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CITIES OF THE FUTURE sustainability, vitality and wellbeing In 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 Muchea Muchea Bullsbrook Bullsbrook Proportion of children vulnerable N=Percent 34.4 to 63.9 24.5 to 34.3 18.5 to 24.4 10.5 to 18.4 0 to 10.4 Gidgegannup Gidgegannup The The Vines Vines Upper Upper Swan Swan Belhus Belhus Ellenbrook Ellenbrook Darch Darch Henley Henley Brook Brook Alexander Alexander Heights Heights Marangaroo Marangaroo Ballajura Ballajura Girrawheen Girrawheen Koondoola Koondoola Balga Balga Mirrabooka Mirrabooka Westminster Westminster Herne Herne Hill Hill Beechboro Beechboro Morley Morley Mount Mount Hawthorn Hawthorn North North Perth Perth Stoneville Stoneville West West Swan Swan Middle Middle Swan Swan Jane Jane Brook Brook Stratton Stratton Caversham Caversham Swan View View Lockridge Lockridge Midland Swan Midland Eden Eden Hill Hill Woodbridge Woodbridge Greenmount Greenmount Guildford Guildford South South Guildford Guildford Helena Helena Valley Valley Parkerville Parkerville Chidlow Chidlow Mount Mount Helena Helena Hovea Hovea Mahogany Mahogany Creek Creek Glen Glen Forrest Forrest Mundaring Mundaring Darlington Darlington Sawyers Sawyers Valley Valley Highgate Highgate East Metropolitan Perth, WA Prepared by: AEDI National Support Centre Source: AEDI Communities Data 2004/05 A snapshot of Australia’s children Completion of AEDI Checklists by state/territory 3,255 55,449 Total = 261,203 children = 97.8% Essentially a developmental census of five year olds 27,579 87,168 16,208 4,432 61,196 5,916 Source: AEDI 2009, ABS 2009, Estimated Resident Population for five year olds Developmental Pathways Project Using 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 Project Using 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 National Economic Prosperity Health & Welfare Budgets Not Draining Australia’s Capacity Next Generation of Parents Socially & Emotionally Competent Most Children Mentally & Physically Healthy, Reaching their Educational and Social Potential Cycles of Economic Prosperity & National Capacity Most Children Commence their Lives in Environments which Enable Full Opportunities for Healthy Child Development BUILDING BLOCKS Pathways to Participation Opportunities for achievement and recognition of accomplishments Responsive Parenting (i.e. appropriate care stimulation and monitoring) Genetic factors Optimal brain development in utero and early childhood Healthy pregnancy, reduced maternal smoking, alcohol & drug misuse Economic participation, civic participation, and social participation Sense of selfefficacy & self-worth Academic success & other achievements Effective learning, communication & problem solving skills Effective self regulation of emotion, attention & social interaction Sense of social connectedness Healthy beliefs and clear standards Positive interaction with peers Positive interaction with adults Reduced exposure to harmful drugs Availability of +ve adult role models & engaging community activities Social and economic environments supportive to child rearing – especially absence of poverty and exposure to violence Healthy nutrition in utero & throughout childhood & adolescence Time CIVIL SOCIETY UNCIVIL SOCIETY Focus on: Accepting of: Equality/diversity Inequalities Trust, care Fear, violence Collective good Priority for material wealth Valuing parents Parents not valued Valuing childhoods Prevention more than cures Fast tracking childhoods Cures more than prevention Protected environments Safe places for all Effective use of helpful technologies Child needs as well as adults Environmental degradation Safe places for the few Excessive use of damaging technologies Adults needs more than children’s % of Children Vulnerability threshold Low Outcome measure High % of Children Universal strategies-entire population moves Targeted strategies decrease curve for vulnerable Gap narrows Low Outcome measure High