2018-2028 PUBLIC HEALTH OUR STRATEGIC - FOCUS - Greater Shepparton ...
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2018-2028
PUBLIC HEALTH
OUR STRATEGIC
FOCUS
CONTENTS
Greater Shepparton City Council
Active Living Department
90 Welsford Street, Shepparton, Victoria, 3630
Phone: (03) 5832 9700
Email: council@shepparton.vic.gov.au Message From the Mayor 3
Web: www.greatershepparton.com.au
Join the conversation: Executive Summary 4
Feedback is encouraged and clarification Introduction 6
available.
The participation, contribution and assistance of Our Strategic Framework 10
the Greater Shepparton Public Health Advisory
Committee to develop this Strategic Plan has Guiding Principles 13
been acknowledged and appreciated, including
many local partner organisations and community
Data Profile 26
member representatives.
Demographics 26
Health And Wellbeing Priorities 32
DISCLAIMER
Liveability Indicators 46
While all due care has been taken to collate
information in this publication to ensure the most Liveablity Domains and Health Goals 56
accurate and current data is provided at this
point in time, there may be unintentional errors Social Environment 58
or omissions, or the information may be subject Built Environment 62
to variation. Sources are provided. No legal Economic Environment 64
responsibility is accepted for the information and Natural Environment 66
opinions given herein.
Greater Shepparton City Council, Consultation 68
Released August 2017
Governance and Partnerships 69
Financial Investment 72
Delivery Approach 80
Measuring Achievement 82
Conclusion and Recommendations 83
Glossary of Terms 84
Appendicies 86
1
Message from the Mayor
It is with great pleasure that Council convenes the Greater
Shepparton Public Health Advisory Committee and on
behalf of the committee, presents the Greater Shepparton
Public Health Strategic Plan.
As chair of the committee, creating an environment that
enables people to lead a healthy lifestyle is important.
As a community, we strive to make Greater Shepparton
a municipality that facilitates increased physical activity,
access to affordable healthy food, less reliance on private
motor vehicles and thus improved air quality and reduced
injury, giving attention to the provision of shade and sun
protection, and consideration of how to reduce injury in the
urban environment through appropriate design.
Local research and data indicates we need to collectively
focus on a diverse range of health and wellbeing indicators,
including but not limited to public transport and walkability,
prevention of family violence and the prevalence of
overweight and obesity.
While Council services were not traditionally considered
to be ‘health services’, they are now acknowledged as
delivering clear health benefits to the community. Services
including maternal and child health, youth and children’s
services, aged services, sport, parks and recreation, art and
performing arts, tourism and events, economic development,
public health planning and services, environmental services
as well as a range of community programs and initiatives all
encourage our community to lead a healthy lifestyle.
The Greater Shepparton Public Health Advisory Committee,
which has representation from primary and community
health services, education, transport and business sectors
as well as Council representation reflects the importance
of health and wellbeing to the overall liveability of our
municipality.
Working together across all sectors of our community will
ensure a collaborative effort in ensuring we respond to
local health issues that impact on our community.
I look forward to working with you all as we strive to
create a healthier, welcoming and liveable Greater
Shepparton.
Mayor Kim O’Keeffe
Greater Shepparton City Council
Chair Greater Shepparton Public Health
Advisory Committee
2 2018 - 2028 Public Health Strategic Plan
Executive Summary Together with local knowledge evidence informs
Greater Shepparton’s Public Health Strategic
us that a more liveable environment makes it
easier for individuals to make better choices and
VISION PURPOSE
Plan (Health Plan) is the long term public health also results in better local economical returns.
strategic planning tool that demonstrates Together we strive To provide leadership
A regional approach utilising the existing Regional
compliance of key statutory requirements of the
Cities Victoria network formed from the top ten to create Greater and direction of
Public Health and Wellbeing Act 2008 and the
Local Government Act 1989.
regional cities in Victoria delivered a ‘Liveability
Index’ in 2017, resulting with a comparative data
Shepparton as the public health matters
The Environments for Health Framework 2001 set of liveability indicators. most liveable region. in collaboration, to
underpin the public health planning approach for
local government and is based on a social model
Locally a ‘Neighbourhood Liveability Assessment enable services and
of Shepparton’ was completed by RMIT and
for health which recognises the impact of the
funded by the Department of Health and Human
prevention efforts that
social, built, economic and natural environment.
The four environments are recognised in the
Services in 2018. This report identified 17 themes are responsive to local
of liveability with local measures captured using
Council Plan 2017-2021.
spatial mapping and provides the potential community members
The Council Plan 2017-2021 incorporates health to compare commonalities on a smaller scale to achieve optimum
and wellbeing matters and is the key strategic between Shepparton, small towns and local
document that drives Council action and delivery neighbourhoods into the future. ‘quality of life’.
of services.
The Health Plan provides the catalyst for action
Greater Shepparton’s Public Health Strategic to step forward, to change direction while
Plan (Health Plan) is the long term public health considering emerging issues, chronic disease
strategic planning tool that demonstrates management and utilizing a liveability lens to
compliance of key statutory requirements of the consider health through the life stages. Using the
Public Health and Wellbeing Act 2008 and the eleven liveability domains specifically for Greater
Local Government Act 1989. Shepparton a range of health goals are set to
drive local action toward future desired outcomes,
The Health Plan ‘tells the story’ of our unique
creating a more liveable region. These liveability
Municipality based on an analysis of local
domains will underpin the formation of working
demographics, Census data, our Health Status,
groups to work collaboratively on local issues.
case studies and health and wellbeing indicators.
The Health Plan will inform future public health
The Health Plan health goals help to address
planning priorities identified in the annual Public
local health issues, risks, gaps in services and
Health Implementation Plan that details local
emerging health needs significant to the Greater
action and the development of health prevention
Shepparton area to deliver health outcomes into
models for the term of the Council Plan and into
the future.
the future.
The Health Plan recognises key public health
Consultation and community engagement is a key
guiding principles; frameworks and strategic
to public health planning.
plans, together with Municipal responsibilities,
local factors and associated health and wellbeing Together with strong local and regional
influences. partnerships Council will lead and advocate for
positive public health change delivering health
Globally the significance of a liveability focus
outcomes for all to achieve optimum ‘quality of
across the life span to improve health outcomes
life’.
has been addressed in key public health planning
tools.
4 2018 - 2028 Public Health Strategic Plan 5
INTRODUCTION
The World Health Organisation defines health as The Family violence and municipal public health Greater Shepparton support this freight task is a substantial contributor
‘a state of complete physical, social and mental and wellbeing planning - guidance for local to Greater Shepparton’s economy in its own
wellbeing, and not merely the absence of disease government resulted from recommendation 94 of Greater Shepparton is a vibrant, diverse right and Shepparton is now provincial Victoria’s
or infirmity.’ the Royal Commission into Family Violence. Local community located approximately two hours north largest truck sales and service centre.
Governments are required to report their local of Melbourne, in the heart of the Goulburn Valley.
The social determinants of health are the Greater Shepparton has enjoyed strong industrial,
action to reduce family violence and respond to
conditions in which people are born, grow, work, The major urban centers of Shepparton and business and residential growth over the past 10
the needs of victims in preparing their MPHWP.
live and age, and the wider set of forces and Mooroopna are located at the confluence of years and Shepparton is one of the five fastest
Preventing violence and injury is one of six priority
systems shaping the conditions of daily life. These the Goulburn and Broken Rivers and at the growing inland regional centres in Australia. Large
areas in the Victorian public health and wellbeing
circumstances are shaped by the distribution of intersections of the Goulburn Valley and Midland food processing and retail developments have
plan 2015-2019, that councils are required to give
money, power and resources at global, national Highways. provided increased employment opportunities
regard to when preparing their municipal public
and local levels, which are themselves influenced underpinned by this growth.
health and wellbeing plan as required by the The city’s population is almost evenly split
by policy choices. The social determinants of
Victorian Public Health and Wellbeing Act 2008. between the main urban centers of Shepparton As a regional hub, Greater Shepparton provides
health are mostly responsible for health inequities
and Mooroopna, and the surrounding rural a range of goods and services to a catchment of
– the unfair and avoidable differences in health Liveability is complex and influenced by an
areas, including the smaller townships of Tatura, approximately 160,000 people. This regional role
status. array of factors, depending on an individual’s
Murchison, Dookie, Merrigum, Congupna, allows the city to support a strong and diverse
access to the social determinants of health,
The Health Plan provides the framework for local Toolamba, Undera, Katandra and Tallygaroopna. retail sector and attract national retail outlets
expectations of an individual and many factors
action to address public health matters. The Plan This split reflects the wide range of lifestyle which in turn, increase the attractiveness of the
outside of Council’s control. Recent work from
includinged and considers strategic objectives choices available across the municipality, from city as a retail destination.
both a regional and local liveability assessment
of the Victorian Public Health and Wellbeing small urban blocks close to high quality amenities,
has provided significant evidence of suitable The city also enjoys high quality medical
Outcomes Framework, Victorian Public Health through to large working orchards and farms.
measures for comparative purposes to inform services and offers a range of tertiary education
and Wellbeing Plan combined with a liveability
benchmarks and help to identify local targets for Greater Shepparton’s diverse and multicultural opportunities,
approach to consider public health equality
action into the future to bring health equity across composition is one of its key qualities, with
across the life stages for individuals to achieve Greater Shepparton continues to reinforce its
the life stages. approximately 15% of residents born overseas.
optimum quality of life. Planning for public health reputation as a key events destination within
and wellbeing across a municipality requires a Through the development and implementation The city also has a significant aboriginal both the Victorian and national markets. The city
strategic approach, while meeting specific Council of a liveability framework, Council will take a population, with approximately 3.4% of residents has a strong history of attracting major events to
responsibilities of the Local Government Act and lead in providing services, facilities and places identified as Aboriginal and Torres Strait Islander the region to boost the local economy. Greater
Public Health and Wellbeing Act. of engagement that can positively affect (ABS 2016). Shepparton City Council along with Federal,
health and wellbeing, for individuals and entire State and philanthropic commitment for a new
The 2017-2021 Greater Shepparton Council Dairying and fruit growing are the major primary
communities. Council will continue to work Shepparton Art Museum to be completed by
Plan is the key tool that drives the strategic industries, with the viticulture and tomato
closely with stakeholders to advocate for funding, 2020 demonstrates a strong commitment to arts
direction of Council over the next four years and industries also showing significant growth. Food
new services, programs in partnership, and to and culture within the region.
is a requirement under the Local Government processing is a significant secondary industry, with
support communities to consider what impacts on over 30 major food processing related businesses
Act (1989). The Council Plan incorporates the
individual’s health and quality of life. located within two hours of the major urban
Municpal Health and Wellbeing Plan (MPHWP) and
details objectives to be achieved and to guide centres. The large volume of fresh and processed
decision making, priorities and the allocation of food stuffs produced in the region generates an
resources by Council to deliver outcomes and extremely high number of freight movements. The
services to the community. road transport industry which has grown up to
6 2018 - 2028 Public Health Strategic Plan 7
A SNAPSHOT OF OUR
LIVEABILITY DOMAINS
Arts and Access to Community Crime and Health and Housing Transport Recreation Education Employment Sustainable
Culture Food Participation Safety Social Services Facilities and Public and Income Practices
Greater Greater Greater
Open Space
Greater Greater Greater Greater Greater Shepparton Shepparton Shepparton Greater Greater
Shepparton Shepparton Shepparton Shepparton Shepparton residents have residents have Greater Shepparton residents Shepparton Shepparton
residents can residents residents residents live residents have suitable and access to safe residents have access participate in residents residents have
safely identify have access are socially in a community good physical stable housing walking and cycling to quality public open learning and participate in and access to
with their culture to affordable engaged and that is safe and health routes and reliable space education contribute to the sustainable natural
and identity healthy food live in inclusive secure public transport economy environments
communities options
0.72 domestic 35.9% of female 66% of 1.6% of land $588 per
daytrip and and 68% of males lower income zoned for person per
overnight tourists feel safe when households public use week is the
visiting for arts walking alone in are spending within urban average
and recreational local area at night more than areas income
activities, per 30% of their
resident total incomes
58.7% are on housing 54.7% live within 36.1% aged 15
overweight or costs 400m of a bus/tram years and over have
54% of people 23.1% obese compared stop or 800m of a train completed Year 12 or
do not meet the of people to the Victorian station compared to the equivalent compared
dietary guidelines volunteer average of Victorian average of to the Victorian Over 17,016
for either fruit compared to 49.8% 74.2% average of 54.4% trees were
or vegetable the Victorian planted in the
consumption average of 2017 by 2,771
20.8% 38.7% of over 7.2% of residents living participants
75s live alone. in a private dwelling across 44
Residents living on 73.9% are female have no motor vehicle planting sites
the outer northern, and 26.1% are compared to the
southern and male Victorian average of
eastern areas of 8.4% Over 37% of
town have greater all kerbside
distances (generally 87% of children collection waste
above 3km) to between 24 and was diverted
access affordable 27 months are from landfill
fresh food fully immunised
8 2018 - 2028 Public Health Strategic Plan 9
OUR STRATEGIC
FRAMEWORK
2030 Strategy Council Plan 2017-2021 The Council Plan 2017–2021 is based on the Public Health Strategic Plan
key themes of the Environments for Health
The City of Greater Shepparton and the As specified in the Local Government Act 1989, framework and incorporates the MPHWP. Greater The Public Health Strategic Plan
Department of Sustainability and Environment Victorian local governments are required to Shepparton City Council obtained exemption from (Health Plan) sets the long term
have prepared Greater Shepparton 2030, a prepare a Council Plan every four years. The the Department of Health and Human Services strategic approach to address
blueprint for building sustainable economic Council plan sets the vision and high level to incorporate health and wellbeing matters into health and wellbeing issues 2030 STRATEGY
activity and maximising the quality of life in the strategic objectives for the Council term, guides the Council Plan, as opposed to developing a and achieve health outcomes
municipality over the next 30 years. activity undertaken and monitors the performance separate MPHWP to the Council Plan. The Council for every individual to achieve
of the organisation in achieving its objectives. Plan, and incorporated MPHWP, is reviewed optimum ‘quality of life’.
This strategy updates the previous City of Greater
Section 125 of the Local Government Act 1989 annually and includes the following themes:
Shepparton Strategy Plan 1996 which formed the
requires the Council to prepare and approve a PUBLIC
basis for the current Municipal Strategic Statement 1. Leadership and Governance – provide
Council Plan. HEALTH
(MSS). The MSS is the local strategy component strong civic leadership, advocacy and good
STRATEGIC
of the Greater Shepparton Planning Scheme. The Public Health and Wellbeing Act 2008 governance in the operation of Greater PLAN
The feedback from the community consultation reinforces the statutory role of councils to ‘protect Shepparton City Council
assisted in the development of a vision and improve and promote public health and wellbeing 2. Social – develop resilient, inclusive, healthy
direction for following 25 to 30 years positively within the municipal district’ and requires Victorian communities that make Greater Shepparton a
affecting most aspects of living and investing in municipalities to produce a Municipal Public safe and harmonious place to live, work, learn
our municipality through key themes: Health and Wellbeing Plan (MPHWP). The MPHWP and play. 2018 - 2021
sets the broad mission, goals and priorities to COUNCIL PLAN
1. Settlement and Housing 3. Economic – build a thriving, resilient economy
enable people living in the municipality to achieve
2. Community Life where Greater Shepparton is recognised
maximum health and wellbeing, particularly in
as a competitive place to invest and grow
3. Environment the area of health prevention and promotion.
business
4. Economic Development Under the Public Health and Wellbeing Act 2008,
MPHWP must address the following: 4. Built – provide and support appealing
5. Infrastructure relevant infrastructure that makes Greater
STRATEGIES
• Consideration of the directions and priorities of AND
Shepparton an attractive, liveable regional COMMUNITY
the Victorian Public Health and Wellbeing Plan city PLANS
2015–2019.
5. Environment – enhance and promote the
• Consistency with Council’s corporate plans and clean, green environment that makes Greater
Council’s land use plans as required by the Shepparton the unique place it is.
Municipal Strategic Statement (MSS). ANNUAL
COUNCIL
ACTION PLAN
AND ANNUAL
BUDGET
DEPARTMENTAL
BUSINESS
PLANS
ANNUAL
REPORT
10 2018 - 2028 Public Health Strategic Plan 11
GUIDING
PRINCIPLES
Public Health Annual Report International Influence Social Determinants of Health
Implementation Plan The Annual Report provides a comprehensive World Health Organisation
To address key health and wellbeing inequalities
account of Council’s achievements, challenges public health planning needs to consider the
The Public Health Implementation Plan The World Health Organisation (WHO) was social determinants of health (SDH) in which
and aspirations for the future. The report details
(Implementation Plan) is developed annually established in 1948 as a specialised agency people are born, grow, work, live and age that
performance against the commitments set in
and provides the annual strategic direction of the United Nations serving as the directing shape daily life, are impacted by economic
the Council Plan and provides an analysis of our
whereby Council will partner with DHHS and local and coordinating authority for international policies, social norms, social policies, political
financial performance.
stakeholders to implement positive health and health matters and public health. WHO has systems and the distribution of money, power
wellbeing initiatives that address the Health Goals Under the Victorian Local Government Act (1989) provided clear scientific evidence to inform and and resources to improve liveability and health
defined in the Public Health Strategic Plan. each Council is requires to compete an Annual support public health policies using the Social outcomes.
Report. Determinants of Health (SDH) to consider key
Specific targets aim to address emerging The SDH (Wilkinson & Marmot, 2003) are
population health trends, protect the community, aspects of people’s living and working conditions. displayed below:
prevent disease and address health dangers to The SDH address the core causes of ill health,
achieve optimum health outcomes for all. health inequalities and identify the needs of those
Council
affected by poverty and social disadvantage.
Plan
Annual Action Plan and Budget Vision, Goals &
Strategies
Council’s Annual Action Plan and Budget capture
the annual action necessary to achieve the goals Annual Strategic
of the Council Plan and the resource capacity Report Resource Plan Social gradient Unemployment
available. How have we Resource
gone allocations Life expectancy is shorter and most diseases are Job security increases health, wellbeing and
Council is required to prepare and adopt more common further down the social ladder in job satisfaction. Higher rates of unemployment,
an annual budget for each financial year in each society including insecure jobs and underemployment,
accordance with the Local Government Act 1989 cause more illnesses and premature death
Business Annual
and Local Government (Planning and Reporting) Stress
Plans Budget
Regulation 2014. How services and Social support
What, how, who Stressful circumstances, making people feel
and why projects will be
The budget is required to include certain funded
worried, anxious and unable to cope, is damaging Friendship, good social relations and strong
information about the rates and charges to be to health and may lead to premature death supportive networks improve health at home, at
levied, capital works to be undertaken, the human work and in the community
resources required and other financial information Early life
Council requires to make informed decisions. Drug dependence
A good start in life means supporting mothers
Department Business Plans and young children - the health impacts of early Individuals often turn to alcohol, drugs and
development and education last a lifetime tobacco as an escape from adversity to stress
Department Business Plans provide the road
map detailing how services and projects will be Social exclusion Food
delivered with key performance indicators used to
Life is short where quality is poor. By causing A good diet and adequate food supply including
measure annual achievements.
hardship and resentment, poverty, social cost and access to fresh and healthy food, are
exclusion and discrimination cost lives central for promoting health and wellbeing
Work
Transport
Stress in the workplace increases the risk of
disease and people who have more control Healthy transport means less driving and more
over their work have better health. It includes walking and cycling, backed up by better public
the type of work, management style and social transport
relationships
12 2018 - 2028 Public Health Strategic Plan 13
WHO Ottawa Charter for Health is, therefore, seen as a resource for Prerequisites for Health Health in all Policies
Health Promotion everyday life, not the objective of living. Health
The fundamental conditions and resources for The Eighth Global Conference on Health
is a positive concept emphasizing social and
First International Conference on Health health are: Promotion was held in Helsinki, Finland from 10-14
personal resources, as well as physical capacities.
Promotion, Ottawa, 21 November 1986. June 2013, with the theme ‘Health in All Policies’
Therefore, health promotion is not just the • Peace
(HiAP). HiAP is an approach on health-related
Health promotion is the process of enabling responsibility of the health sector, but goes • Shelter rights and obligations. It improves accountability
people to increase control over, and to improve, beyond healthy life-styles to well-being.
• Education of policymakers for health impacts at all levels
their health. To reach a state of complete physical,
• Food of policy-making. It includes an emphasis on
mental and social well-being, an individual or
• Income the consequences of public policies on health
group must be able to identify and to realize
systems, determinants of health, and well-being.
aspirations, to satisfy needs, and to change or • A stable eco-system
It also contributes to sustainable development.
cope with the environment. • Sustainable resources HiAP reflects the principles of:
• Social justice and
• Legitimacy grounded in the rights and
• Equity obligations conferred by national and
The Ottawa Charter states that health promotion international law
action means: • Accountability of governments towards their
people
• Building healthy public policy
• Transparency of policy-making and access to
• Creating supportive environments information
• Strengthening community action • Participation of wider society in the
• Developing personal skills development and implementation of
Strengthen Community Action
• Reorienting health services government policies and programmes
• Moving into the future • Sustainability in order that policies aimed at
Develop meeting the needs of present generations
Personal do not compromise the needs of future
Skills generations
Enable • Collaboration across sectors and levels of
Mediate
government in support of policies that promote
health, equity, and sustainability
Advocate
Create
Supportive
Environments
Reorient
Health Services
Bu ol ic y
ild H li c P
e alt hy P u b
14 2018 - 2028 Public Health Strategic Plan 15
Jakarta Declaration on Leading health UN Millennium Development Goals promotion into the twenty-first century The United Nations developed eight Millennium Emphasising the value of settings for Development Goals (MDGs). implementing comprehensive strategies and These goals are unprecedented efforts to providing an infrastructure for health promotion. meet the needs of the world’s poorest and Healthy cities are regarded as the best known are considered in all facets of strategic health and largest of the settings approaches. planning, as listed next. A healthy city is ‘one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to mutually support each other in performing all the functions of life and developing to their maximum potential’. World Health Organisation 1998, The WHO Health Promotion Glossary, Geneva. Councils can act as ‘community builders’ to achieve a strong and healthy community. However, they are not the only ones responsible for achieving this result. The WHO Healthy Cities program considers that a healthy city depends on ‘a commitment to improve a city’s environs and a willingness to forge the necessary connections in political, economic and social arenas’ (WHO ‘Types of Healthy Settings’). Other relevant frameworks: Liveability Victoria International 16 2018 - 2028 Public Health Strategic Plan 17
National Influence Creating Liveable Cities in Australia State-wide Influence Victorian Public Health and Wellbeing
Creating Liveable Cities in Australia is the first Outcomes Framework 2016
Local Government Act 1989 ‘baseline’ measure of liveability in Australia’s Victorian Health Priorities Framework The Victorian government’s release of the
The Local Government Act 1989 clearly states the state and territory capitals presented by RMIT. 2012-2022 Victorian Public Health and Wellbeing Outcomes
primary objective of each Council is to promote It represents the culmination of five years of The Victorian Health Priorities Framework 2012- Framework in October 2016 has become the
the social, economic and environmental viability research. Liveable communities are good for the 2022 reflects the government’s commitment to key document for setting Municipal Health and
and sustainability of the Municipality, to improve economy, social inclusion and environmental delivering the best healthcare outcomes possible Wellbeing annual strategies and performance
the overall quality of life of people in the local sustainability, and promote the health and and ensuring people are as healthy as they can measures to monitor progress over a longer
community. The Act states that each Council will wellbeing of residents. Liveability encourages be. Both Victorian Priorities Framework 2012- timeframe and recognises that it can take
provide: affordable housing linked by public transport, 2022; Metropolitan Health Plan and Rural and decades to see real improvement or change. The
walking and cycling paths to workplaces, public Regional Health Plan, have adopted the same outcomes framework requires Council to report
• Services and facilities that are accessible and open space and all the amenities required for seven key health priority areas: achievement in Year Three of the Council Plan
equitable daily living. This report suggests seven domains term. The five key domains for action are:
• An equitable imposition of rates and charges of urban liveability that can be utilised to promote • Developing a system that is responsive to
people’s needs • Victorians are healthy and well
• Transparency in decision making processes the health and wellbeing of Australians:
• Improving every Victorian’s health status and • Victorians are safe and secure
• Other functions relating to maintaining the • Walkability
peace, order and good government of the health experience • Victorians have the capabilities to participate
• Public transport
municipal district • Expanding service, workforce and system • Victorians are connected to culture and
• Public open space capacity community
Public Health and Wellbeing Act 2008 • Housing affordability • Increasing the system’s financial sustainability • Victoria is liveable
• Employment and productivity
The Public Health and Wellbeing Act 2008
requires Councils to prepare a Municipal Public • Food and alcohol environments • Implementing continuous improvements and Victorian Gender Equality Strategy
Health and Wellbeing Plan within 12 months of innovation 2017
In many cases government planning policies are
each general election of the Council to: • Increasing accountability and transparency The Department of Health and Municipal
failing to deliver liveability equitably across our
• Protect the community cities, with no Australian capital city performs well • Utilising e-health and communications Association of Victoria have recently instructed
• Prevent disease, illness, injury or premature across all the liveability indicators. Current policies technology Councils to include family violence/gender equity
death and guidelines do not appear to be informed in all future Public Health and Wellbeing Plans.
• Improve and promote public health and
by the growing body of evidence about how to Victorian Public Health and Wellbeing The Victorian Gender Equality Strategy outlines
achieve healthy, liveable cities. Plan 2015 – 2019 key focus areas for change as a result of the
wellbeing prevention strategies
Royal Commission into Family Violence. This
• Reduce inequalities Other relevant frameworks: The Victorian Public Health and Wellbeing Equality Strategy aims to build the attitudinal and
• Address environmental health dangers within Blueprint for an Active Australia Plan 2015–2019 outlines the government’s key behavioural change required to reduce violence
their Municipal area priorities to improve the health and wellbeing against women and deliver gender equality.
of all Victorians. This plan articulates the
government’s vision for a Victoria free of the
avoidable burden of disease and injury, so that
all Victorians can enjoy the highest attainable
standards of health, wellbeing, and participation at
every age with six key priority areas:
• Healthier eating and active living
• Tobacco free living
• Reducing harm from alcohol and drug use
• Improving mental health
• Preventing violence and inquiry
• Improving sexual and reproductive health
18 2018 - 2028 Public Health Strategic Plan 19Part 2: Municipal public health
and wellbeing planning
2.1 Key
Guide to elements
Municipalfor effective
Health and
for effective municipal public health and wellbeing planning,
The emphasis is on local government being close Environments for Health 2001 The EH is a planning resource to be used during
these being synonymous with Environments for health and
planning for municipal
Wellbeing Planning 2013 public health to their community for a more effective local
other population health approaches. These key elements, The Public Health Division of the Department
the development, implementation and review of
and wellbeing
The Department of Human Services have
delivery system and is believed to underpin new
described below, are represented in a generic six-stage of Human Services, in partnership with the
each Public Health Plan as legislated under the
approaches of how to work together to maximise Health Act. The EH encourages strategic level
There are this
provided numerous
Guideapproaches
to recognise and processes councils
the experience planning cycle, illustrated in Figure 2.1, which emphasises Municipal Association of Victoria, Victorian Local
the potential of preventative health interventions. planning, scanning health and wellbeing issues,
ofuse for strategic
Councils planning. The
in preparing Environments
public for health
health plans and the link between planning, implementation and evaluation. Governance Association, local governments and
The guide identifies that public health should researching, identifying action, considering
municipal publictheir
acknowledge health planning framework
achievements over (Department
the last other stakeholders, developed the Environments
Afocus
focuson onprevention,
the healthpromotion and protection
of the community impacts and setting priorities to achieve maximum
of Human noting
decades, Servicesthe 2001) has been
benefits a standard
of strong reference
local for Health (EH) in September 2001 as a
and consider the four environments
MPHWPs should reflect the breadth of public forhealth
health;
effort. health outcomes.
for councils planning
collaborative for municipal
partnerships. Thepublic
guidehealth and
provides Municipal Public Health Planning Framework to
built, economic, natural and social.
The scope of public health is defined in the Victorian Public
wellbeingand
councils sincetheir
its release in 2001.
partners with Other
a set references
of strategicthat promote health and wellbeing through the four
Health
This and Wellbeing
guide Plan as:
recognises six key stages for public Environments for Health; Built, Economic, Natural
may be useful
directions andtobroad
councils in reinforcing
priorities withinand promoting
which to the
importance
develop of local government
municipal public healthin leading local planning
and wellbeing health planning
Public health as details
is what we, as ainsociety,
the planning cycle
do collectively and Social.
and
plans.action for healthy communities, such as, the World below.
to assure the conditions in which people can
Health Organization’s Healthy Cities Program, are included be healthy. Public health focuses on prevention,
in the references provided. promotion and protection rather than on treatment, Environmental Council Action
on populations rather than individuals, and on the Dimensions Components Characteristics Areas - Examples
In this guide the legislated objectives, principles and
factors and behaviour that cause illness and injury. • Transport
requirements of MPHWPs are embodied in the key elements
• Roads • Land use planning
• Urban planning outcomes, such as • Industrial development
Figure 2.1: Planning cycle for municipal public health and wellbeing
housing • Transportation
• Built form • Traffic management
• Liveable
Strengthen the Built / • Amenities: parks, street lighting, • Housing
prevention system
Physical footpaths, shops • Recreation
Priority
Pre
tion -pl settings • Permeable neighbourhoods • MSS, EES, works
a lua an for action and
• Recreation facilities: playgrounds, approvals
Ev nin
g
Keep
people
engagement
well Healthy people,
sports facilities
Leadership resilient communities
• Demographics • Gender • Community support
E • Ethnicity • Language services
vid
• Sense of place and • Art and culture • Community safety
rce
So Strengthen Continue to
en
ilt
kf o
preventive protect the health
belonging • Participatory • Art and cultural
ce
Settings
cia
Bu
healthcare of Victorians
Wor
• Sense of community democracy • Equitable development
l
focu
Implementation
• Social capital • Community • Convivial • Library services
Municipal scan
s
Healthy Social
• Social support facilities • Adult education
community
• Social inclusion or • Perceptions of services
Res ou
nt isolation safety • Neighbourhood houses
e rv e tio ns
ip
I
ic
• Lifelong learning • Globalisation • Recreation programs
Na
n
rsh
rce
om
ra
tu
l on
e
allo
Ec
rtn
Planning stages • Employment
tio
Pa
c
a
n • Globalising • Industrial • Income distribution
Co Organisational enablers
mm io n economy development • Community economic
unity participat • Sustainable
Pl
nin • Economic • Employment development
an
g Environments Economic
de t policy • Resources • EES, works approvals
cis en for health
ion
s ge m • Access and equity
Enga
• Climate • Ozone layer
• Geography • Impact on food
• Water quality
• Air quality production
• Viable • Waste management
• Natural disasters • Farming practices
Natural • Energy consumption
• Global climate • Water quality
9
change • Native vegetation
20 2018 - 2028 Public Health Strategic Plan 21Age Friendly Cities and Communities Regional Influence The performance of each LGA for each indicator GVPCP Catchment Integrated Health
is also ranked, and assessed relative to Greater Promotion Plan 2017-2021
In 2006 COTA, in partnership with the Municipal
Deloitte Access Economics Liveability Melbourne.
Association of Victoria, joined WHO as one of This collaborative plan identifies the local health
two Australian cities in the international project Index promotion priorities of all health and community
on Age-friendly Cities. An Age Friendly world In 2017 Deloitte Access Economics collated organisations across Greater Shepparton, Moira
enables people of all ages to actively participate INDICATOR MEASURE
evidence to inform a comparative assessment of and Strathbogie municipalities. The plan is
in community activities and treats everyone with liveability indicators for Regional Cities Victoria Human Labour force, unemployment, supported by the Goulburn Valley Primary Care
respect, regardless of their age. Supporting (RCV), an alliance of the 10 largest regional Capital income level, tertiary, secondary Partnership, local Government representatives
communities to become age friendly is one of Council’s in Victoria. The primary objective of the and primary education. and guided by the Department of Health and
the most effective strategies to promote active Regional Partnerships is to give regions a stronger Physical Internet, rail, airport, bus, taxi, Human Services. Health promotion priority areas
ageing. In Age Friendly communities older people voice within State Government and to give them Capital walkability, vehicle access for the catchment are healthy eating and active
live safely, enjoy good health and stay involved. a direct pathway into State Government decision- living.
Social Volunteering, giving support,
Eight key domains were identified: making processes. Regional Partnerships will Capital multiculturalism, philanthropy
• Outdoor spaces and buildings bring a whole of government lens to the complex The Hume Strategy for Sustainable
Health and Primary and tertiary health, Communities 2010-2020
• Transportation issues facing regional communities and will give
Safety crimes recorded, crime
regional communities a voice straight into the The Hume Strategy for Sustainable Communities
• Housing perceptions, gambling,
heart of government. 2010-2020 is a 10 year regional strategic
• Social participation population forecasts, birth rates,
The continued ability of regional cities to attract gender equality, liquor outlets framework for long term cooperation and
• Respect and social inclusion investment through a regional plan and four sub
and retain residents can only happen if they Housing Housing stress, prices and house
• Civic participation and employment are desirable place to live in/near, or when they regional plans. The Hume Strategy is set out
Affordability price multiple
• Communication and information score highly on liveability. It is anticipated that under five themes; environment, communities,
Visitor Visitor attraction economy, transport and land use.
• Community support and health services an objective liveability index, spanning multiple
Attraction
relevant criteria, can be used by member
Other relevant frameworks: councils to highlight their strengths to attract Local Retail, higher order retail, arts/
Health Planning Toolkit 2011 and retain residents to live, work and play, whilst Amenities recreation, arts/recreation
Leading the Way 2002 understanding potential opportunities to improve appeal, leisure and culture,
Victoria Local Government Women’s Charter existing liveability performances. natural environment.
The 24 indicators developed are grouped into
seven themes, encompassing the key aspects
of liveability with a metric developed for each
indicator. Each metric is underpinned by one (or
more) publically available datasets across the 10
RCV Local Government Areas (LGAs), Greater
Melbourne (or the LGAs that comprise it), and
Victoria.
22 2018 - 2028 Public Health Strategic Plan 23Local Influence Neighbourhood Liveability Measures were developed for the 13 indicators selected that capture key areas for comparison.
Assessment of Shepparton
Council Strategic Plans The application of indicators as evidence to plan
INDICATOR MEASURE
Greater Shepparton City Council has a number of for a healthy and liveable regional city. Dr Melanie
strategic plans to be considered when developing Davern, Rebecca Roberts and Carl Higgins, Walkability Walkability for Transport Index
this strategic framework and future strategies or Healthy Liveable Cities Group, Centre for Urban School Walkability
plans. Please refer to Appendix One. Research, RMIT University.
Housing Proportion of households with income in the bottom 40 percent of the income
The Healthy Liveable Cities Group at RMIT distribution spending more than 30 per cent of household income on housing
Goulburn Valley Health Strategic Plan
University completed a Neighbourhood Liveability costs
Goulburn Valley Health’s (GVH) strategic plan Assessment of the township of Shepparton
provides a framework to guide the future Proportion of households renting as a per cent of total households
early 2018. The research was funded by the
development of health services. GVH’s key Department of Health and Human Services and Housing diversity Number of different housing types present
strategic directions include; devised in partnership with Greater Shepparton Public Transport Proportion of residential dwellings within 400m of a public transport stop
• Empowering your health City Council.
Proportion of residential dwellings within 400m of a public transport stop with a
• Strengthening services The Healthy Liveable Cities Group provided an scheduled service at least every 60 minutes between 7:00am and 7:00pm on a
• Developing staff assessment of liveability for 114 neighbourhoods normal weekday.
or SA1s across the towns of Shepparton
• Working with partners Closest distance to a train station with connection to a capital city.
(83 neighbourhoods), Mooroopna (19
neighbourhoods) and Tatura (12 neighbourhoods) Access to Food Access to supermarkets (average distance to closest supermarket)
using 17 themes of liveability. Access to fast food outlets (average distance to closest fast food outlet)
Access to services Average number of daily living types present: measured as a score of 0-3, with 1
of daily living point for each category of (convenience store/petrol station/newsagent, PT stop,
supermarket) within 1600m network distance
Distance to nearest Proportion of households within 400m of Public Open Space
Public Open Space
Unemployment People who are unemployed ( per cent labour force)
Employment Proportion of employed people (over 15 years) living and working in same area
(SA2 in SA4)
Education Completion of VCE or equivalent
Access to GPs Average distance to GP clinic
Access to Services Index of Access to Services for older people
for Older People
SEIFA Socio-economic Index for Areas – Relative Disadvantage (IRSD)
Other relevant frameworks:
2018 Fairley Foundation Philanthropic Summit Outcomes Document
City of Greater Shepparton Communities for Children Strategic Plan 2015-19
Greater Shepparton’s Community Strategy for Children and Young People 2018-2023
GV Health Knowledge Exchange
The State of Greater Shepparton’s Children Report 2014
24 2018 - 2028 Public Health Strategic Plan 25DATA
PROFILE
Evidence and analysis of key data sources is Falling Through the Cracks were the bully at school, 19 had experienced • School Absence: The most common reason
captured in three main sections; demographics, The Lighthouse Foundation consulted with one of more of the abovementioned situations given overall for disengagement was because
health and wellbeing priorities and liveability 83 local youth to investigate the reasons why in their home life. the young person had missed significant
domains; to inform the current and emerging significant numbers of young people (aged • Feeling supported or not: The majority (34 of schooling, most commonly due to the factors
health status of the municipality. 12-24) living in the Greater Shepparton area the 38 or 89 per cent) of the young people of experiencing bullying, anxiety/depression,
were not participating in mainstream education, who were bullied did approach the school for violence/being a bully. Young people also
The data is complemented with local reports
employment or training (work or study). Greater assistance to address the issue. The majority cited ‘learning difficulties’ and being unable to
which adds depth and ‘tells the story’ of key
Shepparton’s population of 63,300 in 2011 (29 of the 38 or 76 per cent) also reported keep up with their school work, as a reason for
health and wellbeing measures.
reflected 13 per cent or 7,840 were aged between that they felt unsupported by the school when missing significant schooling.
Analysis of the data aims to provide examples of 15-24 years. Key findings include: they and/or their parents had reported their • Home environment: Strong themes emerged
where our community is thriving, highlight areas of concerns and the situation had not been that youth experiencing a troubled home
concern that can be addressed collectively, and • Study or Work: Approximately 30 per cent of
satisfactorily resolved. life predisposes young people to be bullied
identify potential data gaps. 15-24 year olds (or 2,300 young people living
• Feelings of Anxiety: Anxiety and depression or bully others. These vulnerable youth find
in Greater Shepparton) were not currently
The data informs the health goals we strive also appear to be a very real barrier to transition to secondary school difficult with large
engaged in work or study (otherwise referred
to achieve over the next 10 years, and will be learning and engagement. Many young numbers diagnosed with depression or anxiety,
to as being disengaged). The reasons for
reviewed annually to ensure the data sources people interviewed stated that their anxiety unable to cope in mainstream school settings.
disengagement for the majority of the young
remain current and reflective of changes in health issues prevented them being able to stay in Alternative settings have merged to cater for
people interviewed were complex and were
status over time. a mainstream school environment and that this vulnerable cohort, with many expressing
most commonly attributed to one or more, and
it led to them missing significant schooling, keenness to continue to learn. The extent and
often several, of the following factors; trauma
1. Demographics in the home, the breakdown of the family unit, sometimes for weeks or months at a time. range of trauma in the home, unable to cope
Anxiety was noted as a factor in disengaging in mainstream education settings, dealing with
The demographics sections of the report have experiencing a combination of moderate to
for 33 (42 per cent) of the young people bullying experiences and regularly going hungry
been captured into the following groups; children severe physical, verbal and online bullying,
interviewed, while depression was mentioned were common in these troubled lives.
and youth; adults and families; older adults; anxiety issues often linked to the experience of
being bullied (at school), significant schooling by 26 (33 per cent) of the young people as • Early Intervention: Early intervention and
Aboriginal and Torres Strait Islander; Culturally
missed most commonly due to being bullied (at contributing towards their disengagement. prevention measures were recommended,
and Linguistically Diverse (CALD); Lesbian, Gay,
school) over an extended period and/or anxiety rather than relying on clinical and crisis
Bisexual, Trans and Intersex (LGBTI) Community
issues, anger issues/violence at school leading responses.
and People with Disability.
to the expulsion of the young person, drug and/
Children and Youth or alcohol abuse by the young person. Significant schooling missed
According to the 2016 Census, 19.9% of the • Bullying: There was a particularly strong Trauma / unstable home life
population is aged between 0 and 15, with a correlation between a young person Being bullied at school
larger percentage of persons aged 0 to 4 (6.6% experiencing ongoing bullying in school and Anxiety
compared to 5.8%). 6.8% of the population also experiencing one or more of the following; Depression
is aged 15 to 19 in comparison with 6.1% in trauma in the home and/or, an unstable home Being a bully / violent at school
Regional Victoria. Attendance rates of children life and/or, the family unit was no longer intact.
Leading difficulties
attending maternal and child health checks is Of the 38 young people interviewed who said
Drug / alcohol abuse
65.4% compared to 64.4% in Victoria. The rate they had experienced ongoing bullying at
school, 32 had experienced one or more of the Homelessness
of substantial child abuse per 1,000 population
abovementioned situations in their home life. Death of a close family member
is 10.9 compared to 6.7 in Victoria. The rate of
Expelled from school
children on child protection orders per 1,000 • Feelings of Anger/Violence: There was a
population is 8.5 compared to 5.2 in Victoria. The particularly strong correlation between being a Friends with ‘wrong crowd’
rate of children in out of home care per 1,000 bully and/or being angry/violent at school and Parent/s with mental illness
population is 7.7 compared to 4.6 in Victoria. also experiencing one or more of the following; Teenage pregnancy
trauma in the home and/or, an unstable home Severe mental health issue
life and/or, the family unit was no longer intact. Other
Of the 21 young people interviewed who said
0 5 10 15 20 25 30 35 40
they had anger/violence issues at school or
Falling Through the Cracks, Lighthouse Project November 2016
26 2018 - 2028 Public Health Strategic Plan 27Adults and Families Crossroads Two Population Health Study Aboriginal and Torres Strait Islander Changing the Paradigm to ‘Close the Gap’
Greater Shepparton has 50.3% of its population The Department of Rural Health, University of Around 1.6 per cent of people in Greater Rumbalara Aboriginal Cooperative (RAC)
aged between 25 and 65 years. Melbourne conducted the Crossroads Two Shepparton identified as Aboriginal and Torres produced an informative discussion paper
Population Health Study in 2016 across Greater Strait Islanders in the 2016 Australian Bureau of identifying reasons behind the gap between the
Crossroads One Population Health Study Shepparton and Cobram. Crossroads Two will health and wellbeing of Aboriginal and Torres
Statistics Census. However, anecdotal evidence
Crossroads One Study was conducted in 2001-3 assess the prevalence of key factors contributing shows that this is very under-represented, and Strait Islanders (ATSI) and the general Australian
which looked at rates of mental health, diabetes, to metabolic disease, cancer and mental health Greater Shepparton’s Aboriginal and Torres Strait community that may assist many to understand,
cancer and other chronic health conditions, as conditions in the same population 15 years Islanders population is actually nearly three times consider and address their key health challenges
well as emergency department, GP and hospital after the original Crossroads One Study. The this, with a population of nearly 6,000. into the future. Although Australia has one of
utilisation, across 9,260 adults and their children changes in diagnosed and undiagnosed condition the highest rates of life expectancy at 69.1 years
(approximately 6,000). Key findings from the prevalence, health outcomes and health service Greater Shepparton comprises 2,186 Aboriginal for males and 73.7 years for females, the life
original Crossroads One Study for the Goulburn access will also be assessed. A key objective and/or Torres Strait Islander persons (males 1,083 expectancy for ATSI is about 10 years lower. The
Valley were: of this study is for the data collected to be used and females 1,103) living in Greater Shepparton discussion paper identified the following seven
to translate the findings into initiatives that may with a median age of 22 compared to non- key health determinants:
• Diabetes was reported at 8.7 per cent of men Indigenous residents with a median age of 40,
improve health outcomes for Goulburn Valley
and 7.5 per cent of women, which was higher with 1,812 living in a separate house, 168 in other 1. Cardiovascular Disease
communities.
than the Australian average private dwellings (includes semi-detached, flat, 2. Diabetes
• Undiagnosed diabetes was high (26.3 per cent) Older Adults caravan, etc) and 52 in non-private dwellings. 3. Kidney Disease
• Goulburn Valley residents recorded higher Census 2016 reports that as a nation, there The Greater Shepparton area holds significant 4. Smoking
rates of people with false teeth than the are more of us, we’re living longer, becoming Aboriginal cultural heritage, and is amongst the 5. Obesity and Overweight
Australian average more urbanised, more diverse, less religious, most culturally diverse municipalities in regional 6. Asthma
• Cardiovascular disease was reported by 13.2 living closer together, earning more and forming Victoria. Historically there were eight tribes that
7. Mental Health/Mental Illness
per cent of men and 6.3 per cent of women the same type of family unit with early Census occupied Greater Shepparton, consisting of the
• Levels of obesity were higher in the Goulburn releases reporting that 85 is the new 65. Yorta Yorta, Bangerang, Kalitheban, Wollithiga, Being unwell is the norm: RAC believes that
Valley (27.9 per cent) than the Australian Australia’s once youthful population is ageing Moira, Ulupna, Kwat Kwat, Yalaba Yalaba and the community we serve and provide services
average slowly. As our baby-boomer generation ‘matures’, Nguaria-iiliam-wurrung clans, all of which spoke to, presents with a skewed understanding and
• Residents of small towns were significantly less we find that one in six of us are now over 65. the Yorta Yorta language. experience of what wellness and wellbeing is.
likely to have a regular GP (86.1 per cent) than More of us are surviving well into old age, thanks RAC believe that the community has become
residents of Shepparton/Mooroopna (90.9 per to improvements in diet, public health and medical so used to living in sub-optimal conditions, that
cent) technology. Our population of centenarians grew this has become the new norm, and that this
to 3,500 in 2016. encompasses physical, mental, cultural, spiritual,
• Residents of small towns reported higher
Generally, Women are living longer than men. Of educational, and economic wellbeing. This is
levels of physical exercise (46.0-48.4 per cent
those people aged 65 or older, 54 per cent are because of a historical environment of trauma
reported 150 minutes or more per week) than
women and 46 per cent are men. Of those people and disadvantage that has been experienced by
residents of Shepparton/Mooroopna (39.7 per
aged 85 and older, 63 per cent are women and multiple generations who have normalised a state
cent), despite less access to physical activity
37 per cent are men. of being ‘unwell’.
amenities
• Residents of small towns travelled further • Percentage of persons aged 75+ who live
for dental treatment, were less likely to have alone 38.7 per cent, of those 73.9 per cent are
seen a dentist in the past year and were more female and 26.1 per cent are male
likely to have false teeth than residents of • Aged care places (high care) per 1,000 eligible
Shepparton/Mooroopna population 53.1 compared to 40.9 in Victoria
• Aged care places (low care) per 1,000 eligible
population 56.5 compared to 44.4 in Victoria
• Age pension recipients per 1,000 eligible
population 757.2 compared to 694.3 in Victoria
28 2018 - 2028 Public Health Strategic Plan 29You can also read
