Population health in South Metropolitan Health Service

Population Health provides a range of community services including rehabilitation, health promotion, and public health services to people living in the South Metropolitan Health Service (SMHS) area.

Health promotion

South Metropolitan Health Service (SMHS) Health Promotion (HP) partners with community, government and non-government agencies to lower the incidence of avoidable chronic disease and injury.

Our health promotion teams work within hospitals, local government and community to facilitate improvements in health behaviours and environments across nine local government areas.

Our target population includes people who are currently well, and those at risk of developing disease or experiencing injury by engaging in risky lifestyle behaviours.

Our health promotion networks

Our hospital network includes:

  • Fiona Stanley Hospital
  • Rockingham General Hospital
  • Fremantle Hospital
  • Murray District Hospital
  • Peel Health Campus (delivered as a public private partnership with Ramsay Health Care).

Our local government network includes:

  • Cities of Cockburn, Fremantle, Kwinana, Mandurah, Melville and Rockingham
  • Town of East Fremantle
  • Shires of Murray and Waroona.

Our priorities

  • Curbing the rise in overweight and obesity.
  • Increasing healthy eating and improving food security.
  • Increasing physical activity and reducing sedentary behaviour.
  • Reducing smoking rates and exposure to tobacco smoke.
  • Reducing harmful levels of alcohol use.
  • Preventing injury and promoting safer communities.

What we do

  • Work with our hospitals, local government, community and other stakeholders to prevent avoidable hospitalisations.
  • Create and advocate for environments that support healthy lifestyle choices.
  • Raise public awareness and engagement about health lifestyles and behaviours.
  • Work with organisations to develop public policy to support healthy lifestyle practices.
  • Support initiatives to make the healthy choice the easy choice.
  • Develop programs for targeted interventions for vulnerable population groups at risk of lifestyle related chronic disease.

Contact Health Promotion

Fremantle Hospital
Level 2, D5, Alma St
Fremantle, Western Australia, 6160
Ph: +61 8 9586 4500
Email: southmetropolitanhealthpromotion@health.wa.gov.au

Metropolitan Communicable Disease Control

The Metropolitan Communicable Disease Control (MCDC) team works to protect the health of the population by monitoring notifiable communicable diseases and sexually transmitted infections. As well as following up contacts to reduce the spread of infections in the community, the team offers expert advice to primary care providers to help them manage communicable diseases.

This metropolitan-wide service provides expert advice and support to general practice, residential aged care facilities, hospitals, education facilities, childcare centres and other settings to ensure notifiable diseases and other communicable diseases of public health significance (including outbreak management) are managed appropriately.

The team works collaboratively with immunisation service providers and other relevant stakeholders to deliver WA immunisation programs and implement strategies to improve immunisation rates.

It delivers education and expert advice on the implementation of WA immunisation programs to service providers and collaborates with stakeholders on projects and strategies to improve immunisation rates in the region.

Aboriginal Health

Our Aboriginal Health team works to improve the health of Aboriginal people living in the South Metropolitan Health Service through the delivery of quality healthy lifestyle programs with a focus on chronic disease prevention and management and an approach to healthcare that is both holistic and focussed on the client and family.

The team provides services to Aboriginal people living across the Perth metropolitan area and includes people living in the North, East and South Metropolitan Health Services.

To achieve our goals, we work closely with the Aboriginal community, Aboriginal Health Strategy and the wider health services to ensure services are culturally appropriate, easily accessible and support the patient journey throughout the health system.

Aboriginal healthy lifestyle programs

Moorditj Djena

Moorditj Djena is a podiatry and nutrition outreach program targeting Aboriginal people over the age of 18 years with one or more of the following conditions:

  • a diagnosis of diabetes mellitus with poor control or understanding of management
  • recent foot ulcer or non-traumatic amputation
  • diagnosis of peripheral arterial disease or peripheral neuropathy.


The (LIFE) Program is a holistic, generic model of care for the management of chronic conditions adapted for Aboriginal communities. It was developed under license from Stanford University, California, by the Pika Wiya Health Service and Spencer Gulf Rural Health School in South Australia (SA) as part of the Sharing Health Care SA Project in 2001.

Journey of Living with Diabetes (JLWD)

The Journey of Living with Diabetes (JLWD) program delivers culturally appropriate diabetes prevention, education and self-management skills for Aboriginal people. The aim is to increase JLWD participants’ health literacy to empower them to take control of their own health in partnership with a range of health service providers. 

Community Rehabilitation

Community Rehabilitation is a multidisciplinary service that provides coordinated intervention to patients with complex rehabilitation needs within a community setting.

The Community Rehabilitation service provides the following care options:

  • rehabilitation closer to home
  • access to an extensive multidisciplinary team through a single point of referral, making it a ‘one stop shop’ for patients who have complex needs
  • patient centred care, with patient, carer and family involvement in goal setting
  • coordinated care to ensure a smooth transition between inpatient and outpatient settings
  • high quality, evidence based assessment and intervention
  • pathways to linked services, including the Aged Care Assessment Team (ACAT) and Complex Needs Coordination Team (CoNeCT).
The service covers a wide range of rehabilitation specialties, including:
  • amputee rehabilitation
  • cardiac rehabilitation
  • falls and mobility
  • general deconditioning
  • geriatric rehabilitation
  • memory and cognition
  • neurological rehabilitation (including Parkinson’s condition services)
  • orthopaedic rehabilitation
  • pulmonary rehabilitation
  • spinal rehabilitation.
Community Rehabilitation services are located at the following hospital sites:
  • Fremantle Hospital and Health Service Rehabilitation Centre 
    • Telephone: 9431 3650 
    • Fax: 9431 3666 
  • Rockingham General Hospital Community Rehabilitation 
    • Telephone: 9599 4877 
    • Fax: 9599 4700 

GPs should refer patients requiring medical assessment via the Central Referral Service.

Allied Health referrals can be faxed directly to the hospital sites using the Community Rehabilitation referral form (PDF 297KB).

Contact details

Metropolitan Communicable Disease Control (MCDC)

Anita Clayton Centre
Suite 1/311 Wellington St
Perth, Western Australia, 6000
Ph: +61 8 9222 8588
Fx: +61 8 9222 8599
1300 MCDCWA (1300 62 32 92)
Email: contactMCDC@health.wa.gov.au

Health Promotion

Fremantle Hospital
Level 2, D5, Alma St
Fremantle, Western Australia, 6160
Ph: +61 8 9586 4500
Email: southmetropolitanhealthpromotion@health.wa.gov.au