Health Promotion Forum

Symposium 2012 5 & 6 July

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Te Mana Taurite ā Tāngata - He

Whakaoratanga mo te Ao Hurihuri Epidemics and Economics- Equity in a changing world.

Key note speakers Honourable Tariana Turia Associate Minister of Health

Assoc Prof Michael Baker Associate Professor, Department of Public Health,

University of Otago

Assoc Prof Rhema Vaithianathan Director, CARE Department of Economics University of Auckland

Dr Clair Mills Senior Lecturer at Te Kupenga Hauora Maori, University of Auckland

The severity of the economic situation both globally and locally appears to be having a direct impact on the emergence and inequitable distribution of communicable and non-communicable disease in New Zealand.

This years Symposium will look at the interrelationship between epidemics, economics and

how these factors impact on equitable outcomes in health. What can Public Health and Health

Promotion practice learn from the evidence?

Our website: www.hauora.co.nz | Our Facebook page: HPF Christchurch Earthquake Support

Thursday & Friday

5 & 6 July 2012

Brentwood Hotel 16 Kemp St, Kilbirnie, Wellington

“…findings support the need for stronger prevention efforts for

infectious diseases, and reinforce the need to reduce ethnic and

social inequalities and to address disparities in broad social

determinants such as income levels, housing conditions, and

access to health services.” Baker et al, 2012

Health Promotion Forum

Symposium 2012 5 & 6 July

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Programme: Thursday 5 July 2012 Time Who/Events What

“The health of

individuals,

communities and

populations

requires more than

medical care.

Equally important

are the

environmental,

social, cultural,

economic, political

and other

conditions that

make people need

medical care in the

first place.”

Paul Hunt and

Rajat Kosla (2009)

11:30 Whakatau/Welcome Briefing about Symposium

12:00 Lunch

1:00 Hon. Tariana Turia Opening Keynote Speaker

1:30 Assoc. Prof. Michael Baker Keynote Speaker

2:30 Briefing to participants on

workshops

2:45 Afternoon tea

3:15

Four Workshops

two today

two tomorrow

1 Why do our children

suffer?

2 You First- Tuakiri O Te

Tangata

3 Reducing health

inequalities through

partnership, integration

and collaboration.

4 Resiliency in the

playground- A

Christchurch Story

5:15 End of Day One

6:30 Dinner Entertainment: Peta Turua

Health Promotion Forum

Symposium 2012 5 & 6 July

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Programme: Friday 6 July 2012

TIME WHO/EVENT WHAT

“Action needs to be

taken across the

whole of

government, and

health, welfare

education sectors

need to work

collaboratively in

the design,

implementation and

monitoring of

programmes to

reduce existing

levels of poverty and

to improve health

outcomes amongst

tamariki and their

whānau”

Dr Julia Peters

9:00 Opening of Day Two Brief overview of previous day

9:15 Assoc. Prof Rhema Vaithianathan

Keynote Speaker

10:15 Morning tea

10:45

Workshops Continued from

previous day

1 Why do our children

suffer?

2 You First- Tuakiri O Te

Tangata

3 Reducing health

inequalities through

partnership, integration

and collaboration.

4 Resiliency in the

playground- A

Christchurch Story

12:45 Lunch

1:30 Dr Clair Mills Keynote Speaker

2:30 Finish

Health Promotion Forum

Symposium 2012 5 & 6 July

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Health Promotion Forum Symposium 2012

Te Mana Taurite ā Tāngata- He

Whakaoratanga mo te Ao Hurihuri Epidemics and Economics- Equity in a changing world. Thursday 5 and Friday 6 July 2012, Brentwood Hotel, 16 Kemp St, Kilbirnie, Wellington

Opening Speaker Hon. Tariana Turia

Associate Minister of Health, responsible for Whānau Ora.

Hon. Tariana Turia (Ngā Wairiki/Ngāti Apa, Ngā Rauru, Tuwharetoa,

Whanganui) is co-leader of the Māori Party and the member of

parliament for Te Tai Hauauru since July 2002. Currently she sits outside

of cabinet as Minister for Disability Issues and the Minister for Tertiary

Education, Skills and Employment, as well as holding associate

ministerial positions in health, housing and social development and

representing Māori on several cabinet committees.

Minister Turia has dedicated much of her time to achieving improved

health outcomes for Māori. For the greater part of her time in Parliament

she has played a significant role in developing government policies and strategies for improving the

health and wellbeing of whānau Māori, hapu, iwi and communities nationwide. Her role within the

current government builds on her previous work within Māori health in and outside of Parliament.

Key Note Speakers Associate Professor Michael Baker

Dr Michael Baker is an associate professor and public

health physician in the Department of Public Health at the

University of Otago, Wellington. He has a strong interest

in infectious diseases and their determinants, particularly

housing conditions. His work is increasingly focussing on

interventions to prevent infectious diseases and reduce

health inequalities.

Michael is the Director of the Otago University’s Health

Environment & Infection Research Unit (HEIRU), Co-Director of He Kainga Oranga/Housing and Health

Research Programme; Director of Continuing Professional Development for the New Zealand College of

Public Health Medicine (NZCPHM) and Co-Director of the long-running Public Health Summer School.

Health Promotion Forum

Symposium 2012 5 & 6 July

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Assoc Prof Rhema Vaithianathan Rhema Vaithianathan is an Associate Professor in

Economics and Director of the Centre for Applied

Research in Economics at the University of Auckland. She

has published extensively in health economics in journals

such as the BMJ and Journal of Health Economics. She was

a 2007 Harkness Fellow at Harvard Medical School.

Rhema is a passionate advocate of researchers working

closely with end-users to translate research into

actionable change that has real impact in the sector.

Dr Clair Mills Clair is a public health physician from Te Tai Tokerau. She

has a background in primary care, medical humanitarian

work internationally, and public health in Aotearoa New

Zealand. She is currently working as a senior lecturer

part-time at Te Kupenga Hauora Maori (Faculty of Medical

and Health Sciences, University of Auckland), and as a

Medical Officer of Health in Te Tai Tokerau. She has a

passion for improving child health outcomes and health

equity, here and internationally. She maintains ongoing

interest and connections with international humanitarian

issues through her membership of the International Board of Medecins Sans Frontieres (Doctors

without Borders).

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Symposium 2012 5 & 6 July

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Workshops Presenters Four workshops will run concurrently on both days of the Symposium. At registration participants will

be assigned to one of four groups. Each group will attend two of the workshops each day.

Workshop 1: Why do our children suffer? Dr Nikki Turner, GP Wellington, and Director Conectus and

IMAC, University of Auckland

A workshop to present and discuss the issues behind high rates of

infectious disease in NZ Children.

Abstract: NZ has a very poor record on child health outcomes. In

particular we have high rates of childhood infectious diseases such as

respiratory and skin infections. Furthermore these illnesses are not

fairly distributed, but particularly affect children from lower

socioeconomic environments , even more so for Maori and Pasifica

children.

This workshop with initially present the background issues for our

children and the challenges. We will then use case scenarios starting from the child and whanau

perspective to identify the multifactorial reasons as to why they are likely to catch infectious diseases

and to be more severely affected by them. The recent story showing improving immunisation coverage

and closing equity gaps in most areas will also be presented to highlight some of the enablers to

improvement.

Discussion will then focus on how can we as health professionals from many different walks of life

respond to the challenge and support our children.

Workshop 2: You First- Tuakiri O Te Tangata Rodger Māngai, Te Arawa, (Ngāti Kahungunu Wairarapa), Ngā

Hapu: Kati Moki, Irakehu me Wahakai ki Otautahi O

Waipounamu, Mental Health Promoter for Public Health South

Southern District Health Board.

Abstract: The overall health status of shearing contractors and

their staff is poor in relation to other population groups. This is not

only detrimental to their own well-being but has negative health,

social and economic impacts on all New Zealanders. Shearing and

shearing related industry is a traditional vocational activity for Māori.

Māori as a subset grouping within the industry experience further

disadvantage and disparity in relation to health outcomes.

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Symposium 2012 5 & 6 July

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To improve overall well being it is essential that appropiate health promotion services and

interventions engage with the shearing community in an appropriate and effective way- this is nominal.

One initiative which can address health concerns and have a direct impact in epidemics, economics and

equity is a kaupapa Māori Taonga named Tuakiri O Te Tangata. This initiative is a first for health

promotion both nationally and internationally and is based in part on previous research conducted

within a corrections environment. The programme aims to empower an individual to develop and

improve their own health, utilising a Māori cultural context and framework.

This workshop will assist participants to gain an understanding of the kaupapa and provide an

opportunity to think about self application of the programme in their everyday work. Tuakiri O Te

Tangata premises that every health promoter can make a difference in advancing health gains for Māori.

Workshop 3: From Evidence to Action: Reducing

health inequalities through partnership,

integration and collaboration. The presenting team has been involved in the Wellington sub-

regional Keeping Well - Healthy Skin in Greater Wellington

project over 2011/12. They include: Elaine Ete-Rasch: Public

Health Nurse, Hutt Valley DHB; Maureen Stringer: Outreach

Nurse Team Leader, Care Plus Manager Valley PHO; Theresa

Fowler: Nurse Consultant Primary and Community, Hutt Valley

DHB; Vicky Noble: Director of Nursing Primary Health Care and

Integrated Care, Capital and Coast DHB; Debbie Rickard: Child

Health Nurse Practitioner, Capital and Coast DHB.

Abstract: Current New Zealand health infrastructures offer

significant opportunities for partnership and collaborative approaches to improving population health

and wellbeing and reducing inequalities.

Keeping Well is the population health strategy for the Wellington sub-region. It was developed in

2008 after extensive consultation with a number of stakeholders. The aim of the strategy is to lift

population health by improving the performance of the population health sector with a particular

focus on Maori and Pacific wellbeing. The strategy also proposed a way for population health

providers to work in partnership to reduce duplication and increase efficiency. A Whanau Ora

approach has been adopted to provide joined up solutions for joined up issues.

Keeping Well adopted a focus on child health. Key stakeholders identified reducing the incidence and

impact of serious skin infections as a priority. In May 2011, Keeping Well facilitated an inter-

disciplinary hui of people in the health sector known to be interested in reducing serious skin infection

Health Promotion Forum

Symposium 2012 5 & 6 July

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for children. The Healthy Skin in Greater Wellington (HSGW) was formed and a roadmap framework

which identified ten priority actions was developed.

One of the key areas identified in the roadmap was “common messages, guidelines and protocols”. A

sub-group was formed to progress this work which included the development of tools, protocols and

resources for the region’s health care providers.

This presentation focuses on the process of collaboration and development of partnerships amongst

multiple stakeholders. It highlights the importance of partnership, integration, collaboration and that

with shared commitment between the stakeholders, pathways to success can be created.

Whilst the collaborative group is at the beginning stages of implementation of the protocols, some of the

members will take the opportunity to present the visual tool that has been specifically developed for

health professionals identifying common messages, prevention and management of skin infections. We

will also make links to other complementary work occurring, and outline the future focus for this work.

Workshop 4: Resiliency in the playground- A

Christchurch Story Adrian Te Patu, Tangiweto Consultants (provides tutoring,

training and advice in health promotion and indigenous health).

Abstract: The unofficial, non-academically robust, mildly

interesting yet terribly informative workshop about resilience issues

in Christchurch schools post-quake. Presented by a middle aged Maori

health promoter and elected Community Board member of the

Christchurch City Council who played rugby for the 1967 Tawhero

School 5th grade rugby team.

There are few folk in NZ that haven’t been effected by the

Christchurch quakes: either as a family member, close friend,

colleague or indeed as a survivor. Christchurch folk are easy to spot anywhere in NZ, especially when

startled as a truck passes or the anxious pensive stare as low level noise or an unexplained rumble

happens. Or maybe the discerning eye cast when entering a building, their requisite to have the cell

phone charged up and the need to know the whereabouts of all family members at all times.

If that is what the grownups look like, how are our children holding up in the school place. This

workshop will discuss issues raised in interviews and discussions had with the staff and others who

work in our schools.

Health Promotion Forum

Symposium 2012 5 & 6 July

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Master of Ceremonies

Tavita Ngata

Te Aute College old boy, Tavita was born in the tiny East Coast

town of Te Puia Springs. With Samoan ancestry, Tavita was raised

in Te Araroa by his grandparents Renata & Ngawini Ngata.

Mentored by Renata and his great grandfather Te Moana Ngata,

Tavita learnt that through hard work and education all things were

possible. It became evident that he would also follow the path laid

by Apirana’s mentor Rapata Wahawaha and serve his community.

Tavita is known for his work with elite sports as a neuro-linguistic mind coach, mentor and trainer to

Super XV Rugby, Olympic Track and Field and Shearing Sports NZ. He has also been an ambassador for

SADD and CAYAD, with a passion for supporting youth through drug and alcohol education and

pathways for education.

Tavita is based in Taranaki with partner Jillian and their three children. In his spare time, Tavita works

with the Taranaki Rugby Football Union, Player Development Manager for the NP Old Boys Rugby Club,

and also serves as Trustee for the Taranaki Pasifika Services Trust and NP District Council Disabilities

Issues Committee.

Dinner Entertainer Peta Turua Peta has been singing to live audiences since she was 13 years old. She is

currently working on a new solo debut album and identifies with a wide range

of musical influences from Beethoven to Lauren Hill. As a uniquely talented

musical artist she writes about what she sees, hears, feels and imagines.

Although drawn to music across genres she particularly loves to sing jazz

ballads. Peta will be accompanied by her husband, guitarist and musician Ben.

For a preview of Peta’s extraordinary aptitude in music see her on YouTube.

About the Symposium logo:

The imagery depicts a silhouette of 2 people engaged in a hongi. This symbolises

the coming together of people, professionals and individuals, and signifies the

beginning of a journey. The text within the imagery describes the multiple issues,

opportunities and obstacles that influence the outcome of the journey. This

Symposium looks into the interrelationship between economics and epidemics

and the aspiration to increase equity in health. In doing so we explore the terrain

and determine how, together, we can traverse the pathway ahead.