Engaging Communities

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Engaging Communities. Working with Pacific people in NZ Oceania Tobacco Control Pre-Conference 2011 Brisbane Convention Centre, Australia Monday 17 th October 2011. Pacific people in NZ. Many in low paying jobs. Many in state housing homes. Many Beneficiaries. - PowerPoint PPT Presentation

Transcript

TALA PASIFIKA

Engaging CommunitiesWorking with Pacific people in NZ

Oceania Tobacco Control Pre-Conference 2011Brisbane Convention Centre, AustraliaMonday 17th October 20111

High hospital admission and readmission rates Many in state housing homesMany in low paying jobsMany Beneficiaries Pacific people in NZReally important to understand the realities for the community you are working with.

Diversity YoungUrban

Etc..Urban

2Pacific people in NZSports teams and athletesLeadershipFilm makersWhen were healthy were generally Good looking people

Last nights win!

3Almost 1 in 4 Pacific adults in NZ smoke (MoH 2008)$72 million spent by Pacific people on tobacco products in 2000 (MoH 2004)High rates of pregnant women smoking (Butler 2004)Increased uptake after childbirth (Erick-Peleti, 2006) No reduction in prevalence amongst youth compared to European and Maori (ASH Year 10 Survey, 2010)

Tobacco Use and Pacific people in NZMOH 2008: NZHS 26.9% current Pacific smokersMOH 2004: Clearing the Smoke

Butler: Overall, 339 (approximately one-quarter) of the mothers reported smoking during pregnancy. 331 (76.1%) of the 435 smokers (before pregnancy) continued to smoke during pregnancy, and eight mothers commenced smoking once pregnant.

Erick-Peleti: From the 6 weeks measurement point more mothers started smoking (9.6%) than stopped (4.4%)

Prevalence of regular smoking among Pasifika girls and boys has also decreased but by about one third compared to a decrease of almost half for NZ European/Other and Maori. From: National Year 10 ASH Snapshot Survey, 1999-2007: Trends in tobacco use by students aged 14-15 years

4AccessWorkforceResearchCessation for youthCommunity/workforce mobilisationSupport for Pacific teams in mainstream services.Limited number of servicesLimited workforce numbersLack of national coordinationLack of a national strategyNeed for national strategic representationChallenges(2004, Pacific Peoples Tobacco Control Action Plan)Challenges with Tobacco Control in our communities

Access increase in services but not increase in pacific utilisation of servicesNeed for a trained workforce5Planning2004, First Pacific Peoples Tobacco Control Action Plan developedNational, cross sector fonoSix priorities identifiedA key goal of the plan was to establish a process for highlighting Pacific peoples tobacco control issues

First thing was to fono and talanoa talanoa is a 2 way process of communication - One key element for communities is coordination and for sustainabiity it is about coordinating ourselves with other Pacific communities and a national strategy.

Important that communities and the sector were able to come together to talk about tobacco conttol

Pacific Tobacco Control is young very new

DisengagedDisconnectedLow leadership6Established in 2008 to ensure Pacific peoples:Have their say on tobacco issuesAre actively involved in eliminating tobacco from their communitiesHave a way of coordinating important tobacco control information and activitiesPurpose of Tala PasifikaSo, Tala Pasifika was formed. The service was launched last year in late November to ensure that Pacific peoples;

7Interim Steering Group Feedback

Focus on elimination and not controlBe forward thinkingConsider the next generationEmphasis on community champions and actionAdd value to what Pacific providers are currently doingCommunity leaders talking with sector leaders

Add value to what Pacific providers are currently doing this is how we have made it meaningful for Pacific ocmmunities.

8The Present: Our Service PrioritiesEliminate exposure to second hand smokePrevent Pacific young people from smokingEliminate tobacco related disparities with a focus on our target audiencesBased on community feedback and the best evidence available, Tala Pasifikas service priorities are:These are the 3 things we would like to achieve by 2012 (all part of our road mapping towards an earlier end date for tobacco in NZ)

Eliminate smoking in homes and cars (lobby and advocate for a law to ban smoking in cars with children under 18 years)Comprehensive Pacific youth programmeWith a focus on our target audience e.g. Cook Islands adult females (49% smoking), men, youth

Id like to end with a congratulatory and big thank you note to the Maori Select Committee for coming through for Pacific people in their recommendations to the government which among many fantastic recommendations. It sets a Smokefree Date for 2025.

We note there is a recommendation to prohibit smoking in cars with children we do believe it should not be limited to only when you have children.We note there are 2 recommendations specifically for youth to ensure campaigns reach correct youth demographic and highlight unacceptability/illegality of selling to kids.

Last slide9Identifying the NeedsResponding to community and provider needs for information and evidenceEthnic specific informationRegional information

With expert community advice we also needed to amalgamate that with evidence based information.

The research evidence was also advised by the community to be ethnic specific and regional specific.10Prevalence of Pacific Smokers

Ministry of Health, 2007Ethnic Communities were able to own this information eg cook islands womens and their prevalence rates11Our Target CommunitiesPacific Children Pacific Adolescents (13-19yrs)All Pacific MalesPregnant WomenCook Islands Females

This is key community groups

These are the priority groups based on evidence and community consultation.

This is really important in community work, because you dont have much resource or workfoce capapcity you need to really priortise your efforts and resource. Although prevalence rates for 14-15 year old Pacific youth are decreasing there is more we can continue to do, children are a priority for Pacific communities and we are mindful of the drop in pacific youth rates potentially just being a delay in the uptake of smoking rather than a drop, but nevertheless go the 14-15 year age group! We are not really going to know until this age group are measured again.

The Tuatua Tika report describes key priority groups and issues for us in the Pacific Tobacco Control sector.

12Tala Pasifika servicesRESEARCH

WORKFORCE SUPPORT

COMMUNITY

ADVOCACY

AdvocateCommunicateCoordinatePartnerTrainingContracted work with MoH

Advocate by providing a pacific voice to discussions

Communicate information and messages nationally to our Pacific provider network and community action group members

We try to coordinate through the information we provide, the collective strategies that we have, and conducting specific Pacific sector group meetings (maternal health sector, youth sector workshop, Cook Islands health network)

13Pacific Leadership collectivesPacific MPsCommunity Action GroupsMedia tv and radioCollaboration with mainstreamSubmissionsMobilising supportDemonstrating supportWhat we do with communities:

These are the key activities:

PACIFICA womens 13 branches across NZ (Maori Womens Welfare League)PHW Akld based 230 individuals and providers from a health, education and social welfare

Potential Pacific Sector research projects focussed on ways for mass quitting: Inter-church competitionsCollective quit programmes on the radio to be tried and testedCollective quit programme for nurses

Continue finding ways for mass reduction in smoking 14Pacific Leadership collectivesPacific MPsCommunity Action GroupsMedia tv and radioCollaboration with mainstreamSubmissionsMobilising supportDemonstrating supportKeeping the pressure on:

We dont want the sector or the public to become complacent or thinking that our job is done.

Potential Pacific Sector research projects focussed on ways for mass quitting: Inter-church competitionsCollective quit programmes on the radio to be tried and testedCollective quit programme for nurses

Continue finding ways for mass reduction in smoking 15They are:

DiverseChangingHave their own leadership stylesBusy (have their own priorities)

You need to provide:

FlexibilityResourcesPatience and respectSkills and knowledgeReason for change

In working with Pacific communitiesTake home messages16The Future.WHY do we need to do all this?

Its because of what were setting up for the future17

This goes back to what the interim steering group advised

Focus on elimination and not controlBe forward thinkingConsider the next generationEmphasis on community champions and actionAdd value to what Pacific providers are currently doing

Although we have no formal evaluation of our service, the self evaluation you can do is to look at what your community asked for and check how far you have delivered on those promises. We have our contractual obligations and research needs, but if they dont address the changes needed to achieve the vision consulted with your commuhnities then you have missed the more meaningful measurement mark.

For Pacific, I would say this mostly what its all about the future and well being of our children and their children.

Thank you for listening, I wish you well in your work have a wonderful conference and for those who have just joined us for the day its good to have you with us.

Fakaue Lahi.

2015 Aim: 50% reduction in Pacific smoking rates2025 Smokefree New Zealand

18Pacific Tobacco Control in NZ Health SectorLimited number of servicesLimited workforce numbersLack of national coordinationLack of a national strategyNeed for national strategic representation

(2004, Pacific Peoples Tobacco Control Acti