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Why Rural Health Matters – Looking After the Next Generation. Jane Randall-Smith Chief Executive, Institute of Rural Health Jig-So, 17th October 2011. Outline. Introduction to the IRH Setting the scene The issues Things to think about. Institute of Rural Health .

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why rural health matters looking after the next generation

Why Rural Health Matters – Looking After the Next Generation

Jane Randall-Smith

Chief Executive, Institute of Rural Health

Jig-So, 17th October 2011

outline
Outline
  • Introduction to the IRH
  • Setting the scene
  • The issues
  • Things to think about
slide3

Institute of Rural Health

The Institute of Rural Health (IRH):

  • UK-wide academic charity
  • Three main academic programme areas:
    • research and consultancy
    • education and training
    • policy analysis (including rural proofing)

“working to inform, develop and promote the health and wellbeing of rural people and their communities.”

slide4
IRH
  • Research:
    • Contributing to the evidence base
  • Education:
    • Developing a workforce fit for purpose
  • Policy:
    • Informing and promoting
health
Health
  • IRH takes an interdisciplinary approach which reflects our belief in the WHO definition of health...

“health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”.

determinants of health and wellbeing
Determinants of health and wellbeing

Source: Barton, H. and Grant, M. (2006) A health map for the local human habitat. The Journal for the Royal Society for the Promotion of Health, 126 (6). pp. 252-253.

health and wellbeing
Health and wellbeing

Influenced by:

  • Employment
  • Income
  • Education
  • Housing
  • Access to the natural environment
  • Access to services
  • Community safety
deprivation
Deprivation
  • The Welsh Index of Multiple Deprivation 2008 ranks specific small areas in Wales in terms of relative deprivation.
  • In Ceredigion, none of the areas fall in the 10% most deprived areas in Wales and overall the majority of its areas are less deprived than the Wales average.
slide18

Access to services –

For children

  • “Distance Decay”
    • The further a person is away from a service the less likely they are to use that service
  • Service utilisation is not a proxy for need
  • More marked in certain sectors
  • Access is influenced by social and cultural factors not just physical aspects
what do we know
What do we know
  • Ceredigion as a whole does not show as “deprived” but there are
    • pockets of need and
    • hidden deprivation elsewhere
  • Access to services is a huge issue
  • Poverty of choice
tackling child poverty in a rural setting
Tackling child poverty in a rural setting
  • Addressing inequalities:
    • Acknowledging the “rural idyll”
    • Removing the “rural mask”
  • Poverty affects life chances
the rural setting
The rural setting
  • Data at county level doesn’t tell the whole story
  • One rural town is one rural town
  • Dispersed populations
  • Hidden deprivation
  • Hard to reach
  • Understanding the culture and social context
young people in ceredigion
Young people in Ceredigion
  • % of young people 0-15 yrs old 14.9% (Pembrokeshire 18.5%, Wales 18.2%)
  • % of young people 0-4 yrs old 4.3%

(Pembrokeshire 5.5%, Wales 5.8%)

And,

  • Ceredigion has the highest life expectancy in Wales!
why rural health matters
WHY rural health matters
  • Wellbeing:
    • The early years are crucial (and the importance of pregnancy)
    • Holistic approach: including family and the community
    • Looking at prevention / promotion
    • Raise expectations
to make things happen
To make things happen:
  • Small and dispersed population: services to users and users to services - Making the links
  • Working together: Integrated working: building on team-working - within and between organisations
  • Role of the third sector
  • Caring communities – resilience
further information
Further information
  • Institute of Rural Health

T 01686 650 800

e Janers@irh.ac.uk

www.irh.ac.uk

www.ruralsupportwales.org.uk

www.ruralhealthgoodpractice.org.uk

www.ruralwellbeing.org.uk