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Cephir June 27, 2012

Cephir June 27, 2012. Local strategies against inequalities in childhood health Dr. Onno de Zwart, MPH. Rotterdam youth demography. 23% of today’s Rotterdam population is 0-20 yrs old 175 different nationalities

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Cephir June 27, 2012

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  1. Cephir June 27, 2012 Local strategies against inequalities in childhood health Dr. Onno de Zwart, MPH

  2. Rotterdam youth demography • 23% of today’s Rotterdam population is 0-20 yrs old • 175 different nationalities • 12% of non-western origin (mainly Turkish, Moroccan, Surinam, Dutch Antills) • 53% of non-western origin in the age group 0-20 years

  3. Disadvantaged areas (children at risk) and (% non-western youth 0-20 years 7 10% 23 28 36 26% 62 29% 37% 56 28% 7% 77 63 12% 5% 6% 75 52 66 36 11% 12% 16% 12% 20% 4%

  4. Risk inventarisation Municipal Health Office Rotterdam

  5. Families • About one third lives in a single-parent family • Families with children have a lower income than families without: 20% minimum, 14% structural minimal • About 25% lives in a house that is too small

  6. Preventive health care

  7. Solutions • Youth Policy (incl. regional en local program Every Child Gains) • Educational policy • Healthy School • Ready for a Child

  8. Youth policy Rotterdam • Youth policy including Youth Health Care (Youth and Family Centres): responsibility of the city of Rotterdam • Youth care and child protection: responsibility of the region of Rotterdam • 2015: youth healthcare, care and child protection: decentralisation to municipalities 9

  9. Every child gains! • Regional program (2007-2010) • Regional and local program (2011 -2014) • Result: • Youth and Family Centres: provides advice on raising children and, when needed, guides parents and children into other areas of the youth care system. • More than 90% of children is seen • More focus on children at risk

  10. Every child gains and decentralisation youth care Common goal More children in Rotterdam will grow up in a safe home with possibility to develop their talents. Three objectives: • Strengthen the basic services and the educational environment • Strengthen the professional workers • Strengthen the strategy on care (improving steering conditions)

  11. Rotterdam: educational facts and figures • 90.000 pupils in compulsory education: 174 nationalities • 250 primary schools, 75 secondary schools, 2 schools for upper secondary vocational training (50 locations), 4 schools for higher vocational education, 1 university • Private school boards govern the schools • Majority of parents is low educated • Language at home is often not Dutch

  12. The Rotterdam school population:Ethnicity in compulsory Education

  13. Educational Policy Rotterdam 2011-2014 Two action programmes: • Beter Presteren: raising education results • Aanval op Uitval: tackling Early (or Unqualified) School Leaving

  14. Educational Policy Rotterdam 2011-2014 raising education results more time for learning parents involvement professional schools 2 school arrangements: ISO and Topclasses

  15. Tackling Early school leaving main factors, interventions - growing focus on truancy; early and complete reporting by schools; more personnel to find and pick up truant youngsters - growing awareness in vocational education that Gripping & Binding is important to keep pupils in school - more diversity in vocational trajectories, more different ways of learning/training - possibilities for streaming into school at several moments during the year, following the process of tracking and leading back And a non-planned, positive development: bad perspectives on the labourmarket keeps the youngsters longer in education/training

  16. Tackling Early school leaving monitoring ESL since the Lisbon Agreements:

  17. GGD Rotterdam-Rijnmond

  18. Youth health care: Healthy City, Healthy Schools • Gezonde School officially started in 2008 • In Rotterdam en region now more than 80 schools Healthy Primary School Primary School secondary School Healthy secondary school Special education

  19. Starting point • ‘Maximize their potential’ • Using this message gets politicians at our side • health, education and development are closely linked

  20. Basic principles • Question/need of the school is central • No ad hoc activities, but a structural approach • Integrated approach on four levels • Team with other partners: local & regional organizations

  21. Program Ready for a Child Programma Klaar voor een KindErnie van der Weg

  22. Babysterfte (foetale sterfte: vanaf 22 weken zwangerschapsduur + vroegneonatale sterfte: tot 7 dagen na de bevalling) in aantal per 1000 geboorten, naar wijk TOP 5 ongunstige wijken A Waalhaven / rand Charlois 37 B Schieveen 34 C Pernis 24 D Delfshaven 23 E Nieuw Crooswijk 22 A13 A20 A16 B E D A C A15 Gemiddelde Nederland: 10,3

  23. Preconceptional care- Pregnancy Giving birth safely After birth care CJF (CJG) Programstructure, education, information, research, monitoring & evaluation

  24. Conclusions • Rotterdam does have inequalities in youth health • As in health among adults • Health infrastructure is suited to all • Youth health care more focus on groups at risk • ‘Every child gains’ offers a chance for a new system • Important to stimulate better educational results • We need a more integrated postitively based youth policy. With the restructuring of the city organisation there’s a chance to reach that goal.

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