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Engaging Communities

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

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Engaging Communities

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  1. Engaging Communities Working with Pacific people in NZ Oceania Tobacco Control Pre-Conference 2011 Brisbane Convention Centre, Australia Monday 17th October 2011

  2. Pacific people in NZ Many in low paying jobs Many in state housing homes Many Beneficiaries High hospital admission and readmission rates

  3. Pacific people in NZ • Sports teams and athletes • Leadership • Film makers • When we’re healthy we’re generally Good looking people

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

  5. Challenges • Access • Workforce • Research • Cessation for youth • Community/workforce mobilisation • Support for Pacific teams in mainstream services. • Limited number of services • Limited workforce numbers • Lack of national coordination • Lack of a national strategy • Need for national strategic representation (2004, Pacific Peoples Tobacco Control Action Plan)

  6. Planning • 2004, First Pacific Peoples Tobacco Control Action Plan developed • National, cross sector fono • Six priorities identified • A key goal of the plan was to ‘establish a process for highlighting Pacific peoples tobacco control issues’

  7. Purpose of TalaPasifika Established in 2008 to ensure Pacific peoples: • Have their say on tobacco issues • Are actively involved in eliminating tobacco from their communities • Have a way of coordinating important tobacco control information and activities

  8. Interim Steering Group Feedback • Focus on elimination and not control • Be forward thinking • Consider the next generation • Emphasis on community champions and action • Add value to what Pacific providers are currently doing

  9. The Present: Our Service Priorities • Eliminate exposure to second hand smoke • Prevent Pacific young people from smoking • Eliminate tobacco related disparities with a focus on our target audiences

  10. Identifying the Needs • Responding to community and provider needs for information and evidence • Ethnic specific information • Regional information

  11. Prevalence of Pacific Smokers Ministry of Health, 2007

  12. Our Target Communities • Pacific Children • Pacific Adolescents (13-19yrs) • All Pacific Males • Pregnant Women • Cook Islands Females

  13. TalaPasifika services… ADVOCACY RESEARCH COMMUNITY WORKFORCE SUPPORT

  14. What we do with communities: • Pacific Leadership collectives • Pacific MPs • Community Action Groups • Media – tv and radio • Collaboration with mainstream • Submissions • Mobilising support • Demonstrating support

  15. Keeping the pressure on: • Pacific Leadership collectives • Pacific MPs • Community Action Groups • Media – tv and radio • Collaboration with mainstream • Submissions • Mobilising support • Demonstrating support

  16. In working with Pacific communities You need to provide: • Flexibility • Resources • Patience and respect • Skills and knowledge • Reason for change They are: • Diverse • Changing • Have their own leadership styles • Busy (have their own priorities)

  17. The Future…….

  18. Pacific Tobacco Control in NZ Health Sector • Limited number of services • Limited workforce numbers • Lack of national coordination • Lack of a national strategy • Need for national strategic representation (2004, Pacific Peoples Tobacco Control Action Plan)

  19. Challenges • Access • Workforce • Research • Cessation for youth • Community/workforce mobilisation • Support for Pacific teams in mainstream services. (2004, Pacific Peoples Tobacco Control Action Plan)

  20. Developing a Strategic Plan

  21. Guiding Principles • Community Leadership • Advocacy • Responsiveness • Partnership • Evidence Based

  22. Thank you Faafetaitele lava - Samoa MaloAupito - Tonga MeitakiMaata – Cook Islands Meitakiatupaka - Aitutaki FakaueLahi - Niue Vinakavakalevu - Fiji Fakafetai – Tuvalu

  23. Service Structure

  24. Priority Groups • Pacific Children • Pacific Adolescents (13-19yrs) • All Pacific Males • Pregnant Women • Cook Islands Females

  25. New Zealand Smoking Trends Tobacco Trends, 2005

  26. Pacific Smoking by Age Ministry of Health, 2007

  27. Pacific Adult Smoking Ministry of Health, 2007

  28. The Establishment Process

  29. What the Evidence tells us…

  30. Pacific Smoking Prevalence Source: 2008 New Zealand Tobacco Use Survey

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