photo-voice residential community assessment ppt presentation

Paper: 250.331.- Health of Communities

Paper Coordinator: Dr Suzanne PhibbsAuthor: V. M. Westerberg

Date: 28 March 2011

1250.331 HEALTH OF COMMUNITIES

MASSEY UNIVERSITY SCHOOL OF PSYCHOLOGY

V. M. Westerberg10143519


MASSEY UNIVERSITY SCHOOL OF PSYCHOLOGY2V.M. Westerberg

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• Relevance of Community Health Studies•Methodology: PhotoVoice•Method• Community Map• PhotoHistory• Key Statistics• Land Use: - Land use 1: Healthcare services

- Land use 2: Where residents live- Land use 3: A place for the young and the elderly- Land use 4: What else is there here?- Land use 5: There is room for improvement



“The study of communities aims to improve the health status of individuals and groups in a given population”

(World Health Organization [WHO], 1998)

Community study, health and wellbeing are interrelated. (Taylor, Wilkinson & Cheers, 2008)

Communities are relevant to policymakers who are expected to deliver good politicsleading to end social and health inequities. (WHO, 2008)

Health inequities stream partly from the “Inverse Care Law”: The availability of healthprofessionals and services is inversely proportional to the need of medical care in thepopulation. (Tudor Hart, 1971)

Community involvement is key for determining effective strategies for health promotion. (Neuwelt et al, 2009)

V.M. Westerberg10143519



PhotoVoice is a revolutionary concept and tool used to study communities, public health, and education among other social issues. It uses commented critical

photography with the aim to promote social improvement. (PhotoVoice, 2011)

PhotoVoice is a method that enables people to define for themselves and others, including policy makers, what is worth remembering and what needs to be changed.

(Wang, 2004)

"PhotoVoice enlarges the perimeters of health from the strictly medical to the psychological, economic, and social conditions of a given community."

(Flint-Gohlke as cited in Thomson et al, 2008)



MASSEY UNIVERSITY SCHOOL OF PSYCHOLOGY5

• Consultation of Statistics New Zealand provided details about community,regional and national census and boundary limits.

• With the community boundary map, the windshield survey and the MasseyUniversity student card in hand, a first bicycle ride was taken along all theroads and streets of the community.

• Further bicycle rides were taken and dozens of pictures were obtained.

• The most representative pictures were selected and included in thispresentation.


X

X

6

NORTH




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1350 The first Maori arrivefrom the Polynesian islands in the

Kurahaupo and the Aotea canoes to the East and West coasts of NZ

respectively.

1929 First airfield and first

regular airliner established. The Great

Depression hits PN.

1841 Europeans arrive massively.

Government surveyor, J.T. Stewart

purchases the land and designs the

settlement of Papaioea, called Palmerston

North since 1920. The 1841 Te Tiriti o

Waitangi resolutions had to be observed.

1939-1945 Maori soldiers join WWII, only 1 in 6 returned. Field

Marshal Erwin Rommel (the Desert Fox) told his men not to shoot the

disarmed 28th Maori battalion who confronted him with a Haka.

1880 Rapid growth:

businesses, schools and hotels. The

police station, the firebrigade, the post

office, the train station, the public

gardens, the library and the central

square are inaugurated.

1963 Massey University

inaugurated. City boundaries

extended. Urban and intercity bus

network created. Museum and

Convention Centre open.

1890 First population census

(Maori excluded until WWII).

1893: Palmerston North Hospital

opens with one nurse, Eleanor Tasker,

the first registered nurse in NZ.

1990 Major supermarkets

and fast food restaurants open.

The Arohanui Hospice for incurable

conditions opens.

1918 WWI sees PN with

a flu epidemic which killed 1 in 5 people

(death rate Maori/European: 7/1). This

carved wooden cenotaph was erected in

1920 at Te Koura marae in memory of

the many Maori who died ¹.

1998 Jacqueline Jill White

(Jill) is the first woman Mayor in PN.

2010 The PNCC approves allocation

of 105 more windmills in Turitea

windfarm.



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MEASURE PN HOSPITAL AREA MANAWATU-WANGANUI NEW ZEALAND

Age 34 36.7 35.9

Ethnicity Europeans = 75.5% Europeans = 73% Europeans = 67.6%

Civil status Married = 42.1% Married = 46.9% Married = 43%

Children 43% 38.7% 39.9%

High Education 45% 33% 39%

Work Professionals = 30% Professionals = 16% Professionals = 18%

Income ≥ 50,000 23% 12% 7.5%

Own home 50% 55.2% 54.5%

≥ 1 vehicle 42.5% 40% 37.5%

Therefore, the average PNHA resident is: A highly paid 34 year-old European professional who owns a home, is married with children and has

one or more vehicles.

Source: www.stats.govt.nz/Census/2006



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4 Hospitals and 18 Clinics are located in or less than 50 metres from the Hospital Area, where many doctors, nurses and other healthcare workers reside.




Nice, ample, well-kept properties can be found on either side of the nice, ample, well-kept streets.

Cars are overrepresented in the Hospital Area. Vehicles that do not fit in the 2-car garages are

parked by the kerb.

Careful road signalling and maintenance, together with properly cambered and asphalted streets and

banked concrete footpaths spell safety.

The streets look tidy even on garbage collection day.

Arcading trees provide an inviting image and good shade for a stroll in the

summer.



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Two rarities by local and national standards: Wananga kindergarten (left) and Mana Tamariki immersion kindergarten, school and high-school

(right) are run by Maori, for Maori, in Maori.

When good gets better: LearnALot kindergarten offers 20 hours of free

child care for residents.

Rest homes in the Hospital Area



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Dean McKerras School of Dance on NgataStreet covers all dancing styles from classical

ballet to modern musicals and hip hop.

Lawn & Indoor Bowls can be practised at all levels on North

Street.

Music theory and practice of piano, organ and harpsichord are

offered on Russell Street.

The Whakairo School of Maori Carving on Ngata Street receives students from all over the world.

This is the only shop in the area, a grocery. A healthy choice right on

Featherston Street.




Too many cars for such a small community. Air and acoustic contamination, respiratorydiseases, traffic jams, expensive roadmaintenance, even climatic change progresswould decrease if car use was restricted andmore sustainable transportation means werereinforced.

Cyclists face daily threats to theirphysical integrity: Badly parkedcars, drivers opening car doorswithout checking for cyclists,broken glass or road works are justa few examples.

This is the only empty building in the PNHA. An intact example of Art Deco gone to waste. Itwould make a great community service centre like ashelter for abused women and children or analternative education centre to support and providelife skills for young people with emotional,behavioural and/or social difficulties.

How many residents would welcome the idea?




Gavin, M. (2003). Developing Positive Negatives: Youth on the edge capture images of their lives with help from PhotoVoice. Children, Youth and Environments, 13(2), 16-35.

History of New Zealand (2009). Retrieved March 13, 2011 from http://history-nz.org/discovery.html

Neuwelt, P., Matheson, D., Arroll, B., Dowell, A., Winnard, D., Crampton, P., Sheridan, N.F., & Cumming, J. (2009). Putting population health into practice through primary health care. [Electronic version]. The New Zealand Medical Journal, 122 (1290), 98-104

New Zealand History (2008). Retrieved March 13, 2011 from http://www.nzhistory.net.nz/war/maori-and-the-second-world-war/achievements

Palmerston North City Council (2011). Retrieved March 10, 2011 from http://www.pncc.govt.nz/About/History/Detail.aspx?id=2043

PhotoVoice (2011). Retrieved March 1, 2011 from http://www.photovoice.org/

Rice, G.W. (2005). Black November: The 1918 Influenza Pandemic in New Zealand (2nd Ed.). Christchurch, NZ: Canterbury University Press.

Statistics New Zealand (2006). Retrieved March 4, 2011 from http://www.stats.govt.nz/Census/2006CensusHomePage/QuickStats.aspx

Taylor, J., Wilkinson, D., & Cheers, B. (2008). Working with communities in health and human services. Melbourne, NZ: Oxford University Press.

Thompson, N.C., Hunter, E.E., Murray, L., Ninci, L., Rolfs, E.M., Pallikkathayil, L. (2008). The experience of living with chronic mental illness: A PhotoVoice study. [Electronic version]. Perspectives in Psychiatric Care 44 (1), 14-24

Tudor Hart, J. (1971). The inverse care law. [Electronic version]. The Lancet, 297, 405–412.

Wang, C.C., Morrel-Samuels, S., Hutchison, P.M., Bell, L., & Pestronk, R.M. (2004). Community building among youths, adults, and policymakers. American Journal of Public Health, 94 (6), 911-913

Wilkinson, R.G. (1994). Unfair Shares: The Effects of Widening Income Differences on the Welfare of the Young. Ilford, U.K.: Bernardo.

World Health Organization [WHO] (1998). Health promotion glossary. Retrieved March 6, 2011 from http://www.who.int./hpr/NHP/hp_glossary_en.pdf

World Health Organization [WHO] (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Retrieved March 6, 2011 from http://www.who.int/social_determinants/thecommission/finalreport/en/index.html

photo-voice residential community assessment ppt presentation

Education

health of communitiesv

health of individuals

public health

health promotion

health service availability

health status of individuals

health inequities stream

worse health outcomes