Te Tihi o Ruahine Whānau Ora Alliance is comprised of 9 Iwi/ Māori organisations that reside on the whenua across the greater Manawatu, Tararua, Horowhenua and Palmerston North region. Kāinga Whānau Ora is a pilot initiative using the Collective Impact framework to work alongside 100 whānau in Palmerston North living in Housing NZ homes.
Four key focus areas of the Pilot are to:
ensure healthy sustainable homes and communities,
increasing access for whānau to grow their knowledge,
supporting healthy loving and violence free relationships, and
addressing systemic barriers to inform sustainable long term systemic change.
The Collective Impact framework we use enables us to work closely with our 15 Partners who identified a common agenda to address the issues that impact on whānau living in social housing. Shared data has become a major source of practical information for whānau in their decision making and enables us to look across sectors and spark change. A broad range of activities and offerings from Partner organisations contribute to growing whānau knowledge about housing choices.
Presentation by: Vanessa Sidney-Richmond (Te Tihi o Ruahine Whānau Ora Alliance)
Recruiting Māori into the health professions is required to meet future Māori healthcare needs. The Kia Ora Hauora (KOH) programme provides a range of targeted interventions which expose secondary school students to culturally appropriate experiences of health careers. Collaborative research undertaken between the Central Region KOH programme and Whitireia Polytechnic, retrospectively investigated the efficacy of these interventions.
Students from 80 schools from deciles 1 to 10 participated in interventions. Most students identified with Ngāti Kahungunu (57), Ngāti Porou (45), Ngāti Raukawa (42) and Ngāpuhi (31). Prior to the intervention, 39% of all students were interested in a career in health, post intervention that number rose to 53%.
Developing the Māori health workforce is critical to ensure the quality of the future New Zealand health system. The Kia Ora Hauora programme have tapped into “O for Awesome” initiatives to engage school students. This breakout session will provide more information about this programme and the study findings.
Presentation by: Ruth Crawford (Whitireia Polytechnic) and Leigh Andrews (Kia Ora Hauora Central Region)
Moving health equity from concept to reality in the MidCentral district.
It is two years since the development of the MidCentral DHB Strategy which identified “achieving equity of outcomes across our communities” as one of four key strategic imperatives to drive improvement in our local health sector. Since that time a range of activities have been undertaken to contribute to advancing the equity agenda. We will describe three specific initiatives that illustrate some of our progress towards creating meaningful change in different health settings and contexts.
The initiatives include:
Our system-wide trilogy approach to embedding equity principles into health care service planning and delivery.
Sharing our experiences of implementing an equity focused primary care led project to improve cervical screening rates for priority women.
We will describe the impacts of proactive engagement with a secondary care service for the express purpose of improving experiences for Māori patients and whānau.
We will outline the approach that has been taken to foster genuine and sustained engagement and the practical outcomes that have been realised through stronger connections and culturally-focused reflection within a hospital based service.
The process and components of the initiatives will be discussed and shared within this breakout.
Presentation led by: Janine Stevens (MidCentral DHB – Pae Ora Māori Health Directorate)
Te Kura Kaupapa Māori o Wairarapa - the iMOKO™ experience
Our Whānau Tuatahi Project is an innovative approach which enables us, the tangata whenua of our region to establish the kura as a papa-kāinga, a home for which everyone belongs to, for all members of our whānau and community. Our kura is our papa-kāinga will is an extension of our marae, our awa (rivers) and our maunga (mountains).
Our project is about whānau being included in education and whanaungatanga experiences alongside their tamariki.
Many of our whānau, still today, are traumatised victims of colonization. We intend to use the powers of the kete aronui (basket of positive energy) to bring about sustainable changes in our whānau.
Over three years, we intend to provide continuous experiences for whānau to engage in;
Individual and family health and well-being experiences
Spiritual healing experiences
Recreational and social experiences, and,
Life-long educational experiences.
Presentation by: Hohepa Campbell (Te Kura Kaupapa Māori o Wairarapa) and Ronald Karaitiana (Whaiora)
He Puna Hauora delivered a series of wānanga to "whakapiki i te hauora o ngā rangatahi Māori me ō rātou whānau" - increasing the wellbeing of Māori youth and their families. It is a Māori led solution as a preventative action to suicide, providing a wholistic approach encompassing rongo ā hinengaro, rongo ā wairua, rongo ā tinana me rongo ā whānau.
Each wānanga provided specific tools for rangatahi and their whanau to value themselves together with the influence of the space of Ngā Ātua Māori. A significant number of mokopuna, tamariki, taiohi, pakeke and kaumātua participate enthusiastically in these wānanga. The main focus being that the capability for wellness is with all of the whānau.
Each wānanga builds on the previous which enables them to gain practical skills to maintain wellness. All participants will be equipped with tools that they can utilise for themselves and for others, including facilitated consultations as a link back to He Puna Hauora.
The wānanga combine the use of Access Bars and mātauranga Māori as a treatment for anxiety and depression - and increased wellbeing for whānau overall. This breakout will share information about the project and provide complimentary bars sessions and commentary to introduce participants to this mahi.
Presentation by: Robyn Richardson and Kim Savage (He Puna Hauora and Tiaki Mauri).
Ko au ko toku whānau, ko toku whānau ko au - Nothing about me without me and my whānau and family
Culture change with our Whanganui DHB workforce and helping staff to engage effectively with patients and their families/whānau is a key element to improving equity and service delivery. It relies on meaningful engagement and partnerships between patients and their families/whānau, their health care teams and systems where cultural values and beliefs are understood, valued and acknowledged.
Contributing to culture change requires a number of elements that supports our workforce to work effectively with patients and their families/whānau. Part of this is our Māori health team (Haumoana Navigators) who provide cultural support and advocacy assisting patients and families/whānau to engage and safely navigate our system, while working alongside staff to support them to engage in a meaningful manner with patients and their families/whānau.
An integral element to culture change and support of workforce is our two-day cultural awareness program, “Hapai te Hoe” based on a waka model that gives staff the tools and knowledge to work in partnerships between patients and their families/whānau, by having an understanding of cultural values and beliefs, empathy and working from a Whānau ora approach. Whānau ora as a practice framework puts whānau (patients and families) at the centre, throughout their health journey and across our whole system. We believe our approach respects cultural values, grows our staff and builds strong partnerships with patients, families and clinicians and empowers whānau to make informed choices. We are committed to supporting our workforce and improving equity in health outcomes for Māori.
Presentation by: Rihi Karena and Ned Tapa - Whanganui DHB
Tamariki Manawa Ngawari - Children Breathing Easily
Tu Kotahi Maori Asthma and Research Trust have supported whānau with asthma and respiratory conditions over the past 22 years. During the past two decades, we have been instrumental in developing a number of resources that have contributed to the improved health and wellbeing of whānau affected by asthma and respiratory illnesses.
Asthma prevalence is significantly higher in Māori children who are also more likely to have more severe asthma than non-Māori children. Despite their increased rates and severity of asthma, Māori children are actually dispensed fewer preventive treatments than non-Māori children which results in poorer overall asthma control. Thus, asthma is certainly a critical issue for Māori whānau. Tū Kotahi has a long-term commitment to reducing these inequalities for Māori with asthma and respiratory illnesses.
The Tamariki Manawa Ngāwari (children breathing easily) programme is made up of workshops, toolkits and resources in te reo Māori. The programme teaches teachers and whānau the triggers, signs and symptoms of asthma as well as the different types of medication, devices and treatments so they are more assertive when managing their child’s asthma. Over the past two years the programme has been rolled out to 28 of 29 kōhanga in Te Whanganui a Tara.
Presentation by: Cheryl Davies (Tū Kotahi Maori Asthma and Research Trust)
Equity and Māori Health Gain in Faster Cancer Treatment
The Faster Cancer Treatment programme Cancer Nurse coordinators initiative aims to improve the quality and timeliness of services for patients along the cancer pathway. An integral aspect of the FCT programme is ensuring the visibility and active management of the cancer journey for all people receiving cancer services to ensure equity of service access, service delivery and cancer health outcomes.
This project aims to improve equity and Māori health gains within the FCT programme both as it is delivered by the Cancer Nurse coordinators, and, to address this issue from multiple levels of the health system utilizing the equity of healthcare for Māori framework.
The project team works inclusively with the Ministry of Health (MoH) Cancer Programme Team, the Cancer Nurse Co-ordinators and their management within their respective DHB’s. The The trial DHB site within the Central Cancer Network region was Hawkes Bay DHB.
The early evaluation found that equity and Māori health gains were lacking and identified there are varying practices and rationale regarding proactive patient management across DHBs.