News

A massive ‘shout-out’ to everyone who rolled up their sleeves to get vaccinated on Super Saturday which smashed vaccination records!

Aotearoa set a new record for daily Covid-19 vaccinations, with 130,002 doses administered. Auckland had its biggest ever vaccination day, and it was also the biggest day so far for Māori vaccinations. The Pasifika community also turned out in great numbers. 

“Super Saturday has been a shot in the arm for the final stage of our Covid-19 vaccination programme and we now need to finish the job to protect all New Zealanders from the virus,” said Director-General of Health Dr Ashley Bloomfield. “I want to give a huge thanks to every eligible New Zealander who stepped up … as well as to the hundreds of health providers, businesses, workplaces and community organisations who’ve pulled out all the stops as part of the nationwide push for vaccination.” 

Auckland now has 89% of its eligible people vaccinated with at least 1 dose. For more info and stats click HERE.

Building on the massive success of Super Saturday the Tongan community is delighted to announce that a repeat of the successful Malu’i Ma’a Tonga – Get Protected for Tonga mass vaccination drive-thru will be held from Oct 21-23. (See poster)

Once again, this special pop-up is a collaborative effort involving Pacific health providers – The Fono and Tonga Health Society, the Tongan Inter-Faith Network of Aotearoa, community leaders, and NHRCC.

Nearly 4000 jabs were delivered at the September drive-thru, and more than 90% were first doses. With young people most affected in the current Delta outbreak, it was fantastic to see 59% of jabs go to under 35s. Participants in September’s event are now due their second doses. And that’s a key focus of this week’s pop-up. However, anyone who hasn’t had the time or opportunity to get their first jab is also encouraged to come along.

‘You can expect a Tongan village-style atmosphere,’ says Sione Tuitahi from the Tongan Inter-Faith Network and Executive Director of HPF. ‘So, come home, celebrate our Tongan culture, and keep everyone safe by getting vaccinated.’

According to Dr Glenn Doherty, CEO of the Tongan Health Society, Pacific vaccination rates have improved across the country and within specific communities.

Super Saturday was a vital shot in the arm for the Pacific Island vaccination drive. But there’s still plenty of work to be done, he says.

The Tongan community is currently lagging behind other Pacific Island groups in vaccine uptake.

Tevita Funaki, CEO of The Fono, agrees that sustained effort is needed.

‘The Tonganpeople-for-Tongan-people approach is a proven model for reaching our communities,’ says Mr Funaki. ‘We hope this repeat pop-up will be just as successful with even more jabs administered. We have to keep the momentum going.

Mr Funaki says the community partnership model behind the drive-thru is a great way to reach young Tongans who, for a variety of complex reasons, haven’t yet had their first dose.

He has a simple message for South Auckland’s Tongan and Pacific communities: ‘Get protected. Do it for you, your whānau and the wider community.’

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News

This week we’re celebrating Faahi Tapu he Vagahau Niue / Niue Language Week.

This year’s theme, Kia tupuolaola e moui he Tagata Niue, reminds us of the importance of our Pacific languages and cultures and how they contribute to spiritual, emotional, physical and social wellness for prosperity and wealth in the home, community and nation.

“When we look at the challenges our people have faced due to the impact of the global pandemic it can be completely overwhelming,” said the Minister for Pacific Peoples, Aupito William Sio while launching the week.”

“However, if we turn to what’s constant in our lives which for Pacific peoples is our spirituality and faith, our extended families and collective values, our language and culture the unknown doesn’t seem so daunting after all.”

Mr Sio said it was vital that families continue to develop and grow and embrace opportunities and set goals so they may move forward, despite the challenges and distractions of life.

He said this was made possible by using a cultural lens and holistic approach and solving complex challenges, and by seeking the wisdom and experiences captured in stories of proud and brave people with strong physical, emotional and physical and social connectiveness to their ancestors our families.

Niue Language Week is the second to last of the 2021 Pacific Language Weeks series and activities and events will be delivered online due to recent Covid-19 restrictions.

The number of people in New Zealand, who identify as Niuean is 30,867, according to the 2018 Census, with the population increasing steadily over the past two decades.

“We are inspired by Niue achieving 97% vaccination of its eligible population. Following the leadership of our families and friends in Niue, I encourage the Niueans of Aotearoa to take up your Covid-19 vaccination. Do it to keep yourselves, your families and communities safe,” added Mr Sio.

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Environment, News

“While we should continue to focus on addressing Covid-19 in Aotearoa New Zealand, we need to also continue addressing the health of the planet, the underlying cause of pandemics such as Covid-19,” says Sione Tu’itahi, HPF’s Executive Director.

 

Mr Tu’itahi made the comment after participating at the launch of the São Paulo Declaration on Planetary Health today.

 

The Health Promotion Forum of NZ along with more than 250 organisations from 47 countries representing more than 19 sectors across society is a signatory to the Declaration.

 

Launched by the Planetary Health Alliance and the University of São Paulo the Declaration was developed by the global planetary health community with support from the United Nations Development Programme.

 

The Declaration states that humans must make transformational shifts now in how we live in order to optimize the health and wellbeing of all people and the planet we depend on. It also guides people across society with suggested concrete actions that support a more just and regenerative post-pandemic world. 

 

“The Sao Paulo Declaration on Planetary Health is a global effort of the planetary health community, calling on all of humanity to collaborate and elevate its consciousness towards a more equitable and resilient post-pandemic world,” says Mr Tu’itahi.

 

“We made a similar call at the 2019 IUHPE World Conference on Health Promotion in Rotorua. Unity of thought and action is key. We must work together as one human family at the local and global level.(See the Legacy Documents from IUHPE2019)

 

“And we will continue the dialogue at the IUHPE2022 Conference in Montreal, May 2022,” adds Mr Tu’itahi.

 

“The urgency of this moment is hard to overstate,” says Sam Myers, director of the Planetary Health Alliance, principal research scientist in environmental health at Harvard T.H. Chan School of Public Health, and lead author of The Lancet letter.

 

“Planetary health science convincingly demonstrates that the ongoing degradation of our planet’s natural systems is a clear and present danger to the health of all people everywhere.”


According to the Lancet on our current trajectory, we can no longer safeguard human health and wellbeing. “The Covid-19 pandemic is a turning point within each of our lifetimes and must serve as a moment of transition for humanity. To protect human health and all of life on Earth, we will need to, and can, effect urgent, deep, structural changes in how we live. This great transition demands a rapid shift in how we produce and consume food, energy, and manufactured goods; requires rethinking the way we design and live in the world’s cities; and insists we heal our relationship with nature and to each other. Such a paradigm shift requires participation of every sector, every community, and every individual.”

What is planetary health?

Planetary health is a solutions-oriented, transdisciplinary field and social movement focused on analyzing and addressing the impacts of human disruptions to Earth’s natural systems on human health and all life on Earth. The field was initially launched with the release of the Rockefeller-Lancet Commission report “Safeguarding Human Health in the Anthropocene.


Subsequently, the Rockefeller Foundation, and then the Wellcome Trust, provided core support for the Planetary Health Alliance (PHA) to foster the field and community.

Click HERE for the full list of signatories and to add your voice.

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News

The environmental crisis, the economic crisis and pandemics such as Covid-19 are global challenges that impact on human wellbeing, and our understanding of health promotion.


The implications of these challenges to our current understanding and application of health promotion in Aotearoa New Zealand will be explored by a panel of speakers at our webishop next month (see poster).

Register HERE.


The panel will also explore some pathways into the future, and will discuss with participants the following questions:


How can we elevate our consciousness of health promotion to include the health of our planet?

How can we broaden our understanding of health promotion to include Indigenous approaches to global environmental crises?

What practical solutions can health promoters adopt as they work within institutions and engage with families and communities to address the environmental crises at local level?


The panel includes: Dr Viliami Tutone, a renal physician at Middlemore Hospital, Auckland, who applies health promotion approaches to his community development work Aotearoa, and his professional interest in planetary health; Dr Rachel Kumar Director, Health Promotion at the School of Population Health, University of Auckland and Sione Tu’itahi, Executive Director of HPF, a member of the Global Executive Board of IUHPE and Co-Chair of the IUHPE Global Working Group on Waiora Planetary Health and Human Wellbeing. 


Email emma@hauora.co.nz for more info.


More about the speakers: 

Dr Viliami Tutone

Viliami is a renal physician at Middlemore Hospital, Auckland, who applies health promotion approaches to his community development work in New Zealand, and his professional interest in planetary health. He is a member of the Global Working Group on Waiora Planetary Health and Human Wellbeing, of the International Union for Health Promotion and Education (IUHPE).

Sione Tu’itahi

Sione the Executive Director of HPF and is a member of the Global Executive Board of IUHPE. He is also the Co-Chair of the IUHPE Global Working Group on Waiora Planetary Health and Human Wellbeing


Rachel Simon Kumar

Rachel’s  research background is in gender, race/ethnicity and diversity, policy studies and health with particular focus on New Zealand’s ethnic and migrant communities, and women in the global south. She has previously taught at the University of Waikato, Victoria University of Wellington. Her current roles include Director, Health Promotion at the School of Population Health Auckland Uni, and co-Director, Centre for Asian and Ethnic Minority Health Research and Evaluation (CAHRE) at the Faculty of Medical and Health Sciences. 

Registration costs:

  • $29.00 incl GST Members. Check if you are a member HERE.

$49.00 incl GST Non-members. View membership application

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News

Bula Vinaka!! This week we’re celebrating Macawa ni Vosa Vakaviti – Language Week – and reflect on the theme Noqu Vosa, Ai Vakadei ni Noqu Tiko Vinaka, my language provides stability to my wellbeing.

The Minister for Pacific Peoples Aupito Sio said while launching the week on Sunday October 3 that the theme embraced the central theme for the Pacific Language Week series this year which was wellbeing.

“This theme is a bold statement about how our mother tongue must provide the foundation for which our cultural, traditions and our faith can rest. Because when we have our language we have our story, when we have our story, we know where we have been and where we are going,” said Mr Sio.

Mr Sio said the theme also reminds us that as well as the importance of our physical health, the other aspects that make up our overall wellbeing are vital.

The recent Covid-19 outbreak, he added has made this holistic view of wellbeing even more important.

“We all love to take part in these events in person, unfortunately that’s not possible while we’re still doing everything, we can to keep our communities safe.

“The Ministry of Pacific Peoples is ensuring its online programmes provide plenty of opportunity for people from all walks of life to bask in the beauty of ni vosa vakaviti and Fijian culture and heritage.”

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News

HPF’s Executive Director Sione Tu’itahi is planning to participate at the May 2022 world health promotion conference, in Montreal, for professional and personal reasons, despite the challenges of Covid-19.

 “To address the global challenges of Covid, environmental crisis, social and economic crisis, we health promoters need to always spare a space to strategise,” says Sione, who chaired the 23rd IUHPE World Health Promotion Conference in Rotorua in 2019.

 

The conference says Sione was a platform for launching indigenous knowledge and rights of indigenous peoples.

“A few weeks before our 2019 conference there was a ‘lone wolf’ terrorist attack. Our nation was in mourning with those most affected, but we knew our conference must go on. And so, we did successfully, focusing on planetary health and sustainable development for all. Among other achievements, we produced the two Legacy Statements on Planetary health and Indigenous Peoples. 


“We need to follow up that process and maintain the momentum. We now have the approval from IUHPE for a National Accreditation Organisation. We now have a seat around the IUHPE global table and actively participate in decision-making. Let’s keep moving!”


HPF is encouraging health promoters from around Aotearoa to bring their knowledge, insights, work, and experiences concerning health promotion issues to the table and send an abstract in by the new extended deadline of October 4. You still have time!

 

“We now have Covid-19, but it it serves as another crucial and urgent reason why we must meet face-face and/or virtually to see how our world health promotion community can contribute lasting solutions to this convergence of these inter-connected social, political, commercial and environmental determinants of the health of our only home, planet Earth,” says Sione.

 

And it’s not business only for Sione and his wife, Tupou, who first visited Montreal to attend an IUHPE Global Board meeting in December 2018. 

 

“Montreal is intellectually and spiritually significant to us. A leader of our Faith, ‘Abdu’l-Baha,  visited Montreal some 110 years ago, talking about social justice, the unity of races, the oneness of humanity, and the need for the world to collaborate for its own wellbeing, because the world is but one country and we humans are its citizens.   His mind and heart were ahead of his time.


So visiting Montreal for the conference will enrich both our minds and hearts.

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News

You can now learn about the principles, concepts, and practice of health promotion from wherever you are in Aotearoa.

For the first time the Certificate of Achievement in Introducing Health Promotion (CoA), jointly offered by HPF and Manukau Institute of Technology, will be brought to you ONLINE!!

The decision to develop an online version of the course was prompted by the restrictions of Covid lockdowns and the need for an alternative to the face-to-face course currently on offer.


Register HERE and secure your space for the course which is scheduled to commence on October 13.


HPF’s Māori Health Promotion Strategist Mereana Te Pere says offering an online learning option means that HPF can reach future health promotion leaders from all parts of Aotearoa.


“There are many people who want to get back into the swing of learning, update their knowledge and sharpen their health promotion skill set, but can’t get to a main centre to attend classes. The introduction of a virtual classroom means that distance is no longer a barrier. We are excited to be able to serve our community by providing an online learning platform. We look forward to meeting you soon.”


At the course you will:

  • Learn the most current and best treaty-based practices in your role as a health promoter
  • Build stronger knowledge of indigenous models and how to embed them into practice
  • Learn about the determinants of health, including education, housing, policy development and racism and how they influence the health sector
  • Discover how to create and develop effective health-prevention strategies
  • Establish more networks in the health industry

 

Gain new pathways into higher studies and register now!

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News
This week we encourage you to join over 13,000 people, organisations, schools and kura who are taking part in wellbeing activities to mark Mental Health Awareness Week (MHAW) and its theme – ‘take time to kōrero’. Now more than ever, as we adapt to changing alert levels, it’s important to connect with others and create space for conversations about mental health and wellbeing. “All New Zealanders have had a tough couple of months going through lockdowns to fight the spread of Covid-19” says Shaun Robinson, chief executive of the MHF. “Aucklanders in particular have borne the brunt of an extended lockdown period. It’s only inevitable that frustration is setting in as we move in and out of different levels of contact. It’s so helpful to connect with others, have a kōrero and a laugh … within your whānau bubble or via technology. It’s the little things that we do to support each other that can make a big difference in our lives!” Health Minister Andrew Little thinks the theme of this week “is great. You never know when someone, who is feeling vulnerable, stops to talk, just how much of a difference that can make”. It’s not too late to get involved in MHAW. The MHAW 2021 Guide provides day-by-day activities that can be done at school, work or home, inspired by Te Whare Tapa Whā and the Five Ways to Wellbeing, which are simple strategies proven to boost wellbeing. There are plenty more resources available to download from the MHF website, aimed at both tamariki and adults, to help everyone get involved whatever alert level they’re in. For the competitive among us, the social media-based MHAW Challenge kicks off on Monday 27 September – each week day there will be a daily challenge designed to get people having a kōrero in a different way, with awesome prizes up for grabs.
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News

HPF’s Executive Director, Sione Tu’itahi co-led a community initiative that resulted in almost 4000 Tongans vaccinated over three days in Mangere, South Auckland last week.

 

“Our Tongan community tapped into its own wisdom and capacity and the results were amazing,” Sione said. “Reciprocity and collaborating with love and unity to serve our collective wellbeing were some of the crucial elements that enabled us to achieve the task.”

 

The Tongan Interfaith Leadership network, cooperated with two Tongan/Pacific health providers – Tongan Health and Society and The Fono – and other community groups, along with Tongan medical and health professionals, and mobilised the community to work together.

 

“Lots of great learning that can be replicated with some adaptations to other contexts and groups, said Sione who was the chair of the working committee for the Malu’I Ma’a Tonga (MMT) vaccination campaign.

 

A Tongan church site was converted into a “Tongan village” with the culturally appropriate environment with an all-Tongan professional and cultural workforce, welcoming and serving their community.


(Banner photo: Sione with the CEO of The Fono Tevita Funaki and the Rev Tevita Finau, Chair of Tongan Interfaith Leadership Network)

 

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News

Kia Ora and Kia Kaha te Reo Māori! Today marks the beginning of Māori Language Week/Te Wiki o Te Reo Māori 2021, a week in which we embrace and celebrate the Māori language and culture!

The theme this year is Kia Kaha te Reo Māori – Let’s make the Māori language strong and tomorrow (Tuesday, 14 September), you can help to set the world record for people speaking and celebrating an Indigenous language at the same time.

At 12pm all of Aotearoa New Zealand is invited to stop and take a moment for te reo Māori and your moment can be as simple or as hard as you want it to be. You can do it on your own, or with your flatmates, workmates or whānau! Sing a song, get everyone together to learn their mihi, or even use Māori sign-offs in the office for the day. Whatever you do, it counts.

“While some New Zealanders remain bitterly opposed to change, the reality is they are a minority that is growing smaller by the day,” said Māori Language Commissioner, Professor Rawinia Higgins.

Take part and be a part of history!

This year marks 49 years since the Māori Language petition calling for te reo to be taught in our schools was presented to parliament. 

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News

The recent approval of the Health Promotion Forum of New Zealand (HPF) as a National Accreditation Organisation for Aotearoa New Zealand is a significant development for health promotion in this country.

A special feature of the approval from the International Union for Health Promotion and Education (IUHPE) is that we are the first country to have our Indigenous knowledge acknowledged and included under the IUHPE accreditation system.

Hauora asked HPF’s Executive Director Sione Tu’itahi about the process involved in applying for approval, the significance of having our Indigenous knowledge included under the system and why the accreditation process is so important for health promoters in NZ.

Mr Tu’itahi also discusses how long it will take to put the proper structures and processes in place before a starting date can be confirmed for the assessment and registration of health promoters.

HAUORA: What does this mean for Aotearoa New Zealand?

SIONE: This approval is based on the 2012 New Zealand Health Promotion Competencies and Standards that includes Te Tiriti O Waitangi and the socio-economic and political context of New Zealand as integral components.

This is a world-first, and IUHPE is keen to learn from it for the sake of other Indigenous peoples. IUHPE is a global professional non-governmental organisation dedicated to health promotion around the world for 70 years. HPF has been a member for almost 20 years.

In 2016 IUHPE elevated its accreditation framework to be a one global system for all health promoters and educational providers across the world.

While effective in addressing the determinants of health, and while present in most cultures, health promotion is a relatively recent development as an academic field and professional practice. 

Therefore, it is not regulated nor formally recognised. The IUHPE accreditation framework gives formal recognition to health promoters through an assessment process to ensure their competencies are current and of consistent, quality standard.  It also gives formal recognition to health promotion qualifications. 

The system is voluntary at this stage, but it is a great step in the right direction. In future, it is envisaged that health promoters can travel and work in countries where the system is established.

HAUORA: Can you please explain how the NAOs operate?

SIONE: National accreditation organisations (NAOs) administer the accreditation process in countries where they are established.

With IUHPE’s approval, HPF as an NAO will do this for New Zealand health promoters. In a globalised society with a very mobile health promotion workforce, it is very timely for NZ health promoters to be part of a global framework that is the only system for the whole world.

Under the same system, and as mentioned earlier, tertiary educational providers that teach health promotion can also have their qualifications formally recognised through a process managed by the IUHPE Global Accreditation Organisation (GAO).

GAO is the international body established by IUHPE to administer the whole accreditation framework, including approving, and guiding the establishment and operation of NAOs.

HAUORA: Why is this accreditation important for New Zealand health promoters?

SIONE: Currently in New Zealand, anyone can enter and practise health promotion. While this practice enhances the wide range of expertise required in health promotion – from policy and leadership to programme planning and community development, we need to ensure that health promoters are properly equipped with the right competencies – their knowledge, skills, and attributes, hence a formal system like the accreditation framework.

Also, we need to ensure that health promoters are systematically supported in their continuing professional development. This is not only for their ongoing advancement, but more importantly, for the wellbeing and safety of the people and communities they work with.

Of greater significance for New Zealand, IUHPE has accepted that components that are unique to our context and needs, such as Te Tiriti o Waitangi, our socio-political and cultural context, are a part of our accreditation framework.

We are the first country to have our Indigenous knowledge acknowledged and included under the IUHPE accreditation system. This reflects not only the hard work that HPF and its partners have been doing over the years, but it also affirms the effective contribution of Indigenous knowledge towards health promotion, planetary health, and human wellbeing.

IUHPE is very interested in our work on the accreditation because it can offer lessons on how to incorporate other knowledge systems into the framework, which is based on the Ottawa Charter and the European perspectives of wellbeing and health promotion.

HAUORA: So, when and how can health promoters be assessed and become part of the framework?

SIONE: In the next 12 months, HPF will develop an implementation plan with the proper structures and processes in place for the assessment and registration of health promoters. During the same time, we will promote greater awareness of the accreditation framework before we decide on the starting date of accrediting health promoters. The aim is to prepare health promoters and the health sector for this significant development.

Becoming an NAO is the latest milestone in our systematic and collaborative effort to broaden the dimensions of health promotion and advance its ongoing development for our country and the world.

(Banner picture, from left, Sione Tu’itahi with fellow newly elected members of IUHPE’s Executive Board at the global world health promotion conference in Rotorua, 2019) 

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News, Uncategorized

Jenn Lawless brings a wealth of experience, including a strong background in Parliament, union advocacy, communications and campaigns, and public health to her new role as the first Chief Executive of the Health Coalition of Aotearoa.

 

Hauora recently caught up with Jenn, who joined the Coalition in May 2021, to see how she is settling into the role and about some of the main activities that the Coalition is currently involved in.

 

We also gained an insight into Jenn’s earlier years – what life was like growing up in a rural setting at Te Uku on Raglan Harbour and how this instilled in her a healthy respect for the environment.

 

Jenn also shares about how she ‘fell’ into politics and what she learned from her time in parliament, as well as how her ‘passion for public health’ developed.

HAUORA: We’d love to know a bit more about you. You live in Wellington but you’re originally from the Waikato Region where you grew up in a rural setting at Te Uku on Raglan Harbour. Can you tell us a bit about what life was like growing up in rural Aotearoa and what values were instilled in you as a result of your upbringing?

 

JENN: The natural environment I grew up in was very idyllic, and I had no idea at the time how lucky we were – there was a beautiful tidal estuary, and I learnt to ride, kayak, fish, care for animals and helped my father restore a small patch of native bush. We saw the changes in the biodiversity of that awa as local dairy conversions happened, with the river silting up and whitebait stocks and other fish declining. It was much later I realised this was an ongoing process of colonisation which disrespected the environment and original kaitiaki of that land. At an early age I had a sense that increasingly intensive extractive agriculture was putting profit over the health and sustainable systems of the natural world.

 

 

HAUORA: You’ve had a fair bit of involvement in politics, including working in parliament. What drove your interest in politics? what did you take away from that?

 

JENN: At the time, I felt like I fell into politics. My friend enrolled me in a political science course, and one of the assignments was to sit in the gallery. I was appalled at the quality of most of the behaviour and debate! And it made me angry that the people making the decisions didn’t seem to be the people affected by those decisions, or to understand the implications of them. Or even worse, perhaps not to care.

 

I ended up working in four parliamentary roles, including the Select Committee Office, an internship in the Government Whip’s office, and Parliamentary Service for the MPs Martin Gallagher, Labour MP for Hamilton West and then Kevin Hague, Health Spokesperson for the Greens. The latter was for nearly seven years.

On reflection, everyone’s view of society is driven by their lived experience. I was at the pointy end of the State as a young person with few resources. I saw the gap between my experiences and those of my peers, and a lack of understanding of different lives. My time in parliament showed me the many invisible, deliberate filters which reinforce existing privileges – those that get to make the decisions versus those that decisions are ‘done’ to. The lesson I learned is that community organising, empowerment and collective action are the only real ways to make lasting structural change.

 

HAUORA:: You also have a background in communications and campaigns. Can you please tell us a bit more about this, and how and when you became so passionate about health equity, health policy, and public health in particular?  

 

JENN: At university I did media studies, which I saw as an essential adjunct to political science in a mediated democracy. Most people don’t directly know those making decisions on their behalf, so rely on the media to decide whether leadership is ‘good’, and which issues are important. My most recent work was as a campaign adviser in the union movement – focusing on empowering working people to speak up and tell their own stories.

As a health consumer, in particular a young woman, I saw there was a power imbalance between my health literacy and decisions made on my behalf by clinicians. I was being put through processes and systems I didn’t understand how to navigate. My boss at the time encouraged me to study public health to better understand the policy work we were undertaking. This is when I realised health inequities are systemic and preventable – not just about individual knowledge or behaviour.

 

My passion for public health is that it fundamentally measures whether society fairly values all people. Does everyone have equal access to a long and healthy life? And if not, why, and how can we fix that?

 

HAUORA: It just seems like yesterday that we were congratulating you on your appointment to the Coalition, but you’ve now been there for more than three months. How have you settled in, and what were some of your main responsibilities/tasks as the ‘first’ Executive Director of the Coalition?

 

JENN: There’s a lot of work to be done! In the first few months I’ve spent time meeting some of our organisational members, expert panels, and Board members of course, and focusing on the internal policies and systems of the Coalition. We are quite a large organisation for our relatively small resources, so there are still many organisational and individual members I’m looking forward to meeting. I’m having many discussions with subject-matter experts around our core policy work and priority objectives for tackling preventable health loss.

HAUORA: Can you give us an update on the progress being made on of some of the activities the Coalition has recently been involved in, including the development of positive coordinated responses to the proposed new tobacco control measures and health sector reform, as well as coordinating efforts to respond to the new revamp of food regulations.

 

JENN: The Coalition’s Smokefree  Expert Panel put in a consensus submission fully endorsing the Government’s recent Smokefree 2025 proposals, which you can read more about here. We are looking forward to these proposals being enacted in the near future, and to provide expert input into the health evidence. We stand ready to support the proposals with domestic and international expertise throughout the policy development and implementation process.

 

Our Food Policy Expert Panel undertook a lot of work recently to put in a response to the update of the food regulations which are jointly held between Australia and New Zealand. This is quite a complicated process and system, which has big implications for public health. That’s why we issued a joint statement of health promoting organisations here and across the ditch, outlining concerns.

 

For those interested in the Food Policy Expert Panel’s full (42 page!) response from a New Zealand perspective, you can read more here.

 

HAUORA: What are some other main activities the Coalition will be focusing on in the near future and can we expect any new developments?

 

JENN: The Coalition has a formal working relationship with the Helen Clark Foundation and the MAS Foundation, funding Helen Clark Foundation Health Equity Fellow Matt Shand. Matt has been investigating the cost of alcohol harm in the community, using novel data from ACC. We are supportive of the Minister of Justice’s recent comments that the Sale and Supply of Liquor Act will be up for review, and our Roopuu Waipiro (Alcohol Expert Panel) looks forward to contributing their expertise to that process.

 

On Friday the 1st of October, the Coalition is holding its AGM from 10.30am – 12pm online. It’s open to all HCA members and is free.

 

You may also choose to donate after joining – as an independent voice on the commercial determinants of health, we are able to undertake our work through private donations.

 

HAUORA: Would you like to add anything?

 

JENN: The global Covid-19 pandemic has been a terrible experience for the mental and physical health of populations globally. But our government’s evidence-based response has given us great hope that this approach can be equally applied to other deadly risks to public health. New Zealand has shown it can lead the world in stamping out infectious disease. Now, let’s do the same to preventable harm from alcohol, tobacco, unhealthy food, and inequities in health outcomes. There’s never been a better time to join us.

 

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News

The re-emergence of Covid-19 in the community and the subsequent lockdowns have again put Kiwis under immense pressure!

Job and financial uncertainties, worries about you or your loved ones catching the virus, children unable to go to school and concerns about the future can lead to overwhelming stress and anxiety.

So, taking extra care of your health and mental wellbeing is crucial and HPF, as does many of our members, provides tools, resources, and information to help you cope and get through these uncertain times.

HPF has developed a handy resource to help build your whanau and family capacity, and maintain your wellbeing. ‘A Health Promotion tool for empowering whanau and families against Covid-19’ is available on our website.

 

We also have some informative webinars, such as ‘Health promoting ways of building family and whanau capacity against Covid-19, and beyond’, ‘Te Whare Tapa Wha, Covid19 and Māori Health Promotion’ (and many more) which can be viewed on our YouTube channel.

 

“Families are a powerful front in defending health challenges and promoting wellbeing,” says HPF Executive Director Sione Tu’itahi. “By staying home and saving lives, families are the first line of defence at the community level.

 

“Our tools focus on building family skills to not only fight against Covid-19, but also to maintain family competence to be in charge of the holistic wellbeing, post-Covid 19,” he added.

 

Many of our members have a website page dedicated to ‘Covid-19. Hapai Te Hauora has a ‘Covid-19 Information Hub’ on its website which includes Covid-19 daily updates, links to booking vaccinations and colourful and descriptive Covid-19 resources.

 

The Mental Health Foundation also has some great wellbeing tips, based on the Five Ways to Wellbeing and Te Whare Tapa Wha.

 

Accessing the correct information about Covid and vaccinations, what you can and can’t do under the alert levels and so on is also vital, especially as a lot of misinformation can be spread on social media.

 

The Asian Network Incorporated provides relevant information, including links to detailed information about living at Alert Level 4 in a number of languages.

 

Te Korowai Hauora o Hauraki has a dedicated Covid-19 page with all the latest updates and information.

The Fono has a slideshow running across its home page with Covid info such as where to get your vaccinations, a phone number to call for support and much more.



(Banner photo by Jacek Pobłocki on Unsplash)

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News

Plans for the 24th International Union for Health Promotion and Education (IUHPE) World Health Promotion Conference in Montreal, Canada from May 15 – 19, 2022 are shaping up with the first in a stellar line-up of speakers announced.

 

They are Professor Cindy Blackstock, a member of Gitxsan First Nation, and Colectivo Las Tesis ′′ (Collective Les Theses), four women who form an artistic, interdisciplinary, and feminist collective in Valparaiso, Chile.

 

Prof Blackstock who is the Executive Director of the First Nations Childhood and Family Support Society of Canada First Nations Child and Family Caring Society of Canada believes that cultural equity is essential to genuine reconciliation.

 

Listed at No. 27 on the 2021 Maclean’s Power List, a ranking of 50 influential Canadians, in January this year Prof Blackstock has over 30 years of experience working in child welfare and Indigenous children’s rights and has published on topics relating to reconciliation, Indigenous theory, First Nations child welfare and human rights. 

 

Collective Les Theses is dedicated to the diffusion of feminist theory through performance, especially through interdisciplinary language that combines performing arts, sound, graphic and textile design, history, and social sciences.

 

The collective is dedicated to disseminating feminist theory through performance; specifically, through an interdisciplinary language that combines the performing arts, sound, graphic and textile design, history, and social sciences. They are also the creators of the performance un violador en tu camino, replicated in more than 50 countries.

 

HPF Executive Director and member of the conference global organising committee, Sione Tu’itahi says it is challenging but rewarding and significant to plan a hybrid conference in this period of global health and environmental challenges.

 

“That is why we are making it a hybrid event- so people can attend in person or participate online.”

 

Registration is available for both in-person and remote participants to benefit fully from the hybrid conference, featuring a dynamic programme in English, French, and Spanish under the conference theme “Promoting policies for health, wellbeing and equity”.

 

The deadline for abstracts is September 17, with abstract acceptances to be sent out in November.

 

Secure your place and register before December to get in before the early bird registrations close.

See the conference website for more information.

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News

Mālō e lelei.  Let’s all stand together as we celebrate @nztongalanguageweek Uike Kātoanga’i ‘o e lea faka-Tonga online this week. That was the message from the Minister for Pacific Peoples, Aupito Sio who, while launching the week, emphasised the need for unity in times of crisis such as Covid-19.

“We need everyone to stand together, so that we’re not only protecting our families but making sure we’re playing our part to protect the rest of Aotearoa …”

Mr Sio said the theme “Fakakoloa ‘o Aotearoa ‘aki ‘a e Ako Lelei”, which means “Enriching Aotearoa with holistic education” was important in times of crisis like this.  

Education was not just about learning in our educational institutions, but equally important at this time, was learning how to keep our families and communities safe, he said.

“I also want to say its important for our young people to learn and be comfortable about learning culture and our language, our customs and traditions, and more importantly  genealogy, and the experiences of the past. Often about learning about our own history, we’re able to make sure we can learn about the mistakes of the past and make sure that’s not repeated ever again.”

Mr Sio took the opportunity to acknowledge the Tongan leadership and the amazing work they have being doing to keep the community safe through the current outbreak.

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News

“When Papatūānuku thrives, we all thrive.” Join us this Conservation Week which runs from Sep 4 – 12 to ponder on this important message. Take a moment for nature, give your mind a break from all the pressures of lockdowns and Covid-19 and boost your health and wellbeing by feeling connected to the world and all its beauty!


It can be as simple as doing some gardening in your backyard, going for a walk, feeding the birds or just listening to their birdsong, which is even more pronounced now that there is less noise and traffic!

We encourage you to enjoy a fresh perspective on nature and also take the time this week to think about ways we can work together to protect our beautiful wildlife and environment, for the sake of future generations.

And remember let’s all ‘stay safe’ while we celebrate Conservation Week!   

Conservation Week has been held annually since 1969 when the New Zealand Scout Association started it. 

No events will be held at Covid-19 Alert Levels 4 or 3. If parts of New Zealand are in Alert Level 2 for Conservation Week, local events will only be run if they can meet all government requirements. Check the events page or with the event host for updates.

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News

How can we as health promoters help to heal the hinengaro and address the mental health challenges of Māori, and promote and protect their wellbeing?

 

What are some of the strategies we can utilise to be effective in tackling these challenges, which during these uncertain and for many, extremely stressful times is even more crucial!


At our next webishop on Sep 23, in support of Mental Health Awareness Week from Sep 27 – Oct 3, our panel of speakers will address these challenges and discuss approaches and strategies we can adopt to promote the mental health and wellbeing of Māori communities.

 

The panel, who have extensive experience in this field, will look at: What cultural and systemic shifts are necessary for positive meaningful outcomes?; What will Māori mental health look like with the implementation of the Māori Health Authority and what are the urgent issues and how should we tackle them as health promoters?

 

Register now for the opportunity to engage in meaningful discussions and get some answers to your questions. Registration costs start from $29. Enquire about memberships.

 

Register HERE

 

For more info email emma@hauora.co.nz

Panel of speakers:

Adrian Te Patu

Aotea, Kurapahupo

Adrian has worked for government departments, crown agencies, community organisation, iwi groups and health providers including DHBs for many decades. He has served as the vice-president of the Public Health Association of New Zealand. He currently represents NZ and the Asia-Pacific region on the governing council of the World Federation of Public Health Associations. Adrian has also served on various boards, including the Health Promotion Forum of New Zealand.

 

Alisha Tamepo-Pehi

Ngāti Porou, Ngā Puhi

Alisha is a health improvement practitioner specialising as a mental health nurse and is part of the Aronui Wellness Team. She has worked within DHBs, PHOs and other organisations. She is now at Turuki Health Care in Mangere, Auckland.

 

Lesley Niania

Ngāti Porou, Whānau ā Apanui

Lesley is a Wairua practitioner and has spent over 25 years working with health providers and Māori to improve the wairua and wellbeing of whānau. She is the facilitator of an online wellbeing and trauma-informed framework/model called Huringa te Hinengaro.

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News

Adjusting to life back in lockdown and staying in our bubbles, can be a stressful, anxious and difficult time for many, so looking after your health and wellbeing is crucial!

The combination of stress and uncertainty can have significant and wide-reaching impacts on our mental wellbeing.

If you or those around you are concerned about how you’re feeling, or your wellbeing, there is a wealth of information and tools available to help you feel mentally well and get through these uncertain times.


A Health Promotion tool for empowering whanau and families against Covid-19
developed by HPF to help build your whanau and family capacity, and maintain your wellbeing, is available on our website

HPF Executive Director Sione Tu’itahi said the challenges that are confronting our global community, whether pandemics, floods or fire, are the same challenges at the family level.

“Collaboration, loving compassion and kindness are crucial to our individual and collective wellbeing,” he said.

The Mental Health Foundation also has some great wellbeing tips, based on the Five Ways to Wellbeing and Te Whare Tapa Wha. 

Other online mental wellbeing tools and resources can be downloaded HERE. 

In the meantime the HPF team is continuing to work from home and we’re just a phone call and email away.

Find the latest Covid-19 updates and info on the Ministry of Health website.  


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News

Do you work with Pacific peoples and communities in New Zealand or other Pacific Island countries? Do you want to enhance your skills and capacity to work with Pacific peoples and communities?

 

Then the University of Otago’s new distance-taught postgraduate paper, ‘Introduction to Pacific Public Health’ is for you!

 

Supported by HPF the course, starting Sep 9, is taught by leading Pacific health practitioner and researcher, HPF’s Pacific Health Promotion Strategist and Research Fellow at the School of Public Health, Otago University, Dr Viliami Puloka.   


Guest lecturers from a range of areas will also feature.

 

The paper will enable you to:

  • – Learn about the factors determining and impacting the health of Pacific peoples, including current topics such as: the Pacific response to Covid-19, the link between infectious and non-communicable diseases, links with climate change and Pacific health.


  • – Apply Pacific health values and practices to improve, promote and protect the health of Pacific peoples.


  • – Understand the epidemiology and sociology of Pacific peoples, their models of health and frameworks for intervention.


  • – Critically reflect on what it means to be Pacific.

 

This paper can be taken as part of our Postgraduate Public Health programme

Or on its own as a Postgraduate Certificate of Proficiency


For more info email: publichealth.uow@otago.ac.nz 

 

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News

What can we as health promoters do to help address the global challenges facing the world today?

 

How can we elevate our consciousness of health promotion to include the health of our common home – planet Earth?

 

These are some of the questions our panel of experts and participants will discuss at our next webishop –  ‘Global challenges and the future of health promotion: What are the implications for Aotearoa New Zealand?’ on August 25 from 11am.

 

The environmental crisis, the economic crisis, pandemics such as Covid-19 are three global challenges that impact on human wellbeing, and our understanding of health promotion.

 

Our panel will explore the implications of these challenges to our current understanding and application of health promotion in Aotearoa. We will also explore some pathways into the future.

 

Other questions to be discussed include: How can we broaden our understanding of health promotion to include Indigenous approaches to global environmental crises and what practical solutions can health promoters adopt as they work within institutions and engage with families and communities to address the environmental crises at a local level?

The webishop will feature Health Promotion Forum of NZ’s Executive Director, Sione Tu’itahi and Middlemore physician Dr Viliami Tutone. (See below) More panelists will be announced shortly on our Facebook page.


Don’t miss out on your chance to join in the discussions and have your say in this important kaupapa and register now HERE.




More about the speakers: 

Dr Viliami Tutone

Viliami is a renal physician at Middlemore Hospital, Auckland, who applies health promotion approaches to his community development work in New Zealand, and his professional interest in planetary health. He is a member of the Global Working Group on Waiora Planetary Health and Human Wellbeing, of the International Union for Health Promotion and Education (IUHPE).

 

Sione Tu’itahi

Sione is the Executive Director of HPF and member of the Global Board of IUHPE. He is also the Co-Chair of the IUHPE Global Working Group on Waiora Planetary Health and Human Wellbeing

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News

Join HPF in marking the International Day of the World’s Indigenous Peoples and help to raise awareness and protect the rights of indigenous peoples around the world!

On this day we also recognise the achievements and contributions of indigenous peoples to improving global challenges such as environmental protection.

This year’s theme is ‘Leaving No One Behind: Indigenous peoples and the call for a new social contract’. According to the UN this means “we must combat the legacy of exclusion and marginalization affecting indigenous peoples — through their meaningful and effective participation and the obtainment of their free, prior and informed consent.

“The COVID-19 pandemic has exposed and exacerbated many existing inequalities, disproportionately affecting populations all over the world … From the perspective of indigenous peoples, the contrast is even starker. In many of our societies, the social contract, at the very least, needs some revision.

“We must demand indigenous peoples’ inclusion, participation and approval in the constitution of a system with social and economic benefits for all.”

Read more HERE.

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News

HPF welcomes the launch by the Human Rights Commission this week of guidelines on the right to decent housing in New Zealand.                                                                                                  

‘The Framework Guidelines on the Right to have a decent home in Aotearoa’ will be used in a national inquiry into housing, a key determinant of health, by the Commission. An announcement on the inquiry structure, composition, terms of reference and timescale will be made public later this year.


Developed in partnership with the National Iwi Chairs Forum with the support of Community Housing Aotearoa the guidelines are built on values such as fairness and manaakitanga (respect), the United Nations ‘decency’ housing principles, successive governments’ international promises, and Te Tiriti o Waitangi.


The Chief Human Rights Commissioner Paul Hunt said for many people, especially young people, the goal of an affordable, healthy, accessible home, has actually become more remote.


“The housing crisis in Aotearoa is also a human rights crisis encompassing homeownership, market renting, state housing and homelessness. It is having a punishing impact especially on the most marginalised in our communities,” said Mr Hunt.

“The right to a decent home, although binding on New Zealand in international law, is almost invisible and unknown in Aotearoa.

“The purpose of the guidelines is to clarify for central and local government, and individuals, communities and iwi, what the right to a decent home means in New Zealand.”

Rahui Papa and Dame Naida Glavish of the National Iwi Chairs Forum said the National Iwi Chairs Forum had a “specific responsibility to ensure the wellbeing and prosperity of whānau, hapū and indeed communities”.

“With this responsibility sits Te Tiriti o Waitangi, which forms the underlying foundations of the relationship we have with the Crown,” they pointed out.

Mr Hunt said the guidelines signalled the different ways the right to a decent home can constructively contribute to a fair and dynamic housing system in Aotearoa New Zealand.

“We must recognise that everyone has the human right to a decent home grounded on Te Tiriti. The guidelines highlight the unique context of Aotearoa, the importance of active and informed citizen participation, and the need for accountability.”

Click here for the guidelines.

Banner photo by Andrew Neel on Unsplash

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News

Kia Orana! This week we invite you to join us in celebrating Cook Island Language Week (Epetoma o te reo Māori Kūki ‘Āirani).

This year’s theme is ‘Ātuitui’ia au ki te Oneone o tōku ‘Ui Tupuna which means, connect me to the soil of my ancestors.

The theme reflects on the journey of Cook Islands peoples in New Zealand, as well as the longing of young Cook Islanders to connect with their language, culture, and identity. Acknowledging that while community elders are fundamental to the teaching and sharing of Cook Islands language, the leadership of young people as the next wave of cultural and language experts is also critical in keeping the connection to their homelands alive.

The theme also reflects on the overarching 2021 Pacific Language Week theme of Wellbeing, by linking the importance of language to overall wellbeing.

The Minister for Pacific Peoples, Hon Aupito William Sio said while launching the week that this theme was especially important as it was chosen by our young people in the Cook Islands community “I’ve always said that young people are the gatekeepers of our collective futures, and investment in them is a step towards a world we want to continue after we’re gone …

“We must proactively nurture the language so our NZ-born Cook Islanders have a sense of their linguistic and cultural heritage all year round. Pacific Weeks are more than about each ethnic group celebrating their language, they’re an opportunity for the rest of the country to appreciate and learn more about their Pacific neighbours.”

Mr Sio said his hope for this week is that NZ joins with the Cook Island community as they take up the young peoples’ call for action to strengthen their connection to their heritage.

Click HERE to see some of the activities and key events for the week.

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News

Ko na mauri! With Kiribati at the frontline of the climate crisis in the South Pacific it is even more vital than ever that we celebrate Kiribati Language Week – Wikin te Taetae ni Kiribati!


The small low-lying Island nation, which is home to around 116,300 people is under threat from rising sea levels, and says the Minister for Pacific Peoples Aupito William Sio language is crucial to keeping its people rooted to their land and tradition in the coming crisis.

“Despite the enormous challenges Kiribati faces as a nation, their language and cultural identity will keep them grounded, and proud of their heritage,” said Mr Sio who launched the week on Sunday.

“This is truly evident in the vibrant Kiribati community living here in Aotearoa, and how they celebrate Kiribati Language Week.”


This year’s theme is Maubonian te teei i nanon te mwenga bon karekean te maiuraoi, te ongotaeka ao te tangira, which means the home is where we nurture our children towards a healthy, responsible, loving, and prosperous future.

The theme acknowledges the important role of the Kiribati mothers, both within their families and the wider community. It also reflects the overarching 2021 Pacific Language Week theme of Wellbeing, by linking the importance of language to overall wellbeing.

In 2020, the Ministry for Pacific Peoples (MPP) launched the first official Kiribati Language Week, as part of the Pacific Language Weeks’ series.

This year, MPP worked alongside the Kiribati Language Week Steering Committee Membership to plan the 2021 Kiribati Language Week and implement the changes to support the Pacific Language Weeks Refresh in 2022.


“This Ministry has been working alongside the Kiribati Language Week Steering Committee Membership to organise events and activities throughout the week, which is based on the theme,” said Mr Sio.

Some activities and key events for Kiribati Language Week will also be available on the official NZ Kiribati Language Week Facebook page so more people can learn, embrace and celebrate Wikin te Taetae ni Kiribati. 

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Environment, News

HPF is encouraging you to join millions of people around the world by taking the Plastic Free July challenge and helping to rid our planet of plastic waste.

The reality of this crisis is confronting! According to the United Nations Environment Programme our planet is ‘drowning in plastic pollution … with 300 million tonnes of plastic waste a year, nearly equivalent to the weight of the entire human populationPlastic waste is now so ubiquitous in the natural environment that scientists have even suggested it could serve as a geological indicator of the Anthropocene era.”

Click here for more eye-opening stats and info!

Here in Aotearoa New Zealanders are tossing out an estimated 159 grams of plastic waste per person, said Environment Minister David Parker, making us some of the highest waste generators in the world.

Mr Parker recently announced that the NZ Government is committed to going plastic-free and will be phasing out problem-plastics and some single-use plastics by July 2025.

“We estimate this new policy will remove more than two billion single-use plastic items from our landfills or environment each year … We’re encouraging businesses and people to find reusable options.”

A recently published UN report has also highlighted that vulnerable communities disproportionately bear the brunt of environmental degradation caused by plastics pollution, and action is urgently needed to address the issue and restore access to human rights, health and wellbeing.

The report, entitled, Neglected: Environmental Justice Impacts of Plastic Pollution, showcases how environmental injustices are linked to plastic production, in areas such as deforestation for road building, the displacement of indigenous peoples to conduct oil drilling, as well as contamination of potable water by fracking operations to extract natural gas, in countries such as the United States and Sudan.

 

SO WHY WAIT! ACT NOW! Using this month as your plastic-free target will give you the impetus to begin your plastic-free journey, rather than putting it off for another time that may keep being postponed. 

TAKE THE CHALLENGE.
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News

Secure your space at the 24th IUHPE World Conference on Health Promotion – IUHPE 2022 in Montréal (Québec) Canada from 15 to 19 May, 2022 and take advantage of the Early Bird deal which ends in December.

You don’t want to miss out on this hybrid conference which will feature keynote speakers, organisations and events from an enormous range of global and local fields. A dynamic programme under the conference theme Promoting policies for health, well-being and equity is being framed and scoped by the Scientific Committees (Canadian and Global).

The conference will provide a unique opportunity to take stock of strategies and actions that can be taken to align policies with health, wellbeing and equity objectives say its co-chairs Carl-Ardy Dubois and Margaret Barry.

It will also help to “reinvigorate all sectors of society and all regions of the world concerned with supporting health and well-being”. 

As a hybrid conference the event will allow activists and practical health promoters from around the world to participate, engage, and shape policy agendas while respecting their carbon footprint.

“This will be an opportunity for researchers, health practitioners and decision-makers, and other sectors critical to population health to exchange knowledge and share experiences on progress and challenges in better aligning policies for the promotion of population health equity and wellbeing,” say the co-chairs.

Registration on the website is available for both in-person and remote participants.

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Maori, News

Matariki: Te Tau Hou Māori is one of our favourite times of the year and a chance for whanau and friends to reflect on the past, celebrate the present and plan for the future.

HPF’s Maori Health Promotion Strategist Mereana Te Pere said it was great to see how Matariki, which is being celebrated nationwide until July 11, had gained recognition over the past few years.

“More people now recognise the mana and significance of the Māori calendar and how we can better harmonise our lives with the rhythm of nature.

“Increasingly we’re learning that Matariki not only acts as a time marker, but also as an icon for Māori pūrakau, atua, and a tool that connects our physical bodies with the spiritual realm and the changing of seasons and elements,” said Mereana.

Mereana said it was thanks to Māori leaders such as Sir Mason Durie and Prof Rangi Mātāmua, that the move to living a life guided by Māori models and the maramataka had grown traction and were now recognised in many fields as beneficial for health and education in Aotearoa.

 

Sir Mason introduced Matariki as a guide for health promotion at the World Conference on Health Promotion in Rotorua in 2019. (PICTURED)

 

“Matariki provides a health promotion agenda for Māori and Indigenous peoples that endorse Indigenous rights, keep our skies clean and fresh, protect our lands, preserve our native forests, enable whānau and families to flourish, support community initiatives, safeguard our rivers and ocean, and restore nature’s balance,” he said.


“The indigenisation of our thinking and systems is shifting and widening the scope of how we can live and tackle challenges,” said Mereana.


CLICK HERE for Matariki celebrations and events.



(Banner photo by Arnaud Mariat on Unsplash)

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News

Do you want to be empowered with new tools for your kete as a health promoter? Do you want to broaden your knowledge of the determinants of health, the Ottawa Charter, Te Tiriti o Waitangi and its relationship to health promotion, and much more!?

 

Then don’t miss out on our next short course commencing in August and register before the end of July to secure your spot. (See poster for dates and contact details.)

 

Students who completed the course last month said they now have a better understanding of health promotion and the relationship of Te Tiriti to health promotion practice.

 

“This course is a foundational tool kit for health promotion practice in Aotearoa,” said Chanelle Hill from the Toi Te Ora Public health Unit for the Bay of Plenty and Lakes District Health Boards.

 

Sharon Malietoa, a health promoter at ScreenSouth Ltd, in Christchurch said prior to the course, she had no idea what health promotion was, let alone how it worked for individuals and communities. “Being able to relate Te Tiriti to health promotion was also ‘rewarding’.

 

“Highly recommended,” said Mahinaarangi Skipper, Iwi Health Promoter at Te Korowai Hauora o Hauraki.

 

REGISTER HERE. 

Read more about the COURSE.

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Competencies, News

A webishop that will help you and your team build your Te Tiriti o Waitangi competencies is now ready to view on our YouTube channel at https://youtu.be/IRy7lkbKqa0

 ‘The Next Steps’ features Trevor Simpson, Chief Maori Advisor, PHARMAC, Dr Heather Came-Friar, Head of Department, Public Health, AUT and Dr Alison Blaiklock former Executive Director of HPF.

Facilitated by HPF’s Executive Director, Sione Tu’itahi this webishop will give you some invaluable advice as to how you can enhance the capacity of your organisation and health promoters on applying Te Tiriti to address the determinants of health for all.

Mr Simpson presents some ideas for people when engaging in this kaupapa, and discusses how important it is to prioritise and demonstrate an authentic commitment to Te Tiriti regardless of what organisation you’re working in.

“Wherever you look now there is a growing expectation that Te Tiriti is something of critical importance …” and each and  of us working in the Government sector needs to be not just cognisant of that but build something into the work we’re doing that reflects that.”

For instance he said PHARMAC had an expectation from the Minister of Health that it would not only uphold Te Tiriti but commit a lot of our work to it. “This is a significant change for PHARMAC … it’s a new thing and for me I think it’s an opportunity to leverage off that.”

Dr Came-Friar stresses the importance of actively making and nurturing relationships in working around Te Tiriti.

“For me as a Treaty partner, I try to be reliable, credible, accountable and engage in reciprocal relationships so there’s give and take rather than take, take, take.” 

Dr Blaiklock gives interesting insight into how HPF was able to in the revision of its constitution ensuring that Te Tiriti was embedded throughout it.

“Having Māori  leadership and advice actively part of decision-making and what we did with resources and in supporting Māori  organisations in terms of prioritising activities attempting to do what would increase equity.”

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News

TALOFA LAVA! We’re celebrating Vaiaso o le Gagana Samoa – Samoa Language Week this week and reflect on how vital language is to the wellbeing of Pacific peoples.

The theme is, Poupou le lotoifale, Ola manuia le anofale, or, in English, Strengthen the posts of your house, for all to thrive.

Minister for Pacific Peoples Aupito William Sio who launched the week at Papatoetoe High School in South Auckland on Sunday said the theme talks about the Samoan fale or house, which can only stand strong when the pillars are sturdy.   

“Like a fale, our individual and collective resilience can be measured by our building posts that keep us grounded through the inevitable ups and downs of everyday life,” said Mr Sio.

“Those posts are our languages, cultures and traditions which are reinforced by our families, schools, and churches.” 

The 2018 Census shows over 60 per cent of Pacific people are born in New Zealand, and Gagana Samoa is the third most-spoken language in New Zealand behind English and te reo Māori. 

Mr Sio said while it’s great many people speak Gagana Samoa, we must actively nurture the language so NZ-born Samoans grow up with a firm understanding of the unique culture and traditions which provide the foundation of who they are. 

“I encourage all New Zealanders to celebrate Samoa Language Week this year by taking the time to support their Samoan neighbours, colleagues and friends to strengthen the posts of their house, or inner-selves, through the celebration of Samoan language and culture.”

 As part of Samoa Language Week 2021 celebrations, Samoan Independence Day commemorations will take place on June 1, at Fale Samoa, Māngere. 

The nominated 2021 Tautai o le Gagana Language Champion Honours event will take place June 5 at 3pm, held at Fale Pasifika, University of Auckland.  

You can keep up to date and take part in online activities HERE
or at the the official Gagana Samoa i Aotearoa Facebook page.


Banner Photo by Ethan Elisara on Unsplash

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News

It’s @WorldSmokefreeDay today, and we urge you if you’re a smoker to stub out the habit and if you’re not, do all you can to encourage, help and support friends and whānau on their quit journey!

The theme is “commit to quit”! It’s all about drawing a line in the sand and committing to yourself, to your hauora, to your whakapapa, to our whenua or to anyone/anything that can and will claim your birthright to fresh air!

We can also play our part by committing to helping achieve the objectives of World Smokefree Day in Aotearoa NZ to:

– Raise awareness and contribute to the achievement of the Smokefree 2025 goal

– Raise awareness of the smokefree kaupapa with the underlying objectives of reducing exposure to second-hand smoke and increasing quit attempts

– Enabling continuity and consistency of messaging and creativity across the country and building on and complementing current work in tobacco control.

Don’t put it off any longer, life’s too short! Start your journey now and let’s work towards smokefree/auahi kore lives for all New Zealanders.

Click here  for more information and resources.

Reminder: The deadline to have you say on proposed actions to achieve the Smokefree 2025 goal, is at 5pm today!!

Banner photo by Marc Najera on Unsplash

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News

HPF congratulates Dame Cindy Kiro on her appointment as Governor-General of Aotearoa New Zealand.

Dame Cindy is the first wahine Māori to hold this role. She was born in Whangārei, Northland, in 1958, and is of Ngāpuhi, Ngāti Hine, Ngāti Kahu and British descent. She also has connections to Te Arawa in the Rotorua region.

At the weekly post-Cabinet media briefing (Banner picture) where Prime Minister Jacinda Ardern made the announcement Dame Cindy said she was “proudly Māori and I’m also part British”.

“So, I bring, with this unique marriage, an understanding of the foundational basis of Te Tiriti o Waitangi and its place in our history.”

She said she accepted the position with a “huge sense of gratitude and humility” and as an opportunity to serve her country.

“It’s a great honour,” she said.

Sione Tu’itahi, HPF’s Executive Director welcomed the appointment saying it was overdue but very confirming that we finally have as Governor General, a Maori woman leader and educator who is also a “champion for social justice, equity, public health and health promotion”.

Mereana Te Pere, Māori Health Promotion Strategist for HPF said this was another positive step forward for the elevation of wāhine Māori as custodians of the people of Aotearoa. “Her immense wisdom will help advance the wellness of Māori and all New Zealanders.”

Ms Ardern said she was delighted Dame Cindy had accepted the role.

“She has a highly distinguished and lengthy career in academic and leadership positions and has made significant contributions across a number of fields and organisations.

“Over many decades, Dame Cindy has demonstrated her passion for the wellbeing of children and young people, as well as education and learning. I know she will bring that same commitment to all New Zealanders as Governor-General,” said Ms Ardern.

“We are privileged to have someone of Dame Cindy’s mana and standing for the role …”

Dame Cindy who was previously the Children’s Commissioner, is currently Chief Executive of the Royal Society – Te Apārangi. Her appointment for a five-year term has been approved by the Queen and she will take up the role in October.

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News

If you’d like to have your say on proposed actions to achieve the Smokefree 2025 goal, and help inform the development of the Smokefree Aotearoa 2025 Action Plan, then now’s the time!

Get your submissions in by 5pm on May 31 – ‘World SmokeFree Day’ – and do your part in helping to achieve the goal of making Aotearoa NZ smoke-free by 2025!!

It’s a decade since New Zealand adopted the goal to reduce smoking prevalence and tobacco availability to minimal levels, essentially making NZ smoke-free by 2025. Over this time, according to the Ministry of Health, although smoking rates have continued to decline much work still needs to be done, particularly to reduce smoking rates among Māori, Pacific peoples and those living in our most disadvantaged communities. 

According to Health Coalition Aotearoa tobacco use continues to take a catastrophic toll on New Zealanders, resulting in considerable suffering, debilitating diseases, and premature death.

“Smoking remains a leading preventable cause of health inequity, especially for Māori, Pacific and low-income people.”


Don’t pass up on this opportunity to provide feedback that will help shape the action plan and head to https://www.health.govt.nz/publication/proposals-smokefree-aotearoa-2025-action-plan for more information and to make a submission!

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News

Students who wrapped up the short course in health promotion in May this year described the course as stimulating, empowering, eye-opening and enlightening!!

The students, who came from around the country to complete Block Two of the Certificate of Achievement in Introducing Health Promotion (CoA), said they couldn’t wait to take back what they had learned to the field.

“I left Auckland empowered with new tools for my Kete as a health promoter,” said Sharon Malietoa, a health promoter at Screen South Ltd in Christchurch.

“The course has helped me shape the way I now see my role as a health promoter and not just a person who hands out information and provides education.”

Sharon said it also taught her how to advocate more for “women, aiga and a community in different ways in my line of work, as well as practical ways on how to use the Ottawa Charter when aligned with Te Tiriti o Waitangi which I believe, is important for the future and knowledge of health promoters after me”. 

“I left with a foundation of how to alleviate health issues in our Pasifika communities and to find ways to purposely serve our people, to see them make changes to lifestyles in which they have become accustomed to in this Western world,” said Sharon.

Rachael Duncan, Health and Safety Administrator at Korowai Hauora o Hauraki said the course helped her understand you need to look past the individual and more at their environment to fully grasp what is going on for them.

“Using the Ottawa Charters strategies and action strands to help these individuals navigate their way to better health not just for them, but their whanau and communities, has been a real eye-opener. I look forward to working alongside our team to not only educate but to promote and prevent poor health within our community.


“My favourite part was learning and understanding the Ottawa Charter and how it is used as a health promoter. Te Tiriti o Waitangi was also another highlight,” said Rachael.

 

Jayda Beazley from Te Ahurei A Rangatahi in  Hamilton said it was so interesting to learn about the different aspects of the Ottawa Charter and the huge impact that Te Tiriti has had on health promotion.


Isaac Whare Phillips from Korowai Hauora o Hauraki said he was excited upon completing the course and although there was a lot to take in, he would be going away and digesting all he had learned. “There is so much more to health promotion then I realised!”

 

Students agreed that they were more determined than ever to go back out into the field to enable, mediate and advocate for their communities.

“Being able to advocate, enable and mediate for my Pasifika people as I work alongside them, longevity and long life will be the new normal for my Pasifika people …” 

The Certificate of Achievement in Health Promotion short course, is jointly offered by Manukau Institute of Technology and HPF.



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News

HPF is thrilled that Sir Mason Durie has been appointed by the Government to lead a group that will ensure the new Māori  gives Māori a voice and influence on how NZ’s health system needs to improve.

Sir Mason will lead a Steering Group to provide advice to the Transition Unit on governance arrangements and initial appointments to an interim board to oversee the establishment of the Māori Health Authority.

This group will ensure that Māori shape a vital element of our future health system, Minister of Health Andrew Little and Associate Minister of Health Peeni Henare announced yesterday (May 7).

“Tā Mason is a pillar of the New Zealand health system and brings tremendous experience and mana to this crucial role. The place of the Māori Health Authority in the future health system is important not only for Māori, but for all New Zealanders,” Mr Little said.

Mr Henare said he couldn’t think of anyone who was better qualified or had greater mana in this area than Tā Mason.

“He has spent his life working at the forefront of hauora Māori innovation – and so it is right that he helps us ensure that the Māori Health Authority continues to be transformative.”

Sir Mason will head a Steering Group working to the Transition Unit in the Department of the Prime Minister and Cabinet. It will focus on:

  • involving Māori in identifying candidates for the interim Māori Health Authority board, and supporting Ministers in appointing that board with a mandate from Māori
  • providing advice on appropriate options for governance and accountability arrangements for the Māori Health Authority.


Mr Henare hopes to confirm appointments to the interim Authority board by 1 September, subject to Cabinet’s agreement once candidates are identified.

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News

HPF congratulates Jenn Lawless on her appointment as the new Executive Director for Health Coalition Aotearoa.

 

Ms Lawless, who was the Strategic Campaigns Coordinator at NZ Council of Trade Unions (NZCTU) was welcomed into her new role with a moving mihi whakatau hosted by the Cancer Society National Office in Wellington on Tuesday.

 

A large contingent of her workmates from the NZCTU came to support Ms Lawless’s transition from them to the Health Coalition.

 

Professor Boyd Swinburn, Chair of the Health Coalition said they very excited to have Ms Lawless on board. “Jenn comes with a very strong background in Parliament, union advocacy, and public health.”

 

Ms Lawless told HPF she was pleased to take up this leadership role because she had a long-running interest in health equity, health policy, and public health in particular.

 

“Health is the most fundamental measure of whether a society is fair – does everyone have the ability to lead a good and healthy life, and are we sharing resources in a way that enables that? The answer currently is clearly no!

 

Ms Lawless said life expectancy, disease burdens and almost any other measure of health shows “we are failing tangata whenua, Pasifika, migrants, those with less wealth and income and the disabled community in particular”.

 

“Much of this is down to the drivers of health, like healthy food environments, incomes, housing, and prevalence of harmful substances like alcohol and tobacco,” she pointed out.


“While I have an academic background in public health and politics, the first thing I will be doing is meeting with health promoters, academics and NGOs in the public health sector to get a good picture of the big issues facing us collectively. Our greatest resource in the health sector is the knowledge, experience and passion of the people working in it, and I’ll be drawing on this for Health Coalition Aotearoa as we advocate for greater health equity in New Zealand.”

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News

Join us for a webishop on June 17 to examine how Māori should focus on their wellbeing first, while they can also contribute to the wellbeing of humanity, because they are citizens of an interdependent, globalised world.

The webishop will also explore and discuss the impact of planetary health on Māori, and what indigenous and local knowledge and practices that Māori health promoters and other health workers can apply to resolve these challenges at the local and global levels.

Speakers are Indigenous Economic Consultant, Huti Watson and HPF’s Executive Director, Sione Tu’itahi.

Huti believes that Māori principles, values and epistemologies are as relevant and important today for Māori as they were in pre-colonial times.

“During six years in a modern take of a traditional learning environment that is known as ‘Te Whare Wananga’, and through immersion in our creation stories using language, songs and dance I learnt about our traditional Māori belief systems and identity, and how they continue to shape and govern who we are as Māori today,” says Huti.

Register HERE.

HPF webishops have three phases of learning activities:

  • Pre-event study and preparation, using resources sent three days prior
  • Participation in the actual webinar with questions and answers as well as discussion
  • After the webishop, participants receive a copy of the powerpoint presentation and other resources used, as well as exclusive and private viewing of the webinar for two weeks on our YouTube channel, before the video is made public. And, ask follow-up questions to the presenter and/or facilitator during the two weeks after the webishop
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Maori, News, Policy

HPF has welcomed Government’s plans to revamp and strengthen the healthcare system to provide more equitable and better health care for all New Zealanders.

NZ’s Health Minister Andrew Little who unveiled the major changes yesterday (May 21) said ensuring fairer access for all New Zealanders and putting a greater emphasis on primary healthcare were two of the main drivers of the reforms.

“The reforms will mean that for the first time, we will have a truly national health system, and the kind of treatment people get will no longer be determined by where they live.

“By making these changes we can start giving true effect to Tiro Rangatiranga and our obligations under the Treaty of Waitangi,” said Mr Little.

The main changes include the setting up of a new and truly independent Māori Health Authority, aimed at overcoming the huge health disparities for Māori as a whole, and the replacement of the 20 DHBs by one new body Health NZ.  A new Public Health agency will also be created within the Ministry of Health.

HPF’s Executive Director Sione Tu’itahi said HPF was pleased to see the creation of a Māori Health Authority (MHA) which would help not only to address the inequities, but also to acknowledging the rights of Tangata Whenua as the other partner in Te Tiriti o Waitangi, the founding document of our nation, and one of the two founding documents of health promotion in our country.

Mr Tu’itahi said however that by not including environmental determinants in the reframing was a missed opportunity.

“Let’s hope that the new Public Health Agency, and the MHA will pick this up. The health sector and all other sectors should seriously note that the planet is broken, as mentioned by the UN Secretary-General recently. We cannot achieve human health without a healthy planet.

“Overall, the reform is a move in the right direction, but let’s wait for the details, especially the distribution of power and the allocation of resources.”

Associate Health Minister (Māori Health) Peeni Henare said while New Zealand’s health system performs well overall against most international comparisons, it has significant issues delivering for Māori who continue to lag behind in key health status indicators.

“Māori health has suffered under the current system for too long,” Mr Henare said.

“We will legislate for a new independent voice – the Māori Health Authority – to drive hauora Māori and lead the system to make real change.

“It will have joint decision-making rights to agree national strategies, policies and plans that affect Māori at all levels of the system and it will work in partnership with Health New Zealand to ensure that service plans and the commissioning of health services drives improvement,” Mr Henare added.

Click HERE for full documents about the reforms.

BANNER PHOTO by Matheus Ferrero on Unsplash

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Environment, News

Today on Earth Day (April 22) we urge you to take action to protect our precious planet and demonstrate our support for environmental protection.

With the global climate crisis worsening each year, today’s theme ‘Restore Our Earth’ is even more significant and it’s imperative that we act NOW!!!

As the Secretary General of the UN António Guterres recently warned: “Humanity is waging war on nature. This is suicidal. Nature always strikes back – and it is already doing so with growing force and fury.”

However, added Dr Guterres human action can help to solve it.

Human action is what Earth Day is all about – bringing millions of people from around the world together and giving an opportunity for all stakeholders to create awareness and work together on critical issues like global warming, pollution and the vanishing forest cover among others. Earth Day is one of the oldest and largest global movements when it comes to positive environmental change and is supported by 75,000 partners in over 190 countries.

HPF’s Executive Director, Sione Tu’itahi says health promoters have an integral role in this collaborative effort to fight the climate crisis.

“With evidence, ethics and social justice, health promoters – whether educators and policy analysts or Whanau Ora and community workers – they are making effective contributions to the wellbeing of the planet and humanity at all levels, from the local to the global,” says Mr Tu’itahi.

This year, amid the Covid-19 pandemic, a host of environmental issues are being prioritized. Click HERE to view some of the digital events that will take centre stage.

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News

Today on World Health Day we urge you to accept the invite from the World Health Organisation (WHO) to join a year-long new global campaign to eliminate health inequities, and build a fairer, healthier world.

The theme ‘Building a fairer, healthier world for everyone’ was inspired by the Covid-19 pandemic which according to the WHO has pushed more people into poverty and food insecurity and amplified gender, social and health inequities.

“Covid-19 has hit all countries hard, but its impact has been harshest on those communities which were already vulnerable, who are more exposed to the disease, less likely to have access to quality health care services and more likely to experience adverse consequences as a result of measures implemented to contain the pandemic,” says the WHO.

All over the world, WHO points out, some groups struggle to make ends meet with little daily income, have poorer housing conditions and education, fewer employment opportunities, experience greater gender inequality, and have little or no access to safe environments, clean water and air, food security and health services. This leads to unnecessary suffering, avoidable illness, and premature death. And it harms our societies and economies.

That is why we are calling on leaders to ensure that everyone has living and working conditions that are conducive to good health.  At the same time, we urge leaders to monitor health inequities, and to ensure that all people are able to access quality health services when and where they need them.”

HPF’s Executive Director Sione Tu’itahi says “We are virtually safe in our country because we have all being working hard together, and are kind to one another. But we are part of our global family, and our common home, planet Earth, is broken.

“So, as we collaborate with the rest of the world to stamp out Covid-19, essentially a zoonotic challenge and a planetary issue, due to our broken planet, we must adopt a higher consciousness of our inherent interdependence as humanity. We must embrace a new paradigm of being more collaborative, caring and kind to each other and to the planet because we are all citizens of our only planet. Nothing short of this much-needed global responsibility at the individual and collective levels can stem the accelerating challenges of this planetary health and socio-economic crisis.”

The WHO is promoting four critical actions that it wants to see from governments and other groups involved in global health leadership: work together; Collect reliable date; tackle inequities and act beyond borders.

Read more about these actions.

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The response from participants to the first three webishops in a series of webishops HPF is offering throughout the year to discuss topical issues in health promotion has been encouraging!


The webishops, ‘Every day is Waitangi day’, ‘No Health without Planetary Health’ and ‘Diabetes: Social Malady with Social Responsibility’ were topical, eye-opening and thought-provoking.


Questions came thick and fast and the feedback from participants, many of whom said they loved the inclusion and style of the workshops, was that they couldn’t wait for the next webishop.


Comments ranged from “thank you for your kōrero.  Lots of great learnings …” to “really fascinating and important discussion.”


Sasha Stevenson, Health Promoter – Toitū Te Whenua said the diabetes webishop exceeded her expectations. “It was heartbreaking to hear the extent of Type 2 Diabetes and renal complications in the Tongan and Pacific Island people. It was an eye-opener to me …


“I think that we could really benefit by some key community leaders from the Māori and Pasifika groups/church leaders, iwi leaders etc who can come and guide us health promoters on how to engage their specific communities so that we can work together to achieve better outcomes. As the doctors said in their webishop, whatever we have been doing has not been effective so we have to try new ways of working.”


Of the Māori webishop, Geneva Adams, a student at Te Wananga o Aotearoa, said many Māori and non- Māori will find the decolonising way of thinking challenging — looking through a Maori worldview lens or another lens.


Dr Grace Wong, a part-time senior lecturer at AUT said the mainstream webishop was wonderful and Trevor (Guest speaker, Dr Trevor Hancock) was an excellent speaker. “You can ask him anything! Thank you HPF!).


The themes for the webishop series 2021 are: Planetary Health – the health of human civilisation and the crisis state of the natural systems on which it depends; Inequities, Colonisation, Racism and Te Tiriti and the Determinants of Health.


Information about the Pacific webishop on May 5 will be coming out shortly. Don’t miss out!


Meanwhile, check out our YouTube channel for No Health without Planetary Health’ and ‘Diabetes: Social Malady with Social Responsibility’ which are now available for viewing. DON’T
FORGET TO SUBSCRIBE!

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News, Racism

The four winning posters of the Aotearoa Poster Competition, which was launched last year in response to anti-Chinese sentiments that arose out of Covid-19, have been added to The Museum of New Zealand, Te Papa’s collection.

More than 50 submissions were made to the competition which was born in the midst of the April 2020 Covid-19 Level Four lockdown. More than 1000 Kiwis voted for their favourite poster.

Dr Grace Gassin​, curator of Asian New Zealand Histories at Te Papa, said they were thrilled to give support to a much-needed conversation. 

 

“As a national institution, we are delighted to be able to signal our support for the competition’s anti-racist Kaupapa. Asian New Zealanders’ experiences of, and courageous responses to, the targeted racism they have endured during the Covid-19 pandemic are an important part of the national conversation.

 

“Collecting the winning posters from the inaugural Aotearoa Poster Competition will allow Te Papa to record not only the wonderful creative efforts of the artists, but also the perspectives and motivations of the organisers who set it up.”

 

Wellbeing researcher and one of the competition organisers Bev Hong described the decision by Te Papa as “momentous”.

 

“It’s an acknowledgement of the lived experience of many Asian, including Chinese-New Zealanders, and validation of the messages that these posters convey,” said Ms Hong.

 

“It’s been such a privilege to be part of the team working in collaboration with Chinese community groups and others in this shared kaupapa.”

 

Ms Hong said the competition was successful in achieving its aims to add to the conversation through a strength-based approach that gave artists a voice, was supportive of Chinese and Asian communities, and provided resources to spotlight the diversity of Chinese communities and ways to respond as an upstander to racist behaviour.

 

“For all New Zealanders, Covid-19 has been, and is, a challenging time — however add to this the impact of heightened anti-racism activities that directly cause harm and also indirectly undermine your sense of safety and societal belonging or acceptance.

 

“Asian Family Services who offer free and confidential face-to-face and phone support services reported in April 2020 – a significant increase in number and duration of calls which included more diverse family distress, mental health and issues around race-related bullying and discrimination in schools and workplaces,” added Ms Hong. 

 

She also acknowledged the racism experienced by Māori since tauiwi arrived through colonisation and says that should also be recognised as a primary issue for our nation and other marginalised groups.

In addition to being acquired by Te Papa, the four winning artworks will also be used in a nationwide street poster campaign sponsored by Phantom Billstickers, with an aim to further conversations about race, diversity, and inclusion throughout Aotearoa. 

INTERVIEW WITH BEV HONG:

HAUORA: How thrilled were you and the other competition organisers about the posters being added to the Te Papa collection?


MS HONG: We were absolutely thrilled and extremely pleased that the collaborative efforts of all involved, the kaupapa of the project and the wonderful posters would be acknowledged and preserved. The Te Papa collection of the posters helped to amplify the inclusive and anti-racism message of our national project as a response to the heightened anti-Chinese sentiment sparked by Covid-19.  I think it also recognises the competition as a marker along Aotearoa New Zealand’s ongoing journey as a diverse society and the importance and growing urgency for Anti-Asian behaviour to be recognised, acknowledged, and actively addressed as evidenced by the Anti-Asian racism march in Auckland last Saturday. 


HAUORA: Was the competition successful in terms of stirring up conversations around the topic of racism against Chinese people in Aotearoa?


MS HONG: Yes, the competition was successful in achieving its aims to add to the conversation through a strength-based approach that gave artists a voice, was supportive of Chinese and Asian communities, and provided resources to spotlight the diversity of Chinese communities and ways to respond as an upstander to racist behaviour. It is hard to judge specifically how successful the competition was in terms of stirring up conversation because of the other events and activities that were occurring at the time – such as the Human Right’s Commission “Racism Is No Joke” initiative and media reporting about the increase in anti-Chinese behaviour.  At an anecdotal level – unprompted feedback to public street display of the promotional competition posters with an anti-racism theme as well as the winning posters later in the year were extremely positive. Other indications of its success include: over 15,000 website page views over the life of the competition; art entrants from all over New Zealand including Auckland, Wellington, Dunedin, Christchurch, Gisborne, Hamilton, Lower Hutt, Feilding, Invercargill, Karamea, Lawrence, New Plymouth, Pirongia, Queenstown, and Upper Moutere; over 1000 public votes cast to decide the winning entry for the Popular Vote Category and social media and media reporting about the competition.


HAUORA: It was interesting to note that the poster competition also aimed to highlight the diversity of the country’s Chinese communities, which is so important?


MS HONG:  key aim of the project was to reflect Aotearoa New Zealand’s diverse Chinese communities and inform people about our national history. We created two new resources for the website: a profile of the broader mainstream historical narrative of Aotearoa New Zealand.  The audience for these resources was so that the diverse population of Chinese living here could see themselves reflected as Chinese Kiwis in the project, and to help the public recognise the diversity and long history of Chinese living and settling here (since 1842).  For example:  in 2018, 26% of Chinese Kiwis are born in New Zealand, 51% were born in the People’s Republic of China and 21% were born in one of 115 other countries. We also provide links to creative, film and other resources about Chinese in Aotearoa. These aspects are so important for our understanding of who we are as a diverse society and helps address the “othering” that occurs – as also reflected in the choice of phrasing as part of the competition theme: He waka eke noa – We’re all in this together.


HAUORA:  As a wellbeing researcher you must have gotten to see first-hand how much of an impact the increased incidents of racism has had on the wellbeing of the Chinese community/individuals?


MS HONG: We, as a project team, worked collaboratively with the New Zealand Chinese Association, Asian Family Services, and The Asian Network Incorporated (TANI). As part of that I got to appreciate the need to see the impact of increased incidents as part of a broader spectrum of concerns that Asian and Chinese communities are facing in the context of Covid-19 in terms of their wellbeing.  For all New Zealanders, Covid-19 has been, and is, a challenging time – however add to this the impact of heightened anti-racism activities that directly cause harm and also indirectly undermine your sense of safety and societal belonging or acceptance. Asian Family Services who offer free and confidential face-to-face and phone support services reported in April 2020 – a significant increase in number and duration of calls which included more diverse family distress, mental health and issues around race-related bullying and discrimination in schools and workplaces. 


HAUORA: Is there anything else you’d like to add?


MS HONG: Thank you for the opportunity to share about the competition and its kaupapa in your newsletter. It has been a real privilege to be involved in this initiative and to work with the project team. The positive energy and support for the competition and its kaupapa from a diverse range of groups and people has been an essential part of its success.  We positioned 2020 as the inaugural competition and we’re reflecting on the experience and lessons learnt with the potential for a future one in 2022 which continues a strength-based focus and has a related diversity theme.     

It is now just over two years since the 15 March Christchurch Mosque attacks, and I think it is important to acknowledge that the 2020 competition spotlight on Chinese communities is within a broader conversation and context regarding racism in this country. 

This includes the continuing and urgent need for institutional and systemic change to address the racism suffered by Māori, tangata whenua, since settlement of tauiwi through colonisation.


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Community, News

A project led by the Whangārei South healthcare locality, one of six localities being set up by HPF member Mahitahi Hauora across Te Tai Tokerau, is getting out in the community to help young people develop and be mentally well.

Whakapiki ake Taitamariki’s first community event for this year was held at the Onerahi Community Gardens on 10 February to help strengthen services and support for local young people. Around 30 Onerahi locals joined in the event, including whānau, young people, community group representatives, teachers, and nannies with their mokopuna.

Whakapiki ake Taitamariki Coordinator Sapi Iuliano said the project team wanted to connect with the community in their own space, especially whānau and young people, to build and strengthen relationships.

“We chilled over kai together and talked about our services and opportunities to collaborate with other stakeholders working to support local young people. We also got some of the local taitamariki involved in a youth group to mentor others and help organise events and activities by and for young people.”

Mahitahi Hauora Portfolio and Locality Lead Bernie Hetaraka said the Whakapiki ake Taitamariki project emerged from hui held in 2019 with communities in Raumanga, Onerahi, Bream Bay and Dargaville.

“Our communities told us our first priority should be to support the development of our taitamariki. They wanted more youth workers, support for young people to set goals and achieve milestones such as getting a driver’s licence, improved access to healthcare services for young people, and more recreational events and activities for young people,” she said.

“The collaborative way of working in a healthcare locality made Whakapiki ake Taitamariki possible. Localities bring healthcare practices and providers, community and social services, and local community and whānau together to deliver health and social care in partnership. Our projects are guided by the priorities of the community.”

Following on from agreement about what Whakapiki ake Taitamariki needed to focus on, Mahitahi Hauora worked with stakeholders to build a plan to start introducing some of those things, pulling the team together to make it happen and securing funding. The project then went to the Mahitahi Hauora Board for approval, which it received in March 2020.

In the Whangārei South locality, primary health entity Mahitahi Hauora is working in partnership with Whangārei Youth Space, healthcare providers, community groups and whānau on the Whakapiki ake Taitamariki project. 

Whakapiki ake Taitamariki is introducing youth workers to mentor young people and organise activities and events.

Further community events will be held approximately once a fortnight, and people can follow Whangārei Youth Space’s Facebook page for information about future events.

Banner photo from left: Allan Tipene, Senior Youth Worker at Whangārei Youth Space; Chaston Kay, member of the WAT (Whakapiki ake Taitamariki) youth group; Stormy Kay, Youth Development Worker at Whangārei Youth Space.

 

 

 

 

 

 

 

 

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Experts, News

Dr Kate Morgaine has worked professionally in health promotion for about 15 or so years and is an academic (teaching and research) in Te Tari Hauora Tūmatanui at the University of Otago.

In this interview with Hauora Dr Morgaine gives some insight into why health promotion was so appealing to her as a ‘young feminist’ and the progression of her career from a high school teacher of physical education and health to her current role.

Wanting to share her experience with the next generation of health promoters prompted her move into academia and she gained a PHD focused on evaluating an occupational safety programme that had been rolled out nationwide.

She also discusses the advantages for health promotion that the National Accreditation Standards will have in Aotearoa and has some great advice for up-and-coming health promoters.



Hauora: You launched your career in health promotion in the mid-1980s? Can you tell us a bit about your early days in health promotion and what attracted you to this field?


Dr Morgaine:
What attracted me to health promotion, and public health more generally, was the call to social justice and to equity. I was already a young feminist and health promotion gave me a framework for thinking about and addressing social justice and equity issues. It was love at first sight, and a “long obedience in the same direction [that results in] something which has made life worth living” as Nietzsche put it, although in a somewhat different context.

I started my professional career as a high school teacher of physical education and health. At that stage, schools were only allowed to teach about menstruation and the basics of biology. Teaching about sexuality was restricted to Public Health Nurses and Family Planning educators. In my first year of teaching at a rural girls’ high school the Family Planning education team came to school for a week. I thought “that is what I want to do”, so I knocked on the FPA education door in Christchurch. Thankfully, they employed me to work in sexuality education with young people. As a 24-year-old, I was practically a peer. As we know, NGOs don’t have a lot of money, so that job was time limited. The training I received in developing teaching sessions and group work leadership was excellent and has stood me in good stead for my entire career. Two years on, and a job was advertised for a Health Education Officer (HEO) at a pilot Area Health Board (AHB). I was lucky enough to secure that job. In the 1980s most HEOs were employed in the district offices of the Department of Health.  All newly employed HEOs were formally trained through a one-year certificate at the Department of Health. Each region usually only had one person employed by the DoH or area health board. This was the case in my AHB; however, I was fortunate enough to have an NGO colleague to work alongside with. Although called an HEO, the work was what we now call health promotion. The Ottawa Charter for Health Promotion was published during this time for me. It was an exciting and heady time for all of us involved. My professional health promotion practice has been primarily in the areas of sexuality, and alcohol harm reduction; with a couple of years working in the UK in a sexual health clinic that included counselling and support for people with HIV in the time before treatment was available. On my return home, I worked in health promotion for a few years in Otago. Just before entering academia, I returned to the UK and did a short term (6 month) stint in Oxfordshire developing, writing and workshopping with the community, a rural health promotion plan for them. Rurality in southern England is a whole lot different than it is here.  


Hauora:
What prompted you to enter the ‘world of academia’ in the early 2000s and what universities did you start teaching in before you commenced your role as health promotion academic at the University of Otago?


Dr Morgaine:
After working professionally in health promotion for about 15 or so years, I decided that what I wanted to do was share my experience with the next generation of health promoters. The only way to really do that in New Zealand (and get paid enough to support myself) was to move into academia; and the only way to get a job in academia in the current climate is to have a PhD. So that is the path I followed. My PhD focused on evaluating an occupational safety programme that had been rolled out nationwide. Although occupational safety wasn’t something I had done previously, evaluating the development, implementation and impact of a health promotion/education programme was definitely in my wheelhouse.

During that time, an academic position in public health opened up in the Faculty of Dentistry in Dunedin. There are precious few academic health promotion jobs across the country, so I jumped at the chance. Teaching public health and health promotion in a clinical setting was challenging and interesting. It certainly made for interesting days. After 8 years I spread my wings and moved to the UK to be the Subject Co-ordinator for the public health Master’s programme at Oxford Brookes University. I taught and supervised across the breadth of public health, while also teaching the health promotion courses. Probably half the students were international students with really broad experience in the world of public health. I think they taught me as much as I taught them.

I moved back to an academic position at the University of Otago almost five years ago. It is a joy to be home.


Hauora:
How would you describe your current role, and have you seen an increased interest in health promotion from young people since you started?


Dr Morgaine:
My current role is as an academic (teaching and research) in Te Tari Hauora Tūmatanui or the Preventive and Social Medicine Dept (an old name for Public Health). Although it was a generic position, I am lucky enough to be teaching almost exclusively in my specialty of health promotion for the first time. I teach the undergraduate introduction to health promotion. In the time I have been back the class size has increased from about 70 to about 90 on average each year. The Bachelor of Oral Health students make up a good portion of the class. The numbers have increased since Otago has offered a Bachelor of Health Sciences majoring in either Public Health, Māori Health, Global and Pacific Health, or Community Health. It is exciting to work with young people who are also interested in social justice and equity. I also teach postgraduate papers – one focused on the broader determinants of health, and one focused on the practicality of planning and evaluating health promotion projects/programmes. Our class sizes have grown in this area too. Young people in both the undergrad and postgrad courses are strongly driven by what they can contribute to addressing social justice. I particularly enjoy the reciprocity in these classes.

My research is focused on evaluation of programmes and projects, how best to improve what we do. I do this work with people employed in Public Health Services as well as people who work in their communities. I like to work alongside people, and I like to be useful to them. This is what drives my approach to research.


Hauora:
You have said that you are really interested in best practice in health promotion and bringing evaluation into everyday practice. Can you please elaborate on this?


Dr Morgaine:
I love my profession. I want us all to be the best we can be. I think knowing about the ‘how’ and ‘why’ of what we do is really important. It means we can serve our communities and contribute to wellbeing in a way that is both helpful to them and justifiable to those who fund programmes. Without even realising it, we all undertake planning and evaluation every day. We make plans for our families, our friends, our selves, to address our own needs; and we evaluate them too, to decide if it was worth doing, worth doing again, or something we are going to steer clear of. Planning and evaluation in health promotion is taking those everyday things and getting formal about it. In my teaching, I try to make the various theories and approaches to planning and evaluation as practical as possible, so the skills can be used in real-life practice.


Hauora:
As you know HPF is working on the development of an accreditation framework for health promoters and providers in New Zealand with the goal to establish a national accreditation organisation (NAO), under the global accreditation framework of the International Union for Health Promotion and Education (IUHPE). How do you see this benefitting health promoters and health promotion in Aotearoa?


Dr Morgaine:
Health promotion is still a fledgling profession, even though the Ottawa Charter is 35 years old. Many people across all sorts of health professions say they do health promotion. And of course, they do to some extent. However, to be a Health Promotion practitioner you need to understand the depths and strengths of health promotion; its underlying principles and values; and the skills that are needed to practice well.

Having a formal process for recognition of experience, training, skills and knowledge, allows us as a profession to have a place to stand, and stand tall. It is an important part of being acknowledged as having speciality skills and values. It signals to the other health professions as well as to the community that we value ourselves and our communities. The NAO within Aotearoa New Zealand will specifically recognise our communities and approaches, as well as ensuring we meet international standards.

Having an internationally recognised accreditation signals our professionalism to other countries and makes it easier for our practitioners to travel to other countries to work if they want (once we are allowed to travel)


Hauora:
Do you plan to stay in the academic world and if so why?


Dr Morgaine:
Well, I am an old lady now. Changing jobs when you are my age is difficult. And I truly love my job – I love teaching especially, working with young people, seeing them make their way in the world – where else would I be?

Unless someone offers me some random other spectacular job that allows me to do all the things I love, this is where you will find me.


Hauora:
What would your advice be for up-and-coming health promoters?


Dr Morgaine:
Get some training under your belt so you have frameworks to help you approach new and different topics, projects, and so forth. Grab as much continuing professional development as you can. This will help you in your personal practice AND help you justify your plans and practices to those in the hierarchy.

  • Be open to working across different areas, so you gain as much experience as you can.
  • Find a way to challenge the status quo (in a way that means you can keep your job, if possible)
  • Find yourself a peer group who you can talk through the challenges and celebrate the good things with.
  • Find yourself a more experienced health promoter who can be a mentor.
  • And finally, in the words of my mentor many years ago, if you are not in trouble you are not doing your job properly. If our plan is to achieve social justice, we are bound to upset those who have power. Don’t be surprised if you find yourself in trouble, but be safe as well (hence the peer group, good training, etc)
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Community, Experts, News
Dr Grace Wong has been an avid health promoter for many years and is a leading advocate for tobacco control in Aotearoa.

A part-time senior lecturer in Nursing, Associate of the Centre for Migrant and Refugee Research at AUT, Dr Wong is the founder and co-director of Smokefree Nurses Aotearoa.

The protection of the health of Asian New Zealanders plays a key role in her research. Haoura recently caught up with Dr Wong to discuss what it was like growing up as ‘fourth-generation Aotearoa-born Chinese’ in Christchurch, which at the time had a population of just 400 Chinese, her love for health promotion and what motivated her to get involved in the fight against smoking.

Dr Wong also shares about her work with migrant, refugee and asylum-seeker communities, as well as her involvement with an art-based initiative that aims to reduce racism, which was intensified around the globe and in NZ by Covid-19, against Chinese people.

HAUORA: Can you tell us a bit about what it was like growing up as a ‘fourth-generation Aotearoa-born Chinese’ and what it’s like to belong to a large extended family?

DR WONG:
When I was little there were only 400 Chinese people living in Christchurch and not one was an extended family member. My Mum’s family came from Wellington, so we visited every Christmas. I remember roller skating up and down my Popo’s big old hallway. My Uncle Ray converted those skates into skateboards for me and my sister.  And then we whizzed down the drive and turned sharply on to the footpath, so we didn’t get hit by a car. My Popo made the best yum char long before there were lots of Chinese restaurants.


HAUORA:  What were your early career aspirations?

DR WONG:
Being in a long line of oldest daughters I guess I was always bossy.
And I wanted to help people. I also wanted to know what to do if someone keeled over in front of  me. So, I became a nurse (and I try not to be bossy!).


HAUORA: You’ve been associated with HPF since the 1990s and we were delighted to welcome you to the HPF Board recently. What drew you to HPF and health promotion?

DR WONG:
I love health promotion because it is the most optimistic of health professions. It draws out the best in individuals, families, communities and populations.
It  celebrates diversity. Everybody is welcome here.
That’s what drew me to health promotion and the HPF.


HAUORA: You have been dedicated to tobacco control over the years and have done a lot of research on smoking. What motivated you to enter this field?

DR WONG: In my culture, like others, we never forget a good turn. I will always be grateful to  Emeritus Professor Ruth Bonita, Dr Marewa Glover and Trish Fraser who set me on the tobacco control path. I love our country and its people. Tobacco control is about   equity. Everyone deserves a fair go.


HAUORA: Protecting the health of Asian New Zealanders has played a major part in your research. How big a problem is smoking among Asians here and is the smoke-free message getting through to them?  

DR WONG: I really appreciate this question because the illusion that Asian smoking rates are low   falls away as soon as the data is disaggregated by gender. Asian men smoke at nearly the same rate as the general population. Women’s rates are low. In Auckland we are  lucky to have Smokefree Asian Communities to help Asian smokers quit.


HAUORA: You were also the founder and co-director of Smokefree Nurses Aotearoa and use research to promote nurse action to achieve the Government’s Better Help for Smokers to Quit health target and the Smokefree 2025 goal. Do you see NZ as being on target to be smoke-free by 2025 and is enough being done to hit that target? How can we as health promoters help to achieve this goal?

DR WONG: Aotearoa is at risk of missing the Smokefree 2025 goal. I believe that we can serve people best by listening to them rather than buying into intense debates about what is right and what is wrong. Quitting smoking is incredibly hard. Our role is to advocate for and offer evidence-based options, practical support, and encouragement appropriate to peoples’ culture, circumstances and preferences.


HAUORA: Can you tell us about your work with migrant, refugee and asylum-seeker communities in this country and what sort of initiatives are in place to ensure their health and wellbeing, especially during Covid-19?

DR WONG: I was relieved to hear about the government meeting with leaders of ethnic communities recently. Many migrant, former refugee and asylum-seeker communities are fearful of Covid-19. They rely on sources they trust for information     and direction. Direct service delivery organisations like the Asian Network Incorporated, Asian Family Services and Shanthi Niwas Charitable Trust, listen to their communities, advocate for services for them, and support them mentally,  physically, socially and culturally.


HAUORA:
Unfortunately, Covid-19 has exacerbated racism against Chinese people around the world. You are currently a project team member on the Aotearoa Poster Competition, an art-based initiative which aims to reduce racism against Chinese people, which has also been heightened in Aotearoa, by Covid. When did this initiative start, how does it plan to achieve its goal and how is it is progressing?


DR WONG:
 The Aotearoa Poster Competition 2000 is a positive pushback against an ugly    reaction to a frightening pandemic. It is a response to a marked increase in racism against Chinese people. The campaign aims to redirect hearts and minds away from blame and anger, and to encourage everyone to stand up to racism safely. The Museum of New Zealand, Te Papa, just added the four winning posters to their collection. They are expressive, meaningful and beautiful.  

Banner photo: Photo by Stephanie Krist on Unsplash

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News
Today we celebrate World Water Day and what water means to us, its true value and how we can better protect this vital resource.


Water is under threat in Aotearoa and around the world from a growing population, increasing demands of agriculture and industry, and the worsening impacts of climate change. Today is also about raising awareness of the 2.2 billion people living without access to safe water.


With the Auckland region suffering from a water shortage and currently in level one water restrictions it’s a timely opportunity to stop and think of just how much we take this valuable resource for granted!!!!


By recording – and celebrating – all the different ways water enhances our health and wellbeing, we can value this precious taonga properly and safeguard it effectively for everyone!


Also today, the UN World Water Development Report on ‘valuing water’ will be launched. Click here for more details.


For more info and for some fun facts about water click here.


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News, Pacific

HPF commends Government’s efforts in helping to reverse the decline in the use of Pacific languages.

According to comparisons from Census 2013 to Census 2018, the proportion of speakers of Pacific languages has declined across the board. 

This year, the Ministry for Pacific Peoples (MPP) will continue to support nine Pacific Language Weeks driven by Pacific communities.

In 2020, Pacific communities displayed their resilience to the Covid-19 environment by moving Language Week activities online. This year will build on the digital successes, with the option to continue online delivery. 

The Minister for Pacific Peoples Aupito William Sio says this loss of language means the loss of history and a wealth of cultural knowledge and intelligence. 

“It disconnects our past from our present and will disadvantage future Pacific generations … Language is the key to the definition of our overall Pacific wellbeing.

“The 2019 Wellbeing Budget recognised this and provided $20 million over four years toward the support of Pacific languages and cultures – this will fund initiatives critical to reversing the decline in the use of Pacific languages,” says Mr Sio. 

“Language is fundamental to providing Pacific peoples with an anchor to their identity, confidence, and safety as we navigate our way through the economic and social challenges ahead-post the COVID-19 pandemic.” 

Meanwhile, MPP recently carried out the Pacific Language Weeks Tivaivai Review, which highlighted the changes community groups want to see in the annual celebrations of our Pacific languages.
 

This year signals a year of transition for the Language Weeks series, and MPP will be assessing a themed approach, increase in funding and announcing Language Champion Honours. 

Read more here.

 

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Boost your skills in health promotion and apply now to snap up one of the few remaining spots for HPF’s short course in health promotion, in Auckland, next month.

Block One of the course is from April 13 – 16 and Block Two from May 11 – 14, 2021.

Jointly offered by Manukau Institute of Technology and HPF the Certificate of Achievement (CoA) will help you better understand the role and importance of health promotion and the broader concept of health within a community and national setting.

As the world faces global challenges such as Covid-19 and the climate crisis the role of health promoters is becoming even more crucial!

As Fran Baum, Matthew Flinders Distinguished Professor of Public Health at Flinders University in Adelaide, Australia pointed out in an interview with HPF’s Hauora newsletter: “Health promoters can look to the underlying causes of Covid-19 and point to the importance of taking an ecological view of health.”

“They (health promoters) can ensure that the debate about Covid-19 goes beyond the need for a vaccine to considering how the inequities that have been laid bare by Covid-19 can be reduced.”

A limited number of scholarships are available.

Complete the online registration and contact us for an Enrolment Application form or download the application from our website.

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News

Today is World Wildlife Day and HPF urges you to join global efforts to raise awareness of the need to step up the fight to establish a safe and sustainable relationship with one of our planet’s most valuable resources – forests!

This year’s theme which is “Forests and Livelihoods: Sustaining People and Planet” encourages you to not only acknowledge the vital role forests play but also the indigenous knowledge that can keep them safe. This aligns with UN Sustainable Development Goals 1, 12, 13 and 15, and their wide-ranging commitments to alleviating poverty, ensuring sustainable use of resources, and on conserving life land.

Forests, forest species and the livelihoods that depend on them are finding themselves at the crossroads of the multiple planetary crises we face — from climate change, to biodiversity loss and the health, social and economic impacts of the Covid-19 pandemic.

With between 200 and 350 million people living within or adjacent to forested areas around the world, relying on the various ecosystem services provided by forest and forest species for their livelihoods WE NEED TO ACT NOW!

The planet is broken because humanity is waging war on the planet, a suicidal act, according to UN Secretary-General Antonio Guteres., who points out that Indigenous knowledge can contribute solutions.

HPF’s Executive Director Sione Tu’itahi who is chair of the IUHPE Global Working Group on Waiora Planetary Health and Human Wellbeing says with the impact of the planetary crisis intensifying daily, and more species edging toward extinction it’s vital that we act now if we are to ensure our own survival.”

“That is why we called on the world community at the World Conference on Health Promotion, 2019 in Rotorua, “to urgently act to promote planetary health and sustainable development for all, now and for the sake of future generations.’”

World Wildlife Day will also seek to promote forest and forest wildlife management models and practices that accommodate both human wellbeing and the long-term conservation of forests, forest-dwelling species of wild fauna and flora and the ecosystems they sustain.

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News

A webishop that will put the spotlight on the magnitude and impact of diabetes and obesity among Pacific peoples in Aotearoa will be held by HPF on March 10.


You don’t want to miss out on this opportunity to hear from guest speaker, Dr Viliami Tutone, who as a consultant nephrologist at Middlemore Hospital has dealt with the devastating effects of this disease on a daily basis.


According to the Ministry of Health 250,000 people in NZ, mainly Pacific and Māori ( people, have been diagnosed with this disease (mostly type 2). Most troubling is that the number of people with both types of diabetes – especially lifestyle-related type 2 diabetes, is on the rise!


NZ Aotearoa is a Pacific island with a growing, young and vibrant Pacific population, says the webishop facilitator HPF’s Dr Viliami Puloka who has been leading the fight against non-communicable diseases, including diabetes for many years now.

 

“Pacific peoples are shaping tomorrow for all of us. We must therefore address both life and livelihood disparities for all of us,” says Dr Puloka.

 

At the webishop you will learn how to scan the key socio-economic and political determinants of health and wellbeing for Pacific peoples, check our individual and collective roles and responsibilities for health and wellbeing of our communities and explore culturally appropriate solutions with Health Promotion approaches. framing both Societal and Individual actions.

 

Key Topics are:

  • Diabesity (Diabetes and Obesity)
  • Obesogenic environments
  • Wealth and Health conflict
  • Societal responsibility
  • Personal choice with Lifestyle challenges

Register HERE.

COMPETITION!





TO WIN ONE OF 3 SCHOLARSHIPS TO
ATTEND THE WEBISHOP ALL YOU HAVE
TO DO IS ANSWER A SIMPLE QN!













ABOUT THE SPEAKERS: 


Dr Viliami Tutone
 is a nephrologist trained in New Zealand and Scotland. He has been a consultant nephrologist at Counties Manukau Health – Middlemore since 2005. He is currently the Pacific People representative for the Organ Donation New Zealand and heavily involved and with Pacific and Maori Health .

Dr Viliami Puloka is a Public health physician working in New Zealand as Senior Health Promotion Strategist specialising in Pacific Health with the Health Promotion Forum of New Zealand. He is also a research fellow with Otago University working with the Health Promotion and Policy Research Unit, University of Otago. 

Dr Puloka has a special interest in diabetes and obesity, and believes “Diabetes is the face of non-communicable diseases (NCD) in the Pacific”.

He led the fight against NCD with the Secretariat of the Pacific Community (SPC) for almost a decade before moving to New Zealand. He was NCD Team leader supporting the 22 Pacific Island countries and Territories.

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Experts, News

Dr Trevor Hancock has been a mover and shaker in public health for more than 30 years.

The guest speaker at HPF’s webishop ‘No health without a healthy planet’ on February 17, helped pioneer the (now global) Healthy Cities and Communities movement and initiated early work on the concept of ‘healthy public policy’ in the 1980s.


He has worked as a consultant for local communities, municipal, provincial and national governments, health care organisations, NGOs and the World Health Organisation (WHO), and as a speaker around the world.


Dr Hancock and HPF’s Executive Director, Sione Tu’itahi who will facilitate the webishop are also members of the newly established IUHPE Global Working Group on Waiora Planetary Health and Human Wellbeing, which champions the Rotorua Legacy Statements of the World Conference on Health Promotion 2019 in New Zealand.


But this is just the tip of the iceberg of what Dr Hancock has achieved and it’s hard to believe he didn’t even have public health on his radar when he entered a very specialty-oriented London teaching hospital in 1967.


Graduating six years later wanting to be a family physician and with an active engagement in ecological politics he almost immediately moved to Canada, where he did family practice in rural New Brunswick and then in a community health centre in Toronto. 


It was at this community health centre, where he says they served a ‘somewhat underprivileged community’ that his interest in public health bloomed.


“It was clear to me that many of the health problems my patients experienced were economic, social and environmental problems, not really medical problems, which cemented my interest in public health,” he recalls.


After retiring in 2018 from his role as Professor and Senior Scholar at the School of Public Health and Social Policy at the University of Victoria, British Columbia Dr Hancock turned his attention to new ventures.


His recent focus has been the combination of the relationship between human health and the natural environment and the healthy community approach. 


He established a new NGO in Victoria – Conversations for a One Planet Region. The initiative works to engage the people and governments of the Greater Victoria Region in conversations about what is involved in becoming a region with an ecological footprint of One Planet while maintaining a good quality of life and good health for all.


“We realised early on that we needed to do work with the community to explore what should be the response to the Anthropocene at the local level. We suggested the concept of a One Planet Region as a way to address this locally (an idea we later learned had been pioneered by Bioregional in the UK, a group we now work with). We defined a One Planet Region as one that achieves social and ecological sustainability, with a high quality of life and a long life in good health for all its citizens, while reducing its ecological footprint to be equivalent to one planet’s worth of biocapacity.”


So, what of health promotion’s role in all this?


Health promotion says Dr Hancock has only in the past few years started to pay serious attention to the ecological determinants of health and the concept of planetary health. This is despite the Ottawa Charter for Health Promotion recognising stable ecosystems and sustainable resources as prerequisites for health as long ago as 1986.


“Health promoters must first however learn about the global challenges of the Anthropocene – the new age of humanity as a dominant global force and what new approaches and solutions we need,” says Dr Hancock who will provide a brief update on the Anthropocene at the webishop.


“We must recognise that this calls for an eco-social approach in all our work and all our communities.


“We are not simply health promoters, more importantly we are citizens. So, if we can make it part of the work we do, that is definitely a bonus.”


While there is a need for global and national action, Dr Hancock points out that we also need to recall the sage advice to “Think globally, act locally”.  He will address this in the webishop by focusing on the creation of healthy and sustainable communities, and the role of health promotion, especially in starting the conversation on becoming a One Planet Community and society.


Meanwhile, on the best way for countries to move forward post-Covid Dr Hancock says there is a need to push our elected leaders to pay heed to advice from health authorities such as the director general of the WHO, Dr Tedros Ghebreyesus.


“Ensuring that the recovery from the recession induced by our response to COVID-19 is a healthy, green and just recovery,” he writes in his weekly column on population and public health for Victoria’s Times Colonist.


“That there will be some sort of economic recovery from the Covid-19 pandemic is not in doubt. But the fight that is shaping up is between those who want to go roaring back to the past by promoting fossil fuels and ditching environmental protections and those who want to use this opportunity to bounce forward instead to a green, just and healthy recovery.”


Dr Hancock’s work has not gone unrecognised and in 2015 he was awarded Honorary Fellowship in the UK’s Faculty of Public Health for his contributions to public health. In 2017 he was awarded the Defries Medal, the Canadian Public Health Association’s highest award, presented for outstanding contributions in the broad field of public health, as well as a Lifetime Contribution Award from Health Promotion Canada.

 

The Anthropocene is a new geologic epoch, identified in geological terms as a layer of new materials (e.g. glass, plastic, concrete, radioactive elements and their decay products, elevated CO2 levels) and a change in future fossil deposits (e.g. wild animals now make up only 4% of the mass of land vertebrates, with humans (anthropos in Ancient Greek) and their domesticated species making up the rest) that will be clearly seen as anthropogenic – caused by humans – by future geologists.

  •  
  • Dr Trevor Hancock.

 

 

 

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News
HPF joins the rest of the nation today (Sat FEb 6) to commemorate Waitangi Day and reflect on our nationhood and national identity.

It’s also an opportunity to reflect on the relationship between Te Tiriti O Waitangi, which was signed 181 years ago, and its impact on hauora, health and wellbeing.

Today, in the context of health and wellbeing, the link to Te Tiriti remains as relevant as ever. It is in matters of social justice, health equity and the need to address the wider determinants of health. It draws on the importance of Tino Rangatiratanga, Maori self-determination and mana motuhake.

“In Aotearoa New Zealand, health promotion is based on Te Tiriti and the Ottawa Charter,” says HPF’s Executive Director Sione Tu’itahi.

“While it is important to mark Waitangi Day to remind us all of Te Tiriti, ensuring that the articles of our nation’s founding document are translated into action and concrete outcomes for the betterment of all is of the utmost importance.”

HPF’s Māori Health Promotion Strategist Mereana Te Pere says now is also a pivotal time for Māoridom to strengthen ties and create strategies to protect Papatuanuku, and the environment.

“The planet has already reached crisis level and cannot be sustained if we continue to abuse it. Propelled by Te Tiriti o Waitangi and other social movements such as BLM and change of legislation around Māori wards at council level, Māori are in a strong position to take steps to legally and strategically protect natural resources, thereby safeguarding the hauora, mauri and wairuatanga of future generations.”

Meanwhile, community events from Northland to Southland and from the West Coast to the Chatham Islands will be held to commemorate the day.

“Thirty-four grants totalling $288,000 have gone to organisations throughout Aotearoa to support events commemorating the signing of Te Tiriti o Waitangi and celebrate its importance to who we are as a nation,” said Minister for Arts, Culture and Heritage, Carmel Sepuloni.

“From workshops on Te Tiriti and whānau-oriented marae days to performance and children’s activities these nationwide events will deepen our understanding of Te Tiriti.”

For more info click here.
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News

Don’t miss out on your chance to hear from and interact with internationally recognised leader in health promotion Dr Trevor Hancock at HPF’s next webishop on February 17.

Dr Hancock who is based in Victoria, Canada will be the guest speaker at the webishop, ‘No health without a healthy planet’ on Feb 17.

“It’s only in the past few years that health promotion has started to pay serious attention to the ecological determinants of health and the concept of planetary health,” says Dr Hancock.

“But when the UN Secretary General says ‘the state of the planet is broken. Humanity is waging war on nature. This is suicidal’ and when the Director General of the WHO says we must ‘protect and preserve the source of human health: Nature’ — then it’s time to pay attention!”

Dr Hancock who is one of the founders of the (now global) Healthy Cities and Communities movement will provide a brief update on the Anthropocene (global ecological change and the social and economic trends driving those changes) and their health implications.

He will also look at what we have to do to become healthy, just and sustainable societies and communities, providing a good quality of life and good health for all within the limits of the one small planet that is our home.

“This means a 65 – 80% reduction in the ecological footprint of high-income countries, something that is not receiving serious consideration, in fact is not even being talked about,” says Dr Hancock.

“It will require profound transformations in society, economics, law and especially the core values and world views that drive our present suicidal path.

“But while there is a need for global and national action – and I recognise that Aotearoa New Zealand is showing leadership in several areas – we also need to recall the sage advice to ‘Think globally, act locally’.

“So, I will close by focusing on the creation of healthy and sustainable communities, and the role of health promotion, especially in starting the conversation on becoming a one planet community and society.”

Click here to register and find out more about the phases of learning and webishop costs. Discounts are offered to HPF members.

Participants are encouraged to participate in the exercises and material that will be disseminated before the webishop.

ABOUT THE GUEST SPEAKER:

Dr Trevor Hancock is a public health physician and health promotion consultant.

He ‘retired’ in 2018 from his role as Professor and Senior Scholar at the School of Public Health and Social Policy at the University of Victoria.

Dr Hancock’s main areas of interest are population health promotion, healthy cities and communities, public health, healthy public policy, environment and health, healthy and ‘green’ hospitals, health policy and planning, and health futurism.

His recent focus has been the combination of his two main areas – the relationship between human health and the natural environment and the healthy community approach. 

In 2o15 he was awarded Honorary Fellowship in the UK’s Faculty of Public Health for his contributions to public health, and in 2017 he was awarded the Defries Medal, the Canadian Public Health Association’s highest award, presented for outstanding contributions in the broad field of public health, as well as a Lifetime Contribution Award from Health Promotion Canada.

Dr Hancock is one of the founders of the (now global) Healthy Cities and Communities movement and co-authored the original background paper for the European Regional Office of the World Health Organization in 1986.

ABOUT THE FACILITATOR:

The Executive Director of the Health Promotion Forum, Dr Tu’itahi is a member of the Global Executive Board of the International Union for Health Promotion and Education (IUIHPE). Dr Hancock and Dr Tu’itahi are members of the newly established IUHPE Global Working Group on Waiora Planetary Health and Human Wellbeing, which champions the Rotorua Legacy Statements of the World Conference on Health Promotion 2019 in New Zealand.

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News

HPF is running a competition to give you the chance to win one of three scholarships for our first webishop of the year. And with Waitangi Day just around the corner you don’t want to miss out on the webishop ‘Every day is Waitangi Day’ which will explore what it looks like to be a Treaty based organisation.

The webishop will also examine some Māori-based approaches to health determinants, and how organisations must change how they operate in order to serve Māori communities and honour Te Tiriti o Waitangi in the appropriate manner.  

All you have to do to go in the draw to win a scholarship is answer this simple question: “What does Whakamaua translate to in English?” Enter your answer in our comments section on our Facebook page or email it to emma@hauora.co.nz by Jan 31.

The webishop features Te Te Kaha o te Whānau – a mainstream organisation working in the heart of South Auckland.

The guest speaker is Wati Waru (Te Rarawa) who recently joined the team at Te Kaha o te Whānau as a facilitator and co-developer of ‘Awhina’ – a whanau resilience model that empowers families to develop their own health outcomes and the plan that achieves them.

Faciliating the webishop is HPF’s Maori Health Promotion Strategist Mereana Te Pere.

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Apply now for HPF’s short course in health promotion and go into the New Year with a better understanding of the role and importance of health promotion. An exciting and interactive course which relates theory to students’ own experiences, knowledge and skills this course will also help you to understand the broader concept of health within a community and national setting.

The course will introduce you to the principles, concepts and practice of health promotion and will be facilitated by HPF’s Executive Director Sione Tu’itahi and Maori Health Promotion Strategist Mereana Te Pere. View their profiles.  

To enrol complete the registration form here or download the application form from our website.


Learning outcomes

As a result of attending this workshop, participants will:

  • Demonstrate the skills necessary for effective learning and beginning health promotion practice.
  • Define health promotion and discuss the values and ethics that underpin health promotion practice.
  • Identify and explain the significance of key documents relevant to health promotion practice in Aotearoa New Zealand.
  • Provide examples of a range of key health promotion strategies and tools.
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Maori health promotion, News

It’s time to start filling your kete at our first webishop for the year, which will explore what it looks like to be a Treaty-based organisation.

‘Every day is Waitangi Day’ features Te Kaha o te Whānau – a mainstream organisation working in the heart of South Auckland.

The webishop will be held on Thursday, February 14 from 11am to 12.30pm

Guest speaker Wati Waru (Te Rarawa) recently joined the team at Te Kaha o te Whānau as a facilitator and co-developer of ‘Awhina’ – a whanau-resilience model that empowers families to develop their own health outcomes and the plan that achieves them.

The webishop will explore what it looks like to be a Treaty-based organisation. It will also examine some Māori-based approaches to health determinants, and how organisations must change how they operate in order to serve Māori communities and honour Te Tiriti o Waitangi in the appropriate manner.

As a result of attending this workshop, participants will:

  • Learn how Te Tiriti o Waitangi affects the way organisations should/can operate in Aotearoa
  • Learn about Māori approaches and models to health determinants, and how their own organisations can create the same environment for their staff and clients
  • Learn how Māori concepts of the environment supports and contributes planetary health

Register here

Facilitator:

Mereana Te Pere (Waitaha, Tapuika, Ngāti Ranginui) – Mereana has recently joined the team as a Māori Health Promotion Strategist. She comes to our organisation having worked predominantly in the education sector with Māori and rangatahi. Her future goals are in elevating the skills and knowledge of the work force to better meet the health needs and rights of Māori communities and whānau.

Guest Speaker:

Wati Waru (Te Rarawa) – Wati has recently joined the team at Te Kaha o te Whānau as a facilitator and co-developer of ‘Awhina’ – a whanau resilience model that empowers families to develop their own health outcomes and the plan that achieves them.  Te Kaha o te Whānau also work with other organisations to support this new approach, and how to overcome the trials associated with challenging how mainstream NZ view Māori and their health.  

General Information

HPF webinars have three phases of learning activities:

  1. Pre-event study and preparation, using resources sent three days prior. Participants are encouraged to participate in the exercises and material that will be disseminated before the webishop
  2. Participation in the actual webinar with questions and answers as well as discussion
  3. After the webinar, participants receive a copy of the powerpoint presentation and other resources used, as well as exclusive viewing of the webishop (with your co-workers) for two weeks in our private YouTube channel, before the video is put into our public HPF channel. You can also ask follow-up questions to the presenter and/or facilitator during the two weeks after the webishop.

 

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Maori

A health and wellbeing programme designed to support rangatahi to enhance their hauora and develop a sense of identity and belonging was successfully delivered by Te Korowai Hauora o Hauraki in Thames High School last term.

Phusion, which is a collaborative programme working alongside schools and various youth support services and other community health providers, is “interactive, challenging and fun”, says Mahinaarangi Skipper, Kaikōkiri – Iwi Health Promoter (Sexual Health).

 Ms Skipper says after participating in the programme Rangatahi will be able to demonstrate knowledge in Nga Taonga Takaro and participate in various traditional Māori practices such as mau rākau, karakia and pepeha.

“They will understand the importance of maintaining a good overall health, develop leadership skills and have ability to work in a team environment.

 She says Phusion also equips rangatahi with the information and strategies necessary to make safe choices.

“We strive to ensure our taiohi health and wellbeing is a priority and ensuring our tamariki gain skills to guide them through their journey into adulthood.”

 Ms Skipper adds that the students loved doing the programme. One thing they had to ensure she says was that “we found different avenues for our taiohi to express themselves without standing up, smaller group discussions worked out well for our rangatahi.”


ABOUT PHUSION

 Phusion was developed by Whakapai Hauora, Iwi health service based in Palmerston North and was developed to support rangatahi Maori to make heathier lifestyle choices.

 The fusion of physical activity, nutrition, Hauora, resilience and cultural identity supported rangatahi Maori to address specific health issues and promote awareness of ora and support the integration of traditional Maori practices.

The programme is still run by Iwi health services in Palmerston North. The name Fusion was created by those who founded the programme, Rachel Ngataki and Taylor Hakaraia-Woon who worked in their Public Health team. The programme was then gifted to Emma Hawkins, Te Korowai Hauora o Hauraki’s previous kaimahi who introduced it to Hauraki.

Te Korowai adopted the programme in 2019 to encourage key health messages in schools

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Professor Fran Baum, one of Australia’s leading researchers on the social and economic determinants of health has been quite vocal recently about the importance of a ‘social vaccine’ to rebuild a fairer and more sustainable world post Covid-19.

Hauora asked Prof Baum who is the Matthew Flinders Distinguished Professor of Public Health at Flinders University in Adelaide, Australia to explain about what the vaccine is and how it would work.

We also asked the foundation Director of the Southgate Institute of Health, Society and Equity about the role of health promoters in helping to rebuild a better world after Covid, as well as the role of good governance and leadership.


Hauora: I read in an article you wrote recently about when the Covid-19 pandemic eventually ends the inequities it has highlighted will remain, unless a ‘social vaccine’ is developed and applied. Can you please explain what a ‘social vaccine’ is and how this will help to shape the world post-Covid?

Prof Baum: A social vaccine comprises government and other institutional policies which aim to keep people well and mitigate the structural drivers of inequities in daily living conditions, which make people and communities vulnerable to disease and trauma. It also includes the importance of civil society groups who advocate for such policies. The target of the social vaccine is the conditions that underpin four basic requirements for global health and equity to flourish. These are: 1) A life with security; 2) Opportunities that are fair; 3) A planet that is habitable and supports biodiversity, and 4) Governance that is just.

Hauora: You also explain that ‘the delivery of public policies at the heart of a social vaccine require considerable civil society advocacy to ensure their development and effective implementation’. Can you please elaborate on this?

Prof Baum: I have always believed (supported by evidence) that civil society advocacy is vital in bringing about healthy public policy in all sectors. I have used the metaphor of a nutcracker (see illustration) to show that improving health and health equity requires both top-down policy action and bottom-up advocacy. Historical examples make this very clear. For example, in the cases of the abolition of slavery and franchise for women, civil society was vital in arguing for these changes and ensuring politicians listened to them. For an examples from Covid-19 I would give the People’s Health Movement which has launched a campaign to ensure equal access to Covid-19 Essential Health Technologies (EACT)  including vaccines (see here).

Hauora: What contributions do you think health promoters can make in helping to shape a better future?

Prof Baum: I think they can ensure that the debate about Covid-19 goes beyond the need for a vaccine to considering how the inequities that have been laid bare by Covid-19 can be reduced. For example, the pandemic has shown the weaknesses that casualised employment introduces. In India, many migrant workers did not have secure work and had to walk to their home villages often hundreds of miles away. On the way many become sick, had little food, were subjected to police brutality and some even died. In Australia workers in the gig economy have no sick leave or secure employment and have been shown to be a weak link in our defences against a pandemic.

On a broader scale, health promoters can look to the underlying causes of Covid-19 and point to the importance of taking an ecological view of health. There are an increasing number of emerging infectious disease and the evidence suggests that deforestation is a key way in which infectious agents jump from animals to humans.

Hauora: If there is one thing this pandemic has highlighted it is how crucial good governance and leadership is? What is your view on this?

Prof Baum: Yes, the politics of the pandemic are vital. Political will to accept public health advice is crucial. We have seen in the US how a leader who rejects this advice creates catastrophic consequences with Covid-19 deaths in the US topping a quarter of a million. By contrast other countries like Vietnam, Thailand, Australia, and New Zealand have had very low rates.

Hauora: Women leaders, especially, have been lauded for effectively guiding their countries through the Covid-19 pandemic. What common threads do you think have contributed to their success in responding to this crisis?

Prof Baum: In New Zealand you have, of course, the wonderful example of your Prime Minister Jacinda Ardern who has led with empathy, compassion, clear communication and also taken the hard public health advice. I think those characteristics of a political leader are the key to dealing with a pandemic.

Hauora: Is there anything else you would like to add?

Prof Baum: The most central thing for health promoters to keep emphasising is that we need to ensure that our political leaders govern for health not profit in each sector of society.
I argue this point in my book Governing for Health: Advancing Health and Equity through Policy and Advocacy.

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Grant Berghan brings a wealth of experience to his new role as CEO of the Public Health Association of NZ.

Mr Berghan who was in public health for 25 years is from the Tai Tokerau region with whakapapa links to Ngapuhi, Ngati Wai and Te Rarawa iwi. He has extensive experience in the health and labour market sectors, and more recently has been involved in regional economic development activity in Northland.

Hauora asked Mr Berghan who joined PHANZ in October about his decision to return to the public health field, what some of his priorities and goals for the organisation.

Mr Berghan who was a past member of the Maori Advisory Board (Public Health) with the Ministry of Health also discusses the leading role NZ has taken in responding to Covid-19 and how this can be extended to resolving other major issues such as poverty and racism.

Hauora: After 25 years working in public health, you have said this is a bit of a return to your roots. What prompted you to return to this field, and how much influence on your decision to apply, did Covid-19 play?

Grant: It’s interesting how these things play out. I had spent the last five years working in regional economic development, based in Northland. The role of the CEO for the PHA came up just as I was looking for a change, so I jumped at the opportunity. Covid-19 did factor into my decision to apply. Our “go hard go early” response has proven to be an effective strategy, and New Zealand is seen as a world leader in responding to Covid-19. I think we can easily leverage this success into other areas of public health.


Hauora:
What are some of your first priorities in this role?

Grant: There are a number of priorities, but they will revolve around the two big ones of climate change and addressing poverty. Everything else will fall out of those two. For us as an organisation, we’re going through a bit of a reset after a challenging year. I’m keen to build our capacity and capability at national office (so we can execute the work programme in front of us) and to grow our membership throughout the country. I’m waiting on Government’s response to the Simpson Review of the Health and Disability sector – that response will inform some of our tactics over the next three years. I’m keen also to work with others to provide a joined-up public health leadership response to the Review of the Health and Disability Sector.


Hauora:
What goals do you have for the PHA and how confident are you in achieving those?

Grant: The three big goals relate to growing our organisation, strengthening relationships with others, and executing a plan of action that address our priorities over the next three years. I’m confident we can achieve those goals but do not underestimate the challenges that we will face in doing so.


Hauora:
You said upon your appointment, that NZ has shown itself to be a world leader in responding to Covid-19, and that opportunity extends that leadership to include poverty, homelessness, racism, and other social and economic determinants of health. Can you elaborate on this please?

Grant: We have done really well managing Covid-19. There is absolutely no reason why we cannot be a world leader in resolving poverty, racism and the other big issues that confront us. What is required is the political will, ambition and courage to do so and the means to enable that. The Government has been given the mandate by this country to govern on its own. If ever there has been a chance to make a difference, now is that time.

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Community, News

“Otara Health (OH) walks its talk and strives to encourage the organisations in the systems across all the sectors to lower their barriers to work better together.”

OH’s Operations Manager Mark Simiona made the comment in an interview with HPF’s Hauora newsletter to discuss the impact the Covid-19 crisis has had on the organisation’s services and what are some of its current major collaborative projects.





Hauora:
Can you please tell us about one or two current ‘health promotion’ initiatives/collaborative efforts that Otara Health (OH) is engaging in to build a healthier community and how they are progressing?

Mark:
Te Ora Puāwai Collective – This is funded by Counties Manukau Health led by Otara Health. This is a collective of eight organisations to design with patients a model of care for people with long-term conditions. This collective is made up of Otara Health Charitable Trust (lead organisation), Health Promotion Forum, Manukau Urban Māori Authority (MUMA), The Heart Foundation, Disability Connect, Pro Care, ZOOM Pharmacy, Otara Family Christian Health Centre.

Once the design is completed and submitted it may become a model of care to deliver for the next five years.

Project NEMO – This is a collaborative initiative birthed as a Covid-recovery plan with the Thriving Otara movement for the Otara community by those who live, learn, work, play and pray in Otara. This will be a community hub made up of a collective of organisations serving to meet the needs of community impacted by Covid-19 by providing coordinated referrals to key agencies based on the need of people including a foodbank and wrap-around services including support with business, education, employment and getting connected.


Hauora
: How did Otara Health respond to the Covid-19 crisis and has this had much of an impact on how you now deliver your services?

Mark:
Throughout lockdown Otara Health adapted quickly to work remotely from home and continued to provide its services virtually. Staff attended daily online check-ins via ZOOM and utilised phone, Facebook and any other means to connect with participants. Now in level 1 OH is applying much of the learning to deliver services better providing a mixture of face-to-face and online delivery.


Hauora
:
Otara Health places a strong emphasis on building community leadership and advocacy skills to empower people to lead change within the community. Can you please elaborate on this?

Mark: Otara Health uses Twyford’s Power of Co and Results Base Accountability (RBA) for the delivery of its services, systemic influence and collaborative engagement. Our challenge to organisations is to look at what they can do differently to get a different and hopefully better result. OH continues its work through Thriving Otara to lead a change of thinking about how to improve delivery and who you need to work with to do it. This is also based on the principles of the Ottawa Charter.

In our frontline delivery OH uses strength-based, whanau-led approaches like, Fono Fale, Te Whare Tapa Wha and appreciative Inquiry to look at what is important to whānau when making contact and doing in-home assessments.

In short OH walks its talk and strives to encourage the organisations in the systems across all the sectors to lower their barriers to work better together.


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A webishop that will focus on obesity and diabetes putting them on par with suicide, mental health, teenage pregnancy and drug and alcohol abuse will be held at on the 26th of this month.

‘Diabetes, Societal malady with individual responsibility’ follows on from Diabetes Action Month last month and will specifically discuss the magnitude and impact of diabetes and obesity among Pacific peoples in Aotearoa.

Click here to register.

The prevalence of diabetes in Maori and Pacific populations is around three times higher than among other New Zealanders.

NZ Aotearoa is a Pacific island with a growing, young and vibrant Pacific population, says HPF’s Dr Viliami Puloka who has a special interest in diabetes and obesity.

“Pacific peoples are shaping tomorrow for all of us. We must therefore address both life and livelihood disparities for all of us.”

Learning outcomes for the webishop:

  1. Learn and discuss the magnitude and impact of Diabetes and Obesity among Pacific peoples in Aotearoa
  2.  Scan the key socio-economic and political determinants of health and wellbeing for Pacific peoples
  3. check our individual and collective roles and responsibilities for health and wellbeing of our communities
  4. Explore culturally appropriate solutions with Health Promotion approaches. framing both Societal and Individual actions.
Enter our competition (see below) to go in to a draw to win three scholarships to attend this interactive and informative webishop.

You can view the full workshop, three phases of learning activities and workshop costs when you go to register.

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News

HPF applauds the move by the Government this week to declare a climate change emergency.

Prime Minister Jacinda Ardern who made the declaration yesterday (Dec 3) committed the Government and the public sector to going carbon-neutral by 2025.

Ms Ardern said the declaration ‘bases on science” and the country “must act with urgency”.

“This declaration is an acknowledgement of the next generation. An acknowledgement of the burden that they will carry if we do not get this right and do not take action now,” she said.

This was a declaration grounded in a deep sense of responsibility – a responsibility that people in the Pacific know all too well, said Ardern.

She said the Pacific Island forum has called climate change “our biggest threat”.

Ardern’s comments support the call for urgent action at last year’s 23rd IUHPE World Conference on Health Promotion, co-hosted by HPF in Rotorua.

In the Rotorua Legacy Statement released at the conference, participants called on the global community to urgently act to promote planetary health and sustainable development for all, now and for the sake of future generations”.

The Indigenous Peoples’ Statement for Planetary Health and Sustainable Development called on health promoters and the world to make space for and privilege Indigenous peoples’ voices and Indigenous knowledges in taking action.

Read the statements HERE.

Māori Party co-leader Debbie Ngarewa-Packer said the motion was well overdue and that ‘tangata whenua have known long that our environment is totally out of balance and for decades have understood the urgency of dealing with climate change”.

“We have an obligation to our rangatahi to unite and to do everything as kaitiaki to protect our taiao and our whanau from the climate crisis in the short time we have left.

“We must restore balance with the natural world and regenerate our whenua, our wai, our moana and our precious indigenous taonga species.”

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News

Public health leaders will connect and share expertise and experience at Te Ara Pounamu: a population health virtual hui organised by The Health Promotion Agency  (Te Hiringa Hauora) tomorrow. (Nov 26)

The hui, which starts at 8.30am, centres on resetting the focus and building a stronger narrative for public and population health. The themes are Population health and sustainability, Hauora Māori and Te Tiriti and Communities and Equity.

Te Hiringa Hauora’s CEO, Tane Cassidy says they are privileged to have an inspiring line-up of speakers and presentations for the hui.

Mr Cassidy hopes participants will take the chance to connect and share expertise and experience to ensure better public health outcomes for all in Aotearoa. 

“It’s an opportunity to reflect on the proposed health system changes and look for opportunities for greater alignment and collective impact.”

For more details, to register and to see the list of speakers click here

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News
On November 20 we’re celebrating #WorldChildren’sDay by listening to the voices of children and young people. Our youth will be living with the impacts of Covid-19 and the climate crisis for years to come, but they are sounding the alarm, as they also have solutions. It’s time for generations to come together to reimagine the type of world we want to create, a better world for the health and wellbeing of our children. “2020 has been challenging, so this World Children’s Day it’s more important than ever for young people to speak out on the issues that affect them,” said UNICEF Goodwill Ambassador Millie Bobby Brown. “All around the world, children and young people are coming up with creative solutions to today’s problems, including climate change and remote learning during the pandemic. I’m excited to join other UNICEF Goodwill Ambassadors to use our voices to help lift up theirs.” It’s time for generations to come together to reimagine the type of world we want to create, a better world for the health and wellbeing of our children. Check out the UNICEF website to see how you can get involved, watch Voice of Youth interviews and see children take over high-visibility roles in media, politics, business, sport and entertainment to highlight issues that are important to them. Landmark buildings around the world will light up blue on the day to show support for child rights. So wear something blue, change your profile picture online and help raise awareness.  

UNICEF and partners are calling on governments to adopt a Six-Point Plan to protect our children:

  1. Ensure all children learn, including by closing the digital divide.
  2. Guarantee access to health and nutrition services and make vaccines affordable and available to every child.
  3. Support and protect the mental health of children and young people and bring an end to abuse, gender-based violence, and neglect in childhood.
  4. Increase access to clean water, sanitation and hygiene and address environmental degradation and climate change.
  5. Reverse the rise in child poverty and ensure an inclusive recovery for all.
  6. Redouble efforts to protect and support children and their families living through conflict, disaster and displacement.
World Children’s Day was first established in 1954 as Universal Children’s Day and is celebrated on 20 November each year to promote international togetherness, awareness among children worldwide, and improving children’s welfare. November 20th is an important date as it is the date in 1959 when the UN General Assembly adopted the Declaration of the Rights of the Child. It is also the date in 1989 when the UN General Assembly adopted the Convention on the Rights of the Child.
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HPF’s resilience and hard work during what has been a challenging year was acknowledged at our first online Annual General Meeting today. Board Chairperson, Mark Simiona (Otara Health Charitable Trust) said HPF had continued to demonstrate how to create an organisation with strong values of inclusiveness, compassion, support, and a high work standard. “Our management team led by Executive Director Sione Tu’itahi adapted well to working with the Covid environment…the Board was able to work side by side with management and staff towards achieving its plans and goals,” said Mr Simiona. “We also work together for the sustainability of HPF, adapting to the new environment of more opportunities to lead health promotion for the wellbeing of our country, and contribute to the regional and international level.” HPF farewelled outgoing Board members Vishal Rishi (The Asian Network Inc.) who leaves after three terms and Paula Snowden (CEO, Problem Gambling Foundation, PGF) who has stepped down due to workload commitments. As a result of the nominations received, five Board members were appointed: Mr Simiona, Selah Hart (Hapai Te Hauora) and Fay Selby-Law (Hapai Te Hauora Tapui) who return for another term. New members are Grace Wong (The Asian Network Inc.) and Te Rukutia Tongaawhikau (PGF). Making up the rest of the Board line-up are incumbents Sharon Kennedy-Muru (Toi Te Ora Public Health Service) and Te Aroha Hunt (Tuai Kopu Programme Coordinator). Mr Tu’itahi said it was a challenging year, but many lessons were learnt. “Covid-19 prompted HPF to strengthen its application of hauora within the organisation, its activities, and relationships, ensuring the balance between planetary health, human wellbeing, and people and communities’ socio-economic, spiritual and cultural wellbeing.” He added that HPF would continue to “maintain its three major areas of focus – leadership and partnership, workforce development,  communication – while developing new initiatives such as the accreditation for health promotion, and expanding into community development with community service providers”. He also revealed HPF had officially adopted the logo from last year’s World Health Promotion Conference in Rotorua. “Our decision to rebrand with this logo represents a new era of focusing on the national level while making significant contributions to health promotion at the international level”.
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News
This month is Diabetes Action Month and HPF is encouraging Aotearoa to take action to understand and support Kiwis living with diabetes and to learn more about the disease in their whanau and community. Diabetes NZ has sounded the challenge to ‘love not judge’ and ‘wear your hearts on your sleeve for diabetes’ as the disease is more than just a physical condition, it can affect mental and emotional wellbeing too. This was revealed in an Emotional Health Survey last month, in which over 1000 New Zealanders with Type 1 and Type 2 diabetes participated. This was the first time the emotional burden of diabetes had been surveyed in New Zealand. HPF’s Dr Viliami Puloka, who has a special interest in Diabetes and obesity, says diabetes is preventable and can even be reversed or cured with medication and other medical treatments. Dr Puloka stresses however that healing the whole person is not possible unless we stop judging and start loving. “Diabetes, obesity, suicide drug addictions and others are symptoms of a sick society,” he points out. “The root causes are socio-economic, political and cultural with the individuals feeling powerless and unable to make healthy choices. “Let us love not judge. We can begin in the way we look at and speak about and to people with diabetes- that is wearing our hearts at our sleeves. Diabetes NZ CEO Heather Verry says the distress related to Covid-19 has been even more acute for the quarter of a million people living with diabetes in New Zealand. “With one global pandemic in full swing, it’s important not to lose sight of the other pandemic facing New Zealanders – diabetes. Our survey shows that 45 per cent of Kiwis with diabetes experienced more diabetes distress as a result of Covid-19. Fourteen per cent experienced increased discrimination or stigma, and 24 per cent were diagnosed with a new health disorder,” she says. World Diabetes Day, which is on November 14, has the theme ‘Nurses Make the Difference for Diabetes’.
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Competencies, News
A webishop that aims to give a basic introduction of the contrasting philosophies of te ao Māori and te ao Pākeha in relation to health and wellbeing will be held on November 26. “Through the Māori Looking Glass – becoming part of the ‘other’ world” will be facilitated by HPF’s Māori Health Promotion Strategist, Mereana Te Pere. The guest speaker will be newly appointed CEO of the Public Health Association of NZ (PHANZ), Grant Berghan. At the webishop participants will gain tools, knowledge and understanding of the dual worlds. They will learn how, as health promotion practitioners, they are able to safely navigate and connect both worlds, hence becoming more effective as leaders, influencers and participants of/with Māori in the Health Promotion field. You also have the chance to win one of three scholarships up for grabs for this webinar by just answering a simple question: “What is the difference between a webinar and a webishop”. Learning outcomes As a result of attending this workshop, participants will:
  • Have a practical guide to developing and improving Māori Health Promotion practice
  • Gain knowledge that will enhance the effectiveness of Health Promoters and Public Health Practitioners who wish to contribute to Māori health outcomes
  Discounts are offered for HPF members and anyone who registers will receive a PowerPoint presentation and exclusive access for a limited time to the workshop (with your co-workers) on our YouTube channel.   The webinar has three phases of learning activities – before, during and after the webinar. These include:
  • pre-event study and preparation, using resources sent three days prior
  • participation in the actual webinar with questions and answers as well as discussion
  • after the webinar, participants receive a copy of the powerpoint presentation and other resources used, as well as exclusive viewing of the webinar (with your co-workers) for two weeks in our private YouTube channel, before the video is put into our public HPF channel
  • ask follow-up questions to the presenter and/or facilitator during the two weeks after the webinar
  COST: $29 for members of HPF, and $49 for non-members.

REGISTER HERE

  About the Facilitator: Mereana Te Pere (Waitaha, Tapuika, Ngati Ranginui) – Mereana has recently joined the team as a Māori Health Promotion Strategist. She comes to our organisation having worked predominantly in the education sector with Māori and rangatahi. Her future goals are in elevating the skills and knowledge of the work force to better meet the health needs and rights of Māori communities and whānau.   Guest Speaker: Grant Berghan (Nga Puhi, Ngati Wai, Te Rarawa) – CEO of the Public Health Association of NZ (PHANZ). Grant has extensive experience in the health and labour market sectors. More recently he was involved in regional economic development activity in Northland. Grant was also a government appointed member to the Youth Suicide Advisory Panel and a past member of the Maori Advisory Board (Public Health) with the Ministry of Health. In 2017, in conjunction with Dame Margaret Sparrow, he was the recipient of the PHA Public Health Champions Award.  
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HPF congratulates Grant Berghan on his appointment as the new CEO of the Public Health Association of NZ (PHANZ). Mr Berghan who is from the Tai Tokerau region with whakapapa links to Ngapuhi, Ngati Wai and Te Rarawa Iwi has extensive experience in the health and labour market sectors. More recently he was involved in regional economic development activity in Northland. Mr Berghan said the importance of public health to our communities and nation’s wellbeing has never been more evident in our lifetime. “New Zealand has shown itself to be a world leader in responding to COVID-19, and the opportunity exists to extend that leadership to include poverty, homelessness, racism and other social and economic determinants of health,” he said. “As a country we are small enough and close enough to make a big difference. We can and should lead the world by our example.” Fran Kewene, Māori Co-Chair says: “With Grant’s experience, expertise and local, national and international relationships, we feel he will bring new energy to our organisation, be able to connect quickly with our diverse membership, and develop new collaborations in order to drive public health locally and internationally.” Mr Berghan was a government appointed member to the Youth Suicide Advisory Panel and a past member of the Maori Advisory Board (Public Health) with the Ministry of Health. In 2017, Grant, in conjunction with Dame Margaret Sparrow, was the recipient of the PHA Public Health Champions Award.
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News
On September 16, 170 health professionals from across New Zealand attended the Health Coalition Aotearoa Political e-Forum to hear six of the political parties’ spokespeople discuss their positions on their party’s prevention policies. At that stage several parties had yet to release their health manifestos Below is a summary of the main questions and concerns raised at the Political e-Forum by participants. These are the key issues and key asks of the political parties ahead of the New Zealand General Election tomorrow (October 17). General Will your party act on reducing the supply of tobacco, alcohol and unhealthy food outlets in low social-economic communities? How will your party meet their Treaty obligations to protect Maori from harmful products like tobacco, alcohol and junk food that is causing unacceptable health inequities? What will your party do to reduce the affordability, accessibility and availability of the three key harmful products impacting New Zealander’s health – tobacco, alcohol and junk food? Given how much the Government depended on public health evidence to successfully manage Covid in NZ, how will your party continue this approach to evidence in relation to other pandemics such as childhood obesity? Tobacco When will the Smokefree Action Plan of achieving the 2025 goal be finalized, announced and implemented? Will you commit to its implementation in the first 100 days? Alcohol How does your party plan to meet its Treaty Obligations to prevent alcohol harm to Maori, which has slowly got worse, and the inequity gap has grown over the last 180 years. When will we see much needed alcohol legislative reform such as taxes and restrictions on trading hours and alcohol marketing and promotion? The affordability of alcohol has now reached an all-time high. What will your party do to turn down the tap on affordability? How do you plan to address the challenges faced at local government level where local alcohol policies have been thwarted by industry interference? Food Given the staggering evidence base in support, including modelling showing the cost savings, and the overwhelming public support – will your party introduce a sugary drinks levy? How will you protect our children, and uphold the Government’s commitment under the United Nations Convention on the Rights of the Child by reducing the amount of junk food marketing they are exposed to? Will your party look at ensuring all schools and ECEs are healthy settings for children, with healthy food policies rolled out nation-wide? Commercial interests How are you going to prevent lobby groups in influencing the policymaking processes towards solutions in terms of reducing obesity and tobacco/alcohol related harms? Do you anticipate that the Food Industry Taskforce will continue to be a key approach to addressing obesity even though many of the accepted recommendations are not key evidence-based interventions?
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Maori, Maori health promotion
Now more than ever we are able to put a spotlight on tough topics and hold people accountable so we can create a fairer society for everyone, writes HPF’s new Māori Health Promotion Strategist Mereana Te Pere   When I drive through the streets of Manurewa on the way home, I often hear the helicopter hovering above, usually as I am nodding my head to music. When I drive along Great South Road I see the effects of what happens when someone (or in this case a whole community) does not have adequate access to the right health avenues they need or are entitled to. In Manurewa it is not unusual to see queues of people a the local Work and Income office. There are three (soon to be four) prisons all within a 4km radius,  homeless families sleeping rough outside the church and takeaway shops, and Pātaka Kai emptied out. On a positive note, the window-washers are always polite, even if I don’t have any spare change. Despite these things, Manurewa is my home away from home, and a place that has also given me wonderful memories and caring friendships. Times seem to be always be tough in ‘Rewa’, but make no mistake, some of the most talented and generous people I have had the privilege to know and work with, have been born in ‘the south side’.   I love my place here in Tamaki with the wonderful people I consider my city whānau. But sadly the situation here reflects my hometowns of Te Puke and Tauranga. There I see awa that are becoming too polluted from local orchards and factories for our kids to swim in. But we need jobs right? I see too many tangi as a result of suicide. I see whānau being sent home from the GP or hospital with a bill of health, only to end up in the urupā. And I see people resort to drug dealing because its the only realistic option for generating a steady income. In this profession there are no conviction or reference checks, no experience necessary and there is always high demand. This way of life can make perfect sense for the generations of families forced beneath the poverty line.   But surely it’s not all doom and gloom? I reiterate that I love my home. I miss my whenua all the time, and when I am able to return I feel re-nourished. My happiest memories come from a upbringing full of tree-hut building, endless days swimming at the river, adventures through the bush, and playing with all the cousins at the pā, because that was our safe place and the centre of the universe. Twenty years ago this was the norm, but times have definitely changed, and now so must we.   Thirty years ago it was normal to tease someone for being gay, obey your elders with blind loyalty and see parents smoking around the tamariki inside the family home. Fortunately in today’s world, people are more connected, more socially aware and more liberal than ever. Social justice movements like Mauna Kea, Black Lives Matter and #MeToo means we no longer have to ask for permission to be treated with fairness, dignity and respect, because it is our right. Now more than ever we are able to put a spotlight on tough topics and hold people accountable so we can create a fairer society for everyone.   And this is why I put my hat in to the ‘health promotion’ ring. I have always pursued avenues for the most vulnerable members of my whānau, and all Māori, to thrive and have the best opportunities for quality and fulfilling lives. But as simple as that might sound, history shows that progress is slow and arduous. So when I think of the challenges ahead, it is the love for my whānau back home and here in Tāmakimakaurau who have been short-changed, that pushes me to give 100% for everyone and never quit. I feel very fortunate to be in a role where I can tackle those tough issues and serve these communities. Being a Māori Health Promotion Strategist is more than a job and pay packet (although in these uncertain times I am extremely grateful for my job), but it’s also part of a life mission to contribute meaningfully alongside the many other champions around the motu, to the health and wellbeing of all Māori whānau.   Ehara taku toa i te toa takitahi, engari he toa takitini (My success is not my own, but from that of many)
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Competencies
The response to the monthly online workshops launched by HPF on August 24 to cover topics on Maori, Pacific and general health promotion topics has been overwhelming.   Comments after the workshops ranged from “very informative,” and “Thank you. This webinar is full of specific information and provides me with a wonderful foundation to help me design services for Pasifika” to “beautiful presentation. Unity, balancing life, working together.” Participants also commented on the timeliness of the workshops and how great it was to learn new ways/ideas.   The workshops are a continuation of a special Covid-19 series of webinars, launched during the full lockdown earlier this year to offer handy tools and guidance.   With HPF’s face-to-face workshops temporarily on hold, HPF remains committed to providing training and wants to ensure that our health promotion workforce and sector continue to be fit for purpose in this fast-changing environment.   The workshops have three phases of learning. These include:
  1. pre-event study and preparation, using resources sent three days prior
  2. participation in the actual webinar with questions and answers as well as discussion
  3. after the webinar, participants receive a copy of the powerpoint presentation and other resources used, as well as exclusive viewing of the webinar (with your co-workers) for two weeks on our YouTube channel. Ask follow-up questions to the presenter and/or facilitator during the two weeks after the webinar
  The webinars/workshops are $29 for members of HPF, and $49 for non-members.

Besides the discounts on webinars, workshops and other events, as a valued member of HPF, you can take advantage of  a number of exciting benefits such as:

  • Exclusive access to any webinars on our YouTube channel – for a limited time only!
  • HPF scholarships (conditions apply)
  • Gain knowledge and skills for the ongoing professional development of your staff from experts in the field of health promotion
  • Advertise job vacancies in HPF’s monthly notice and website
  More benefits for members, through our new membership system, are in progress!    
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In the build-up to the election and with obesity in the spotlight over the past week, Professor Boyd Swinburn, one of the world’s leading obesity and food policy experts, has had heaps of airtime. The Professor of Population Nutrition and Global Health in the School of Population Health at Auckland University who chairs the Health Coalition Aotearoa also found time in his busy schedule to answer some questions from Hauora. Hauora was keen to find out from Prof Swinburn about the progress made by the Coalition since it was launched nearly two years ago, the aims of its 2020 Prevention Brief, and how vital it is that the silent voices in the communities be heard to influence change.   HAUORA: It has been nearly two years now since the Health Coalition of Aotearoa was launched with the vision of greater health and equity for all New Zealanders through reduced consumption of harmful products (tobacco, alcohol, unhealthy foods & beverages) and improved determinants of health. How has the progress been and what are some of your achievements? PROF SWINBURN: I think the Health Coalition has made great progress as an organisation, especially in getting ourselves into a strong position to focus on achieving action over the next term of government. We now have all our structures in place in terms of becoming an incorporated society with charitable status, getting more than 50 health organisations on board as members, working with government on several issues related to our kaupapa, and getting all members to define the priority actions needed for action on unhealthy products. Our four Expert Panels on tobacco, alcohol, food policy and public health infrastructure bring huge knowledge and experience to the Coalition’s work. Unfortunately, the Labour-led government over its first three years has achieved disappointingly little in the way of prevention policies, especially for alcohol and childhood obesity. We will really work hard over the next three years to see if greater progress can be made.   HAUORA: The Coalition has released its Prevention Brief for 2020. Can you please explain what the main purpose of this is and what it is hoped will come out of it? PROF SWINBURN: This brief was the culmination of considerable work across the membership to pull together the international evidence and experience to create a consensus of what is needed to reduce the burden of preventable diseases. Very few people realise that tobacco, alcohol and unhealthy foods collectively contribute about one third of the preventable health loss – that’s more than 370,000 healthy life-years lost annually. This is massive, and one of our first jobs is to communicate the magnitude of this damage and the trivial public health effort that goes into preventing this harm – less than half a percent of the health budget. I doubt if there would be a single member of the public who thinks that half a percent is a good prevention investment for dealing with products that cause one third of the health damage.   HAUORA: You mentioned in an article recently about ‘policy inertia’ and how the unheard voices from the people and communities who are suffering the consequences of harmful products contribute to this. How vital is it to get stories from real people in the community, and what suggestions do you have for how we as health promoters can help get these stories out? PROF SWINBURN: Policy Inertia is the term we use for the situation where there is a stack of evidence-based, effective policies to reduce the harm from unhealthy products but very few of them are implemented. The three reasons for policy inertia are; firstly, the strong opposition from the industries who are profiting from these products; secondly, governments who are reluctant to regulate these industries because of the political effort needed to counter the industry lobby, and; thirdly, the lack of public demand for action. The public and communities tend to be very supportive of strong policies to control this harm, but it is a quiet support. The reality is that unless the stories from people who are suffering from this harm come out loud and clear, along with a demand for action, governments can just continue to ignore the problem. We really need to hear the voices of those people who are demanding change.   HAUORA: Do you think Covid-19, which for those with underlying medical conditions can be fatal, will have any/or has had any influence on the need to make healthier choices and the need for more regulation on food, tobacco and alcohol companies? PROF SWINBURN:  Yes it is true that Covid-19 can be especially deadly for people with obesity and various chronic conditions, but I think, more importantly, we have seen the very real benefits of implementing policy based on the evidence and expert opinion and clearly communicating that to the public. It was a rocky road to start with building up the public health capacity and response systems to Covid-19. Public health was at a very low ebb after many years of neglect and underfunding, but eventually we have come to the point where the politics is responsive and adaptive, the public health systems are operating well, and the public is largely on board with the Government’s course of action. Wow, if only we could translate those approaches to prevention of our really big killers – heart disease, cancers, diabetes and so on. Listening to the evidence, being bold and clear in the policy action, and making sure that the whole of the country is aware of what the Government is doing and what communities and individuals can do to contribute.   HAUORA: Is there anything else you would like to add? PROF SWINBURN: I think there is an enormous readiness for action among communities who are sick and tired of living in neighbourhoods where every second shop is selling cigarettes, discount booze and cheap takeaways. They want the Government to match their own leadership and vision for healthier environments for their children and families. If politicians would only stand up to the lobby forces of the vested commercial interests who sell harmful products, they will be fully backed by the communities who want to build back better after Covid.  
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Experts, Global, News
HPF caught up with leading global advocate for action on the social determinants of health and health inequalities, Sir Michael Marmot recently to get his views on issues including lessons learned from Covid-19, how it has amplified underlying health inequalities and the need for governments to follow NZ’s lead and put a wellbeing approach at the heart of policy. The Professor of Epidemiology and Public Health at University College London and the Director of The UCL Institute of Health Equity (pictured speaking at the world health promotion conference in Rotorua last year) also touches on the climate crisis and the role of health promoters in helping to tackle these global challenges.  

HAUORA: What are some of the lessons we have learned from Covid-19?

SIR MICHAEL: Two keys lessons from the UK, that I think are more widely applicable, came with the onset of the pandemic. First, was respect for science and evidence. In the UK there had been overt disregard for the opinions of experts. For example, the assessments from economists that Brexit would harm the economy – probably making inequality worse – were dismissed as fear-mongering. In the US, the dismissal of science was worse, imperilling the planet, when the US President labelled climate change “a hoax”. Come the pandemic, suddenly our politicians were openly expressing their appreciation for the science in countries across Europe but, catastrophically, not in the US or Brazil. A second lesson relates to public expenditure. After the financial crisis of 2007/8 many governments adopted austerity as their creed. With the economic shock that followed lockdown, suddenly austerity and concern about government debt was put on hold. “Whatever it takes”, said the British Prime Minister. Countries at high levels of human development spent a great deal, and increased national debt, to reduce the economic burden of the pandemic and societal response to it. I would like to think there is third lesson: the importance of government in delivering the public good. That lesson has only partly been learned.  


HAUORA
: When the pandemic first hit, many commented that it had been the “great leveller” or “equaliser” but you have pointed out that it has actually exposed “underlying health inequalities” and amplified them. Can you please elaborate on this?

SIR MICHAEL: There are two aspects to these inequalities, at least: the toll that Covid-19 is taking on the population health; and the effect of the societal response, lockdown, on inequalities. In the UK, our Office of National Statistics (ONS) has been impressive in the regular and timely output of publications on the pandemic. Related to my theme, there are three observations that both reveal and amplify the underlying inequalities in society. First, is the high mortality from Covid-19 in those in front-line occupations: workers in social care, drivers, shop assistants, and chefs. These occupations were already at the lower end of the social hierarchy, and lowly paid. Second, mortality rates from Covid-19 follow the social gradient: the more deprived the area the greater the mortality rate. This Covid-19 gradient looks very similar to the gradient from all causes. This suggests that the causes of inequalities in health more generally are likely to be the causes of inequalities in Covid-19 mortality. Third, there is high mortality among Black, Asian and Minority Ethnic Groups. Much of this excess can be accounted for statistically by deprivation. We can no longer ignore structural racism that gives rise to the systematic disadvantage of some ethnic groups, not just in Britain, but more generally. Lockdown itself has exaggerated inequalities. People in higher status occupations were far more likely than those in lower status to be able to work from home. Higher income people could spend less on entertainments and dining out, thus increasing their income and savings. It was precisely these occupations where workers lost their jobs or were exposed to the virus. We have seen exaggerations of food poverty during the pandemic.  

HAUORA: You have said you would like to see a ‘wellbeing economy’ emerge from this crisis and in fact it was just last year at the global health promotion conference in Rotorua, NZ that you commended the ‘wellbeing approach’ taken by NZ. Recently you were quoted as saying: “The New Zealand Treasury shows what is possible. Before the COVID-19 pandemic, it put a wellbeing approach… at the heart of its policies.” Would you like to see governments following a similar direction post-Covid?

SIR MICHAEL: In Britain, my colleagues and I published a report, Health Equity in England: the Marmot Review 10 Years On, on the eve of lockdown, February 2020. I had published the Marmot Review in 2010 on what we could do to address health inequalities, in the light of the Commission on Social Determinants of Health. My 10 Years On Review, Marmot 2020, presented a grim picture: marked slowing of the improvement of life expectancy; increased health inequalities; and falling life expectancy for women in the most deprived areas outside London. Therefore, as we emerge from the pandemic, the status quo ante is hardly something we want to reproduce. Ideally, we need to use this dramatic shock to create a better society, to deliver sustainable health equity. And, to do that, we need to put wellbeing at the heart of what we are seeking to achieve.  

HAUORA: The NZ Government, and our PM, have been lauded world-wide for their handling of the Covid crisis. What is your view?

SIR MICHAEL: From the outside, it appeared that Prime Minister Ardern displayed several characteristics that were key to controlling the pandemic: she was decisive in initiating control measures in quick and timely fashion; she was clear in her communication about the threat faced and what was needed from the population to combat the threat; her actions were evidenced-based; she was empathetic. Honesty, clarity, decisiveness, consistency and human warmth were not characteristics that were in abundant display elsewhere.  

HAUORA: While Covid-19 has been the overriding issue for the world over the past few months, the call to fight climate change is ramping up again – particularly as experts have linked Covid-19 to planetary health. What is your advice to countries/governments on how to tackle this? Do you feel that indigenous knowledge needs to play a more major role?

SIR MICHAEL: Sustainable health equity has to be the watchword as the global community recovers from the biological, social and economic shocks attendant on the pandemic. The twin challenges of dramatic inequalities and the climate crisis have to be tackled together.  

HAUORA: How can health promotion contribute more effectively towards addressing these global challenges?

SIR MICHAEL: I see health promotion as tackling the social determinants of health. Health, and health inequalities are good measures of how we are doing as societies. Therefore, those of us committed to improving health and reducing health inequalities need to be active participants in what constitutes the good society. @MichaelMarmot
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Maori, News
The significant contribution that Trevor Simpson has made over the past decade to HPF, Maori health promotion and the world was reflected on at a farewell morning tea on Friday, October 9. Mr Simpson who is Co-Executive Deputy Director and Senior Māori Health Promotion Strategist at HPF will take up the inaugural role of Chief Advisor, Māori, at PHARMAC at the end of this month. HPF’s Board Chairman Mark Simiona thanked Mr Simpson on behalf of himself and the Board for his service and wished him well in his new role. HPF’s Executive Director Sione Tu’itahi said he had really enjoyed working with Mr Simpson and thanked him for his wisdom, fantastic leadership, humility and fearless resolve and adherence to the values of the Forum. “You built valuable relationships over the years with leaders and networks and generously shared your knowledge with everyone.” Mr Tu’itahi said he was confident Mr Simpson would be more than capable of taking on the challenge of his new role at PHARMAC. “We are glad that Trevor’s new role is testimony to our HPF culture of building capacity to deliver outcomes, and enhancing service-leadership.” Mr Simpson looked back on the many people he had worked with at HPF and some of the highlights of his time with the organisation. “Over the years I have had the deep satisfaction of being part of an organisation that both demonstrates and entrenches its constitutional values and overarching principles in all that it does,” he said. “I leave here a different person.” Mr Simpson (Tuhoe, Ngāti Awa) also acknowledged his ‘tipuna’, adding that the legacy they had left was a “blueprint of leadership’. “Our elders back home are big on humility and humble servitude. If you don’t have that, then you can’t be a good leader.” Meanwhile in a press release PHARMAC said: “Trevor, as our Chief Advisor Māori, will ensure we receive robust Māori advice at a senior leadership level to inform and shape how we give effect to our commitment to Te Tiriti o Waitangi, including equity for Māori, into all of our work.”
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News

After leading Māori health promotion for more than 10 years, the Health Promotion Forum’s Co-Deputy Executive Director Trevor Simpson will be the inaugural Chief Maori Advisor at PHARMAC, as from next month.

HPF’s Executive Director Sione Tu’itahi says Mr Simpson will be more than capable of taking on the challenge of his new role at PHARMAC.

 “We are glad that Trevor’s new role is testimony to our HPF culture of building capacity to deliver outcomes, and enhancing service-leadership,” says Executive Director, Sione Tu’itahi.

 “Trevor was outstanding in his commitment to building the Maori health promotion workforce, and taking Indigenous health promotion to the international level.

“After playing a leading role in the successful outcomes of our World Conference on Health Promotion in Rotorua last year, we agreed that our team members were ready to take on new and greater challenges, for the wellbeing of Maori, and all. Trevor leaves us with our full support and best wishes,” Mr Tu’itahi adds.

 Among other major roles, Trevor was in charge of HPF’s workforce development,  President of the International Network for Indigenous Health Promotion Professionals (INIHPP) of the International Union for Health Promotion and Education (IUHPE), and Regional Vice-President for the South West Pacific Region of IUHPE.

 Mr Simpson says it has been an honour and a privilege to have worked for HPF for more than a decade.

 “Sione, the board and staff, both past and present, leave an indelible mark on me. Over the years I have had the deep satisfaction of being part of an organisation that both demonstrates and entrenches its constitutional values and overarching principles in all that it does,” he says.

 Mr Simpson says this can be seen not only in HPF’s adherence to Te Tiriti o Waitangi, health as a human right, social justice and the pursuit of health equity but in the way it puts its people first- whether it be staff, organisational members or the public.

 “HPF positions wellbeing, inclusiveness and aroha at the forefront. It is these attributes that I will miss the most. The element of human relationships and an authentic world-leading group that has much to share with Aotearoa New Zealand and the global community.”

 Meanwhile, to ensure stability and continuity, Dr Viliami Puloka, our Senior Pacific Health Promotion Strategist, will take over as co-Deputy Executive Director – Health Promotion, with Ms Leanne Eruera, Co-Deputy Executive Director – Corporate Services.

 PHARMAC is the New Zealand government agency that decides which medicines and related products are funded in New Zealand.

View PHARMAC’s press release on Mr Simpson’s appointment here.
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News
Are you willing and able to steer the direction of Health Promotion in Aotearoa? If so, HPF has got governance roles for you! There will be four vacancies on the HPF board at the Annual General Meeting on November 12, for two Māori, one Pacific and one Asian member. And this year, voting for these key governance roles will be made all that much easier as for the first time HPF will be holding the AGM online. Nominations must be sent out and signed by 12 midday, October 22 so get those forms, which have been sent out along with the AGM notice and proxy form, sent in! So be sure to pen in the date for the AGM which will be held from 2 to 3pm, and click on the Zoom links, which have been sent out to HPF members. HPF’s Executive Director Sione Tu’itahi says holding the meeting online will boost participation in the AGM and make it more accessible to members around the country. Mr Tu’itahi says it has been a challenging year with COVID-19 but this has offered many opportunities for HPF to look at new ways to engage with members and the community and  to deliver services and training for your continued professional development. These included online forums launched during the lockdown and a series of interactive webinars, which are now continuing on a monthly basis. Keep an eye out for dates and registration details for upcoming webinars on our Facebook page at https://www.facebook.com/hauoraaotearoa and on our website at hauora.co.nz/ Webinars can also be viewed on our YouTube channel. Also be sure to check out our facebook page.
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News
The possibility of a new type of health promotion centred on community, will be discussed at a webinar from 11am – 12.30pm on the 14th of next month. This approach aims to enhance health and wellbeing for everyone in today’s challenging environment of Covid-19, climate change, globalisation, social and political stress, increasing inequality, racism and growing tyranny and division around the world. The webinar will in particular present the view that modern health promotion should draw strongly on Maori and Pacific-cooperative approaches to community. ‘Global village, global villages: Reinventing health promotion for the current era’ will be facilitated by John Raeburn, (pictured) Adjunct Professor at AUT, and HPF Executive Director, Sione Tu’itahi.

Prof Raeburn who helped set up HPF has been a pioneer and innovator in health promotion, mental health promotion and public health for almost 50 years. He participated in the Ottawa and Bangkok Charter processes, teaching people-centred approaches to health promotion, and engaging in multiple empowering community projects, which have been his passion.

Register now and don’t miss out on the chance to participate in this informative and interactive webinar.

Webinar format:

  1. Presentation by John for 40 minutes (This will be a talk with a power-point presentation)
  2. Master Class session for 30 minutes. (Four participants will be selected before the webinar, to each ask a question of their own and Prof Raeburn will respond and discuss each question while participants watch and listen in.
  3. Plenary discussion for 30 mins. (Prof Raeburn  will answer and discuss questions from participants.
  4. Closing by webinar facilitator – HPF Executive Director Sione Tu’itahi.

Registration costs:

$29.00 incl GST Members $49.00 incl GST Non-members. View here. Group bookings:
  • up to 5 for $99 members (Approx 30% discount for 5 people), and
  • $199 for non members (Approx 20% discount for 5 people).
 

There are three phases of learning activities – before, during and after the webinar. These include:

  • pre-event study and preparation, using resources sent three days prior
  • participation in the actual webinar with questions and answers as well as discussion
  • after the webinar, participants receive a copy of the powerpoint presentation and other resources used, as well as exclusive viewing of the webinar (with your co-workers) for two weeks in our private YouTube channel, before the video is put into our public HPF channel
  • ask follow-up questions to the presenter and/or facilitator during the two weeks after the webinar
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News
Kiwis are being encouraged during Mental Health Awareness Week (MHAW) to reflect on the challenges the nation has faced together in 2020 and to reimagine what wellbeing looks like. The theme for this week which is Reimagine Wellbeing Together – He Tirohanga Anamata challenges us to reflect on the big and small actions we’ve taken to take care of each other this year, and to look at wellbeing through a new lens. Mental Health Foundation Chief Executive Shaun Robinson says he is proud of how New Zealanders “have rallied together and tackled the challenges of shifting through different levels … Our new normal is quite different… MHAW is a timely reminder of how important it is to embrace the simple things we can do each day to really help strengthen our wellbeing – that’s what will help us during the tough times.” Each day of MHAW has a theme inspired by Te Whare Tapa Whā, a model developed by Māori health advocate and MHF patron Sir Mason Durie. (Go to HPF’s YouTube channel for more about the model) “Te Whare Tapa Whā helps us to find ways to look after our taha wairua (spiritual health), taha tinana (physical health), taha hinengaro (emotional and mental health), taha whānau (family and friends). When all these things are in balance, including the whenua (foundations) we thrive. When one or more of these is out of balance, our wellbeing is impacted,” says Thomas Strickland, Kaiwhakarite Māori Development Specialist, MHF. Robyn Shearer, the Ministry of Health’s Deputy-Director General, Mental Health and Addiction says he’s pleased to hear so many schools and kura are taking part this year. Across Aotearoa, almost 10,000 workplaces, communities, whānau, schools and kura are celebrating the taonga/treasure that is our mental health. For more info about what’s happening around NZ and to register click here.
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Maori, News, Uncategorized
“Ko taku reo tāku ohooho, ko taku reo tāku māpihi mauria.” Koinei tētahi o ngā whakataukī ka pēnei mai te Māori. E ai ki ngā korero, ki nga whakaaro hoki, he tino taonga kē tō tātou reo rangatira. He tāhuhu ki te wharepuni, he toka ki te moana, he pounamu mai rānō . I tuku iho te kōrerorero nei mai ngā mātua , mai ngā tīpuna kia kore ai tō tātou reo, e rite ki te moa, ka ngaro.   There are profound reasons as to why we should uphold and maintain Te Reo Māori, the first and indigenous language of our beloved country. During Te Wiki o Te Reo Māori/Māori Language Week HPF encourages you to reflect on just how essential language is to one’s culture and its pivotal role in the sustenance of one’s identity and wellbeing/hauora – culturally, spiritually, mentally, and physically. The theme for Te Wiki o Te Reo Māori which launched yesterday to mark the day in 1972 when the petition for te reo Māori was presented to parliament remains: ‘Kia Kaha te Reo Māori!’. Go to https://www.tewikiotereomaori.co.nz/ for more information.
In 1972, 30,000 signatures were delivered to the NZ Parliament calling for te reo Māori to be taught in schools. It was a defining moment in the journey to revitalise the language. The aim is to grow one million speakers by 2040.
Of 7000-plus languages in the world today, at least 2000 are being threatened by extinction. The loss of a language is a loss to all of our human family. In our new reality of one global community, cultural diversity is as important as biodiversity. One simple way HPF suggests we can do to sustain all languages is to adopt an auxiliary language, in addition to each culture’s native language. Everyone can learn that same auxiliary language, alongside their mother tongue. Knowledge and communications can be facilitated effectively across cultural boundaries, while each culture retains and advances its distinct identity, wellbeing and contributions to its own wellbeing and our collective wellbeing.  
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News
The re-emergence of Covid-19 in the community in Auckland has put the Pacific community in the spotlight, uncovering the inequities of several decades, caused by underlying determinants such as housing, education, and structural racism. Pacific health promoters must respond and be part of the solutions to addressing these inequities. The Health Promotion Forum of New Zealand (HPF) is hosting a webinar next week which will offer a range of tools and approaches to help Pacific health promoters and others who work with Pacific families and communities be more effective in their response to this crisis. The webinar will specifically:
  • scan the political, economic, and cultural context
  • outline, refresh, and explore approaches and tools that are most appropriate and effective
  • and closely examine our Pacific competencies and leadership on how to transform the health and wellbeing of Pacific communities, as part of our NZ society
To be held on Friday, September 18 from 11.30am to 12.30pm the webinar will be presented by HPF’s Executive Director Sione Tu’itahi and Senior Health Promotion Strategist Dr Viliami Puloka. Covid-19 forcing a rethink in the approach to Pacific health and health promotion, the webinar will help participants to add a number of tools, such as Pacific health models, in their Pasifika basket of knowledge,” says Mr Tu’itahi. “As we know, some of these tools, skills and knowledge are unique to Pacific world views, values and beliefs. So, what are some of the things we need to know from the outset that will leverage our work and improve Pacific health outcomes?”.   The webinar has three phases of learning activities – before, during and after the webinar. These include:
  • pre-event study and preparation, using resources sent three days prior
  • participation in the actual webinar with questions and answers as well as discussion
  • after the webinar, participants receive a copy of the powerpoint presentation and other resources used, as well as exclusive viewing of the webinar (with your co-workers) for two weeks in our private YouTube channel, before the video is put into our public HPF channel
  • ask follow-up questions to the presenter and/or facilitator during the two weeks after the webinar
COST: $29 for members of HPF, and $49 for non-members.

REGISTER HERE

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News
This week is The global Week for Action on NCDs (Non-communicable diseases) and HPF is calling on individuals and communities to join the movement to #ActOnNCDs and help boost health and equity around the world. This year’s theme of ‘Accountability – a crucial force for political and programmatic change’ involves monitoring of commitments made by governments, and aims to put pressure on decision-makers to ensure that promises become actions. The global campaign, which runs from Sep 7 – 13 is also particularly significant this year as NCDs, which are the #1 cause of death and disability in the world, are also amplifying the impacts of Covid-19. As WHO Director General Dr Tedros Adhanom Ghebreyesus pointed out at a COVID-19 press conference on the eve of the campaign, the pandemic has underscored the urgency of addressing NCDs and their risk factors. “COVID-19 has preyed on people with non-communicable diseases such as cancer, cardiovascular disease, diabetes and respiratory disease,” said Dr Tedros. HPF’s Dr Viliami Puloka who has a special interest in NCDs, says “accountability must begin with us, where we live, work and play 24/7 from womb to tomb”. “NCDs come about as a result of choices some of them made for us but many are ours to make. The Government must be prepared to provide supportive environments making healthy choices easy choices,” says Dr Puloka. No voice is insignificant and there are many ways you can get involved and be an agent for change such as retweeting a message, writing a letter to your Minister of Health or hosting an event. Click to read more about the campaign.
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News
HPF is encouraging Kiwis to mark World Literacy Day today, which is more relevant than ever, as it focuses on the role of educators and changing teaching practices in the Covid-19 crisis and beyond. The theme for today, which also aims to boost the total literacy rate around the world because it is essential to a person’s social and personal development and wellbeing, highlights literacy learning in a lifelong-learning perspective. According to UNESCO which designated the day in 1967 the Covid-19 crisis has been a stark reminder of the existing gap between policy discourse and reality. This gap states UNESCO “already existed in the pre-Covid-19 era and is negatively affecting the learning of youth and adults who have no or low literacy skills and therefore tend to face multiple disadvantages”. HPF’s Executive Director Sione Tu’itahi says the Ottawa Charter recognises that education is a fundamental condition and resource for good health. “Importantly also, acquiring knowledge and developing personal skills is crucial in promoting peoples’ and community’s wellbeing,” he says. For more on the day click here. 
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News
Mental Health Awareness Week this month is an opportunity to reflect on, and redefine and rediscover what wellbeing looks like, during COVID-19 and beyond. HPF is urging Kiwis to start spreading the word now and to get involved in the annual event, which is timelier than ever with rising uncertainties and stresses caused by the re-emergence of Covid-19 in the community. The theme for the week which is run by The Mental Health Foundation from September 21 – 27 is ‘Reimagine Wellbeing Together: He Tirohanga Anamata’. “Given the challenges of Covid-19, it is timely to pay attention to, and to promote mental wellbeing, an equally important dimension of our holistic wellbeing,” says HPF’s Executive Director Sione Tu’itahi. “Unemployment and increased financial needs can really test our resilience, especially at the individual and family level. It is therefore important to create and maintain a ‘supportive environment’ for all, as the Ottawa Charter suggests, and to take a whanau-collective approach, as articulated by Te Whare Tapa Wha.” Each day of the week is inspired by one of the five aspects of Māori health model, Te Whare Tapa Wha. You can watch a video on ‘Te Whare Tapa Wha, Covid-19 and Maori Health Promotion’ at https://www.youtube.com/watch?v=a7EQqCn6-m8   (And don’t forget to subscribe!) Get the word out and get involved by registering at https://www.mentalhealth.org.nz/  
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A webinar to help you be more effective in your work with Pacific communities, especially during Covid-19, will be hosted by HPF on Friday, September 18 from 11.30 – 12.30pm. Join HPF’s Executive Director Sione Tu’itahi and Dr Viliami Puloka in this interactive webinar to look at and discuss how you can improve your approach to Pacific health, using a range of Pacific health promotion tools. “With Covid-19 forcing a rethink in the approach to Pacific health and health promotion, the webinar will help you to add a number of tools, such as Pacific health models, in your Pasifika basket of knowledge,” says Mr Tu’itahi. “As we know, some of these tools, skills and knowledge are unique to Pacific world views, values and beliefs. So, what are some of the things we need to know from the outset that will leverage our work and improve Pacific health outcomes?” Participants in the webinar will be provided with a pdf copy of the presentation, along with the link to the video recording, which will provide exclusive access, to the webinar on HPF’s YouTube channel. The video can be used as a learning tool within your organisations for a limited time. (And don’t forget to subscribe!) Secure your spot and register now. About the Facilitators: Sione Tu’itahi Educator, author and health promoter, Sione is the Executive Director of the Health Promotion Forum of New Zealand, and the Global Vice-President (Communications) of the International Union for Health Promotion and Education (IUHPE). His leadership was instrumental in bringing the IUHPE World Conference 2019 to Rotorua, Aotearoa New Zealand for the first time. He was named Public Health Association NZ, Public Health Champion for 2019.
Dr Viliami Puloka Viliami is HPF’s Senior Health Promotion Strategist specialising in Pacific Health Promotion. A Public health physician with a special interest in diabetes and obesity, Viliami brings with him a wealth of Pacific experience; combining his clinical skills and his Public health knowledge. He has gained a broad social and cultural appreciation from working with the diverse and unique islands of the Pacific. He has a strong multi-sectoral experience and programmatic approach in capacity building, project management and community development. He is also a Research Fellow at the School of Public Health, Otago University.
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News
HPF congratulates Keriana Brooking on her appointment as the first Māori wahine Chief Executive of the Hawke’s Bay District Health Board. Ms Brooking, who is currently the Ministry of Health’s Deputy Director General Health System Improvement and Innovation, is of Ngāti Pāhauwera and Ngāti Kahungunu ki Wairoa descent Hawke’s Bay DHB’s Board Chair Shayne Walker says Ms Brooking brings with her a strong focus on ensuring there is ongoing improvement in equity throughout the health and disability system. “This focus will help ensure we continue to improve the equity focus on health services we provide to our community.” Ms Brooking who has strong links to Hawke’s Bay, as her father was born and raised in Wairoa before he moved to Oamaru, says Hawke’s Bay has always played a role in her life. “There is something about this special part of New Zealand, the people and the way they live …” Ms Brooking who was actively involved in supporting the Ministry of Health with the Covid-19 pandemic started her new role on August 10.
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New Zealanders are being encouraged this week, which is Conservation Week/ Te Wiki Tiaki Ao Tūroa, to boost their health and wellbeing by looking at and connecting with nature through new eyes. “As we work together to defeat Covid-19, many of us are looking at life and our world with different perspective,” says Lou Sanson, the Director General of The Department of Conservation (DoC), which leads the annual event from August 15 – 23. “Papatūānuku’s wellbeing is our wellbeing. Take a little time in nature for your wellbeing, and if you can, give a little back to nature for its wellbeing.” Many Kiwis, says Mr Sanson find solace in their daily exercise, engaging with nature through visits to their local parks, beaches and waterways. “Although we have to limit contact with each other during periods of lockdown, for many of us, nature is helping us through a pretty unusual time.” HPF’s Executive Director Sione Tu’itahi says conserving our environment is central to our holistic health – social, economic, physical, cultural and spiritual wellbeing. “While very challenging, Covid-19 is a portal of learning through which we should advance to a new paradigm of humanity being inextricably one with the environment. “In this new reality, all human activities –economic and commercial included, and our relationship to each other as fellow world citizens, should be harmoniously achieved within the sustainability capacity of Papatūānuku -Mother Nature. This is the only choice, if we are to survive, thrive and flourish as a national and global community,” adds Mr Tu’itahi. “With Tāmaki Makaurau going through the stresses of a renewed outbreak of Covid-19 cases, Conservation Week is a fantastic opportunity for us to get out in to nature and keep ourselves, our whānau and aiga (family) both physically and mentally healthy,” says Cllr Alf Filipaina, chair of Auckland Council’s Parks, Arts, Community and Events Committee. All activities must be done safely and sensibly, and in line with Covid-19 Alert Level rules. People enjoying time in nature should stay within their bubbles and ensure they maintain social distance from others. If you can’t get out, DoC is also inviting you to immerse yourself virtually or in local spaces if you can. Click here for some great nature experiences on its digital channels.  
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The crucial role of indigenous people’s knowledge, voice and wisdom during and after Covid-19 is being recognised on the International Day of the World’s Indigenous Peoples, today. (Aug 9) HPF joins the rest of the world in commemorating today which this year has the theme ‘COVID-19 and indigenous peoples’ resilience’. Since the outbreak, indigenous peoples have been seeking their own solutions and implementing preventive and protective measures, such as voluntary isolation, and sealing off their territories. The day promotes these good practices throughout the world. “Around the world, indigenous people have been at the forefront in demanding environmental and climate action,” says the UN Secretary General António Guterres in his message to mark the day. “Realising the rights of indigenous peoples means ensuring their inclusion and participation in Covid-19 response and recovery strategies … indigenous peoples must be consulted in all efforts to build back after the pandemic stronger and recover better.” HPF’s Executive Director Sione Tu’itahi says while we still have a few roads to walk, New Zealand is a world leader in all Indigenous matters. “In light of the current social, ecological and health crisis the world is facing, the day is an ideal time, on a national level, for New Zealanders to reflect on Te Tiriti o Waitangi and our pre and post-Treaty history, and work together.” He says this would be key to helping us recover and advance, rather than recover and slide back. “Ultimately, on a world level, we have to reorganise our heart and mind around our new reality of a one planet, one people with all the collective beauty of unity in diversity. This should be our new paradigm if we are to survive, thrive and flourish in a post-Covid 19 reality. The pre-Covid-19 status quo worked for some, but certainly not for all. “Our common destiny is entangled and entwined. Covid-19 is showing us this new reality. Either we live together, or we die together. Our common destiny is entangled and entwined. Covid-19 is showing us this new reality. Either we live together, or we die together.” In Aoteroa NZ many Māori mobilised to respond to Covid-19 in their communities in various ways including helping to coordinate their own checkpoints. HPF’s Maori Health Promotion Strategist Mereana Te Pere  volunteered at a Waitaha Iwi checkpoint in Te Puke, Bay of Plenty. The iwi had support from the local police, who provided guidelines of what iwi could and could not do. This checkpoint was made in an effort to protect the high number of kaumatua and kuia with underlying health conditions. who are susceptible to illnesses, and the rest of the whanau.

Meanwhile the day would also be a good time to reflect on the Waiora – Indigenous Peoples’ Statement for Planetary Health and Sustainable Development from last year’s World Health Promotion Conference in Rotorua.

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Maori, News
A new action plan that will help to achieve better health outcomes for Māori has been welcomed by HPF.

Whakamaua: Māori Health Action Plan 2020-2025 is the implementation plan for He Korowai Oranga, New Zealand’s Māori Health Strategy and will set the Government’s direction for Māori health advancement over the next five years.

Whakamaua is underpinned by the Ministry’s new Te Tiriti o Waitangi Framework. The plan presents new opportunities for the Ministry, the health and disability system, and the wider government to make considerable progress in achieving Māori health equity — a direction supported by the final report of the Health and Disability System Review. HPF’s Deputy Executive Director and Senior Strategist in Maori Health Promotion Trevor Simpson says a pleasing aspect of Whakamaua is that it reasserts the relevance and value of He Korowai Oranga which was promulgated in 2002. “Importantly, this operationalises He Korowai Oranga and provides a plan of action for work that will improve Maori health outcomes over time,” says Mr Simpson. “One aspect that will need to be part and parcel of Whakamaua is the development of an effective and efficient, well-trained workforce. In this regard, health promotion and the health promotion workforce must be supported to fulfil this role.” In his foreword to the plan Associate Minister for Health Peeni Henare says Pae ora is the overarching aim of He Korowai Oranga and is underpinned by the three key elements of whānau ora, mauri ora, and wai ora. Mr Henare says ensuring the voices of Māori are captured in the plan has been an integral part of its development. “The priorities and actions outlined are born out of the myriad conversations the Ministry and wider government had with key stakeholders including whānau, hapū, and iwi,” he said. “I am excited and hopeful for the opportunity this action plan presents.” The Ministry’s Director General of Health Ashley Bloomfield says in his foreword that the Ministry will progressively update Whakamaua to respond to the outcomes of the Health and Disability System Review, and ensure we are well positioned for recovery from the COVID-19 pandemic. “Our commitment to the Ministry’s obligations under Te Tiriti o Waitangi has fully informed the development of Whakamaua and will continue to inform its implementation over the coming years.” Whakamaua outlines a suite of actions that will help to achieve four high-level outcomes. These are:
  • – Iwi, hapū, whānau and Māori communities exercising their authority to improve their health and wellbeing.
  • – Ensuring the health and disability system is fair and sustainable and delivers more equitable outcomes for Māori.
  • – Addressing racism and discrimination in all its forms.
  • – Protecting mātauranga Māori throughout the health and disability system.
To view the action plan click here
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Maori, News
The launch by the Environmental Protection Authority (EPA) of its Mātauranga Framework is a positive step towards recognising the role of indigenous knowledge in promoting planetary health, says HPF’s Deputy Executive Director Trevor Simpson. The Mātauranga Framework aims to help the EPA, which is the Government agency responsible for regulating activities that affect New Zealand’s environment, incorporate Māori perspectives and mātauranga evidence into its decision-making. Mr Simpson who is HPFs Senior Strategist in Maori Health Promotion welcomed the initiative and said “the acknowledgement of Maori world views in relation to Te Taiao, the natural environment and its connection to human wellbeing is a positive step. “It is recognition that indigenous knowledge can inform our approach to nature, the ecosystem and our kaitiakitanga relationship to life and the planet.” The Principal Advisor in Kaupapa Kura Taiao, the EPA’s Maori Advisory team, Erica Gregory, said there was no one definition for mātauranga, but it could be described as a unique knowledge and understanding of Te Taiao – the natural environment. “It has its own unique characteristics that are as valid as, but different from, other knowledge systems including science. A simple example of mātauranga would be the Māori consideration that when a pōhutukawa tree is in blossom it is also a good time to harvest kina.” EPA’s Chief Executive Dr Allan Freeth said the Mātauranga Framework was the first of its kind to be developed for a New Zealand regulator. The EPA plans to implement mātauranga into its decision-making, policies, and processes by June 2021. The primary goals of the mātauranga programme are to:
  • Enable well-informed decision-making.
  • Ensure the EPA understands the issues and implications of mātauranga for its decision-making processes.
  • Increase the understanding of mātauranga across the EPA.
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News
HPF’s workshops for the professional development of your staff will commence next month in the form of webinars. The first webinar “Key aspects of effective Māori  Health Promotion – tools to help us improve Maori health outcomes” will be held on Monday, 24th August from 11am-12.30pm. HPF’s Executive Director, Trevor Simpson who will present the webinar will discuss some of the important elements of Māori Health Promotion planning and practice. “To be effective in our work in Māori communities we will need a number of tools in the kete, as we know, some of these tools, skills and knowledge are unique to Maori world views, values and beliefs,” says Mr Simpson.  “So, what are some of the things we need to know from the outset that will leverage our work and improve Māori health outcomes?” Register here for the webinar. Subscribe here to receive the panui and other event invitations. Costs for the webinars, which will focus on Maori, Pacific and international topics as well as health promotion tools and resources, are:
  • $29 incl GST HPF members
  • $49 incl GST non-HPF members
Participants in the webinars will be provided with a pdf copy of the presentation, along with the video, as well as new networking opportunities. Topics and dates and and further details for the webinars will soon be made available. About the presenter: Trevor Simpson: Deputy Executive Director, Senior Health Promotion Strategist, Health Promotion Forum of New Zealand. Trevor has a background in community development, Māori social development, Treaty settlements and Māori health promotion. He is committed to Māori health promotion as an important vehicle to improving Māori health outcomes and Māori community development. He is also an elected member of the Global Board for the International Union for Health Promotion and Education (IUHPE) and White Ribbon Ambassador. (Banner picture: Webinar on Te Whare Tapa Wha, Covid19 and Māori Health Promotion’ (May 12) presented by Trevor Simpson.)  
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News
A 20-year battle has finally ended after Australian and New Zealand Ministers voted to make it mandatory for alcohol producers to include the world’s strongest pregnancy health warning label on their products and packaging. Dr Nicki Jackson, Executive Director of Alcohol Healthwatch thanked the 58 organisations, including HPF, and 600-plus individuals who signed an open letter urging the Ministers to vote for the best practice label. “In the last 20 years, we have walked alongside families and practitioners calling for change,” said Dr Nicki Jackson, Executive Director of Alcohol Healthwatch. “The world watched, and our Ministers have responded, showing leadership in doing the right thing. To our knowledge, this is the only pregnancy health warning label in the world that includes both a pictogram and specific text, with the warning heading required to be in red so that it attracts attention.” NZ’s Food Safety Minister Damien O’Connor who voted in favour of the labels said hundreds of babies a year are born with Fetal Alcohol Spectrum Disorder because of exposure to alcohol in the womb. Hāpai te Hauora also welcomed the vote with Interim CEO, Jason Alexander saying the decision showed strong public health leadership “In a time where the world is watching New Zealand and where we’re seen as leaders in health protection as a result of our COVID-19 response, it is critically important that we continue to model best practice, and in this instance we have. “It’s great to see our own Minister for Food Safety come out strongly in support of these warning labels. It sends a strong message that the wellbeing of New Zealanders is being taken seriously, and shows what the Living Standards Framework looks like in action ant the policy level,” said Mr Alexander. “We need to take every action to reduce this harm,” said Mr O’Connor. Alcohol producers have been given three years to include the labels on their products.
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News, Pacific
A new paper being introduced in September by the University of Otago for those working with Pacific peoples and communities will be taught by HPF’s Senior Health Promotion Strategist specialising in Pacific health promotion, Dr Viliami Puloka. The distance-taught postgraduate paper, ‘Introduction to Pacific Public Health’ will commence in September and will also feature guest lecturers from a range of areas. Dr Puloka who is a Research Fellow with Otago University said the paper would benefit participants by helping them to gain a good understanding and good working relationship with Pacific people as well as a public health qualification with a career opportunity. It would also give them a pathway for further studies and professional development he said.  As it was a new paper, he added that it would also provide the most up-to date knowledge. The paper will enable participants to: learn about the factors determining and impacting the health of Pacific peoples; apply Pacific health values and practices to improve, promote and protect the health of Pacific peoples and understand the epidemiology and sociology of Pacific peoples, their models of health and frameworks for intervention. While it is taught as part of the university’s postgraduate Public Health programme it can also be taken as a single paper. For more information email publichealth.uow@otago.ac.nz
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News, Pacific
A new Pacific health action plan’s cross-governmental approach to addressing not only diseases, but the underlying determinants of health such as education, housing and systems is encouraging, says HPF’s Executive Director Sione Tu’itahi. The Ministry of Health developed ‘Ola Manuia: Pacific Health and Wellbeing Action Plan 2020–2025’ with input from Pacific communities, the health sector, and relevant government agencies. The plan builds on the successes of ‘Ala Mo’ui: Pathways to Pacific Health and Wellbeing 2014–2018’ (Ministry of Health 2014) and sets out priority outcomes and accompanying actions for the next five years to improve the health and wellbeing of the Pacific population living in Aotearoa New Zealand. Mr Tu’itahi says having ‘Thriving Pacific families…’ as a sub-theme of the plan can also open doors into closer collaboration with Pacific communities, tapping into one of the core strengths of Pacific communities – the family. “As seen in the Covid-19 situation, the adverse health and economic impact of the pandemic on Pacific peoples was largely cushioned by the collective and reciprocal dynamics of families and other Pacific institutions such as the Church and Pacific providers. “But the new plan’s outcomes of ‘Pacific people lead independent and resilient lives, longer good health and equitable health outcome’ can be realised if there is adequate resources allocated, a competent workforce, and close collaboration between Pacific communities, all providers, and public institutions. HPF’s Pacific Strategist Dr Viliami Puloka says the plan acknowledges the population dynamics with increasing number of Pacific migrants arriving in labour wards rather than airports or seaports. “The future generation of Pacific people will be New Zealand citizens by birth, and we must renew our minds and look at them with new eyes.  We appreciate the provision of resources, funding, trainings, and many Pacific targeted services in the name of equity and human rights.” The Associate Minister for Health Jenny Salesa says the plan was about driving more effective and equitable health outcomes for thousands of Pacific New Zealanders who call this country home. “The strength and resilience of New Zealand’s Pacific communities was strongly highlighted in the country’s response to the Covid-19 outbreak … Ola Manuia matches that with an equal level of commitment from our health and disability system. Developed with strong input from Pacific communities across New Zealand it builds on the momentum of what’s working well and provides clarity about where and how we can improve Pacific health outcomes,” says Ms Salesa. The plan can be used as a tool for planning, prioritising actions, and developing new and innovative methods of delivering results to improve Pacific health.
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News
A Tūhoe astronomer, well-known for his work in helping to elevate the understanding of Matariki as a significant occasion for New Zealanders, is the first Māori to win one of the country’s top science awards. University of Waikato Professor Rangi Matamua who was awarded the Prime Minister’s Science Communications Prize, worth $100,000, from the Royal Society of New Zealand was congratulated by HPF on the prestigious award. HPF’s Deputy Executive Director Trevor Simpson said Prof Matamua was an important repository for Maori lore and the indigenous scientific knowledge. “In Indigenous Maori health promotion, we recognise the importance of Maori universal views, the interconnectedness and interdependence of all things whether seen or unseen,” said Mr Simpson. “On this basis his work literally illuminates for us all the wisdom of our ancestors – a way to see the cosmos as our forebears did with a deeper understanding.” Prof Matamua who is the author of the best-selling book Matariki: The Star of the Year, written in both English and te reo Māori said he was a scientific practitioner from a Māori point of view. “I believe I practise that every day, and every evening when I am out looking at the night sky. I am looking for certain scientific elements, but I’m also looking at deity, genealogy, and traditional cultural narratives that are woven into the tapestry that is the night sky.” He hopes one day Matariki, given it is unique to New Zealand, will become the most significant event in Aotearoa. (Photo supplied)
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News
One of the world’s best-known general medical journals The Lancet is producing a series of academic papers to centre the complex challenges of racism and xenophobia, which it says has been exacerbated by the Covid-19 outbreak, in the health discourse. The journal, one of the oldest in the world, is working with a diverse team of academics and activists globally to highlight injustices, identify solutions, and enact change. Alongside this, the journal is also launching the Race & Health Movement at https://raceandhealth.org/  a multi-disciplinary community of practice that will continue beyond the social media. According to a recent Lancet article entitled ‘Racism, the public health crisis we cannot ignore’ the COVID-19 outbreak has uncovered an uncomfortable propensity towards racism, xenophobia, and intolerance exacerbated by transnational health challenges and national politics.  “Our vision is to provide a catalyst in tackling the adverse health effects of racism, xenophobia, and discrimination. Academic outputs on their own are irrelevant. We must use the evidence to advocate for change and improvements in health. In this spirit, we are launching a global consultation, asking: what should we do, and how should we do it?” HPF’s Executive Director Sione Tu’itahi says this is an important contribution by Lancet to address racism, which is “a very destructive determinant of health and wellbeing to millions of Indigenous and ethnic minorities around the world, including New Zealand, Australia and other parts of the Pacific”. “Translating research-based evidence on racism into action is greatly needed now, given what we know of the inequities and deprivation that many population groups have experienced due to racism and it’s many forms,” says Mr Tu’itahi. The Lancet points out that internationally, we have witnessed the vilification of particular nationalities, with overt forms of sinophobia. (anti-Chinese sentiment) The article states that politically, xenophobia has been weaponised to enforce border controls against particular nationalities and undermine migrant rights. In the UK, minoritised ethnic groups are more likely to contract a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and, subsequently, face a higher risk of a severe form of illness. “Society is unwell. The symptoms—racialised violence, and excess morbidity and mortality in minority ethnic populations—reflect the cause: an unjust and unequal society … As a health community, we must do more than simply describing inequities in silos, we must act to dismantle systems that perpetuate the multiple intersecting and compounding systems of oppression that give rise to such inequities and injustices.” Click here to read more.
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News
Unity, effective leadership, clear communication and collaboration were highlighted in a webinar run by HPF as some of the key factors that helped boost the resilience of the Pacific community in Aotearoa NZ through all the alert levels, including lockdown Dr Seini Taufa the Research and Evaluation Lead for Moana Research and Dr Colin Tukuitonga the Associate Dean Pacific, at the University of Auckland’s Faculty of Health and Medical Sciences were the key speakers at the webinar held yesterday. (June 30) ‘Appropriate Covid-19 Response with a Pacific lens moving to the future’ was the last of HPF’s special series of webinars aimed at advising and guiding organisations and communities through Covid-19. We will let you know when the webinar is uploaded to our Youtube channel Dr Taufa discussed the key factors she believed helped the Pacific community get through the crisis so successfully. These included working together collectively and collaboratively and good leadership utilising the three major health promotion strategies of the Ottawa Charter: to advocate; mediate and enable. She pointed out that clear and transparent communication, particularly during this era of social media and livestreaming, was crucial as we are constantly bombarded by messages and information, some accurate and some inaccurate. For Pacific communities she emphasised the importance of providing ‘ethnic-specific’ information and how the messenger was just as important as the message. Also important in moving forward, she stressed was the need for more Pacific-led research. Dr Tukuitonga said he was impressed with how we [Pacific] got on as a community and that communication, unity and cohesion were key to our success. “… we worked well together … We need to maintain this cohesion to combat future threats.” Dr Tukuitonga warned that the Covid crisis was clearly not over in New Zealand and that the community must continue to be vigilant and practise good hygiene, social distancing, and other precautionary measures. It was important that measures at the borders continue to be robust and as tight as they can be, he urged. Dr Tukuitonga also addressed the escalation of racism during Covid-19 and the need to continue to fight the long-term threat to the Pacific Islands and the world – climate change.
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News
What we can do as a group/community to better support our whanau in health and economic situations such as the Covid-19 pandemic will be discussed at a webinar next week on Tuesday (June 30) from 11am – 12.30pm. ‘Appropriate Covid-19 Response with a Pacific lens moving to the future’ is the last of HPF’s special series of webinars aimed at advising and guiding organisations and communities through the Covid-19 crisis The speakers are Dr Seini Taufa, the Research and Evaluation Lead for Moana Research and Dr Colin Tukuitonga, the Associate Dean Pacific, at the University of Auckland’s Faculty of Health and Medical Sciences. (Pictured) As part of her work with Moana research Dr Taufa will provide a quick response review of some of the services carried out for and by Pacific groups/providers. Dr Tukuitonga who is the former Director-General of The Secretariat of the Pacific Community, has been a voice for the Pacific on many issues and will provide some thoughts on where we should focus and invest moving to the future. He will look at what equity of opportunities are there for the Pacific and how well they may be supported by the new Health and Disability Review plan as well as the new Pacific Health and Wellbeing Action plan 2020 – 2025, Ola Manuia. HPF’s Senior Health Promotion Strategist specialising in Pacific Health Promotion, Dr Viliami Puloka will chair and moderate the one-hour webinar, which will be followed by Q & A and general discussion. Click here to register.

About the speakers:

Dr Seini Taufa is the Research and Evaluation Lead for Moana Research, a consultancy group of passionate researchers and clinicians committed to making the early years the best start in life for all children.  Dr Taufa was previously based at the University of Auckland where she taught for more than 10 years within the departments of Social and Community Health and Pacific Health, School of Population Health. Dr Taufa serves in various advisory groups which include The Village Collective and the Pacific Police Advisory Group.   Dr Colin Tukuitonga is the former Director-General of The Secretariat of the Pacific Community, New Caledonia. In March he took up the inaugural position of Associate Dean Pacific, at the University of Auckland’s Faculty of Health and Medical Sciences. His previous roles have included CEO of the Ministry of Pacific Island Affairs in New Zealand, Director of Public Health at Ministry of Health in New Zealand, and Head of Surveillance and Prevention of Chronic Non-Communicable Diseases at the World Health Organisation in Switzerland.     Dr Viliami Puloka is HPF’s Senior Health Promotion Strategist specialising in Pacific Health Promotion. A Public health physician with a special interest in diabetes and obesity, Dr Puloka brings with him a wealth of Pacific experience; combining his clinical skills and his public health knowledge. He has gained a broad social and cultural appreciation from working with the diverse and unique islands of the Pacific. He has a strong multi-sectoral experience and programmatic approach in capacity building, project management and community development.    
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News
The pivotal role of health promotion and public health in helping to fight Covid-19, the renewed focus on the importance of planetary health and the chance now for a ‘big reset’ were some of the topics discussed at a webinar run by HPF yesterday. Key speakers were HPF’s Executive Director Sione Tu’itahi, Professor Louise Signal Director of the Health Promotion and Policy Research Unit at Otago University and Dr Michael Baker Professor of Public Health at the University of Otago and one of New Zealand’s leading epidemiologists. ‘Covid-19 level 1: Navigating the Future of Health Promotion’ was the second to last in a series of webinars, for which the fees were waived, organised by HPF to inform and provide guidance to organisations and the community through the challenges of Covid-19. The webinar will be posted to HPF’s YouTube channel shortly. WATCH THIS SPACE! Prof Signal said the nation could be very proud of what had been achieved in the field of public health and health promotion during Covid-19 and that there was a huge opportunity to build on that. It was also she pointed out a big opportunity to have a ‘reset’. “We could see Mt Everest and the Himalayas for the first time in decades because there was no smog. We heard birds singing as never before … We’ve seen what a new world can look like, we’ve seen how we can stop the world and it makes us think we can stop climate change.” Prof Signal reflected on last year’s World Health Promotion Conference in Rotorua and its timely focus on ‘planetary health’ and quoted from the two legacy documents, that came out of the conference. She urged people to treat the ‘Waiora – Indigenous People’s Statement for Planetary Health and Sustainable Development’ as a ‘living document.’ Prof Signal also looked at what she described as the ‘second pandemic’ — the economic shock that would occur and how equity would be one of the biggest challenges. Prof Baker praised the remarkable and active response of NZ and the Pacific to the pandemic and how health promotion techniques, such as giving people the responsibility to protect themselves, had come to the fore during the crisis. He said a lot could be learned from that response about public and population health in general. Prof Baker also pointed to the great ‘reset potential’ and the chance to tackle the climate crisis, which although slower than the pandemic, would have long-term effects. Mr Tu’itahi discussed how Covid-19 had made us do things differently and how the community had become more conscious about public health and the health of the planet as the underlying cause of the pandemic. He also explained the accreditation framework that HPF is working on with the International Union for Health Promotion and Education (IUHPE) and how it would help formally recognise the efficacy of health promotion in New Zealand. “While we will be part of a global accreditation system, we also added to the same framework our unique socio-economic and political context, and Te Tiriti to ensure that our workforce is fit for purpose.” Pictured from left: Dr Michael Baker, Dr Viliami Puloka (HPF), Sione Tu’itahi and Prof Louise Signal.
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News
A webinar that will explore what health promotion might look like after the Covid-19 pandemic will be held next week on Tuesday, June 23 from 11.00am to 12.30pm. ‘Covid-19 Level 1: Navigating the future of health promotion in Aotearoa NZ’ will be presented by HPF’s Executive Director Sione Tu’itahi and will feature Professor Louise Signal, a Director of the Health Promotion and Policy Research Unit at the University of Otago, Wellington. To register for this webinar, for which the fee has been waived, CLICK HERE. The webinar will also examine Covid-19 and planetary health in light of the Legacy Statements of the 2019 World Health Conference on Health that was held in Rotorua a year ago. The statements call on the global community to urgently act to promote planetary health and sustainable development for all, now and for the sake of future generations. They also call to make space for and privilege Indigenous peoples’ voices and Indigenous knowledges in taking action with us to promote the health of Mother Earth and sustainable development for the benefit of all. A third speaker will soon be confirmed.   About the Speakers Professor Louise Signal Professor Signal is a Director of the Health Promotion and Policy Research Unit at the University of Otago, Wellington. She has worked and done research in the field of health promotion for over 30 years in a range of roles, including Senior Advisor (Health Promotion) for the New Zealand Ministry of Health. Louise is a social scientist with a PhD in Community Health from the University of Toronto. She was the Regional Director of the South West Pacific Region of the International Union for Health Promotion and Education (IUHPE), 2013-2019.   Sione Tu’itahi Educator, author and health promoter, Sione is the Executive Director of the Health Promotion Forum of New Zealand, and the Global Vice-President (Communications) of the International Union for Health Promotion and Education (IUHPE), 2019-2022. His leadership was instrumental in bringing the IUHPE World Conference 2019 to Rotorua, Aotearoa New Zealand for the first time. He was named Public Health Association NZ, Public Health Champion for 2019.
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News
The publication of a report this week recommending some of the most wide-sweeping reforms to New Zealand’s healthcare in a generation has been welcomed by the Health Promotion Forum of NZ. (HPF) The Health and Disability System Review led by former Prime Minister Helen Clark’s chief-of-staff Helen Simpson was charged with recommending system-level changes that would be sustainable, lead to better and more equitable outcomes for all New Zealanders and shift the balance from treatment of illness towards health and wellbeing. In her introduction to the review Simpson says she firmly believes the changes proposed by the review ‘have the potential to deliver a system which is a truly New Zealand system … which embeds Te Tiriti principles throughout, where Māori have real authority to develop and implement policies which address their needs in ways which respect te Ao Māori, and a system where all New Zealanders, Māori, Pacific, European, Asian, disabled, rural or urban, understand how to access a system which is as much about keeping them well, as it is about treating them when they become sick’. Among the recommendations proposed by the review, which has been two years in the making, are the creation of a new agency called Health NZ, for leadership of health service delivery both clinical and financial, as well as the establishment of a Māori Health Authority. The review suggests that the Māori Health Authority would need to partner with Health NZ to develop commissioning models that would work for Māori, whether for general, taha Māori or kaupapa Māori services. It would also lead the development of a strengthened Māori workforce.  HPF’s Executive Director Sione Tu’itahi says shifting the balance from treatment of illness towards health and wellbeing, addressing equity and the rights of Tangata Whenua as one of the Te Tiriti partners are all moves in the right direction. ‘However, it should be noted that the health of the planet, our one common home, is the most urgent and determining factor. So, it’s the fact that health is a societal effort and all sectors are equally important. The public health system is a part of the bigger whole,” says Mr Tu’itahi. The review also calls for the country’s 20 District Health Boards (DHBs) to be reduced to between eight and 12 within the next five years and move to fully appointed boards who will be recruited against competencies including tikanga Māori. Regarding the disability sector the review acknowledges that disabled people have not been well served by the existing health and disability system and that change is needed to ensure that disability is no longer treated as an exception or managed separately. ‘The increasing number of disabled people have the right to expect equitable outcomes from the system.’ It is recommended that home-based support, in particular, should be assessed by need rather than having eligibility determined by diagnosis and that needs-assessment processes need to be more streamlined and less repetitive. Other major recommendations include: Greater focus on population health and prevention; Funding for health and disability to be indexed to inflation and greater integration between primary and community care and hospital/specialist services. The decision on whether or not the recommendations will be implemented now falls on the Government and Health minister David Clark has indicated that: “Cabinet has accepted the case for reform, and the direction of travel outlined in the review.” The review acknowledges that the proposed changes cannot happen all at once and to realise the benefits of a new system would require a determined change programme over a number of years. Read the full review here.    
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News, Pacific
A webinar exploring how the Pacific model Fonua Ola can be adapted as a tool for building Pacific family strengths and resilience, to help address planetary health challenges, such as Covid-19 is now available for viewing on our YouTube channel. Presented by HPF’s Executive Director Sione Tu’itahi, ‘Fonua Ola and Covid-19: A health promotion way of building the capacity of Pacific Families’ reminds us of the central role of family in all aspects of life, and how Covid-19 has forced us back to this small but most important unit in society. “In Pacific communities in their homeland and overseas you see the family as still the centre and beginning of everything. The first circle of wellbeing, and the first circle of advocacy and strong agency of taking ownership of your future and the future you want to walk into,” Mr Tu’itahi points out. Mr Tu’itahi looks at why it is just as important to have, alongside Western models like the Ottawa Charter and the Bangkok Charter, Pasifika models such as Fonua Ola as a health model and a tool to assist Pasifika families through challenges such as Covid-19 and beyond. “Different cultural and ethnic groups view the world differently … their context especially at the regional and national level are different and therefore the experience, the challenges are slightly different and we need to capture the learning from that and inform our thinking and practice, and the way we do our work as we move on,” says Mr Tu’itahi. “Hence the Pasifika models that have evolved over the years.” A template that can be used as a Fonua Ola action plan is available at the end of the webinar. Fees for HPF’s webinars will be waived until the end of the month.  
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News
The feedback from members of HPF who participated in our second online forum recently provided some valuable information on the key factors that kept organisations working effectively and some of the challenges they faced during Covid-19. Members who joined the online discussion on May 20 said a collaborative approach, good teamwork and effective communication had been crucial in their work with communities during the crisis. Covid-19, said one member, showed how ‘preventative’ was the way to go and it was encouraging to see more resources being pushed out to the DHBs and other community organisations to get on top of where we are now Also vital during the lockdown was ensuring that workers’ welfare was paramount, as many were still working onsite and others going out into the communities, dairies, supermarkets, airports etc… Creating a healthy workspace and environment was vital for their health and wellbeing. “We’re looking after the community, but someone has to look after us,” said one member. Good leadership was acknowledged as crucial, as well as the need for communication from the top to be filtered right down to the grassroots level. Some of the challenges that were faced included the need for better information and data sharing. Also becoming more evident a couple of weeks into lockdown said one member was the need for better leadership in some communities, a clear, coordinated strategy and better cohesiveness and trust among the many players. The role of social media, in particular Facebook, was highlighted by one organisation working with youth as particularly useful in getting Covid-19 information and messages through to young people, and building a rapport with them. Members added that they were thankful for the series of webinars HPF had been running over the past few weeks. The next forum will be held on June 20th. To register please email emma@hauora.co.nz
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News
The fourth in a series of webinars being run by HPF will focus on the positive outcomes and lessons learned from the Covid-19 pandemic. The webinar to be presented by HPF’s Senior Health Promotion Strategist specialising in Pacific Health Promotion, Dr Viliami Puloka is entitled ‘Collateral Benefits: Lessons learned from COVID-19’. Participants are encouraged to answer the following questions and share their thoughts as part of the discussions during the webinar.
  1. From your personal experience, list three activities you were able to carry out because level 4 & 3 restrictions gave you that opportunity?
  2. Can you list three environmental benefits that were directly related to COVID-19 restrictions?
  3. What are the Public health measures that flattened the curve even as we are still waiting for vaccine and drug for treatment?
  4. If you are to adopt or adapt one lifestyle change for lifetime health, what would that be?
To register for this webinar, for which the fees have been waived as HPF’s contribution to the health promotion workforce and other health workers, HPF members, and our communities, email emma@hauora.co.nz The webinar link will be forwarded upon registration. Meanwhile go to our YouTube channel to view our latest webinars and other videos, and don’t forget to hit the subscribe button.
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News
HPF has posted the latest in a series of webinars, to inform and provide guidance for your organisations and the community during these challenging times, to our YouTube channel. The first in the series of popular webinars was HPF’s Deputy Executive Director and Maori Strategist Trevor Simpson’s presentation on ‘Te WhareTapa Wha, Covid19 and Māori Health Promotion’. Mr Simpson who provided a contemporary and historical perspective on the current situation looked at Te Whare Tapa Wha as a model and explored how health promotion can take a lead, offer solutions and look to the future in a changed world beyond Covid19. Covid-19 also reminds us that the family should be the first fortress of wellbeing and best line of defence against any life challenge, including health challenges such as Covid-19. HPF’s Executive Director Sione Tu’itahi’s webinar shows how the Ottawa Charter can be adapted as a tool for building whanau and family strengths and resilience to address challenges, internal and external. Entitled ‘Health promoting ways of building family and whanau capacity against Covid-19, and beyond’ the webinar is for health promoters, Whanau Ora navigators, community workers, and other health workers. Also available for viewing are two great home-made videos produced by HPF’s Dr Viliami Puloka during the first two weeks of lockdown to focus on safety and wellbeing. Entitled ‘Lessons from the Garden’ and ‘Food for Thought’ these insightful and reflective videos give a unique and positive perspective on the benefits of the restrictions imposed during alert level 4. Go to our YouTube channel and please don’t forget to press the subscribe button.
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News

HPF has another useful resource for health promoters and communities that can help with managing the Covid-19 challenge. The resource is just as relevant and applicable today, as when it was published a while back in the aftermath of the Christchurch earthquake, with the aim of boosting wellbeing, resiliency and reducing vulnerability. The tool outlines valuable strategies which in the current climate of Covid-19 are essential such as strengthening community action, building healthy public policy and developing personal skills. To download or view the resource entitled ‘Disaster Management through a health promotion lens’ click here. The article is authored by Dr Tara Kessaram and Professor Louise Signal.

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Global, News
HPF caught up with public health physician and leading authority on planetary health and health promotion, Professor Anthony Capon to get his views on a wide range of issues including the link between environmental health and COVID-19 Q: First of all we’d like to congratulate you on your appointment as Director of the Monash Sustainable Development Institute (MSDI). You were Professor of Planetary Health in the School of Public Health at Sydney University for a number of years. What motivated you to take up this new role and can you tell us a bit about what it entails? A: I was attracted to MSDI because it’s a leading academic institute focused on sustainable development, with more than 100 staff from a wide range of disciplines and a lively cohort of graduate research students.  MSDI was established more than 10 years ago and hosts the Australia, New Zealand and Pacific hub for the Sustainable Development Solutions Network (SDSN).  MSDI is different to conventional academic institutes because it is focused on impact.  We don’t just describe problems.  We work with partners on solutions.  It’s worth mentioning that as well as directing MSDI, I also hold a chair of planetary health in the School of Public Health and Preventive Medicine at Monash. Q: You were one of the plenary speakers at the global health promotion conference in Rotorua last April where you spoke on Planetary Health: Promoting health in the Anthropocene. What were some of the highlights of the conference for you? A: The IUHPE world conference is always a terrific event.  It’s a marvellous opportunity to connect with health promotion colleagues from around the world, to share experiences and learn together.  For me, the highlight of Waiora—the 23rd of these conferences—was the focus on indigenous knowledge in health promotion.  Planetary health may be a new concept in health promotion policy and research, however it is not a new concept for indigenous people.  For indigenous people the connections between human health and the health of country are central spiritual foundations and deeply embedded in cultural practices.  More generally, it was terrific that the conference organisers chose the theme of Promoting Planetary Health and Sustainable Development for All.  The nexus between health promotion and sustainable development warrants much greater attention in our health promotion programs. Q: You spoke at the conference about how you hoped many would want to learn more about Maori understanding of health and wellbeing and broad indigenous understandings. Does your Ngāi Tahu (South Island) heritage give you more appreciation of this? Do you think enough is being done around the world to promote indigenous knowledge? A: Certainly, it was a great privilege to grow up as a member of a Ngāi Tahu family in the Catlins.  I fondly recall my childhood on a sheep farm outside Owaka in south Otago.  My great grandmother, Mary Brown, imbued me with an enduring respect for Mother Nature which continues to guide my work and everyday practices.  New Zealand provides a really positive example for the world in valuing indigenous ways of knowing.  However, we definitely need to do more in this space, particularly in countries like Australia where I was raised and subsequently trained in health promotion. Q: We all know countries like the UK, US and Japan are historically responsible for most of the greenhouse emissions in the world, but closer to home, Australia’s per capita carbon dioxide footprint is now one of the highest in the world. NZ’s greenhouse gas emissions rose by 2.2% in 2017 from the previous year. Do you think these countries are doing enough to reduce their CO2 emissions and if not what more can be done? A: Indeed, all high income countries need to do more.  My current home country, Australia, in particular, must do more.  If all people in the world lived as Australians do, we would need five planets—not one, but five.  It is clearly not sustainable, nor fair.  As a wealthy country, Australia should also urgently transition from its reliance on coal for a large part of its export income.  In addition to health impacts of climate change, globally more than 400,000 premature deaths each year are attributable to the toxic pollution from coal burning.  As well as reducing our own carbon footprint, Australia, and other high income countries, should be supporting urgent transitions to healthy and sustainable development pathways in low and middle income countries. Q: Looking at the way the world has been heading since the industrial revolutions one could be forgiven for thinking it’s all doom and gloom. But there is a rising consciousness and determination, evidenced by worldwide protests recently, to set the planet back on the right track. Does this wave of action, especially from younger generations, give you optimism for our future generations? A: It is terrific to see young people speaking out about these important global environmental challenges.  Young people learn about these issues at school because it is now a core part of the curriculum.  Notably, many of our elected officials—often from an older generation—did not have the opportunity to learn about these issues at school and this may help to explain why sometimes they deny their importance.  Of course, vested interests in business as usual is also part of the problem.  While the urgency for action is clear, I do remain hopeful that we can come together and act in the interest of the wellbeing of future generations.  This is the core ambition of the 17 Sustainable Development Goals. Q:  You are one of the few public health physicians in Australia who trained in health promotion. Your message for health promoters is that there is a need to bring planetary consciousness to health promotion education, research, policy and practice. Please can you elaborate more on this, and give some examples of how health promoters can achieve this? A: In health promotion, we know the importance of behavioural risk factors.  We also know the importance of health literacy and of social determinants of health.  However, we’ve seemingly forgotten that human health entirely depends on the health of natural systems.  Indigenous ways of knowing about health are relevant again here.  In health promotion, we need a paradigm shift to eco-social understandings of health—an integrative approach to health promotion that acknowledges ecological, economic and social foundations of health.  In essence, we need to be ‘conscious’ of the planetary in all of our work. Q: Finally, the COVID-19 pandemic is currently sweeping across the world.  Should planetary health understanding feature in our responses to this pandemic? A: The bottom line is that the COVID-19 pandemic is a planetary health issue.  There is mounting research evidence that the emergence of infectious diseases (e.g. SARS, Ebola and Zika) is being enabled by environmental change, including changing climatic conditions, loss of biodiversity, urbanisation and ecosystem degradation. These environmental changes are providing new opportunities for contact between animals and people with potential for transmission of infectious agents. In this context, while it is entirely appropriately that health systems are currently focused on provision of health care to patients and interventions to prevent human to human transmission (including social distancing and vaccine development), it’s also important we look upstream and invest in tackling the underlying causes of the problem through biodiversity conservation and stabilising the climate. This will help avoid transmission of diseases from animals to humans in the first place.
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Maori, News
When HPF’s Executive Director, Trevor Simpson and his wife Vanessa decided to make a radical change to their career-based lifestyle, sell up and take to the road for a new adventure little did they realise they would soon find themselves in ‘lockdown’ up North. Stuck in a beautiful and relatively empty holiday park has given them plenty of time for reflection, writes Trevor. By Trevor Simpson In the weeks preceding the Covid19 level 4 “lockdown” (I do loathe the use of this word) my wife Vanessa and I had made the decision to completely change the career-based lifestyles we were living. Our plan was to sell our small apartment in Auckland, buy a nice caravan and traverse this beautiful country unencumbered and free to delight in the natural environment. The first two parts to the plan went remarkably well – within three days of listing, our apartment had sold and a week later we had acquired the caravan. Vanessa had resigned from her role as a registered nurse and I was fortunate enough to negotiate a reduced role with HPF that would allow me to continue to contribute in a small way to the important work that HPF does, while roaming the countryside. Barely a week into our excursion, which comprised small stays in Orewa and then Kororareka, Russell, we found ourselves in Matakohe in the northern Kaipara. Here sits a beautiful holiday park set on a rise overlooking the harbor and the mangrove estuaries that spread out across the expansive water catchment that is the Kaipara. On the day we arrived the Covid19 alert level moved from 3 to 4, our travel plans came to an abrupt halt and here we were to be held for the duration of a 4-week lockdown. A strange but fortunate outcome was the relative emptiness of the park (left). The off-season had just begun and other than the owner and her family there were only three other groups in the park. We later found out that two of these groups were visitors from the United States and Rarotonga, Cook Islands waiting out the mandatory stand-down period and hoping to receive clearance to return home. Unlike ours, theirs is a tenuous and stressful situation. They remain, like us, in isolation in Matakohe, although with enviable social distancing (50 metres or so) and the comfort of  perfectly arranged bubbles. Amongst the groups, the general mood of conversation is one of hope, a sense of gratitude and good fortune, and I sense, a level of fortitude and belief that the crisis will soon end. In the days since arriving I have found an unexpected sense of calm and contemplation. The restrictions imposed by Covid-19 have provided an unanticipated opportunity to take in those things that I might ordinarily have overlooked on any busy working day. This is a quiet and peaceful place but when you sit and listen, it resonates with the sound of the wind, the rustling of leaves, of birdsong and the melodic trills of insects. We witness Papatuanuku clothed in vibrant autumn hues. Here you see the sun rise and set every day. You watch the tides come and go. There is a pulse and rhythm to nature that I had forgotten somehow. In April of 2019, the International Union for Health Promotion and Education (IUHPE) together with HPF held the 23rd World Conference on Health Promotion in Rotorua. At this conference we saw the drafting and ratification of the Waiora – An Indigenous People’s Statement for Planetary Health and Sustainable Development.  For the first time we witnessed the inclusion of indigenous knowledge, world views and indigenous health promotion in a high-level legacy document. In doing so, the health promotion global community agrees that Indigenous knowledge should be part and parcel of the work we do in addressing the global challenges that confront humanity. The Waiora Statement explains: Core features of indigenous worldviews are the interactive relationship between spiritual and material realms, that our planet has its own life force, the special nature of our relationships with ancestral lands and the interconnectedness and interdependence between all that exists, which locates humanity as part of the planet’s ecosystems. In reflecting on the Waiora Statement, this Matakohe experience has reminded me of two important aspects in terms of my role as an indigenous health promoter. The first is that in expressing my indigeneity I am asserting my intimate connection to the natural world, to nature, to Papatuanuku. I am not separate from, I am not above, but part of nature. My role and responsibility then, is to protect and sustain her for future generations – an overriding obligation to be embraced. The second point and probably the most important, is that the glue holding all of this together is spiritual. It is Wairua. Matakohe has uplifted me in unexpected ways. It has helped to me to “re-see” and reconnect. It has helped me to understand again what is important and what I’m called to. Covid-19 in all its global devastation and frightening impact will soon end but my indigenous spirit and the way I see the world as a health promoter will remain for the rest of my life.  
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News
  • Last November (2019) former board chair Zoe Hawke was farewelled by HPF after completing her three terms. Upon her departure Hauora Newsletter asked Ms Hawke, who is the Community Engagement, Policy & Advocacy Manager at the Mental Health Foundation to reflect on what some of her highlights were while serving on the Board, her work at MHF and what has become somewhat of a passion of hers, building the Like Mind Like Mine (LMLM) work into a movement
Q: When you look back at your time on HPF’s board, as a member and then chair from 2017, what are some of the highlights for you? A: Working with clever and thoughtful board members, watching Sione and his ethical leadership, World Health Promotion Conference in Rotorua last year, seeing the amount of work the small HPA team pump out – great things can come from a small team. Q: What were some of the most memorable parts of the conference for you? A: Keynote speakers were amazing, the focus on indigenous speakers – fabulous. Great to meet so many people from around the world with health promotion passion   Favourite keynote speaker quote: “Tuhoe thousands of years old, Governments have three-year terms. So really we are working with 3-year-old.” Q: Can you tell us a bit about what your role as Community Engagement, Policy & Advocacy Manager at the Mental Health Foundation entails and what is the most rewarding parts about your job? A: I manage two teams at MHF, the Community Engagement/Health Promotion team and the Policy and Advocacy team. Both roles keep very busy, both teams also consist of amazingly clever and passionate people who work in a real collective way to increase mental wellbeing for our communities. Both teams work together to making submissions to central and local government, connecting with communities, iwi, hapū whānau, gathering real-life insights from our networks, providing policy advice from these insights and by informing the public about opportunities to get involved though our community engagement work, resource development, training, media work, newsletters and social channels. Together we focus on systemic advocacy rather than providing individual advocacy support. Our vision is to move away from developing policy and resources in isolation, to a place where we are working closely with communities, hapū, iwi, lived experienced,  and where we work with other organisations as a united front to create the change that is needed. Q: Te Tiriti o Waitangi and The Ottawa Charter are the core documents from which the Foundation’s principles and values are based. How is this reflected in its work? A: We have a Māori development strategy aligned to the broader Mental Health Foundation (MHF) Strategy.  The purpose of this strategy is to support the MHF in becoming more responsive to Māori  and developing into an organisation where we are the best Treaty Partners that we can possibly be.  Specifically, the strategy enables the MHF to develop internal capability in Tikanga and Te Ao Māori and external capability in building relationships and engagement with Māori. The Māori Development Strategy highlights the MHF ongoing commitment to Te Tiriti o Waitangi through guiding and prioritising our work to support the flourishing of Māori.  The strategy strongly recognises: The partnership foundation for Aotearoa/NZ underpinned by the Tiriti o Waitangi; The aspiration of Whānau, Hapū and Iwi for self-determination;The history of colonisation and the inter-generational trauma and inequitable social outcomes it created and the significant inequities o f mental health and wellbeing outcomes for Māori. MHF is also a staunch supporter of the The Ottawa Charter, and its underlying message that to improve the health of populations and individuals there is a need to look wider than just providing public health services. Q: Anything new on the horizon? A: We are really looking forward to revamping our Like Mind Like Mine (LMLM) work to create more of a social movement that ends discrimination and prejudice against those in mental distress. The LMLM work is a bit of a passion of mine, and I really look forward to creating the movement.  It is unacceptable how many people are discriminated against because of their mental distress, It’s time to stand up against this discrimination and prejudice. We are starting to build the movement on many levels, including our community grants. The grants are looking for projects designed to encourage people to be ‘Upstanders/Tūmāia” in your whānau/ hapū/iwi/community. Standing up against the discrimination and prejudice of people experiencing mental distress.   (Banner photo: HPF Kaumatua Richard Wallace, Zoe Hawke, Sharon Kennedy-Muru (Board member) and HPF CE Sione Tu’itahi)
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News
Health promotion is sorely needed in a world full of challenges, particularly in the COVID-19 context, says Dr Richard Egan in an interview with Hauora Newsletter. Dr Egan spoke with HPF after recently completing two years as a Board member. The lecturer at the University of Otago acknowledged the critical role of HPF as an umbrella group for health promoters in New Zealand and the development of an accreditation framework by HPF for health promoters and providers in the nation. Q: What are some of the highlights of your time as a board member with HPF? A: The HPF governance model exemplified our Treaty commitment, this was a highlight for me and unique when compared to other Boards I’ve been on. Regular tikanga is followed and our kaumatua helps make it all safe. Also, the relationship a Board has with the CEO is central to whether it works or not, and I’d like to thank Sione for his leadership and conscious (and not always easy) approach to working constructively with the Board. Also, it was a pleasure to work with so many HP leaders from around the country.  Lastly, it’s not always easy to keep a small NGO afloat and it’s critical that we have the HPF as an umbrella group for health promoters in NZ. So particularly in the last 10 years it’s been a credit to governance and management that we’re still here and working for a better world. Q: What did you take away from the World Health Promotion Conference in Rotorua? A: Health promotion is sorely needed in a world full of challenges. The climate crisis was front and centre at the conference; and it was indigenous solutions that offered some hope. But this was tempered by the reality that indigenous approaches are only slowly being acknowledged, not least by mainstream giving way to indigenous leaders. It seems to me there are two issues here: one, giving way (and we’re hardly begun that); and secondly, highlighting indigenous ontologies/world views and epistemologies/knowledge as equally valid. Q: As you know HPF is leading the development of an accreditation framework for health promoters and providers in New Zealand. How big an impact on health promotion do you think it will have on health promotion in the country? A: Huge! We teach under and postgrad health promotion here at Otago Uni, and we’re looking forward to accreditation. It’s been a long time coming and my impression is that we’re doing it in a uniquely NZ way that is internationally recognised. Q: What do you view as the challenges for health promotion in NZ moving forward? A: Accreditation will still be a challenge with assessment etc. but is definitely worthwhile. But we still have the old chestnuts – doing our work well and telling the stories of that work. We’ve been doing some research on health promoters’ work across the country and it is often the system that inhibits good practice – I think we need to work harder on ‘reorienting the health system’ (and maybe even public health). We also need evidence informed challenges to those systems that undermine people’s wellbeing (determinants of health and so on); I think we’re only just touching the surface of this work, with too much of our focus downstream on lifestyle issues. And most currently, we need to add a HP approach to the COVID-19 context. We need to work with our wider public health colleagues helping to make healthy choices the easy choices in affected communities. Q: In your own sphere of work do you have any new developments/projects lined up for the future? A: I’m doing lots of teaching this year and loving it – great students asking smart and hard questions. I’m working with colleagues to get publications out on the NZ HP planning and evaluation context (led by Sarah Wood); and the state of mental health promotion in NZ (led by Brooke Craik). And I continue to work on spirituality in health promotion and public health, cancer issues and euthanasia.        
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News
While we all stay at home in a bid to halt the spread of Covid-19 and to save lives, our primary focus during these challenging and for many, stressful and anxious times, is our family and whanau wellbeing. To help build your whanau and family capacity, maintain your wellbeing, and to keep you safe, healthy and happy, HPF has developed a health promotion tool, which gives you the freedom to be creative and make a plan that suits your needs and situation. Entitled ‘A Health Promotion tool for empowering whanau and families against Covid-19’ the tool can also help your family survive, thrive, and flourish after the Covid-19 pandemic. It also includes a ready-made plan, based on Fonua Ola, a Pacific health promotion tool, that you can quickly adapt. The tool encourages whanau and family to consult regularly to plan, implement, monitor and evaluate guidelines and activities for the wellbeing of the whole family. Following the advice and instructions from the Government, Ministry of Health and other public authorities is encouraged.  See details of Government advice on Covid-19: https://covid19.govt.nz/ If families and health promoters would like to learn more we can offer online sessions. Contact emma@hauora.co.nz for details. Stay home, and save lives. Saving your whanau and family is saving the world. Health begins where we live, love, learn, play and pray together.  Click here to view the tool.
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News
To our HPF members, other partners, and our health promotion workforce and community at the national and international level In this fast-changing environment of Covid-19, and with the nation now lifted to alert level 3 and alert level 4 in 48 hours, prioritising serving you and your organisation as a valuable HPF member, and other co-workers in the country and abroad,  is the reason for this message. While our HPF operations team started working from home last Thursday, we are still able to support members with our online courses, and one-one advice, if needed. We are as close as your email, mobile phone and social media tools. Our online course in health promotion are here: We are now converting our face-face workshops into online webinars, to be available in the near future. We want to ensure that our health promotion workforce and sector continue to be fit for purpose in this fast-changing environment. Please let us know how else we can support you. We are all in this together. Our collective, consistent and calm leadership, our empowering and purposeful communication to our sector, and greater community, can contribute to our ability as a nation and a world community to weather this Covid-19 challenge, and come out as better and wiser partners within a more meaningfully connected, healthier, prosperous and peaceful society. In the meantime, be kind, be alert, but not alarmed. Let’s all be united against Covid-19. Stay socially connected, but keep your healthy, physical distance, and be active physically, mentally and spiritually.

For advice and the latest updates go to the Ministry of Health website and

Board and staff of HPF.
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News
For the health and wellbeing of existing and potential participants we have decided to cancel until further notice our Certificate of Achievement course offered by Manukau Institute of Technology and HPF (CoA). We can manage this well, as we have done in past situations. We arrived at this decision after much consultation and feedback from our members and partners, and with the full support of the HPF Board, following our assessment of the increasing impact of the Covid-19 on many spheres of life in the country, a reflection to a lesser degree, of the same but more serious challenge that other countries are facing. Meanwhile, HPF works to support the public health structure response to Covid-19. For example, HPF’s Dr Viliami Puloka is supporting the public health team led by Prof Michael Baker at Otago University, and he has been on several Pacific public radio programmes to disseminate accurate and timely information to the Pacific communities. He is also on a call list of Pacific medical and public health team to respond when needed. HPF’s Executive Director Sione Tu’itahi is also involved in that area of work from a community leadership angle, in consultation with the Ministry of Pacific Peoples. In the meantime, for your study of health promotion you can access our online courses from the comfort of your home or workplace. Click here to access these courses.
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News
We fully support all measures that the Ministry of Health has taken in order to safeguard our country from Covid-19. For the same purpose, we have decided to cancel our health promotion workshops until further notice. We are exploring an alternative offering of a webinar. We will keep you posted on this development. Meanwhile, we have our online courses for your study of health promotion in the comfort of your home or workplace. Click hauora.co.nz/workshops/ to access our online courses. On another matter, HPF has established a plan for our team to all work from home should the Covid-19 get more serious than it is now. But be assured that, whether we work from home or in our office, we will still respond promptly to your query.  
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News
Health promotion acumen, good governance, indigenous knowledge and leadership are some of the collective competencies that our new Board members have brought to lead the HPF for the next two years. HPF’s board held its first meeting for the year in Auckland last Thursday at which three new members were welcomed and a new chair elected. Mark Simiona (Otara Health) was elected to replace Zoe Hawke (Mental Health Foundation), who served three terms on the board and the last year as chair. The new members are Paula Snowden (CEO, Gambling Foundation), Te Aroha Hunt (Tuai Kopu Programme Coordinator) and Dr Kate Morgaine (health promotion academic, Otago University). Ms Hunt was elected to the role of treasurer and Dr Morgaine as secretary of the Board. Pictured from left: Zoe Hawke, Richard Wallace (Kaumatua), Te Aroha Hunt, Paula Snowden, Fay Selby-Law (Hāpai Te Hauora), Mark Simiona and Dr Kate Morgaine. Not pictured: Sharon Kennedy-Muru (Health Improvement Manager, Toi Te Ora Public health Unit for the Bay of Plenty and Lakes DHBs), Vishal Rishi (Director, TANI) and Selah Hart (CEO, Hāpai Te Hauora).    
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Global, News
A wide-ranging UN climate report released yesterday (March 10) shows that climate change is having a major effect on all aspects of the environment as well as on the health and wellbeing of the global population. The report, The WMO Statement on the State of the Global Climate in 2019, which is led by the UN weather agency (World Meteorological Organization), contains data from an extensive network of partners. It documents physical signs of climate change – such as increasing land and ocean heat, accelerating sea level rise and melting ice – and the knock-on effects on socio-economic development, human health, migration and displacement, food security, and land and marine ecosystems. Writing in the foreword to the report, UN chief António Guterres warned that the world is currently “way off track meeting either the 1.5°C or 2°C targets that the Paris Agreement calls for”, referring to the commitment made by the international community in 2015, to keep global average temperatures well below 2°C above pre-industrial levels. Australian wildfires spark global CO2 increase Several heat records have been broken in recent years and decades: the report confirms that 2019 was the second warmest year on record, and 2010-2019 was the warmest decade on record. Since the 1980s, each successive decade has been warmer than any preceding decade since 1850. Ongoing warming in Antarctica saw large-scale ice melt and the fracturing of a glacier, with repercussions for sea level rise, and carbon dioxide emissions spiked following the devastating Australian bushfires, which spread smoke and pollutants around the world. The warmest year so far was 2016, but that could be topped soon, said WMO Secretary-General Petteri Taalas. “Given that greenhouse gas levels continue to increase, the warming will continue. A recent decadal forecast indicates that a new annual global temperature record is likely in the next five years. It is a matter of time.” The widespread impacts of ocean warming Greenhouse gas emissions continued to grow in 2019, leading to increased ocean heat, and such phenomena as rising sea levels, the altering of ocean currents, melting floating ice shelves, and dramatic changes in marine ecosystems. The ocean has seen increased acidification and deoxygenation, with negative impacts on marine life, and the wellbeing of people who depend on ocean ecosystems. At the poles, sea ice continues to decline, and glaciers shrunk yet again, for the 32nd consecutive year. Unprecedented floods and droughts In 2019, extreme weather events, some of which were unprecedented in scale, took place in many parts of the world. The monsoon season saw rainfall above the long-term average in India, Nepal, Bangladesh and Myanmar, and flooding led to the loss of some 2200 lives in the region. Parts of South America were hit by floods in January, whilst Iran was badly affected in late March and early April. In the US, total economic losses from flooding were estimated at around $20 billion. Other regions suffered a severe lack of water. Australia has its driest year on record, and Southern Africa, Central America and parts of South America received abnormally low rains. Last year also saw an above-average number of tropical cyclones, with 72 in the northern hemisphere, and 27 in the southern hemisphere. The human cost The changing climate is exerting a toll on the health of the global population: the reports shows that in 2019, record high temperatures led to more than 100 deaths in Japan, and 1462 deaths in France. Dengue virus increased in 2019, due to higher temperatures, which have been making it easier for mosquitos to transmit the disease over several decades. Following years of steady decline, hunger is again on the rise, driven by a changing climate and extreme weather events. Worldwide, some 6.7 million people were displaced from their homes due to natural hazards – in particular storms and floods, such as the many devastating cyclones, and flooding in Iran, the Philippines and Ethiopia. The report forecasts an internal displacement figure of around 22 million people throughout the whole of 2019, up from 17.2 million in 2018. COP26: time to aim high In an interview with UN News, Mr Taalas said there is a growing understanding across society, from the finance sector to young people, that climate change is the number one problem mankind is facing today, “so there are plenty of good signs that we have started moving in the right direction”. “Last year emissions dropped in developed countries, despite the growing economy, so we have been to show that you can detach economic growth from emission growth. The bad news is that, in the rest of the world, emissions grew last year. So, if we want to solve this problem, we have to have all the countries on board”. Speaking at the launch of the report on Tuesday at UN Headquarters in New York Mr Guterreson said “we have to aim high” at the 2020 UN Climate Change Conference (COP26), which will be held in the Scottish City in November. The UN chief called on all countries to demonstrate that emission cuts of 45 per cent from 2010 levels are possible this decade, and that net-zero emissions will be achieved by the middle of the century. Four priorities for COP26 were outlined by Mr Guterres: more ambitious national climate plans that will keep global warming to 1.5 degrees above pre-industrial levels; strategies to reach net zero emissions by 2050; a comprehensive programme of support for climate adaptation and resilience; and financing for a sustainable, green economy.

(UN News)

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Maori, News
An inaugural anti-racism, Te Tiriti o Waitangi and decolonisation online and offline open-access event to be held this month was inspired by a tweet from Kiwi singer, songwriter and documentary-maker Moana Maniapoto, says Dr Heather Came-Friar.

Dr Came-Friar who is one of the coordinators of Te Tiriti based Futures: Anti-racism 2020  (TBF2020) from March 21 – 30 said the tweet was about the need for more decolonisation training.

“The event is about building anti-racism capacity, deepening understanding about Te Tiriti, decolonisation, mobilising people, inspiring people, building awareness, knowledge and hopefully some action,” she said. Dr Came-Friar who is a founding member and co-chair of STIR: Stop Institutional Racism said the response to the event was phenomenal with over 4500 registrations to date, 49 partners and “’lashings’ of watch-parties and associated face-to-face events.” HPF’s Executive Director Trevor Simpson who is on the STIR team said the response to the event after months of ‘mahi’ was encouraging. Webinar topics include institutional racism and anti-racism, decolonisation, building Tiriti-based futures and transforming our constitution. Overseas presenters will also discuss lessons for Aotearoa from their experiences with these issues. The open-access webinars will be posted online, where they will become permanent resources for anti-racist activism and Tiriti education. TBF2020 also includes face-to-face events in multiple locations, these will include Tiriti workshops, train-the-Tiriti-trainer hui, public talks, webinar viewing and discussions and community pot luck dinners. New anti-racism and Tiriti resources, both printed and online, will gradually be added to the site. TBF2020 will start with a one-day hui on March 21, Race Relations Day, hosted by Te Rūnanga o Ngāti Whātua in Tāmaki Makaurau. Check out the diverse programme at https://our.actionstation.org.nz/calendars/tiriti-based-futures-2020-events#
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News
The importance of health promotion for Pacific communities will be the focus of HPF’s Pasifika Health Promotion workshop in Rotorua on April 3. You can register for this workshop, described by past participants as “vital for those working with Pacific communities,” and “thought-provoking” here. As an HPF member you will qualify for a substantial discount, so if you’re not a member yet join now.

HPF’s Pacific Strategist and workshop facilitator, Dr Viliami Puloka said ways to help empower Pasifika peoples to achieve wellbeing and health and to move from knowledge to action will be examined at the workshop.

He said the aim is to have participants emerge from the workshop not only more knowledgeable about the magnitude and impact of NCDs (Non-Communicable Diseases), but better equipped and more competent to convey the information and help their communities in a culturally appropriate way. “Health promotion is all about empowering and enabling people to put all their knowledge and skills into action.” The workshop is primarily designed for health workers working with Pacific communities. Pacific community leaders and non-Pacific health workers who are working with Pacific communities are encouraged to join the workshop. Contact Emma Frost for further information on emma@hauora.co.nz or 09 300 3734 A venue has yet to be confirmed.  
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News
Human rights, social justice, rights of ethnic minorities and indigenous peoples, the health of our planet, and advancing a form of development that will bring about material and spiritual prosperity are just some of the principles that can help associations remain relevant and sustainable in the future, says HPF’s Executive Director Sione Tu’itahi. Mr Tu’itahi made the comment as part of a number of key ideas he shared during a panel discussion at the 14th annual CEO and Chair Symposium held at the Adelaide Convention Centre in Australia from February 20th to 21st.  The panel discussed how associations can move from focusing mainly on economic outcomes to include social outcomes. Mr Tu’itahi was invited as one of the speakers for the symposium as part of HPF’s ongoing collaboration with Tourism New Zealand, one of the sponsors of the symposium. He offered as an example and case study, the 23rd IUHPE world conference on health promotion co-hosted by HPF in Rotorua last year, adding that the conference was a vehicle and part of a strategic process. “The aim of the process is to enable HPF and the world health promotion community to contribute to the health of the planet and its peoples, in partnership with global, regional and national partners. We’re happy to say we achieved our goals and the outcomes are keeping us busier than ever,” he told the panel. “Our story was well received with many positive feedback from participants.” For associations to remain relevant and therefore justify their existence, they should address not only the in-house needs of their members but also address the needs of the wider societal context in which they are nested,” said Mr Tu’itahi. All human constructs and formations, including associations he added must also adopt a “’global consciousness’ because we live in a global village now; and we need to think global and act local, if not, act on all levels. This is because what happens at the global impacts on the local, and vice-versa.” As to the future of associations in 30 years, Mr Tu’itahi said we had at least two options. “The first one is to walk into the future and take what it might bring. The second option is to create the future we want to walk into. I choose the second one, and I am therefore a ‘Future Maker’, not a ‘Future Taker’. So, for associations, they need to envisage the future they want, and create that future.” After the conference Mr Tu’itahi said it was “a great bounty” to share his experience with Australian CEOs, and to learn from them.       From left, Andrew Makrogianni, from IT company, Higher Logic, Sione Tu’itahi, and Samantha Kent, host from Tourism New Zealand, based in Sydney.    
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Competencies, News, Uncategorized

To further enhance the efficacy of health promotion, HPF is leading the development of an accreditation framework for health promoters and providers in New Zealand.

An important part of this process is the establishment of a national accreditation organisation (NAO), under the global accreditation framework of the International Union for Health Promotion and Education (IUHPE).

IUHPE is a global professional non-governmental organisation dedicated to health promotion around the world. For almost 70 years, IUHPE has been operating as an independent, global, professional network of people and institutions committed to improving the health and wellbeing of the people through education, community action and the development of healthy public policy.

At present, anyone can enter the field of health promotion and practise. This is because health promotion is a very broad field with many specialised activities such as leadership, research, policymaking, health education, community development and social marketing. Health promotion is a relatively new professional practice, still developing, and is not regulated.

While there are benefits in having a diverse workforce with a range of competencies, there are challenges. Some of these challenges are the vulnerability and lack of recognition of the workforce, maintaining the professional standards of training, and the safety and wellbeing of peoples and communities that health promoters work with.

To counter these challenges, and building on the 2012 Health Promotion Competencies for New Zealand, HPF is coordinating the establishment of the national accreditation organisation (NAO), under the global accreditation framework of IUHPE.

Some of the benefits for New Zealand health promoters are: 1) a formal recognition of their qualification and professional experience 2) enhancing the integrity of their profession while ensuring the safety and wellbeing of the peoples and communities they work with 3) national and international recognition of their unique, New Zealand-based cultural competencies 4) recognition of their competencies across national borders that can lead to finding health promotion roles in countries that are under this global system. 

Some of the benefits for providers of health promotion courses are: 1) an international recognition of their health promotion courses 2) enhancing the efficacy of health promotion and the quality of their courses while ensuring the wellbeing and safety of the workforce, and communities. 

In light of the benefits outlined above, and being an umbrella organisation for health promotion, and after much consultation with the health promotion sector and workforce over the years, HPF has decided to join the IUHPE accreditation system.  

To view the documents click here and here

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News

More than 20 participants who attended a Pacific health course in Wellington on Monday, February 10 now have a better understanding of health issues facing Pacific people and how to help improve Pacific health outcomes.

The Introduction to Pacific health: Approaches for action course which is part of Otago University’s Summer School line-up of courses from February 10 – 28 was also held in Auckland at the University of Otago House in the Auckland CBD last Friday (February 14).

The course was coordinated by HPF’s Dr Viliami Puloka, who presented “What does it mean to be ‘Pacific?’”, and Otago University’s Dr Moira Smith.

HPF’s executive director, Sione Tu’itahi who also held a session at the course told participants the future for Pacific people was bright, despite their wellbeing still being the poorest in many areas.

Mr Tu’itahi who spoke on “Preparing the Workforce” said many lessons had been learned from at least “200 years of resilience, patience and high sense of justice of Tangata Whenua”.

He pointed out that a new cultural evolution was emerging; our nation was more mature as evidential in a more caring and compassionate leadership, more people were not accepting inequities as the norm and we were one with our environment.

“Pacific peoples are increasingly realising their own collective strengths and capacities as seen in their leadership in many fields such as politics, arts, culture, sports and education,” he said.

“Greater collaborative effort and transformational leadership across all sectors, and at levels, must be translated into action, if we are to improve the wellbeing of Pacific and all peoples. Let’s train the Pacific professional workforce, as well as the voluntary, community workforce to become social change agents, the owners and leaders of their wellbeing and future.”

Pictured at the course last monday from left, Dr Viliami Puloka, Research Fellow with Otago University; Margaret Southwick, Primary Health Care Organisations and Practitioners; Brad Watson, Otago University; Dr Moira Smith; Laupepa Va’a, Ministry of Health; Dr Aivi Puloka, Waitemata DHB and HPF’s Executive Director Sione Tu’itahi.

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Maori, News

Waitangi Day on Thursday, February 6 marks 180 years since the signing of Te Tiriti O Waitangi (Treaty of Waitangi) and is a time to reflect on our nationhood and national identity.

It is also an opportunity to reflect on the relationship between the Treaty and hauora, health and wellbeing.  

“It is widely understood that in part, Te Tiriti o Waitangi was drafted based on a concern for the declining health of Maori at the time,” says HPF’s Deputy Director Trevor Simpson.

“Today, in the context of health and wellbeing, the link to Te Tiriti o Waitangi remains as relevant as ever. It is in matters of social justice, health equity and the need to address the wider determinants of health. It draws on the importance of Tino Rangatiratanga, Maori self-determination and mana motuhake.”

HPF’s Executive Director Sione Tu’itahui said because it is about the wellbeing of all peoples, and their environment, “Te Tiriti inspired us to organise the world conference on health promotion last April. Additionally it influenced our drafting of the conference’s two legacy statements. Further it has driven us to consolidate Indigenous knowledge, especially health promotion, and planetary health, at the international level, working with our partner, the International Union for Health Promotion and Education (IUHPE).

Mr Tu’itahi said viewed from that global vantage point, it is undoubtedly clear that the wellbeing of one is the wellbeing of all, whether it is at the local, national or global level.

“With increase in natural and human-made challenges, such as the coronavirus, fires and cyclones, within the context of climate and other earth systems’ crises, Te Tiriti provides a pathway to collaborative effort for the benefit of all.”

If you can’t make it to the official celebrations in Waitangi, there are numerous events to mark the day around the country.

View the legacy documents at http://www.iuhpe2019.com/iuhpe-%e2%80%93-tnz/rotorua-indigenous-statement_idl=10007_idt=2939_id=16107_.html

BANNER PIC: The museum of Waitangi features many valuable and significant historic pieces like this version of Te Tiriti O Waitangi.

Photo credit: Museum of Waitangi

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Diet, Maori health promotion, News

The annual summer Fizz Free Whānau challenge has been laid down by Māori Public Health organisation and HPF member Hāpai Te Hauora.

The challenge issued on February 1, is a community-driven kaupapa now in its fourth year and is all about supporting whānau to live healthy, happy lifestyles.

Whānau commit to ditching sugary drinks for a month and Hāpai provides resources and a support network, alongside prizes for whānau who stay sugary-drink free.

Fizz Free Whānau champion Graham Tipene says he’s been addicted to coke for most of his life, but he’s determined to cut down for the sake of his whānau.

HPF’s Pacific Strategist Dr Viliami Puloka welcomed the challenge saying that any initiative, especially aimed at young people, to encourage change for healthy living is welcome.

Take the one-month challenge to ditch the fizz this February, and join hundreds of other kiwis doing their bit for their own hauora, as well as supporting a good cause!

Register to the challenge by visiting www.fizzfree.org.nz
Once you’re registered you’ll be in the draw to win some awesome prizes! Make sure you like and follow @Fizzfreewhanau to learn how you can #WinWithWater

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Environment, News, Pacific

A historic ruling based on a complaint filed by a Pacific Islander in New Zealand has opened the door to climate-change asylum claims.

The UN Human Rights Committee made the landmark ruling based on the case of Ioane Teitota from the island of Kiribati, which is threatened by rising sea levels.

The committee ruled that countries cannot deport people who have sought asylum due to climate-related threats.

Teitota who lodged the complaint in 2015 after being deported from New Zealand when his asylum application was denied argued his right to life had been violated, as rising sea levels and other destructive effects of climate change had made his homeland uninhabitable.  

He said he was forced to migrate from the island of Tarawa, to New Zealand, due to impacts such as a lack of freshwater due to saltwater intrusion, erosion of arable land, and associated violent land disputes which had resulted in numerous fatalities. 

Health Promotion Forum of NZ’s Pacific Strategist, Dr Viliami Puloka said HPF supported the ruling by the UN as a ‘human rights issue’.

Dr Puloka said most Pacific Islanders didn’t want to leave their homes or countries, but if “it had to go down to the wire,” and they were forced to leave because of the impacts of climate change, then the ruling would provide support to their claims for relocation.

Dr Colin Tukuitonga, former Director General of the Pacific Community agreed that for Pacific Islanders, or anyone else, relocating or moving within their own country or to other countries was a last resort

In his presentation at the 23rd IUHPE World Health Promotion Conference, co-hosted by the Health Promotion Forum of NZ in Rotorua, he said climate change was now the most important threat to Pacific lives and livelihoods and there was potential for an ‘ecological disaster”.

SPC, he said, had first-hand experience with the stress involved in relocating and in the last few years had been assisting the Fiji government to relocate villages up to higher ground as a result of the climate crisis.

“Relocating communities might sound simple, but relocating your village, leaving behind what you know is a big deal to the families …”

While the UN Committee determined that Teitota’s right to life had not been violated as sufficient protection measures had been implemented in Kiribati, UN member Yuval Shany said: “Nevertheless, this ruling sets forth new standards that could facilitate the success of future climate change-related asylum claims”. 

The Committee further clarified that people seeking asylum are not required to prove that they would face immediate harm, if deported back to their home countries. 

Their rationale was that because climate-related events can occur both suddenly – such as intense storms or flooding – or over time through slow-onset processes such as sea level rise and land degradation, either situation could spur people to seek safety elsewhere. 

Additionally, Committee members underlined that the international community must assist countries adversely affected by climate change. 

While the judgment is not binding, it does emphasise that countries have a legal responsibility to protect people whose lives are threatened by the climate crisis. 

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News

Constant media reports of raging bushfires, flash floods, super-charged storms, heatwaves and prolonged droughts are evidences of the catastrophic impact climate crisis is having on our planet.

The UN has intensified its call for countries to ramp up their efforts to curb greenhouse emissions and individuals are being urged to also play their part in the fight against climate change.

In a timely editorial for a leading global health promotion publication, leading Maori researcher, Mihi Ratima writes that it would be easy to be overwhelmed by such growing environmental challenges but the good news is the health promotion community has the knowledge and agility to take immediate action for planetary health.

Mihi Ratima presenting the Legacy Documents at the global health promotion conference in Rotorua in April last year.

The editorial entitled ‘Leadership for planetary health and sustainable development – health promotion community capacities for working with Indigenous peoples in the application of Indigenous knowledge’ is in the latest issue of the International Union of Health Promotion’s (IUHPE) Global Health Promotion (GHP) publication and is now available online.

Ratima of Taumata Associates, New Zealand, and a member of GHP’s Editorial Board reflects on the legacy of the 23rd IUHPE World Conference on Health Promotion, co-hosted by HPF in Rotorua, NZ in April, 2019. She also reflects on the conference’s two Legacy Statements adding that together they urge the health promotion community to “provide leadership for planetary health and sustainable development and advocate for privileging Indigenous voices and Indigenous knowledge systems in taking action”.

 “… increasingly, the voices of Indigenous peoples and other groups who will be most impacted by the degradation of the earth’s systems, most prominently youth, are beginning to be heard … as a health promotion community, we must take heed of the hope and vigour of global youth demands for concrete action on climate change and intergenerational equity and draw inspiration from the wisdom of past generations captured in Indigenous worldviews to find a transformative way forward for planetary health.” 

“It is time for the global health promotion community to respond to the call from the social movement members, researchers, practitioners and policymakers who participated in the 23rd IUHPE World Conference on Health Promotion and step up to provide leadership in planetary health and sustainable development.”

The publication also includes a brief report on IUHPE2019, further highlighting the role of its legacy documents as a call for action by the health promotion community.

The legacy statements can be viewed here.

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Diet, News

The ‘3ps’ for good health.

From plot to plate to person.

By growing on the plot, you provide healthy kai on the plate for people and help the planet.

From left, Emma Frost, Sione Tu’itahi and Dr Viliami Puloka share a healthy plant-based meal, sourced from Dr Puloka’s garden, to herald the start of the New Year.

“For good health,” says Dr Puloka who brings in fresh veggies and fruit for his lunch to work regularly, “one has to grow the food at the plot, harvest and fill the plate for the person to enjoy”.

Dr Viliami Puloka sources most of his vegetables and fruit from his own garden.

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News

A team from HPF took a trip to the Auckland City Mission’s distribution centre last Friday (Dec 13) to drop off food items collected by the staff to help alleviate the stress on families this Christmas.

Dr Viliami Puloka who with Trevor Simpson and Emma Frost delivered the food parcels said: “HPF is humbled to spread the joy of Christmas by sharing their blessings with those less fortunate…”

“Such a great feeling to share our abundance to bring cheer for those less fortunate,” said Ms Frost.

HPF’s Emma Frost at the Auckland City Mission Distribution Centre at 15 Auburn Street, Grafton.

If you have non-perishable food items or gifts, you’d like to donate to help families have a joyous Christmas, the Mission’s distribution centre is at 15 Auburn Street, Grafton.

This Christmas, across four sites, the Mission will distribute over 8000 Christmas food parcels and 40,000 children’s gifts to families in desperate need. At each site up to 200 people a day will queue from the early hours of the morning for food and gifts.

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Competencies, Maori

HPF’s Executive Director Trevor Simpson discusses the importance of organisation-wide training

The success of an organisation often rests on the skills, knowledge and competency of the staff that it employs. When contemplating the importance of this we see that the human resource element and the ability of an organisation to achieve its goals are intimately entwined. The people we have in our workforce are critical to success and without the right employees in place, we sometimes see less than desirable results. The capability, capacity and retention of our workforce in any organisation should be of paramount concern if we are to meet our long-term goals.

In public health and other parts of the health sector, recruiting to an organisation often means we are faced with limited choices in terms of bringing in competent people. On the face of it, it depicts a fluid, dynamic and often transient workforce that by nature reduces our choices. Additionally, we are sometimes looking for specialist personnel, perhaps suitably qualified Maori, Pasifika or Asian. In health promotion this is particularly evident where inducted staff are selected to cover a role, and then are trained further to build competency.

One way forward that has seen measurable and positive results is the platform of organisation-wide training in formal education. This approach provides for an organisation to develop its staff through formal learning in the communities (and sometimes buildings) in which they are working. The advantages of doing training in this way are numerous and wide reaching.

First but probably not the most important (except to your accountant!) are the cost benefits. The training and the trainers come to you in your community. Staff are not required to travel to another location, meaning savings on commuting, accommodation and per diem allowances. For some this means that issues around childcare and making arrangements for whanau while they are away are also negated. They simply go home at the end of the day. Additionally, with the practice of paying a set fee, the organisation gets to make savings through having larger numbers of their staff trained at the same time. The more staff on the course the higher the saving.

Cost benefits aside, the outcomes for the organisation and the communities which it serves shouldn’t be underestimated. In health promotion we know that sometimes health promoters are isolated in their role, have limited capacity to deliver the desired outcomes because of this and are often required to explain the comprehensive approach of health promotion to other staff. Organisational training not only diminishes this problem but strengthens the organisation and makes it much more effective. If everyone in the team understands health promotion, regardless of their own specific roles, they become supportive of their colleagues and the notion of health promotion itself. It is therefore a strengths approach to building a strong organisation and by virtue of this, and over time, a strong community.

Another way to do this kind of community development is to do cross-organisational community training. This is where two or more organisations pool their funds to have training delivered in their general location. A mix of staff from each organisation attends the training. This approach can have an enduring impact on communities. A critical mass of health promoters can influence beyond the health care system to make inroads into the wider determinants of health at a local level. Perhaps think along the lines of Local authorities, schools, early childcare centres, workplaces, marae, housing and all kinds of community groups – health promoters can work in and across any of these areas. In short, the potential for improving and maintaining the health of communities is endless.

The HPF level 4 Certificate of Achievement in Introducing Health Promotion is one such course that delivers in this way. This course is delivered in collaboration with the Manukau Institute of Technology as the accredited institution, meaning that the students who complete the course will gain a recognised qualification together with 10 credit points. Although a formal framework the course can be delivered off campus in the regions or in city and urban settings. Importantly it introduces health training to returning or new students – an entry level course which can lead onto higher education and professional development in the health field.

 If anyone is interested in this type of training please feel free to contact emma@hauora.co.nz

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Global, News, Newsletter

International health promotion leader Dr Trevor Hancock has helped put health on the agenda of thousands of cities and towns around the world.

Dr Hancock was a plenary speaker at the 23rd International Union for Health Promotion and Education (IUHPE) World Health Promotion Conference in Rotorua from April 7 – 11, 2019. Although recently retired from his position as a Professor and Senior Scholar at the School of Public Health and Social Policy at the University of Victoria he’s as busy as ever as he shares with us from his home in Canada about keeping the Healthy Cities Movement “moving”, plans for broadening, deepening and connecting the “Conversations for a One Planet Region” and about some spin-off projects in the works.

Hauora: Trevor you are one of the founders of the (now global) Healthy Cities and Communities movement? Can you please tell us what prompted you to launch this movement, what its aims are and what has been achieved so far?

Dr Trevor Hancock speaking at the global health promotion conference in Rotorua last April.

TH: Well, I didn’t exactly launch the movement, but I did help pioneer it. I trained in medicine in the late 1960s/early 1970s in London and then spent four years in family practice in Canada. The last two years were in a community health centre in Toronto, where we served a somewhat under-privileged community. It was clear to me that many of the health problems my patients experienced were economic, social and environmental problems, not really medical problems, which cemented my interest in public health, so I did a Masters at the U of Toronto, graduating in 1980.

You can’t do public health without becoming keenly aware of the roots of modern-day public health in the struggle to address the terrible living and working conditions in the towns of the industrialising world in the 19th century, and to the stories of John Snow, Edwin Chadwick and other leaders. One of those leaders I found particularly inspiring was Sir Benjamin Ward Richardson, a self-professed ‘disciple’ of Chadwick. In 1875 he gave an inspirational address to the Social Science Association on “Hygeia: A City of Health”, which is still well worth reading.

So when I started work as the Health Planner for the City of Toronto in the Department of Public Health’s new Health Advocacy Unit in 1980 , I had this work in mind. One of my tasks was to create a mission statement for the Department, and we adopted the following: Our mission is to help to make the City of Toronto the healthiest city in North America”. Note we said ‘help to’ – health is not created by a public health department any more than it is created by  the health care system; we recognised that many other City departments – and many other players outside City government – contibuted a great deal to the health of the city’s people, starting with clean water, sanitation, safe and healthy buildings and so on.

So we started to ask ourselves’what exactly is a healthy city, how would we get one, and how would we know we were one?’. As you can imagine, that led to a great deal of discussion and innovation. Luckily, as it happened – and never discount luck as a factor, but when you have it, exploit it! – 1984 was a banner year – the sesqui-centennial of the City, the centenary of the Board of Health, the 75th anniversary of the Canadian Public Health Association and the tenth anniversary of the Lalonde Report. This made it possible for me  – working with a great conference committee – to put on ‘Beyond Health Care’, an international working conference on healthy public policy, a term, but not a concept, I had created in about 1980, inspired by the work of people like Nancy Milio and Peter Draper.

As part of the conference, we had a theme on healthy cities, but also – because it was after all a Toronto-based conference – we had a day we called ‘Healthy Toronto 2000’, looking at what it would take to make Toronto a healthy city by then. One of the keynote speakers was Len Duhl, a professor of public health and urban planning at Berkely, and one of the attendees was Ilona Kickbusch, then the Health Promotion Officer for WHO Europe and already working closely with Ron Draper at Health Canada -who had invited her – on what was to become two years later the Ottawa Charter for Health Promotion.

Ilona brilliantly saw in the idea of a healthy city a way to take the concepts of health promotion out into the city and make them real, and thus was born the WHO Europe Healthy Cities initiative, which had its first planning meeting in Copenhagen (WHO Europe’s HQ) in early 1986. Len Duhl and I were part of the planning committee, and together wrote the original background paper – and the rest is history!

As to the aims and achievements, they are quite simple: To put health on the agenda of city governments and governance processes, and to help cities plan with health in mind as a key objective. In that, I think we have been highly successful, the idea has been taken up – with varying degrees of success – in cities, towns and villages around the world – inevitably, with varying degrees of success.

But I think the key word here is ‘movement’. There is, inevitably, a wish to evaluate the work, but its rather like evaluating the women’s movement, the labour movement, the peace movement or the environment movement. They are always working, always pushing, and they have their succeses and failures, but they just keep going; that is what a healthy cities movement must do too.

Hauora: One of the challenges you point out for the 21st century is that we’re going to have to look at dramatically different ways of organising our cities, our countries, our neighbourhoods, our own personal ways of life etc…What progress are we making on this and how big a role can health promoters play?

TH: There are many parts to this question – or questions. For me, the central question for cities – and for governments at all levels –  is ‘what business are we in?’. If you ask that of national governments the answer you get – if not in their words, at least in their deeds – is ‘grow the economy/the GDP’. (New Zealand has recently proved itself the exception, with a budget focused on wellbeing.)But this focus on economic growth and the GDP has been a tragic mistake, especially for high-income countries. First, that growth has resulted in the massive and rapid extraction and depletion of the Earth’s natural resources, in particular forests, fisheries, wildlife, freshwater, topsoils, minerals and fossil fuels. That extraction has been accompanied by massive and rapid pollution of the air, water, soils and food chains, with perhaps the most worrying – at least right now – being CO2 pollution from fossil fuel combustion, leading to the global climate emergency.


“… this focus on economic growth and the GDP has been a tragic mistake, especially for high-income countries.”

Also, some, perhaps much of that growth is what Herman Daly, a leading ecological economist, has called ‘Uneconomic growth’; economic activity that harms people, communities or the planet – or all three. Yet all this uneconomic growth is included in the GDP, which does not distingish between good and bad economic activity. In the health field, the most obvious example is tobacco production and use (although we could also include production of unhealthy food, alcohol, etc.) which kills millions and maims millions more. Even worse, all the money spent on health care for people with tobacco-caused or diet-caused disease also adds to GDP; how stupid is that?

What’s more, this economic growth does not improve our lives, even if it gets us more ‘stuff’. We know that above about $20,000 GDP per capita, further increases in GDP do not correlate well, if at all, with life expectancy and other health and social outcomes. In The Spirit Level, Kate Pickett and Richard Wilkinson show that in high-income countries, it is the degree of equity, not the level of wealth, that correlates with these outcomes, while the World Happiness Report and other studies show that GDP is not well correlated with happiness.

As a result, further aggregate growth is impossible, we already exceed the Earth’s biocapacity and need to reduce our use of these ecosystem goods and services – quite drastically in the high-income countries, whose ecological footprints are well above our fair share, in the range of 3 to 5 planet’s’ worth of biocapacity. Meanwhile, low income countries have the opposite problem; they do not have the wealth it takes to achieve high levels of human and social development.

We need to take less so that others in need can have more, which means a redistribtion of power, wealth and resources both between and within countries and communities, as called for by the WHO Commission on the Social Determinants of Health. 

All of this leads to the conclusion of Kate Raworth in her book Doughnut Economics: we need an economy that is ecologically restorative and socially just, that is focused on meeting the social needs of everyone while living within planetary limits. And that means a very different set of values to live by, very different communities and societies to those we have today. I have an abiding faith that this can only happen from the local level up, it will not come down from the top, where elites have too much money and power at stake. Progress on this is slow, but it is happening, as I will discuss shortly.

But what can health promoters do?

  • First, learn about the global challenges of the Anthropocene – the new age of humanity as a dominant global force that I discuss below – and what new approaches and solutions we need. Recognise that this calls for an eco-social approach in all our work and all our communities.
  • Second, discuss it with your colleagues, your families and friends, your clients and communities.
  • Third, work to create it, identifying allies and partners who are working to create this new world – especially young people (think of the climate strikers), environmentalists and the new social/green entrepreneurs who are working to create the new economy we need.
  • Fourth, apply the two fundamental principles of public health that I identified 40 years ago: Ecological sanity and social justice (today we would say sustainability and equity), ideas that directly relate to Kate Raworth’s call for an economy thast is both restorative and distributive.
  • Finally, never lose sight of Margaret Mead’s wise words: “Never believe a small group of people cannot change the world; indeed it is the only thing that ever has changed the world”. 

One final point: We are not simply health promoters, more importantly we are citizens. So if we can make it part of the work we do, that is definitely a bonus. But if not, we did not surrender our citizenship when we took on our professional roles. So take it on as a family, a citizen activist, a school parent, a club member or a faith community member or whatever other social role makes sense. Find your allies and work with them. Or simply change the way you live, in big or small ways. It all matters, it all makes a difference.

Hauora: You have said one thing that is important to understand about the Anthropocene is that it’s just not about climate change and we need to look at the bigger picture? Can you please elaborate on this?

TH: The Anthropocene is a new geologic epoch, identified in geological terms as a layer of new materials (e.g. glass, plastic, concrete, radioactive elements and their decay products, elevated CO2 levels) and a change in future fossil deposits (e.g. wild animals now make up only 4% of the mass of land vertebrates, with humans (anthropos in Ancient Greek) and their domesticated species making up the rest) that will be clearly seen as anthropogenic – caused by humans – by future geologists.

In May 2019 the Anthropocene Working Group of the International Commission on Stratigraphy voted strongly to recommend it be recognised, with a start date in the mid-20th century. This corresponds to what has been called ‘The Great Acceleration’;  a sharp acceleration, especially since 1950, in changes in a wide variety of natural systems (e.g. climate, nitrogen and phosphorus flows, species extinctions etc. ), in turn driven by a similar sharp increase in socio-economic forces (e.g. population – especially urban population, global GDP, fertiliser-use, fish catch etc.).

So the Anthropocene needs to be understood not only as a geological phenomenon, but one that reflects and indeed records global ecological changes that in turn are driven by economic and social development. 

In the 2015 report I led for the Canadian Public Health Association on the ecological determinants of health, we made two key points:

  • First, the world’s natural systems are our life support systems, the most fundamental determinants of our health; we do not last long without air, water or food. Nor can societies exist without the materials and fuels we take from nature, the recycling of nutrients and wastes is the protection from UV radiation that all come from nature. Moreover, for the past 11,000 years we have benefited from a generally benign, warm and stable climate during which agriculture and cities – what we think of as civilisation – have developed.
  • Second, all of these ecosystem goods and services are being massively and rapidly disrupted, and all at the same time. It is not just climate change, but ocean acidification, pollution and ecotoxicity, resource depletion and the start of a sixth Great Extinction. Moreover, they often interact and reinforce each other, usually in negative ways.

Faced with these widespread, rapid and massive changes, we need widespread, rapid and massive responses; again, my belief is that these are much more likely to come up from the bottom than down from the top. Tobacco control is but one of many examples where it has been persistent grassroots activism and local leadership that has ultimately led to signifant national and international change; the same can be said of gay marriage.

But I am also very conscious of the fact that when it comes to creating social and cultural transformation and large value shifts, this is not done simply by applying science, evidence and logic. We need to reach people emotionally and spiritually as human beings, what I call ‘heart, gut and spirit stuff’, and for that we need to work with faith communities, the arts community and other ‘unusual suspects’.

Hauora: In Victoria British Colombia where you live you started what is called “Conversations for a one planet region”. What is the aim of this initiative and how many countries has it spread to? Can you give us some tips on how to get it started in NZ?

TH: The Conversations came out of an initiative I started at the University of Victoria (UVic) before I retired. UVic in the Anthropocene is an attempt to bring together faculty and students from all disciplines across the university to address the challenge of the Anthropocene. In my opinion, this is the greatest threat facing us in the 21st century, but it also contains many opportunities. So how will universities respond (so far, no better than governments or other instituons, which is to say hardly at all!)

We realised early on that we needed to do work with the community, in this region of 350,00 people and 13 local municipalities, to explore what should be the response to the Anthropocene at the local level. We suggested the concept of a One Planet Region as a way to address this locally (an idea we later learned had been pioneered by Bioregional in the UK, a group we now work with). We defined a One Planet Region as one that achieves social and ecological sustainability, with a high quality of life and a long life in good health for all its citizens, while reducing its ecological footprint to be equivalent to one planet’s worth of biocapacity.

We started the Conversations in early 2017 because we were concerned that people were not even talking about this issue; climate change, yes, but not the entire complex of global ecological changes that constitute the Anthropocene, and not about how we need to respond locally. So our mission is to establish and maintain community-wide conversations on One Planet living and a One Planet Region. We adopted as our slogan “Learn – Discuss – Imagine – Design – Create”, because if we are not learning about the situation we face and discussing it, we can’t begin to fully imagine both the future we face and the alternative future we want.  And if we can’t imagine it, we can’t design and create it.  

We meet monthly in the Community Room at the Central Branch of the Public Library. Our meetings are free and open to anyone, and we have no budget; use only local volunteer speakers – since we know we have the knowledge and expertise here to address these issues successfully. We cover a wide range of issues, from energy and food to housing and transportation, economics, the role of the arts and of faith communities – and much else.

But while we have been doing this for three years, have a group of 30 – 70 people each month, get good discussions and have a good reputation and some influence and local political impact, we recognise that this is of limited utility. Our participants are generally the ‘usual suspects’ – older, whiter, wealthier, better educated, and living near the downtown. An important and potentially influential group, to be sure, often with good connections to important people and groups, but far from enough.

So we have plans for broadening, deepening and connecting the Conversation. We want to expand the Conversation to engage a much wider range of participants, both geographically and demographically; deepen the Conversation by creating safe spaces where people can explore the mental, social and spiritual dimensions of the change we seek; and connect the Conversation to others doing similar work across the region. To that end, we have recently incorporated as a non-profit society so we can pursue funding, because while having no budegt is in many ways commendable, it is also limiting. Some of the new activities we want to pursue are:

  1. Video, webcast and livestream the current Conversations programme, enabling people in other sites in the Greater Victoria Region to join in from where they live.
  2. Establish a Kitchen Table Conversations programme to facilitate and support families, neighbors, workmates and others to have smaller, more personal Conversations.
  3. Undertake One Planet Neighborhood Co-design Charettes that bring community members and design professionals together to imagine and design such a place.
  4. Establish People for a One Planet Region, a group of citizens in every municipality who are able to speak at Council meetings to support the One Planet approach and to oppose proposals that take us in the wrong direction.
  5. [Perhaps] create One Planet Region Awards to recognise people, organisations, businesses and governments that are working  to create a One Planet region.

We also have several spin-off projects that we are pursuing, in collaboration with others:

  • We are working with the Community Social Planning Council to look at the social justice and employment implications of a One Planet Region.
  • We are starting a discussion about an initiative around art, nature and place as a way of engaging people through the arts in considering the global ecological challenges, and possible actions.
  • An ecological economics group is forming, linked to the Green New Deal, looking at what an ecological economy would look like locally.
  • We are planning sessions based on Joanna Macy’s “The work that re-connects”, to help people come to terms with the climate anxiety and eco-grief they may be experiencing.

I hope this has given you some ideas, but remember, it takes very little to make things happen. You don’t need a budget, an organisation or staff, just some willing and like-minded people, a bit of energy and good will. Remember Margaret Mead’s wise words and just do it!

Hauora: You were in NZ for the 23rd IUHPE World Health Promotion Conference, co-hosted by HPF in Rotorua last April? What were some of the highlights of the conference for you?

TH: The first highlight was the fact that the greetings from the Maori Elders were all in Maori! Oh sorry, you don’t understand Maori? Too bad, this is Aotearoa and here we speak Maori – it was assertive and yet was done in a respectful way. I loved the self-confidence of that, and indeed the strong participation of Maori people throughout was an inspiration.

Second, of course, the fact that ecological change and the need for an ecological awaresss was finally getting the attention it deserves in health promotion.

Third, shmoozing! Not only do I love seeing my friends from all over the world (and yes, I am aware of the irony, if not ineed the incompatability, of the carbon footprint involved), but those personal contacts facilitate the sharing of ideas, work and commitments for years to come. There is a lot you can do apart, via Skype and webinars and teleconferences, but there is an energy that comes from being together in the same place, sharing food and drink and relaxation, that boosts your energy and enthusiasm when you return home.

Fourth, of course, New Zealand itself, a beautiful country I have now visited twice, with friendly and welcoming people, certain challenges notwithstanding. Certainly the New Zealand government is proving inspirational, both in its response to the Christchurch mosque shootings and in its commitment to a wellbeing budget.

Hauora: You retired in July 2018 from your position as a Professor and Senior Scholar at the School of Public Health and Social Policy at the University of Victoria. What have you been doing since then and what are your plans for the future?

Well, I only retired from a job, not from life or work – or dancing for that matter! I have been busy organising the Conversations – as noted above, writing, speaking at all levels from global events such as IUHPE to local community groups about these ideas and generally being an activist. I am very excited by the growing activism of young people and looking for ways I can help and support them – without taking over or getting in the way!

In particular, I hope to write several books for the general public about the work of public health. I have been writing a weekly column on population and public health issues for five years (see https://trevorhancock.org/) and I have come to recognise that we do a lousy job of communicating what we do, and the importance of our work – and then we wonder why nobody knows about us or loves us or funds us! So, I have committed to do no more writing for academic or professional journls or books, other than the commitments I already have.

And of course I am dancing. I have been a Morris dancer for 40 years – traditional English folk dance, think non-violent rugby involving dancing, singing and drinking! It brings me great pleasure, even joy, and is an antidote to the serious nature of so much of my life – although that too is fun, it has to be if you are to keep doing it.

I dance twice a week, walk our dog in the woods, parks and coastlands every day with Franny, my wife and companion for almost 50 years (her retirement project is a Masters in Medieval Studies, we are well matched) and generally stay active. In one of the two Morris sides I dance with I am, at 71, the second youngest dancer; our oldest dancer is almost 95, and comes to practice every week and then to the pub. I intend to be Fred when I grow up!

© Trevor Hancock, 2019

0

Competencies, News

“People don’t care what you know until they know how much you care. It is about building relationships, seeing where people are at and not pushing your values and ideas on them.”  (Ngakiri Antonovich, Pasifika Health Promotion workshop participant)

Comments from students and participants at HPF’s short course and workshops this year ranged from “eye-opening, motivational and thought-provoking to well-presented”.

They agreed that they had also come away with a better understanding of Te Tiriti o Waitangi, the key determinants of health and the Ottawa Charter.

Students who completed HPF/MIT’s Certificate of Achievement in Introducing Health Promotion short courses in Auckland and Kaitaia said the course had also given them a new-found enthusiasm for their work in the community.

“The information was super-interesting, relevant, empowering and quite confronting,” said Kim Esau from the Diabetes Foundation Aotearoa.

Mihiwira Henare of Te Runanga o Te Rarawa said for someone who had not studied for more than 10 years the course had given her a sense of motivation to relearn things.

Chanel Roberts of Te Hiku Hauora said most of her colleagues had already been on the course and had raved on about how amazing it was going to be.

The former hairdresser admitted she wasn’t too keen on studying, but the course was “pretty amazing”.

Participants at the Pasifika Health Promotion workshops in Whakatane, Dunedin and Auckland said they came away from the workshops armed with new information and knowledge that would help them better serve their communities.

Trish Fleming from Hospice West Auckland who attended the last workshop for the year at the Waitakere Resource Centre said she gained a better understanding of how to “meet Pasifika families where they are at”.

Jill Iti of the Royal District Nursing Service NZ said the workshop refreshed her ideas and beliefs and provided impetus to develop a workshop for staff.

0

News

Hauora sits with Executive Director Sione Tu’itahi to reflect on some of the highlights for the year including the outcomes of the 23rd International Union for Health Promotion and Education World Conference on Health Promotion co-hosted by HPF. Mr Tu’itahi also looks ahead to 2020 and some of the major initiatives HPF is working on including the accreditation framework, training the workforce, healthy city scheme and collaborative leadership

Hauora: 2019 has been a big year for the HPF. Co-hosting the World Conference on Health Promotion must be one of the highlights. But what stands out for you?

ST: Successfully hosting the world conference was certainly a major highlight. As the biggest public health conference to date in the country, it was a million-dollar budget event, and we were able to deliver with lots of learning for future. It was also part of a strategic process. So, following up on post-conference activities, advancing the development of the accreditation framework for health promotion, training the health promotion workforce, and co-leading collaboratively with other public health and health promotion organisations are equally important achievements. And we did all of these with prudent management of our small resources, while ensuring that HPF remains strong and sustainable.

Sione chats with Rotorua Mayor Steve Chadwick

Hauora: Can you elaborate on the conference outcomes and post activities, and what is there for health promotion in New Zealand?

ST: Clearly the knowledge shared by over 1000 delegates at the conference was a great outcome. This is especially true in the major areas of planetary health, indigenous health promotion, social, economic, political, and ecological determinants of health, as reflected in the conference evaluation. Health promotion networks at national, regional and international levels were certainly enhanced. At the global level, for example, working groups on planetary health, and indigenous health promotion are being formed to work closely with, and under our conference partner, the International Union for Health Promotion and Education (IUHPE). This means that the knowledge shared, and the momentum created at the conference will continue for the benefit of health promotion, and society, across the world, including New Zealand and the Pacific region.

It was made very clear at the conference that the health of the planet is the most significant issue for the world today. It is affecting almost every aspect of human life. It was also clear that indigenous knowledge, and indigenous health promotion can contribute solutions.  New Zealand is a leader in indigenous health promotion, and we are already contributing at the global level.  The two legacy statements on these important themes that were approved at the conference reflect that, and the statements are now informing training, policy, practice and strategic planning on a number of levels.

A third major outcome that we are advancing is the ‘healthy city initiative’. The idea is to have at least one city in the country to become a healthy city under the WHO scheme within the next three years. This city can be a pilot and an example for the rest. While the healthy city initiative has been around for a few decades now, it is timely to reinvigorate it, as WHO did at the Shanghai Global Congress in 2016. In light of the environmental crisis, more people, communities and families live in cities than rural areas, it makes common sense to collaborate with city authorities, and all other sectors and communities for their collective wellbeing.  With the right combination of settings-based and systems approaches, the health city initiative can complement other community development and empowerment approaches that are informed by either geography or ethnicity, or both.

Hauora: You mentioned the accreditation framework for health promotion as one of the highlights for the year. What is the update?

ST: Let me give you a brief background, first. Health promotion is still an unregulated profession. This poses a challenge to trainers and health promotion practitioners and it also makes the profession vulnerable. The accreditation framework we are establishing will provide a formal recognition, and therefore will be helpful to all. Importantly also, our framework is formally aligned with the global framework already established by IUHPE.  One system across the world.  In future, this can give recognition across national borders and make it easier for practitioners when they move to work across countries.  After being advised earlier in the year by IUHPE that we are on the right track, we put out the latest draft of the ‘standards’ for consultation. We have received very positive feedback and constructive advice. Our aim is that by mid-2020, IUHPE would have approved our standards, then we can focus on establishing a national accreditation organisation to coordinate the training and assessment of health promoters. So, watch this space.

Hauora: And on your training of the workforce?

ST: An important development this year is adding new online courses on health promotion. We want to make sure that anyone around the country can access health promotion learning, at their own time and pace.  Meanwhile we continue to offer the introductory course on health promotion, a joint venture with MIT.  While the course is open to all, we can also make arrangements to deliver it within organisations to meet the needs of their workers.

Hauora: You were awarded the 2019 Public Health Champion by the PHA. What does that mean to you?

Sione was supported by the HPF team at the awards ceremony in Auckland.

ST: The award reflects the teamwork and collaborative leadership approach that we have here at HPF.  It is a clear outcome of our collective effort as shown by our success with the world conference. It also reflects how HPF has been working closely with its partners at national, regional and global level, to achieve common goals for the wellbeing and betterment of society.  Furthermore, it demonstrates the effectiveness of having a constitution that is grounded on Te Tiriti with values and goals that are for the wellbeing of all. It informs our leadership and the way we work, from within, to makes sure we are a culturally, socially and professionally competent and healthy organisation. If we are not healthy from within first, HPF won’t make a difference out there within the sector and its workforce. Walking our talk, starts within us first. That will make our work with others authentic and productive with lasting outcomes that can make a difference.

Hauora: Looking forward, what does 2020 hold for HPF?

ST: The future will continue to be challenging but it is brighter than before, provided that we continue to work on the right priorities and in the right way. What we achieved this year are the fruits of our strategic commitment over the last five to 10 years. I mentioned major initiatives that we are working on such as the accreditation framework, training the workforce, the healthy city scheme, collaborative leadership. Some will come to fruition in the near future, others are ongoing. With adequate resources, we will continue to respond effectively in co-leading and building the health promotion sector and its workforce to contribute to the health and wellbeing of our country, and the rest of the world.

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Mental health, News

Up to 12,000 people will be trained in mental health and addictions issues over the next four years boosting health and wellbeing for more New Zealanders says the Minister for Health, David Clark.

Mr Clark made the announcement at Le Va, a Pasifika health service in Manukau – one of the first organisations to receive additional funding under Government’s plan to roll out frontline services nationwide to support people with mild to moderate mental health and addiction needs.

“As a country we’ve neglected mental health and wellbeing for too long. We know we need to do more to support people in distress, and we are,” Mr Clark said.

HPF’s Deputy Executive Director, Trevor Simpson commended the minister and the Government for taking the lead on mental health and addictions.

“We have known for some time now that over recent years this sector has been neglected by decision-makers so it is timely, refreshing and a courageous step to address the issues head on. It will be very interesting to see how the health promotion and preventative health sectors will be engaged in this important work too.”

Mr Simpson also offered to assist where and when needed.

“We have a strong existing health promotion workforce ready to work with Government on mental health and addiction. We also have well researched ideas, solutions and frameworks that will help us to find ways to stem the flow in the direction of an already burdened health service.”  

Some of the Government’s initiatives include doubling the ‘cultural competency’ programme, to ensure Māori and Pacific people received culturally appropriate support when needed and more than tripling the number of people in community organisations, such as clubs and sporting organisations, who can undertake the Mental Health 101 and Addiction 101 programmes.

Mr Clark added that the extra training would make it easier for health workers to identify when people could benefit from more support.

“Right across the country there will many more people who can provide help and support to people in distress. That means more people will get the help they need earlier – and without having to wait.

In September the Ministry of Health called for Requests for Proposals for $30 million worth of new frontline services. Those proposals are currently being assessed, with new services expected to be contracted and starting from next year.

“We’re developing a range services. We need tailored support for Māori, Pacific peoples, rural communities, LGBTQIA+, youth and others – and we’re working with those communities so that we get services that work.

“That will take time, but we are getting on with job because it will mean better health and wellbeing for more New Zealanders,” David Clark said.

0

News

Otago University’s Summer School will be bringing its popular Pacific Health course to Auckland for the first time on February 14 next year.

The course is one of an outstanding line-up of 32 courses, including 14 new ones in Wellington from February 10 – 28.

HPF’s Dr Viliami Puloka and Dr Moira Smith are coordinating the Introduction to Pacific health: Approaches for action course, which looks at key concepts, issues and effective actions in Pacific health from evidence and community-based perspectives.

Fran Wright, who is on the organising team said one of the reasons for holding the course in Auckland was because they wanted to make the course, which was always very popular, more accessible to people.

Ms Wright said there was already a good uptake for the course, which will be run in Wellington on February 10, and encouraged those who were interested to take advantage of the 25 per cent discount with early-bird rates which expire on December 19.

“We are expecting a number of courses to fill up early so register now to ensure you don’t miss out.”

So, if you’re interested in a day of professional development or updating on topical issues in health click here for course descriptions and to register.

The summer school has been providing this training for more than 20 years and has grown to become the largest and longest running summer school of its type in the Southern Hemisphere.

0

News

HPF farewelled three outgoing board members and announced its new members at the Annual General Meeting in Auckland yesterday. (Thurs, Nov 14)

Leaving are board chair Zoe Hawke (Mental Health Foundation), Dr Richard Egan (Otago University) and Lisa Pohatu.

The new members are Paula Snowden (CEO, Gambling Foundation), Te Aroha Hunt and a Dr Kate Morgaine (Health Promotion Unit, Otago University. (By co-option, subject to her acceptance.)

Mrs Hawke said at the AGM that she had enjoyed her six years, two as Chair of the Board, and that it had been a busy and rewarding year for HPF.

She cited the 23rd International Union for Health Promotion and Education (IUHPE) World Health Promotion Conference, co-hosted by HPF in Rotorua, last April as an example and said the conference had many significant outcomes.

“These achievements have been acknowledged by stakeholders from around the world and within the country regarding HPF as a world leader in health promotion. Important knowledge was shared, legacy statements and other post-conference initiatives were endorsed and the profile of HPF was elevated showcasing true commitment to Te Tiriti o Waitangi.

“Being evaluated and approved again as an accredited quality organisation by Te Wana, and the award of Public Health Champion to HPF Executive Director Sione Tu’itahi by PHA are other examples of the recognition of the good work HPF has done this year,” she said.

Mr Tu’itahi confirmed it had been another successful year for the organisation at both national and international levels and that HPF is highly regarded as a leader in health promotion.

“Looking into the future, among other initiatives we plan to complete the accreditation framework for health promotion, thus making health promotion a more formal and recognised profession, under the global framework of the IUHPE.”

Banner pic from left: Vishal Rishi, (Board); Richard Wallace, (Kaumatua); Sharon Grant-Muru (board); Mark Simiona (Board); Leanne Eruera, Sunila Mani and Sione Tu’tahi (staff), Lisa Pouhatu (Outgoing, board), Lavinia Ngatoko and Emma Frost (staff). Not present are: Fay Selby, Selah Hart (board) and Dr Viliami Puloka, Trevor Simpson (staff).

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Diet, News

The addictiveness of sugar, the efficacy and political realities of sugar taxes, what corporate responsibility looks like, school and workplace interventions and much more were the focus of discussions at the 7th annual FIZZ Symposium in Auckland last week.

The symposium – “Sweet As? Sugar’s impact on our health” featured a wide range of speakers, including dentists, mainstream and Māori public health, community sports groups and even the industry, showing the depth of support for the growing movement to curb sugar and improve our nation’s health and wellbeing.

HPF’s Dr Viliami Puloka said the symposium was excellent and speakers such as Dr Peter Brukner Professor of Sports Medicine, La Trobe University, Melbourne, Australia had issued a warning — “we are getting fatter and sicker”.

“He stressed that fatty foods used to get the blame for causing obesity but increasing evidence shows that it is sugars and starches that play a big role in the obesity epidemic. And of course, sugary drinks are an efficient way of hiding the calories,” said Dr Puloka.

Professor Selena Bartlett, an internationally recognised researcher in the field of addiction and obesity addressed a neglected but important topic in the nutrition world – the issue of sugar addiction.

“Her research reveals that sugar is as addictive as alcohol and nicotine,” said Dr Puloka. “This has led to a very important thing they are doing to tackle obesity — the development and testing of the first clinically tested mobile health app to track added sugar.”

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Maori, News, Uncategorized

A report into hazardous drinking in New Zealand reveals that Māori who drink alcohol and live in deprived circumstances are less likely to have a harmful relationship with alcohol if they speak te reo Māori.

Figures on hazardous drinking among Māori which were crunched by the Health Promotion Agency, using three years of data from the New Zealand Health Survey showed the lower the socio-economic area a non-reo-speaking Māori person lived in, the more likely they were to drink dangerously.

HPF’s Deputy Executive Director and Maori Strategist Trevor says these findings are important as they give efficacy to the assertion that the Maori language is an important protective factor for the health of Maori.

“Once learned, Te Reo Maori effectively opens the learner to traditional notions of health and wellbeing- deeper understandings embedded in the language itself. In other words, Te Reo Maori can be viewed as a determinant of health for Maori.”

Hāpai Te Hauora GM Māori Public Health, Janell Dymus-Kurei says the report adds to the evidence that te reo Māori me ōna tikanga (Māori language, knowledge and traditions) are vehicles for wellbeing for Māori.

“Hopefully these findings will precipitate a new approach to health promotion which positions matauranga Māori at the centre. This is how we work in Māori public health and it’s time that the rest of the system caught up.”

Key findings from the report also show: Māori with higher levels of education are less likely to be hazardous drinkers and inequities among Māori and non-Māori persist across all age groups.   

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Maori, News

HPF commends a new initiative by Ngā Pae o te Māramatanga (NPM) New Zealand’s Māori Centre of Research Excellence to celebrate and recognise the careers of three Māori leaders and visionaries, who have a long history of bringing about major social change and impact in Aotearoa New Zealand.

Professor Rawinia Higgins, NPM board member, says the new Ruānuku positions formally acknowledge the generous ongoing roles these exceptional Māori leaders have agreed to provide to NPM.

The three inaugural distinguished Ruānuku are: One of New Zealand’s most respected academics, Emeritus Professor Sir Mason Durie, who was a plenary speaker at last April’s 23rd IUHPE World Health Promotion conference co-hosted by HPF in Rotorua; Sir Tīpene O’Regan highly regarded Ngāi Tahu kaumatua and academic and award-winning Emeritus Professor Ngahuia Te Awekotuku who has been at the forefront of the women’s liberation movement in New Zealand.

“Our first three NPM Ruānuku … are esteemed scholars, visionaries in their fields, leaders in the life of our nation, and have brought about considerable social change in the lives of many Māori,” says Prof Higgins.

HPF’s Deputy Executive Director and Maori Strategist Trevor Simpson says the initiative pays homage to three outstanding individuals who have made significant contributions in their respective fields.

“Nga Pae o te Māramatanga continue to lead the way in terms of Maori advancement in research excellence. Building on this, the Ruānuku acknowledgements are a timely and appropriate way to recognise individual achievements at the highest level, over many years of effort. In all three recipients, we have wonderful examples of leadership, persistence and servitude not only to Maori but to wider society,” he says.


Professor Rawinia Higgins, NPM board member says the trio are “esteemed scholars, visionaries in their fields, leaders in the life of our nation, and have brought about considerable social change in the lives of many Māori”.

NPM recognised these inaugural appointments yesterday (Oct 22) as Māori and researchers from across the country gathered in Dunedin for the annual national Royal Society Te Apārangi Research Honours Aotearoa awards. At Te Tumu School of Māori, Pacific & Indigenous Studies, Māori senior students spoke about how these Ruānuku have influenced their studies and inspired their career choices.

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Competencies, News

Thought-provoking, motivational and well-presented was just some of the feedback from participants at HPF’s Pasifika Health Promotion workshop at the Waitakere Resource Centre in Auckland last Friday. (Oct 18)

Participants agreed they had come away from the workshop armed with new information and knowledge and would be more aware of the other determinants of health before meeting clients.

“The information was super-interesting, relevant, empowering and quite confronting,” said Kim Esau from the Diabetes Foundation Aotearoa.

“The workshop not only solidified already known information, but it built upon that foundation by quite a few layers – wonderful!”

Trish Fleming from Hospice West Auckland said she gained a better understanding of how to “meet Pasifika families where they are at”.

Jill Iti of the Royal District Nursing Service NZ said the workshop refreshed her ideas and beliefs and provided impetus to develop a workshop for staff.

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Community, News

“Helping people and community to be health literate is enabling and empowering people to be confident, informed and engaged in decisions that influence the determinants of their health and wellbeing,” says Sione Tu’itahi, HPF’s executive director.

Mr Tu’itahi says with this month being Health Literacy Month it is the perfect time to highlight the issue of health literacy in New Zealand.

More than 50 per cent of adult New Zealanders have poor health literacy skills according to the Ministry of Health’s report, Kōrero Mārama (2010). which sourced data from the 2006 Adult Literacy and Lifeskills Survey. Māori had poorer health literacy skills compared to non-Māori with 80 per cent of Māori males and 75 per cent of Māori females found to have poor health literacy skills.

According to The Asian Network Inc. – TANI migrants and former refugees also faced more challenges because of the language barrier, lack of understanding of the health system, and different experiences from their home countries. “Therefore, we need to support individuals and communities to give more attention to improve their health literacy level.”

Mr Tu’itahi points out that health literacy is a cornerstone of modern health promotion, especially when it is done together with building healthy public policies, creating supportive environment, community action, and reorienting health services.

“Young people in New Zealand and across the world are advocating for the health of the environment and its effect on their wellbeing because they are environmentally literate. That is the power of health literacy; people move to action when they are in the know,” he said.

HPF’s global partner the International Union for Health Promotion and Education’s Position Statement on Health Literacy: a practical vision for a health literate world calls for global action to improve health literacy in populations.

The Statement positions health literacy as an important and modifiable social determinant of health, that plays a significant role in broadly-based strategies for health promotion and emphasises the necessity of a systems approach to health literacy, underpinned by global, national, regional and local policies.

The theme for Health Literacy Month which is “Be a Health Literacy Hero”. is about taking action and finding ways to improve health communication. Health Literacy Heroes are individuals, teams, or organisations who not only identify health literacy problems but also act to solve them.

Since 1999, organisations around the world have been observing October as Health Literacy Month. It’s a time to bring attention to the importance of making health information easy to understand — and making the health care system easier to navigate.

The Waitemata DHB also celebrates health literacy month and plans to facilitate the 2nd health literacy symposium at the North Shore Hospital on October 31.

(Image: iuhpe.org)

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Competencies, News

Students who completed HPF/MIT’s short course in Kaitaia, in the far North last week say they have gained a new-found enthusiasm for their work in the community and are encouraging others to attend the course if they haven’t yet done so.

Block one of the Certificate of Achievement in introducing Health Promotion short course was held at Te Hiki Hauora from September 3 to 6 and Block two from October 1 to 4.

Mihiwira Henare of Te Runanga o Te Rarawa said for someone who had not studied for more than 10 years the course had given her a sense of motivation to relearn things.

“I’ve been complacent in what I know and having all this new information come in, it was like wow! I enjoyed it a lot and I wish it went longer to be quite honest.”

Mihiwira said she would definitely recommend the course to her work colleagues who hadn’t had had the chance to do it yet.

“I’d encourage them to do the course, so they have evidence to back them up. Their natural instinct is to awhi and help, and you know that the things they are doing is right, but they can’t prove that to anybody because they don’t have that background knowledge.”

Chanel Roberts of Te Hiku Hauora said most of her colleagues had already been on the course and had raved on about how amazing it was going to be.

The former hairdresser admitted she wasn’t too keen on studying, but the course was “pretty amazing”.

She especially loved the interactive nature of the second block.

“This (course) has been such an amazing journey and I have learned so much. And during this second week, everything just sank in…I am a practical person and doing the role plays, the interaction just helped it all sink in for me.”

Christopher Te Wake, Hokianga Health Enterprise Trust said he would absolutely recommend the course because of its long-term benefits. “I know what I have learned will benefit me for my whanau, for my community, my iwi and my hapu.

“Because we do a lot of health planning in the Hokianga, the course gives us a proper foundation of how to target the right groups and learning how to gather the right information, how to use the determinants and how to use the Ottawa Charter,” he said

The next CoA course will be held next month in Wellington at the Sisters of Compassion, Island Bay. Block one is from October 26 – November 29 and Block two from November 26 – 29.

Complete the online registration and or download the Application from our website.

For more details contact Emma at emma@hauora.co.nz

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Environment, News, Pacific

HPF’s Executive Director, Sione Tu’itahi joined a panel of speakers, who are passionate and committed to helping Pacific people combat climate change, at the Auckland District Health Board (ADHB) Pacific Week Symposium on Environment and Sustainability at Auckland Hospital yesterday. (Monday, October 7).

Mr Tu’itahi whose speech was entitled Moana Ola, Fonua Ola, Healthy People, Healthy Environment discussed how Pacific Indigenous knowledge could contribute to addressing the political, socio-economic and ecological determinants of our health and wellbeing.

He looked at the Pacific Conceptual Frameworks of Moana Ola and Fonua Ola, planetary wellbeing and indigenous knowledge and what we can do together to tackle the global challenges that humanity now faces.

Other speakers who are doing some amazing work for Pacific Island communities were:

  • Phil Somerville, EatLessPlastic, CEO shared his research, learnings and insights on plastic waste in the Pacific Ocean and environmental impact on Pacific communities.
  • Mary Curnow, Director Fundraising and Business Development, Volunteer Service Abroad who spoke on “Volunteers, Climate Change & Health: Building capacity across the Pacific”. 
  • Kevin Hague, CEO, Royal Forest and Bird Protection Society of New Zealand Inc. addressed “Hope in the Face of Calamity: charting a positive course through climate change and the 6th mass extinction”.

The ADHB’s sustainability work extends beyond the Auckland catchment working the Pacific Island health teams to help prepare for climate change for the vulnerable communities in the Pacific region.  Pacific Island nations account for emitting less than 1% of greenhouse gases but are among the most vulnerable to the adverse impacts of climate change, especially sea level rise. 

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News, Pacific

The leading role of women in agriculture throughout the Pacific must be recognised and supported says the Deputy Prime Minister of Samoa Fiame Naomi Mata’afa.

In her keynote address at the launch of the Country Gender Assessments of Agriculture and the Rural Sectors (CGA-ARS) in Apia, Samoa Ms Mata’afa said women’s critical contributions in planting, tending, and harvesting crops and edible marine life sustained the majority of families throughout the region

Ms Mata’afa said despite their prominent role in agriculture however research also indicated that women continued to be constrained by unequal access to land; limited access to training, credit, and job opportunities compared with their male counterparts, as well as an unequal time burden with their normal household responsibilities.

Women were also disproportionately affected by the impacts of climate change, she said.

“From a gender perspective, the increasing global concerns and our own challenges at regional and national level for food security is becoming more urgent due to the impacts of climate change.

“One thing that we know from experience is, advancing our gender outcomes as a region and as national governments is not the job of one organisation or ministry or sector. It is the collective responsibility of all across Government and at all levels, with partnerships with the private sector and civil society organisations.

“There is clear evidence that food and nutrition security and other benefits such as poverty reduction and increased socio-economic wellbeing are within reach when we use a gender lens to make sure the whole population is engaged in the primary sector,” said Ms Mata’afa.

The Gender Assessments will be conducted in Fiji, Samoa, Solomon Islands, Tonga and Vanuatu and will be led by the Pacific Community – SPC, in collaboration with FAO (Food and Agricultural Organisation).

(PHOTO: SPC)

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Environment, News

The latest Intergovernmental Panel on Climate Change (IPCC) Special Report highlights the urgency of prioritizing timely, ambitious and coordinated action to address unprecedented and enduring changes in the ocean and cryosphere.

The Special Report on the Ocean and Cryosphere in a Changing Climate, approved by the 195 IPCC member governments, reveals the benefits of ambitious and effective adaptation for sustainable development and, conversely, the escalating costs and risks of delayed action.

The ocean and the cryosphere – the frozen parts of the planet – play a critical role for life on Earth. A total of 670 million people in high mountain regions and 680 million people in low-lying coastal zones depend directly on these systems. Four million people live permanently in the Arctic region, and small island developing states are home to 65 million people.

Global warming has already reached 1°C above the pre-industrial level, due to past and current greenhouse gas emissions. There is overwhelming evidence that this is resulting in profound consequences for ecosystems and people. The ocean is warmer, more acidic and less productive. Melting glaciers and ice sheets are causing sea level rise, and coastal extreme events are becoming more severe

The report provides new evidence for the benefits of limiting global warming to the lowest possible level – in line with the goal that governments set themselves in the 2015 Paris Agreement. Urgently reducing greenhouse gas emissions limits the scale of ocean and cryosphere changes. Ecosystems and the livelihoods that depend on them can be preserved.

“The open sea, the Arctic, the Antarctic and the high mountains may seem far away to many people,” said Hoesung Lee, Chair of the IPCC. “But we depend on them and are influenced by them directly and indirectly in many ways – for weather and climate, for food and water, for energy, trade, transport, recreation and tourism, for health and wellbeing, for culture and identity.”

Professor James Renwick, Victoria University of Wellington said over one billion people depended on glacier ice for their water supply, and those communities would be increasingly put at risk as the ice melts away.

“Tens of millions of people live in low-lying small island nations and millions more live very close to sea level. Unless we take urgent action to reduce greenhouse gas emissions, vast populations will be displaced by rising seas.

“Every 10cm of sea level rise triples the occurrence of coastal inundation. One metre of sea level rise would threaten cities and communities all over the world, including New Zealand. The economic costs would be measured in the tens of billions here in New Zealand, and in the trillions worldwide.”

Professor Christina Hulbe, School of Surveying, University of Otago said hanging over the technical details in the report were two broad messages.

“First, the climate change drumbeat isn’t in the distance, it’s here and it’s loud, and second, the processes and impacts are highly interconnected. This means a number of climate change consequences are locked in but it also means that some of the most serious outcomes can still be avoided and, no matter what, the time we have available to get ready for the inevitable changes depends on how hard we keep pushing the climate system.”

The urgency expressed in the report is reflected in the legacy documents released at the global health promotion conference in Rotorua last April. While each statement focuses on certain areas, they are primarily a call for action to secure planetary health and sustainable development now and for the sake of future generations.

View the documents by clicking here and here. HPF asks that these documents be supported by being used, endorsed and disseminated to co-workers, colleagues and networks.

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Competencies, News

“People don’t care what you know until they know how much you care. It is about building relationships, seeing where people are at and not pushing your values and ideas on them.”  (Ngakiri Antonovich, Pasifika Health Promotion workshop participant)

Register now for the Pasifika Health Promotion workshop to revise your skills and boost your ability to work closely and engage meaningfully with Pacific communities and families and help them take control of their health and wellbeing.

Spots for the workshop are being snapped up so get in quick and CLICK HERE to register for the workshop in Auckland on October 18 or contact emma@hauora.co.nz for more details.

The workshop which will focus on the social determinants of health from a Pacific perspective will be held at the Waitakere Resource Centre in West Auckland.

Course facilitator, Dr Viliami Puloka said although the workshop would examine non-communicable diseases (NCDs) such as diabetes and heart disease and their impact on Pacific and Maori communities, the emphasis was not on the disease but the underlying causes or contributing factors for these diseases.

The aim was to identify why these communities were so affected by these diseases and how these issues could be addressed, he said.

 “We’re talking about issues such as poor housing, low socio-economic status and education which contribute to rising health issues.”

Dr Puloka said the workshop would help to upskill health workers so they could relate more meaningfully with Pasifika families and communities and help them to advance spiritually, socially, economically and culturally.

“In this workshop we are looking beyond biology and genetics to social, cultural and economic factors that prevent us from achieving optimum health and wellbeing. Many of these social factors are beyond the control of individuals and their families. Together we will explore ways to deal with these issues in our everyday living.”

Feedback from past workshops has been overwhelmingly positive with participants agreeing it broadened their views about health promotion and was vital for those working with Pacific communities.

“People don’t care what you know until they know how much you care. It is about building relationships, seeing where people are at and not pushing your values and ideas on them,” said one participant.

Workshop Objectives:

  • To outline some of the challenges in Pacific people’s health
  • Provide opportunity for health promoters to assess their level of competency as a community health practitioner
  • Understand both medical and social implication of non-communicable diseases. Examine the opportunities and challenges that the determinants of health approach brings to Pacific health promoters, as well as social service providers.
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Mental health, News

The Health Promotion Forum is encouraging New Zealanders to participate in Mental Health Awareness Week (MHAW) which started yesterday (September 23).

Explore your Way to Wellbeing – Whāia te ara hauora, Whitiora is the theme for the week during which more than 6000 people from workplaces, kura, schools and community groups across the country have registered to participate in activities to boost their mental wellbeing.

Mental Health Foundation (MHF) chief executive, Shaun Robinson says MHAW is a time to take notice of our mental wellbeing and recognise that it’s a taonga/treasure that needs to be nurtured.

“Exploring your way to wellbeing means taking the time to notice the simple experiences, actions, relationships and surroundings that make you feel good every day, and prioritise them more often,” Mr Robinson says.

“We know one in five of us will experience some mental distress each year. Most of these people will recover and live well with the right support. Awareness of the importance of looking after our mental wellbeing has never been higher, and this week gives us the opportunity to put that awareness into action, with the chance to engage in various activities that work best for you.”

Daily activities for MHAW are based on Te Whare Tapa Whā, a model developed by Māori health advocate and researcher Sir Mason Durie, which describes health as a wharenui/meeting house with four walls. These walls represent taha wairua/spiritual wellbeing; taha hinengaro/mental and emotional wellbeing; taha tinana/physical wellbeing; and taha whānau/family and social wellbeing. Our connection to the whenua/land forms the foundation.

The five themes will give everyone a chance to engage in different activities each day and find out which things uplift their wellbeing.

“With spring here, there are plenty of opportunity to get out and about with your whānau and work colleagues,” Mr Robinson adds.

Click here to learn more about Mental Health Awareness Week.

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Environment, News

This year we’re celebrating 50 years of Conservation Week (Te Wiki Tiaki Ao Tūroa), a time to not only get involved in activities at home or at the many events hosted across the country, but to reflect on the country’s wildlife which is still in crisis.

With more than 4000 of our native animals and plants threatened or at risk, it is imperative that we continue, way after the week ends on September 22, to celebrate nature and look at ways that we can best conserve it.

The week comes on the heels of the release of the two legacy documents from the World Health Promotion conference in Rotorua last April to leaders and organisations in the public health sector.

HPF’s Executive Director Sione Tu’itahi said the recent dissemination of these documents, which highlight the urgent need to protect the wellbeing of our planet and humanity, was timely in light of this week’s focus on conservation.

The Rotorua Statement. WAIORA: Promoting Planetary Health and Sustainable Development for All calls on the global community to urgently act to promote planetary health and sustainable development for all, now and for the sake of future generations. 

The Waiora – Indigenous Peoples’ Statement for Planetary Health and Sustainable Development is a call on the health promotion community and the wider global community to make space for and privilege Indigenous peoples’ voices and Indigenous knowledges in promoting planetary health and sustainable development for the benefit of all.

Te Wiki Tiaki Ao Tūroa was originally launched in 1969 by the New Zealand Scout Association, and taken over by the Department of Conservation when it was formed in 1987.

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News

Congratulations to HPF’s Executive Director Sione Tu’itahi who received the 2019 Public Health Champion Award of the Public Health Association of New Zealand in Auckland on September 10.

Each year the PHANZ honours an individual’s or group’s contribution to public health action through its prestigious public health awards, Public Health Champion and Tū Rangatira mō te Ora.

The Public Health Champion Award is to recognise and highlight the outstanding contribution of an individual to public health. The recipient is someone working in public health who has focused on the PHANZ’s priorities in the past year; and/or has made a significant and ongoing contribution to public health over many years.

Mr Tu’itahi was presented with the award at a ceremony which was also attended by his family and HPF after the PHANZ’s Annual General Meeting at the Waipuna Hotel and Conference Centre.

Mr Tu’itahi thanked the PHANZ for the “prestigious award” and said he was honoured, humbled and grateful for the recognition.

He also thanked his colleagues at HPF and gave special acknowledgement to his family, adding that the award reflected the dedication and commitment of all those who supported and worked closely with him.

“This award also demonstrates the value of collaborative, ethical leadership, of those leaders who stand for justice and equity for all, who have opened doors for me and others. Were it not for them … I would not be where I am today.”

Mr Tu’itahi said HPF’s work was challenging, but achievable and rewarding because the organisation’s constitution was grounded on Te Tiriti o Waitangi.

“This means that the organisational structure of HPF, from governance to staff is fully informed by the articles, the spirit and the intent of the Treaty.

“We were able to negotiate and hold the world conference here in New Zealand last April as equal partners with the International Union for Health Promotion and Education (IUHPE), and include Te Reo Maori as an official language, and have two legacy statements one of which was the Indigenous Statement.”

He said because of the Treaty, HPF was able to work towards the establishment of a national accreditation framework for health promotion which has a specific New Zealand component, under the global accreditation framework of the IUHPE.

“IUHPE not only commended this work but also asked that we share this model with the rest of the global health promotion community, especially those countries with Indigenous peoples.”

He stressed the urgent need for strong governance and good leadership in the health sector.

“Today in New Zealand and the world, we have the knowledge and resources; what is needed is courageous, collaborative leadership for all…”

Mr Tu’itahi stressed that values and principles were central to leadership, especially at the individual level.

He said his own professional and personal journey was guided by three knowledge systems: his western education, indigenous knowledge and his spiritual education, mainly through his Baha’i faith, which values serving not only your country but also all of humanity.

“The world is but one country, and mankind its citizens.” Meanwhile the Tū Rangatira mō te Ora Award went to a team atHapai Te Hauora for its work on National SUDI Prevention Programme (NSPP).

The Māori Public Health Tū Rangatira mō te Ora Award is presented annually in recognition, of a person or rōpu who continually demonstrates commitment and leadership in hauora Māori and who has worked with Māori communities. This can also include those who have taken more prominent roles within whānau, hapū and/or iwi, including within marae.

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News

Indigenous health promotion is the focus of a supplement issue of the Global Health Promotion Journal that is now available online. The journal is owned by the International Union for Health Promotion and Education (IUHPE).

Titled “Whenua Ora: Healthy Lands, Healthy Peoples” the supplement was launched in association with the 23rd World Conference on Health Promotion cos-hosted by IUHPE and the Health Promotion Forum of New Zealand in Rotorua from April 7-11 this year.

The issue’s editorial which points out the need for a swift paradigmatic shift in health promotion was reflected in the theme of the conference: ‘Waiora: Promoting Planetary Health and Sustainable Development for All.’

The theme “explicitly recognizes the immediacy for health promotion researchers and practitioners to adopt an ecological view of health and prioritise sustainable development if health promotion is to remain relevant, prevention-oriented, and to intervene upon the greatest threat to human health.”

“This supplement issue was one of the outcomes of the conference, and is very much in line with the two legacy statements released at the conference,” says HPF’s Executive Director Sione Tu’itahi.

Mihi Ratima, Director, Taumata Associates, New Zealand is one of the supplement’s guest editors. Dr Ratima was the editor of the The Waiora Indigenous legacy document released at the conference.

The other guest editors are: Debbie Martin, Canada Research Chair in Indigenous Health and Wellbeing, Dalhousie University, Canada; Treena Wasonti:io Delormier, Associate Director, Centre for Indigenous Peoples’ Nutrition & Environment (CINE), McGill University, Canada and Heather Castleden, Canada Research Chair in Reconciling Relations for Health, Environments, and Communities, Queen’s University, Canada.

The supplement was organised and published by IUHPE as part of a project developed in collaboration with, and supported by, the Public Health Agency of Canada.

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News

HPF is making good progress on the establishment of a national accreditation organisation (NAO), under the global accreditation framework of the International Union for Health Promotion and Education (IUHPE).

To raise awareness and to get feedback on this process HPF has emailed The Draft New Zealand Health Promotion Professional Standards to health promotion organisations and HPF members around the country.

The Proposed Accreditation Framework and IUHPE Core Competencies and Standards which provide background and guidance have also been sent out. The documents can be viewed at hauora.co.nz/8819-2/

Establishing a NAO under IUHPE’s global accreditation framework will address the challenges in the health promotion field.

Because the field is so broad and because it is a relatively new professional practice, still developing and not regulated, almost anyone can enter and practise.

Although having a diverse workforce with a range of competencies has benefits there are challenges including vulnerability and lack of recognition of the workforce, maintaining the professional standards of training and the safety and wellbeing of peoples and communities that health promoters work with.

Response to the documents is sought by September 30 and after this initial feedback process, and depending on the response, HPF will hold consultation meetings around the country later in the year.

Please send your feedback by email to hpf@hauora.co.nz and if you need help or  wish to ask questions, please call 09 300 3071 and speak to Sione Tu’itahi or Trevor Simpson.

Benefits of accreditation

While voluntary for health promoters and providers of health promotion to join, there are benefits for participating in this global system such as: formal recognition of qualification and professional experience; a reference point for employers in recruitment and selection of health promotion practitioners; enhancing the integrity of their profession while ensuring the safety and wellbeing of the peoples and communities they work with; national and international recognition of their unique, New Zealand-based cultural competencies and recognition of their competencies across national borders that can lead to finding health promotion roles in countries that are under this global system.

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News

New Zealand like many other countries around the world is taking seriously the ambitious challenge to ramp up efforts to achieve the United Nations (UN) Sustainable Development Goals (SDGs) in just 11 years.

In July, New Zealand’s first Voluntary National Review on the SDGs which are the blueprint to achieve a better and more sustainable future for all, was presented to the UN and next week the country’s second national, multi-sector Summit on the SDGs will be held in Auckland on September 2.

The need for urgency and greater action to progress sustainable development are recognised in the summit’s theme of “Accelerated action, together”.

The University of Auckland and Auckland University of Technology are co-hosting the summit which will bring together people from all sectors to develop and commit to positive action and accountability on the critical SDGs within our broader spheres of influence.

HPF’s Executive Director, Sione Tu’itahi says the summit is timely in light of the recent dissemination by HPF of the legacy documents from the 23rd IUHPE World Health Promotion conference in Rotorua to leaders and organisations in the public health sector for endorsement.

In the Waiora Indigenous Statement, and the Rotorua Statement which were endorsed by acclamation at the conference co-hosted by HPF last April, participants call on the global community for urgent action to “promote planetary health and sustainable development for all, now and for the sake of future generations”. 

According to the Rotorua statement: “Urgent action is needed because mounting evidence tells us that the current economic and social development paradigm of infinite growth and endless exploitation of limited natural resources is unjust and unsustainable, leading to inequities within and among countries and across generations. “

The opportunity provided by the summit to recognise the importance for discussions about the SDGs to be grounded within Aotearoa New Zealand’s unique context is also reflected in the Waiora Indigenous Statement.

The statement calls on the health promotion community and the wider global community to make space for and privilege indigenous peoples’ voices and indigenous knowledges in promoting planetary health and sustainable development for the benefit of all.

Mr Tu’itahi will be attending the seminar at which he will giving out copies of the legacy documents.

The summit aims to bring together people from all sectors to develop and commit to positive action and accountability on the critical SDGs within our broader spheres of influence. It will provide a platform for recognising, sharing and combining knowledge and skills, and seeking to weave together many threads of accelerated action through preparatory work, keynote addresses, panel discussion and action planning.

The goals address the global challenges we face, including those related to poverty, inequality, climate, environmental degradation, prosperity, and peace and justice.

The summit outcomes will be:

  • Participants with increased knowledge, skills and tools to act and influence;
  • Enhanced commitment and momentum for accelerated action, together beyond the Summit;
  • Expansion of key partnerships to deliver accelerated action, and
  • An electronic record of the keynote addresses and panel discussions, and the accelerated action plans developed and agreed to within the summit and contributed to by all those who join in.
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Global, News, What is HP

With HPF’s online courses you can study at your own pace and time and from anywhere in the world.

If you are already working in the field of health promotion or public health, these courses will further enhance your knowledge and skills. The courses are also designed to enable those who are new to health promotion and public health to learn new knowledge and skills.

“We are responding to the need of the health promoters and other health and social service workers, by taking the knowledge to them through technology,” says HPF Executive Director Sione Tu’itahi.

“Learners can always contact our health promotion team for questions and discussion, if they need to.”

The courses are on Maori health promotion, Pasifika health promotion, and mainstream health promotion. All are at level one but future courses in the three categories will be designed for level two and level three.

You can use this link to navigate to the courses:  https://www.onlinecpd.co.nz/course-providers/hauora/

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News, Uncategorized

Leaders and organisations in the public health sector are being invited to use and support two legacy statements that were approved at the recent world conference on health promotion in Rotorua last April.

The Waiora Indigenous Statement, and the Rotorua Statement were endorsed by acclamation at the 23rd International Union for Health Promotion and Education (IUHPE) World Health Promotion Conference, co-hosted by HPF.

“The conference was significant for health promotion and public health,” according to HPF Executive Director Sione Tu’itahi. “The conference focused not only on the health of the planet and its people, its two statements also call for global actions on all levels, and to privilege Indigenous knowledge.”

They can be reference points for research, policy, learning, public health, health promotion and sustainable development practice, he added.

The documents have been sent to VIPs who were invited to the conference, heads of schools of public health and health promotion, professional health organisations, and HPF’s member organisations.

The statements can be viewed at:

http://hauora.co.nz/wp-content/uploads/2019/08/rotorualegacy-3.pdf

http://hauora.co.nz/wp-content/uploads/2019/08/indigenouslegacy-4.pdf

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Competencies, News, Uncategorized

If you haven’t already registered for HPF’s short course in health promotion then now’s the time as you’ve only got a few weeks until the second-to-last course for the year launches in Kaitaia next month.

Block one of the Certificate of Achievement in Introducing Health Promotion short course will be held at Te Hiku Hauora from September 3 to 6 and block two from October 1 to 4.

You can register at https://www.eventbrite.co.nz/e/certificate-of-achievement-in-introducing-health-promotion-kaitaia-registration-64571248342

Or if you’d like more details pop an email to Emma@hauora.co.nz.

Past students have described the course which provides an introduction to the principles, concepts and practice of health promotion as a great learning experience, an eye-opener and invaluable in their day-to-day work.

Comments range from: “I have done some courses whereby Te Tiriti has been included and explained but not to this depth…” to “I now feel more confident to demonstrate my ability to solve expected day-to-day challenges in my community with parents and caregivers to improve health equity…”

“One student said: “Through connecting with other participants from different areas, I was able to see the breadth of public health and how it can be practised in Aotearoa.”

The course covers the meaning of health promotion, determinants of health, the application of Te Tiriti o Waitangi to health promotion, the Ottawa Charter, an overview of key health promotion strategies and skills, values and ethics and learning and study skills.

A limited number of scholarships may be available.

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Evidence, News, Uncategorized

A symposium to highlight the seriousness of scabies and boost treatment of the disease will be held at the School of Population Health in Auckland on September 13.

Improving Scabies Treatment: A Path to Health Equity in New Zealand will look at how common the disease is and why it should be taken more seriously.

The symposium will also examine ways that diagnosis of scabies can be improved; how treatment can be improved; what is known about the biology of the disease and whether scabies should be considered as a disease of public health importance?

The keynote speaker will be Dr Daniel Engelman from the Centre for International Child Health. Dr Engelman has studied the disease extensively in the Pacific.

Dr Simon Thornley of the Department of Epidemiology and Biostatistics at Auckland University who will speak at the symposium told HPF that scabies had been left off the public health and research radar in New Zealand for so long, because it had been assumed to be a nuisance rather than a serious disease.

Dr Thornley said it was only until recently that evidence had emerged that scabies was strongly linked to diseases such as bacterial skin infection, post-streptococcal kidney disease and acute rheumatic fever.

“Strep throat is the traditional explanation about why Maori and Pacific children get acute rheumatic fever,” he said.

“We believe that improving treatment for scabies can reduce ethnic health inequality in this country.”

Dr Simon Thornley, Department of Epidemiology and Biostatistics at Auckland University

On why diagnosis of scabies was often missed Dr Thornley explained that scabies could be difficult to diagnose as it mimicked other skin diseases.

“If doctors don’t think about it, they may make an incorrect diagnosis,” he said.

“However, accumulating evidence suggests that this is not the case. A large government school campaign aimed at preventing rheumatic fever using this approach has yielded disappointing results. Acute rheumatic fever rates in Auckland remain high. Because of this apparent failure, we strongly believe that different approaches, such as aggressively diagnosing and treating scabies should be considered.

“Young children are most likely to be treated,” he said. “Scabies is known to be endemic in many Pacific Island nations, so this is likely to be part of the reason that there are high rates of prescribing for the disease in South Auckland.”

Dr Thornley said although it was not known exactly, drug dispensing data suggested that Maori and Pacific people in socioeconomically deprived regions of Auckland were most affected by the scabies.

Dr Thornley said it is hoped that the symposium will raise awareness of the need to improve scabies treatment in this country, given the strong link between scabies infestation and serious childhood diseases, including rheumatic fever.

“We believe that improving treatment for scabies can reduce ethnic health inequality in this country. The current model of relying on GPs to treat the disease does not seem to be working, so more public health attention and resource to adequately diagnosing and treating the disease, we think, should be considered.”

The meeting will be relevant to nurses, GPs, Paediatricians, public health professionals, public health researchers, scientists and anyone who is interested in the disease.

The Scabies Symposium will be a real eye-opener.
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Community, Environment, Global, Uncategorized

HPF’s Executive Director Sione Tu’itahi talks to Hauora about the outcomes, goals and lasting impact of the global Health Promotion Forum conference in Rotorua from April 7-11, 2019

Last April the Health Promotion Forum co-hosted the 23rd International Union for Health Promotion and Education (IUHPE) World Conference on Health Promotion in Rotorua. With a timely theme of ‘Hauora: Promoting Planetary Health and Sustainable Development for All’, more than a 1000 delegates and organisations from 73 countries participated.

H: There has been very positive feedback about the conference. Are you happy with the results, and did you achieve the outcomes you set?

Sione Tu’itahui speaking at IUHPE2019

ST: Yes, I am happy to say we achieved our three major outcomes, and more. The knowledge that was exchanged was very relevant, crucial and very timely for the needs of health promotion, and the world today. Health promoters and other health workers, as well as those who work in sustainable development enhanced existing networks and formed new ones. And the legacy initiatives of two legacy statements, and initiating the process for a healthy city, were also achieved.

H: Let’s talk more about those outcomes in details. What is some of the relevant knowledge shared?

ST: Among other important features, at least three major areas emerged and moved closer together, offering comprehensive knowledge and practical tools for the delegates to take home and implement on addressing the health of the planet and its peoples. These were the social determinants of health with an equity and social justice approach, planetary health and ecological determinants with an eco-social approach and an inter-generational understanding and goal for health and wellbeing, and indigenous knowledge and health promotion with a clear philosophy and practice that humans are inseparable from the ecology. On another level, the spiritual dimension of wellbeing, and spiritual health promotion also came to the fore during the conference. It was great to see these major areas of health knowledge coming together, offering a profound understanding on planetary health, and relevant, practical tools.

What was significant was that the presenters in all these areas of knowledge were complementary in their addresses, presenting a balanced, and comprehensive big picture of where the health of the planet and its peoples are at, and the comprehensive set of strategies to address those challenges at all levels.

H: What else was significant about the knowledge shared at the conference?

ST: Two other significant contents of the conference were the leading contributions of Maori research, policy, practice and leadership to Indigenous health promotion, and how pronounced climate change and ecological challenges are in our Pacific region. In fact, we decided to host the conference here in order for our New Zealand knowledge and experience to be shared with the world, and for the world to understand our greater Pacific region and its challenges, as well as our collective effort to address those challenges. For example, 20 years after introducing Te Pae Mahutonga as a health promotion model for New Zealand, Sir Mason Durie presented a new model, Matariki, at the conference for Indigenous peoples. Tuhoe Nation Leader Tamati Kruger shared the challenging but progressive and resilient journey of his tribe from the ravages of colonisation to mana motu hake/autonomy today. Delegates were in awe at such profound knowledge and courageous, moral leadership.

H: You mentioned some legacy initiatives. What are they?

ST: There were three legacy initiatives: two legacy statements, and Rotorua to become a healthy city under the WHO (World Health Organization) scheme of the same name.  Led by two editorial teams, the conference delegates drafted and approved by acclamation the two statements on the final day. The first statement is the Rotorua Statement which summarises the important themes and knowledge that emerged from the conference, calling for action on those crucial areas for the health and wellbeing of the planet and its peoples. The second statement is the Waiora Indigenous Peoples Statement. It outlines the loss of Indigenous peoples under colonisation around the world, and calls for privileging indigenous knowledge as a right, and articulates how Indigenous health promotion can contribute to addressing the challenges on planetary health. On the healthy initiative, Rotorua’s mayor Steve Chadwick agreed to explore with us how Rotorua can become a ‘healthy city’ under the WHO’s scheme of the same name. Rotorua can be the model for other cities. All social, economic, cultural and ecological challenges, health included, are related, and cities are a manageable setting where these challenges can be addressed in a well-coordinated and effective way. The vision is for our cities to become healthy, liveable and sustainable.

H: So, it was not just a talkfest?

ST: No, certainly not. You can watch the videos of those keynote speakers on the IUHPE and HPF YouTube channels. Maori equity and social justice were articulated by the likes of Sir Michael Marmot and Fran Baum, indigenous health promotion was clearly embedded by the addresses by Sir Mason Durie, Tamati Kruger of Tuhoe Nation, Dame Anne Salmond, and Professor Anthony Capon. Professor Capon and Professor Trevor Hancock also highlighted planetary health, ecological determinants and the eco-social approach. 

H: What lessons have you learned as a result of hosting the conference?

ST: Quite a few. One is that our nation’s founding document, Te Tiriti o Waitangi, was very effective as a framework for negotiating the terms of the conference and for co-hosting it with the International Union for Health Promotion and Education. Using Te Tiriti enables us to work as equal partners, sharing our knowledge and experience, and achieving outcomes agreed on, such as the theme of the conference where we highlight Indigenous knowledge, having Te Reo Maori as one of the four languages of the conference.

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Mental health

The Wellbeing Budget announcements indicate that the Government is starting to take mental health seriously, says Zoe Hawke, Mental Health Foundation manager of the Policy and Advocacy and Community Engagement, Health Promotion team.

Zoe Hawke

Ms Hawke who is the Chair of the Health Promotion Forum says the creation of a $1.9 billion mental health package and the Health Minister’s acknowledgement that more funding will be needed over multiple years are evidence of the Government’s commitment.

She refers to significant points made by the Government in the Budget as overall a promising start in addressing mental wellbeing and the number of deaths from suicide, but adds that much more will be needed to turn things around.

“The Budget did try to acknowledge the significance of the suicide prevention issues for Māori, as well as those of Pasifika and Rainbow communities (more could have been done in these areas, and many people will continue to advocate for more, including myself).

“I will also be keeping my eye on the resources for schools pledge, and whether they  also go to kura kaupapa, kohanga and wharekura to ensure equity of outcomes.  Additionally I hope to see that the ongoing development of the workforce includes a well-resourced cultural responsiveness training component,” says Ms Hawke.    

“Fingers crossed we see a continued follow through in future budget commitments to address inequalities that have persisted for way too many years, and which cannot and will not be solved through one budget alone.”  

Ms Hawke says the Wellbeing Budget provides some more context to the Government’s response to He Ara Oranga (the report of the Inquiry into Mental Health and Addiction), which was released the day before budget announcements.

“In their response to He Ara Oranga the Government accepted in principle, or agreed to further consideration of 38 of the 40 recommendations of the Inquiry Panel.  However many had concerns that the detail was missing on what this would look like. The Wellbeing Budget that followed gave some reassurances  to the mental health sector, and now our work begins on ensuring the implementation of the 38 recommendations and associated funding streams is done effectively.”

Significant points made by the Government in the Wellbeing Budget include:

  • Funding the establishment of a new Mental Health and Wellbeing Commission provides leadership to hold the government accountable for on-going investment and progress.
  • The Wellbeing Budget shows the start of a commitment to tackle key social determinants of mental health such as housing, child poverty, and family and sexual violence.
  • Acknowledgement of the considerable mental health inequities Māori face. Commitment to address this through allowing a flexible approach to service design and delivery. Iwi based and other Kaupapa Māori services are acknowledged and their development is supported in the plans for major new services for early support for people with mild to moderate needs.
  • Funding of up to eight programmes designed to strengthen personal identity and connection to the community and will also scale up successful kaupapa Māori initiatives
  • On-going development of the mental health workforce
  • Acknowledgment that one size does not fit all and the importance of co-design of services with local communities, people with lived experience of mental distress and the wider mental health sector.
  • Investment of $40 million into suicide prevention.
  • Support for resources to be made available to teachers to promote mental resilience in primary and intermediate schools.
  • Four free sessions of counselling for people bereaved by suicide
  • Acknowledgement that media guidelines needs to be supported (this is important because the evidence is clear that the way we kōrero about suicide in the media can contribute to further harm in our communities).
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Global, Maori, Maori health promotion

Twenty years after introducing “Te Pae Mahutonga” as a framework for health promotion in New Zealand at an HPF conference in 1999, Sir Mason Durie introduced another star-based framework to guide health promotion for Maori and other Indigenous peoples.

Sir Mason Durie

Sir Mason introduced “Matariki” at the 23rd World Conference on Health Promotion in Rotorua, last April.

“Matariki is the Māori name for the cluster of stars also known as the Pleiades (or Subaru in Japan). It rises in mid-winter and for many Māori, it heralds the start of a new year, a time for remembering the dead, celebrating new life and planting new crops,” he said. “The focus on stars reminds us that we are part of an unbounded universe.”

Based on the eight main stars in the cluster, he named eight Matariki dimensions of health: Mana Tangata -Human dignity,  Whānau Ora – Families,  Hapori – Communities, Ranginui – The sky,  Papatuanuku- The land,  Nga Wai – Rivers and oceans, Ngahere – The forests, and Te Ao Tuturu – Rhythms of nature.

“Matariki provides a health promotion agenda for Māori and Indigenous peoples that endorse Indigenous rights, keep our skies clean and fresh, protect our lands, preserve our native forests, enable whānau and families to flourish, support community initiatives, safeguard our rivers and ocean, and restore nature’s balance, ” Sir Mason asserts.

He also pointing out that when combined, the six stars of Te Pae Mahutonga and the eight stars of Matariki can continue to guide health promotion for Indigenous peoples into the future.

Details of Sir Mason’s presentation can be found on the IUHPE2019 website.

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Competencies

Two students who attended the Certificate of Achievement in Introducing Health Promotion course last October, say the course was an invaluable learning experience.

Abraham Larsen, the Health Improvement Advisor, Education Team at Toi Te Ora Public Health in the Bay of Plenty, Lakes District said he found the Certificate of Achievement in Introducing Health Promotion course especially helpful as he had only been in public health a few months.

“It helped me to ‘bed in’ concepts and terminology that I’d heard throughout my entry into the PHU I work for,” he explained.


Abraham Larsen and Ifalame Teisi appreciated how much they learned about health promotion at the short course

“Through connecting with other participants from different areas, I was able to see the breadth of public health and how it can be practised in Aotearoa. I was also inspired by the passion of the other participants.”

A highlight for Mr Larsen was the facilitation by the course coordinator HPF’s deputy executive director Trevor Simpson.

“Not only did Trevor share his vast amount of knowledge, he was able to weave in our own experiences and stories in order to whakamana the participants.”

Mr Larsen also appreciated being with other participants from different areas.

“I was able to see the breadth of public health and how it can be practised in Aotearoa.”

Church leader, Mr Teisi said he would highly recommend the course to social and community workers who love working with families within Maori and Pacific Islands communities.

He said he now felt more confident when dealing with the community.

“I learned a great deal about health and wellbeing and strategies of how to promote community-based views towards health and wellbeing.”

Mr Teisi said he now had knowledge of what health promotion is and how it differed  from health education for example.

“I highly recommend this course to social and community workers who love working with families within our Maori and Pacific Islands communities.”

Apply now to gain your Certificate of Achievement in Introducing Health Promotion. Enrolment applications need to be submitted before the course start date.

Location:       WELLINGTON
Date:              
BLOCK ONE: Tuesday 29 October – Friday 1 November, 2019
                        BLOCK TWO: Tuesday 26 – Friday 29 November, 2019
Venue:            Sisters of Compassion, 2 Rhine St, Island Bay.
Map
Cost:               $512.50 Members and Non-Members
                       
A limited number of scholarships are available. Please contact
emma@hauora.co.nz or phone 09 300 3734 for an application or for more information. Criteria conditions apply.

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Global, Pacific
Dr Viliami Puloka

Dr Viliami Puloka, HPF’s Pacific Strategist looks back at the amazing Pacific experience at IUHPE2019 in Rotorua.

Fakafeta’I, malo lava, vinaka vakalevu are the words that come to mind – hearts full of joy and gratitude to be part of this world-wide event right here at home in Aotearoa New Zealand.

All the Pacific participants especially those from the islands were so thrilled and appreciative of the fact that they did not have to paddle far to get here. It was only a three-hour flight from Tonga, Fiji, Samoa, Vanuatu, Kiribati, Solomon Islands and New Caledonia. It confirmed the fact that Aotearoa is squarely part of the Pacific islands. 

Arriving in Rotorua was heart-warming to many who thought New Zealand was the land of the palangi.  But all were excited to meet and share the experience of their Maori cousins. Many commented on the spiritual experience they had during the Powhiri, which reminded them of their own version at home.

Some were moved to tears when exchanges the “breath of life” with Maori delegates while walking between sessions or at various meeting venues.

We really felt at home and immediately identified with our Maori cousins and their environment. When Tamati Kurger spoke, we were already in awe, excited, joyful, appreciative and motivated for action. It was a big deal for us to come in to a very enabling, encouraging and empowering environment. That really prepared our hearts and minds to focus on the contents of the conference.

Pacific Community (SPC) commitment and partnership through sponsorship of participants to attend, give presentations led by the Director General Colin Tukuitoga as one of the Plenary speakers shows great leadership and very much appreciated.

 A highlight for Pacific Youth was the SPC Pacific Youth WAKE UP art project unfolds itself through out the days of the conference. It was a call on young people to wake up to the facts that “today is the tomorrow you dreamt about yesterday”. What you do today as far as Noncommunicable diseases are concerned will return to haunt you at your later years.

WAKE UP NOW!

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Global, Maori, Maori health promotion
Mr Simpson is one of the principal architects of the Waiora Indigenous Statement

HPF’s Deputy Executive Director Trevor Simpson, one of the principal architects of the Waiora Indigenous Statement reflects on its significance

The Waiora Indigenous Statement adopted at this year’s IUHPE World Conference in Rotorua provided a watershed moment for indigenous health promotion at the global level. It is a call to action which leverages on the assertion that indigenous people’s perspectives, worldviews and human experience informs a “new” way to think about health promotion and by virtue of this, a different perspective on planetary health and human wellbeing.

Of course, health promotion in its current format, largely based on western world views associates human health with the health of the planet. The Ottawa Charter identifies eight prerequisites, the fundamental conditions for health amongst which a stable eco-system and sustainable resources are but two. As broad fields of study these two areas remain vitally important, but it seems odd that planetary health and wellbeing is not specifically addressed within the existing health promotion framework. From observation it is more implied than defined. Further, it is difficult to discern where health promotion makes a clear and concerted effort to think past the Anthropocene, the current focus on an individual, human centred approach to health.

The Waiora Indigenous Statement provides some interesting componentry to help us understand at a fundamental level where indigenous thinking positions itself in the planetary and human wellbeing discussion. As the document rightfully points out, indigenous people and worldviews are diverse. However, when we overlay these aspects of diversity, we can then identify the commonalities which draw indigenous peoples together.

This provides a powerful construct, particularly when we centre on the core features; the interactive relationship between the spiritual and material realms, intergenerational and collective alignments and that the Mother Earth is a living being. It posits that Planet Earth and human beings have a special relationship to each other, one founded on interconnectedness and interdependence. We are therefore in the indigenous perspective, part of nature and not above it.

In a pre-conference discussion with Tamati Kruger, one of the highly acclaimed plenary speakers at this year’s event, he touched on a key principle of the Tuhoe Iwi’s Waitangi claim settlement outcome, principally the section in the Te Urewera Act 2014 in which the Crown (Government of Aotearoa New Zealand) and the Tuhoe people agreed that the Urewera (previously the Urewera National Park) was a “living person”. He suggests that this aspect was an imperative in the settlement negotiations. Without it, it would have been very difficult to reach an agreement.

As a significant precedent in law it is also nevertheless an assertion of world views.

It comes with a necessary proviso of course, duties on both parties: a living person should be cared for and nurtured. Care and nurture have in turn strong elements of responsibility and obligation. Indigenous Tuhoe people, therefore, have no choice but to provide for and nurture their piece of nature and in return have their place and wellbeing secured. As Tamati said in his plenary speech in Rotorua, “the Tuhoe people do not own the Urewera. The Urewera owns itself”.

This indigenous viewpoint leaves much to ponder. It questions our current thinking. It touches on the need for a paradigm shift in the way human beings see themselves in their relationship with this living planet. And it is now urgent.

As a living document we encourage all to endorse, use and critically analyse the Waiora Indigenous Statement. It is an offering for health promoters, policy makers and leaders. An intergenerational gift that seeks to define what health promotion means from an indigenous worldview. It is also a very useful resource to inform the development of health promotion itself- to be part of the actual framework rather than sitting outside it. To be part of a new design for people and planet.

The Waiora Indigenous Statement is a statement for all. It asks that we make space for and privilege indigenous peoples voices and indigenous knowledge in promoting planetary health and wellbeing. It offers a new way of thinking, resetting the course for health promotion and sustainable development. It suggests that if we listen carefully, we just might hear something beautiful and profound. Something to learn, something to embrace. Something for you, me and the generations to come.

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News

HPF’s Dr Viliami Puloka encouraged Tongan tertiary students at
their annual National Tertiary Students’ conference in Dunedin from July 3 to 8 to view health in a holistic way.

Health is a resource to do life and contribute to life, not the object of living

Health is not something you can buy or order online

Health is everything that you are, and you are growing it

Health will stop growing unless tender loving care (TLC) is given at all times.

These comments were made by Dr Puloka while introducing the topic of his workshop to nearly 200 Tongan students at their annual National Tertiary Students’ conference in Dunedin from July 3 to 8.

Dr Puloka’s workshop, which was one of five workshops at the conference hosted by the Otago Tongan Students’ Association, was Life and Health. The other themes were Religion, Kava, Tongan dancing and Tongan arts and crafts.

Dr Puloka said he was thankful that he represented the HPF team in contributing to the development of future leaders of Pacific communities with Tongan heritage here in New Zealand and in the islands.

He said this was an example of HPF training and exposing future Pacific leaders early to a health promotion approach.

“Young people are so important in the scheme of things, especially if we have the ability to reach them at university level. These are our future leaders.

“It’s an obligation, as well a privilege on our part to contribute to the development of these young people who will go on to become leaders in their country, families, community, church and so on. It is in our best interest to contribute and empower them to be the best leaders they can be.”

Dr Puloka encouraged the students to look at health from a holistic perspective and not to limit their view of health to just the physical. 

He explained the determinants of health and stressed that health must be grown, looked after and given TLC.

Dr Puloka was impressed with the conference atmosphere adding that it was full of energy and allowed for “very active talanoa (discussion and sharing of ideas)”.

“I was very impressed with the attendance at the workshop, 66 in total, given the fact they had their ball the night before.”

Part of the cultural day was the dancing competition in the evening.

“I was so appreciative of the students’ contribution to maintain culture, language, poetry and lots more through music and dance,” added Dr Puloka.

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News

Participants emerged from the Pacific Health Promotion workshop at EastBay REAP, Whakatane last month with a renewed sense of vigour.

Feedback from the workshop revealed those who attended the workshop felt it had reinforced their knowledge and inspired them to go back and work in their communities with more confidence and enthusiasm.

One participant said the course had “reinforced the concept of being an agent of change as opposed to telling people what to do,” while another said it “gave a very good understanding of how to work with Pacific people”.

“The Pacific angle from a Pacific presenter was great”.

The workshop was facilitated by Dr Viliami Puloka HPF’s Senior Health Promotion Strategist specialising in Pacific Health Promotion.

Also acknowledged was how interactive the workshop was with a role play and personal reflections and how it covered a lot of health promotion grounds in theory and practice.

Keep your eyes peeled for the date and venue of the next workshop which will be advertised in our monthly notice and website www.hauora.co.nz.

Call 09 300 3071 or email emma@hauora.co.nz to make enquiries.

The Pacific Health Promotion – Social Determinants from a Pacific Perspective traces the history of ‘Pacific health promotion’ in Aotearoa New Zealand and discusses how determinants of health can be addressed to produce health equity, wellbeing and success for Pacific peoples.

The aim is to equip senior Pasifika health promoters and community leaders with the knowledge and tools that will enable them to address the onslaught of non-communicable diseases (NCDs) and work with the strengths, potentials and aspirations of Pasifika families and communities to advance spiritually, socially, economically and culturally.

Participants at the Pacific Health Promotion workshop in Whakatane on June 28.
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News

STIR (Stop Institutional Racism) has made two submissions to the Government on Health & Disability Workforce Strategic Priorities and the Health Sector Review.

The submissions by STIR, which is a network of public health professionals and scholars committed to ending institutional racism in the administration of the public health sector, are endorsed by the Health Promotion Forum of NZ (HPF).

Health & Disability Workforce Strategic Priorities

The group’s submission on workforce priorities was structured in three parts: feedback on the consultation process itself; STIR’s health workforce priorities and feedback on the ministry’s health workforce priorities.

Among the concerns raised by STIR is the need for a substantially greater commitment to Māori health demonstrated through the reprioritisation of financial investment into Māori health.

STIR maintains that it wants to see greater accountability for Māori health at all levels of the health sector; from political leaders, to health management, through to contracted providers and health practitioners. People run the health system and need to be held accountable for their practice; this is a workforce issue. 

The group recommends the development of a new multi-disciplinary Māori health workforce strategy for the regulated and unregulated health workforces.

STIR points out that at a local level the ethnic make-up of the health workforce should match local population levels. For instance, in communities comprising 25% Māori, this should be mirrored in the local health workforce.

“We urge the Ministry of Health to establish a single repository for Māori health workforce data to enable tracking of progress towards targets. Ethnicity data also needs to be systematically collected across all points of the health sector to allow informed workforce planning.”

STIR would also like to see greater investment in Māori leadership programmes such as the successful Ngā Manukura o Āpōpō programme run by Digital Indigenous.

Health Sector Review

In its submission on the Health Sector Review STIR answered nine questions focusing on issues including how the best health and disability system for New Zealand might look in 2030;  changes to make the system more fair and equal for everyone and what changes could most improve health for Māori and Pacific peoples

In response to the first question STIR answered that from the authors’ perspectives there are three core values integral for the future health and disability system: A commitment to i) honour te Tiriti o Waitangi (the Māori text that reaffirmed tino rangatiratanga as opposed to the English version) , ii) embracing anti-racism praxis and iii) the pursuit of  health equity.

“These values must be reflected at all levels of the health system and engage practitioners, managers and policy makers. We must all be held accountable for our professional practice in these key areas,” STIR states.

STIR (Stop Institutional Racism) has made two submissions to the Government on Health & Disability Workforce Strategic Priorities and the Health Sector Review.

The submissions by STIR, which is a network of public health professionals and scholars committed to ending institutional racism in the administration of the public health sector, are endorsed by the Health Promotion Forum of NZ (HPF).

The group’s submission on workforce priorities was structured in three parts: feedback on the consultation process itself; STIR’s health workforce priorities and feedback on the ministry’s health workforce priorities.

STIR addresses a number of concerns including the need for a substantially greater commitment to Māori health and the development of a new multi-disciplinary Māori health workforce strategy for the regulated and unregulated health workforces.

STIR maintains that at a local level, the ethnic makeup of the health workforce should match local population levels. For instance, in communities comprising 25% Māori, this should be mirrored in the local health workforce.

In its submission on the Health Sector Review STIR answered nine questions focusing on issues like how the best health and disability system for New Zealand might look in 2030;  changes to make the system more fair and equal for everyone and what changes could most improve health for Māori and Pacific peoples.

From the authors’ perspectives there are three core values integral for the future health and disability system: A commitment to i) honour te Tiriti o Waitangi (the Māori text that reaffirmed tino rangatiratanga as opposed to the English version) , ii) embracing anti-racism praxis and iii) the pursuit of  health equity.

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News
A new law that will be passed to ban smoking and vaping in cars carrying children has been welcomed by health advocates who have been lobbying for legislative change for years. The law change will come into effect by an amendment to the Smoke-free Environments Act 1990 and the ban is expected to come into effect by the end of the year. The Government’s Associate Health Minister Jenny Salesa who made the announcement recently said although the change was about protecting children it was also part of the Government’s commitment to achieving Smokefree 2025. “Too many New Zealand children, particularly Māori and Pacific children, are exposed to second-hand smoke in the vehicles they usually travel in. “Public education and social marketing campaigns over many years have had some impact, but the rate of reduction in children exposed to smoking in vehicles is slowing. It is now time to do more by legislating,” says Ms Salesa. “The legislation will also be backed up with a new and innovative public education and social marketing effort. Ultimately, the focus of this change will be on education and changing social norms – not on issuing infringement notices,” Trevor Simpson the Deputy Executive Director of the Health Promotion Forum of NZ says smoke-free cars is a natural progression towards a smoke-free Aotearoa 2025. “In a very simple way we can use policy to protect the health of our children and our whanau. At the same time, we can normalise smoke-free cars in a similar way to how we have normalised seatbelts in cars.” The move has also been welcomed by Children’s Commissioner Andrew Becroft, who said it could benefit 100,000 Kiwi kids every week. “Once this legislation is passed [children] will no longer be forced to inhale this chemical poison,” Becroft said. Hāpai Tobacco Control Manager, Mihi Blair, says the law change is a “no-brainer”. “If the police educate themselves on local services and enable whānau to access support then they shouldn’t need to take a punitive approach unless absolute necessary.” Under the change, Police will be able to require people to stop smoking in their cars if children (under 18) are present. Police will also be able to use their discretion to give warnings, refer people to stop-smoking support services, or issue an infringement fee of $50.
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News
Wednesday, February 6 is Waitangi Day, a time to reflect on our past and present, but more importantly, the future of our nation, our relationship to each other as peoples of diverse backgrounds, and our relationship with our environment. Almost 180 years ago, under the world-wide impact of the forces of colonisation and imperialism, two peoples and two different cultures met in the northern region of Aotearoa New Zealand. The discussion that took place focused on an arrangement between two sovereign nations. An agreement was forged in the form of an international treaty. Without the benefit of foresight no one at the time could have envisaged that the world and wellbeing of the hosting Indigenous peoples, Maori, was so deeply imperilled. Partly premised on a concern for the wellbeing of Maori, a treaty, Te Tiriti of Waitangi was signed by representatives of the English Crown and Maori chiefs. Although the Tiriti was drafted in the languages of the two signing parties, the translated texts were not identical leading to misinterpretation and later, conflict. History shows that the agreement was not honoured by the English Crown, their representatives and the immigrant groups that settled in Aotearoa New Zealand. This betrayal led to a catastrophic impact on Maori, especially the loss of resources and culture – from land and societal institutions to values, knowledge and way of life. The imprint of this attack on the soul and spirit is still being experienced today. Due mainly to Maori leadership, and other leaders of like minds and heart, Te Tiriti was gradually reinstituted and factored into our constitutional frameworks, public psyche and policies. While we have advanced, with many of the injustices and losses for Maori addressed, we still have many roads to traverse together at all levels, if we are to fully recover as a nation and be a responsible member of our global community. Meanwhile, and relatively speaking, our journey through the pangs of transition over the last few decades offers many lessons to other nations and states on how to live, love and be just and fair to our fellow human beings – individually and institutionally. Each year, Waitangi Day gives us a much-needed opportunity to pause and ponder the progress we have made on our collective effort towards our collective wellbeing; to learn from and to celebrate how we as individuals and collectives have risen to our natural, higher selves, and to acknowledge that through genuine collaboration and reconciliation we will continue to progress. Conflicts, discrimination and domination are things of the past, a recipe for ongoing disasters, a no-win situation for all, where an eye for an eye will make us all blind. In light of our inter-connectedness and our common future as a nation, it is heartening to see the range of contributions from all sectors and communities to our collective future, as we learn from past follies. Small but significant, the Health Promotion Forum of New Zealand, Runanga Whakapiki Ake I Te Hauora O Aotearoa (HPF) is making such contributions through its work, including co-hosting the next World Conference on Health Promotion from April 7-11, 2019 in Rotorua. Te Tiriti informs the organising of the conference: • Te Reo is one of the four official languages of the conference, a world-first; • at least two Maori leaders will be keynote speakers; one of them will speak in Te Reo while it will be simultaneously translated into English, French and Spanish; • Maori leadership is at the front of all aspects of the process and on all levels, under the principle of equal partnership; • an Indigenous Statement, one of the major legacies of the conference, will articulate Indigenous perspectives on how to advance our wellbeing as fellow human beings, and how to be better and more effective stewards of our common home – Ranginui and Papatuanuku, also known as Mother Earth. As Executive Director of HPF, I invite you to participate at the conference. World leaders and experts in public health, health promotion, planetary health and wellbeing and sustainable development will come and share their knowledge. Let us gift our knowledge in return. Let us continue to work together for the wellbeing of our nation, and our global society, for the world is but one country, and humankind its citizens. Here’s the link for your information and registration. www.iuhpe2019.com See you in Rotorua! Banner photo: Waitangi in the Bay of Islands.
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News, Uncategorized
The Health Promotion Forum of NZ has commended Waka Ama New Zealand for sticking to its fizzy drinks ban at its national championship festival this week. First established in 2000, this year will be the 30th year for the festival, and its sixth year as a ‘fizz free’ event. As many as 10,000 people from all corners of New Zealand and the Pacific Islands have converged on the shores of Lake Karāpiro for the event which runs from January 15 – 19. HPF Deputy Executive Director and Maori strategist Trevor Simpson said, “seemingly small interventions can have far-reaching results. In a way what we are seeing is a reinstitution of the cultural norm of wai as the basis for life and wellbeing. We congratulate Waka Ama Aotearoa for their leadership and support for the fizz-free kaupapa.” Janell Dymus-Kurei, General Manager of Hāpai Te Hauora which has a regional public health team at the event said the event was a great example of leadership in Māori health. “The organisers have shown a strong commitment to oranga tinana through the promotion of physical activity which is embedded in te ao Māori. Through the adoption of a ‘fizz free’ stance, the festival also highlights the importance of the availability of water – wai Māori – to all whānau across the motu.” The event also comes at a time when the role of sugary beverages in poor health outcomes are again being questioned. The New Zealand Dental Association (NZDA) has called for sugary drink manufacturers to be forced to label their products with a teaspoon icon to clearly show how much sugar is in each beverage “We support this call by the NZDA for better labelling of beverages,” says Selah Hart, and HPF board member. “As a signatory to the NZDA-led consensus statement on sugary drinks, we appreciate the importance of good information for whānau when it comes to making choices about food and drinks.” Photo provided by Hāpai Te Hauora
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Competencies, News
A one-day International Health Promoting Campuses Symposium will be held in Rotorua on April 7 from 10am to 4pm To be held just before the global conference on health promotion the symposium aims to activate the Okanagan Charter on higher education campuses around the world. The Okanagan Charter calls to embed health into all aspects of campus culture and lead health promotion action and collaboration locally and globally. The charter was an outcome of the 2015 International Conference on Health Promoting Universities and Colleges held in the Okanagan in Canada. The symposium will be relevant for academics, management, students, educators, student support staff, researchers, health promotion and public health specialists, and all those interested in the promotion of health, wellbeing and sustainability within Universities, Colleges, Polytechnics and Wānanga. The symposium will provide a range of opportunities for participants to: work with international and national experts experienced in designing health promoting campuses; participate in the global health promoting universities and colleges movement; build collective engagement and commitment to implement the Okanagan Charter Contact Dr Anna Thorpe, chair of the Tertiary Wellbeing Aotearoa New Zealand (TWANZ) network for information and registration of interest anna.thorpe@cdhb.health.nz Meanwhile the first guide in the world to apply an international charter for health promoting universities and colleges to a local context is now available. The guide has been in development for the past three years, with input from a wide range of people and organisations. The Okanagan Charter is viewed as a useful and flexible framework easily adapted to campuses here. Its principles and calls to action are already being applied in some campuses in Aotearoa New Zealand. Māori wellbeing frameworks, The Pea Hutong and Te Whare Tapa Whā, comfortably sit alongside the Okanagan Charter. ‘Applying the Okanagan Charter for health promoting campuses in Aotearoa New Zealand’ can be accessed on the TWANZ website. Membership of the network is free, and a wide range of literature is available.
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Global, Maori
By Trevor Simpson In April next year Aotearoa New Zealand will welcome the global health promotion workforce to Rotorua City for what is arguably the most important event on the health promotion calendar. The 23rd IUHPE (International Union for Health Promotion and Education) World Conference 2019 on health promotion will bring together experts, practitioners and interest groups who will converge to discuss health promotion across a range of political, economic and social contexts. At the earliest stages the notion of the importance of indigenous health promotion and the opportunity to leverage indigenous aspirations for wellbeing were at the fore. Elevating this discussion to the highest level became a driver – not only for the inclusion of indigenous elements in the conference programme but rather to underpin and permeate every aspect of the meeting. There is an unprecedented opportunity for indigenous health promotion leaders to use this platform to share our ideas, strengthen our resolve and promote wellbeing from a specific indigenous perspective. Milestones for Indigeneity – a conference with a difference From the initial discussions around the feasibility of bringing the conference to Aotearoa New Zealand through to the eventual bid in Curitiba, Brazil, the team at the Health Promotion Forum (HPF) were deliberate in ensuring the place of indigeneity. Indeed, the bid made to the IUHPE Global Executive Board in May 2016, included an indigenous Maori approach that ensured cultural imperatives were attended to from the outset; thoughtfully laying a platform upon which the entire event will be projected. In doing so this conference will provide the basis for unity in diversity for global health promotion, aligning western, eastern and indigenous perspectives across the theme of sustainable development and planetary wellbeing.
There is an unprecedented opportunity for indigenous health promotion leaders to use this platform to share our ideas, strengthen our resolve and promote wellbeing from a specific indigenous perspective.
The overarching theme of the conference for the first time includes the indigenous term “Waiora” loosely meaning “life-giving water”. Similar to “Vaiola” in Pacific vernacular the word relates to the sacred nature of water as a life-giving element. Appropriately, delegates will be situated in the south of the Pacific Ocean, the largest body of water on Earth, the historical home to many indigenous people, all of whom maintain a deep appreciation and affection for the ocean and the islands upon which they depend. Te Reo Maori a world-first For the first time Te Reo Maori as an indigenous language will be one of the four official languages of the conference. It will not only be used and encouraged throughout but also built into the official programme. Delegates will be able to experience this from the opening powhiri (Maori welcome ceremony), the inaugural speech in the Maori language by a plenary speaker, Tamati Kruger through to the poroporoaki (closing ceremony) where in each case the language will take precedence. Broadly, indigenous Maori themes, language, storytelling, arts and performance will provide a wonderful array of cultural features to enhance what is shaping up to be a wonderful scientific programme. Significantly, along with Tamati Kruger four of the other 11 plenary speakers are from indigenous backgrounds. Stanley Vollant, Sir Mason Durie, Tony Capon and Colin Tukuitonga will bolster what is already a strong format for indigeneity at the plenary level. In terms of leadership this group provides a global perspective that will influence indigenous health promotion practice well into the future. The programme also includes an Indigenous sub-plenary and opportunities to observe and participate in oral presentations, workshops and poster walks where indigenous health promoters and those working in indigenous communities can share their ideas. Committed to the cause Some wonderful work is also going on in the background. For the first time a team of guest editors will pull together an Indigenous Supplement to the IUHPE Global Health Promotion Journal to be released in time for the conference. The propensity for a supplement such as this to reach across the globe is not underestimated and the leadership of the IUHPE team working on the journal, the editors and guest editors to engage in such a project is a fine example of commitment to an important cause. Additionally, a small team is working on drafting a Rotorua Indigenous Statement (yet untitled) to be considered for ratification in Rotorua. Not underestimating the magnitude of this project, the team is looking to include a wide range of perspectives, draw on expert knowledge and finally put out a call for support. At this stage the proposal is to release draft one version early in the New Year for members to consider, followed by a second draft in early March. The third and final draft will be presented at the conference itself and with the support of the delegates, formally endorsed. In mentioning Rotorua, it should be noted that Te Arawa, the tribal hosts and supporters of the conference are renowned not only for their hospitality but also for their cultural strengths in history, language and arts. These are significant factors which have contributed to tribal, social and economic development not only in the city but across the lake’s region. It is impossible to escape indigeneity in this part of the world. It is an indelible asset that speaks to a world of possibilities, not only for Aotearoa New Zealand but for everyone and every place.   Trevor Simpson is HPF’s Deputy Executive Director / Senior Health Promotion Strategist (with Portfolio in Māori development).
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Equality, News
To provide a collective voice and expert support for effective policies and actions to reduce the harm from tobacco, alcohol and unhealthy foods, a new organisation has been established. Health Coalition Aotearoa (HCA) also aims to reduce inequities through a focus on the determinants of health. Launched in Wellington recently, Health Minister Dr David Clark commended the initiative, led by Professor Boyd Swinburn of the School of Population Health, University of Auckland. Dr Clark highlighted the need for more and better collaboration among health professionals, academics, NGOs and the Government to tackle health inequities in New Zealand. Professor Swinburn said at the launch that unhealthy diets, obesity, tobacco, and alcohol contribute about one third of the overall preventable health loss in New Zealand. Investment in population prevention of harm from tobacco, alcohol and unhealthy food is half a per cent of the national health budget and government prevention infrastructure was weak. “Implementing the World Health Organization’s (WHO) ‘Best Buys’ for preventing chronic disease would save lives and money,’ Professor Swinburn said. The Health Promotion Forum (HPF) is among more than 20 NGOs and institutions, and academic leaders that are foundation members of HCA. “We need collective leadership and a united front to address the many challenges that we face today,” said HPF Executive Director Sione Tu’itahi. Pictured at the launch of the coalition are from left: Professor Michael Baker, Otago University, Dr Lisa Te Morenga, Victoria Uni, Dr Ashley Bloomfield, Director-General, Ministry of Health, Professor Boyd Swinburn, University of Auckland, Hon Minister of Health Dr David Clark, Professor Sally Casswell, Massey University, Mike Kernaghan, CEO of Cancer Society.
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News
The development of an accreditation framework led by the Health Promotion Forum (HPF) to make health promotion a formal professional practice with a specialised body of knowledge is exciting news. Although aligned with the global accreditation framework of the International Union for Health Promotion and Education (IUIHPE), the local framework will be grounded on Te Tiriti o Waitangi and the Ottawa Charter, the two foundation documents for health promotion in the country. It will include a public register for health promoters as a distinct professional group, according to HPF Executive Director Sione Tu’itahi. “While the register will be voluntary, it can help communities and organisations identify health promoters whose competence would have been assessed under the accreditation framework. “At present, workers from almost any field can move in and work in health promotion. We are progressing towards a system of best practice for the safety and wellbeing of communities, and sustaining the professional standards of the health promotion workforce. It is a win-win for all. An equally important part of the framework is having health promotion qualifications, recognised by IUHPE, the global organisation that leads the on-going development of health promotion. Sione points outs that the work is all based on the New Zealand Health Promotion Competencies that was approved by the health promotion sector and workforce in 2012. It is expected that the framework will be completed in two years.  
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News
The University of Otago’s 2019 Public Health Summer School programme which will offer an outstanding range of courses, including 16 new ones, next year is open for registration. If you are interested in a day of professional development or updating on topical issues in health, then the programme which runs from February 11 – March 1 at the university’s Wellington campus in Newtown is for you. There are courses and symposia for everyone including 14 of the school’s most popular core topics. Fran Wright who is on the PHSS Organising team says many people return for summer school courses every year, so they try hard to constantly refresh the programme and offer new courses on highly topical issues. “We are so delighted with our 2019 programme, people have such great choice. This includes courses on everything from drug policy challenges to child wellbeing, to Pacific and Māori health, to being media savvy, to fostering good partnerships in promoting health. “While most people take just a day or two out to attend a course of interest, we often have people joining us for five or six courses at a time and finding it a great way to start their year,” she says. Ms Wright says Māori and Pacific Islanders who are working or studying in areas contributing to improving the health of Māori and Pacific people, but who may not be able to cover the cost of a course, are encouraged to apply for a scholarship to cover the cost of a one-day course. “There are limited numbers available so please apply early as this is a great opportunity to not just build your knowledge, but to network with people from so many areas to share experiences.” To register or to view more information the courses, which run from one to four days, see the Summer School website. Many courses have limited numbers so don’t miss out and register now to receive a 25 per cent earlybird discount. Also, on offer are a limited number of Maori/Pacific Scholarships. Pictured are contributors to the Indigenous People and Cancer Symposium run by the school in its 2018 programme. This was an amazing event attended by hundreds of people from all over New Zealand and the Pacific region.
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News, Pacific
The importance of health promotion for Pacific communities was emphasised at the Pasifika Health Promotion workshop in Christchurch on October 19. The Health Promotion Forum’s (HPF) workshop was held at the Christchurch Bridge club and was facilitated by HPF’s Dr Viliami Puloka. It was attended by 11 participants who agreed they came away refreshed and eager to put into practice what they had learned. Damaris Dekker from the University of Otago, Health and Safety said the workshop helped explain the concept of equity for Pacific health among other healthcare professionals. “Great venue, well-structured day, great food and a good mixture of small group discussions and lecture format … It was a good refresher of knowledge and it was great to complete a workshop with a wide range of people, and to consider other perspectives.” Epeli Bogitini, of Te Whare Ngakau Trust said as a health science student the workshop was really beneficial to him. “It broadened my views about health promotion and how it is so vital for Pacific communities,” he said. “Very thought-provoking,” was Carmen Collie’s response. “I will now focus on reaching out to young Pasifika peoples with health promotion initiatives to stem the tide of NCDs (non-communicable diseases),” said Ms Collie who is from the Tangata Atumotu Trust. Ms Collie added that she also gained some great connections within the local Pacific community after attending the workshop. Lisa Suapopo, Tangata Atumotu Trust commended Dr Puloka for his “wonderful, passionate presentation”. “It helped me be more aware of other’s cultural diversity.” Dr Puloka who is HPF’s Senior Health Promotion Strategist specialising in Pacific Health Promotion said ways to help empower Pasifika peoples to achieve wellbeing and health and to move from knowledge to action were examined at the workshop. He said the aim was to have participants come out of the workshop not only more knowledgeable about the magnitude and impact of NCDs but better equipped and more competent to convey the information and help their communities in a culturally appropriate way. “Health promotion is all about empowering and enabling people to put all their knowledge and skills into action.” Banner pic: Dr Viliami, Puloka, second from left, with course participants at Pasifika Health Promotion workshop in Christchurch on October 19.  
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News
Limiting global warming to 1.5C would require urgent, far-reaching and unprecedented changes in all aspects of society according to a stark new report from the global scientific authority on climate change. With clear benefits to people and natural ecosystems, limiting global warming to 1.5C compared to 2C could go hand-in-hand with ensuring a more sustainable and equitable society, say the authors of the report the UN’s Intergovernmental Panel on Climate Change (IPCC). The report finds that limiting global warming to 1.5°C would require “rapid and far-reaching” transitions in land, energy, industry, buildings, transport, and cities. Global net human-caused emissions of carbon dioxide (CO2) would need to fall by about 45 per cent from 2010 levels by 2030, reaching ‘net zero’ around 2050. This means that any remaining emissions would need to be balanced by removing CO2 from the air. “The good news is that some of the kinds of actions that would be needed to limit global warming to 1.5C are already underway around the world, but they would need to accelerate,” said Valerie Masson-Delmotte, Co-Chair of Working Group I. The IPCC’s models emphasise the need for people to change their lifestyle and consumption patterns to more sustainable alternatives, specifically in areas they can control, like modes of transportation, the buildings they inhabit and their dietary preferences. The difference between a world that is 1.5C warmer and one that is 2C warmer would be significant, the report said. It could be the difference between a world that is recognisable and one that is not. The Special Report on Global Warming of 1.5C will be a key scientific input into the Katowice Climate Change Conference in Poland in December, when governments review the Paris Agreement to tackle climate change. Read more on the report: www.ipcc.ch/news_and_events/pr_181008_P48_spm.shtml Its release reinforces the timeliness of the International Union of Health Promotion and Education’s (IUHPE) 23rd World Conference on Health Promotion conference in Rotorua from April 7 to 11 next year. Co-hosted by the Health Promotion Forum of NZ the conference has as its theme WAIORA: Promoting Planetary Health and Sustainable Development for All. As a theme, Waiora reflects the dependence of our own health on that of our planet, and recognises the major global challenge of balancing ongoing development with environmental stewardship. Earlybird registrations close on November 28 so get in quick to secure your spot. Click here.
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News, Pacific
Looking at ways to help empower Pasifika peoples to achieve wellbeing and health – moving from knowledge to action – will be the main aim of the Pacific Health Promotion workshop in Christchurch on October 19. Dr Viliami Puloka who will be conducting the workshop at the Christchurch Bridge Club says if you are working with Pacific people , this workshop is for you. It is only the second time the workshop will be held in the garden city so get in quick to secure a spot and click here to complete the online registration form. Dr Puloka who is the Health Promotion Forum’s (HPF) Senior Health Promotion Strategist specialising in Pacific Health Promotion says discussions at the workshop will centre around health issues that plague Pacific Islanders and Maori and how they impact the wellbeing of the Pacific community. “They are at the top of the list for a range of health issues such as obesity, diabetes, heart and lung disease. There are many external determinants that contribute to this and we will be examining these at the workshop,” he says. Basic knowledge and understanding of the four main risk factors that are common to all the main NCDs will be discussed from a determinant of health perspective. Dr Puloka wants participants to come out of the workshop not only more knowledgeable about the magnitude and impact of NCDs but better equipped and more competent to convey the information and help their communities in a culturally appropriate way. “In this workshop we are looking beyond biology and genetics to social, cultural and economic factors that prevent us from achieving optimum health and wellbeing. Many of these social factors are beyond the control of individuals and their families. Together we will explore ways to deal with these issues in our everyday living. “Health promotion is all about empowering and enabling people to put all their knowledge and skills into action. “I think if we are to win them over we have to touch their hearts. Then we have a better chance of touching their minds – moving their hands and feet to action,” he adds. A self-evaluation tool looking at how competent participants are in promoting health to Pacific communities as Pacific health promoters will also be included for discussion.   Dr Viliami Puloka, pictured speaking at the Pacific Wave Forum in August, is a public health physician with a special interest in diabetes and obesity. He brings with him a unique Pacific experience and has gained a broad social and cultural appreciation from working with the diverse and unique isolated islands of the Pacific.
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Maori, News
I tēnei tau ka tū tētehi o ngā mahi whakapakari o HPF ki Tāmaki Makaurau, arā , ko tō mātou Certificate of Achievement in Introducing Health Promotion. Ia tau, ia tau ka tuku a HPF i ētahi karahipi kia taea te tangata ki te whakauru ēnei mahi akoranga. Ko ēnei karahipi e tuwhera ana ki ngā tāngata katoa o Aotearoa. Ko te utu mō ēnei karahipi he rīpoata. Nā runga i te whakahauhau a HPF ka āhei ngā tauira ki te kōrero , ki te tuhi hoki i roto i te reo Māori. Ko te kōrero tuhi e whai ake nei nō tētahi o ngā tauira, i roto i tōna reo mai Te Tai Rāwhiti . Ko te kaupapa o tōna kōrero a tuhi ko ōna mahara me ōna whaiwhakaaro i runga tēnei wānanga. Kia ora Tomairangi, e mihi ake tatou ki a koe. Kei aku nui, aku rahi, aku whakatamarahi ki te rangi, E tuhi ana au i tēnei reta kia koutou ngā pītau whakarei kua whai whākaaro mōku me tōna ngākaunui ki ngā mahi i horahia ki mua ia mātou i roto i ngā marama kua hipa. I roto i ngā wānanga e rua i haere ai au ki Tamaki Makaurau te ako mai i te rangatira me te kaiārahi rongonui ā Trevor Simpson. Ko ngā akoranga i ākona e au i roto i āua wiki e rua ki tōna taha kua kīkī katoa tōku hinengaro i te mātauranga me ngā tikanga e āhei ana ki te ao hauora me ōna painga katoa. I mua i tōku tīmata i tēnei wānanga kaore au i tino mōhio ki te ia o te Helth promotion, nā tōku hanatū ki ēnei wānanga me te rawe hoki o te āhua whakaako ā Matua Trevor i kaingākaunui au ki tēnei mahi me tōku hiahia te whai i tēnei huarahi o te Health promotion hei tikitki ano mo tōkū mahunga. Ko tā ngā kupu ā tōku pāpā ā Apirana Turupa Ngata ki āu i roto i tōna whakatauākī, “E tipu e rea, mo ngā rā o tōu ao”. I roto i ngā akoranga nei kua huakina ōku whatu ki te ao e noho nei me ngā uauatanga e pēhī nei i tōku hapu me tōku iwi Māori. Ko ēnei akoranga kua tuhia ki tōku rae hei taonga tuku iho mo tōku whānau, meinga kore mo tēnei kaupapa ka aha mātou te iwi Māori ā te ao hurihuri. Ko tētahi o ōku wawata nui he whai i ngā tapuwae o tōku māmā, he nēhi ā rohe mo Ngati Porou. Nā tōku whai i tēnei huarahi kua whai kē tōku māmā i mua mai i āu kua harikoa tōku ngākau. Nō reira me mihi ka tika au ki te rōpu nei ā te Health Promotion Forum of New Zealand me tō koutou tautoko i āu me tōku whānau ki te whakatutuki i tēnei tohu hei tikitiki ano mo tōku whānau, tōku hapu me tōku iwi Māori.  Ka hoki ōku mahara ki ngā wānanga me tēra whakataukī “ko te ātaahua o te noho tahi ā ngā teina me ngā tuakana i raro i te whakaaro kotahi” . Mēna kore mo te karihipi i whiwhia e au e kore au e taea te whakatūtūki i tētahi o ōku tino moemoeā, hei whakahoki atu ki tōku iwi nō reira he mihi manahau tēnei ki ngā kaiwāwāo me ngā kaiwhiriwhiri i whakahōnore i āu ki tēnei whiwhinga āu, e kore ngā mihi e taea e te kupu. Nāku noa Tomairangi Chaffey-Aupouri    
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Maori, News, Uncategorized
All New Zealanders are being encouraged to take part in Māori Language Week which launched on September 10. Nau mai ki Te Wiki o Te Reo Māori – Welcome to Māori Language Week Ngā mihi mahana ki a koutou i runga i tēnei kaupapa whakahirahira kua tau ki runga i a tātou katoa “The Māori language is one of the best ways to say ‘We are New Zealanders’. Everyone can help to celebrate and revitalise our country’s first language,” says Māori Development Minister Nanaia Mahuta. Te Wiki o te reo Māori runs from September 10 – 16 with the theme ‘kia kaha te reo Māori’ or ‘let the Māori language live’. Mahuta says people can show their support for the language in many ways. “Mums, dads and grandparents can show active interest and support for their kids as they learn Māori at school. If the school is not providing any Māori language, families can ask them to start. “The business world and community groups can display bilingual signs to show te reo Māori is welcome in public and private spaces. “And everyone can try a simple ‘kia ora’ (hello) or ‘mā te wā’ (bye) as they go about their daily business. Each time you use Māori correctly it is a valuable gesture to restore it as an everyday language. It all adds up”. Prime Minister Jacinda Ardern who visited Wellington High School on Monday  to mark the start of the week told students one of her biggest regrets was not learning how to converse in te reo Māori. In response to a student who asked how te reo and tikanga would be a part in her daughter Neve Te Aroha’s life she said: “Clark and I have only had very early discussions – we’re only 12 weeks in – but we’ve certainly got the books to be able to ensure that she’s learning te reo even through her early storytime,” Ms Ardern said. Ms Ardern congratulated Wellington High School for making it compulsory for all Year nine students to learn te reo. “Te Reo Māori me ona tikanga underpins Māori World views, values and beliefs. Custom, culture and language are inextricably linked,” says Trevor Simpson, Deputy Executive Director, HPF. “Learning Te Reo Māori is a fantastic way to build an understanding of Māori views on health and wellbeing. By saying “kia ora” to another person what we are actually saying is that we wish for the other person to be enveloped in wellbeing and this is articulated at the very first interface between two people.” Sione Tu’itahi, the Executive Director of the HPF says while HPF supports Māori language week our support will continue until next year when for the first time te reo Māori will be an official language at a global conference. Celebration of te reo Maori will be a highlight at the 23rd IUHPE World Conference on Health Promotion: WAIORA: Promoting Planetary Health and Sustainable Development for All in Rotorua from April 7-11 next year. “Our aim to sustain te reo Maori is always long-term. Given that we are co-hosting this world conference, it is only right that we honour te reo Maori this way …”
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