Connecting the Dots – a VicHealth Local Government Partnership

Global Centre for Preventive Health and Nutrition

The application of practical, participatory systems thinking methods in community engagement is growing in popularity as an approach that the municipal prevention workforce and partners can use to tackle complex population health priorities. These methods look beyond individuals and events and into the wider, interconnected set of causes. Through collaborating with community and focusing on systematic causes of problems and how they are connected to and influenced by one another, it’s possible to develop holistic perspectives on the drivers of health and engage community in the co-design of effective prevention action.

Challenge

Connecting the Dots (CtD) was a foundation module within the VicHealth Local Government Partnership (VLGP) that ran from 2021 to 2023. The VLGP’s focus was to increase councils’ engagement of children and young people to better inform Municipal Public Health and Wellbeing (MPHW) planning and subsequently co-design action for systematic change.

Solution

Deakin University partnered with VicHealth to support the implementation of the CtD foundation module across 13 participating councils to: build systems thinking practice skills and knowledge, including a community-engagement, and co-design focused participatory systems thinking workshop process; and, support and build council prevention workforce capacity throughout their planning and implementation cycle to continue to use systems thinking tools to monitor, develop, adapt, and align action across the VLGP project, MPHW plans and other prevention work and projects within their community.

Impact

Across the 13 councils there were 132 community-identified prioritised actions implemented, developed and, in some councils, led by children and young people to improve their health and wellbeing. We were able to develop a converged systems map of the most important drivers of children and young people’s health and wellbeing among the 13 communities. On completion of the systems thinking workshops, all CtD councils had developed their own systems map describing the locally relevant drivers of healthy eating, physical activity, and mental wellbeing for children and young people in their community.

Partners

VicHealth

Buloke Shire Council

Central Goldfields Shire Council

City of Greater Bendigo

City of Greater Dandenong

Colac Otway Shire Council

East Gippsland Shire Council

Glenelg Shire Council

Greater Shepparton City Council

Hume City Council

Melton City Council

Mildura Rural City Council

Northern Grampians Shire Council

Southern Grampians Shire Council

Community and system thinking workshop process impacts

There were adaptations made to the systems thinking workshop process to better suit the needs and contexts of the councils and their participating communities. Of the 47 systems thinking workshops delivered by CtD councils, 41 were adapted prior to delivery. These adaptations included workshop format changes, total number of workshops in the series, engagement methods and workshop process changes. In 17 instances, councils modified one or more of the constituent activities that made up the systems thinking workshop session (i.e., modifying a given activities verbal instructions to cater for children and young people participating in a session). There were 4 instances where systems thinking workshops were adapted to include content related to another VLGP foundation module i.e., Kids Codesigning Healthy Places, to maximise and strengthen session outcomes during the limited time they had to engage with participants.

Councils provided the CtD team with reflections on the events and circumstances that prompted the observed process adaptations. The most commonly referenced stimuli for adaptation across all systems thinking workshop sessions were the COVID-19 pandemic and meeting specific requirements of the participant groups engaged in these systems thinking workshops (including where changes were made to ensure age appropriateness and workshop activities accessibility).

Deakin were able to develop a converged systems map of the most important drivers of children and young people’s health and wellbeing among the 13 communities. On completion of the systems thinking workshops, all CtD councils had developed their own systems map describing the locally relevant drivers of healthy eating, physical activity, and mental wellbeing for children and young people in their community. To summarise the systems maps across the CtD councils, a network analysis approach was used to aggregate and synthesise the communities’ individual maps content. The analysis created a converged systems map (see below) of 23 variables that were of particular importance as the highest-ranked causes or receivers of influence, based on how the communities had incorporated them into their systems map structure.

Converged systems map for connecting the dots project

Converged systems map representing the 23 most important drivers of children and young people’s health and wellbeing among the 13 CtD communities.

The variables with the highest overall importance (i.e., variables that had a strong combined cause and receive score) were ‘mental health’ and ‘social connection and support’. The highest causes of influencers of the children and young people’s health and wellbeing system were ‘access to transport’ and ‘financial security’. The variables that appeared most commonly across all 13 systems maps were ‘social connection and support’ and ‘sport and recreation’, with both appearing on 12 out of the 13 maps.

The following councils participated in CtD (shown also in the figure below): 

  • Buloke Shire Council 
  • Central Goldfields Shire Council 
  • Colac Otway Shire Council 
  • Southern Grampians Shire Council 
  • Glenelg Shire Council 
  • Northern Grampians Shire Council 
  • Mildura Rural City Council 
  • Melton City Council 
  • East Gippsland Shire Council 
  • City of Greater Dandenong 
  • City of Greater Bendigo 
  • Hume City Council 
  • Greater Shepparton City Council 
Map of Victoria showing LGA boundaries of each of the councils that participated in CtD (2021-23)