As part of our work with clients in South Australia between 2010-2012, we were fortunate to have the opportunity to meet with thousands of people living in metropolitan Adelaide to discuss their vision for the future. The conversations were predominantly part of community planning processes, at both a local and state level. Conversations were held face-to-face as well as using online tools.
This model shows that many layers exist within a healthy, thriving community.
The things that impact on people’s health includes their individual lifestyle; social and community networks; how we live and work; through to broader socio-economic conditions. The original Social Determinants of Health model (Dahlgren & Whitehead 1991) also shows how age, gender and hereditary factors have a central role to play in determining the health of an individual.
This model highlights the need for all sectors of Government to engage with communities on the broad range of topics shown. This is not only essential for efficient and effective service delivery but to contribute to an overall healthy community. It also highlights the importance of collaborative working – between Government departments and agencies, between the Government and the community, and between the community themselves. The model highlights that everything we do can impact on the health and well-being of the people living within that community.
We were also thrilled to hear that empowered citizens; people working collaboratively; and civic responsibility, values and pride were important to the community. Even more so, the desire to know our neighbours seems to rate very highly for people living in metropolitan Adelaide.
It should be noted that whilst we have used the information we’ve heard to apply it to a Social Determinants of Health model, this wasn’t the context in which people were asked about the future of their community. In general, conversations were based on generic questioning about their aspirations for their future community.