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