HEALTH BROKERS IN ROTTERDAM TARGET DISTRICTS
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Transcript of HEALTH BROKERS IN ROTTERDAM TARGET DISTRICTS
HEALTH BROKERS IN ROTTERDAM TARGET DISTRICTS
Structure of this presentation:
Goal – to improve perceived health
Change of mentality
Short analysis of the deprived districts
Different approach (from top down to bottom up)
Results so far
HEALTH BROKERS IN ROTTERDAM TARGET DISTRICTS
6 districts, 2 health brokers
Period: 2011 – 2014
Goal program Working Together on Good Health:
10% improvement of the perceived health
in at least 2 out of 6 districts
WHY PERCEIVED HEALTH?
Measurement is possible in a short term
(unlike healthy life expectancy)
It is an overall effect measure
Perceived health is a good predictor of future health
The programm puts people in the districts in the center
But most important reason:
How people feel determines the extent to which people
participate in society
=> bridging to a socially and economically stronger Rotterdam
10% IMPROVEMENT OF THE PERCEIVED HEALTH
HOW ??? This is a large number of people!
=> Change of mentality
Residents have to take responsability for their own
health
CHANGE OF MENTALITY
Not only of the residents but also of the professionals,
policy staff and decision makers
civilian power!
Professionals, policymakers
support and facilitate citizen initiative
They have to let go!
GOAL AND APPROACH OF THE HEALTH BROKERS
3900 residents are working on health improvement
within voluntary organizations at the end of 2013
precondition:
Professionals and policymakers have confidence in the
plans of citizens and help citizens to perform
So we are working on an shift in thinking
=> process approach (not just a bunch of projects!)
BOTTUM UP AND TOP DOWN
↑ Healthbrokers support and facilitate ideas of citizens and
partners in de district
↓Healthbrokers make connections and ensure cooperation
between other programms in Rotterdam such as
- Beweegkracht Rotterdam
- Full Engagement
- Zichtbaar Actief
They look for chances !
3 districts in borough Feijenoord, Rotterdam
Some figures of the target districts (1)
Age: Afrikaanderwijk 0-19 29% 20-64 61% 64+ 10% Hillesluis 0-19 29% 20-64 63% 64+ 8% Bloemhof 0-19 27% 20-64 64% 64+ 9%
Inhabitants:Afrikaanderwijk 9014
Hillesluis 10721 Bloemhof 13713
Depression Afrikaanderwijk 22 % Hillesluis 16 % Bloemhof 20 %
Population density: Afrikaanderwijk 188 Hillesluis 121 Bloemhof 172
Some figures of 3 target districts? (2)
Ethnic composition of the population:
Afrikaanderwijk:
34% Turkish; 14% Moroccan; 14% Dutch, 11%
Surinamese etc.
Hillesluis:
30% Turkish, 18% Dutch, 14% Moroccan, 13%
Surinamese etc.
Bloemhof:
27% Dutch; 26% Turkish, 11% Surinamese, 10%
Moroccan etc.
Our work in three of the target districts (1)
The health broker asks the residents how they think health can be improved !We asked residents how
they perceive health
We asked resident
organisations what they
think is the best way to
improve health and what
they think they could do
themselves to improve
health in the district
OUTCOME 1: TRAIN THE TRAINER
Active residents in 2 of the districts (Bloemhof and
Hillesluis) want professionals to train them so that they
can give knowledge to other residents (knock-on effect)
EXAMPLES TRAIN THE TRAINER
Womans platform Bloemhof:
weight loss together
District sport club for 40+:
Feijenoord Beweegt
(Feijenoord Moves)
Ambassadors Stressles(s):
OUTCOME 2: VOLUNTARY ORGANISATIONS WORK ON HEALTH IMPROVEMENT
Voluntary organisations in Afrikaanderwijk say:We are experts, we know how to reach people, we know the problems of the people, we know how to make them feel well
They organize:
Afri Olympic Games for all ages
Evening walk together (5 km, all ages)(Yes, I can My Wijk)
Fusball-tournaments (also girl teams)
Medication checks
Meetings for health education
etc.
RESULTS SO FAR
PERCEIVED HEALTH
Percentage residents with moderate to poor perceived health
Percentage change
between 2010 and 2011
2010 2011 Nieuwe Westen 19,1% 21,6% -13% Tarwewijk 18,8% 23,1% -23%
Bloemhof 30,5% 28,5% 7%
Hillesluis 26,9% 26,8% 0%
Lombardijen 22,0% 24,8% -12%
Afrikaanderwijk 32,8% 32,5% 1%
Rotterdam 19,7% 21,2% -8%
PRELIMINARY CONCLUSIONS
Experimental bottom up approach seems to work
Health has become more an issue for inhabitants of the
3 districts
Health has also become more an issue for professionals
and policymakers in
Feijenoord
QUESTIONS ?
Samen Werken aan een Goede Gezondheid UITGANGSPUNTEN
Inwoners in wijken Rotterdam centraal:
• SWGG focust op ervaren gezondheid
• SWGG gaat uit van de mens in context
• SWGG vertrekt vanuit gezondheid, niet ziekte
• SWGG versterkt eigen kracht, neemt niet over
• SWGG steunt eigen initiatief
Positionering gezondheid:
• SWGG benadert gezondheid als doel én als middel
• SWGG creëert bewustwording en agendeert gezondheid
• SWGG doet decentraal wat kan, centraal wat moet
• SWGG zet in op duurzame gezondheid