CITIES OF THE FUTUREsustainability, vitality and

wellbeingIn the Zone Conference 2009

Perth, Western Australia

10 November 2009

Professor Fiona Stanley AC

Director, Telethon Institute for Child Health Research

Chair, Australian Research Alliance for Children and Youth

Professor, School of Paediatrics and Child Health, University of Western Australia

Beyond GDP to Measure Societal Progress

• Shift from GDP to wellbeing and sustainability measures

• Led by OECD, UNICEF & UNDP– ‘Statistical indicators are the structural DNA codes

of nations. They reflect a society’s values and goals and become the key drivers of economic and technological choice.’ (Henderson)

– ‘If we think GDP is success then people will strive for GDP.’ (Stiglitz)

Health and Safety

Source: UNICEF report card 7

Australian Early Development Index (AEDI)

The AEDI domains

• Physical health and well-being. Child is healthy, independent, ready each day

• Social competence. Child plays, gets along with others and shares, is self-confident

• Emotional maturity. Child is able to concentrate, help others, is patient, not aggressive or angry

• Language and cognitive development. Child is interested in reading and writing, can count and recognise numbers, shapes

• Communication skills and general knowledge. Child can tell a story, communicate with adults and children, articulate themselves

The AEDI provides evidence that can be

used to support policy, planning and action for health, education and

community support

The AEDI pinpoints strengths in

communities as well as what can be

improved

Asset Mapping Perth East Metropolitan region, Proportion of children

vulnerable on one or more domains

MucheaMucheaMucheaMucheaMucheaMucheaMucheaMucheaMuchea

Sawyers ValleySawyers ValleySawyers ValleySawyers ValleySawyers ValleySawyers ValleySawyers ValleySawyers ValleySawyers Valley

MidlandMidlandMidlandMidlandMidlandMidlandMidlandMidlandMidland

WoodbridgeWoodbridgeWoodbridgeWoodbridgeWoodbridgeWoodbridgeWoodbridgeWoodbridgeWoodbridge

Middle SwanMiddle SwanMiddle SwanMiddle SwanMiddle SwanMiddle SwanMiddle SwanMiddle SwanMiddle Swan

Swan ViewSwan ViewSwan ViewSwan ViewSwan ViewSwan ViewSwan ViewSwan ViewSwan View

Jane BrookJane BrookJane BrookJane BrookJane BrookJane BrookJane BrookJane BrookJane Brook

StrattonStrattonStrattonStrattonStrattonStrattonStrattonStrattonStratton

North PerthNorth PerthNorth PerthNorth PerthNorth PerthNorth PerthNorth PerthNorth PerthNorth Perth

Mount HawthornMount HawthornMount HawthornMount HawthornMount HawthornMount HawthornMount HawthornMount HawthornMount Hawthorn

MarangarooMarangarooMarangarooMarangarooMarangarooMarangarooMarangarooMarangarooMarangarooGirrawheenGirrawheenGirrawheenGirrawheenGirrawheenGirrawheenGirrawheenGirrawheenGirrawheen

KoondoolaKoondoolaKoondoolaKoondoolaKoondoolaKoondoolaKoondoolaKoondoolaKoondoolaBallajuraBallajuraBallajuraBallajuraBallajuraBallajuraBallajuraBallajuraBallajura

MirrabookaMirrabookaMirrabookaMirrabookaMirrabookaMirrabookaMirrabookaMirrabookaMirrabookaWestminsterWestminsterWestminsterWestminsterWestminsterWestminsterWestminsterWestminsterWestminster

BeechboroBeechboroBeechboroBeechboroBeechboroBeechboroBeechboroBeechboroBeechboro

BalgaBalgaBalgaBalgaBalgaBalgaBalgaBalgaBalga

Alexander HeightsAlexander HeightsAlexander HeightsAlexander HeightsAlexander HeightsAlexander HeightsAlexander HeightsAlexander HeightsAlexander Heights

DarchDarchDarchDarchDarchDarchDarchDarchDarch

GuildfordGuildfordGuildfordGuildfordGuildfordGuildfordGuildfordGuildfordGuildford

CavershamCavershamCavershamCavershamCavershamCavershamCavershamCavershamCaversham

GreenmountGreenmountGreenmountGreenmountGreenmountGreenmountGreenmountGreenmountGreenmount

LockridgeLockridgeLockridgeLockridgeLockridgeLockridgeLockridgeLockridgeLockridge

Helena ValleyHelena ValleyHelena ValleyHelena ValleyHelena ValleyHelena ValleyHelena ValleyHelena ValleyHelena Valley

Eden HillEden HillEden HillEden HillEden HillEden HillEden HillEden HillEden Hill

South GuildfordSouth GuildfordSouth GuildfordSouth GuildfordSouth GuildfordSouth GuildfordSouth GuildfordSouth GuildfordSouth Guildford

DarlingtonDarlingtonDarlingtonDarlingtonDarlingtonDarlingtonDarlingtonDarlingtonDarlington

Glen ForrestGlen ForrestGlen ForrestGlen ForrestGlen ForrestGlen ForrestGlen ForrestGlen ForrestGlen Forrest MundaringMundaringMundaringMundaringMundaringMundaringMundaringMundaringMundaring

Mahogany CreekMahogany CreekMahogany CreekMahogany CreekMahogany CreekMahogany CreekMahogany CreekMahogany CreekMahogany Creek

HoveaHoveaHoveaHoveaHoveaHoveaHoveaHoveaHovea

StonevilleStonevilleStonevilleStonevilleStonevilleStonevilleStonevilleStonevilleStoneville

ParkervilleParkervilleParkervilleParkervilleParkervilleParkervilleParkervilleParkervilleParkerville

Henley BrookHenley BrookHenley BrookHenley BrookHenley BrookHenley BrookHenley BrookHenley BrookHenley Brook

Herne HillHerne HillHerne HillHerne HillHerne HillHerne HillHerne HillHerne HillHerne Hill

West SwanWest SwanWest SwanWest SwanWest SwanWest SwanWest SwanWest SwanWest Swan

MorleyMorleyMorleyMorleyMorleyMorleyMorleyMorleyMorley

HighgateHighgateHighgateHighgateHighgateHighgateHighgateHighgateHighgate

ChidlowChidlowChidlowChidlowChidlowChidlowChidlowChidlowChidlow

Upper SwanUpper SwanUpper SwanUpper SwanUpper SwanUpper SwanUpper SwanUpper SwanUpper Swan

EllenbrookEllenbrookEllenbrookEllenbrookEllenbrookEllenbrookEllenbrookEllenbrookEllenbrook

BelhusBelhusBelhusBelhusBelhusBelhusBelhusBelhusBelhus

The VinesThe VinesThe VinesThe VinesThe VinesThe VinesThe VinesThe VinesThe Vines

Mount HelenaMount HelenaMount HelenaMount HelenaMount HelenaMount HelenaMount HelenaMount HelenaMount Helena

GidgegannupGidgegannupGidgegannupGidgegannupGidgegannupGidgegannupGidgegannupGidgegannupGidgegannup

BullsbrookBullsbrookBullsbrookBullsbrookBullsbrookBullsbrookBullsbrookBullsbrookBullsbrook

Proportion of children vulnerableN=Percent

34.4 to 63.924.5 to 34.318.5 to 24.410.5 to 18.40 to 10.4

East Metropolitan Perth, WA Prepared by: AEDI National Support CentreSource: AEDI Communities Data 2004/05

A snapshot of Australia’s childrenCompletion of AEDI Checklists by state/territory

3,25555,449

27,579

16,208

5,916

87,168

4,432

61,196

Total = 261,203 children = 97.8%

Essentially a developmental census of five year olds

Source: AEDI 2009, ABS 2009, Estimated Resident Population for five year olds

Developmental Pathways ProjectUsing agency data and linkage for measuring

developmental pathways • Telethon Institute for Child Health Research

• Crime Research Centre at the University of WA

• Department of Health

• Department for Child Protection

• Department for Communities (Office for Youth)

• Department of Education and Training

• Department of Corrective Services

• Disability Services Commission

• Department of the Attorney General

• WA Police

• Department of Treasury and Finance

• Department of Indigenous Affairs

• Department of Premier and Cabinet

Developmental Pathways ProjectUsing agency data and linkage for measuring

developmental pathways

• Multidisciplinary

• Health, development and wellbeing of

children and youth

• Linked, longitudinal population level data

• Use evidence for the development of policy

and practice

Why is Child Health & Development Crucial for Australia’s Future?

Intellectually Competent & Emotionally Capable Workforce

Most Young People Participating to their Full Potential

Most Children Mentally & Physically Healthy, Reaching their Educational and Social Potential

National Economic Prosperity

Health & Welfare Budgets Not Draining Australia’s Capacity

Next Generation of Parents Socially & Emotionally Competent

Cycles of Economic Prosperity & National Capacity

Most Children Commence their Lives in Environments which Enable Full

Opportunities for Healthy Child Development

BUILDING BLOCKS

Healthy beliefs

and clear standards

Reduced exposure

to harmful drugs

Sense of self-efficacy & self-worth

Opportunities for achievement and recognition of accomplishments

Sense of social

connected-ness

Optimal brain development in utero and

early childhood

Genetic factors

Time

Responsive Parenting(i.e. appropriate care

stimulation and monitoring)

Effective self regulation of emotion, attention

& social interaction

Effective learning, communication &

problem solving skills

Healthy pregnancy,reduced maternal smoking, alcohol & drug misuse Healthy nutrition in utero & throughout childhood &

adolescence

Social and economic environments supportive to child rearing – especially absence of poverty and exposure to violence

Economic participation, civic participation, and

social participation

Positiveinteraction with peers

Availability of +ve adult role models & engaging

community activities

Academicsuccess & other

achievements

Positiveinteraction with adults

Pathways to Participation

CIVIL SOCIETY UNCIVIL SOCIETYFocus on:

Equality/diversity

Trust, care

Collective good

Valuing parents

Valuingchildhoods

Prevention more than cures

Protected environments

Safe places for all

Effective use of helpful technologies

Child needs as well as adults

Accepting of:

Inequalities

Fear, violence

Priority for material wealth

Parents not valued

Fast tracking childhoods

Cures more than prevention

Environmental degradation

Safe places for the few

Excessive use of damaging technologies

Adults needs more than children’s

Low HighOutcome measure

% o

f C

hild

ren

Vulnerability threshold

Low High

% o

f C

hild

ren

Gap narrows

Targeted strategies decrease curve for vulnerable

Universal strategies-entire population moves

Outcome measure