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  • Subject Name : Public health

HEALTH EQUITY AUDIT

Background

This report is aimed to provide a comparative analysis of the public health inequalities and public health inequities between the 5 kingdoms-Crownlands, Riverlands, Stormlands, The North, and Westernlands.In this report the health inequalities have been measured amp compared using the following 4 indicators.

Rental Assistance
Rental Stress
General Inequality-Men and Women admission rates in hospital
General Medical Practitioners

Through the analysis conducted of the 15 zones belonging to different kingdoms it could be evacuated that there existed high variability among each of the indicators when assessed in the different subzones. According to the data extracted for rental assistance it could be evaluated that the lowest assistance is provided in Wester land Subzone 1, the second lowest is provided in Stormlands subzone 2 while the highest assistance is paid in the subzone 3 of the same kingdom that is Stormlands. Thus, it could be evaluated through the analysis that equality is not present among the kingdoms as well as not within the kingdom. While assessing the relationship between rental stress and rental assistance it was evaluated that there does not existed any significant relationship between the variables as the rental payments in all the zones keeps on increasing according to the inflation rates in the kingdoms whereas the amount if assistance was significantly lower than that of the rental assistance.
There also existed difference between the male and female admissions in the hospitals indicating that the female admission rate is higher in the kingdoms of the subzones

Meaning of Health Equity and Associated terms

Health Equity

Health Equity is a concept which emphasizes that everyone should be able to reach their full health potential and no one should be disadvantaged from reaching it. It considers how fairly resources are distributed n a particular region according to the need of the population and not the individual

Health Equity Audit

This audit acts as a tool through which inequalities in health between different demographic areas can be found. This audit helps to determine how fairly resources are distributed in relation to health needs of the various groups and areas and based on these actions can be taken to provide services that are needed and inequalities can be reduced.

Health Inequalities and Health Inequities

Differences in the health status of a particular area or group are generally of 2 types
Those which arise due to measurable differences between various populations groups such as age, gender, geographic location, disability or ethnic group. These differences are called health inequalities. Those which are related to unequal distribution or opportunity to access health related resources like healthy food health services, appropriate housing. These differences are related to social and economic factors that are avoidable, unjust and unfair. Such differences are known as health inequities.

Purpose

The purpose of this report is to throw light on health inequalities and equities between the 5 Kingdoms and do a comparative analysis of the health status of population in these 5 Kingdoms. The comparison has been done based on these four indicators of population health Rental Assistance, Rental Stress, General Inequality, General Medical Practioners. This Health Inequality audit report is aimed to reveal social and economic inequities (like rental stress) and inequalities (General Inequality-men and women admission rates in hospital) to provide an overall understanding of the overall health status of the population in these kingdoms. For the purpose of this report, 3 sub zones have been picked from each Kingdom and their comparison has been done based on the four indicators mention above. The findings of this report will be used to take measures to reduce the health inequities by diversion of resources needed in a particular area or group

Health Indicators

1. Rental Assistance
The government of Kingdom provides housing assistance to the population in order to reduce the among its population. Data was extracted in order to understand the relationship between housing assistance given by the government and the rental stress among the households.
In order to evaluate the relationship between house rent assistance and rental stress among the zones of Australia. Three subzones of five zones of Kingdom has been selected including The North, Riverlands, Crownlands, Westerlands and Stormlands. From the above computed bar graph, it can be evaluated that there exists inequality in the house rent assistance among the subzone of particular zones. There also high variability in terms of house rent assistance among the zones of kingdom.

2. Rental Stress
The above-computed bar graph also indicates that there exists high variability in terms of rental stress among the sub zones of economy of kingdom When assessing the relationship between the rent assistance and rental stress among the subzones of kingdom it could be evaluated that there does not exists any significant relationship between both the variables. Hence, it could be evaluated that in spite of the governments effort to reduce the rental stress among the population by proving rental assistance there exists significant rental stress among the population of these five zones.
When comparing the stress levels of the subzones with that of Kingdom that is 0.252 it can be analyzed that there are zones which are experiencing greater stress level than Kingdom average including The North subzone 2 and Stormlands Subzone 3.

3. Gaps existing in policy
Thus, there exists a loophole in the implementation of policy due to which anticipated results of the policy are not realized. According to reports, rents in Kingdom have risen twice the rates of inflation in economy Whereas, the amount of CRA is only eligible for certain households like those live in indigenous community housing and not payable to those who are public rental housing tenants. According to the statistics, the median CR payment by Australian government in 2016 was 130 whereas, the median rent was 437 (Australian Institute of health and Welfare, 2017). Thus, contributing very less in reducing the stress level in Australia. Thus, there is a need to revise the policy in order to improve the health and the equity of health among the sub zones of Kingdom as rental stress pose high health risks for Australian population (Australian Government Productivity Commission, 2015).

4. Gender inequality Men and Women admission rates in hospitals
In order to evaluate the health variability among the gender of the sub zones of Australia, the admission rates of male and female gender in fifteen different sub zones were compared and drafted in to a bar diagram. It can be easily evaluated though the above diagram that there exists low variability among the male and female admission rates in hospitals. It can be seen through the bar graph that the female admission rates are either approximately equal or higher than the male admission rates in all the fifteen subzones. According to the data it can be evaluated that admission rates for men and women are different in Australia. The admission rates for women that area admitted to hospitals is greater than that of men. According to a study conducted by AIHMS (2010), the reason behind higher hospitalization rates is obstetric treatments.

5. General Medical Practitioners
In order to provide equitable medical facilities to a population in an economy it is important to ensure the availability of general medical practitioners. In order to evaluate the equitable presence of general medical practitioners in all the zones of the kingdom data was collected regarding the availability of general medical practitioners in all the zones. It was evaluated through the data that in Wester land Subzone 1 there no was no availability of practitioners whereas in Stormlands Subzone 1 there is high availability of general medical practitioners to look after the health of practitioners.

Conclusion

In order to compare the health performance of five zones and their subsequent subzones data was collected in order to conduct health audit. The first health indicator that was chosen was rental stress which is a significant factor of health problems in Australia. It was evaluated that house rent assistance is highest in Riverlands sub zone 3 while lowest in Wester lands Subzone 1. It was evaluated that there is high variability among the different subzones belonging to different kingdoms. Another indicator that is directly linked to the rental assistance that was chosen in the study was rental stress. It was found out that the does not existed any significant relationship between both the variables. Hence, it could be evaluated that in spite of the governments effort to reduce the rental stress among the population by proving rental assistance there exists significant rental stress among the population of these five zones.
Thus, it is required by the government of the Kingdom to implement policies in order to implement equitable rent assistance in all the subzones of the kingdoms and to revise the policies so that the amount of CRA should match with the increasing inflation in the economy. Also, in order to assess the presence of general inequality among the subzones of the kingdoms, the male and female admission rates was assessed in all the zones. It was evaluated through the analysis that the admission rates of females in all the subzones was greater than that of the males in all the sub zones. In order to understand the reason behind this variability literature was assessed and it was found out that the reason behind this variability was obstetric treatments given to females. The availability of medical practitioners was also assessed in the 15 subzones and it was found that the Wester land Subzone 1 there no was no availability of practitioners whereas in Stormlands Subzone 1 there is high availability of general medical practitioners to look after the health of practitioners. Thus, it could be evaluated that there existed high variability among the subzones regarding the availability of general medical practitioners in order to take care of the health of the people.

Bibliography

Arber, S. (2018). Opening the Black Box inequalities in womens health. InNew Directions in the Sociology of Higher Education(pp. 37-56). Routledge.
Australian Government Productivity Commission. 2015. Assessed from https//www.pc.gov.au/news-media/pc-news/previous-editions/pc-news-may-2015/housing-assistance-and-employmentAustralian Institute of health and Welfare. 2017. Assessed from https//www.aihw.gov.au/reports/housing-assistance/housing-assistance-in-australia-2017/contents/financial-assistanceBaron, R., Mannin, J., te Velde, S. J., Klomp, T., Hutton, E. K., amp Brug, J. (2015). Socio-demographic inequalities across a range of health status indicators and health behaviours among pregnant women in prenatal primary care a cross-sectional study.BMC pregnancy and childbirth,15(1), 261.
Hosseinpoor, A. R., Bergen, N., Barros, A. J., Wong, K. L., Boerma, T., amp Victora, C. G. (2016). Monitoring subnational regional inequalities in health measurement approaches and challenges.International journal for equity in health,15(1), 18.
Kabisch, N., Haase, D., amp Annerstedt van den Bosch, M. (2016). Adding natural areas to social indicators of intra-urban health inequalities among children a case study from Berlin, Germany.International journal of environmental research and public health,13(8), 783.

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