MANSFIELD SHIRE COUNCIL MUNICIPAL PUBLIC HEALTH ... › sites › default... · What outcomes we aim to achieve 11 Our current initiatives 13 Priority Theme 2—Community Resilience

MANSFIELD SHIRE COUNCIL

MUNICIPAL PUBLIC HEALTH & WELLBEING PLAN

2017-2021

Endorsed by Council on 20 February 2018

MANSFIELD SHIRE

Mansfield Shire Council acknowledges the contribution of numerous organisations and people who participated in the Plan Development Workshop.

We thank Mansfield District Hospital for partnering and advising through this Plan’s development process.

We acknowledge Global Obesity Centre (GLOBE) at Deakin University who have shared their

techniques and knowledge in systems dynamics, facilitated our Plan Development Workshop and assisted in the preparation of this Plan.

We also acknowledge Central Hume Primary Care Partnership who developed several supporting documents to inform this Plan.

Acknowledgements

Page 2

Table of Contents

Page No.

This Plan 4

Our Community 5

Plan Development Process 7

How we will Implement this Plan 8

Key factors that influence our health and wellbeing 9

Priority Theme 1—Healthy Lifestyle 10

What outcomes we aim to achieve 11

Our current initiatives 13

Priority Theme 2—Community Resilience and Connectivity 14



Priority Theme 3—Enhanced Liveability 18



Appendix A—Key Terms 21

Appendix B—Attendees list 22

Acknowledgement of traditional owners

Mansfield Shire Council recognises that indigenous people have been custodians of this area

for generations. We acknowledge the living culture and unique role of Taungurung people in our region.

Page 3

The purpose of this plan is to provide

strategic intent to the entire community of Mansfield Shire, on how we can work

together to improve our community’s health and wellbeing.

In accordance with the Public Health and Wellbeing Act 2008, Council has a

legislative requirement to prepare a Municipal Public Health and Wellbeing Plan every four years that outlines

health and wellbeing priorities for the municipality and identifies evidence-based ways to address these.

We recognise that whilst we are a key

player, it is the whole community that needs to be involved in taking action to achieve the outcomes stated in this

Plan. As the lead agency, we have ensured

that this Plan is closely linked to the Mansfield Shire Council Plan. There is a clear line of sight from the Victorian Public

Health and Wellbeing Plan 2015-19 to this Plan, which provides direction for public

health sector organisations in the municipality to align priorities and develop collective preventative responses.

This Plan

This Plan focuses on specific areas for

improvement for the whole population of Mansfield, including improving the health

inequity of certain population groups currently experiencing poorer health and wellbeing outcomes, and sets the scene for

the development of implementation plans for Council, health organisations and local

community groups.

Page 4

Our picturesque Shire is located in Victoria’s

High Country just two hours north east of Melbourne. Our Shire boasts major river

systems, lakes, mountains, vast tracts of what is referred to as ‘High Country’ and broad, productive valleys where agriculture and

rural living integrate.

Recent years have seen a steady population growth rate of about 2% to reach today’s estimated population of 8,605*and this is

forecasted to grow to 9,595 by 2031 (Victoria in Future 2016). Around 50% of our ratepayers do not live here permanently.

*Australian Bureau of Statistics

We have a strong sense of community. Our

strengths and assets with respect to our health and wellbeing include a vibrant

economy, low unemployment, and children who are developmentally well prepared for school. However, we are not without our

challenges such as high mortgage stress and low household income, which can

sometimes be disguised by data that includes our non-resident ratepayers. These issues in turn influence other issues such as

high rates of youth smoking, obesity and harmful alcohol use.

Tables 1 and 2 outline the key health and wellbeing strengths and challenges that

have informed this Plan.

Our community

Page 5

Our community

DATASET MANSFIELD VICTORIA

Unemployment Rate 3.5% 6.5%

Rated community as an active community % 96.1% 81.8%

Children developmentally vulnerable in two or more domains 3.3% 9.5%

Family violence incidents (per 1,000 population) 8.1 11.4

Breast feeding rates at 3 months (fully) 62.1% 51.7%

DATASET MANSFIELD VICTORIA

% households with annual household income less than $40,000 26.4% 18.7%

Mortgage stress 16.0% 11.4%%

Smoking status 29.2% 13.1%

Daily consumer of sugar sweetened soft drinks 20.7% 11.2%

Increased risk of alcohol related harm on a single occasion, either

yearly, monthly or weekly 46.3% 42.5%

Diagnosis of anxiety or depression 37.2% 24.2%

Table 1: Key Health and Wellbeing Strengths

Table 2: Key Health and Wellbeing Challenges

Page 6

The development of this Plan took into

consideration many current relevant plans and policy directions. Of particular note

were the progress on the previous Mansfield Public Health and Wellbeing Plan 2013-2017, the Mansfield Shire Council 2017-21 Council

Plan and the Victorian Health and Wellbeing Plan 2015-2019. Local data was

assessed to indicate areas of strength and areas of concern.

Community stakeholders were invited to participate in a development workshop. This session was facilitated by the Global

Obesity Centre (GLOBE) based at Deakin University and used a participatory

modelling process called Group Model Building from a broader practise called Systems Dynamics.

System Dynamics is an approach used to

understand complex or difficult problems that emphasises the importance of understanding the many factors that affect

a problem, and the relationships between those factors, using visual maps. Group

Model Building is a participatory process where community members can contribute their local knowledge, understanding, and

expertise in the development of these maps.

This approach aligns with the Collective Impact framework, which acknowledges

there is no single “owner” of complex social problems. Change in these areas requires the establishment of a shared agenda, and

collaborative action from a broad, diverse group of stakeholders across the

community. Participants built a visual model, or “map”,

of the factors that influence our community’s health and wellbeing. One

map for healthy lifestyle and one map for mental health were originally developed by

Plan development process

two groups working separately. The groups

then came together and shared their work and insights with members of the other

group. Participants worked collaboratively and

developed potential actions for how to change the system in order to improve

community health and wellbeing. These actions were themed and participants committed to take action in one or more of

the themes according to their area of interest, capacity and influence.

Following the workshop, the two maps were merged into one, which is shown in Figure 1

(see page 10). The key priority themes were formed by

identifying the prominent themes among the factors on the map, as well as ensuring

best alignment with the current Victorian Health and Wellbeing Plan and Outcomes Framework and the Mansfield Shire Council

Plan.

The key priority themes are: • Healthy Lifestyles

• Community Resilience and Connection • Enhanced Liveability

The actions proposed by participants will form the basis of further discussions within

our community about implementing this Plan.

There is a commitment to undertake further training in Systems Dynamics methods and

practises between GLOBE and our community. We will use these enhanced skills to further develop and refine the map

developed by our community, and to further examine and investigate the themes

presented in this document as we progress in our implementation.

Page 7

Everyone who lives and works in Mansfield

Shire has a role to play in their own health and wellbeing and that of the broader

community. To achieve long lasting improvement to the

health and wellbeing of our community, we need an empowered community leading

the changes to address our complex social issues.

Our community will need to work together to build skills and knowledge to unravel the complexity of social issues and to drive

change to improve health and wellbeing. An authorising environment will be created

amongst our partner agencies that promote a culture of action through experimentation, reflection and adaptation. Mansfield Shire

has a strong sense of community and is rich

How we will implement this Plan

in social assets that will be fundamental in

making the changes we need to achieve our desired outcomes.

Place based solutions will be supported. This means a combination of working across our

whole shire area, whilst also recognising the unique qualities and challenges of each

individual community. We will work towards aligning our local place based community-led work to broader regional scales to

achieve synergies of outcomes and cost effectiveness.

KEY STRATEGIES:

1. Build skills and support agencies and community to use frameworks and tools

for a collective impact approach.

2. Develop a shared agenda, annual action plan and shared measurements.

3. Align initiatives with local, regional and state policy.

4. Host health and wellbeing forums every

six months to share progress, identify opportunities, enhance integration

and celebrate progress.

Page 8

Key factors that in�uence our health and wellbeing

ENHANCED LIVEABILITY

COMMUNITY RESILIENCE

AND CONNECTIVITY HEALTHY LIFESTYLES

Key priority themes were formed by identifying the prominent themes among the factors on

the map, as well as ensuring best alignment with the current Victorian Health and Wellbeing Plan and Outcomes Framework and the Mansfield Shire Council Plan.

Page 9

Reduce the use of

crystal meth-

amphetamine

Reduce obesity and

overweight

Increase physical

ac6vity

Reduce tobacco use in

young people

Reduce acceptance of

excessive alcohol

consump6on

Reduce harmful

alcohol use

Increase healthy

ea6ng

Addressing high levels of obesity, smoking by

young people and use of alcohol and other drugs are central elements to achieving a

system that supports healthy lifestyles. Education on life skills and how health is

prioritised at a personal and community level are key factors to be considered in

changing the current view. The cost of living is a strong influence and this particularly influences the affordability of physical

activity which in turn influences obesity levels.

Priority Theme 1: Healthy Lifestyles

The culture of acceptance of excessive

alcohol consumption needs to be addressed in order to reduce harmful

alcohol use. The use of tobacco, alcohol and other drugs are also strongly linked to community connectivity, sense of purpose

and resilience.

Page 10

What outcomes we aim to achieve We aim to achieve improvements in the

following set of determinants, identified by the Mansfield community as important

drivers of healthy lifestyle: • Acceptance of excessive alcohol drinking

• Health as a priority • Smoking in youth

• Access to tobacco • Stress • Access to illicit drugs

• Use of Illicit drugs • Affordable physical activity

• Physical activity

• Obesity • Life skills education

• Access to junk food • Healthy eating • Access to healthy food

Lifestyle health will be improved by focusing

on a defined set of key outcomes identified from this list.

Page 11

What outcomes we aim to achieve continued

OUTCOMES MEASURE

Healthier Eating and Active Living

Reduce overweight and obesity in

children and adults

Proportion of adults, adolescents and children who

are overweight and obese

Increase physical activity of adults,

adolescents and children


are sufficiently physically active

Increase healthy eating by adults, adolescents and children


consume sufficient fruit and vegetable

Mean serves of fruit and vegetables for adults,

adolescents and children

Reducing Harmful Alcohol and Drug Use

Reduce harmful alcohol use Proportion of adults and adolescents who

consume excess alcohol

Reduce acceptance of excessive alcohol

consumption

Number of local media photos promoting an

alcohol drinking culture per annum

Reduce the use of illicit drugs Proportion of adults and adolescents using an illicit

drug in the past 12 months

Tobacco–Free Living

Reduce tobacco use in young people Proportion of adolescents who currently smoke

Page 12

Change in the outcomes will be assessed using the measures indicated in

Our community is already working together

on a number of initiatives that address these outcomes.

We will continue to work together taking a systems thinking approach to bring partners

and the broader community together to further develop these initiatives as well as

new initiatives:

• Active Mansfield

• Keeping Mansfield Healthy

• Sport and Recreation Directory

• Sport and Recreation Strategy

• Community projects - walking tracks and

exercise stations

• Social recreation and exercise

• Active Aging - Planned Activity Group

♦ Easy Movers Group ♦ Healthy Eating Program

♦ Meals on Wheels

• Healthy and Wise Program

• TOAST—Tolmie offers a seat to town

• UFO—Unfinished Objects

• Death and Dying Program

• Maternal Child Health

♦ New Mums Group ♦ Mothergoose ♦ Australian Breastfeeding Association

♦ Mansfield Library breast feeding safe

environment

• Financial Counselling

• Financial Literacy Program

• Local Drug Action Team

Our current initiatives

Page 13

Increase mental

health of adults and

young people

Increase access to

internet for

households and

community groups

Reduce isola6on

Increase sense of

purpose

Increase respect and

tolerance in the

community

Reduce the

prevalence of family

violence

Priority Theme 2: Community Resilience and Connectivity

The Mansfield community conversation

reflects the importance of a sense of purpose, being respected and feeling

connected as key protective factors for good mental health and to reduce alcohol and drug use.

There is a strong feedback about how the

lack of experience or exposure to a diverse range of people and health issues can contribute to a culture of fear within the

community and this has flow on effects. A key outcome is to improve respect and

tolerance of diversity within our community.

Technology and, more specifically connection to the internet, plays many roles

in our community health and wellbeing. Whilst it can have negative impacts such as excessive screen time use and can foster a

culture of fear, it also has an important role in supporting health in enabling greater

community engagement and connection and making health promoting information and services more accessible.

Within Mansfield Shire there are many locations that have no or low access to the

internet.

Page 14

We aim to achieve improvements in the

following set of factors, identified by the Mansfield community as important drivers of

resilience and connectivity. • Resilience

• Sense of Purpose • Respectful Social Norms

• Mental Health • Isolation • Community Engagement

• Technology • Culture of Fear

Resilience and connectivity will be improved

by focusing on a defined set of key outcomes identified from this list.

What outcomes we aim to achieve

Page 15

OUTCOMES MEASURE

Improving mental health

Increase mental health of adults and young people

Proportion of adults and adolescents with psychological distress

Increase sense of purpose of adults and young people

Proportion of adults who feel valued by society

Life satisfaction of adults and adolescents

Reduce isolation for adults and young people

Proportion of adolescents who have a trusted adult in their lives

Preventing violence and injury

Reduce the prevalence of family violence

Rate of incidence of family violence as recorded by police

Increase respect and tolerance in the community

Proportion of adults who thought multiculturalism definitely made life in their area better

Community and social connections

Increase access to internet for house-holds and community groups

Proportion of population who has access to the internet

Strengthen engagement in meaningful activity

Increase in physical activity

Strengthen sense of place and belonging Increase members of sporting, social and

recreation groups

Strengthen social involvement Increase in volunteering

Create safe environments Increase risk awareness

What outcomes we aim to achieve continued

Page 16

Change in the outcomes will be assessed using the measures indicated

Our community is already working together

on a number of initiatives that address these outcomes.

We will continue to work together taking a systems thinking approach to bring partners

and the broader community together to further develop these initiatives as well as

new initiatives.

• Planned Activity Group for seniors

• Suicide Prevention Project

• Seniors Festival

• Maternal Child Health Program

• Integrated Family Services

• Mansfield RRR Program

• White Ribbon Day

• RAR Mansfield

• Men’s Shed

• Mansfield Library

♦ Intergenerational Activities

♦ Outreach Services

♦ Books on Wheels

♦ Wifi and Internet Services

♦ Virtual Library Services

♦ Safe and welcoming space


Page 17

Improve the cost of

living

Increased access to key

health and social

services

Increase planned

tourism

Priority Theme 3: Enhanced Liveability

Our population has experienced steady

growth over the past decade and this is forecast to continue at least for the next 15

years. Our increasing population has also been a

major driver of Mansfield Shire having a relatively low unemployment rate. Whilst

this is a fortunate position for the local economy and therefore overall wellbeing, it can also have complex negative

implications for a portion of the community as described in the systems map below.

Whilst tourism can increase overall employment, there remains significant under-

employment or casualisation of work that

has been seen to have poor impacts on

people’s sense of purpose, alcohol use and income levels. The affordability of housing is

also a key impact on the cost of living which in turn can limit the community having healthy lifestyles due to the lack of

affordability.

Whilst there are a good health and mental health services available in our community, there can be difficulty in accessing these

services in terms of their affordability and availability at the right times due to the lack of co-ordination between outreach

services.

Page 18

We aim to achieve improvements in the

following set of factors, identified by the Mansfield community as important drivers of

liveability. • Employment

• Access to appropriate services • Tourism

• Population growth • Green health • Cost of living

• Affordable housing • Cost of access to environment

Liveability will be improved by focusing on a

defined set of key outcomes identified from the following list.

Change in the outcomes will be assessed using the measures indicated as follows:

What outcomes we aim to achieve

Page 19

OUTCOMES MEASURE

Advocacy for Mansfield Shire

Increased access to key health and social services

Community satisfaction with health and social services

Climate Change

Increase adaptation to the impacts of climate change

Diversification of business and local producers

Decrease in Hospital admissions for heat related illness

The Mansfield community is highly aware of

the current impacts of climate change and future potential impacts.

Due to its natural surroundings, severe climatic events such as bushfire, flooding

and heatwave all have potential to have drastic impacts on our community.

Our economy, that is supported by a strong tourism influence, is also susceptible to the

impacts of climate change. We also know that climate change impacts the most disadvantaged groups, further exacerbating

their disadvantage primarily through further increasing the cost of living.

Through supporting diversification in tourism offerings, business and producer markets, we

will be supporting our community to adapt to the impacts of climate change.

We will work with the local community to

further develop ideas to support economic vibrancy and health and wellbeing

outcomes. We will continue to partner with Tourism

North East to align our efforts across the region.

We will work with the Central Hume Primary Care Partnership and Murray Primary Health

Network to improve the access to key health and social services within our region.

• Mansfield Paddock to Plate Agri-Tourism

Alliance

• Fords Creek Landcare Group

• Up2Us Landcare Alliance

• Climate Smart Ag Program

• Mansfield Shire Council Economic


Page 20

Term Definition

Community stakeholders

Community members who have some interest, responsibility,

capacity, or resources (professional or personal) relating to the issue.

Complex problem

A complex problem is one that we can’t understand easily. Complex problems are resistant to change, and react to our efforts to change them in unpredictable ways. Complex

problems have lots of different causes, and those causes affect one another, as well as the problem itself.

System dynamics

A theory that is used to investigate complex problems. Systems Dynamics gives us some practical activities (such as group

model building) that can help understand complex problems.

Group model building

A participatory “workshop” style process in which community stakeholders can contribute to the development of a System

Dynamics map.

Map

Maps (sometimes referred to as “models” or “diagrams”) are visual representations, used by Systems Dynamics, to show the causes of a complex problem. They contain the many factors

that cause the problem, as well as arrows showing the relationships between the causes.

Collective impact

A framework that sets out how communities should work together to achieve change in complex social issues. The

Collective Impact framework contains a number of objectives, including developing a shared agenda (or

common understanding among community stakeholders) and creating mutually reinforcing activities (that are aligned with, and support each other)

Appendix A - Key terms

Page 21

Appendix B - Attendees list

Organisation Name

Ambulance Victoria - Mansfield Branch Margetts Greg

Central Hume Primary Care Partnership Symes Hannah

Country Women’s Association Rowlands Ruth

Shaw Sandra

DAIS Mitchell Eliz

Department of Health Human Services Geddis Sandy

Friday Foundation Kilford Dianna

Goughs Bay Progress Association Guerin Coral

Health and Fitness Centre Mansfield Ward Steve

Jamieson Community Group Vague Ann-Maree

Keeping Mansfield Healthy Kappes Andy

KESO Upper Murray Region Mobourne Jessica

Loufit Hopwood Louise

Mansfield Central General Practice Leatham Christine

Moore Katie

Mansfield CFA Kreltszheim Stewart

Mansfield Cubby House Mansfield Community Nurse Walker Molly

Mansfield District Hospital Butler

Green

Cameron

Melanie

Mansfield Community Health Nurse Smith

Mansfield Football Netball Club Sheahan Dennis

Mansfield Men’s Shed Copley Bill

Mansfield Police Station Layton Mick

Mansfield Primary School Comerford Nicole

McInnes Julie

Mansfield Secondary College

Hall Jane

Paterson Ferg

Howlett Mark

Nicholls Chris

Dixon-Riley Amy

Deb

The following participants attending the Mansfield Shire Municipal Health and Wellbeing Plan

Planning Workshop, held on 16 August 2017.

Page 22

Appendix B - Attendees list continued

Organisation Name

Mansfield Shire Council

Arndt Sue

Binzer-Jones Sue

Blair Rosslyn

Diplock Jane

Dolling Julie

Green Alex

Hotton Mel

Lingard Kirsten

Ogilivie Neil

Olver Peter (Cr)

Padbury Michele

Mansfield Steiner School Cummins Fran

Rural Australians for Refugees Sellstrom Marie

St Mary's Primary School Parker Jason

Up2Us Landcare Lee Kirstie

Victoria Police Community and Mental Health Portfolio Reed Robyn

Westendorp Harry (Cr)

Garlick Carolyn

Page 23

Thank you and feedback invitedThank you and feedback invitedThank you and feedback invitedThank you and feedback invited Thank you for reading the Mansfield Shire Municipal

Public Health and Wellbeing Plan 2017-21. We hope this document has given you a good understanding of

our intent on how we can work together to improve our community’s health and wellbeing. Your feedback is valued and can be posted to:


Private Bag 1000 Mansfield Vic 3724

You may also telephone your feedback to our Customer Service Officers on (03) 5775 8555 or email Council at [email protected]

Further readingFurther readingFurther readingFurther reading We encourage you to visit Council’s website which contains information about our services, programs,

events, major initiatives, major publications and more.

Council’s website address is www.mansfield.vic.gov.au We also encourage you to subscribe to our Facebook

page - www.facebook.com/mansfieldshirecouncil - where you will find the latest information on what is happening in our Shire.

Council contactsCouncil contactsCouncil contactsCouncil contacts Switchboard - (03) 5775 8555 Email - [email protected]

Facsimile - (03) 5775 2677 Internet - www.mansfield.vic.gov.au Facebook - www.facebook.com/mansfieldshirecouncil

National Relay Service (for hearing, speech or communication impairment) - 133 677

Municipal of�ce locationMunicipal of�ce locationMunicipal of�ce locationMunicipal of�ce location 33 Highett Street Mansfield Vic 3722

Postal address:

Private Bag 1000

Mansfield Vic 3724

Where to obtain a copy of this Where to obtain a copy of this Where to obtain a copy of this Where to obtain a copy of this

Municipal Public Health and Municipal Public Health and Municipal Public Health and Municipal Public Health and

Wellbeing PlanWellbeing PlanWellbeing PlanWellbeing Plan

Display copies of this Plan are available from the Mansfield

municipal office. In an effort to reduce the impact on

the environment, limited copies of this document have been printed.

This Plan may be downloaded from our website or requested by

telephoning (03) 5775 8555.

This Plan was produced and printed in-house by Mansfield Shire Council.

For a large print version of this

Plan or any other Council

publication, please

telephone Council on

(03) 5775 8555.

Page 24

Acknowledgements:Acknowledgements:Acknowledgements:Acknowledgements: Images on pages 15 and 19 are used

with permission from Marta Wakeling

www.facebook.com/MansfieldByMarta/

Page 25

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MANSFIELD SHIRE


33 Highett Street Vic 3722 Private Bag 1000, Mansfield Vic 3724

Telephone: (03) 5775 8555 Facsimile: (03) 5775 2677

Email: [email protected] Web: www.mansfield.vic.gov.au

Facebook: www.facebook.com/mansfieldshirecouncil

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