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Why Rural Health Matters – Looking After the Next Generation

Why Rural Health Matters – Looking After the Next Generation. Jane Randall-Smith Chief Executive, Institute of Rural Health Jig-So, 17th October 2011. Outline. Introduction to the IRH Setting the scene The issues Things to think about. Institute of Rural Health .

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Why Rural Health Matters – Looking After the Next Generation

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  1. Why Rural Health Matters – Looking After the Next Generation Jane Randall-Smith Chief Executive, Institute of Rural Health Jig-So, 17th October 2011

  2. Outline • Introduction to the IRH • Setting the scene • The issues • Things to think about

  3. Institute of Rural Health The Institute of Rural Health (IRH): • UK-wide academic charity • Three main academic programme areas: • research and consultancy • education and training • policy analysis (including rural proofing) “working to inform, develop and promote the health and wellbeing of rural people and their communities.”

  4. IRH • Research: • Contributing to the evidence base • Education: • Developing a workforce fit for purpose • Policy: • Informing and promoting

  5. Setting the scene…

  6. Rural

  7. Health • IRH takes an interdisciplinary approach which reflects our belief in the WHO definition of health... “health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”.

  8. Determinants of health and wellbeing Source: Barton, H. and Grant, M. (2006) A health map for the local human habitat. The Journal for the Royal Society for the Promotion of Health, 126 (6). pp. 252-253.

  9. Health and wellbeing Influenced by: • Employment • Income • Education • Housing • Access to the natural environment • Access to services • Community safety

  10. The Issues

  11. Deprivation • The Welsh Index of Multiple Deprivation 2008 ranks specific small areas in Wales in terms of relative deprivation. • In Ceredigion, none of the areas fall in the 10% most deprived areas in Wales and overall the majority of its areas are less deprived than the Wales average.

  12. WIMD Domains

  13. Child Index

  14. Access to services – For children • “Distance Decay” • The further a person is away from a service the less likely they are to use that service • Service utilisation is not a proxy for need • More marked in certain sectors • Access is influenced by social and cultural factors not just physical aspects

  15. What do we know • Ceredigion as a whole does not show as “deprived” but there are • pockets of need and • hidden deprivation elsewhere • Access to services is a huge issue • Poverty of choice

  16. Things to think about …

  17. Tackling child poverty in a rural setting • Addressing inequalities: • Acknowledging the “rural idyll” • Removing the “rural mask” • Poverty affects life chances

  18. The rural setting • Data at county level doesn’t tell the whole story • One rural town is one rural town • Dispersed populations • Hidden deprivation • Hard to reach • Understanding the culture and social context

  19. Young people in Ceredigion • % of young people 0-15 yrs old 14.9% (Pembrokeshire 18.5%, Wales 18.2%) • % of young people 0-4 yrs old 4.3% (Pembrokeshire 5.5%, Wales 5.8%) And, • Ceredigion has the highest life expectancy in Wales!

  20. WHY rural health matters • Wellbeing: • The early years are crucial (and the importance of pregnancy) • Holistic approach: including family and the community • Looking at prevention / promotion • Raise expectations

  21. To make things happen: • Small and dispersed population: services to users and users to services - Making the links • Working together: Integrated working: building on team-working - within and between organisations • Role of the third sector • Caring communities – resilience

  22. Thinking ‘outside the box’ -

  23. Further information • Institute of Rural Health T 01686 650 800 e Janers@irh.ac.uk www.irh.ac.uk www.ruralsupportwales.org.uk www.ruralhealthgoodpractice.org.uk www.ruralwellbeing.org.uk

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