Presentation on theme: "Health outcomes: Indigenous Victorians Life expectancy 17 years younger in Victoria than non-Indigenous Aboriginal youth are four times more likely."— Presentation transcript:
Health outcomes: Indigenous Victorians Life expectancy 17 years younger in Victoria than non-Indigenous Aboriginal youth are four times more likely to die before the age of 25, twice as likely to be obese 13.6% of births to Indigenous mothers had low birthweight compared with 6.8% for non-Indigenous births
Health outcomes: New arrivals 4 out of 5 refugee children do not receive comprehensive health care Higher levels of diabetes, poorer levels of nutrition amongst some new arrival communities
Health outcomes: People with disabilities 20% of Victorians report having a disability (ie. 1,033,080 people) 52.25% of people with a disability rate their health as good, very good or excellent, compared with 85.4% of all Victorians
Health outcomes: Low income/SES Compared to people on higher incomes, people from low income households: Experience poorer health Are more likely to engage in behaviours harmful to health (smoking, sedentary behaviour) The health of people with limited socioeconomic resources is improving at a much slower rate than higher income earners
Influences on health Examples: Access to employment Access to education Housing Health, social and community infrastructure
Employment: Who is left out? Employment: some migrant groups, Indigenous People with disabilities
Education: Who is left out? About 40.1% of Indigenous students finish a year 12 education compared with 75.9% of non- Indigenous students (AIHW 2007) Female school completers from a low socioeconomic background are less likely to go on to university than boys from this background (Nelms 2007) Labourers, manufacturing workers, retail industry, lowest weekly incomes participate less in furthjer learning, mostly due to being too busy (44%) or not being able to afford training (18%) (ABS 2007).
Housing: Who is left out? There is an over-representation of overseas-born residents in private rental households (AHURI 2007). 2% of housing transactions in 2003 would be affordable to someone on an average income, compared with 13.5% in 1996 (The Age 2007)
Community infrastructure: Who is left out? 1
Community infrastructure: Who is left out? 2 Disability: any limitation, restriction or impairment which had lasted/will last at least 6 months and restricts everyday activities People with disabilities All Australians
The work still to do
Health inequalities “Ensuring equity is about moving beyond equality of access to ensuring equality of opportunity and measuring equality of impacts and outcomes.”
Equity triangle lens
Equality of access Cost Culturally appropriate service delivery Physical barriers
Equity of access: Key questions Direct costs, but also reflect on service-related costs: uniforms, equipment, child or respite care Culturally appropriate service delivery: Cultural security = being able to obtain the same level of service even if your values base is different Physical barriers: Venue layout, do staff understand taxi subsidy support scheme, etc?
Equality of opportunity Employment/income opportunities Reflect on local place barriers and enablers Social influences: “linking/bridging capital” and “contact hypothesis”
Equity of opportunity: Key questions Where does the service/program fit on a continuum between unemployment and new work opportunities? How well do you understand what it is like to live in the local area? Housing stresses, transport access, shopping and recreation
Equality of impacts and outcomes Going beyond throughput measures Who is using your services/programs? Can this be built into KPIs/contractual arrangements?
Equity of impact and outcome: Key questions Does service/program use reflect the needs of the local population? What population demographics are collected on usage? How do you share successes with the community and participants?
Current trial project Real-life projects: around 20 across before/during/after and project/service/program/policy Mentors and e-learning network Leads to validating as an instrument