Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

A cross-sectional analysis of local government health and wellbeing plans and priorities in Victoria, Australia

Mark Anthony Alindogan A C , Eli Ristevski B and Anske Robinson B
+ Author Affiliations
- Author Affiliations

A Latrobe Community Health Service, 81/87 Buckley Street, Morwell, Vic. 3840, Australia.

B Monash University, Department of Rural Health, 3 Ollerton Avenue, Moe, Vic. 3825, Australia.

C Corresponding author. Email: anthony.alindogan@lchs.com.au

Australian Journal of Primary Health 23(5) 440-445 https://doi.org/10.1071/PY17025
Submitted: 24 February 2017  Accepted: 31 May 2017   Published: 14 August 2017

Abstract

The aim of this study is to explore local health and wellbeing plans and priorities by Victorian local governments (LGs), specifically to: (1) analyse how LG priority areas are described in comparison to the State-level plan; (2) identify differences between regional and metropolitan health priorities; and (3) identify differences between LGs with high and low socioeconomic status. Content analysis of 79 LG health and wellbeing plans was undertaken. Differences in health and wellbeing priorities between LGs were examined using the t-test for two proportions. In total, 20% of the plans did not specify actions to address health priorities. One in three (34%) did not specify how evaluation will be done. Alcohol and other drugs, gambling and housing were prioritised more by metropolitan LGs, whereas disease prevention was prioritised more in regional LGs. There was no significant difference in health and wellbeing priorities of LGs with high and low socioeconomic status except for gambling. State-level health and wellbeing plans should be sensitive to differences in priorities of LGs. There is a need for local plans to commit to specific actions and evaluation. This analysis provides basis for more community-reflective, State-level planning and calls for more emphasis on identifying actions and evaluation in local level planning.

Additional keywords: health priorities, public health: administration.


References

Australian Bureau of Statistics (2011a) Local Government Area, Indexes, SEIFA 2011 (Data Cube). (ABS: Belconnen, ACT, Australia) Available at http://www.abs.gov.au/ausstats/abs@.nsf/DetailsPage/2033.0.55.0012011?OpenDocument [Verified 8 February 2017]

Australian Bureau of Statistics (2011b) Census of population and housing. (ABS: Belconnen, ACT, Australia) Available at http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/2049.02011?OpenDocument [Verified 8 February 2017]

Baldwin L, Abernethy P, Roberts L, Egan H (2005) Forming, managing and sustaining alliances for health promotion. Health Promotion Journal of Australia 16, 138–143.

Browne GR, Davern MT, Giles-Corti B (2016) An analysis of local government health policy against state priorities and a social determinants framework. Australian and New Zealand Journal of Public Health 40, 126–131.
An analysis of local government health policy against state priorities and a social determinants framework.CrossRef |

Brunet-Jailly E, Martin J (2010) Restructuring and reform. In ‘Local Government in a Global World: Australia and Canada in Comparative Perspective’. (Ed. P Dutil) Ch. 4, pp. 81–82. (University of Toronto Press: Toronto, ON, Canada)

Dental Health Services Victoria (2014) Victorian Oral Health Promotion Advisory Group Work Plan 2014–2017. (Dental Health Services Victoria: Melbourne, Vic., Australia) Available at https://www.dhsv.org.au/__data/assets/pdf_file/0007/39238/VOHPAG-workplan-2014-17_FINAL.pdf [Verified 8 February 2017]

Department of Environment Land, Water and Planning (2016). Victorian adaptation and sustainability partnership. (Department of Environment, Land, Water and Planning: East Melbourne, Vic., Australia) Available at http://www.depi.vic.gov.au/environment-and-wildlife/sustainability/victorian-local-sustainability-accord [Verified 8 February 2017]

Department of Health and Human Services (2011) Victorian Health Priorities Framework 2012–2022: Rural and Regional Health Plan. (Department of Health and Human Services: Melbourne, Vic., Australia) Available at https://www2.health.vic.gov.au/about/publications/policiesandguidelines/vic-health-priorities-framework-2012-22-rural-plan [Verified 18 April 2017]

Department of Health and Human Services (2012) Skin cancer prevention framework 2013–2017. (Department of Health and Human Services: Melbourne, Vic., Australia) Available at https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Skin%20Cancer%20Prevention%20Framework%202013-2017 [Verified 8 February 2017]

Department of Premier and Cabinet Victoria (2013) Victorian Aboriginal Economic Strategy 2013–2020. (Department of Premier and Cabinet: East Melbourne, Vic., Australia) Available at http://www.vic.gov.au/aboriginalvictoria/policy/victorian-aboriginal-economic-development.html [Verified 8 February 2017]

Hare S (2015) Study of gambling and health in Victoria. (Victorian Responsible Gambling foundation: North Melbourne, Vic., Australia) Available at https://www.responsiblegambling.vic.gov.au/about-us/what-we-do/foundation-research-program/research-programs-and-activities/study-of-gambling-and-health-in-victoria [Verified 8 February 2017]

Kania J, Kramer M (2011) Collective impact. (Stanford University: Stanford, CA, USA) Available at http://ssir.org/articles/entry/collective_impact [Verified 8 February 2017]

Regional Development Victoria (2016) Victorian regions and regional cities. (Regional Development Victoria: Melbourne, Vic., Australia) Available at http://www.rdv.vic.gov.au/victorian-regions [Verified 8 February 2017]

State of Victoria (2011) Victorian Public Health and Wellbeing Plan 2011–2015. (Department of Health and Human Services: Melbourne, Vic., Australia) Available at https://www2.health.vic.gov.au/.../%7B377AD37E-A93C-4E5C-A80B-4F43F4DFA6D6%7D [Verified 8 February 2017]

State of Victoria (2015) Victorian Public Health and Wellbeing Plan 2015–2019. (Department of Health and Human Services: Melbourne, Vic., Australia) Available at https://www2.health.vic.gov.au/about/health-strategies/public-health-wellbeing-plan [Verified 8 February 2017]

Turning Point (2015) AODstats. (Turning Point: Melbourne, Vic., Australia) Available at http://aodstats.org.au/ [Verified 8 February 2017]

Weber R (1990) Content classification and interpretation. In ‘Basic Content Analysis.’ (Ed. R Weber) Ch. 2, pp. 16–41. (SAGE Publications: Thousand Oaks, CA, USA)



Export Citation