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Fife Health & Wellbeing Alliance. Improving health & wellbeing & reducing health inequalities in Fife. Reducing Health Inequalities. Health varies in Fife in relation to Socio-economic status Gender Ethnicity Place of residence Other inequalities. Influences on Health.
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Fife Health & Wellbeing Alliance Improving health & wellbeing & reducing health inequalities in Fife
Reducing Health Inequalities Health varies in Fife in relation to • Socio-economic status • Gender • Ethnicity • Place of residence • Other inequalities
All cause mortality rate per 100000 population aged under 65, by interzone, Fife and Scotland, 2006 Scotland Fife Interzone
Percentage of women smoking in pregnancy by interzone, Fife and Scotland, 2005-07 Fife Scotland
Risk factors for teenage pregnancy • Poor attendance rates and dislike of school • Poor educational attainment
Reducing health inequalities What works? Environment/legislation/regulation/ fiscal policies Income support/reducing price barriers Improving accessibility of services Prioritising disadvantaged groups Starting young/offering intensive support
FHWA Children’s Services Group Sustainable Communities Group Health & Social Care Partnership Fife Housing Partnership DAAT
Well-being Population health Health inequalities Individual behaviours Economic, and physical environments Improving Health & Wellbeing SOA Community Plan JHIP Outcome Indicators LONG-TERM HIGH LEVELOUTCOMES INTERMEDIATE OUTCOMES Performance management SHORT-TERM OUTCOMES Outcomes related to JHIP focus areas HIF & FSF Agreements Outputs Processes Inputs
Clear Leadership on health inequalities • Links across partnerships and agencies • Influencing how/where services are delivered Issues
Implementing/monitoring JHIP activity Issues • Local service delivery • Evaluation • Learning from what works • Targeting activity • Developing better measures
Influencing policy & organisational culture • Different drivers & priorities • Links & collaboration Issues