This paper analyzes the community of Parramatta and determines its social determinants of health. It discusses the demographics, educational status, employment, access to healthcare, and social factors of the community.
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Running head: COMMUNITY ASSESSMENT COMMUNITY ASSESSMENT OF CITY OF PARRAMATTA Name of the student Name of the university Author note
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1COMMUNITY ASSESSMENT Table of Contents Introduction..........................................................................................................................2 Community demographics...................................................................................................2 Social determinants of health of Parramatta LGA...............................................................3 Educational status............................................................................................................3 Employment.....................................................................................................................4 Economic stability...........................................................................................................4 Access to healthcare........................................................................................................5 Social factor.....................................................................................................................5 Conclusion...........................................................................................................................6 References............................................................................................................................7
2COMMUNITY ASSESSMENT Introduction Communityassessmentisacrucialprocesswhichhelpstoidentifythestrength, weaknesses, needs, challenges, and assets of a specific community that helps the community nursing professionals to prioritize the needs and developing an action plan to achieve them (Alley et al., 2016). As per Jennings, Larson, and Yun (2016), assessment of community and its assets help the community professionals to understand the current status of the community with respect to their healthcare and social abilities. Further, with a detailed assessment, it helps to identify the sections which require empowerment and providing them guidance and support would help them to develop a sustainable and developed community in every aspect (Alley et al., 2016). The primary aim of this paper would be to analyze one such community of the Parramatta council, New South Wales and then determining their social determinants of health so that the strength and weaknesses, opportunities and threats of the community could be assessed. Further, it would help to understand and recommend an action plan for the development of the community. Community demographics The city of Parramatta is known as the central city of Sydney and the population of this city is dynamic, diverse and fastest growing within the Australian territory. As per the national consensus data, the total number of population of this Local Government Area (LGA) is 235,000 which 32,000 more than 2011 consensus and through the course of years the dwellings has also increased by 11,000 to reach up to 86,000 (Cityofparramatta.nsw.gov.au, 2019). The median age of the community is 34 that makes it a young community that is active in work, and social values
3COMMUNITY ASSESSMENT as the Australian Bureau of Statistics mentioned that more than 34% people are living in high- density apartments and 40% lives at renting a place (Cityofparramatta.nsw.gov.au, 2019). The social structure of the community is also diverse as 19% of the total community members are alone, whereas, within 60% of couples, 22% are living without children. The population of this community is inclusive of Indian (11%), Chinese (10%) and South Korean (4%) community with 0.7% of Aboriginal and Torres Strait Islanders. Education of this community includes 37% of people with a university degree, and work opportunities have also increased by 2.2% with 170,000 jobs registered by June 2017 (Cityofparramatta.nsw.gov.au, 2019). However, 19% of the community is living in low-income households compared to 28% high-income households. There is a group of socially weak people i=within the community as more than 10% people are unable to speak English, 7% is a drop out from schools and 4% people are disabled and requires assistance in activities of daily life (Cityofparramatta.nsw.gov.au, 2019). Social determinants of health of Parramatta LGA As per the World Health Organization (2019), the social determinant of health is the conditions in which individuals are born, live, grow and lives their quality of life (McMurray & Clendon, 2015). The social determinants of health include the social and economic environment of the community, the physical environment and the individual characteristic of the community. Within the ten social determinants of health affecting any society or community, five are crucial and requires the application of a specific action plan for development (McMurray & Clendon, 2015). These are income and social status, education, employment, access to healthcare and economic stability of the community (Corrigan, Druss & Perlick, 2014).
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4COMMUNITY ASSESSMENT Educational status Asmentionedincommunitydemographics,educationalstatusoftheParramatta community more than 37% of people hold a university degree that determines that the majority of the people are aware of their fundamental rights and responsibilities. As per de Andrade et al. (2015), education is the most important pillar of social determinants of health as it determines their life expectancy and measures the health status of the community. As the community of Parramatta included a 19% of the population who is a drop out from education and included a large section of the aboriginal community, education became an important aspect for the determination of social and physical health of the community (Braveman & Gottlieb, 2014). This is because people with various abilities of decision making, educational level, and employment status achieve help differently thereby increasing the healthcare variation. Employment Employment is one of the crucial step of the social determinant of health for any community as Fitzpatrick et al. (2015) mentioned that people with stable employment are able to access the healthcare resources as they have a stable source of income and could spend according to their healthcare needs (Bowen et al., 2018). The LGA of Parramatta comprises 68% of people working in fulltime and 31% of people working in part-time jobs and hence.Their access to healthcare is relatively positive for their access to healthcare than the majority of the LGA of Australia (Nikovska & Tozija, 2015). Further, their level of awareness would be able to influence a larger section of society so that they could also achieve their healthcare requirements.
5COMMUNITY ASSESSMENT Support network A major section of the population in this LGA were unable to connect to the primary population as 9% lacked the internet service, 10% are unable to speak English and4%ofthetotalpopulationrequiresassistancefortheirliving (Cityofparramatta.nsw.gov.au, 2019). As per Fitzpatrick et al. (2015), people with higher educationsecurethechanceofachievingastableincomejobtherebydetermining achievement of economic, social and personal resources, however 19% were dropout and hence were unable to connect to the mainstream population that has access to above- mentionedsources(Cityofparramatta.nsw.gov.au,2019).Therefore,inthecommunity, people who are homeless, or are a dropout of the education system would not be able to receive the similar benefit that a higher education individual would have and hence determining their different level of education and growth (Bowen et al., 2018). Health service resources Further, access to healthcare and awareness regarding the healthcare and preventive measures also affect the achievement of health and hence, attainment of health is interrelated to the educational and economic access of the community (Corrigan, Druss & Perlick, 2014).The demographics of city of Parramatta mentioned that the five crucial concerns of this LGA is alcoholusage,overweight,smoking,indigenoushealthandimmunization (Cityofparramatta.nsw.gov.au, 2019). In the year 2012, 19% aboriginal community was found to be affected with alcohol and smoking abuse, due to which they were hospitalized. Whereas, 18% teenage binge drinking and cannabis use are another concern for the healthcare facilities of the Parramatta LGA (Cityofparramatta.nsw.gov.au, 2019). As per
6COMMUNITY ASSESSMENT Chib, van Velthoven and Car (2015), these communities lack in their education, their increased poverty level, their reduced awareness level, limited access to health power and resources and so on. Therefore, while assessing the access to healthcare these factors of the community of Parramatta should be observed. Social environment Depending on the demographics of the community mentioned above it could be said that 19% of the community do not have access to intervention and mean age of the community is 31 years(Cityofparramatta.nsw.gov.au, 2019). Hence, the majority of them were socially aware of their healthcare needs as Gough et al. (2017)mentioned that the majority of healthcarecampaignsin Australia utilizedsocialmedia forhealthcare campaigning. However, a major section, which is not connected to social media (9% as per the local government of Parramatta) should have been provided awareness regarding healthcare through other means so that their healthcare could also be achieved.Therefore, the city of Parramatta consists of diverse depending on its social determinants of health and the government should provide adequate support to the weaker section so that their growth and development could bring holistic development of the society (Corrigan, Druss & Perlick, 2014). Conclusion Diversity is natural in any society and community, however, to overcome the negative effects of this diversity, the government should implement strategies so that the weaker section of the society should become aware of their rights and responsibilitiesand through the achievement of health, education, employment, they could develop their quality of life and the increase the status of the society. Therefore, healthcare, educational and other social skill related
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7COMMUNITY ASSESSMENT promotional campaign should be conducted within the community to determine overall growth of the community.
8COMMUNITY ASSESSMENT References Alley, D. E., Asomugha, C. N., Conway, P. H., & Sanghavi, D. M. (2016). Accountable health communities—addressingsocialneedsthroughMedicareandMedicaid.NEnglJ Med,374(1), 8-11. Bowen, H. (2018).Investment in learning: The individual and social value of American higher education. Routledge. Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes.Public health reports,129(1_suppl2), 19-31. Chib,A.,vanVelthoven,M.H.,&Car,J.(2015).mHealthadoptioninlow-resource environments: a review of the use of mobile healthcare in developing countries.Journal of health communication,20(1), 4-34. Cityofparramatta.nsw.gov.au. (2019). Community Data & Demographics | City of Parramatta. Retrievedfromhttps://www.cityofparramatta.nsw.gov.au/about-parramatta/community- data-demographics Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care.Psychological Science in the Public Interest,15(2), 37-70. de Andrade, L. O. M., Pellegrini Filho, A., Solar, O., RĂgoli, F., de Salazar, L. M., Serrate, P. C. F., ... & Atun, R. (2015). Social determinants of health, universal health coverage, and sustainabledevelopment:casestudiesfromLatinAmericancountries.The Lancet,385(9975), 1343-1351.
9COMMUNITY ASSESSMENT Fitzpatrick, T., Rosella, L. C., Calzavara, A., Petch, J., Pinto, A. D., Manson, H., ... & Wodchis, W. P. (2015). Looking beyond income and education: socioeconomic status gradients amongfuturehigh-costusersofhealthcare.Americanjournalofpreventive medicine,49(2), 161-171. Gough, A., Hunter, R. F., Ajao, O., Jurek, A., McKeown, G., Hong, J., ... & Kee, F. (2017). Tweet for behavior change: using social media for the dissemination of public health messages.JMIR public health and surveillance,3(1). Jennings, V., Larson, L., & Yun, J. (2016). Advancing sustainability through urban green space: cultural ecosystem services, equity, and social determinants of health.International Journal of environmental research and public health,13(2), 196. McMurray, A., & Clendon, J. (2015).Community health and wellness-e-book: Primary health care in practice. 5thedn, vol. 2, Elsevier Health Sciences. Nikovska, D. G., & Tozija, F. (2015). hypothesis that the health system in RM provides equal access to healthcare for all citizens. Identified regional differences associated with both material and non-material factors and educational status, gender and ethnicity as main SDH of access and need further exploration.European Journal of Public Health,25, 3. WorldHealthOrganization.(2019).WHO|Thedeterminantsofhealth.Retrievedfrom https://www.who.int/hia/evidence/doh/en/