#2328_WSLHD_CPH_YIR 2023_4A_WEB

Health Promotion Framework and Strategy (2023-2025) Our inaugural WSLHD Health Promotion Framework and Health Promotion Strategy 2023-2025 guide WSLHD’s preventative population health strategies. The Framework describes our vision, goals and approach to health promotion which will shape our work for the longer term, while the Strategy provides clear direction for the coming two years. The western Sydney population is diverse; facing a complex set of cultural, social, economic and environmental health determinants. Things like rapid urban development, the impacts of climate change, rising living costs, and the shaping of our local food and built environments. Health Promotion plays a crucial role in keeping our community healthy and well, and particularly considering these challenges and their impact on health behaviours and health outcomes. The new Strategy embodies our commitment to reducing health inequities and achieving the best population impacts in the focus areas of healthy eating, active living, and tobacco and e-cigarette control.

Centre for Population Health Western Sydney Local Health District

Health Promotion Framework 2023

Centre for Population Health Western Sydney Local Health District

Health Promotion Strategy July 2023 - June 2025

Centre for Population Health Western Sydney Local Health District

Health Promotion in WSLHD

In our District

Over 1,000,000 residents

Our two-year vision: July 2023 - June 2025 Objectives Actions 1. Sharpen our strategic focus. 1.1. Described as a “heat bowl”, with a growing impact on daily living Population focus Maximise reach to contribute to population health Goal 1 Goal 2 Impacts on health in western Sydney The Western Sydney Local Health District (WSLHD) Health Promotion team sits within the Centre for Population Health. We deliver a comprehensive range of evidence-based work to improve health and wellbeing across the District. This Framework was developed by our team to drive and communicate future work. Health Promotion Framework & Strategy Snapshot 2023

Ensure the alignment of all our work to our Framework. Realign/invest/disinvest as necessary to achieve a better overall balance of work. 1.2. Consolidate relevant work and explore the potential for common or complementary strategies, messaging and indicators, such as for: • The First 2000 Days • Healthy built environments • Healthy food environments • Physical activity • Building the capacity of clinicians to embed health promotion prevention programs into service delivery • Responding to climate change. 2.1. Advocate to the Ministry of Health to shape statewide programs to better fit our local context. 2.2. Develop/revise and support quality improvement processes and systems for project planning and evaluation across all projects. 2.3. Embed community engagement more effectively throughout program planning and delivery. 3.1. Critically evaluate whether our population level work is achieving an appropriate level of population reach. Realign/invest/disinvest as necessary. 3.2. Improve the cultural relevance and cultural safety of all our work for the diverse communities who live across our District. 4.1. Critically evaluate the reach of our equity work to ensure it is reaching those who need it the most. Realign/invest/disinvest as necessary. 4.2. Critically evaluate the outcomes of our equity work to ensure it is making a difference. Realign/invest/disinvest as necessary. Goal 1 Our first goal is to shape local environments for better health. Many environmental factors have a significant impact on individual health behaviours yet are beyond individual control. Goal 2 Our second goal is to empower and enable people to make and sustain healthy choices. We employ evidence-based strategies to influence and support people to live healthier lives. This includes the promotion of Our priority health issues include but are not limited to: • Healthy eating • Active living • Smoking and vaping Our life stages approach includes but is not limited to: • Best start to life • Healthy ageing Those who need it the most include but are not limited to: • Aboriginal people • Diverse and disadvantaged groups who experience inequities Vibrant, diverse communities: 50% born overseas, 54% speak a language other than English, approximately 200 languages Almost 12,000 refugee and asylum seekers have settled in the past 10 years Highest birth rate in NSW; over 15,000 babies each year Childhood population (under 5 years) growing at more than double the NSW projected rate to 2041 (30% versus 14%) Number of people aged 65+ projected to grow at double the NSW projected rate to 2041 (67% versus 32%) Health Promotion Strategy July 2023 - June 2025 Centre for Population Health Western Sydney Local Health District 5.1. Increase our overall focus on upstream, healthy built and food environmental strategies. Vision 1: People are healthy and well We seek to improve health and wellbeing at a population level across our District, rather than working with one individual at a time. As we receive less than 1% of the WSLHD budget to do this work, we need to be strategic about how to achieve the best population impact. Our Framework provides an evidence-informed foundation to do so. Vision 2: Inequities in health and wellbeing are reduced Although our broad remit is population health, part of that is to ensure outcomes are achieved fairly across our communities. Access, opportunity, risk and outcomes in health and wellbeing can and do vary substantially across society. Our equity approach therefore has narrower focus: to invest in more specific, tailored work where it is needed to achieve a fairer balance across our communities. Population growing at a faster rate than NSW average; projected 400,000 additional residents by 2041 Over 16,000 Aboriginal people; one of the largest urban populations of Aboriginal people in Australia

Short on time? This Snapshot provides a summary of key highlights from both the Framework and Strategy.

Relatively low rates of cycling, walking and public transport use

Equity focus Focus more specifically on people and places where it is needed the most People Empower and enable people to live healthier lives

Places Shape environments to support better health and wellbeing

Relatively high proportion of unhealthy food environments

Vision 1 People are healthy and well

Centre for Population Health Western Sydney Local Health District

Population focus Maximise reach to contribute to population health

High-density housing increasing

2. Enable our work.

Rising costs of living impacts on already socioeconomically disadvantaged Health Promotion Framework 2023

are at the centre of everything we do Local People

3. Improve our capacity to achieve population level outcomes.

Vision 2 Inequities in health and wellbeing are reduced

Relatively high smoking prevalence in some suburbs

Equity focus Focus more specifically on people and places where it is needed the most

4. Improve our capacity to achieve equity outcomes.

Diverse cultural factors and attitudes impacting smoking and shisha use

Places Shape environments to support better

People Empower and enable people to live healthier lives

Our role is to work through partnerships in settings such as community facilities, early childhood services, schools, healthcare settings and with local government to shape

Socioeconomic disadvantage varies widely across and within local government areas.

Relatively high rates of illegal sales of e-cigarette (“vapes”) to younger people close to schools and transport hubs Partnerships and advocacy

Enablers:

5. Improve the focus of our work in places.

statewide health coaching services and smoking and vaping prevention. We coordinate healthy lifestyle groups for children, families and older people and work with others (such as health professionals) to further advocate and enable health behaviour change.

health and wellbeing

Evidence-informed practice

Team operations

Communication and engagement

6. Improve the focus of our work with people.

6.1. Shift the balance of our investments away from direct delivery. Where possible, work through others (eg. settings, partners) for better reach. If a direct approach is required, target it for an equity focus to justify the intensive cost. environments in ways that make healthy choices easier.

Relatively high passive smoke exposure in Aboriginal homes

Disproportionately impacted by the COVID-19 pandemic, compounded by complex socioeconomic factors

Centre for Population Health WSLHD – Health Promotion Framework and Strategy Snapshot

August 2023

7. Enhance and/or develop additional work to address the following priorities and gaps.

7.1. Smoking and vaping in pregnancy, especially with Aboriginal women for whom smoking and vaping rates are very high 7.2. Vaping, especially with young people 7.3. Primary prevention interventions to support healthy ageing 7.4. Physical activity strategies to increase active travel, reduce screentime and reduce sedentary behaviour 7.5. Healthy food environment strategies within our current settings/partners.

Centre for Population Health WSLHD – Health Promotion Framework and Strategy Snapshot

August 2023

Centre for Population Health Western Sydney Local Health District

August 2023 Gungurra, Building 68, Cumberland Hospital Campus. Fleet Street, North Parramatta New South Wales 2151 WSLHD-CentreForPopulationHealth@health.nsw.gov.au. Ph: (02) 9840 3603. Centre for Population Health website

WSLHD E-cigarette Action Plan (2023-2025) Led by our Centre for Population Health staff, and developed in collaboration with District staff, key partners and consumers, this new E-cigarette Action Plan will play a key role in addressing the challenges posed by e-cigarettes within WSLHD.

It focuses on three key action areas: 1.

Policy and regulation: We will establish and enforce clear guidelines to govern the sale and use of e-cigarette products within our community. Our commitment to a smoke-free environment includes the ban on the use of e-cigarettes in smoke-free public areas. 2. Community messaging and education: We will continue in our efforts to educate our community and enhance awareness of the risks associated with e-cigarette use. Empowering our community with knowledge is a priority in our strategy. 3. Clinical engagement and support: We will provide our clinical settings with training and resources to address e-cigarette related health issues effectively. This will enable us to offer best practice smoking and e-cigarette cessation support. The implementation will be driven by an overarching Governance Committee and three key Working Groups, each focusing on the action areas.

Western Sydney Local Health District E-cigarette Action Plan 2023-2025

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WSLHD Centre for Population Health Year in Review 2023