Te Tai Tokerau / Northland Health Promotion Stocktake

A report to inform the development of health promotion within Northland Primary Health Organisations

October 2004

Authors:

Russell Holmes, Te Tai Tokerau PHO Julie Palmer, Kaipara Care Incorporated PHO Ngaire Rae, Manaia Health PHO

He Whakatauki

Ehara taku toa i te toa takitahi, engari he toa takimano.

Mine is not the strength of the individual, but the result of collective effort.

Acknowledgement

To the many health promoters who gave their time to contribute to this report, we were encouraged by their willingness to collaborate and share.

We hope this report will be of use to all health promoters who work within Northland.

We especially acknowledge Wendy Salter, employed up to September 2004, as the Northland Health Public Health Unit health promotion adviser to PHOs, who contributed in the initial stages to the formation and data gathering components of this report.

We would also like to acknowledge the assistance of Gerry Philpott, Northland Public Health Unit administration support officer, and Karen Giles, Manaia Health PHO administrator who assisted with the report compilation.

To our respective managers and boards we appreciate the support given to the process undertaken. Although the process has been protracted due to other priorities and projects taking precedence, our commitment to working together has strengthened and developed close relationships between our PHOs.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 2 Contents Page

Part One 1.1 Executive Summary 4

1.2 Introduction 7 Objectives

1.3 Background 7 PHO development PHOs and health promotion

1.4 Methodology 13 Process Strengths Limitations

1.5 Findings and Recommendations 15

Appendices

Questionnaire 24

References 25

Part Two

Organisational Listings

2.1 Regional / National A-Z 2.2 Manaia / Whangarei A-Z 2.3 KCI / Kaipara A-Z 2.4 Tai Tokerau / Mid and Far North A-Z

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 3 1.1 Executive Summary

This report is in two parts. The first part describes the results of discussions with over 50 organisations involved in health promotion delivery within Northland. The second part is a directory providing basic information on each of these providers.

This report was compiled by three PHOs – Manaia Health, Kaipara Care Incorporated and Te Tai Tokerau – all recently established within Northland.

The objectives of this project were: 1. To identify what health promotion is occurring in Te Tai Tokerau to address the 13 New Zealand Health Strategy priority health objectives and to determine priority areas for development and action. 2. To identify organisations providing health promotion within the Tai Tokerau region. 3. To identify gaps and opportunities for PHO health promotion activity. 4. To inform current health promotion providers about PHOs and their potential health promotion role. 5. To establish relationships between health promotion providers and PHOs. 6. To contribute to the development of health promotion within Te Tai Tokerau.

Although over 50 providers are covered in this report it is not a complete coverage of all health promotion providers.

The Primary Health Care Strategy (Ministry of Health, 2001) includes a strong call for collaboration and co-ordination between services. This survey indicates that this is still an issue. The challenge will be to ensure that collaboration and co-ordination occur.

This new health promotion funding is an opportunity for Northland to introduce new models of health promotion delivery that address health need; there is also a corresponding risk that PHO health promotion will duplicate existing services.

The findings of this survey are briefly summarised below: • HP organisations in Te Tai Tokerau tend to focus their activities at the whole population end of the public health continuum with some operating across the entire continuum; • Decisions determining what HP activities are undertaken are guided by a range of factors, over half of which are either based on empirical / objective information or government priorities / MoH contracts; • Most organisations consult widely with other agencies, community and consumers, using a variety of methods such as surveys, face to face and public meetings and focus groups; • Most organisations report that their work is underpinned by either the Treaty of Waitangi or the Ottawa Charter, as well as other Maori models; • Most organisations are engaging in either one or more evaluation processes, utilising surveys, evaluation forms and consumer feedback, with a significant number using external evaluation;

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 4 • Most organisations see gaps and barriers occurring in the area of collaboration or co-ordination of services, many seeing a need for services to combine and deliver a co-ordinated and collaborative plan of action, both at local and regional levels; • The most common health issue seen as having a gap in service provision is nutrition; • Priority populations identified are: youth, families, Maori, older people and men; • PHOs were identified as having a key role in the facilitation of collaboration and the stocktake was mentioned as a useful tool for progressing partnerships and co- ordinated programmes; • Suggested opportunities to strengthen health promotion include: training, workforce development and mentoring, utilising community development methods to engage and work with communities, research into effective programmes and strategies, and that health promotion should move ‘beyond health education and look at structural issues’; • Many people see the development of PHOs as an opportunity for HP organisations to provide training to the primary healthcare workforce.

Recommendations

The authors of this survey make the following recommendations based on the findings:

WORKFORCE DEVELOPMENT 1. That the PHO HP staff present the findings of the stocktake to the Tai Tokerau Health Promotion Network and the Tai Tokerau Public Health Association (PHA) branch, for consideration and discussion.

2. That the PHOs advocate to funders and HP training providers for increased training and workforce development for health promotion within Tai Tokerau.

3. That the PHOs, in conjunction with the Tai Tokerau HP Network and the Tai Tokerau PHA branch, facilitate the dissemination of information on effective HP theory and practice.

4. That the PHOs facilitate HP training opportunities for people in sectors outside the HP workforce.

COLLABORATION 5. That the PHOs, along with the Tai Tokerau HP Network and the Tai Tokerau PHA, facilitate collaboration at local, regional and national levels.

6. That the PHOs enhance links between HP / community organisations and primary healthcare practitioners (especially practice nurses) to develop and strengthen HP skills.

7. That the PHOs where possible undertake consultation with providers who have similar communities of interest to avoid duplication and strengthen outcomes.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 5

HEALTH PROMOTION DEVELOPMENT 8. That the PHOs support HP providers, especially regional providers, by facilitating access to primary health practitioners and communities.

9. That the PHOs work to strengthen HP activities which address national (NZHS 13 health objectives); regional (NDHB priorities - oral health, mental health, diabetes, cardiovascular); and local (community) priorities.

10. That the PHOs ensure their HP activities cover the public health continuum.

11. That PHO HP plans are based on Treaty of Waitangi principles, with consideration to the Ottawa Charter and other Maori models.

12. That the PHOs allocate resources to integrate external evaluation processes when planning interventions and programmes.

13. That the PHOs explore and participate in interventions, in collaboration with other agencies, which address the structural determinants of health (eg housing, nutrition).

COMMUNITY PARTICIPATION 14. That the PHOs work collaboratively to strengthen participation of all their communities, including whanau, hapu and iwi, through appropriate and ongoing consultation and partnerships, including the involvement of community leaders in decision-making.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 6 1.2 Introduction

This Health Promotion (HP) stocktake has been undertaken by health promoters from Te Tai Tokerau PHO, Manaia Health PHO, and Kaipara Care Inc PHO. When the term ‘PHOs’ is used throughout this report it is in reference to these three PHOs.

This report contains two parts. The first is a summary and analysis of discussions held with over 50 organisations delivering health promotion within Tai Tokerau. The analysis describes the consultation and evaluation processes, and the frameworks and evidence base underpinning HP decisions. We also explore where current HP in Northland occurs along a continuum of public health action, from individual through to a whole population approach. The gaps, barriers and opportunities for HP are identified, and a comparison is made between the NZHS 13 priority health objectives and existing HP within Te Tai Tokerau.

From these findings recommendations have been developed.

The second part provides a brief outline of each contributing organisation and information about the health promotion they undertake within the communities of Northland. This could provide a useful directory of health promotion providers.

The objectives of this project were: 1. To identify what health promotion is occurring to address the 13 NZHS priority health objectives in Te Tai Tokerau, and to determine priority areas for development and action. 2. To identify organisations providing health promotion within the Tai Tokerau region. 3. To identify gaps and opportunities for PHO health promotion activity. 4. To inform current health promotion providers about PHOs and their potential health promotion role. 5. To establish relationships between health promotion providers and PHOs. 6. To contribute to the development of health promotion within Tai Tokerau.

A questionnaire was sent to local, regional and national organisations that have contracts to provide HP in Te Tai Tokerau.

All of the organisations identified were invited to participate in this process. Some were able to contribute a comprehensive response, demonstrating the size of their HP contacts and available resources. Other organisations’ resources are much smaller and their programmes are less detailed in this report.

The key outcome of this project is enhanced understanding of both what is being done with regard to HP in Te Tai Tokerau, and by whom. Additionally, positive working relationships have been fostered among the health promotion organisations which participated.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 7 1.3 Background

1.3.1 PHO development

PHOs are the vehicle through which the Primary Health Care Strategy (PHCS) is being delivered. The PHCS was developed from the New Zealand Health Strategy (NZHS) of which the main aims are to improve the health status of the population and reduce inequalities in health (MOH, 2000).

The PHCS emphasises population health, health promotion, preventative care and community involvement (MoH, 2001). The effective co-ordination and collaboration of these elements is central to the success of the PHCS (MoH, 2002).

There are three main dimensions to PHOs: 1. Primary health care; 2. Public health, specifically health promotion; 3. Community involvement.

There are six PHOs in Northland, all access funded, four established in 2003, and two established in June 2004.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 8

PHO Location Enrolled population Established Manaia Health Whangarei district 74,000 (approx) July 1 2003 Kaipara Care Incorporated Dargaville / Kaipara 12,500 (approx) April 1 2003 Tihewa Mauriora Kaikohe 8,000 (approx) July 1 2003 Te Tai Tokerau Mid and Far North 42,000 (approx) July 1 2003 Whangaroa Health Kaeo / Whangaroa 4,000 (approx) July 1 2004 Services Trust Hokianga Health Hokianga 6,500 (approx) July 1 2004 Enterprise Trust

Each PHO is required to undertake health promotion planning and programme development. In order to access health promotion funding, which equates to about $2.00 - $2.80 per enrolled person per annum, each PHO must develop a health promotion plan to be approved by the District Health Board (DHB) and the Public Health Directorate of the Ministry of Health. This new health promotion funding is an opportunity for Northland to introduce new models of health promotion delivery that address health need, there is also a corresponding risk that PHO HP would duplicate existing services.

The MoH recommends that HP in PHOs should: 1. be based on identified health needs; 2. be sustainable; 3. build on existing activities; 4. be developed and delivered in a collaborative way (MoH, 2003).

1.3.2 PHOs and health promotion

In Aotearoa / New Zealand any health promotion intervention must be based on Te Tiriti o Waitangi1 (Health Promotion Forum, 2002). For the three articles of Te Tiriti a health promotion goal is described. These are: Article One – Kawanatanga / Governance – achieve Maori participation in all aspects of health promotion; Article Two – Tinorangatiratanga / Self-determination and control – achieve the advancement of Maori health aspirations; Article Three – Oritetanga / Equity – undertake health promotion action which improves Maori health outcomes (ibid, 2002).

There are a range of other health promotion frameworks and models which can be usefully employed, however HP in Aotearoa / New Zealand should at all times encompass the goals described above.

The table below illustrates a range of health promoting activities from an individual or medical focus through to a population or socioenvironmental approach, and beneath, where the five action areas of the Ottawa Charter are placed on this continuum.

1The use of Maori when writing Te Tiriti O Waitangi indicates that preference is given to the Maori text.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 9 Table 1: Public Health Continuum

Individual focus Population focus

Medical Behavioural/lifestyle Socioenvironmental Screening Health Health Social Organisational Community Economic and individual risk information Education marketing development action regulatory assessment Counselling activities immunisation And skill Development Developing personal skills Strengthening community action Healthy public policy Reorienting health services Creating supportive environments (Sources: MoH, 2002c, Birse, 1998).

The most effective approach is a combination of strategies from all areas (Baum, 1998, Birse, 1998, Mikkelson, et al, 2002, Riddell, 2003, MoH, 2002c, WHO, 1997).

Many PHOs are focusing their population health activities on health education and screening in a clinical environment (Tunks, 2003). An Australian study highlighted that the majority of ‘health promotion’ undertaken by general practitioners was actually ‘health education’ (Baum, et al, 1994).

There is much critique of the lifestyle / health education approach to health promotion, i.e that it is ineffective (Baum, 1988), limited to changing the behaviour of people whose life conditions are favourable – people that need health promotion the least (Baum, 1998, Findlay & Palmer, 1994), victim blaming, expert led, and does not take into consideration the determinants of health (Green and Raeburn, 1998). There is some evidence that lifestyle advice by GPs showed promise in making small behaviour change but doesn't appear to produce substantial change (Baum,1998).

If PHOs continue to provide only medical or individual focused interventions, there is a “significant risk” scarce resources will be wasted on ineffective programmes (Dawe, 2003).

General practitioners tend to work in, and feel more comfortable with, a medical / individual approach to promoting health but there is a need to move them more to a population focus (Poore, 2003). It will be challenging for primary health care practitioners to promote the health of populations while working at the one-to-one level with patients (NDHB, 2001a). A move to a population or socioenvironmental approach will foster community participation and have a greater chance of addressing inequities. Community participatory approaches such as community development will ensure that health promotion reaches those who need it most (Findlay and Palmer, 1994).

The reorientation of PHC to a population based health-promoting approach

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 10 recognises the impact of socioenvironmental factors on health status and that “medical care is not the primary determinant of health (Mikkelson, et al, 2002, p. 3).”

Primary health care providers and public health services will have to work closely together to establish effective health promotion within PHOs (MoH, 2002b) this “will be the key to the success of initiatives to improve the health of enrolled populations (NDHB, 2000b, p. 8).” Working across sectors is particularly important if health inequalities are to be reduced (MOH, 2002f). “The long term goal is to have public health and primary care providers working effectively alongside each other, planning and delivering health promotion programmes collaboratively and sharing a population health perspective (MOH, 2002d, p. 16).” Collaboration is defined by Thompson and Stachenko (1994, p. 214) as “ a process through which parties who see different aspects of a problem can constructively explore their differences and search for solutions that go beyond their own limited visions of what is possible.”

A recent study into the views of primary healthcare practitioners on public health services in primary care (Riddell, 2003, p. 2) highlighted that: • primary health care providers are aware of the need to broaden their services to include facets of population health; • the preferred roles of public health services were to provide knowledge and expertise, and develop collaborative health promotion programmes with primary healthcare providers; • investment into the development of collaborative services is essential.

Dawe (2003) and Daley (2003) both identify a lack of respect and understanding between the different roles and disciplines of general practice and public health. The differences can be viewed as a strength as long as the two disciplines understand and respect what they each achieve for health improvement (ibid, 2003). “Collaborative initiatives will therefore require communication and knowledge of each others professional goals and methods, and an acknowledgement of the common agenda that binds them – to improve the health of the populations they serve (Riddell, 2003, p. 35).”

The literature identifies several other factors required for successful health promotion within primary health care: • A collaborative, interdisciplinary team (Baum, et al, 1994, Riddell, 2003, Gillam, 2002, Baum, 1998, Yeatman & Nove, 2002); • Time for, recognition and endorsement of, health promotion (Baum, et al, 1994, Daley, 2003). • An encouraging funding arrangement (Baum, et al, 1994, Baum, 1998, Daley, 2003, Dawe, 2003, Gillam, 2002, Riddell, 2003). • Training in health promotion (Baum, 1998, Bernsberg & Kennedy, 2001, NHC, 2000, Tannahill, 1995, Tunks, 2003, Yeatman & Nove, 2002). • Decisive inspirational leadership (Gillam, 2002, Legge, Wilson et al 1996 as quoted in Baum, 1998, Department of Human Services, 2003). • Commitment to health promotion (Carter & Green, 1994, Yeatman & Nove, 2002).

A review of population based approaches in PHC undertaken in the UK concluded that population health cannot simply be 'added on' to PHC services, it must be central to the strategic development of PHC (Birmingham Public Health Alliance, 1998, in

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 11 NHC, 2000). Evaluations from UK primary health care models (NHC, 2000) highlight the need to work with the whole organisation to develop capacity, commitment and support for a population-based approach. Organisational development, workforce development, resources, leadership and partnership have all been identified as elements that build capacity for health promotion within primary health care (Department Human Services, 2003).

The ARPHS has been working with the Auckland region PHOs to develop their health promotion plans since late 2002. They have suggested that: • PHOs need to acknowledge their gaps in population health knowledge and respond by acquiring expertise, recruiting and training staff, sharing expertise by working collaboratively and going slow. • Health promotion plans need to include developmental work (Tunks, 2003).

This last point is particularly relevant to this project and has been the approach of all three PHOs. This project, by actively seeking to establish relationships and explore collaborative ventures, ensures any health promotion developed by Northland PHOs links with, and / or supports existing ventures.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 12 1.4 Methodology

1.4.1 Process All three PHOs involved in this project took a developmental approach to their health promotion plans. All wanted to establish what health promotion already existed and explore how we could most usefully contribute towards this. Tihewa Mauriora, the only other PHO in existence at the commencement of this project, had already established their health promotion plan.

Although this project will inform the above PHOs’ HP plans, and possibly the plans of other organisations, it is not a stand-alone activity and contributes to a collection of activities including broader community consultation.

Through a series of meetings and in consultation with health promotion providers a questionnaire was developed that explored a range of issues. (Please see Appendix One).

A decision was made to use the Ottawa Charter (WHO, 1986) definition of health promotion: “Health promotion is the process of enabling people to increase control over and to improve their health”.

Using the above definition there is a wide range of people within our communities that are undertaking health promotion action. Although we intended to limit ourselves to organisations that have dedicated funded health promotion programmes in operation, a limited number of key community organisations, operating in what was viewed as a community development orientation were included.

Health promotion organisations were identified through our own knowledge and, particularly national organisations, were identified through a Ministry of Health resource. Maori health providers were identified through their relationship as PHO stakeholders.

Once a list of organisations had been compiled, they were distributed amongst us and contacted to discuss and complete the questionnaire. Most organisations were contacted by phone and a time was made to meet. This was followed by a letter confirming the meeting time, and a copy of the questionnaire was provided. At these meetings the questionnaire was used as an interview guide and was completed by the PHO health promoter. After the questionnaire was typed up it was sent back to the contributing organisation to be checked for accuracy. All participants were informed of what would be done with the information and have been provided with a copy of the findings. The intent of this process was to be as unobtrusive as possible. It was thought that if we filled in the questionnaires and allowed them to talk, rather than asking participants to do all the writing, we would get a more comprehensive response. Some ‘interviews’ were conducted at the health promoters place of work or over a coffee.

Variations to this process also occurred, particularly with national organisations based outside Northland. Sometimes the questionnaire was completed over the phone, at other times the contributor was emailed the questionnaire, they completed it and then sent it back via email. At other times people turned up to the interview

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 13 with a completed questionnaire. On two occasions the ‘interviews’ were taped and transcribed.

1.4.2 Strengths

One of the main strengths of this project is that it was done by health promoters with health promoters. As we were seen as colleagues, rather than ‘outsiders’, or ‘academics’, there was a willingness to share and frank discussion was enabled.

Although gaps in this report’s coverage can be identified, over 50 organisations contributed. This represents a significant proportion of health promotion services and ensures the information collected is reliable and able to be generalised. This project was the first of its kind that we know of for Northland.

The timing of the project was ideal in light of the emerging health promotion possibilities for PHOs.

1.4.3 Limitations

There was a variation in the responses if the questionnaire had been completed during an interview or if it had been completed individually by the contributing organisation. In the interview situation we were able to clarify, explore and expand on issues. With the self-completed written questionnaires there was less opportunity to seek clarification and therefore the responses were solely dependent on individual’s interpretation. Although the questionnaire was developed in collaboration with other health promoters no pre-testing was undertaken.

All participants were offered an opportunity to check the data submitted, however not all took up this offer.

There is a possibility that having four people conducting the interviews created inconsistencies. Another confounder was the unintended use of two slightly different questionnaires. However the impact is thought to be minimal as the intent of the questions were the same.

Some questions (consultation, gaps etc) were answered differently by different respondents; this is described in the section on findings, below.

If the project was to be repeated, the above issues would be addressed to ensure consistency.

It must also be conceded that responses were subjective, as they commonly relied on one person’s perspective / self-report.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 14 1.5 Findings and Recommendations

1.5.1 PUBLIC HEALTH CONTINUUM

This question was asked in order to assess the breadth of the HP activities being undertaken in Northland.

As Table 2 below shows, it would appear that HP organisations in Te Tai Tokerau focus their activities at the whole population end of the public health continuum (see Table One, p. 9).

A definition or set of measures to describe each point on the continuum was not provided so the interpretation of terms like community development was left up to the respondent and therefore varied depending on their understanding.

Six respondents stated that their organisations operate across the entire continuum. The literature confirms that this is the most effective HP delivery.

Table 2: Public health actions used

Public health action Number of organisations Social marketing 18 Organisational development 18 Community action/development 17 Health education, counselling, skill development 15 Economic/regulatory activities 14 Health information 11 Screening, assessment, immunisation 9 Not answered 8

It is recommended that: The PHOs ensure their HP activities cover the whole public health continuum.

1.5.2 EVIDENCE USED TO INFORM HP PLANNING DECISIONS

This question was asked to find out what evidence and or reasoning organisations use to guide their HP activities. Responses varied considerably and so have been arranged in the eight groupings shown in Table 3 below.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 15 Table 3: Evidence used to inform decisions

Type of evidence Number of organisations Statistics: formal research, client data 17 Government priorities, strategies, contracts 12 Community action/development 11 Informal/unspecified needs identification 8 Professional experience 7 Organisational strategy 3 Personal reasons/experience 3 Guided by Ottawa Carter/Treaty of Waitangi 2 Not answered 6

These results indicate that HP activities are guided by a range of factors, over half of which are determined by empirical / objective information or government priorities.

As Northland PHOs are located in distinct geographic communities, and not as yet, bound by specific MoH priorities or contracts, there is an opportunity for PHOs to identify the needs of our own communities and, in collaboration with other stakeholders, develop effective HP interventions to address these needs.

It is recommended that: The PHOs work to strengthen HP activities which address national (NZHS 13 health objectives); regional (NDHB priorities - oral health, mental health, diabetes, cardiovascular); and local (community) priorities.

1.5.3 CONSULTATION

People were asked to describe their consultation process. The intent of this question was not only to explore if there were processes which the PHOs could utilise if appropriate, but also to establish the extent of consultation which takes place.

Some organisations answered this question with how they consulted. Others answered from the perspective of who they consulted with. This may be due to a number of issues, e.g.: • a lack of clarity framing the question; • the respondent’s understanding or interpretation of what was being asked for; • the knowledge of the person completing the questionnaire; or • the answers may accurately reflect what happens within those organisations

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 16 Table 4: Groups consulted with and methods used

Who was consulted Number of How they were consulted Number of organisations organisations Interagency 28 Hapu / Iwi / Whanau Marae 27 Hapu/ Iwi / Whanau Marae 27 Surveys 10 Consumers 25 Kanohi ki te Kanohi (face to 4 face) Community Groups / Focus 22 Pre-testing resources 2 groups Stakeholder groups 11 Programme-specific 3 Governmental agencies 5 Hui / public meetings 7 Programme-specific 3 Ongoing 2 Steering groups 2 Needs analysis 1 Kuia / Kaumatua 2 Consultation documents 1

It is heartening to note the large numbers of organisations that consulted with Maori and / or employed Maori methods of consulting e.g. hui, kanohi ki te kanohi. This may be a reflection of the large number of Maori health promotion providers.

It is recommended that: The PHOs, where possible, undertake consultation with providers who have similar communities of interest to avoid duplication and strengthen outcomes.

It is recommended that: The PHOs work collaboratively to strengthen participation of all their communities, including whanau, hapu and iwi, through appropriate and ongoing consultation and partnerships, including the involvement of community leaders in decision-making.

1.5.4 FRAMEWORKS

The purpose of this question was to identify which models and frameworks were informing HP programs. Both nationally and internationally recognised models of HP were provided as examples in the questionnaire.

As Table 5 below shows, most organisations report they are using either the Treaty of Waitangi or the Ottawa Charter Framework. It is interesting to note that Maori models of HP, eg Te Pae Mahutonga and Te Whare Tapa Wha, are also being used as frames of reference.

Table 5: HP models and frameworks used

HP model or framework Number of organisations Treaty of Waitangi 31 Ottawa Charter 30 Te Whare Tapa Wha 14 Te Pae Mahutonga 14 Strength based 4 TUHANZ 4

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 17 Te Wheke 3 Whanaungatanga 3 Mental Health Model 1 Paramouncy Principle 1 Other 8

A small number of organisations did not answer this question. Most organisations utilise the Treaty and the Ottawa Charter. This knowledge will facilitate the establishment of collaborative ventures with a common starting point.

It is recommended that: The PHO HP plans are based on Treaty of Waitangi principles, with consideration to the Ottawa Charter and other Maori models.

1.5.5 EVALUATION

To achieve appropriate use of resources, and to ensure the programmes are achieving their objectives, evaluation is an essential component of HP. We sought to ascertain what, if any, evaluation is being undertaken, and if possible to get feedback on what the evaluations have been saying.

As Table 6 below shows, the majority of organisations are engaging in either one or more evaluation processes. Most are utilising surveys, evaluation forms and consumer feedback, and a significant number are using external evaluation tools.

Table 6: Evaluation methods used

Evaluation method used Number of organisations Verbal Consumer feedback 18 External evaluators 14 Surveys / evaluation forms 13 Process Evaluation 11 Numbers attended 6 Other: Client satisfaction surveys, self-assessment, peer evaluation, 21 case study work, feedback leaflets, feedback from other agencies, statistics, media monitoring, government reports, websites, outcomes, audits Not yet developed 2

The data collected was of varying quality: a significant number of organisations did not answer this question; some reported evaluation processes were being developed; and a range of evaluation processes was identified. It is beyond the scope of this stocktake to fully explore the extent of evaluations used.

Many organisations are utilising external evaluation.

The range of methods used reflected the diversity of the organisations and the nature of the HP undertaken, and possibly, reflected the resources, both human, skills and financial, within the organisation. Quantitative methods – such as numbers involved in programmes (included in monthly ‘monitoring reports’), provider surveys, peer reviews, interviews, case studies, self-assessment, staff appraisals, informal

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 18 methods, contractual reporting requirements, thank you letters, moderation, and informal feedback – reflect the diversity of HP in Te Tai Tokerau.

It is recommended that: The PHOs allocate resources to integrate external evaluation processes when planning interventions and programmes.

GAPS, BARRIERS and OPPORTUNITIES

The last three questions asked people to identify the gaps, barriers and opportunities for health promotion. The analysis of this has been grouped into two sections firstly, gaps and barriers, and secondly, opportunities.

Some people answered these questions in relation to their area of work, e.g. nutrition or oral health, while others answered in relation to their community. The opportunities question also appeared to have been answered in two distinct ways, firstly as the opportunities for the PHO to be involved, or alternatively opportunities for health promotion in general.

A range of recommendations have emerged from this part – they are listed at the section end.

1.5.6 GAPS AND BARRIERS In the analysis of the gaps and barriers question three main categories have emerged relating to the How, What and Who of health promotion.

How? This category is a combination of several issues identified as either a gap or a barrier, or both. It covers issues to do with how health promotion is delivered.

What? This category relates to the perceived gaps in what health issues should be addressed and prioritised.

Who? This category describes the population groups identified as requiring further attention.

1.5.6.1 How?

• Collaboration: :”Work together – too much working separately” The most common theme to emerge from the gaps and barriers section is the need for what people termed collaboration or co-ordination of services. Many people talked about a need for services to combine and deliver a co-ordinated and collaborative plan of action. This was recommended at local and regional levels.

• Resources and access: “There is only one…for the whole of Northland” The second most common theme to emerge related to the resourcing of health promotion, particularly in regard to human resources and funding. There are many regional health promotion contracts that only have one person employed to deliver the contract. Additionally there are national providers contracted to do work in Northland that are based in Auckland. Barriers identified related to the geography of

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 19 Northland and the relative isolation of some our communities. The travel and time involved in covering the geography is a significant barrier to health promotion delivery.

• Health promotion challenges: “understanding what HP is”, “staying in fix-up model” This theme encompasses a range of issues that relate internally to health promotion delivery. It includes concerns about: a lack of health promotion leadership; a lack of clarity about what HP is and support for HP amongst funders, managers, and other organisations (including personal ‘clinical’ health services); the need for ‘good solid research’ that is Tai Tokerau based; and concerns about the skill level of health promoters and the need for training.

1.5.6.2 What? There was a wide range of answers to this question, and the respondents usually identified the issue that they were contracted to work in as having a gap in service delivery. This relates in many instances to the issue of resourcing above. People that worked in the community, and not on a specific health issue, were more likely to identify a range of gaps.

The issues that received more than one response each, in order of commonality, are shown in Table 7 below:

Table 7: Identified gaps in HP provision

Health issue Number of organisations Nutrition 7 Housing – either emergency or substandard 4 Gambling 4 Mental health 3 Sexual health 3 Employment 3 Poverty 2 Drugs and alcohol 2

1.5.6.3 Who?

The priority populations identified, in order of commonality, are shown in Table 8 below:

Table 8: Priority populations

Priority populations Number of organisations Young people - ‘what do we have for young people’ 7 Families – ‘whanau orientated’ 6 Maori – ‘More projects run in Maori settings by Maori providers’ 5 Older people – ‘Older people aren’t well supported especially in 3 rural areas ’ Men 2

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 20

OPPORTUNITIES The answers to the opportunities question, as can be expected, reflected what people perceived the gaps and barriers to be. In particular this related to the how section described above (see 1.5.6.1). People provided a range of suggestions on how to overcome gaps and barriers with the majority of these related to collaboration and HP challenges. The next largest category to emerge was views on the opportunities to engage with primary health care. Therefore the categories in the opportunities section are: Collaboration HP challenges Engaging with primary health care

1.5.7.1 Collaboration PHOs were identified as having a key role in the facilitation of collaboration and this ‘stocktake’ was also mentioned as a useful tool for progressing partnerships and co- ordinated programmes. There was a range of specific suggestions on how collaboration could be facilitated including: • being clear about what organisations can contribute • working across sectors • forming alliances and then develop strategies • establishing relationships • collaborating on specific projects • viewing it as a long term process • organising around planning and funding • communicating – about contracts, plans, useful networks.

The rhetoric of collaboration has been present within health promotion for the last several years, however it seems that real progress still has to be made in developing integrated partnerships and programmes. This survey did not specifically explore the barriers to developing collaboration but it could be expected that some of the other gaps and barriers identified for health promotion generally could also apply. For instance a number of factors can be viewed paradoxically as both inhibiting and motivating collaboration: • a lack of human or financial resource; • the large geographical spread of Tai Tokerau; • the dominance of regional providers located in Whangarei; • capacity; • workforce development; and • time.

Simply put, people may wish to work with others but get busy doing ‘their job’ in ‘their area’ and find there is not enough time to develop true collaboration.

1.5.7.2 Health promotion challenges Again, this was a category featured in the gaps and barriers section, and as would be expected people suggested training, workforce development and mentoring as opportunities to strengthen health promotion. Other suggestions included:

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 21 - utilising community development methods to engage and work with communities; - research into effective programmes and strategies; - that health promotion should move ‘beyond health education and look at structural issues’.

1.5.7.3 Engaging with primary health care Many people saw the development of PHOs as an opportunity to provide training to the primary healthcare workforce. The issues appropriate to early intervention identified by contributors to this survey included drugs and alcohol, smoking, gambling and domestic violence. The nurse as a provider of 1-1 intervention was particularly noted. One specific suggestion for the training was that it should be focused on a strength-based perspective.

A range of comments identified the potential for health promotion as ‘huge – any bit of progress is good’.

Specific, practical suggestions were also offered, for example including health promotion information in the PHO newsletters.

Only a few opportunities to develop interventions on health issues were identified. Of these, the majority were suggestions to address nutrition, including: Community gardens, food security survey, food co-operative, working with local businesses to provide cheap healthy food, a healthy kai marae award / tohu.

It is recommended that: The PHOs, along with the Tai Tokerau HP Network and the Tai Tokerau PHA, facilitate collaboration at local, regional and national levels.

It is recommended that: The PHOs support HP providers, especially regional providers, by facilitating access to primary health practitioners and communities.

It is recommended that: The PHOs enhance links between HP / community organisations and primary healthcare practitioners (especially practice nurses) to develop and strengthen health promotion awareness and skills.

It is recommended that: The PHOs explore and participate in interventions, in collaboration with other organisations, which address the structural determinants of health (eg housing, nutrition).

It is recommended that: The PHOs advocate to funders and HP training providers for increased training and workforce development for health promotion within Tai Tokerau.

It is recommended that: The PHOs facilitate health promotion training opportunities for people in sectors outside the HP workforce.

It is recommended that: The PHOs, in conjunction with the Tai Tokerau HP Network and the Tai Tokerau PHA branch, facilitate the dissemination of information on effective HP theory and practice.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 22 1.5.7 NZHS 13 HEALTH OBJECTIVES COMPARISON

Although respondents were not specifically asked this question, the investigators considered it important to assess how the current activities of health promotion organisations in Tai Tokerau align with the 13 Priority Population Health Objectives outlined in the Ministry of Health’s NZ Health Strategy (2002).

Some caution should be taken in interpreting these findings because the question was not asked and because the 13 strategies are not tied to health promotion contracts but rather health or disease outcomes. Nonetheless it was considered worthwhile attempting to assess in broad terms the impact the HP organisations might have on improving or reducing these outcomes. The results are shown in Table 9 below.

Table 9: NZHS Health Objectives being addressed

New Zealand Health Strategy 13 Health Number of Objectives organisations Reduce violence 22 Increase physical activity 21 Reduce cardiovascular disease 20 Reduce smoking 18 Improve nutrition 18 Reduce obesity 18 Improve mental health 17 Reduce diabetes 16 Reduce cancer 13 Reduce alcohol and drug use 10 Well child – immunisations 10 Reduce suicide 9 Improve oral health 5

The large majority of these objectives appear to be well covered, with apparent gaps in oral health and suicide prevention.

Some HP could be seen having no relation to the 13 priorities (eg sexual health promotion), but we nonetheless regarded these as having an impact on issues such as violence and mental health. Organisations such as the Health Promotion Forum were considered as not having a direct association with the 13 priorities.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 23 Appendix One:

REGIONAL HEALTH PROMOTION STOCKTAKE

Question Notes 1. Describe your current health promotion activity / programmes?

2. What are the broad objectives of your HP activity/program?

3. Where does your HP fit on the HP continuum? (please see next page)

4. What informed your decision to undertake this type of HP activity?

5. Which groups and / or communities does your HP activity involve?

6. Describe your consultation process?

7. What framework do you work from? Eg Ottawa Charter, Te Tiriti O Waitangi - TUHANZ, Te Pae Mahutonga, other.

8. Describe how your programme is evaluated?

9. What are your planned developments over the next 3 – 5 years?

10. What are the gaps?

11. What are the barriers?

12. What are the opportunities?

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 24

Appendix Two:

References

Baum, F., Kalucy, E., Lawless, A., Barton, S. & Steven, I. (1998) Health promotion in different medical settings: women’s health, community health and private practice. Australian and New Zealand Journal of Public Health, 22, 200-205.

Baum, F. (1998) The new public health. An Australian Perspective. Melbourne: Oxford University Press.

Bensberg, M. & Kennedy, M. (2001) Health promotion – who, us? Developing health promoting emergency departments. Australian Health Review, 24. 39 – 43

Birse, E. (1998) The role of health promotion within integrated health systems. A position paper by the Centre for Health Promotion. Ontario: Centre for Health Promotion.

Carter, D. & Green, P. (1994) Applying COPC to incontinence. Nursing Times, 90, No. 35. 44-45.

Daley (2003) New Zealand Primary Care in Transition. Focusing on the needs of populations as well as individuals. In New Zealand Doctor, February 2003.

Dawe (2003) Promoting physical activity and nutrition within a primary health care environment. Auckland: Northern Region Public Health Steering Group.

Findlay, G. & Palmer, J. (1994) Reorienting health promotion in primary care to participative approaches. Occasional Paper Royal College of General Practitioners, 64, 29-32.

Gillam, S. (2002) The Community-Oriented Primary Care Experience in the United Kingdom American Journal of Public Health, 92, 1721- 1725.

Green, L.W. & Raeburn, J. M. (1988) Health promotion. What is it? What will it become? Health Promotion International, 3, 151-159.

Health Promotion Forum ( 2002) TUHA-NZ a Treaty understanding of Hauora in Aotearoa / New Zealand . Auckland: Health Promotion Forum.

Mikkelson, L., Cohen, L., Bhattacharyya, K., Valenzuela, I., Davis, R. & Gantz, T. (2002) Eliminating Health Disparities: The role of primary prevention. Oakland, Calif: Prevention Institute.

MoH (2000) New Zealand Health Strategy. Wellington: MoH.

MoH (2001) Primary Health Care Strategy. Wellington: MoH.

MoH (2002) A bird's eye view of public health. Wellington: MOH.

MoH (2002b) A guide to implementing health promotion programmes in primary health care settings. Wellington: MOH.

MoH (2002c) Public Health in a Primary Health Care setting Wellington: MOH.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 25 MoH (2002d) Achieving health for all people. Whakatutuki te oranga hauora mo nga tangata katoa. A framework for public health action for the New Zealand health strategy. A working document. Wellington: Ministry of Health.

NHC (2000) Improving health for all New Zealanders by Investing in Primary Health Care. Wellington: National Health Committee.

NDHB (2001a) The future of primary health care in Northland – a discussion document. Whangarei: Northland District Health Board.

NDHB (2001b) A guide to implementing the Primary Health Care Strategy in Northland. Whangarei: Northland District Health Board.

Poore, M. (2003) Health Promotion by PHO's critical element. New Zealand Doctor, 18 June, 2003, p. 8.

Riddell, T. (2003) Public health and primary healthcare: a survey of challenges at the interface. Auckland: Auckland Regional Public Health Service.

Tannahill, A. (1995) Putting health promotion into primary care strategies Health Bulletin, 53, 192-195.

Thompson, P. & Stachenko, S. (1994) Building and mobilizing partnerships for health: a national strategy Health Promotion International, 9, 211- 215.

Tunks, M. (2003) PHO's and Public Health. A paper prepared for the Public Health Leaders Group, August 2003.

WHO (1997) The Jakarta Declaration on Health Promotion into the 21st Century. Geneva: World Health Organisation.

Yeatman, H. R. & Nove, T. (2002) Reorienting health services with capacity building: a case study of the Core Skills in Health Promotion Project. Health Promotion International, 17. 341 – 350.

Te Tai Tokerau/Northland Health Promotion Stocktake, October 2004 26

Northland PHOs

HEALTH PROMOTION STOCKTAKE

August 2004

Directory of Health Promotion Organisations CONTENTS

Section / Providers Area Page Number

Regional HP Organisations Regional Page 6

Whangarei HP Organisations Whangarei Page 45

Mid- and Far North HP Organisations Mid / Far North Page 61

Kaipara HP Organisations Kaipara Page 69

Agency Listings A-Z Area Page Number

155 Whare Roopu/Community House Whangarei Page 46

ACC Regional Page 7

ACC Whangarei Page 47

ACC Injury Prevention Consultant Far North Page 62

ACC Injury Prevention Consultant Kaipara Page 70

Action on Smoking And Health Regional Page 8

Age Concern Mid-North Page 66

Agencies for Nutritional Action Regional Page 9

1 ALAC Regional Page 10

Asthma Society Regional Page 11

Cancer Society Regional Page 12

Dargaville Medical Centre Practice Nurses Kaipara Page 71

Family Planning Association Regional Page 13

Hauora Whanui Mid-North Page 67

Hauora Whanui – Nga Mahi a Rehia Whangarei Page 48

Hauora Whanui – Sexual Health Whangarei Page 49

Hauora Whanui - Whanau Whanui Whangarei Page 50

Health Options Kaipara Page 72

Health Promotion Forum Regional Page 14

Heart Foundation Regional Page 15

He Iwi Kotahi Tatou Trust Mid-North Page 68

Ki a Ora Ngatiwai Whangarei Page 51-53

Marion McCahon Kaipara Pages 73

Mental Health Foundation Regional Page 16

2 Nga Mangu Puriri Regional Page 20

Nga Manga Puriri – Te Ara O Nga Whetu Whangarei Page 54

Northland Health - Health Promotion Unit Regional Page 21-22

Northland Health – HP Unit - Alcohol & Drug Awareness Regional Page 23

Northland Health – HP Unit -Community Action on Youth & Drugs Whangarei Page 55

Northland Health – HP Unit -Community Injury Prevention Programme Regional Page 24

Northland Health – HP Unit – Health Promoting Schools Regional Page 31

Northland Health – HP Unit -Like Minds, Like Mine Regional Page 25

Northland Health – HP Unit -Nutrition Regional Page 26

Northland Health – HP Unit -Oral Health & Fluoridation Advocacy Regional Page 27

Northland Health – HP Unit -Sexual health Regional Page 29

Northland Health – North Team PHN’s Regional Page 28

Northland Health – HP Unit –Smokefree Team Regional Page 30

NURM – Northern Urban Rural Mission Whangarei Page 56

NZ Aids Foundation Regional Page 17

NZ Hepatitis C Support Group Regional Page 18

3 NZ Prostitutes Collective Regional Page 19

Obesity Action Coalition Regional Page 32

Pa O Te Ora Whangarei Page 57

Parents as First Teachers Regional Page 33

Peace Foundation Regional Page 34

Plunket Society Regional Page 35

Problem Gambling Foundation Regional Page 36

Raumanga Community Group Whangarei Page 58

Ringa Atawhai Regional Page 37

Roadsafe NZ Regional Page 38

Sport Northland Regional Page 39-41

Tai Tokerau Maori Netball, Aotearoa Maori Netball Oranga Healthy Lifestyles Regional Page 42

Takawaenga Liason Services Kaipara Page 74

Te Ha O Te Oranga Kaipara Page 75-76

Te Hauora o Te Hika o Te Ika Far North Page 63

Te Oranga o Te Rarawa Far North Page 64

4 Te Puawaitanga O Otangarei Whangarei Page 59

The Pulse Whangarei Page 60

Well Womens Nursing Service Regional Page 43

Whakawhiti Ora Pai Far North Page 65

Yellow Ribbon Regional Page 44

5 HEALTH PROMOTION STOCKTAKE

AUGUST 2004

REGIONAL PROVIDERS

6 HEALTH PROMOTION STOCKTAKE Regional

Provider: ACC, Whangarei Contact Details: Phone / Fax: 437 7800 / 437 7801 E-mail: Address: Private Bag 9001, Whangarei

Please note: The following is a general overview of ACC priority areas. We operate in Whangarei, Far North and Kaipara Districts and there is a different contact person for each area. Not all the activity listed below is happening in all areas. You would need to contact each ACC representative to know exactly.

Question Notes 1. Describe your - Falls Prevention – Falls in under 5’s workshops, playground safety with schools, Step Ahead for current health 65+yrs, Tai Chi classes for 65+ age group, Otago Home based exercise programme for 80+ years. promotion activity / - Child Restraint Usage/Seatbelt wearing programmes? - Speed Reduction - Sports Injury Prevention – Rugby, Sportsmart - Water Safety - Child Safety - Workplace Initiatives – Early Intervention, WSMP, WSE. 2. What are the To reduce the incidence and severity of injury. broad objectives of your HP activity/program? 3. Which groups / We work with a very wide range of groups and communities depending on the project. communities does your HP activity involve? 4. What are your Continue with Falls prevention strategies. planned Probably continue with road safety issues. developments Safer Rohe concept will be introduced from July 2004 for 3 years. over the next 3 – 5 years?

7

Provider: Action on Smoking and Health Contact Details: Grant Hocking Phone / Fax: 09 520 4866 / 09 520 4891 E-mail: [email protected] Website: www.ash.org.nz Address:

Question Notes 1. Describe your Information centre, education, information and advisory service. Liaison and advocacy; co-ordination; current health smokefree schools and community; year 10 survey; website – national media campaign promotion activity / programmes?

2. What are the To improve the health and wellbeing of all New Zealanders by eliminating disease and premature death broad objectives due to tobacco. of your HP Preventing the uptake of smoking, reducing the prevalence rate of smoking, reducing consumption and activity/program? reduce exposure of non-smokers to second-hand smoke . 3. Which groups / Groups: Te Hotu Manawa Maori, NHF, Regional District Health Boards; Cancer Society ; PHUs communities does nationally; Auckland cessation network; Patu Puauahi; your HP activity Schools involve? 4. What are your Moving away from public health action towards research planned Truth campaign and mass media idea from US telling truth about tobacco industry developments Lobbying for legislative changes over the next 3 – 5 Harm reduction – talking to tobacco industry years?

8

Provider: Agencies for Nutrition Action Contact Details: P O Box 13-795, CHRISTCHURCH Phone / Fax: 03 374 6909, fx 03 379 6125 E-mail: [email protected] Address www.ana.org.nz

Question Notes 1. Describe your ANA national contract not specific to regions; funded to support co-ordination specifically to provide: current health A website promotion activity / Regional forums x 6 – work with region to organise forum to suit each region and meet workforce programmes? development needs National newsletter Support national hui Support national fono Facililitory role 2005 national conference not forums 2. What are the Supporting co-ordination and workforce development broad objectives of your HP activity/program? 3. Which groups / People who work in public health: physical activity and nutrition communities does your HP activity involve? 4. What are your Scientific committee looking at research into good public health physical activity and nutrition planned community interventions. developments National conference 2005 over the next 3 – 5 Encouraging regional co-ordination roles years?

9

Provider: ALAC Contact Details: Ron Tustin Phone / Fax: 09 916 0330 E-mail: Address Auckland

Question Notes 1. Describe your ALAC not a ‘hands on’ health promoter current health National organisation that supports health promotion activity through supporting workforce training, promotion activity / developing resources an advocacy to ensure alcohol is on peoples agendas. programmes? Have just received resource for social marketing campaign requires support of community level people to have it be successful

2. What are the Community action broad objectives ‘More moderation less harm’ of your HP Objectives in all ALAC programmes link to above statement activity/program?

3. Which groups / 3 population groups: Maori, Pacific, Young People: 12 – 24 communities does Other groups are included your HP activity Community action programmes (YATA): 23 throughout the country, 2 in Northland: Kaitaia, Bream Bay involve?

4. What are your ALAC is funded by levy on alcohol. In the last week this has been increased. Have put together a planned business case – need is for money for ‘Culture Change Programme’ – changing culture in this country developments regarding intoxication over the next 3 – 5 Community change model years? Ron also said he’s interested in doing the “Strengthening Community Action on Alcohol” training with PHOs

10

Provider: Asthma Society Contact Details: Alma Quirey Phone / Fax: 09 630 2293 / 09 623 0774 E-mail: [email protected] Address: 581 Mt Eden Road, Mt Eden, Auckland

Question Notes 1. Describe your Cover from Wellsford to Mangamuka – 2 nurses. current health 80-90% of health promotion is skill development and providing information either 1-1 or community promotion activity / groups, do training for other health professionals, respond to self referrals or referrals through schools programmes? Contract in Kaikohe x 1 nurse.

2. What are the To increase self management of asthma and COPD broad objectives To decrease morbidity due to asthma and COPD of your HP To increase self management and responsibility for condition activity/program?

3. Which groups / Anyone within boundary; communities does Priorities are Maori, families your HP activity involve?

4. What are your Looking at contract review planned Increasing nurse clinics (pilot currently at Paramount) developments over the next 3 – 5 years?

11

Provider: Cancer Society Contact Details: Margaret Curry Phone / Fax: 09 437 5593 / 09 437 5602 / 025 315 607 E-mail: [email protected] Address PO Box 8100, Kensington, Whangarei

Question Notes 1. Describe your Sunsmart - close link with Northland Health. Has 2 tents, 20 umbrellas, available for any community current health activity. Also private functions if appropriate. Information and resources eg, what is sunsmart? promotion activity / Council responsibilities, school policies. set of sunsmart fact sheets, being sunsmart, melanoma programmes? awareness, posters and pamphlets. These are used as the basis for media releases. Working with Sport Northland – Cancer Society purchased 2 tents and have given to SN to manage with intention of one going to Far North.Provide starter packs for their events. Provide $40,000 worth of resources to Northland Health each summer for campaigns. Media. Melanoma Awareness. Hat day. Smokefree – World Smokefree day. Smokefree Speech Competition – 8 Northland young people compete in National competition in Wellington. Trying to establish where Cancer ociety fits – many players. Livesmart – Exercise and diet. Launched June 2004.Branding. Cards to go out to GPs for clients to pick up – ‘how to get 5+ a day’ Resources eg posters, information sheets available for free. Human resource consists of Sally whose .5 FTE consists of fundraising, raising profile, health promotion and events management, and a little portion of Margaret’s time. 2. What are the To increase information available so that people are able to make informed choices. broad objectives of your HP activity/program? 3. Which groups / Mostly schools – mostly primary rather than secondary. (Have consulted recently with secondary communities does school students to find out what they think about ‘why we are losing the message’ to their age group) your HP activity Women’s magazines are coming on board with messages about sunsmart involve? 4. What are your Livesmart – get it out there. In planning stage, need to find niche. Aware there are some community planned groups being missed. Would like to access young adults and young parents. developments over the next 3-5 years?

12

Provider: Family Planning Association Contact Person: Wendy Baker Phone / Fax: 09-438 5859 / 09-438 5328 E-mail [email protected] Address: 1a Robert St, PO Box 52, Whangarei

Question Notes 1. Describe your Part of the Kia Rite group (old PSST team) promoting sexual health / puberty / feeling safe (to current health empower kids to have a voice / keep themselves safe / have clear understanding about promotion activity / sexuality) – focusing on training trainers because there are not enough of us to do all this – programmes? need to pass on skills (public health nurses: Maori sexuality / cultural diversity / cultural sensitivity) – I’ll be part of the chlamydia road show, (to raise awareness.

2. What are the Behavioural/lifestyle/socio-economic changes, health knowledge, community action. broad objectives of your HP activity/program? 3. Which groups / Right across the board: focusing more on pupils (teenagers: STIs, early childhood: Feeling Special, communities does Feeling Safe) / teachers / whanau / community your HP activity involve? 4. What are your Instead of having camps, we’re going to format it differently: planned A wider range of educating people: incorporating community for support / understanding developments Train the Trainers over the next 3 – 5 Feeling Special, Feeling Safe (the early childhood program) years? I would like to eradicate all STIs in Taitokerau to preserve Maoridom by fully educating about the impact of unprotected sex: I’m tired of these issues being barriers

13

Provider: Health Promotion Forum Contact Person: Liz Stewart Phone / Fax: 09-520 3714 / 09-520 3714 E-mail: [email protected] Address: PO Box 99064, Newmarket, Auckland

Question Notes 1. What health Newsletters/Website promotion (hp) are MoH contract: Workforce development workshops: Facilitating groups, Media, Short course on hp you doing now? Northern Meetings Network/skills/policy 2. What are the Development of skills/knowledge re Health Promotion competencies objectives of your hp activity / programme? 3. Which groups / communities does your HP activity involve? 4. What are your planned developments over the next 3 – 5 years?

14

Provider: Heart Foundation Northland Contact Details: Rona Mahy Health Promotion Coordinator Phone / Fax: 09 459 6518 / 09 436 2809 E-mail: [email protected] Address:

Question Notes 1. Describe your School food current health Opportunistic community consultations promotion activity / Early childhood education programmes? Healthy heart Award program

2. What are the Stabilise rates of Obesity, Heart disease in children and adults/ promote activity, broad objectives of your HP activity/program? 3. Which groups / Schools, early childhood centres, and some adults. communities does your HP activity involve? 4. What are your Focus on quality not quantity. planned developments over the next 3 – 5 years?

15

Provider: Mental Health Foundation Contact Details: Anna McNaughton, Mental Health Promoter Phone / Fax: 09 300 7010 / 09 300 7030 Email: [email protected] Address: PO Box 10051, Dominion Road, Auckland

Question Notes 1. Describe your Mental health promotion with all populations. This consists of education and training, advocacy, current health research, information provision. promotion activity / programmes?

2. What are the Working to improve the mental health of all people and communities in New Zealand broad objectives of your HP activity/program?

3. Which groups / communities does your HP activity involve?

4. What are your Depression, Anxiety and Mental Distress Campaign. planned National rollout of Te Kete Whaiora, Natural High and Mental Health Promotion Resource. developments Maori component development of Natural High Resource and Training. over the next 3 – 5 Workplace Resource Development. years? Asian Mental Health Promotion Project

16

Provider: NZ AIDS Foundation Contact Person: Jordon Harris Phone / Fax: 09-303 3124 / 09-309 3149 Email: [email protected] Address: PO Box 6663, Wellesley St, Auckland

Question Notes 1. Describe your HOT concentrate on networking with health providers and Iwi providers who have access to Maori current health communities. promotion activity / Educational programmes on HIV/AIDS and sexuality. programmes? Creating supportive environments for Takat
pui and reducing the risk of HIV transmission through education. 2. What are the To strengthen the links of the Takat
pui community, especially in rural areas. broad objectives To empower this community to develop their own strategies for community development i.e.: camps, of your HP Hui or gatherings. activity/program? To work collaboratively with other health providers, to strengthen Takat
pui links with local health workers. To establish an outreach program that can target MSM communities in rural settings. To provide resources and information to this community. 3. Which groups / We work with the Takat
pui community however because of the stigma of being Takat
pui to communities does effectively reach this community we korero with all Maori i.e. Rangatahi, Pakeke, Kaumatua. your HP activity We also work with mainstream services to ensure their services are Takat
pui friendly. involve? 4. What are your planned developments over the next 3 – 5 years?

17

Provider: New Zealand Hepatitis C Support Group Contact Person: Robyn Brown Phone / Fax: 09-377 8500 / 09-377 8500 Email: [email protected] Address: PO Box 90563, Auckland

Question Notes 1. Describe your Database; people with Hepatitis C and GPs and 0800 and hospital clinics and public meetings current health promotion activity / programs?

2. What are the Quality information objectives of your Support and advocacy hp activity / Public awareness and understanding program? Education ... and other (more personal than public health) 3. Which groups / IDU community (also ex-users from late 70’s) communities does Other at risk groups: prisons, youth (CYF kids), rehab your HP activity Advocacy around bad blood, old transfusions involve? Concerned people (occupational groups – health professionals Haemophiliacs 4. What are your Part-time administration starting in November will allow more time for fundraising and peer education planned training (up to 10 in North Island) developments over the next 3 – 5 years?

18

Provider: New Zealand Prostitutes Collective Contact Person: Peter Pearson Phone / Fax: 09-366 6106 / 09-366 6106 Website: www.kroad.co.nz Address: PO Box 68509, Newton, Auckland

Question Notes 1. Describe your Monthly visits – individuals/brothels current health Networking (eg Agender/police/SHS nurse/outreach worker liaising with youth group (Maori) promotion activity / programs?

2. What are the Promotion of safe sex/boundaries objectives of your hp activity / program? 3. Which groups / Sex workers / youth on street communities does your HP activity involve? 4. What are your planned developments over the next 3 – 5 years?

19

Provider: Nga Manga Puriri Contact Details: Sharon Hauraki and Tui Teoketai Phone / Fax: 430 2224 / 430 2224 021 433 288 E-mail: [email protected] Address: 1B First Ave, Whangarei

Question Notes 1. Describe your Tatou groups which are driven by community needs to address gambling, alcohol and other drug current health related harm/issues, are community based, facilitated and driven. Tatou groups are currently operating promotion activity / in Hokianga, Kaeo and Kawakawa. programmes? Active network of kuia, kaumatua, treatment providers and community services working with addictions. Core group of kuia and kaumatua available to help whanau and providers with cultural issues surrounding addiction. Gambling: Strengthen GAG groups; work with councils; develop community networks (build on existing); training on screening for health professionals; raise awareness of gambling via attendance/participation in at least six expos and two hui; workforce development; still in development stage. Youth Focussed presentations and secondary school programme. 2. What are the To prevent and minimise the harm caused by problem gambling, alcohol and other drugs and to reduce broad objectives gambling related inequalities. of your HP activity/program? 3. Which groups / Multi-level approach: communities does TLAs, health service providers your HP activity Hokianga, Kaipara, Whangarei, Bream Bay, Kaikohe, Moerewa involve? 4. What are your 2005 – secure a three year contract planned Tatou in Whangarei and in other areas as need arises developments over the next 3 – 5 years?

20

Provider: Northland Health, Health Promotion Unit Contact Details: Joy Jansen Phone / Fax: 430 4101 extn 7890 E-mail: [email protected] Address: PO Box 742, Whangarei

Question Notes 1. Describe your Auahi Kore Marae: To Ao Maore, Te Ao Auahi Kore. Work with Iwi, Hapu, Marae Committee and current health community towards marae being totally smokefree, including ongoing policy implementation and promotion activity / celebration and recognition of auahi kore mahi being done. programmes? Injury Prevention: Co-ordination of and participation in Community Injury Prevention Programme, including car restraint campaigns, water safety campaigns, Kidsafe week, etc Health Promoting Schools Advisory: Advice and support to implement HPS whole school community processes, to actively enhance learning and total wellbeing. E.g team with staff, student, health and community members. Like Minds Like Mine: Project to counter stigma and discrimination associated with mental illness: engaging consumers/tangata whaiora in the project, workshops and policy work with services and agencies, small grants for community activities consistent with the project, etc Nutrition: information and advisory for good nutrition policy, promotion and food security. Oral Health – Fluoridation: policy advocacy, community awareness and community action re fluoride for better oral health in Northland. Health Promotion Advisory Drug and Alcohol: Facilitation and providing latest information for supply control and community action initiatives against drug and alcohol, advocacy for healthy public policies. Community Action on Youth and Drugs Whangarei. Sexual Health promotion: co-ordinating development and delivery of consultation and training packages for school/community sexuality education. Smokefree/Auahi kore: Work re environments, policy and promotion with workplaces, tobacco retailers, bars, cafes, clubs, etc; auahi kore Te Tai Tokerau network; information sharing; link with quit services. Auahi kore/Smokefree schools: Assisting achievement of a totally Smokefree Environment with all educational settings (early childhood to adult), hands on 8-week programme for schools, “Hari” voice for Smokefree Children. Sunsmart: Support community SunSmart promotions, media links, advocacy for SunSmart environments

21 Information: Health Information and Resource Centre: FREE Ministry of Health education resources, contact Nellie or Donna at Dairy House reception (09) 430 4101 ext 7930. We can also refer for resources available or for sale by other organisations, contact reception or specific coordinators (above). 2. What are the He Ao Pumanawa; Living your full potential broad objectives (see individual sheets / contracts) of your HP activity/program? 3. Which groups / Northland wide communities does Varied your HP activity Focus on different sectors: eg police, councils involve? 4. What are your Oral health promotion plan for Northland planned Nutrition network developments In idea in development is increasing information / policy analysis / capacity at local and central over the next 3 – 5 government level years? Epidemiologist run health unit for evidence base decision support Health promotion and health protection working together Providing regional perspective that works / fits locally Strengthening public health framework Increasingly looking at determinants Training – offering speakers

22 Provider: Northland Health, Health Promotion Unit, Alcohol and Drug Awareness Contact Details: Shirley Anne, Public Health Advisor Address: PO Box 742, Whangarei Phone / Fax: 09 430 401 extn 7899 E-mail: [email protected]

Question Notes Describe your current Three main areas of focus – P, alcohol and cannabis. Current P campaign, formalising and providing health promotion an example of collaborative activity. activity / Key role is to provide co-ordination and foster collaboration. programmes?

What are the broad Collaboration objectives of your Intersectoral relationships, interface development HP activity/program?

Which groups / communities does your HP activity involve? What are your Collaborative planned approach to address A+D issues planned Promoting and developing community based solutions developments over the next 3 – 5 years?

23 Provider: Northland Health Public Health Unit, Community Injury Prevention Programme Contact Details: Marion Weaver Phone / Fax: 09 430 4101 ext 7892 E-mail: [email protected] Address: PO Box 742, Whangarei

Question Notes 1. Describe your Community Injury Prevention Programme – particular focus on three main injury priority areas – motor current health vehicle crashes – speed and alcohol; water safety; falls. promotion activity / programmes?

2. What are the To reduce the incidence and severity of injury to people in Northland. broad objectives of your HP activity/program?

3. Which groups / Communities in Northland communities does Most activity in Whangarei although joint ventures with other providers your HP activity involve?

4. What are your To maintain robust ongoing IP programmes based on NZIP strategy and owned by community planned Possibly look at unintentional injury but have questions around capacity developments over the next 3 – 5 years?

24

Provider: Northland Health Public Health Unit, Like Minds, Like Mine Contact Details: Layton Toi Phone / Fax: (09) 430 4101 EXTN 7866/Fax (09) 430 4491 E-mail: [email protected] Address: Dairy House, Cnr Porowini Ave & Tarewa Rd, Whangarei

Question Notes 1. Describe your Like Minds, Like Mine project to counter the discrimination and stigma associated with mental illness. current health promotion activity / programmes?

2. What are the To make our communities safe and services easily accessible by: broad objectives Reducing stigma and discrimination around mental illness of your HP Empowering tangata whaiora activity/program? Put mental health on personal agendas Educate people about mental illness Promote understanding and support for people with mental illness Change public and private sector policy Communicate above to all people and services

3. Which groups / Government agencies; public services; tertiary institutions where mental health is studied; community communities does services that serve people with experience of mental illness. your HP activity involve? 4. What are your Just started in position. planned developments over the next 3 – 5 years?

25

Provider: Northland Health, PHU Nutrition, Contact Details: Daniela Tylkowski Phone / Fax: 430 4101 ext 7898 E-mail: [email protected] Address: PO Box 742, Whangarei

Question Notes 1. Describe your Nutrition focus current health currently in development promotion activity / most probably incorporate a project with the retail sector programmes? training for practice nurses support, advice and skill building for workers in the health sector dealing with nutrition issues\

2. What are the Vision – an environment and society where individuals, whanau and communities are supported to eat broad objectives well, and attain and maintain a healthy balanced diet. of your HP To increase the number of Northlanders consuming a healthy balanced diet activity/program?

3. Which groups / Still being finalised communities does Likely to prioritise Maori and low income / low socioeconomic groups your HP activity involve?

4. What are your Consult with community stakeholders planned Develop programme developments Implement programme over the next 3 – 5 Evaluate programme years?

26 Provider: Northland Health, Public Health Unit Oral Health Promotion and Flouridation Advocacy Contact Details: Raewynn West-Hill, Sunitha Gowda Phone / Fax: 4304101 ext. 7916, ext. 7904 E-mail: [email protected] , [email protected] Address: Dairy House, Porowini Ave, PO Box 742, Whangarei

Question Notes 1. Describe your 1. Oral health promotion through tooth-brushing with resources supplied by Whangarei Rotary current health Club in 6 Decile 1 schools, namely: Manaia View; Junior classes, Otangarei; Whole school, promotion activity / Portland; Whole school, Raurimu Ave; Whole school, Tikipunga Primary; Whole School, Totara programmes? Grove; Junior School 2. Dental team comprising of Dental Therapists, Dental Assistants and Oral Health Promotion

Coordinator provide oral health education at: Anti-Natal Classes, Pacific Island community, Pre School

Centres, Maunu Childrens Health Camp, Individual, one to one with clients 3. Raewynn West-Hill (Oral Health Promotion Coordinator) works with: Parents as First Teachers, Plunket Nurses & Independent Midwives, Children’s Ward 2 4. Fluoridation advocacy: Submissions made to the Whangarei District Council raising community awareness in Whangarei, Creating community awareness for Fluoridation

2. What are the To improve and protect the oral health of the people of Northland, especially Maori through oral health broad objectives promotion & water fluoridation. of your HP activity/program? 3. Which groups / The whole community: people of all ages, people of all races, people of the whole of Northland communities does your HP activity involve? 4. What are your To have a stronger oral health promotion strategic plan for Northland planned To have at least a couple of places fluoridated in Northland developments over the next 3 – 5 years?

27

Provider: Northland Health, Public Health Nurse Team Leaders Contact Details: Meryll Frear (South team) and Colleen Tamati (North team) Phone / Fax: Meryll 430 4101 (extn 7944), Colleen 404 2858 (extn 5861) E-mail: [email protected], [email protected] Address PO Box 742, Whangarei

Question Notes 1. What health A variety of things, some very small one off classroom health education session, other are working with promotion are you school health teams looking at specific areas eg Sexual health across the whole school etc etc. doing now? Each of the Public Health nurses work within their schools with Health promotion/health education programmes as negotiated with the schools, depending on the school priorities for the years and our contract priorities are nutrition and physical activity, Maori development, and mental health. Health Promoting schools is the framework under which we work. Due to staff vacancies/sick leave etc the amount of H.P has been greatly reduced this year. 2. What are the PHN input is to support and strengthen Health as a priority with school communities. PHN’s may at objectives of your times cofacilitate education sessions , but the role leans more towards advising, informing and HP accessing resources etc activity/program? Service objectives are: integrated H.P, setting s approach Target areas of highest need 3. Which groups / Settings approach – schools, so hopefully impact would be with school students and staff, and the communities does wider school community your HP activity involve? 4. What are your As a whole team we are certainly looking at the whole where to plan at present. Each PHN within the planned context of working within a school community works with where the school is at. Within HPS there are developments definitely long term plans etc over the next 3 – 5 years?

28

Provider: Northland Health PHU, Sexual Health Promotion Contact Details: Wendy Baillie, Harry Clark Phone / Fax: 09-430 4101 (extn 7895) E-mail: [email protected] Address: PO Box 742, Whangarei

Question Notes 1. Describe your New programmes under development include: current health Training and support for schools, key community organisations and stakeholders involved in community promotion activity / action. Media campaigns and expos to raise awareness and promote key messages, community programmes? workshops for whanau to increase access to information, peer sexuality programmes within schools etc

2. What are the To improve the sexual and reproductive health status of the Tai Tokerau / Northland population base. broad objectives of your HP activity/program?

3. Which groups / We work throughout Northland but, because the new programmes we are developing are more communities does comprehensive, we plan to target 1 or 2 communities at a time over a 5 year period. your HP activity Key groups for us are any who are involved with youth: including schools, PHOs, PHNs, marae, iwi involve? providers etc. to co-ordinate a collective community response.

4. What are your Over the next year we plan to have developed and piloted all aspects of our new programme in planned consultation with key stakeholders and trial community needs. Over the next 3-5 years we hope to developments work with different communities to help promote positive sexuality messages and access to sexual over the next 3 – 5 health services at all levels years?

29

Provider: Northland Health, HP Unit, Smokefree Team Contact Details : Bridget Lister Phone / Fax: 430 4401 (extn 7098) E-mail: [email protected] Address: PO Box 742, Whangarei

Question Notes 1. Describe your Support with implementation and communication of the Smokefree Environments legislation; support current health policy development; provide and disseminate resources and information; promotion activity / Auahi kore marae – creating smokefree environments; programmes? General promotion of national events such as WSFD; Educational settings promotion – from early childhood through to high schools. Co-ordination of Patu Puauahi network

2. What are the Creation and support of smokefree environments broad objectives Decreasing numbers of smokers of your HP Reduction in the use of tobacco activity/program?

3. Which groups / Maori women; rural; 8-14 year olds communities does your HP activity involve?

4. What are your Focus at the moment on 10th of December after that look at longer term planned Environments – schools, public places, marae developments More emphasis on marae – outside environments over the next 3 – 5 years?

30

Provider: Northland Health, HP Unit, Health Promoting Schools Contact Details: Jim Callaghan (Whangarei/Kaipara), Helen Manning (Far North), Russell Holmes (Mid North) Phone / Fax: Jim: 430 4101 (extn 7891), Helen: 408 0010 (extn 4718), Russell: 407 8750 E-mail: [email protected], [email protected], [email protected] Address: PO Box 742, Whangarei

Question Notes 1. Describe your Support to schools to establish and maintain an ongoing framework / process where the wellbeing current health needs of the whole school community is addressed – through awareness-raising, needs analysis, promotion activity / planning/implementing/evaluating initiatives programmes?

2. What are the The total wellbeing of the whole school community; broad objectives Removing barriers to student learning and achievement of your HP activity/program?

3. Which groups / School communities: students, staff, BoTs, parents/caregivers, support agencies (currently: Kaitaia communities does College, Ahipara, Kaitaia Intermediate, Taipa Area, Herekino, Pukepoto, Broadwood Area, Kaitaia your HP activity Primary, Mangonui, Oturu, Awanui, Te Kura o Hato Hohepa Te Kamura, Kaeo, Russell, Kawakawa, involve? Moerewa, Okaihau College, Kaikohe West, Kaikohe East, Kaikohe Intermediate, Ohaeawai, Ngaiotonga, Punaruku, Helena Bay, Bream Bay College, Whangarei Boys High, Tikipunga High, Tikipunga Primary, Totara Grove, TKKM o Rawhiti Roa, Mangakahia Area, Dargaville Intermediate, Selwyn Park, Aranga, Ruawai Primary, Ruawai College) 4. What are your Sustainability plan to assist individual schools and school clusters to drive the process and ensure planned HPS is an integral part of the schools’ everyday business developments over the next 3 – 5 years?

31

Provider: Obesity Action Coalition Contact Details: Celia Murphy – Executive Director Phone / Fax: 04 473 8031 / 04 473 8032 / 021 232 7519 E-mail: Address:

Question Notes 1. Describe your Looking at raising awareness amongst community, especially school community at the level of TV current health advertising / direct marketing of food messages to children; (working with community as political climate promotion activity / not supportive of legislative change at this stage – work with community to advocate for policy change) programmes? Working with schools to look at policies and whole school environment eg food policies – what is sold and sponsorship, fundraising deals, increasing opportunities for physical activity. This action involves presenting at national level to school bodies, writing to BOT’s; approaches to MOE, ERO to look at Health and PE curriculum requirements of ‘creating supportive environments’. Available to come and speak at regional meetings Newsletter sent to all members and interested groups. Distribution of information and support with local projects. Looking at research on the effects of food advertising for children that can then be used to raise awareness; advocate for change; drive public policy. 2. What are the To make lasting changes to the obesegenic environment so that the health choices are the easiest and broad objectives obvious choices. of your HP activity/program? 3. Which groups / National level communities does your HP activity involve? 4. What are your To work with schools to create healthy environments planned developments over the next 3 – 5 years?

32

Provider: Parents as First teachers (PAFT0 Contact Details: Jigs Bradley, Manager Phone / Fax: 438 2152 E-mail: Address: PO Box 1456, Whangarei

Question Notes 1. Describe your Visit young families on a monthly basis for a period of 3 years. current health Young families with 0 – 3 year old children who are either: promotion activity / Pacific Island, Maori, teenage, single, or with limited parenting skills or limited support programmes? The cirruculum is delivered over 3 years to ensure the best start for children. Because the program is delivered over a period of 3 years, good rapport and relationships are developed with the families.

2. What are the To improve safety and health of children and the families we work with broad objectives Eg; car restraints, well child checks, immunizations, child home safety checks, nutrition of your HP activity/program? 3. Which groups / Young single parents, those with little or no support, or parenting skills, Pacific Peoples and Maori communities does your HP activity involve? 4. What are your Improve the car restraint program to ensure safety for families travelling in vehicles. planned developments over the next 3 – 5 years?

33 Provider: Peace Foundation Contact Details: Yvonne Duncan Phone / Fax: 09 373 2379 / 09 373 2668 E-mail: Address: PO Box 4110, Auckland

Question Notes 1. Describe your Contracted to provide training to 50 schools from Cape Reinga to Mercer – 25 full courses (5 hours) current health and 25 revisits (2-3 hours). Training provided to primary and secondary school teachers and children promotion activity / as conflict mediators. Resources provided include videos, manuals, a uniform. programmes? Train trainers to deliver programme.

2. What are the Prevent conflict and violence broad objectives Long term teaches lifelong skills – change how society deals with conflict of your HP Short term creates safer learning environments for schools activity/program?

3. Which groups / School based – national programme communities does your HP activity involve?

4. What are your We already have a national programme, including the South Health Contract. More funding needed to planned cover all schools in lower North Island. developments over the next 3 – 5 years?

34

Provider Name: Plunket / Regional Contact Details: Alison Ansley Phone / Fax: 09-438 2508 E-mail: Address: 88 Porowini Ave, Whangarei

Question Notes 1. Describe your Well Child work with children from birth to 5 years of age current health promotion activity / programmes?

2. What are the Leadership: in Well Child and family health broad objectives of Access: all children have access to well child services that are holistic, integrated, and of a consistent your HP high quality. activity/program? Community: commitment to and participation in the development of healthy children. Parenting support: Parents are supported in the development of parenting skills and confidence

3. Which groups / communities does your HP activity involve? 4. What are your To continue to identify and implement strategies which will strengthen the Well Child – Tamariki Ora planned Service. developments over To fully implement the WCF by 2007 the next 3 – 5 To collaborate with other services to promote Well Child in NZ. years? To enhance further IT capabilities within Plunket Improve workforce Education/ teamwork and relationships, both internal and external.

35

Provider: Problem Gambling Foundation Contact Details: Diane Mathews Phone / Fax: 09 368 1520 / 09 368 1540 / 027 448 1520 E-mail: Address: PO Box 26-533, Epsom, Auckland

Question Notes 1. Describe your Speak to small groups in the community – anybody who will listen. Currently approaching elderly / current health Foundation for Deaf. Proactive in contacting groups as well as responsive. Raising awareness of promotion activity / gambling as public health issue. Recent work with councils on policies and the Gambling Act. programmes?

2. What are the Raising awareness of gambling and problems associated with it. Promoting gambling counselling broad objectives service. of your HP activity/program?

3. Which groups / All communities does Young Maori women (reflection of need in client base) your HP activity involve? 4. What are your Trying to employ someone one day per week in Kaitaia. planned Develop a more accessible service in Otangarei. developments over the next 3 – 5 years?

36

Provider: Ringa Atawhai Contact Person: Phone / Fax: E-mail: [email protected] Address:

Question Notes 1. Describe your Promotions / training (eg on diabetes, nutrition, asthma, smokefree, drugs and alcohol, mirimiri, rongoa current health Maori – child restraints – housing – budgeting help – basic stuff – we train community health workers promotion activity / and have done presentations at National Conferences programmes?

2. What are the People’s wellness is a high priority. broad objectives of your HP activity/program? 3. Which groups / Marae (we know the families involved) communities does Community organisations – we get involved with any organisation or any group in society (any age your HP activity group / gender) involve? 4. What are your Two expo’s in each regional area over next year for Whanau Education contract planned Nutrition program: Te Pa Tika – part of the National Committee developments over the next 3 – 5 years?

37

Provider Name: Roadsafe NZ Contact Details: Gillian Archer, Northland Roadsafe Coordinator Phone / Fax: E-mail: Address:

Question Notes 1. Describe your Planning Child Restraint Clinics, evaluations of last years projects, finalising new year applications current health promotion activity / programmes?

2. What are the To ensure that children are correctly restrained when travelling in vehicles broad objectives of your HP activity/program? 3. Which groups / Babies, pre-school and junior school children up to the age of approximately 8 communities does your HP activity involve? 4. What are your No, annual planning however, we always expect to have a restraints component planned developments over the next 3 – 5 years?

38

Provider: Sport Northland Contact Details: Brent Eastwood Phone / Fax: 430 3470 / 430 3479 E-mail: easty@sportnorth Address: PO Box 1492, Whangarei

Question Notes 1. Describe your Green prescription support – eight part time patient support people employed throughout Northland in current health Whangarei, Ruakaka, Dargaville, Kawakawa, Kaikohe, Hokianga South, Hokianga North and Kaitaia. promotion activity / All provide one on one physical activity advice for patients given a Green Prescription (funded by Sport programmes? Northland) Green Prescription Area Manager – oversees the programme in Northland (funded by SPARC) in partnership with Manaia Health PHO (in Whangarei District) Pilot projects with Maori with Maori Health Providers Hauora Whanui and Hauora O Te Ika to adapt Green Prescription programme to suit Maori population – community health nurses prescribe Green during home visits (funded by SPARC) Community Seminars on physical activity and Active Living Ongoing relationship with Heart Foundation, Diabetes Association, Asthma Society and Arthritis Foundation in physical activity provision. Four district coordinators throughout Northland all have targets in both Active Living and health promotion Sport Northland managers the Push Play campaign in Northland. Designed to encourage more people to undertake at least 30 minutes of physical activity on at least five days of the week. Includes: management of active infoline 0800 ACTIVE branding local events to support push play promoting active workplaces (often in conjunction with Heart Foundation) Organising Push Play week annually in November Ongoing promotion and marketing of Push Play brand Promoting of KiwiWalks throughout Northland – short, accessible easy walks recognisable through consistent branding Sport Northland manages the He Oranga Poutama programme in Taitokerau, employing three fulltime (SPARC funded) Kaiwhakahaere whose role is to get ‘More Maori, More Active, More Often. Based in Whangarei, Kaikohe and Kaitaia, all work with Maori health providers, Kohanga reo, Kura Kaupapa, 39 marae, Hapu, Iwi and Maori sporting organisations to achieve their goal. Kiwi Senior programme run in Whangarei, Ruakaka, Dargaville, Kawakawa and Kerikeri encouraging over 50’s to undertake regular physical activity. ACC Injury Prevention – delivery of SportSmart and SMOSS (Sideline Management of Sprains and Strains) to Northland sporting organisations, schools and Maori organisations. Also support CIPPS in programmes such as Kids Safe Week, cycle safety, safety audit of facilities and ‘In the Deep End’ (swim safety). The latter now operates in conjunction with Sport Northland’s own ‘Top Energy Water Safety’ programme in the Far North and the nationally funded ‘Swim for Life’ programme, delivered for Water Safety NZ by Sport Northland. Secondary School Activity – outside sports events promote Sunsmart strategies in conjunction with Northland Health (over 80 events annually) Primary School Activity – outside events also promote Sunsmart strategies. Northland Health/Sport Northland in mutual promotion of Walking School Bus concept. Sport Northland link with Health Promoting Schools at Northland Health – communication relationship with community coordinators and network/resource sharing for cooperative projects in schools. 10,000 Steps Northland – a multi-strategy health promotion project focusing on increasing physical activity in Northland communities (funded by SPARC – decision pending) Nature’s Energy Holiday Programmes – ongoing in five locations throughout Northland proving sport and recreation based holiday programmes suitable for 5 – 12 year olds. Northland Outdoors – delivers climbing, abseiling, carving, kayaking and team building services to the community. Sport Northland events – includes Fullers Kerikeri Half Marathon (over 2,000 participants), Twin Coast Mizone Challenge (New Zealand’s only four day cycle tour open to all people), Beach to Basin fun run/walk/canoe (over 1,000), Paihia fun run/walk (over 500), Kaitaia fun run/walk (over 250), Kerikeri triathlon, Mangawhai triathlon and next year to include Kumura triathlon all promote Sunsmart strategies. Obese Children Pilot – in conjunction with Northland Health (Sport Northland providing the physical activity component) development of a pilot at decreasing the child obesity epidemic in Northland. Delivery of Sport Opportunity programme in Northland – encouraging people with disabilities to participate in mainstream sport and recreation (partially funded by Halberg Trust) Northland Polytechnic Sport and Leisure Programmes – a joint venture between Northland Polytechnic and Sport Northland, the sport and leisure campus are based at Sport Northland’s ASB Leisure Centre. Five Sport Northland staff currently tutor on the course and many students complete their practicum within Sport Northland. 15 graduates currently employed by Sport Northland. ASB Leisure Centre, Whangarei – After a recently completed $6.8 million redevelopment, this 6500m²

40 Sport Northland owned and operated facility now features Kensington Fitness (a 2,000 member commercial fitness centre), Advocate Stadium (an 1800m² floor with adjoining offices, canteen, changing and storage facilities), ASB Lounge (multi purpose function rooms), Rosvall Rockwall (Northland’s only commercial indoor climbing wall) and leased facilities including Refuel Café, Kensington Childcare, Muscle Work Massage, Whangarei Physiotherapy, Activ Hair Design, The Correspondence School, United Soccer One Northland offices, and the Northland Polythechnic sport and leisure programme campus. Annual operation (community side) subsidised by Whangarei District Council Staff Employed in Active Living Active Living/Green Prescription Manager = 1FTE Green Prescription patient support people = 1.5FTE (8xpartime) KiwiSenior Coordinator = .25FTE (1xpartime) In addition, three Kaiwhakahaere, four District Coordinators, one Regional Sport Director, one Primary School Sports Coordinator, one Sport Development Advisor, one Sport Opportunity Advisor and one Events Coordinator (all fulltime)all work in the active living/health promotion areas within their roles. 2. What are the More Northlanders active broad objectives of your HP activity/program? 3. Which groups / Maori, Sport, Inactive, Disabled, Tertiary, Pre-school, Seniors communities does School based – primary and secondary your HP activity involve?

4. What are your Develop regional physical activity plan 2004 - 2005 planned 10,000 steps developments over Work place the next 3 – 5 GRx years?

41

Provider: Tai Tokerau Maori Netball, Aotearoa Maori Netball Oranga Healthy Lifestyles Contact Details: Donna Wordley, Phone / Fax: 09 430 4101 Email: [email protected] Address:

Question Notes 1. Describe your Netball rallies held throughout Northland, teams of women aged 12 – 40 + selected for teams (up to 60 current health people). Selected not just about netball talent, also leadership, personal attributes. All players attend promotion activity / an intensive wananga /live in on Marae. Through iwi health providers, kuia kaumatua several kaupapa programmes? Maori workshops held. Then players attend national tournament

2. What are the To use the vehicle of netball to promote healthy lifestyles – drug, alcohol and smokefree, healthy kai, broad objectives injury prevention, te whare tangata, self esteem of your HP activity/program?

3. Which groups / Maori rangatahi and women throughout Tai Tokerau (netball players and their whanau) communities does your HP activity involve?

4. What are your Netball development classes in Northland planned Develop players and keep kaupapa strong developments Developing role models over the next 3 – 5 years?

42

Provider: Well Womens Nursing Service Contact Person: Monique Fredatovich Phone / Fax: (09) 523 0263 / (09) 523 0265 E-mail: Website: www.wellwomensnursing.co.nz Address: PO Box 56151, Dominion Road, Auckland

Question Notes 1. Describe your For Northland we offer vaccinator Training Programmes - current health course, promotion activity / updates, programmes. Information sharers course WONS works with Northland CSR for Cervical Screening health promotion. Beth Quinlan is part of our regional co-ordination team to ensure service delivery in Northland meets the needs of the community. We share ideas on strategy.

2. What are the Every nurse in Auckland / Northland who is or may be vaccinating has the opportunity to become a broad objectives certified vaccinator and maintain competencies of your HP activity/program?

3. Which groups / Children communities does Parents your HP activity Key community health facilitators involve? 4. What are your Vaccinators course strategic plan planned ? NZQA accreditation for updates developments ? recognition in practice nurse training programmes over the next 3 – 5 years?

43 Provider: Yellow Ribbon Contact Details: Ingi Hayward – Regional Co-ordinator Northland Phone / Fax: 021 434 971 Email: [email protected] Address:

Question Notes 1. Describe your Yellow Ribbon runs peer support programme in secondary schools; Kaitaia College, Taipa, Kerikeri, current health WBHS, WGHS, THS, Northland College. Training with monthly follow up. promotion activity / Same sort of thing in Alternative Education schools and community groups – raising awareness about programmes. help seeking behaviour Service provider support – info, strategies, policy support increasing

2. What are the Board objectives: Prevent youth suicide - Youth advocacy - Community advocacy around youth issues broad objectives of - Support your HP Priority: Encouraging help seeking behaviours - Ask for help - Where? - Who? activity/program?

3. Which groups / Whole of Tai Tokerau: Wellsford North communities does Youth and families your HP activity involve? 4. What are your M.O.H approval for programme planned Follow through on initiatives – youth summit what’s happening with it developments over the next 3 – 5 years?

44 HEALTH PROMOTION STOCKTAKE

AUGUST 2004

WHANGAREI PROVIDERS

45

Provider Name: 155 Whare Roopu / Community House Contact Details: Carol Peters Phone / Fax: 437 0185 E-mail: [email protected] Address: 155 Kamo Rd, Whangarei

Question Notes 13. Describe your Used as setting/venue for various hp activities eg cervical screening, immunisation awareness current health Run group courses eg Magnificent women – self empowerment for bigger women; grandparenting; self promotion activity / help and support; taniko weaving; waiata programmes. At a structural philosophical level – offering employment opportunities to those who have been long term unemployed, enabling people to contribute to society they live in. Jobs created from individual strength base, eg new project looking at film making. Lawyers – access to free legal aid; Cybercafe free access to internet; Community web directory Whangarei Emergency Accommodation Response; Cup of tea – place to share; Counselling / whanau support / advocacy; Alternative Education School; Involvement with Te Puawaitanga o Otangarei Support marae development Lawnmowing, gardening service Help with moving house 14. What are the broad objectives of your HP activity? 15. Which groups / Based in Kensington, work generally throughout Whangarei district but mainly with people in communities does surrounding area your HP activity involve? 16. What are your Cyberwhare planned Whangarei Emergency Accommodation Response developments Community Web Directory over the next 3 – 5 Youth centre / site for AE school years?

46

Provider Name: ACC, Whangarei Contact Details: Community:Sue Bodle /Makuini Cherrington - Phone / Fax: 437 7820 direct (Makuini), 437 7834 direct (Sue) E-mail: [email protected] Address Private Bag 9001, Whangarei

Please note: The following is a general overview of ACC priority areas. We operate in Whangarei, Far North and Kaipara Districts and there is a different contact person for each area. Not all the activity listed below is happening in all areas. You would need to contact each ACC representative to know exactly.

Question Notes 1. Describe your - Falls Prevention – Falls in under 5’s workshops, playground safety with schools, Step Ahead for current health 65+yrs, Tai Chi classes for 65+ age group, Otago Home based exercise programme for 80+ years. promotion activity / - Child Restraint Usage/Seatbelt wearing programmes? - Speed Reduction - Sports Injury Prevention – Rugby, Sportsmart - Water Safety - Child Safety -Workplace Initiatives – Early Intervention, WSMP, WSE. 2. What are the To reduce the incidence and severity of injury. broad objectives of your HP activity/program? 3. Which groups / We work with a very wide range of groups and communities depending on the project. communities does your HP activity involve? 4. What are your Continue with Falls prevention strategies. planned Probably continue with road safety issues. developments Safer Rohe concept will be introduced from July 2004 for 3 years. over the next 3 – 5 years?

47 Provider: Hauora Whanui – Nga Mahi a Rehia Contact Details: Kipa Munro Phone / Fax: 430 2386 Email: [email protected] Address: PO Box 1127, Whangarei

Question Notes 1. Describe your Training trainers current health KKAI Nga Mahia Rehia promotion activity / programmes?

2. What are the Conveying messages about health broad objectives of Promoting physical component by doing it your HP Community involvement activity/program?

3. Which groups / Primarily Maori – rural isolation communities does Marae no age limit your HP activity Kohanga – kuia/kaumatua involve?

What are your Training more people, reach into more areas – lights on Kerikeri/Hokianga all areas of Tai Tokerau to planned acknowledge mahi – beginning stages. More info of training certification as qualification developments over the next 3 – 5 years?

48 Provider: Hauora Whanui – Sexual Health Contact Details: P O Box 1127 Whangarei Phone / Fax: 09 430 2386 fax 430 2385 E-mail: [email protected] Address: 5 Walton Street Whangarei

Question Notes 1. Describe your Sexuality Education current health Train trainers – Kawakawa, link with NHL programme, Kaitaia promotion activity / Education young people programmes? Youth workshops – focus on Alternative Education

2. What are the broad Decrease the incidence of unplanned pregnancies and STI’s amongst Tai Tamariki objectives of your HP activity/program?

3. Which groups / Maori (majority), parenting groups communities does Alternative education schools your HP activity Mainstream schools, training providers involve?

4. What are your Wanting to develop an antenatal class for young parents and their whanau. Increase the statistics of planned Maori breastfeeding mothers developments over Become a lactation consultant the next 3 – 5 years?

49

Provider: Hauora Whanui - Whanau Whanui Contact Details: Mariameno Kapa Phone / Fax: 4302386 Email: [email protected] Address: PO Box 1127, Whangarei

Question Notes 1. Describe your Whanau Whanui has two main programmes – current health 1. Family Start and Family Restoration. Family Start is an intensive home based programme working promotion activity / with whanau with young children (referral period is 2nd trimester – 6mnths of age). Can work with a programmes? whanau intensively (ranging from 1 hour a day – 1-2 hours a week) for up to five years – normally 1-2. 10 whanau workers /kaitiaki, two kaiarahi (supervisors) and one kai kokiri (network and assessment). Referrals from GP’s, lead maternity carers (midwives, GPs, Plunket). Currently working with 100 whanau. 2. Family Restoration working to reduce domestic violence within families.

2. What are the broad Better life outcomes for children. Providing parenting education and a better start for kids. objectives of your Reconnecting family to their own. HP activity/program?

3. Which groups / Geographically based in Whangarei city and Hikurangi. Priority group is the 15% of families at risk. communities does your HP activity involve?

4. What are your National programme aiming to roll out in new areas. Advocating for mid-north to begin programme. planned developments over the next 3 – 5 years?

50

Provider: Ki A Ora Ngatiwai Contact Details: Sharon Snell: Clinical Services Manager, Huhana Seve Kori Kori a Iwi, Carmen Hetaraka: CAYAD. Phone / Fax: 09 4382239 fax 4382245 Email: [email protected] Address: 5 Central Avenue, PO Box 1401, Whangarei

Question Notes 1. Describe your Mobile nursing / health promotion – 2 community health workers and 2 nurse current health Korikori a iwi promotion activity / CAPOW (CAYAD) programme based specifically in Whangaruru programmes? Line dancing at Ngaiotanga & Matapouri once a fortnight for 10 weeks set up to train people to continue – celebration day to be held in Oct. School based meningitis programme Nutrition Diabetes to Kaumatua/Kuia, kohanga, marae, dental 2. What are the To promote healthy lifestyles and activities to promote optimal healthcare broad objectives of your HP activity/program?

3. Which groups / Ngatiwai rohe from Te Peka point to Bream Bay communities does your HP activity involve?

4. What are your Obtain the tamariki ora contract planned Increase service capacity developments over the next 3 – 5 years?

51

Provider: Ki A Ora Ngatiwai Contact Details: Huhana Seve Phone / Fax: 4382239 fax 4382245 or 021 222 4023 Email: [email protected] Address: 5 Central Ave, Whangarei

Question Notes 1. Describe your The Kaupapa Maori framework for the programme will include: Tapu I te Atua, Tapu I te Whenua, current health Tapu I te Tanga and will embrace the significance of spirituality, land and people for healthy lifestyles. promotion activity / It will be delivered in communities, including marae and will have wide coverage, both geographically programmes? and across the lifespan. Content of workshops to promote nutrition and physical activity and healthy lifestyles including smoke- free environments, mental well-being and positive whanau relationships. Exercise options for the community, tamariki and taitamariki workshops will be determined by participants and will utilise local resource people and be related to local families. The staff involved with the delivery of Kori Kori A Iwi will need to ensure they receive supervision from a registered dietician to ensure accurate and appropriate nutrition information is provided and also woven through physical activity programmes. It is also essential that the kai provided on each occasion is appropriate. All workshops will be smoke-free and include: Lawn mowing; After school – community action; Whangaruru, also Ngunguru & Takahiwai: School health education policy; Rugby club; Marae; Workshops rongoa; Maintenance workshops; Manaaki Tongata

2. What are the To improve health and well-being through a health promotion programme which promotes healthy broad objectives of lifestyles. your HP To promote healthy lifestyles amongst Maori in Te Tai Tokerau. The Healthy Lifestyles Programme activity/program? (the “Programme”), delivered through a kaupapa Maori framework, will address physical activity, nutrition, auahi kore, and mental well-being in an integrated, holistic way promoting healthy mind, body and soul

3. Which groups / across lifespan communities does geographically Ngatiwai your HP activity priority Maori involve?

52 4. What are your Contract finishes 31st Jan 05 planned Furthering community action (e.g. after school community work) developments over the next 3 – 5 years?

53 Provider: Nga Manga Puriri - Te Ara o Nga Whetu Contact Details: Warren Moetara Phone / Fax: 09 430 2224 / 430 2224 E-mail: Address: 1B First Ave, Whangarei

Question Notes 1. Describe your current A project to provide a model / mechanism based on tikanga to empower Maori away from current health promotion disparities. Also challenges social agencies to accept a need for a tikanga based causation and activity / programmes? intervention program 2. What are the broad Main objective is to reduce disparity between Maori and non-Maori objectives of your HP Stronger families activity/program? Safer communities More harmonious communities Improved health Improved education Relapse prevention Education 3. Which groups / communities does Priority is Maori your HP activity Whangarei as a pilot area and then district and nationwide involve?

4. What are your planned Feasibility phase (end September 04) developments over the Secure government commitment from key government partners next 3 – 5 years? Secure iwi organisation commitment Secure resources Pilot program

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Provider: Northland Health and Hauora Whanui Community Action on Youth and Drugs Contact Details: Francil Tarau, Daniel Cassidy Phone / Fax: 430 4101 / E-mail: [email protected] Address: Community House, PO Box 742, Whangarei

Question Notes 1. Describe your current Workplace programme developing policy and practice guidelines for the use of cannabis (forestry); health promotion education and training of forestry students activity / programmes? Developing networks within Whangarei P campaign Planning long term plan

2. What are the broad Minimise the use of drugs within Whangarei objectives of your HP activity/program?

3. Which groups / All community groups, with a focus on youth, based in Whangarei communities does your HP activity involve?

4. What are your planned Currently writing plan developments over the CAYAD three year contract next 3 – 5 years?

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Provider: NURM Contact Details: Tim Howard Phone / Fax: 430 7464 E-mail: [email protected] Address: PO Box 5098, Whangarei

Question Notes 1. Describe your current Involved with Retrofitting health promotion Public transport activity / programmes? Community development unit at WDC CPHAC Support with establishing TPO Training community health workers Raumanga CD programme Ongoing support for community health workers Police discrimination / harassment

2. What are the broad objectives of your HP activity/program?

3. Which groups / communities does your HP activity involve?

4. What are your planned developments over the next 3 – 5 years?

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Provider: Pa O Te Ora Charitable Trust Contact Details: Hemi Horne Phone / Fax: 433 8313 Email: [email protected] Address: Box 56, Hikurangi

Question Notes 1. Describe your current Marae based, Family violence prevention programme. Run hui (8 a year) from Otangarei and health promotion Whakapara marae. activity / programmes? Have one social worker; Provide Counselling (2 part time counsellors); Alternative education school ( two teachers, six kids has been running for three months). Raranga / weaving group (50 -75 years 2-3 times per week). Currently have a vacancy for a youth worker looking at youth development and leadership role. Run Dynamics of Whanaungatanga hui (once a year). Kaumatua/kuia research project looking at needs of older people building on earlier work Budgeting service Establishing project with Whanau Whanui and Anglican Trust (South Auckland) to address family violence. 2. What are the broad Self determination of individuals, whanau and community to develop and increase ability to objectives of your HP contribute to social and cultural activity/program?

3. Which groups / communities does Hikurangi community and coastal area your HP activity involve?

4. What are your planned Community radio with school highlighting local story and local talent developments over the After school programmes next 3 – 5 years? Community gardens in conjunction with local Lions club, AE school, Hikurangi primary Regrouping on youth activity looking at working more closely with other outdoor education providers

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Provider: Raumanga Community Group Contact Details: Bianca Edwards – Projects Manager Phone / Fax: 09 4384056 Email: [email protected] Address: The Pulse, Raumanga

Question Notes 1. Describe your current Send out newsletter every three months which contains info about community events, good news health promotion stories about community, notices etc, also healthy cheap kai; health notices; activity / programmes? ACC co-ordinating preventing falls workshop, Safe2go, Step Ahead (elderly falls prevention); Also safety on SH1 working with Transit to make road safer; Basketball court established in Smeatons Petition to council for childrens playground in Hedley Place Holiday programme established under OSCARs Stars in Valley – community event, picnic day around xmas time Organised touch 2. What are the broad Healthy happy community objectives of your HP activity/program? 3. Which groups / Raumanga Community (including Smeatons) communities does your HP activity involve? 4. What are your planned Another worker in next year hopefully eventually full time developments over the Position becoming self sufficient next 3 – 5 years? Availability of kai working with shopkeepers Gardens / cooking own kai

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Provider: Te Puawaitanga O Otangarei Contact Details: Judy Hamilton Phone / Fax: 437 3045 / 437 2050 E-mail: Address: Box 8122, Kensington

Question Notes 1. Describe your current Facilitate Kori kori tinana x1 week on Friday. Hauora Whanui provides trainer and a range of guest health promotion speakers as well. activity / programmes? Warm Housing assessments Supporting development of kindergarten Working with marae re extensions HPS at Otangarei primary SKIP with Plunket Mothers group Helping with Korowai wananga Community health expo 2. What are the broad Warm Housing objectives of your HP To assist the community in identifying affordable and appropriate healthy eating options activity/program? Reducing obesity through the provision of education, support and exercise Provide information and support to families in relation to immunisation, parenting, clinic promotions eg Diabetes, asthma, 3. Which groups / Specifically Otangarei community communities does your HP activity involve? 4. What are your planned developments over the next 3 – 5 years?

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Provider: The Pulse Contact Details: Dallas Hibbs Phone / Fax: 438 0004 E-mail: [email protected] Address: PO Box 1136, Whangarei

Question Notes 1. Describe your current 11 services – govt agencies health promotion Police – youth development team 10-14 recidivist offenders activity / programmes. Joint CYFS 15-16 keep out of court WINZ – 16-24 case manage from here (400-500)

2. What are the broad Connect young people to opportunities that will radically impact their lives objectives of your HP A partnership between young people, govt agencies and community groups activity/program?

3. Which groups / Young people up to 24 communities does your HP activity involve?

4. What are your planned Stars in the valley, community event show casing local talent, December developments over the Prioritise and support events either existing or new next 3 – 5 years?

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HEALTH PROMOTION STOCKTAKE

AUGUST 2004

MID & FAR NORTH

PROVIDERS

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Provider Name: ACC Contact Details: Sandra Hei Hei - Injury Prevention Consultant, Far North Phone / Fax: Ph 09 4061749 or 0274081221 E-mail: Address:

Question Notes 1. Describe your International day of older people Event current health Have A Go day Event promotion activity / Step ahead exercise programme – Older people programmes. Tai Chi – Older people

2. What are the broad To raise awareness in community about health services available in Kaitaia. objectives of your HP To gain people interests in body strength and balance exercise projects activity/program?

3. Which groups / communities does your HP activity involve?

4. What are your Work on a annual bases planned developments over the next 3 – 5 years?

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Organisation: Te Hauora o Te Hiku o Te Ika Contact Person: Manuera Riwai Phone / Fax: 09-408 4024 / 09-408 4202 E-mail [email protected] Address: 49 Redan Rd, Kaitaia

Question Notes 1. Describe your Dental, mental health, breast screening, korikori-a-iwi, aukati kaipaipa, auahi kore, nutrition, physical current health activity promotion activity / networking/influencing other providers’ contracts (including intersectoral) programmes.

2. What are the broad Promote better health for all people in the rohe – not exclusive! objectives of your HP activity/program?

3. Which groups / 18+ communities does whanau, hapu and iwi: we work through these structures your HP activity involve?

4. What are your (Waiting for contract renewal...) planned Big new ideas in line with national events developments over Closer relationship with clinical team the next 3 – 5 years?

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Organisation: Te Oranga o Te Rarawa Contact Person: Errol Murray Phone / Fax: 09-408 0141 / 09-408 0654\ E-mail: [email protected] Address: 16 Matthews Ave, Kaitaia

Question Notes 1. Describe your current MoH / MoE / CYF contracts on most issues (integrated) health promotion In the process of gaining one contract (Whanau Ora) activity / North Hokianga / Matauri Bay – Cape Reinga programmes.

2. What are the broad Not a task / deficit = strength based objectives of your HP activity/program?

3. Which groups / School students (expos – debates = fun) communities does Whole community (expos) your HP activity Not just Maori involve?

4. What are your Always evolving (contract-dependent) planned More integration (holistic approach) developments over the next 3 – 5 years?

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Organisation: Whakawhiti Ora Pai Contact Person: Melanie Dalziel Phone / Fax: 09-409 7880 / 09-409 8086 E-mail [email protected] Address: Main Rd, Te Kao

Question Notes 1. Describe your current Whanau Oranga (Te Kao, Ngataki Te Hapua) health promotion Changing educational health topic / with baselines taken (Te Kao, Ngataki Te Hapua activity / Gardening programme, exercise programme – korikori iwi (Te Kao/ Te Hapua) programmes.

2. What are the broad Promote exercise objectives of your HP Healthy lifestyle activity/program? Body and Mind General well being

3. Which groups / All age groups communities does your HP activity involve?

4. What are your planned developments over the next 3 – 5 years?

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Organisation: Age Concern Mid North Contact Person: Margaret Ryan-Bell Phone / Fax: 09-407 4474 E-mail: [email protected] Address: PO Box 214, Kerikeri

Question Notes 1. Describe your current Accredited Visiting Service: social visit by volunteers (minimum of one hour per week) to lonely / health promotion isolated older people activity / Health promotion / education programmes to older (eg beach walks, falls prevention - ‘Step Ahead’, programmes. healthy eating / diabetes, arthritis - ‘Move it, lose it’, Consumer Network Group, subsidised transport for shopping / health appointments / events

2. What are the broad Improve the health, wellbeing and independence of older people objectives of your HP activity/program?

3. Which groups / Older people (65+) communities does your HP activity involve?

4. What are your planned developments over the next 3 – 5 years?

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Organisation: Hauora Whanui Contact Person: Maxine Shortland Phone / Fax: 09-404 1551 / 09-404 1876 E-mail: [email protected] Address: 2-4 Rainer St, Kawakawa

Question Notes 1. Describe your current All contracts are integrated: health promotion Aukati Kaipaipa activity / Community Injury Prevention programmes. Breast Screening Awareness Traditional Arts Oral health Youth Suicide Prevention Peer Sexuality Rheumatic Fever Prevention Korikori-a- Iwi

2. What are the broad Provision of services that contribute to the wholistic well-being of the people within the Trust’s objectives of your HP operational boundaries activity/program? Quality services that are client focused, by improving accessibility to services, choice of services and by being culturally appropriate 3. Which groups / Maori population: Whanau; Youth; Kaimahi; Under 5s; Alternative Education; Marae; communities does Rural communities your HP activity involve?

4. What are your Collaborative approach with other providers, sectors of community(s) planned Village feasibility / One stop shop: eg through Marae developments over Self sustainability / Social enterprise the next 3 – 5 years?

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Organisation: He Iwi Kotahi Tatou Trust Contact Person: Ngahau Davis Phone / Fax: 09-404 1299 E-mail: [email protected] Address: PO Box 154, Moerewa

Question Notes 1. Describe your current ‘P’ Promotion to Mid North counsellors health promotion Drug & Alcohol education in Moerewa / Kawakawa activity / Gastro education Moerewa outlying areas programmes. Drink Drive: Mid North (radio ads)

2. What are the broad To bring informed understanding objectives of your HP To make sure it is relevant to the target group activity/program? To make sure relevant local support groups are accessible

3. Which groups / Rangatahi (tane) – schools / one on one communities does Tamariki – schools / one on one your HP activity Whanau – groups / one on one involve?

4. What are your I think this area is really opening up with the introduction of technology and more mediums to get the planned message out developments over But it is to do all this and still keep it local and relevant the next 3 – 5 years?

68 HEALTH PROMOTION STOCKTAKE

AUGUST 2004

KAIPARA

PROVIDERS

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Provider Name: ACC Contact Details: Bridget Manning Phone / Fax: Ph 027 220 8043 Email: Address: Private Bag 9001, Whangarei

Please note: The following is a general overview of ACC priority areas. We operate in Whangarei, Far North and Kaipara Districts and there is a different contact person for each area. Not all the activity listed below is happening in all areas. You would need to contact each ACC representative to know exactly.

Question Notes 1. Describe your - Falls Prevention – Falls in under 5’s workshops, playground safety with schools, Step Ahead for current health 65+yrs, Tai Chi classes for 65+ age group, Otago Home based exercise programme for 80+ years. promotion activity / - Child Restraint Usage/Seatbelt wearing programmes? - Speed Reduction - Sports Injury Prevention – Rugby, Sportsmart - Water Safety - Child Safety -Workplace Initiatives – Early Intervention, WSMP, WSE. 2. What are the broad To reduce the incidence and severity of injury. objectives of your HP activity/program? 3. Which groups / communities does your HP activity involve? 4. What are your Continue with Falls prevention strategies. planned Probably continue with road safety issues. developments over Safer Rohe concept will be introduced from July 2004 for 3 years. the next 3 – 5 years?

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Provider Name: Dargaville Medical Centre Practice Nurses Contact Details: Clinical Services Manager: Trish Crompton Phone / Fax: Phone 09 439 8079, Fax 09 439 6015 Email: [email protected] Address: 77 Awakino Rd, Dargaville

Question Notes 1. Describe your Weight loss program classes current health Physical Activity With Type 2 Diabetics promotion activity / programmes?

2. What are the broad Education and support objectives of your To encourage self management HP activity/program?

3. Which groups / People with Diabetes plus their families and support people communities does your HP activity involve?

4. What are your To do road shows in different areas with other health providers planned developments over the next 3 – 5 years?

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Provider Name: Health Options Contact Details: Pam Baldwin Phone / Fax: Phone 09 439 4379, Fax 09 439 4379 Email: [email protected] Address: Victoria Street Dargaville

Question Notes 1. Describe your Teaching individuals and groups current health Workshops – groups promotion activity / Speaker – groups programmes? Health monitoring Expo’s

2. What are the broad Empower people with health knowledge and skills objectives of your Wellness assessment and referral HP activity/program?

3. Which groups / Dargaville and rural communities communities does Local and national policies your HP activity involve?

4. What are your Responsiveness to community and gaps in health promotion publicly funded planned developments over the next 3 – 5 years?

72 Provider Name: Marion McCahon, Registered Homeopath Contact Details: Phone / Fax: Phone 09 439 4770 Email: [email protected] Address: RD 1 TE KOPURU

Question Notes 1. Describe your Homeopathic clinic – inform clients of homeopathy – take courses of above & give talks on current health homeopathy promotion activity / programmes?

2. What are the broad To give people better understanding of homeopathy objectives of your HP activity/program?

3. Which groups / Those with an interest in natural health communities does your HP activity involve?

4. What are your More studying, advertising and talks. planned developments over the next 3 – 5 years?

73 Provider Name: Takawaenga Liaison Services Contact Details: Charlie Parkinson Phone / Fax: Phone 09 430 4100 x 6743 Email: [email protected] Address: Dargaville Hospital

Question Notes 1. Describe your current Currently coaching a mixed u/13 team to the Northland-wide sub-union tournament, plus a Northland health promotion activity / Regional u/14 boys only team to the national competition programmes? I base my wananga / workshops around healthy foods, wellness, fitness, and taha hinengaro plus a bi- cultural approach to sharing & caring for one another. Manaaki tangata / supporting one another first & foremost ( team culture ) - the above processes revolve around 44 players, their parents and respective community support systems i.e. whanau / hapu and others 2. What are the broad To help identify community role models, future leaders / national sports participants & beyond - objectives of your HP promote the message of wellness and the benefits of good habits and working hard to attain activity/program? recognition at a higher level than your own or rural communities, by pitting your skills against some of the best in the country - assist these young people to truly understand what it means to be fit & healthy - this also allows me the opportunity as a health worker to introduce key health workers to intervene into the pathways of not only the young persons but their respective whanau / family 3. Which groups / 11 schools in & around Dargaville from the u/11 to u/13 communities does your HP Northland-wide from Wellsford to Cape Reinga activity involve? For the u/14s, plus their respective communities

4. What are your planned I personally believe in a 3 – yr. plan by way of taking a team from u /11 to u /12 & 13 combined u/14s. developments over the In the year 2005 I will continue on into the u/15s. next 3 – 5 years?

74 Provider Name: Te Ha O Te Oranga Contact Details: Phone / Fax: 09 439 1690 E-mail: Address: PO Box 100, Dargaville

Question Notes 1. Describe your Te Ha has three specific strands for delivery of Health Promotion: current health Land Transport Safety Contract (LTSA): Kapa Haka & Waiata as a vehicle to enhance participation promotion activity / in health - Bike/ Road safety - Transport and car restraint safety/ awareness, driver education - programmes. Housing New Zealand program to support young whanau to access information and services - Kuia & Kaumatua support - Medical Alert bracelets and access to support services e.g. OT, Physio, arthritis Kia Tupato Health Promotion: focuses on Whanau, with an added focus on young people, including: Alcohol and Drugs – Nutrition - Injury prevention - Smoke free Te Oranga O Te Oranga O Ngati Whatua Clinical Team: The Kaupapa of Te Ha’s Nursing service is inclusive of Health Promotion

2. What are the broad Kia Tupato: To promote and support safety and wellness with all communities in the Auckland, objectives of your Northland and Waitemata District Health Boards. HP LTSA: To promote and maintain health, prevent road traffic related injuries, provide support and activity/program? education to the Te Ha clients and to the rural community of Dargaville. NURSING: To respond to community expressed needs, working in partnership with the community to raise awareness that promotes changes in behaviour through health and safety campaigns/ programs that will promote, maintain and restore health for our communities. HP activities are aligned with national campaigns, to maximise resources and strengthen messages

3. Which groups / communities does your HP activity involve? 4. What are your Kia Tupato: We are looking at a number of initiatives which address the issue of how to engage with planned Whanau to enhance participation - Establishing Youth forums in collaboration with the District Councils. developments over LTSA: The LTSA program is funded for 1 year only, so forward planning is inhibited. However the next 3 – 5 feedback indicates this program is meeting community need and would benefit from being developed years? further. A commitment from funders for the contract to be extended beyond 1 year would be beneficial.

75 Nursing: To continue to reflect upon and improve our existing services to meet the changing and diverse needs of our community, e.g. The Kaipara Gardening Project - The Momona (weight reduction) Group - Kuia and Kaumatua Quarterly feedback Hui - Ka Pinea Kia Maatara (Young Mother’s support Group, to support young parents to develop parenting skills) - Development of small groups to mpower individuals to make choices which have positive impacts on their health outcomes - Rangatahi Health: Youth sexual health

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