Is primary health care an effective platform for tackling our obesogenic environments?

blog post by Mark Metherell, Consumers Health Forum's Communication Manager.

Community media outlets have recently fuelled a fresh bout of anxiety about obesity. “We’re fat and stuck on fags”, declared the headlines of country newspapers across NSW and Victoria.

In Ipswich, there was the foreboding: “Reports boost fears over city’s health outlook”; in Wollongong: “Illawarra’s obesity epidemic worsens”; and in Western Australia, the ABC reported: “The fat region: almost three quarters of Goldfielders are obese of overweight.”

The trigger for the headlines was the latest National Health Performance Authority’s report on rates of smoking and obesity, detailed for each of Australia’s 61 Medicare Local areas. Figures giving a localised picture of obesity are a natural hit for local media, particularly if they stand out negatively, as was the case in many lower socio-economic and rural areas.

Australians by now should have grown accustomed to having one of the fattest populations on earth so, in one sense, the fat phenomenon is no novelty.

What is new is that we are now able to see how our own region rates. And the differences can be dramatic, varying from 50 per cent of adults with overweight or obesity levels in affluent areas to up to 75 per cent in lower socio economic and rural districts.

The hope is that these local snapshots of this lethal but avoidable impact on our health may be more likely to get people to sit up (or better, stand up) and do something. Rather than a national statistic that can seem to have little relevance, figures that show your community may rate above the national average for, say, obesity, are more likely to grab your attention.

It is a disturbing reality that so far, despite the barrage of reports over the past 20 years warning of Australians’ swelling waists, and numerous official efforts to get the nation exercising and eating healthy food, the overall numbers of Australians who are overweight or obese have climbed steadily.

In 1995, 56.3 per cent of adults were overweight/obese, by 2011-12 that had climbed to 62.8 per cent.

The combination of the recently introduced Medicare Locals and the localised reports from the NHPA potentially provide a new platform to combat obesity.

Already Medicare Locals are assessing their local population’s health needs and responding with a range of schemes like: life skills for Indigenous school children in the Lower Murray; strength training and exercise for the over 50s in North Perth; oral health for seniors on the NSW Central Coast; and after hours maternal and child health nursing in south eastern Melbourne.

There are ventures that would help counter the battle of the bulge such as on the Gold Coast where the Medicare Local has helped establish up to 40 walking groups and also supports workplace walking. In Canberra there is a HeartLink program for people at risk of cardiovascular disease which offers “lifestyle change support” to reduce their risk.

These community-driven projects are revealing the potential and diversity of ways different communities can respond now they have a localised entity to focus attention and direction on prevention and health promotion efforts.

The Consumers Health Forum argues the latest obesity figures should make it clear the time for a campaign to counter obesity is now, and it needs a national and local commitment to action.

Medicare Local-type primary health care can provide the advice and support people need to lose weight. We know that the causes of overweight/obesity are numerous and complex, both national and local, ranging from the relentless promotion of unhealthy food and drinks to the reduced opportunities for routine exercise created by our dependence on the car and inadequate public transport.

The primary health care movement offers the potential to champion healthy options in local communities, not only by supporting individual consumers and families but also pushing for local developments that promote physical activity and fight the insidious spread of sedentary lifestyles.

Thanks to Melissa Sweet and Croakey ( for permission to republish.

Visit Croakey for the full article.


About the author

Mark Metherell

Mark Metherell joined the Consumers Health Forum of Australia as Communications Manager in February 2013. Previously he was the Canberra based health correspondent for the Sydney Morning Herald, a position he held since 1999. He was also medical reporter for the Age in the 1980s. In a newspaper career spanning 40 years, he has held a variety of other posts including news editor and defence and foreign affairs correspondent. He retired from his position as Communications Director with CHF on 1 March 2022.