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Related Experiment Videos

Working in disadvantaged communities: What additional competencies do we need?

Elizabeth Harris1, Mark F Harris, Lynne Madden

  • 1Centre for Health Equity Training, Research and Evaluation, University of New South Wales, Sydney, NSW, Australia. e.harris@unsw.edu.au.

Australia and New Zealand Health Policy
|April 28, 2009
PubMed
Summary
This summary is machine-generated.

Public health workers understand social determinants of health but need better skills for intervention in disadvantaged communities. A new tool identified key competencies and training gaps for effective community health work.

Related Experiment Videos

Area of Science:

  • Public Health
  • Health Workforce Development
  • Health Equity

Background:

  • Socioeconomic disadvantage is linked to poorer health outcomes in Australian cities.
  • Public health workers face challenges in improving health in disadvantaged communities.
  • Existing workforce strategies may not adequately address the unique needs of these populations.

Purpose of the Study:

  • To develop a generic workforce needs assessment tool.
  • To identify essential competencies for public health professionals working in disadvantaged communities.

Main Methods:

  • A two-step mixed-methods approach was employed.
  • Development and application of a workforce needs assessment tool across three NSW Area Health Services.
  • Focus groups, stakeholder interviews, staff surveys, and mapping against the National Health Training Package (HLT07) competencies were utilized.

Main Results:

  • Staff agreed on health problems but lacked confidence in defining interventions.
  • Key intervention points included needs assessment, community consultation, and program adaptation.
  • Recruitment, retention, and safety of staff were significant concerns.
  • Identified skill gaps included higher-order planning/epidemiological skills and inter-sectoral collaboration.
  • Organisational barriers included excessive training, competing priorities, and engaging hard-to-reach populations.

Conclusions:

  • The developed workforce needs assessment tool is user-friendly and effective.
  • Public health staff possess a strong understanding of social determinants of health.
  • A notable skill gap exists in translating this understanding into effective interventions.