health impact assessment & mental wellbeing local health and wellbeing indicators lorraine fahy...
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Health Impact Assessment & Mental Wellbeing
Local Health and Wellbeing Indicators
Lorraine FahyResearch Analyst
Ireland and Northern Ireland’s Population Health Observatory (INIsPHO)
Health Impact Assessment & Mental Wellbeing
Introduction to INIsPHO
Local health and wellbeing indicators
o Use
o Development
o Examples
INIsPHO
• Established in 2005• Housed in the Institute of Public Health
(IPH)• An all-Ireland observatory• Supports each jurisdiction while
maximising benefits of North/South working
• Source of health intelligence/health information
INIsPHO
Better intelligence…Better decisions…
Better health…
Some current work
• Irish Health Poverty Index (iHPI)• All Ireland Health and Social Care Indicator Set
(AIHSC)• Injury Observatory for Britain and Ireland (IOBI)• Health Analysts’ Special Interest Group• eTools
o INIsPHO eData systemo All-Ireland electronic Health Library (AIeHL)
• Event Series
Local health and wellbeing indicators
Factors affecting health & wellbeing
Complex array of political, social, economic and environmental factors - and health and social services issues - that affect the health of a population
Current health status as well as the future health status of an area
National data and local data
Wide range of data available at national level on the broad determinants of health
National figures can mask important differences at regional and local level
Comprehensive data at local level on the broad determinants of health is needed to identify and address inequalities
Uses of local health indicators
Guiding local and national action:• Putting the local situation into a broader context • Providing a national view of what’s going on at the local
level
Awareness raising – keeping health inequalities, their determinants and
the needs of vulnerable populations on the agenda
Specific applications facilitated by regional comparisons:• Local needs assessment & health impact assessment• Planning and delivery of health and social services • National co-ordination of local efforts• Monitoring broad progress on tackling health inequalities
INIsPHO development of local health indicators
No system for monitoring local health across the whole island
Adapted two existing datasets to the whole island
English Health Poverty Index (eHPI) www.hpi.org
Irish Health Poverty Index (iHPI)
Northern Ireland Health Inequalities Monitoring Systemwww.dhsspsni.gov.uk/index/stats_research/stats-equality.htm
All-Ireland Health and Social Care Indicator Set (AIHSC)
Collation of data
Collated data on 82 indicators for 52 local regions across the island
Local level:– 26 Local Government Districts in the North– 26 (traditional) counties in the South
How comparable are measures from two different jurisdictions?Four categories of measures:
– All-Ireland– North and South– North only – South only
iHPI conceptual framework
A flavour of the information collected
Health data:– Mortality and morbidity data– Life expectancy– Hospital admissions– Physical morbidity: benefits received for
different types of physical conditions – Health and social services resourcing– Utilisation and access to health services
Mental health data:– Living alone– Psychological morbidity– Suicide– Psychiatric admissions– Prescribing for anxiety and depression– Social support scale– Can people be trusted?
A flavour of the information collected
Lifestyle data:– Physical activity– Smoking– Fruit and vegetable consumption– Alcohol abuse– Drug misuse
Educational data:– Educational resourcing– Pupil to teacher ratio– Educational attainment
A flavour of the information collected
Web-based visualisation tool
Tables, maps, spider plots and other charts
An exploratory tool to look at: – Relationship between measures (at an area level)– Geographical variation in a single measure across
the island– Profiles of a single area based on multiple-
measures – Geographical comparisons based on multiple
measures– Changes over time (when updated)
www.inispho.org/ihpi
www.inispho.org/aihsc
Accessing the datasets
Data briefings
A selection of Local Health and Wellbeing Indicators
Life expectancy – Northern Ireland vs Republic of Ireland
Northern Ireland
Republic of Ireland
Highest male life expectancy
78.1 years (Ballymoney)
76.9 years (Roscommon)
Lowest male life expectancy
73.5 years (Belfast)
72.8 years (Leitrim)
Highest female life expectancy
82.4 years (Ballymoney)
82.2 years (Roscommon)
Lowest female life expectancy
79.3 years (Derry)
79.3 years(Limerick)
Male life expectancy by LGD and county, 2002-2004
Female life expectancy by LGD and county, 2002-2004
Northern Ireland: Comparison of LGD with highest male life expectancy (Ballymoney) with LGD with
lowest male life expectancy (Belfast)
Northern Ireland: Comparison of LGD with highest female life expectancy (Ballymoney) with LGD with
lowest female life expectancy (Derry)
Comparing the most deprived LGD (Strabane)
with the least deprived LGD (North Down)
Future
Longer term interest in – an all-Ireland suite of local health
and wellbeing indicators – a basis of local health and
wellbeing profiles – links to comparative European
data
Discussion