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Participation and equity for health. Victorian Health Promotion Foundation. Health equity through action on the social determinants of health. About VicHealth. The Victorian Health Promotion Foundation, established 1987 under the Tobacco Act (legislation)

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participation and equity for health

Participation and equity for health

Victorian Health Promotion Foundation

about vichealth
About VicHealth
  • The Victorian Health Promotion Foundation, established 1987 under the Tobacco Act (legislation)
    • Statutory authority: outside of the government health department, but still reporting to the Victorian Health Minister and to Parliament with accountability to a Board of Governance.
  • Funding of approximately $32 million per annum for:
    • reducing smoking
    • improving nutrition
    • reducing harm from alcohol
    • increasing physical activity
    • increasing social and economic participation, and
    • reducing harm from UV exposure.
vichealth improving the health of all victorians
VicHealth: improving the health of all Victorians

Our vision

  • VicHealth envisages a community where: 
    • health is a fundamental human right
    • everyone shares in the responsibility for promoting health
    • everyone benefits from improved health outcomes

Our equity focus

  • Strategic Plan KRA 1- Health inequalities
    • Improve the physical and mental health of those experiencing social, economic or geographic disadvantage
    • Contribute to closing the health gap between Indigenous and non-Indigenous Victorians
  • Organisational structure
health equity concepts and definitions
Health equity- concepts and definitions
    • Health inequalities refer to variations in health status between sub-groups in the population.
  • Health equity is not about removing all difference so that everyone has the same level of health.
  • The aim is to reduce or eliminate differences which are considered to be avoidable and unfair.
    • Recognition that health inequalities are largely explained by differential access to the social and economic (‘upstream’) determinants of health.
    • Action to achieve health equity is therefore about addressing the unequal distribution of health determinants.
vichealth s approach to health equity
VicHealth’s approach to health equity
  • ‘Health equity through action on the social determinants of health’
  • Focus on creating opportunities for social and economic participation and reducing exposure and vulnerability to health damaging factors (risk factors) in a number of priority population groups:
    • Indigenous Victorians
    • Culturally and linguistically diverse groups, with an emphasis on newly arrived communities
    • People with a disability
    • People from low socioeconomic groups, with an emphasis on children
vichealth s frameworks for action
VicHealth’s frameworks for action
  • VicHealth uses strategic frameworks to conceptualise and describe our work aimed at increasing social and economic participation.
  • These frameworks are important because they:
    • Highlight that health and wellbeing is shaped by social and economic structures
    • Make a complex picture more available
    • Develop an evidence-based logic to guide practice
    • Are a tool to assist in setting or assessing priorities and developing evaluation plans
    • Allow a range of organisations and sectors to see how they can contribute to health and wellbeing outcomes
vichealth s frameworks for action1
VicHealth’s frameworks for action
  • Determinants framework for mental health and wellbeing (2006)
  • Framework for guide primary prevention of violence against women (2007)
  • Reducing race-based discrimination and promoting diversity: A framework for action (2009)
  • Participation for health: A framework for action (2009)
  • Victorian Aboriginal Health Promotion Framework (with DH- to be published late 2010)
  • Need for specific equity framework?
vichealth practice the role of frameworks
VicHealth practice- the role of frameworks

Focus on upstream social and economic determinants

other frameworks
Other frameworks

(CDSH, 2008)

who commission on the social determinants of health
WHO Commission on the Social Determinants of Health

Recommendations

  • Improve daily living conditions:

The circumstances in which people are born, grow, live, work and age

  • Tackle the inequitable distribution of power, money and resources:

The structural drivers of those conditions of daily life- globally, nationally and locally

  • Measure and understand the problem and assess the impact of action:

Measure the problem, evaluate action, expand the knowledge base, develop a workforce trained in the SDOH and raise public awareness about the SDOH

applying the commission s framework to vichealth action
Applying the Commission’s framework to VicHealth action
  • Improve daily living conditions:
    • Access to economic resources: workplace, education, employment, housing
    • Early childhood
    • Active communities
  • Tackle the inequitable distribution of power, resources and money:
    • Freedom from discrimination
    • Freedom from violence
    • Social connection: involvement in community /group activities, civic engagement
  • Measure and understand the problem and assess the impact of action:
    • Community Indicators Victoria and Consolidated Survey Platform
    • Research summaries and evidence-based resources
    • Research projects
summarising vichealth s approach to equity
Summarising VicHealth’s approach to equity
  • Taking action on the social determinants of health to:
    • Identify policy-relevant mechanisms to shift the distribution of the resources of daily living
    • Better understand and reduce exposure and vulnerability to health damaging factors in population groups most ‘at risk’
    • Tackle the unequal distribution of power in our society
  • Measure, understand and build capacity to address the problem
key messages regarding equity and participation
Key messages regarding equity and participation
  • This is not a value-free space
  • Equity should be core consideration- not an ‘extra’
  • Need to consider potential impact of health promotion activity on health inequalities
  • Often change is sought in organisations, the wider community, environments and systems, not in the ‘target group’
  • Cross-sectoral action is required
  • Focus is on shifting the distribution of the social and economic determinants of health
  • Key role in advocacy
  • Resources are available to assist your work
follow up
Follow up

Kellie Horton

e: khorton@vichealth.vic.gov.au

ph: 9667 1305

www.vichealth.vic.gov.au