change to improve health and wellbeing - identified factors to help increase physical activity levels
• Reseau Sante – Nouvelle Ecosse youth focus groups similar issues
Strategic Directions
1. Strengthening & Supporting Mental Health in Our Communities
2. Implementing a Comprehensive Community-based Chronic Disease Strategy
3. Promoting & Supporting Healthy Living
4. Building Bridges to Youth Health
5. Facilitating Access to Services & Programs
6. Addressing Inequities to Improve Health
7. Promoting Communication with Communities & with GASHA
8. Enabling Health Planning & Coordination
CHB Focus Group Conclusions
• Results reinforced issues from Understanding Our Health Survey
• Multiple factors contribute to health of populations (seniors, youth, those living in poverty)
• Access and health inequities critical to address in rural areas
• Need to consider determinants of health and health inequities in delivery of all services
• Need to focus on youth as our most critical health promotion and prevention strategy.
• Recommendations: community-based and collaborative services will ensure more wholistic approach to improving health
Thank you!
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