Participation in health and development checks

In 2014-15, 1,591 births were registered in Boroondara, with 49% of these to first-time mothers (782). Boroondara provides Maternal and Child Health services across 12 sites. The service provides health and developmental checks for children at 10 key stages from birth to 3.5 years.

As shown in Table 1, participation rates in 2014-15 started to drop off after the 4-month consultation, and just over 74% of children in Boroondara participated in the 3.5 year appointment (1,259). From 18 months to 3.5 years, participation at key health and development checks in Boroondara was slightly higher than the North-Eastern Victorian region.

Table 1: Total participation rates for key ages and stages consultations 2014-15, City of Boroondara and the North-Eastern Victoria (Source: Department of Education and Early Childhood Development, 2018)

 Stages of consultations

Boroondara

North-Eastern Region

 Home Consultation

99.4

100.9

 2 Weeks

98.2

98.1

 4 Weeks

97.3

98.4

 8 Weeks 

95.8

97.0

 4 Months

94.0

96.1

 8 Months

88.8

89.7

 12 Months

85.2

87.0

 18 Months

85.5

80.0

 2 Years

82.3

79.1

 3.5 Years

74.1

68.5

Breastfeeding rates

In 2014-15, slightly less than three-quarters of babies born in Boroondara were fully breastfed on discharge from hospital (72.7%). At three months of age, 64.4% of babies were fully breastfed, and 52.6% of babies were fully breastfed at six months of age.

Across all ages, the rates of babies who were fully breastfed was higher in Boroondara than in the Eastern Metropolitan Region.

However, Boroondara showed a higher decreasing trend across the three years. The percentage of infants fully breastfed on discharge, at 2 weeks, and at 3 months decreased by 3.9%, 4.2% and 2.2% respectively in the last three years (See Table 2).

Table 2: Breastfeeding rates in City of Boroondara and the Eastern Metropolitan Region (EMR), 2014-15 (Source: Department of Education and Early Childhood Development, Maternal and Child Health Services, selected Annual Reports, 2018)

Fully breastfed

Boroondara

EMR

On Discharge

72.7%

71.5%

At 2 weeks

72.1%

69.1%

At 3 months

64.4%

58.6%

At 6 months

52.6%

43.7%

Boroondara showed a decreasing trend across the three years. The percentage of infants fully breastfed on discharge, at 2 weeks, and at 3 months decreased by 3.9%, 4.2% and 2.2% respectively in the last three years (See Table 3).

Table 3: Breastfeeding rates City of Boroondara, 2012-13 to 2014-15 (Source: Department of Education and Early Childhood Development, Maternal and Child Health Services, 2018)

Fully breastfed

2012-13

2013-14

2014-15

On Discharge

76.6%

76.7%

72.7%

At 2 weeks

76.3%

75.5%

72.1%

At 3 months

66.6%

65.6%

64.4%

At 6 months

52.5%

54.1%

52.6%

Children's health at school entry

The School Entrant Health Questionnaire (SEHQ) is completed by the parents or caregivers of children entering their first year of school. In Boroondara, 1,472 children were involved in the 2016 SEHQ data collection.

Nearly 90% of children in Boroondara reported to have an excellent or very good health, 3.2% higher than the Metropolitan region.  Seventy two percent of children reported to have attended a Maternal and Child Health Centre for their 3 ½ year-old check and 66.5% children reported to have been seen by a dentist in the previous year

With regard to behavioural and emotional wellbeing, 12.5% of children were reported to be at high risk of developmental or behavioural problems, 3.0% lower than the Metropolitan region. Few children (4.2%) also reported of having a parent with history of mental illness.

Table 4 shows the results for selected indicators of children’s health and compares the Boroondara results to the Melbourne Metropolitan Region.

Table 4: General health indicators of children entering preparatory (prep) level in 2016 (Source: Department of Education and Childhood Development, 2018) Australian Early Development Index

General health

Boroondara (no.)

Boroondara (%)

Metropolitan Melbourne (%)

Children reported to be in excellent or very good health

1,319

89.6%

85.7

Children reported to have allergies

157

10.7%

9.5

 of the children above, those with an allergy action plan at school

66

41.8%

35.2

Children reported to have been told by a doctor they have asthma

144

9.8%

11.3

 of the children above, those with an asthma action plan at school

90

62.6%

58.2

Table 5: Oral health indicators of children entering preparatory (prep) level in 2016 (Source: Department of Education and Childhood Development, 2018)

Oral health

Boroondara (no.)

Boroondara (%)

Metropolitan Melbourne (%)

Parents concerned about their child's oral health (eg, teeth, gums etc)

181

12.3%

13.8

Speech/language

Boroondara (no.)

Boroondara (%)

Metropolitan Melbourne (%)

Children reported to have difficulties with speech and/or language

165

11.2

12.7

of the children above, those who are seeing a speech pathologist

67

40.3

31.4


Table 6: Service use indicators of children entering preparatory (prep) level in 2016 (Source: Department of Education and Childhood Development, 2018)

Service use

Boroondara (no.)

Boroondara (%)

Metropolitan Melbourne (%)

Children reported to have attended a Maternal and Child Health Centre for their 3 ½ year old check

1,062

72.2

69.7

Children reported to have been seen by an optometrist in the past year

289

19.7

17.7

Children reported to have been seen by a GP in the past year

1,173

79.7

79.5

Children reported to have been seen by a paediatrician in the past year

176

12

10.2

Children reported to have been seen by a dentist in the past year

979

66.5

52.1

Children reported to have been seen by an audiologist/hearing specialist in the past year

124

8.4

9.8

Children reported to have participated in a kindergarten program led by a qualified early education teacher

1,354

92

89.2

Table 7: Behavioural and emotional wellbeing indicators of children entering preparatory (prep) level in 2016 (Source: Department of Education and Childhood Development, 2018)

Behavioural and emotional wellbeing

Boroondara (no.)

Boroondara (%)

Metropolitan Melbourne (%)

Parents concerned about the behaviour of their child

153

10.4

11.7

Children at risk of developmental and behavioural problems

Number

%

%

Children at high risk of developmental or behavioural problems

185

12.5

15.2

Children at moderate risk of developmental or behavioural problems

421

28.6

28.3

Table 8: Indicators for high risk of behavioral and emotional problems of children entering preparatory (prep) level in 2016 (Source: Department of Education and Childhood Development, 2018)

Children at high risk of behavioral and emotional problems

Boroondara (no.)

Boroondara (%)

Metropolitan Melbourne (%)

Emotional symptoms

43

2.9

5.5

Conduct problems

48

3.3

5.5

Hyperactivity

71

4.8

6.4

Peer problems

71

4.8

8.2

Pro social

31

2.1

3.3

Total difficulties (score in the 'high risk' range)

24

1.6

4

Table 9: Family stress indicators of children entering preparatory (prep) level in 2016 (Source: Department of Education and Childhood Development, 2018)

Family stress

Boroondara (no.)

Boroondara (%)

Metropolitan Melbourne (%)

Families experiencing high or very high stress during the month prior to the survey

791

53.7

54.9

Alcohol or drug related problem in family

19

1.3

2.3

History of abuse to parent

16

1.1

2.4

History of abuse to children

5

0.4

0.8

Parent witness to violence

11

0.8

2.3

Child witness to violence

14

0.9

2.5

Gambling problem in family

np

0.2

0.6

History of mental illness of parent

61

4.2

5.5

Australian Early Development Index

See education and training statistics

Childhood immunisation rates

Table 10 shows immunisation rates for children at 1 year, 2 years and 5 years in the City of Boroondara. Of the key immunisation ages, 1 year-old children had the highest rate of immunisation in 2016-17 (94.3% of the target population), followed by 5 year-olds (93.2%).

About 91% of 2 years old children were fully immunised.

However, there were variations across the postcodes. Immunisation for one year-olds ranged from a low of 87.5% in postcode 3123 (Hawthorn East, Auburn) to 97.5% in postcodes 3147 (Ashburton, Ashwood), 3126 (Canterbury), 3122 (Hawthorn, Auburn South) and 3102 (Kew East). Immunisation rates for two year-olds ranged from 97.5% in 3102 (Kew East) to 87.5% in 3104 (Balwyn North, Greythorn).

Immunisation rates for five year-olds ranged from 97.5% in 3147 (Ashburton, Ashwood) to 87.5% in five of the postcodes.

Table 10: Immunisation rates for children at one year, two years and five years, City of Boroondara postcodes, 2016-17 (Source: Australian Institute of Health and Welfare 2016, Healthy Communities: Immunisation Rates for Children in 2016-17)

Suburb

1 year old

2 years old

5 years old

3147 Ashburton

97.5

93.7

97.5

3103 Balwyn, Deepdene

93.7

91.2

87.5

3104 Balwyn North

91.2

87.5

91.2

3124 Camberwell

93.7

93.7

93.7

3126 Canterbury*

97.5

91.2

87.5

3103 Deepdene

93.7

91.2

87.5

3122 Hawthorn

97.5

93.7

91.2

3123 Hawthorn East

87.5

93.7

91.2

3101 Kew

93.7

91.2

87.5

3102 Kew East*

97.5

97.5

87.5

3127 Surrey Hills

93.7

93.7

87.5

Boroondara

94.3

91.1

93.2

Eastern Metropolitan Region

94.3

91.2

93.9

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