Please use ASSESSMENT 1 as an understanding groundwork to answer questions in assessment 2. Please in text reference everything. Literally everything you use from anywhere please in text reference it. Please use at least 15-20 references for assessment 2. Please also write the source of reference. Example. Please don’t just write ?Holland, S. (2015). Public health ethics?. PLEASE reference like ?Yach, D. & Puska, P. (2002). Globalization, Diets and Noncommunicable Diseases (1st ed.). Retrieved from http://apps.who.int/iris/bitstream/10665/42609/1/9241590416.pdf?. It is important to write where it is retrieved from.
Assessment 2: Annual Strategic Plan (40%)
You are working for a Primary Health Network (PHN) in Australia, you have now undertaken a simple needs assessment (Assignment 1) and are now required to produce an annual strategic plan (Assignment 2) for a region of your choice in Western Australia.
As you are aware, PHNs were established in July 2015, with the objectives of increasing the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes; and to improving coordination of care to ensure patients receive the right care in the right place at the right time.
Based on your regional profile you have decided to commission (fund) a Health care Home for your region. You are required to prepare an activity work plan, including rational for the project, project objectives, and the planned activities as well as identify stakeholders and potential risks.
Annual Strategic Plan
1. Introduction (300 words, 5 Marks)
Give a brief introduction to your region, including the geography, population profile and specific health care needs. Also give a brief introduction to the Health Care Home.
2. Rationale (300 words, 5 Marks)
Explain the rationale behind the Health care home using specific examples from your region.
3. Objectives (3 Marks)
Outline 3 SMART objectives for your Health Care Home
4. Planned activities, Including key milestones (10 Marks)
Planned Activities Key Milestones
5. Project Timeline (3 Marks)
6. Key Stakeholders (8 Marks)
Identify 5 Key Stakeholders for the Health Care Home and comment on their level of influence on the project
Stakeholder Level of influence
High Moderate Low
7. Risk Management (6 Marks)
Identify and explain 3 potential risks to your project and the Key Stakeholders you would need to engage in order to manage the risk.
Student: Hitika Bhatia
Student Number: 17079550
Email Address: Hitika.email@example.com
School/Department: Public Health
Unit: PHCA3005 Health Planning and Evaluation
Lecturer/Tutor: Richard Varhol
Date Due: 7th October 2016
Title: Needs Analysis
I declare that this assignment is my own work and has not been submitted in any form for another unit, degree or diploma at any university or other institute of tertiary education. Information derived from the published or unpublished work of others has been acknowledged in the text and a list of references is given. I warrant that any disks and/or computer files submitted as part of this assignment have been checked for viruses and reported clean.
Student signature: Hitika Bhatia 6th October 2016
Table of Content
Assessment Brief 3
Age distribution 5
Gender distribution 6
Population trends 6
Implication for health care service planning 8
Language and Literacy
Employment and socioeconomic status
The health status and health behaviour of a population
Identifying health needs
We were asked to work for a Primary Health Network (PHN) in Australia and told that we have to undertake both; a simple Needs Assessment (Assignment 1) and an Annual Strategic Plan (Assignment 2) for a region of your choice (listed above) in Western Australia.
I chose Kimberly region of Western Australia for my Needs Assessment (Assignment 1) and an Annual Strategic Plan (Assignment 2 (Blackboard Curtin HPE, 2016)
PHNs were established in July 2015, with the objectives of increasing the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes; and to improve coordination of care to ensure patients receive the right care in the right place at the right time.
Primary Health Networks aim to achieve these objectives on the basis of an understanding of the health care needs of their communities through analysis and planning. In order to achieve these objectives they must identify the available services and help to identify and address service gaps, while getting value for money (Blackboard Curtin HPE, 2016)
We have been asked to assist with the first stage of the PHN commissioning cycle, which is the strategic planning stage. We will complete these in two stages.
Assignment 1. Needs assessment
Assignment 2. Annual Strategic Plan
Regional Needs Assessment and population profile
Name: Hitika Bhatia
Student number: 17079550
1. Population Profile (14 Marks)
Geography: The Kimberley Health Region of the WA Country Health Service covers the Kimberley Region of Western Australia. It is Western Australia?s most northern region.
The coastline faces the Indian Ocean to the west and the Timor Sea to the north. It is bordered by the Pilbara region to the south and the Northern Territory to the east. The Kimberley encompasses an area of 424,517 sq km. The major population centres in the Kimberley region are the towns of Broome, Kununurra, Derby, Halls Creek, Wyndham and Fitzroy Crossing. There are also over 100 Aboriginal communities of various population sizes, scattered throughout the region and nearly 100 properties servicing the pastoral industry. The region has a large indigenous population, with nearly a third of the region Aboriginal or Torres Strait Islander people. The Kimberley has a diverse economy, with mining, tourism, agriculture, and pearling all major contributors to the economic output of the area.
Geographically, this region features arid desert areas, spectacular gorges and river valleys, beautiful beaches, pockets of rainforest and extensive cave systems. (“WACHS: Kimberley regional profile,” 2011). (1 Marks)
Numbers: According to the Australian Bureau of Statistics 2014 data, Kimberley population by persons is around 39,099, with the numbers having grown by up to 6% a year in recent years. Females making 18,578 of the population and males having a slightly higher number as 20,521 (“Kimberley : Region Data Summary,” 2016). (1 Marks)
Age Distribution (4 Marks)
Table 1 & Figure 2: (Serafino & Anderson, 2015)
Reference: In Table 1 & Figure 2:the age distribution of each of the following categories
? Toddlers: 0-4
? Pre-school children: 5-9
? School-age children and young people: 10-19
? Adults: 20-65
? Elderly people. 65 +
Kimberley has a younger population in comparison to other regions. The age-structure differs from that of the State by having a higher percentage of children aged 0-14 years and adults aged 20- 44 years, and lower proportion of people aged 50 years and over (Figure 2). The proportion of the population aged 50 years and over is 20% (State 30%), while less than 1% are aged 85 years and over (State 2%) (Serafino & Anderson, 2015)
Gender distribution (2 Marks): Identify how many males and females and compared to the wider population of WA or Australia. Write a brief comment on how this relates to the health needs of the community.
The table above is from (“Kimberley : Region Data Summary,” 2016)
In Kimberley Female population is less than Male population. Female?s access to education, health care, family planning, and employment all affect family size, hence community size. Studies show that women who have completed primary school have fewer children than those with no education. Education is key because educated women are more likely to know what social, community, and health services, including family planning, are available and to have the confidence to use them. Educated women in community also means awareness of educated and healthy lifestyle, which further reduces the risk of illness and diseases in the community (“Human Population: Women,” 2016).
Population trends (2 Marks): Identify the patterns over a period of time Population trends give an indication of patterns of disease and compared to the wider population of WA or Australia. Comment on how population trends can reflect on the health care needs of a community. (2 Marks)
The Western Australian Planning Commission has generated population projections for Kimberley Local Government Area?s in the Kimberley Regional Planning and Infrastructure Framework. The following table presents the aspirational growth rates for the Kimberley.
Figure 5: (Serafino & Anderson, 2015)
Table 2: (Serafino & Anderson, 2015)
Population?s education and how actively a community takes part in food, health and well-being makes a difference on life expectancy of that community, which increases the lifespan of all age groups and decreases risk of diseases making a healthy increase in % population.
In 2009 for adults aged 16 years and over in the Kimberley region:
? One in three adults (29.5%) smoke, with males more likely to smoke than females (36.3% compared with 20.7%) prevalence of smoking among males and overall was significantly higher than the State prevalence (16.6% for overall) .
? Nearly two-thirds of the adults who drank alcohol drank at risk for long-term harm (62.9%), which was significantly higher than the state (48.6%)
? One in ten adults reported having high blood pressure (11.0%). This prevalence was significantly lower than the state. One in eight adults reported having high cholesterol (12.5%)This prevalence was significantly lower than the state. (Wood, Newton, Lockwood, & Bineham, 2012)
Implications for health care service planning:
The proportion of the younger age groups (0-14 and 15-44 years) in the Kimberley region is projected to decrease from 2006 to 2026, while the proportion of older age groups, (45 years and over) is projected to increase (Figure 5).
The population of the Kimberley is projected to grow at one per cent per year. Most of the growth will be in West Kimberley but this will be dependent on mining processing industries expanding. The number of people 65 years and over is projected to increase by 67% between 2014 and 2026 (2,403 to 4,013). Seasonal population increases during the ?dry? season need to be better monitored to provide a complete picture of service demand. This changing age structure is taken into account in the commencement and placement of services particularly in Aged Care
a. Language and literacy (2 Marks): Identify the language and literacy profile of your community. Comment on why this is important when considering the healthcare needs of a community. (2 Marks)
b. Employment and Socioeconomic status (2 Marks): The SEIFA Index of Relative Socio-Economic Disadvantage shows that most areas within the Kimberley have high levels of disadvantage. Services and programs need to be targeted to areas of highest disadvantage.
2. The health status and health behaviours of the population (14 Marks) http://kdc.wa.gov.au/economic-activity/health/
– Smoking and alcohol during pregnancy
– Teenage pregnancy
– Gestational diabetes
Child and adolescent health
– Low birth weight
– Chronic disease prevalence
There are different ways of finding out about the health status of the community and a number of measures commonly used to identify the health of a population such as:
a. Mortality data: (2 Marks)
Life expectancy males (2011-2013) = 80.3 years (Serafino & Anderson, 2015)
Life expectancy females (2011-2013) = 84.8 years (Serafino & Anderson, 2015)
b. Morbidity data: *This is information refers to the incidence and prevalence of illness and disability in the community
Identify the incidence and prevalence of the following and compare these to the wider population of WA or Australia. (4 Marks)
Region Wider population
Prevalence Incidence Prevalence Incidence
c. Health behaviours:
Identify the following for your community: (3 Marks)
? Physical activity: Half the adults (50.7%) and nearly half the children (46.3%) did not do sufficient physical activity. (Wood, Newton, Lockwood, & Bineham, 2012)
? Smoking rate: One in three adults (29.5%) smoke, with males more likely to smoke than females (36.3% compared with 20.7%). The prevalence of smoking among males and overall was significantly higher than the State prevalence (16.6% for overall) (Wood, Newton, Lockwood, & Bineham, 2012).
? Alcohol consumption: the mortality rate due to alcohol and tobacco consumption was higher for Kimberley residents than all WA residents. Nearly two-thirds of the adults who drank alcohol drank at risk for long-term harm (62.9%), which was significantly higher than the state (48.6%) (Wood, Newton, Lockwood, & Bineham, 2012).
Whilst other factors require screening programs and primary, secondary or tertiary intervention, smoking, physical inactivity, excess weight, excess alcohol use and poor diet are modifiable risk factors for coronary heart disease and lung cancer.
d. Service information: Use the following resource to identify the number of General Practitioners, Psychologists and Dietitians in your region. You may place a screen capture of your map here. Health Service Services: https://www.healthmap.com.au (3 Marks)
e. Health care workforce: Identify the number of General Practitioners and Psychologists per 1,000 population in your region (2 Marks)
1. General practitioners = 2107/1000 population
2. Psychologists = 147/1000 population (Wood, Newton, Lockwood, & Bineham, 2012)
3. Identifying Health Needs Using the information above, please complete the following table by identifying 3 key health needs for your community. (12 marks)
Identified Need Key Issue Description of Evidence
e.g. Health status
Poor self-assessed health status in (specific locations) Variation in rates of cardiovascular disease between the wider population and Pilbara community
Human Population: Women. (2016). Retrieved from http://www.prb.org/Publications/Lesson-Plans/HumanPopulation/Women.aspx
Kimberley : Region Data Summary. (2016, June 30). Retrieved from http://stat.abs.gov.au/itt/r.jsp?RegionSummary?ion=50804&dataset=ABS_REGIONAL_ASGS&geoconcept=REGION&datasetASGS=ABS_REGIONAL_ASGS&datasetLGA=ABS_REGIONAL_LGA?ionLGA=REGION?ionASGS=REGION
Serafino, S., & Anderson, C. (2015). Kimberley Health Profile: Planning and Evaluation Unit. Retrieved from http://www.wacountry.health.wa.gov.au/fileadmin/sections/publications/Kimberley_Profile_Sep_2015_FINAL.pdf
WACHS: Kimberley regional profile. (2011). Retrieved from http://www.wacountry.health.wa.gov.au/index.php?id=492
Wood, N., Newton, B., Lockwood, T., & Bineham, N. (2012). A Kimberley Health Profile ? WACHS. Retrieved from http://wacountry.health.wa.gov.au/fileadmin/sections/publications/Kimberley_Profile_Sep_2015_FINAL.pdf