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.
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.
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.
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!
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.
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.
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.
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)
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.
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.
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.
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.”
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.
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.
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.
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.
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.”
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.
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 firstname.lastname@example.org 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.
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.
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.
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
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.
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.
HPF webinars have three phases of learning activities:
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
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 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.
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.”
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
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.
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.
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.
“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.
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.
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.
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.”
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.
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:
Ensure all children learn, including by closing the digital divide.
Guarantee access to health and nutrition services and make vaccines affordable and available to every child.
Support and protect the mental health of children and young people and bring an end to abuse, gender-based violence, and neglect in childhood.
Increase access to clean water, sanitation and hygiene and address environmental degradation and climate change.
Reverse the rise in child poverty and ensure an inclusive recovery for all.
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.
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”.
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’.
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”.
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.
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.
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.
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 manifestosBelow 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?
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?
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?
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?
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?
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)
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:
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 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!
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.
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
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.”
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.
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.
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.
Presentation by John for 40 minutes (This will be a talk with a power-point presentation)
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.
Plenary discussion for 30 mins. (Prof Raeburn will answer and discuss questions from participants.
Closing by webinar facilitator – HPF Executive Director Sione Tu’itahi.
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
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.
“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.
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.
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.
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.
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/
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.
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 Wairoadescent
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.
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.
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.
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.
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.
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.)
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.
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 email@example.com
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.
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.
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.
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.
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.
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.
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 SpeakersProfessor 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.
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.
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.
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.
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 firstname.lastname@example.org
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.
From your personal experience, list three activities you were able to carry out because level 4 & 3 restrictions gave you that opportunity?
Can you list three environmental benefits that were directly related to COVID-19 restrictions?
What are the Public health measures that flattened the curve even as we are still waiting for vaccine and drug for treatment?
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 email@example.com
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.
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.
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.
HPF caught up withpublic 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-19Q: 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.
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.
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)
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.
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 firstname.lastname@example.org 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.
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
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.
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.
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).
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.
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#
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 email@example.com or 09 300 3734
A venue has yet to be confirmed.
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.
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 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
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
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.
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.
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.
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.
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”.
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.
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.
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.”
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.
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.
is also an opportunity to reflect on the relationship between the Treaty and hauora,
health and wellbeing.
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
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.”
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).
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.
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.”
you can’t make it to the official celebrations in
Waitangi, there are numerous events to mark the day around the
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
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
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
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
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
Additionally, Committee members underlined that the
international community must assist countries adversely affected by
judgment is not binding, it does emphasise that countries have a legal responsibility
to protect people whose lives are threatened by the climate crisis.
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.
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
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.
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.
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.
HPF’s Executive Director Trevor Simpson discusses
the importance oforganisation-wide
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
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.
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.
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.
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.
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 firstname.lastname@example.org
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?
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
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
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.”
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
But what can
health promoters do?
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.
it with your colleagues, your families and friends, your clients and
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.
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.).
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
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
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 isto 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.
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.
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.
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:
and livestream the current Conversations programme, enabling people in other
sites in the Greater Victoria Region to join in from where they live.
Establish a Kitchen Table Conversations programme
to facilitate and support families, neighbors, workmates and others to have
smaller, more personal Conversations.
Undertake One Planet Neighborhood Co-design Charettes
that bring community members and design professionals together to imagine and
design such a place.
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
[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.
course, the fact that ecological change and the need for an ecological awaresss
was finally getting the attention it deserves in health promotion.
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.
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!
“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.
former hairdresser admitted she wasn’t too keen on studying, but the course was
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”.
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.
Hauora sits withExecutive 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.
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?
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.
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
“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.
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.
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.
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.
take time, but we are getting on with job because it will mean better health
and wellbeing for more New Zealanders,” David Clark said.
Otago University’s Summer School will be
bringing its popular Pacific Health course to Auckland for the first time on February 14 next
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
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.
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.
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
“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).
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 awide 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.
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.
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.
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.”
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
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.
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.
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
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.
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.
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.”
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
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.
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.
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
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.
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
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.
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
“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).
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
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.”
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.
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.
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.”
Christina Hulbe, School of Surveying, University of Otago said hanging over the
technical details in the report were two broad messages.
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.
“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 email@example.com
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
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
“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.
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
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.
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
“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 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.
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
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
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
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).
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.
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
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
“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.
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/
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 firstname.lastname@example.org 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.
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”.
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.
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
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 torecognise the importance for discussions about the SDGs to be grounded
within Aotearoa New Zealand’s unique contextis alsoreflected 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.
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.
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.
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.
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.
can always contact our health promotion team for questions and discussion, if
they need to.”
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.
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.
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 coursewill 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
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
promotionas 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
limited number of scholarships may be available.
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
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
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
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.
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?
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.
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.
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.
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:
establishment of a new Mental Health and Wellbeing Commission provides
leadership to hold the government accountable for on-going investment and
Wellbeing Budget shows the start of a commitment to tackle key social
determinants of mental health such as housing, child poverty, and family and
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.
up to eight programmes designed to strengthen personal identity and connection
to the community and will also scale up successful kaupapa Māori initiatives
development of the mental health workforce
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.
$40 million into suicide prevention.
resources to be made available to teachers to promote mental resilience in
primary and intermediate schools.
sessions of counselling for people bereaved by suicide
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).
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 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.
Two students who attended the Certificate of Achievement in
Introducing Health Promotion course last October, say the course was an
invaluable learning experience.
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.
“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.”
leader, Mr Teisi said he would highly recommend the course to social and
community workers who love working with families within Maori and Pacific
said he now felt more confident when dealing with the community.
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. Enrolmentapplications 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 email@example.com or phone 09 300 3734 for an application or for more information. Criteria conditions apply.
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.
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.
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
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
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
Dr Puloka encouraged the students to look at health from a
holistic perspective and not to limit their view of health to just the
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
“I was so appreciative of the students’ contribution to
maintain culture, language, poetry and lots more through music and dance,”
added Dr Puloka.
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
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.
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
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
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
“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
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
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
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
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.
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.
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.
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
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 firstname.lastname@example.org
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.
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).
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.
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.
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.
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.”
Dr Viliami, Puloka, second from left, with course participants at Pasifika Health Promotion workshop in Christchurch on October 19.
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.
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.
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.
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 …”
A major cause of New Zealand’s very high rates of obesity has been mapped in a world-first study from the University of Auckland providing a full picture of the healthiness of New Zealand food environments. The study was funded by the Health Research Council and the Heart Foundation of NZ.
The results were summarised in the executive summary and the full report, which was launched by Professor John Potter, Chief Science Advisor to the Ministry of Health at a seminar on July 11. Professor Boyd Swinburn, University of Auckland, presented the results of the study.
Some of the findings included:
Government implementation of healthy food policies:
In 2014 and 2017, public health experts rated the extent of implementation of 23 policy and 24 infrastructure support good practice indicators compared to international best practice. Overall implementation scores were moderate at 43% in 2014 and 48% in 2017.
Some of the priority recommendations from the 2017 experts:
Food composition: Set targets for nutrients of concern (sodium, saturated fat, sugar)
Food labelling: Strengthen the Health Star Rating System and make it mandatory
Food marketing: Regulate unhealthy food marketing to children in media
Food prices: Implement a 20% tax on sugary drinks
Food company commitments to improving population nutrition:
The comprehensiveness and transparency of commitments of the 25 largest NZ food companies (supermarkets, food and beverage manufacturers, quick service restaurants) was assessed. There was a wide range of scores from 0% to 75% with the top five being Nestle, Fonterras, Coca-Cola, Mars and Unilever. The bottom five were Goodman Fielder, Hellers, Griffin’s Foods, Pita Pit and Domino’s.
Composition and labelling of packaged foods:
Analyses of over 13,000 NZ-packaged foods (2014-2016) showed that 83 per cent were classified as ultra-processed. 71 were classified as not suitable for marketing to children using WHO-Europe nutrient criteria, and 59 per cent had an HSR of <3.5 stars. The HSR labelling system was introduced in June 2014, but by March 2016, only five percent of products carried the HSR label. There has been slow uptake of the HSR by companies, yet nutrition claims promoting the “healthiness” of products are widespread even on less healthy products.
Unhealthy food marketing to children:TV: Average of 8.0 unhealthy food ads per hour during child-peak viewing times. (6-9pm)
Magazines: 43% of branded food references in teen mags were for unhealthy foods
Around schools: A median of nine ads for unhealthy foods per km2Food provision in settings:Schools: Only 40% of schools had a written food policy and these policies had very low strength scores (avg 3%) and comprehensiveness scores (avg 16%). There is substantial scope to improve school food policies and practices for healthier school food policies.
Hospitals: All DHBs committed to remove sugar-sweetened beverages by January 2016 from their hospitals and premises and to develop healthy food service policies. DHBS are on a strong path to improve their food environments.
Food retail within communities and inside supermarkets
There were 14% more potential “food swamps” (high relative density of unhealthy food outlets) in the most deprived areas compared to the least deprived.
Only 27% of supermarkets had at least 20% of checkouts free of ‘junk’ food placements. The length of shelf space allocated to sets of unhealthy and healthy indicator foods showed an overall ratio of 0.42 (1m of unhealthy to 0.42m healthy indicator foods). In more deprived areas the shelf-length ratio was more weighted towards unhealthy foods.
Cost of healthier versus less healthy foods, meals and diets
The dollar price of takeaways for a family of four was higher than the equivalent home-cooked meal by an average of $8.20 and $8.50 respectively.
Overall healthy meals and diets can be constructed for a similar cost as takeaways and the current diet, but food in general is relatively unaffordable for those on low income.
Go to www.informas.org for the full report.
As Emma Frost walked out of Te Papa where she had just shared about her tupuna Meri Te Tai Mangakahia she felt cleansed and reinvigorated.
“Moving out of Te marae I gratefully ran my fingers along the kohatu with the cleansing waters running over it,” says Emma who is HPF’s Activities Coordinator and Office Manager.
“For our talks had so moved us all there felt the need to wash away the tears, revitalise ourselves and move forward to new challenges.”
Emma was a panellist at a gathering of Māori historians, curators, archivists, and mokopuna who got together at Te Papa in Wellington on Sunday (August 12) to share an afternoon of kōrero and waiata in celebration of the diverse history of mana wahine.
In May 1893, Meri Te Tai Mangakahia (Te Rarawa, Ngāti Te Reinga, Ngāti Manawa, and Te Kaitutae) was the first woman to speak in any New Zealand parliament, presenting the motion that women should be able to vote and to be ‘accepted as members of the parliament’.
Her reasons included whanau who had no male issue or tane to look after their land. Or, their men were koretake in managing their whanau affairs.
“It never occurred to me that wahine Māori were involved in this world history action that not only helped shape our nation but that of nations around the world,” Emma told her audience.
“I was immediately impacted by this new knowledge because …. what I am familiar with in terms of great icons of women leadership in the history of Aotearoa are Jean Batten and Kate Shepherd.
“But this wahine: whose photo sits on the walls of our marae, who was the daughter of our great Chief Re Te Tai and the grand-aunt of my mother, Irene Frost became someone I could personally relate to, not just because of our toto but because we are both antagonists of women’s reform, kaitiaki of our burgeoning young women, keepers of the values important to us – whanau, hapu, iwi relationships, te Ao Maori and a future that inspires justice and peace… that is why I am moved to try and preserve and tell her story.Emma explained how Meri was also behind Ngā Komiti Wāhine, national forums for Māori women to debate land, cultural, and political issues.
“I currently sit on the Women’s Centre Waitakere, I’m tuned into campaigns advocating the rights for women – gender equality and increasing the presence of women on governance boards. As a member of the MWWL Wahine Māori Toko I te ora I am proud to continue her legacy of supporting and presenting on women’s issues.”
Emma said the memorable event was well received and there was a lively Q & A afterwards.
“Questions centred around what Mana Wahine meant to us? What do we think about funding for Captain Cook commemorations and how have the women who moved us inspired us professionally or in other ways? Some were moved to ears and we’re still asking ourselves ‘what happened’
Kiwi musician Ria Hall’s video of her open letter to the Prime Minister earlier in the day generated much discussion while her strong vocal range during her live performance at Te Papa was also one of the highlights of the afternoon.
Aroha Harris who was also a panellist summed up the event: “If you weren’t there, you missed out. Something powerful happened. I loved it – loved being a part of it; loved hearing you all and getting to know the women you chose.”
Others who payed tribute to the diverse history of mana wahine
Matariki Williams (Tuhoe, Te Atiawa, Ngati Whakaue, Ngati Hauiti) talked about the lady in the portrait by Wilhelm Dittmer titled Maori girl, whose identity is unknown.
Helen Brown (Ngai Tahu) focused on one of the “ordinary, yet extraordinary” women who populate our histories — Mere Harper (1842-1924) who was of mixed descent (Tahu mother and Pequot father). Over six feet tall she was famous for her work as a porter.
Aroha Harris (Te Rarawa, Ngapuhi) not only want to talk about Akenehi Hei as the first registered Māori nurse, and a pioneer in that sense, but also as a woman working steadfastly (and in historiographical terms, invisibly) at the frontline of Māori health.
Melissa Matutina Williams (Te Rarawa, Ngati Maru) centred her talk on Mira Szaszy as a complex woman who was both of and before her time in terms of gender politics and defining what a ‘modern Māori woman’ could look like, do and achieve in the mid-to-late 20th century.
Leonie Hayden(Ngati Whatua o Kaipara, Ngati Rango) chaired the talk capably and with foresight and understanding of the issues our ‘inspired women’ were facing.
REMEMBERING: Our very own Emma Frost pays tribute to her tupuna Meri Te Tai Mangakahia at an afternoon of kōrero and waiata in celebration of the diverse history of mana wahine Te Papa, Wellington.
SHARING: HPF’s Emma Frost, third from left, joins other panellists in celebration of the diverse history of mana wahine at Te Papa, Wellington.
Banner pic: A commemoration plaque to Meri Te Tai Mangakahia at her marae in Waihou.
Photo by Juliet Lagan
As keynote speaker at the Pacific Wave Forum in Auckland from August 6 to 7 Dr Viliami Puloka showed findings that surpassed common perceptions of the diabetes epidemic across the Pacific region.
The one that stunned many attendees was a table titled Prevalence Rates of Diabetes: Top 10 Countries of the World. Compiled by the IDF (International Diabetes Federation, 2015), the table revealed that six of the top 10 countries with high rates of diabetes are in the Pacific. Tokelau, an island country and dependent territory of New Zealand, tops the table with 30% of its population aged from 20-79 affected.
Following that in order are: Nauru at 24.1%; Cook Islands 21.5%; Marshall Islands 21.3%; Palau 20.9% and New Caledonia 19.6%. The IDF report concluded that “The percent of people affected by NCDs will rise substantially in the Pacific in the coming decades”.
Among the Pacific nations not included is Papua New Guinea, despite a substantially bigger population which is growing faster than its Pacific neighbours with increasing NCD rates.
A key finding also reveals the NCD mortality burden is much greater in Pacific countries compared to global standings.
For Dr Puloka, the Senior Health Promotion Strategist for the Health Promotion Forum of New Zealand and a Research Fellow (University of Otago) it is not just a health issue.
“It is the only issue … because our health and wellbeing enables us to be able to contribute in a meaningful way,” he says.
“Our health is a resource that we do life with. But the statistics clearly show we in the Pacific are not doing it well.”
He admits it’s more challenging across the region because the island nations’ smaller economies do not have the health resources its bigger neighbours such as Australia and New Zealand operate on.
Therefore, Dr Puloka stresses education and lifestyle changes to diet and exercise are essential to reversing the rising and alarming projections.
A 2012 WHO (World Health Organisation) report noted that “tobacco is the leading behavioural risk factor causing substantially large numbers of potentially preventable deaths worldwide, leading to one death every six seconds”.
Pacific island nations Kiribati and Papua New Guinea were shown as having the third and fifth highest smoking rates in the world with prevalence rates of 67% and 55% respectively.
Our health is a resource that we do life with. But the statistics clearly show we in the Pacific are not doing it well.
The share of public expenditure on health is also rising, said Dr Puloka, with nine of the 11 Pacific countries featured in a WDI (World Development Indicator) report increasing their share of public spending on health as a percentage of GDP (Growth Domestic Product) between 2000 and 2013, despite being increasingly vulnerable to global economic shocks.
Working closer with the private sector is one of the few ways Dr Puloka can see light flickering at the end of the tunnel.
“Preventing the rise of NCDs through education is the key for long-term sustainability,” he says.
“Working alongside the private sector to find solutions has the potential to provide a workable solution.”
Craig Strong, PCF CEO says the Pacific Wave Forum was a success and it wouldn’t have been possible without the PCF team who worked tirelessly behind the scenes to ensure the programme ran seamlessly.
“I’d also like to acknowledge PIFS and PIPSO, who we partnered with, and to all the representatives from the Pacific Private Sector organisations.
“Our conference was centred on the Pacific concept of ‘Talanoa’. We heard the stories, ideas and challenges that our region continues to battle – NCDs and Climate Change.
“The collective discussions in the duration of the conference resulted in collective actions. These are now drafted in a statement that will be presented at the Private Sector Dialogue with Forum Leaders next month in Nauru, keeping in mind the pertinent theme: Building a Strong Blue Pacific – Our People, Our Islands, Our Will.”
(PACIFIC Cooperation Foundation weekly news and updates)
HPF’s Dr Viliami Puloka speaking on non-communicable diseases at the Pacific Wave conference in Auckland.
Today is International Day of the World’s Indigenous Peoples and the spotlight is being shone on forced migration.
This year’s theme focuses on the current situation of indigenous territories, the root causes of migration, trans-border movement and displacement, with a specific focus on indigenous peoples living in urban areas and across international borders.
The observance will explore the challenges and ways forward to revitalise indigenous peoples’ identities and encourage the protection of their rights in or outside their traditional territories.
In his message to mark the day UN Secretary-General António Guterres focused on the factors pushing indigenous people to migrate “within their countries and across international borders” despite their “profound spiritual connection to their lands and resources”.
Mr Guterres noted that “some are subject to displacement or relocation without their free, prior and informed consent”, adding that “others are escaping violence and conflict or the ravages of climate change and environmental degradation” and that many migrate in search of better prospects and employment for themselves and their families.
He stated that while migration is an opportunity, “it also carries inherent risks” citing the unsafe and unsanitary conditions many end up living in, especially in urban areas.
Referring to the Global Compact for migration, which UN Member States have committed to adopt later this year, Mr Guterres said “this will establish an international framework for regional and global cooperation” and “provide a platform to maximize the benefits of migration and support vulnerable migrant groups, including indigenous peoples”.
He called for the full realisation of the UN Declaration on the Rights of Indigenous Peoples, “including the rights to self-determination and to traditional lands, territories and resources”.
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HPF’s executive director Sione Tu’itahi reflected on the significance of the day especially in light of one of the underlying themes of the 23rd IUHPE World Conference on Health Promotion in Rotorua from April 7-11 which was Indigenous knowledge on health promotion.
The conference will provide a valuable platform for the sharing of this knowledge, he said.
“Indigenous knowledge enunciates that humanity and its environment are one…Indigenous knowledge on health promotion and sustainable development can offer solutions to our global challenges today,” said Mr Tu’itahi.
In a joint statement marking the day a group of UN experts say it is crucial that the rights of indigenous peoples are realised when they migrate or are displaced from their lands.
States around the world must take effective action to guarantee the human rights of indigenous people,” say the experts.
“In many parts of the world, indigenous peoples have become migrants because they are fleeing economic deprivation, forced displacement, environmental disasters including climate change impacts, social and political unrest, and militarisation. Indigenous peoples have shown remarkable resilience and determination in these extreme situations.”
There are an estimated 370 million indigenous people in the world, living across 90 countries. They make up less than five per cent of the world’s population, but account for 15 per cent of the poorest. They speak an overwhelming majority of the world’s estimated 7000 languages and represent 5000 different cultures. Read more.
A major cause of New Zealand’s high rates of obesity has been mapped in a world-first study from the University of Auckland.
The study provides a full picture of the healthiness of New Zealand food environments.
The study which was conducted by INFORMAS (International Network for Food and Obesity/NCFs Research, Monitoring and Action Support) found that food environments, especially children’s environments, were largely unhealthy, and policy implementation was low.
Food industry commitments are relatively weak, more than half of the packaged food supply is unhealthy and children and young people are exposed to considerable marketing of unhealthy foods through all media channels were some of the findings.
Significantly, those living in poorer areas were found to be exposed to about three times as many takeaways, fast food outlets and convenience stores; more ads for unhealthy foods around schools and more shelf space devoted to unhealthy foods in supermarkets than wealthier neighbourhoods.
HPF’s Pacific strategist Dr Viliami Puloka commended the study for approaching the issue at a policy level.
Dr Puloka said this approach was necessary because the focus was to highlight that it was the ‘environment’ that matters and that it has a strong influence on personal/individual choices and lifestyle behaviours.
“If you are waking up in an area with half-a-dozen fast food outlets next door to you it is hard to keep away … you have to be almost superhuman to resist.
“The manufacturers and businesses major food companies have done their homework. They know where the vulnerable people are.”
Dr Puloka said it was interesting to see the results from the study’s measurements of the length of shelf space dedicated to different products in supermarkets.
According to the research the length of shelf space allocated to sets of unhealthy and healthy indicator foods showed an overall ratio of 0.42 (1m of unhealthy to 0.42m healthy indicator foods). In more deprived areas the shelf length ratio was more weighed towards unhealthy foods (0.38) than in less deprived areas (o.44).
Dr Puloka emphasised the need for consumers to band together and push for healthier options in supermarkets and other outlets.
“We in health promotion will continue to share our knowledge and understanding … we need to create a hunger for healthy food so there is a demand. If we stand together and believe we have the power to influence these major players in the food industry
“It is already happening. Fast food outlets now sell salads and wraps. Healthier options in a number of places are now available,” added Dr Puloka.
On a bright note the study found that DHBs were taking a leadership role when it came to health food choices and that the nutrition policies of DHBs were much stronger and more comprehensive. An analysis of DHB policies in 2017 found an average strength score of 58 per cent and comprehensive scores of 70 per cent.
This was in contrast to schools, which the survey revealed had substantial scope to improve school food policies and practices. Only 40 per cent of schools had a written food policy and these policies had very low strength scores (average 3 per cent) and comprehensiveness scores (average 16 per cent).
“People choose their diets from the food environments around them and when these are dominated by unhealthy foods and drinks, it is no surprise that our overall diets are unhealthy and our obesity rates are so high,” said Professor Boyd Swinburn who led the three-year study funded by the Health Research Council and the Heart Foundation.
“Of the many sub-studies in this project, several areas emerged where action could really make a difference,” said Professor Swinburn.
“The food in schools was surprisingly unhealthy given all the publicity about rising childhood obesity and food marketing to children was heavily dominated by unhealthy foods across all forms of media and used techniques to engage children such as premium offers and cartoon characters. Food labelling was also a problem with slow uptake of the Health Star Rating system and many unhealthy foods carrying positive nutrition claims.”
Professor Kathryn McPherson of the Health Research Council agreed that ‘choice’ was a complex topic and, for many people, making good food choices was hampered by strong environmental cues such as which food is most readily available.
“We welcome the important findings of this research which should inform decisions by schools, policy makers, and indeed food manufacturers.”
Hāpai Te Hauora in collaboration with Australian Progress is recruiting participants for this year’s Fellowship.
Designed specifically for mid-senior leaders in social change, the Aotearoa Fellowship will super-charge your skills and energy, help you gain further confidence as a social change leader, and connect you with a community of your peers from across Aotearoa.
The Aotearoa fellowship is book-ended by two intensive four-day retreats, with five interactive expert webinars in-between. You will explore the latest thinking in: Campaign strategy; Messaging & framing; Digital engagement; Community organising; Advocacy & decision-maker and engagement.
The fellowship has been run in collaboration between Hāpai Te Hauora Maori Public Health and the Centre for Australian Progress for the past three years.
At the completion of the fellowship, all participants join a “remarkable Trans-Tasman network of change-makers”.
There are a number of registration spaces available, apply here, where you will find all the details about the fellowship, and the cost for attendance.
Over two cohorts in 2016 and 2017, 40 fellows have completed the fellowship in New Zealand, from organisations such as Hāpai Te Hauora, Amnesty International, Mapu Maia (Pacific Arm of the Problem Gambling Foundation), 350 Aotearoa, the Public Service Association, the Blind Foundation, ActionStation, Safe, JustSpeak and the National Council of Women.
In 2017, NZ fellows were joined by five fellows from Australia, and the programme remains open to Australians based outside Sydney and Melbourne.
Photo: Members of the 2017 Fellowship cohort.
After the overwhelmingly positive feedback from participants who attended the most recent courses run by HPF, news that the next two courses have been confirmed is welcome.
The Certificate of Achievement in Introducing Health Promotion will be held in Wellington and Auckland. Block One of the Wellington course will be held from September 4- 7 and Block Two from October 2-5 at Te Aroha Clubrooms (opposite Waiwhetu Marae), 148 Whites Line East, Waiwhetu, Lowerhutt.
In Auckland, Block One will be held from October 30 to November 2 and Block Two from November 27 to 30 at the Manukau Institute of Technology in Otara. Click here to complete the online registration.
HPF’s Trevor Simpson who will facilitate the course also facilitated the Māori Concepts of Health workshop in Blenheim on May 7.
Participants praised Mr Simpson for his excellent knowledge and resources and described him as an “amazing presenter, easily relatable, humorous and clear”.
The participants came away from the workshop “energised, confident, motivated” and ready to tackle their jobs with a new-found enthusiasm.
They agreed they learned so much about the identity of Māori and why this needs to be respected when working in health promotion.
Sally Tonill a social worker from Nelson Bays Primary Health said this was one of the most interesting trainings she had done around Māori worldview.
“It has reignited my interest in how I work and engage with Māori in community, as I was getting a bit jaded.”
Pam Maxted of the Marlborough District Health Board said the presentation was well balanced and made her really mindful of how much she needed to listen to Maori in the relationship-building process.
Understanding Māori myth, legends and customs was also a highlight for participants.
A limited number of scholarships for the health promotion courses are available. Contact email@example.com for an application.
(In the banner photo are students at the Certificate of Achievement in Introducing Health Promotion course at MIT in Manukau with course facilitator, Trevor Simpson, left, from April 17 to 20 and May 15 to 18.)
Students wrapped up the course with team presentations, showcasing not only what they had learned and understood but how creatively they could get their message across to their audience.
The team presentations entertained and informed the audience, which comprised fellow students.
Course Facilitator, Trevor Simpson is the Deputy Executive Director and Senior Health Promotion Strategist with the 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.
More speakers have been confirmed for the world conference on health promotion in Rotorua next year adding to the diverse line-up.
They include respected indigenous leaders from around the world and New Zealand who will be sharing their knowledge and expertise at the 23rd International Union of Health Promotion and Education World Conference from April 7 to 11.
Registrations for the conference which is co-hosted by the Health Promotion Forum of New Zealand are now open and the call for abstracts has gone out.
We take a look at: Dr Stanley Vollant, the first indigenous surgeon in Quebec, Canada; Sir Mason Durie, one of New Zealand’s most respected academics, knighted in 2010 for services to public and Māori health and Tamati Kruger, Māori advocate and social and political analyst.
Dr Vollant who grew up in the Côte-Nord region of Quebec was exposed at a young age to the traditional teachings of his grandfather, which were marked by the importance of community values.
He received his degree in medicine from the Université de Montréal in 1989 and his specialisation in general surgery in 1994.
During the first annual “Stanley Vollant Challenge,” a six-kilometre walk to promote health and wellness he told CBC News that he wanted to inspire Indigenous youth across Quebec to follow their dreams, while also leading healthy lifestyles.
He said it was important to bring Indigenous and non-Indigenous walkers together in the spirit of reconciliation.
“My vision is to bring people to celebrate wellness and also to celebrate [being] all together, Indigenous and non-Indigenous people.”
Sir Mason who was born in 1938, of Rangitane, Ngāti Kauwhata and Ngāti Raukawa descent, grew up in Feilding, where his hard-working parents showed him the importance of a strong work ethic.
Between 1986-1988 he served on the New Zealand Royal Commission on Social Policy and in 1988 accepted a position at Massey University as Professor and Head of Te Pūtahi a Toi, School of Māori Studies. Up until retirement in June 2012 he was Deputy Vice-Chancellor and Professor of Māori Research and Development.
He has been at the forefront of a transformational approach to Māori health and has played major roles in building the Māori health workforce for more than 40 years.
He has also championed higher education for Māori and has published widely on Māori health, Māori policy, the Treaty of Waitangi, Māori education and whānau development.
In his book Nga Tini Whetu NAVIGATING MAORI FUTURES he says in the introduction that, “If there is a single message to this book, it is that Maori have the knowledge, skills and foresight to create a future where younger generations yet to come can prosper in the world, and at the same time live as Maori”.
The model he created for healthcare, Te Whare Tapa Wha, successfully challenged the notion that health is the same for people of all cultures.
He has also made significant strides with his work in mental health, and most recently, the prevention of suicide in Maori and Pasifika communities.
During 2009 he chaired the Ministerial Taskforce on Whānau Centred Initiatives and from 2011 was chair of the Whānau Ora Governance Group. In 2018 he was also a panel member for the Inquiry into Mental Health and Addictions.
Upon being awarded the Blake Medal at last year’s Sir Peter Blake Leadership Awards Sir Mason told the NZ Herald: “The most important thing has been the difference to health. That’s where my career started and it’s continued to be what I spent most of my time doing.
“It’s really how to make people more aware that health is not just a question for doctors and nurses, but a question people have themselves.”
Mr Kruger is a Māori advocate and social and political analyst who has dedicated his career to the development of his iwi. From the Ngāti Koura, Ngāti Rongo and Te Urewera hapū of Tūhoe, Mr Kruger was instrumental in securing the largest Treaty of Waitangi settlement to date ($450 million) for the Central North Island Iwi Collective.
He is now a director of CNI Holdings, representing Tūhoe.
More recently, Mr Kruger was chief negotiator of the Tūhoe-Te Urewera Treaty of Waitangi Settlement. The landmark settlement included a Crown apology for historical grievances, a social service management plan for the Tūhoe rohe and a financial and commercial redress package totalling $170 million.
The settlement also included legislative changes to transfer Te Urewera National Park to its own separate legal entity, looked after by the Te Urewera Board, of which Mr Kruger is chair.
Mr Kruger’s contribution is not limited to his tribe. He chaired the Second Ministerial Māori Taskforce on Whānau Violence and developed the Mauri Ora Framework and was awarded the Kahukura award in 2013 in recognition of this work.
In an interview with Asia Pacific Report he said an important part of leadership involved navigating the difference between Māori and Pākehā politics.
“Part of the blessing of Pākehā politics is you have this apparatus called law, where you can bend people to one’s will. But in Tūhoe politics you have to depend on your reputation and integrity for people to find that whatever you have to say has some wisdom and truth in it.”
The official languages of the conference are English, Spanish, French and in a world-first for Māori and other indigenous cultures Te Reo Māori.
Abstracts must be in by August 31 and submissions can be made in the official languages.
For the first time, the World Conference on Health Promotion will be held in New Zealand from April 7-11, 2019. Rotorua is the venue. The conference provides rare opportunities for New Zealand health promoters, other health professionals, policy makers and others whose work impacts directly on our health and wellbeing, to share knowledge with colleagues from around the world, and to co-construct health promoting pathways into the future.
Hauora catches up with HPF’s Executive Director, Sione Tu’itahi, on the significance of the conference for New Zealand and the world.
What made you decide to invite the conference to NZ?
There were three major reasons. First, New Zealand is part of the global community. And we have common, global challenges that determine our health and wellbeing, such as the environment, economy, education, governance and leadership, which directly impact at the national and local levels.
To address these challenges, we must engage on all levels, especially at the global level. No man is an island anymore. The world is but one country.
Second, and as part of the significant damage caused mostly by us humans to our natural and built environment, climate change is the most urgent issue to be addressed today. Our Pacific region, is where climate change is most evident – eroding and sinking islands, sea level-rise because of global warming, tsunamis, cyclones, and people having to migrate from their homelands because of these disasters. Clearly, the environment is one of the major determinants of our health and wellbeing. So our region must engage in finding solutions to these issues through health promotion and other professional fields. And it is timely and propitious to have that conversation in our region so that health promoters, other health workers, policy makers and other professionals whose work impacts on our health and wellbeing, come together to share experience and explore solutions. That is why we have the conference over-arching theme as “Waiora: Promoting Planetary Health and Sustainable Development for All,” and the 17 UN Sustainable Development Goals (SDGs) as the framework.
Third, New Zealand is a world leader in Indigenous knowledge and health promotion. Indigenous knowledge systems are now being acknowledged as contributors of solutions to world problems. We can share our experience with the rest of the world, and we can learn from their experience too. For example, Indigenous cultures see humanity as part of and inseparable from the environment. Therefore, we humans must live in harmony with nature, and within its limits. The dominant cultural paradigms of the last two centuries regard humans as not only separate from but also owners of the environment, which is seen as a limitless resource to exploit for their insatiable wants. Today we all experience the folly of such perspectives and practices. I think we are beginning to learn some lessons from that erroneous worldview and its underlying values and principles.
Overall, we decided to host because we think that New Zealand health promotion can contribute to addressing inequities and the wellbeing of the world. But also, we have a lot to learn from colleagues around the world, and to strengthen our relationship with IUHPE which leads the ongoing advancement of health promotion, including the development of the global accreditation framework for health promoters. HPF is party to the development of that global accreditation framework which will enhance the efficacy of the health promotion profession for the competency of health promoters and the wellbeing of peoples and communities they serve around the world. Among other benefits, it will also give international recognition to national health promotion qualifications, with positive implications for work in other countries.
What other benefits can New Zealand gain from the conference?
There are a few major benefits, not just for New Zealand but for the rest of the world. Evidence-based knowledge that works will be shared and everyone will learn at the conference. Also, national, regional, and international networks and collaborative efforts will be further enhanced and strengthened among professionals across health and other sectors. We have no choice but to work together, or we suffer and perish together, whether we like it or not.
A third benefit is that two statements from the conference will provide future pathways for policy makers, health professionals and communities on how to address our common, global challenges that impact on our common home, planet earth. One of these two future-focus statements will be on Indigenous health promotion.
A fourth benefit is that Te Reo Maori is elevated to one of the four official languages of the conference. This is a world-first for IUHPE and for New Zealand. It might be a small step, but to have an indigenous language as one of the official languages of a world conference is a giant step for indigenous human rights. It is also a most empowering message to indigenous peoples and ethnic minorities in terms of championing their rights, their wellbeing, and preserving their knowledge systems through preserving their languages. Actually, having Te Reo as an official language is part of our using of Te Tiriti o Waitangi as the framework for organising the conference. It is another way of sharing our New Zealand experience with the rest of the world.
A fifth benefit for New Zealand is the aspirational goals for Rotorua to be a ‘healthy city’ under the World Health Organization (WHO) system. And, of course the 2000 participants will bring economic gains for the country, and not just the tourism sector. It is our experience that participants travel to gain knowledge and enhance their professional networks, but they also take their families and loved ones to visit the host country. It’s a great way of promoting our beautiful country to the world. So you see, the conference will bring many benefits to all parties. It is a win-win initiative.
But what challenges do you and your team face in organising this world event in NZ?
There are the usual logistical challenges that come with organising events, such as finance, appropriate venues, communication, transport, accommodation and food. All this while trying to create a high-quality scientific and social programmes that will attract the top of your profession as keynote speakers, as well as other participants who will bring their latest research findings and professional experience to share and to learn from one another.
What makes it more challenging is that you have to build an international organisational structure at three levels – global, national and local – to plan and manage across different time zones with colleagues around the world. Put on top of that the fact that you have to have keynote speakers from the four official languages of the conference – English, French, Spanish, and Te Reo Maori, and consider gender balance, linguistic & ethnic diversity, and age. But thanks to technology, our 100 HPF member organisations, our professional conference company (The Conference Company), and the help of Tourism New Zealand, as well as our co-organiser, IUHPE, we are managing well, with the usual hiccups, of course. Challenges are good and timely incentives to help ensure you do your utmost best and become more innovative and prudent at the same time.
(Sione pictured catching up with Pacific delegates from Tuvalu and Kiribati at the WHO congress on health promotion, Shanghai, 2016)
From an educational perspective, this is excellent professional development training for our team and others in the country and overseas who have volunteered to help organise the conference. It gives you a real sense of how we live and work as a global village – i.e. we work together across national, geographic and cultural borders to address challenges that confront us all as one human family. As for the conference programme, we have a line-up of public health and health promotion leaders, such as Sir Michael Marmot, Professors Fran Baum, Anthony Capon, and Sir Mason Durie, as keynote speakers. And we are shaping up a highly educational and informative scientific programme that our expected 2000 participants will enjoy and learn a lot from.
You will find more details on the conference website http://www.iuhpe2019.com/
We would love to see all our health promotion and public health colleagues around the world, especially those here in the country, join us. Because public health and health promotion is so relevant to other sectors, such as education, local government, social work, community development, and sustainable development, we would like to think that this is also a conference for colleagues working in those sectors. Health and wellbeing in its broadest meaning and dimensions, such as physical wellbeing, mental wellbeing, economic wellbeing, social wellbeing, cultural wellbeing, and environmental wellbeing, are at the core of the work of most sectors.
You started planning the conference in 2016, but you have been involved with IUHPE for more than 10 years now. For example, you have been a member of the IUHPE Global Executive Board, and Vice President of IUHPE for the South West-Pacific region for some six years. What prompted you to be involved with IUHPE?
The main reason is we are now a global village. Our global challenges are not only inter-connected but they impact on all levels – from the local to the global, and vice-versa. IUHPE provides that global platform and network for health promotion and HPF, hence my involvement. Our focus is still New Zealand, but we include other levels in our work here at HPF. Take smoking and climate change as two health challenges. They impact on all levels. New Zealand’s involvement at the global level helps to find more lasting solutions at its national level for both issues.
The other reason is that good governance and effective leadership is needed if we are to be effective in whatever field we work. HPF saw the opportunity to lead and we took it up on behalf of the South-West Pacific region, which covers NZ, Australia, all other Pacific island nations, and some countries in South East Asia.
My first IUHPE world conference on health promotion was in 2007 in Vancouver, Canada. I attended along with former HPF Executive Director, Dr Alison Blaiklock, and another former HPF co-worker, Joanne Aoake. I saw then the opportunity to build the relationship with IUHPE, and bring my experience and learning to our team and the health promotion workforce. Hosting the conference is the latest development of that professionalrelationship with IUHPE. But there are other developments such as having our Deputy Executive Director, Trevor Simpson, as the Chair of the International Network for Indigenous Health Promotion Professionals (INIHPP) of IUHPE. HPF is also leading the work for New Zealand health promotion to become part of the global accreditation framework for health promotion, recently established by IUHPE. IUHPE has a standing work relationship with WHO, which is a partner of the conference, along with the Secretariat of the Pacific Community (SPC), being led by Dr Colin Tukuitonga, and the Australian Health Promotion Association.
(Taking time out for a photo with Professor Ilona Kickbusch, one of the architects of the Ottawa Charter, 1986.)You have years of working as a journalist in Tonga and the Pacific, then retrained as a teacher and taught at some of the tertiary educational institutions here in New Zealand. Why did you later choose to work in health? And what has the experience been like for you?
Health and education are two important and related determinants of the wellbeing and prosperity of Pacific peoples, in fact, all people. Good education means not only you are enlightened, but you also have a decent income which enables you to afford a healthy life, and be in control of your future. I learned these things early on through my family experience, especially from my grandparents and parents. They were humble folk from humble beginnings in Tonga, but education, being prudent, hard work and serving others were central values and goals.
My mass communication, teaching, and strategic capacity-building experience were very handy when I was invited to set up a Pacific team at the Auckland Regional Public Health Service some 20 years ago. At the time I was starting to build the Pacific capacity of Massey University. I saw the invitation as an opportunity to do the same strategic work for Pacific peoples in the health sector as well. I was later seconded to build the Pacific capacity of HPF, which led to where I am today. For more than 10 years, I shared my time between Massey University and HPF, until I decided recently to focus on my health work, for now.
And your strategic outcomes for the conference?
There are at least three strategic outcomes. And the conference is a platform to enhance those long-term outcomes: Strengthen our co-leadership in health promotion at the global level, such as our work with IUHPE, which not only elevates the prestige of HPF, but more importantly, helps to build the capability and capacity of the health promotion workforce and sector in NZ and the world, for the wellbeing of society. Enhance our leading contribution to the world in Indigenous health promotion; Ensure the sustainable strength and longevity of HPF and the health promotion sector in New Zealand.
New Zealand is walking the talk in the battle to tackle climate change with 18 health organisations as well as 60 businesses committing to decisive action on the issue.
On July 6 in a historic meeting for climate change and health, members of the leading health professional organisations, including the Health Promotion Forum of NZ, met with the Minister for Climate Change, James Shaw, to add their support for a strong Zero Carbon Act.
Attendees at the meeting of health organisations hosted by the Royal Australasian College of Surgeons were united in their call for decisive action on climate change to protect and improve health and fairness for New Zealanders.
“There is a strong consensus among health professionals that New Zealand needs a robust law to get to net zero greenhouse gas emissions,” said Dr Rhys Jones, co-convenor of OraTaiao, the NZ Climate & Health Council.
“A Zero Carbon Act will need to set targets and action that are fast, fair, firm and founded on Te Tiriti o Waitangi. Three decades of sitting on our hands means we now need to face the reality that all sectors must play their part in responding to the climate crisis. We need to reach net zero for all our greenhouse gas emissions by 2040.”
Sione Tui’tahi, HPF’s Executive Director who attended the meeting said it was encouraging to see members in the health sector working together for our collective wellbeing.
The Zero Carbon Bill consultation ends on July 19.
The move by the business community to take action has been praised as “strong” and “unprecedented” by local and global organisations.
CEOs have formed the Climate Leaders Coalition, recognising the role that business can play in bringing about change and signing a joint statement, which commits their companies to action.
By signing the CEO Climate Change Statement, each of the business leaders has committed to measuring and reporting their greenhouse gas emissions and working with suppliers to reduce emissions, with the aim of helping to keep global warming within 2C, as specified in the Paris Agreement.
Convenor of the coalition, Z Energy CEO, Mike Bennetts said: “I knew that many businesses were making progress with their own company’s response to climate change but that still left a gap around what we could be doing more of together to increase the pace and scale of impact from our collective efforts.
“So, it made sense to discuss those opportunities and commit to further action.”
The new group includes the leaders of Z, Westpac, Ngai Tahu Holdings, Vector, Air New Zealand, Spark and NZ Post.
Members of leading health organisations, including HPF, meeting with the Minister for Climate Change, James Shaw to add their support for a strong Zero Carbon Act.
Ramping up action to combat climate change is essential if we are to help our Pacific Island neighbours says the Minister for Climate Change, James Shaw.
Mr Shaw made the comment after The Declaration for Ambition on climate change was signed by the High Ambition Coalition group of countries, including New Zealand, recently.
The declaration underscores the urgency for countries to enhance their Nationally Determined Contributions (NDCs) by 2020 in line with the Paris Agreement; put in place long-term strategies to reach net zero emissions; and secure the support and investment to ensure effective implementation.
Mr Shaw says as the world works towards the next United Nations climate change conference in Poland later this year, it is important to join with other countries to push for effective climate action and implementation of the Paris Agreement.
“This is about protecting a stable climate for future generations of people in New Zealand and around the world, and helping our Pacific neighbours avoid the potential impacts of climate change and rising seas,” Mr Shaw says.
The Pacific Islands as a group may be the planet’s most vulnerable nations to the effects of climate change, with some facing possible obliteration. The effects on families and communities can be devastating.
For most countries, a net zero target is widely seen as necessary to be consistent with promises made under the Paris climate treaty to limit global warming to well below 2C and ideally 1.5C, the level scientists agree is necessary to minimise climatic disruption and save low-lying island states.
According to Climate Action Network (CAN) The International Panel on Climate Change (IPCC) Special Report on 1.5C, due to be released in October, is likely to confirm that limiting warming to 1.5C is feasible, but hard to achieve.
This makes it essential and urgent therefore for all countries to join these front-runners and step up to enhance their NDCs by 2020 states CAN.
Countries that signed the declaration promised to “lead from the front” on climate action.
They are Argentina, Britain, Canada, Chile, Colombia, Costa Rica, Denmark, Ethiopia, Fiji, Finland, France, Germany, Maldives, Marshall Islands, Mexico, Monaco, the Netherlands, Norway, Rwanda, Saint Lucia, Spain and Sweden.
“We commit to exploring the possibilities for stepping up our own ambition, in light of the forthcoming IPCC Special Report on 1.5C, and in this context emphasise the importance of the Talanoa Dialogue at COP24,” the first line of the Declaration reads.
The Talanoa Dialogue which was launched at the UN Climate Change Conference COP23 in Bonn in November 2017 and will run throughout 2018 is the Fijian presidency of the UN climate talks initiative to encourage countries and businesses to showcase their climate action.
Health threats from climate changes include: worsening illness and injury from heat and other extreme weather, changing patterns of infection including food poisoning, loss of seafood and farming livelihoods, food price rises and mass migration from the Pacific. Those on low incomes, Māori, Pacific people, children and older people will be hit first and hardest, but nobody will be immune to the widespread health and social threats of unchecked climate change. Direct and indirect climate change impacts are already being seen here from warming oceans and sea level rise.
The north coast of the Tongatapu group, Tonga and the lagoons are low lying and vulnerable to sea-level rise. Here the effects of coastal erosion at Lifuka in the Ha’apai group are evident. (Photo: Tonga: LiDAR factsheet)
New Zealand is part of 23 countries walking the talk when it comes to pushing for effective climate action.
The Declaration for Ambition on climate change was signed by the High Ambition Coalition group of countries, including New Zealand, recently.
The declaration underscores the urgency for countries to enhance their Nationally Determined Contributions (NDCs) by 2020 in line with the Paris Agreement; put in place long-term strategies to reach net zero emissions and secure the support and investment to ensure effective implementation.
The Health Promotion Forum of NZ has welcomed the move to step up climate action.
HPF’s Executive Director, Sione Tu’itahi says it is heartening to see nations trying to work together for our collective wellbeing.
“Climate change must be addressed now if we are to offer a healthy future for our grandchildren,” he says.
Minister for Climate Change James Shaw says as the world works towards the next United Nations climate change conference in Poland later this year, it’s important to join with other countries to push for effective climate action and implementation of the Paris Agreement.
“Taking action to reduce emissions at home is important, which is why the Government is developing a Zero Carbon Bill …
“This is about protecting a stable climate for future generations of people in New Zealand and around the world, and helping our Pacific neighbours avoid the potential impacts of climate change and rising seas,” Mr Shaw says.
For most countries, a net zero target is widely seen as necessary to be consistent with promises made under the Paris climate treaty to limit global warming to well below 2C and ideally 1.5C, the level scientists agree is necessary to minimise climatic disruption and save low-lying island states.
The International Panel on Climate Change (IPCC) Special Report on 1.5C, due to be released in October, is likely to confirm that limiting warming to 1.5C is feasible, but hard to achieve.
Climate Action Network International points out that this therefore makes it essential and urgent for all countries to join these front-runners and step up to enhance their NDCs by 2020.
Signatories to the declaration are Argentina, Britain, Canada, Chile, Colombia, Costa Rica, Denmark, Ethiopia, Fiji, Finland, France, Germany, Maldives, Marshall Islands, Mexico, Monaco, the Netherlands, New Zealand, Norway, Rwanda, Saint Lucia, Spain and Sweden.
Empowering, informative, inspiring and interactive were just some of the enthusiastic comments from participants at the Pasifika Health Promotion workshop in Auckland last week.
The Health Promotion Forum’s (HPF) workshop held at the MIT Pasifika Community Centre on June 15 focused on the social determinants of health from a Pacific perspective.
The workshop which was facilitated by HPF’s Dr Viliami Puloka was attended by 21 participants from around and outside Auckland.
Middlemore Hospital’s Delilah Hutcheson was impressed with the interactive group participation and the facilitator’s knowledge.
Ms Hutcheson said she planned to apply and incorporate what she gained from the workshop into their Pacific cultural competency training for new employees. “Some of the contents are invaluable.”
Jennifer Beatson of the Nelson Tasman Pacific Community Trust who was attending her first health promotion workshop said she learned so much; she was now eager to attend other health promotion courses.
“Health promotion will be an area… we will definitely be looking closely at,” she said.
Ngakiri Antonovich of the Northland Pacific Island Charitable Trust Inc said she now felt better and more informed to help Pacific people in Whangarei.
“My first introduction to Pacific health only just started two weeks ago. The stats and info provided at the workshop were great and informative.”
Having more empathy was also something participants agreed was a key part of the course.
“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 Ms Antonovich.
Francis Latu of the Waitemata DHB said not only did she have a better understanding of what health promotion was all about but she learned to be more empathetic towards people’s situations.
Ms Hutcheson said she would be more aware of her surroundings and interactions with others. “Be proud to share what you know of your culture.”
Otara Health Charitable Trust’s Zondervan Fa’alafi said his attitude towards the Pacific community was challenged and renewed as a result of the workshop.
“I feel more competent, confident and compassionate in carrying out my work.”
Reverend Ifalemi Teisi encouraged other health workers to do the workshop which he described as “inspiring, and encouraging”.
Participants also enjoyed the one-plus-one number activity demonstrated by HPF’s Emma Frost, as well as the healthy and tasty morning tea and lunch.
“Yum,” was the general consensus.
Interesting stats from the workshop:Pacific Profile: 2013 census
Pacific peoples make up 7.4% of NZ population
Fourth most common ethnic group
Two thirds Pacific born in NZ
Pacific ethnic profiles numbered 19
By 2026 project growth will be 10% of the population so an increase in NZ births, student body and workforce, taxpayer base, voters & consumers
Represented by 13 distinct languages and cultural groups born here and in the Pacific
High rates of intermarriage (redefining Pacific with mixed ethnicities)
Dr Viliami Puloka, left, with participants at the Pasifika Health Promotion workshop on June 15.
Dr Viliami Puloka uses a map to show participants just how vast the Pacific region is. As he says: “Pasifika models enable Pasifika peoples to see the world through their own eyes and experience.”
A group launched in Switzerland last month is now ready to start forging a new path for improved indigenous health everywhere says the group’s Co-Chair Adrian Te Patu.
Mr Te Patu made the comment after the launch of the Indigenous Working Group (IWG) of the World Federation of Public Health Associations (WFPHA) at the University of Geneva.
Mr Te Patu a WFPHA Governing Council member pointed out that public health experts and Indigenous health leaders around the world had been calling on their governments for recognition of Indigenous health as a top priority.
He thanked the particularly strong efforts by Australia and New Zealand over the past year.
Carmen Parter, Co-Chair and Vice President at the Public Health Association of Australia (PHAA) said this was a significant event for the 370 million Indigenous people worldwide.
“A key feature of the Indigenous Working Group is that it will be underpinned by the United Nations Declaration on the Rights of Indigenous Peoples.
“The Declaration strongly emphasises the need for Indigenous People’s self-determination and that’s why the Working Group will be led by indigenous people. We are the people who need to be driving change in health policy, because it is us, our families, and our communities who are suffering from this health inequity,” Ms Parter said.
Once in operation, the IWG will bring together indigenous peoples from around the world to exchange knowledge, engage in collective advocacy, form active partnerships, source funding and resources, and seek out research opportunities to develop the evidence base that informs global and national Indigenous public health policies.
This aligns with and will continue to support the WFPHA’s Global Charter for the Public’s Health and its Strategic Plan. In addition, it continues to contribute towards the goals and priority areas of the United Nation’s Sustainable Development Goals.
Meanwhile, the group’s launch joins another exciting initiative and a world-first for Māori and other indigenous cultures at the 23rd IUHPE World Health Promotion conference in Rotorua from April 7 to 11, 2019 which will feature Maori as one of its four official languages.
One of the underlying themes of the conference, co-hosted by HPF, is Indigenous knowledge on health promotion and sustainable development. Click here for more info on the conference.
Banner picture:SUPPORTIVE: Indigenous working group and associates support Rheumatic Heart Disease Action side event at World Health Assembly Geneva 2018. From left, Summer May Finlay (PHAA), Adrian Te Patu (PHANZ), Emma Rawson (PHANZ), the Minister for Health Dr David Clark and Dr Mariam Parwaiz (NZ).
READY-TO-ROLL: Co-Chairs Carmen Parter (PHAA) and Adrian Te Patu, front, and co-vice chairs Emma Rawson and Summer May Finlay on their way to the general assembly of the WFPHA.
A report which outlines the harm caused by exposing children to alcohol at school fundraisers is a good move from a health promotion perspective says Dr Viliami Puloka.
The Hawke’s Bay District Health Board has endorsed the report which was prepared by Rowan Manhire-Heath with support from the Hawke’s Bay DHB Population Health and Business Intelligence teams and suggests ways schools can become alcohol-free .
According to the report the Hawke’s Bay population as a whole is drinking more hazardously than New Zealanders on average and of particular concern to the DHB is the presence and promotion of alcohol in schools and educational settings.
“The District Health Board is clear in its position: alcohol and schools do not mix,” it states.
Dr Puloka the Senior Health Promotion Strategist with HPF says when it comes to students, especially younger ones they often copy what they see adults are doing.
He says the big issue with drinking alcohol in a school setting was the role-modelling and wrong message that was being sent out.
Drinking alcohol in school settings he points out is inconsistent with what schools stand for, the safe environment they provide for young people and what is taught in class.
“They are brought up to embrace school and school authority so if they see alcohol sold or consumed at fundraisers and the like, they will think drinking is normal and act by association.”
By endorsing the report the DHB, he says, is giving out a powerful statement.
“We are not interfering with choice but we’re talking about providing the right environment and setting an example
“So from the Health Promotion Forum’s perspective this is a good message and should be extended to all schools.”
Dr Puloka adds that the report’s guidelines on how schools can develop their own alcohol policies are also a step in the right direction.
“HPF supports this move wholeheartedly. The guidelines are important part of policy directions.”
Currently, there is no legislation that prohibits the selling or supplying of alcohol on school property. Boards of Trustees currently decide school policy matters.
Report author and population health adviser Rowan Manhire-Heath told Hawkes Bay Today that the DHB was concerned at the pervasiveness of alcohol promotion and had the view that when alcohol was consumed in a school setting it reinforced the inaccurate perception that it was a safe product.
According to data collected by the DHB from March 2014 to October 2017 on the educational settings and types of events where a licence to sell alcohol was granted, 39 per cent of applications were from primary or intermediate schools, 29 per cent from secondary schools and six per cent from early childhood centres.
Lower decile schools were less likely to apply for a licence and quiz, casino, bingo, movie and auction nights were the most common events where an alcohol licence was granted and young people’s attendance was anticipated.
There is evidence that the attitude towards spirituality and health is changing says Health Promotion Forum’s deputy chair Richard Egan.
Mr Egan who is a lecturer in health promotion at the Dunedin School of Medicine, University of Otago made the comment after returning from the 6th European Conference on Religion, Spirituality and Health and the 5th International Conference of the British Association for the Study of Spirituality from May 17 to 19 at Coventry University in the UK. The theme was forgiveness.
Mr Egan says when working with people and populations, there is a strong argument to include the spiritual dimension.
“Sitting within such models as Te Whare Tapa Wha, Fono Fale, total care and person-centred approaches, spirituality has often been overlooked. There is some evidence that this is changing,” he says.
“I have been working in the spirituality and research area for over a decade and applaud this renewed focus on forgiveness as an important element of spiritual care.”
Mr Egan says forgiveness has a long religious spiritual history, but a range of researchers have examined it in healthcare and developed therapeutic and educational forgiveness resources.
“In healthcare there is evidence that blame and guilt are common and has debilitating effects among healthcare professionals,” he says.
“American psychologist Professor Robert Enright argues, with research to support his claims that behind what he calls secondary effects such as anxiety, depression and even suicide is a primary effect of anger due to injustice. This primary effect it is suggested, is causal in the pathway of many illnesses, through immune system responses.“
Mr Egan says key authors in the field have developed theory-based interventions and education projects that enable people to deal with injustice.
However he points out that what this work does not do is challenge top-down policy, structures and practice that proliferates injustice and inequity.
“Perhaps forgiveness education may act in time as a bottom-up impetus for change. But certainly spirituality and its component forgiveness have place in ongoing transformation. “
Richard Egan is is a lecturer in health promotion, based in the Cancer Society Social and Behavioural Research Unit, Department of Preventive & Social Medicine, Dunedin School of Medicine, University of Otago. Mr Egan’s Master’s thesis examined spirituality in New Zealand state schools, his PhD thesis explored spirituality in end-of-life care and he has qualifications in theology, English literature, religious studies, and public health.
A residential weekend/retreat to explore anti-racism and our Tiriti o Waitangi responsibilities to Māori will be held in Auckland in November.
Master Class: Strengthening Anti-Racism Praxis is an interactive programme tailored to participants with a focus on fostering practical strategies to eliminate racism.
The retreat to be held from November 9 to 11 at Kotare: Centre for Social Change, Hoteo North is a safe space tailored to participants with a focus on fostering practical strategies to eliminate racism.
It includes technical input, skill-sharing, problem-solving, planning, network building and time with activist elders.
The facilitators are Susan da Silva, Dr Heather Came and Italian/English activist, Miriam Gioia Sessa.
Ms da Silva is well-known in Northland and throughout New Zealand for her work with te Tiriti o Waitangi issues. She has worked with organisations nationally, regionally and locally providing professional development for staff working in early childhood, social services and health services.
Since her arrival in Northland, Susan has worked as the Paediatric Social Worker for the Northland DHB and, after 15 years at NorthTec, she is now a Social Worker at Whangarei Boys High School.
Dr Came is a seventh generation New Zealander with an extensive background in the health sector and social justice activism.
An activist scholar based at Auckland University of Technology she is a member of Tāmaki Tiriti Workers and founding member of STIR: Stop Institutional Racism.
Miriam Gioia Sessa is an Italian/English activist who began feminist and social justice activism at 14 while living Rome. She is currently working in the sexual violence sector in New Zealand.
The retreat will start at 6 pm on Friday night and finish at 2pm on Sunday.
The cost is $250 for institution and $115 for other with free registration for those coming from the South Island or overseas.
A maximum of 25 participants with a base understanding of Te Tiriti o Waitangi is required.
Contact firstname.lastname@example.org or 021 539063 for registration form and more details.
A great learning experience, an eye-opener and thoroughly enjoyable were some of the comments from participants who attended a health promotion course in Auckland recently.
The Manukau Institute of Technology Certificate of Achievement in Introducing Health Promotion was held in two four-day blocks from April 17 to 20 and May 15 to 18.
The part-time short course introduces students to the principles, concepts and practice of health promotion and relates theory to their own experiences, knowledge and skills.
Participants agreed that what they learned at the course was invaluable in their day-to-day work and they all gained a deeper understanding and an appreciation of what health promotion was all about.
Limiva Fonmanu a health worker with Mobile Chronic Disease Management, K’aute Pasifika Health Unit said she thoroughly enjoyed the whole two blocks of learning.
“The teaching by Trevor is so amazing and he has a unique approach to helping us understand things, especially with his vast knowledge around Te Tiriti o Waitangi in relation to health promotion. I have done some courses whereby te Tiriti has been included and explained but not to this depth and many things were clarified.
“In my line of work as a community health worker I do a lot of health education but through this course, I noted that it is mainly individual-based,” said Limiva. “After learning about the Ottawa Charter to the extent we did made me look back at how I am doing things with my community and what things I can do to better my service for them in terms of health promotion.
“This is a course that I will surely recommend for fellow colleagues to do especially with the amount of information there is to gain.”
Tomairangi Chaffey-Aupouri a student at Waikato University said she was able to gain a deeper understanding of how health promotion worked in relation to te Tiriti.
“I learned heaps at the course, it was awesome,” she said.
Avalu Tausala of the Akihuho Trust said learning about the Ottawa Charter and the determinants of health were important for her because she was studying to be a social worker and was writing a report on diabetes.
“Some people questioned the connection between diabetes and social work but doing this course helped me to gain a deeper understanding that it is all related.”
Participants wrapped up the course with team presentations that showcased not only what they had learned and understood but how creatively they were able to get their message across to their audience.
They divided into two groups and had 25 minutes to present their selected topics which were alcoholism and rheumatic fever. Working as groups with allotted time limits enhanced their ability to collaborate as a team, think creatively and out-of-the-box and manage their time effectively they all agreed.
The team presentation was a great chance to be able to work closely with other people she didn’t know, said Tomairangi.
“Coming from Gisborne we all know each other,” she laughed. “Developing personal skills was a good part of the group discussion as well as effective time management.”
“Everyone’s Mauri Ora was uplifted after the presentations,” said Avalu.
Cleopatra Matthews of the Women’s Health Trust said the presentations were good for team bonding and there were no butting of heads. “Everyone had a voice.”
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.
In the photo:ENTHUSIASTIC: Front from left, Trevor Simpson, tutor, Mita Tupaea, Te Kaha o Te Rangatahi (Whanau o Tamaki Makaurau), Letari Tepana, Te Ahurei a Rangatahi Trust, Te One Matthews, Te Kaha o Te Rangatahi (Whanau o Tamaki Makaurau), Emma Frost, Health Promotion Forum’s Activities Coordinator and Office Manager and Leonora Houma, Solomon Islands of Waikato. Back, Cleopatra Matthews, Women’s Health Trust, Jessica Gosche, Waikato District Health Board, Tomairangi Chaffey-Aupouri, Waikato University, Avalu Tausala, Akihuho Trust, Lilly Rawiri, Te Kaha o Te Rangatahi and Limiva Fonmanu, Mobile Chronic Disease Management, K’aute Pasifika Health Unit.
With registrations open for two health promotion workshops next month now is your chance to get in and boost your health promotion competency.
The Māori Concepts of Health Promotion workshop will be held in Blenheim on June 1 and the Pasifika Health Promotion workshop in Auckland on June 15.
The Māori Concepts workshop aims to introduce participants to shared understandings of traditional Māori concepts, ideologies and practices in relation to health and wellbeing.
Additionally the workshop will consider how these ideas may be used to inform modern-day approaches to Māori health promotion planning, implementation and evaluation.
Course facilitator and deputy director of the Health Promotion Forum of New Zealand (HPF), Trevor Simpson says Maori identity is the key philosophy behind the workshop.
“The course looks at world views and how those traditional world views can inform contemporary Māori practice,” says Mr Simpson.
The workshop will be held at St John, Marlborough, 93 Seymour St, Blenheim from 9.30am to 3.30pm.
The Pasifika Health Promotion workshop will focus on the social determinants of health from a Pacific perspective and will trace the history of Pacific health promotion in New Zealand and discuss how determinants of health can be addressed to produce health equity, wellbeing and success for Pacific peoples.
It aims to equip Pasifika health promoters and community leaders with the knowledge and tools to address the social determinants of health and work with the strengths, potentials and aspirations of Pasifika families and communities to take control of their health and wellbeing.
Course facilitator, Dr Viliami Puloka says although the course looked at how non-communicable diseases such as diabetes, heart disease and cancer impacted the wellbeing of the Pacific community the emphasis was not on sickness or disease but on the contributing factors.
“The disease aspect will come in only as a result of what contributed to it,” says Dr Puloka who is HPF’s Senior Health Promotion Strategist specialising in Pacific Health Promotion.
“Physical health is just a bit of what makes you healthy. We are looking at health as a resource of living rather than a destination you arrive at. 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.”
The workshop will be held at the MIT Pasifika Community Centre.
To register or for more information contact Emma Frost at email@example.com or 09 300 3734.
Having Te Reo Maori as one of the four official languages of the World Conference on Health Promotion in New Zealand next year is a world-first for Maori and other Indigenous cultures.
The 23rd IUHPE World Conference on Health Promotion: WAIORA: Promoting Planetary Health and Sustainable Development for All will be held in Rotorua from April 7-11.
Like the other dying languages of the 370 million Indigenous peoples of the world, Te Reo Maori is the repository for the Maori culture – values, knowledge, practices and history.
Sione Tu’itahi, the conference co-chair and Executive Director of the Health Promotion Forum which is the local co-host, says having Te Reo Maori as one of the four official languages of the conference is one way of acknowledging the rights of Indigenous peoples.
“Te Reo Maori is the native tongue of Maori, the Indigenous peoples of Aotearoa New Zealand. It is also one of the official languages of our country,” says Mr Tu’itahi.
“Given that we are co-hosting this world conference, it is only right that we honour Te Reo Maori this way, especially when it is rights guaranteed for Tangata Whenua under Te Tiriti o Waitangi, the founding document of modern New Zealand.”
One of the underlying themes of the conference, Indigenous knowledge on health promotion and sustainable development can offer solutions to our global challenges today, adds Mr Tu’itahi. “Indigenous knowledge enunciates that humanity and its environment are one. But we are confronted by environmental challenges, including climate changes, because of our dominant mainstream approach of separating humanity from the rest of the environment and exploiting the latter for our socio-economic gains.”
Trevor Simpson, the Deputy Executive Director/Senior Health Promotion Strategist (with Portfolio in Māori development) says “for the first time an indigenous plenary speaker will address the IUHPE World Conference in our indigenous language, Te Reo Maori”.
“This in turn will be simultaneously translated into the other three official languages of the conference – English, French and Spanish. This presents a wonderful opportunity for Aotearoa, New Zealand to take a leading role in building indigenous notions of health promotion through promoting the use of indigenous language.”
Mr Simpson points out that Maori Health Promotion is premised on the idea that world views and cultural identity are central and imperative to achieving positive Maori health outcomes.
“Te Reo Maori provides the basis for understanding how these views are formed in the first place and also illustrates how identity, language and wellbeing are intertwined.”
The conference theme sets the direction and intent of the conference that will attract health professionals, development experts, policy-makers and other professional leaders to Rotorua, the first city to be bi-lingual, and also the cultural capital of New Zealand.
A highly educational and informative scientific programme is being drafted while an equally attractive social programme is being shaped up.
Abstracts for the World Conference on Health Promotion that will be held in New Zealand next year must be in by August 31.
Submissions for the 23rd International Union for Health Promotion and Education (IUHPE) World Conference on Health Promotion to be held in Rotorua from April 7 to 11 can be made in English, Spanish, French and Te Reo Māori.
The Health Promotion Forum of New Zealand (HPF) is hosting the conference in association with the IUHPE.
The approximate date of acceptance of abstracts is October 22 and all abstracts must be submitted through this online form.
All abstract submitters, including individual contributors, are encouraged to interact and collaborate with other presenters and participants wherever possible. Participatory, collaborative and non-traditional session formats will be given priority in the selection process.
Abstracts can be submitted in eight different formats: symposium; workshop; research oral/poster presentation; innovation in policy and practice oral/poster presentation; round table discussion; alternative showing/new technology; alternative showing/art and lunch with an author.
The committee is encouraging submissions to match the sub-themes of the conference. Abstracts can be submitted under one of the four conference sub-themes:
Ensure health equity throughout the life course, within and among countries, making each member of the global society an empowered lifelong learner.
Make all urban and other habitats inclusive, safe, resilient and sustainable and conducive to health and wellbeing.
Climate change adaptation strategies
Design and implement effective and fair climate change adaptation strategies.
Build effective, accountable and inclusive governance
Build effective, accountable and inclusive governance at all levels that promotes, peace, justice and respect of human rights.
For further information on each of these formats please click here.
Plans are underway to develop a training manual from a Te Tiriti-based health promotion resource that has been well received by health promoters.
Dr Heather Came who is one of the authors of Te Tiriti o Waitangi-based practice in Health Promotion says the manual is currently in development with another of the booklet’s authors, Dr Nicole Coupe leading the work.
“We need to regroup and talk about it but the intention is that we are keen to find folk willing to extend the reach of the resource,” says Dr Came, who has worked for nearly 25 years in health promotion, public and Māori health and has had a long involvement in social justice activism.
Aimed at the health promotion workforce, the free resource which is published by STIR (Stop Institutional Racism) was launched in Auckland on January 28 this year and is available online and in print. It builds on the legacy of Dr Irihapeti Ramsden and cultural safety in nursing.
Dr Came, who is a senior lecturer based in the Taupua Waiora Māori Health Research Centre at Auckland University of Technology says they have had feedback that the resource is useful and academics have been using it as a teaching tool.
“We had been thinking about producing something to end institutional racism in the public sector and one of the ways was to honour Te Tiriti o Wāitangi … if you’re following the treaty than you’re not practising racism,” she said.
“It’s a smorgasbord of ideas about how to implement te Tiriti in your practice.”
Dr Came says however that the debate over te Tiriti continues to evolve as evidenced by the Waitangi Tribunal’s finding in 2014 that Ngapuhi did not cede their sovereignty when they signed te Tiriti in 1840.
“We had been thinking about producing something to end institutional racism in the public sector and one of the ways was to honour Te Tiriti o Wāitangi.”
Dr Heather Came
“So the intention was to add to and strengthen the resource every five years as things continue to evolve,” she explains.
Although the resource is written for practitioners, teachers and those working in the health promotion field Dr Came believes it would be of interest to people outside the sector, as well as a Tau Iwi audience.
Well-known and respected Māori activist and lawyer from Ngati Kahungunu and Ngati Porou specialising in Treaty and constitutional issues, Moana Jackson says in the booklet’s foreword it is appropriate that the resource is dedicated to Dr Irihapeti Ramsden.
“As a nurse and deep-thinking philosopher she was committed to finding practical ways to give effect to Te Tiriti o Waitangi; especially in health,” says Mr Jackson.
“Her promotion of the concept of cultural safety in nursing recognised the power dynamics at play in any relationship between health professionals and those in their care. In a very real sense it was based in Te Tiriti o Waitangi and was thus a recognition that the Tiriti-Treaty relationship is also about power.”
“I am grateful for the work done by all of those involved … and commend it not just to people involved in the health professions but to everyone who chooses to live in this land.”
Mr Jackson said the resource built upon that recognition and in a carefully considered and practical way offers guidance for all who work in the health sector to manage and develop their Treaty-based practice in ways that recognise the power relationships it enshrines.
He acknowledged that the resource was timely as it reflected the evolving understanding of te Tiriti that has occurred since the 1970s.
“I am grateful for the work done by all of those involved in compiling and editing this resource and commend it not just to people involved in the health professions but to everyone who chooses to live in this land.”
STIR is a group of senior public health practitioners and activist researchers who aim to end racism in the public health sector.
Sione Tui’tahi, Executive Director of The Health Promotion Forum of New Zealand (HPF), one of the supporters of the resource, said “we are proud to be party to the development of this resource because te Tiriti and the Ottawa Charter are the two documents upon which health promotion is based in New Zealand”.
“Māori health promotion contributes, among other things, indigenous opportunities, values and tools to health promotion which enrich our understanding of health promotion in New Zealand and the rest of the world.”
Deputy Executive Director of HPF, Trevor Simpson, whose interests are in raising the profile of Māori issues particularly in the areas of health and matters of social importance, is one of the authors of the resource.
The other authors are: Grant Berghan, Claire Doole, Dr Jonathan Fay and Dr Tim McCreanor.
More about Te Tiriti o Waitangi-based practice in Health Promotion
The resource which is inspired by activist scholarship and explores the ways in which senior health promoters work with the articles of te Tiriti and its aspirations starts by outlining the importance of te Tiriti to health promotion practice in Aotearoa. It then sets out the research method on which this resource is based, and from which deeper engagement is advocated with te Tiriti-based practice, anti-racism and decolonisation.
“We locate te Tiriti as a sequel to Her Wakaputanga o Nu Tireni (the Declaration of Independence). We next orient readers to each of the articles of the Maori text of te Tiriti as it relates to health promotion in Aotearoa … Under each article of te Tiriti we introduce relevant research, information from this study and insights from the authors’ experiences related to te Tiriti. The final section draws out the core elements of Tiriti-based practice,” write the authors.
A top line-up of speakers from around the world and New Zealand has been confirmed for the world health promotion conference in Rotorua, New Zealand next year.
The theme of the 23rd IHUPE (International Union for Health Promotion and Education) Health conference to be held from April 7 to 11 is Waiora: Promoting Planetary Health and Sustainable Development for All.
The Health Promotion Forum of New Zealand (HPF) is co-hosting the conference which is expected to be attended by 2000 delegates from all over the world..
Co-chairs of the conference Sione Tui’tahi, Executive Director, Health Promotion Forum of New Zealand and Graham Robertson, President, IUHPE, say the conference will be invaluable for those in the sector to exchange knowledge and build networks in order to: share strategies, policies and practices; present results and assess progress; influence policy and bring about positive change and promote health and equity amongst all people.
The chance to hear from internationally-recognised speakers such as Professor Anthony Capon from the University of Sydney and Professor Fran Baum from Flinders University, Adelaide is also too good an opportunity to miss.
Prof Capon is the world’s first professor of planetary health and an authority on environmental health and health promotion while Prof Baum from Flinders University, Adelaide is one of Australia’s leading researchers on the social and economic determinants of health.
Prof Capon, who was born in New Zealand and moved to Brisbane with his family when he was a young boy, is a public health physician with more than 25 years of senior leadership experience, spanning academic, policy and practice roles.
“Planetary health is about safeguarding the health and wellbeing of current and future generations through good stewardship of Earth’s natural systems and by rethinking the way we feed, move, house, power, and care for the world (something missing here?), “ Professor Capon told Lancet recently.
Capon thinks that, “the central challenge of planetary health is to greatly reduce per capita resource consumption in high-income countries (HICs) to make room for further sustainable development in other countries”.
He also told the journal that: “If everyone in the world lived as the average Australian does, we would need four or five planets … we urgently need to contract per capita consumption in HICs to about 20% of what it is now so that all people can have a fair share of the Earth. And with less focus on materialism, we may indeed lead more fulfilling, and healthier, lives in tune with nature for the world.”
The former director of the global health institute at United Nations University (UNU-IIGH) has also since 2008 advised the International Council for Science on its global interdisciplinary science programme on health and wellbeing in the changing urban environment using systems approaches.
Prof Baum is Matthew Flinders Distinguished Professor of Public Health and Foundation Director of the Southgate Institute for Health, Society and Equity at Flinders University.
Prof Baum was named in the Queen’s Birthday 2016 Honours List as an Officer of the Order of Australia (AO) for “distinguished service to higher education as an academic and public health researcher, as an advocate for improved access to community health care, and to professional organisations”.
Prof Baum told ABC Online, in an article on mental illness and poverty last month, that reducing levels of mental distress, and closing health inequalities, would require a rethinking of Australia’s direction as a society.
“I would have thought in the last 30 years, when rates of anxiety and depression have gone up in Western countries, there’s some clear clues from the economic system and society we’re creating.”
This system includes a dramatic rise in precarious and casualised work, a trend Prof Baum says could exacerbate pressures of powerlessness and poverty.
According to ABC Online she is writing a book on the subject of health inequality, and one of the unavoidable conclusions of her research is that health reform is political.
Her preliminary recommendations include reducing economic inequality, making public education free and available to all and providing more affordable and secure housing, to name a few.
Prof Baum holds grants from the National Health & Medical Research Council and the Australia Research Council which are considering a wide range of aspects of health inequities and social determinants of health. These grants include an NHMRC Centre for Research Excellence on Policies for Health Equity of which she is one of the two co-directors.
Her book, The New Public Health (4th ed. published January 2016 Oxford University Press), is widely cited and used in many public health courses.
Other speakers confirmed for the conference are: Anne Bunde-Birouste, director of the UNSW Yunus Social Business for Health Hub; Dr Trevor Hancock, a public health physician and health promotion consultant from the University of Victoria, Canada; Patrick Mwesigye Sewa, founder and team leader at the Uganda Youth and Adolescents Health Forum; Colin Tukuitonga, Director General of the Pacific Community and Dr Stanley Vollant who practises at the Notre-Dame community hospital in Montreal.
The IUHPE world conferences are renowned events for bringing together leading professionals in all corners of the world to take stock of the present state of knowledge and experiences, bring forward future challenges and shape the agenda to advance developments in health promotion.
Every three years, the conference defines the “state of the art” in health promotion practice, research, and theory.
The aim of the 2019 conference is to provide an unparalleled opportunity to link and demonstrate the contribution of health promotion to the achievement of the Sustainable Development Goals and to acknowledge the way SDGs contribute to improvements in health and wellbeing.
To find out more please click here.
Registrations are open so get in quick for the chance to attend and boost your health promotion competency at the Pasifika Health Promotion Workshop in Auckland on June 15.
The Health Promotion Forum’s (HPF) workshop to be held at the MIT Pasifika Community Centre from 9.30am to 3.30pm will focus on the social determinants of health from a Pacific perspective.
The workshop will trace the history of Pacific health promotion in New Zealand and discuss how determinants of health can be addressed to produce health equity, wellbeing and success for Pacific peoples.
It aims to equip Pasifika health promoters and community leaders with the knowledge and tools to address the social determinants of health and work with the strengths, potentials and aspirations of Pasifika families and communities to take control of their health and wellbeing.
Course facilitator, Dr Viliami Puloka said although the course looked at how non-communicable diseases such as diabetes, heart disease and cancer impacted the wellbeing of the Pacific community the emphasis was not on sickness or disease but on the contributing factors.
Dr Puloka said being healthy was not just about the absence of sickness but about a complete sense of wellbeing.
“So the disease aspect will come in only as a result of what contributed to it. Physical health is just a bit of what makes you healthy. We are looking at health as a resource of living rather than a destination you arrive at,” he said.
“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.”
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.
If you would like to attend please click here to complete the online registration form.
Contact Emma Frost for further information on firstname.lastname@example.org or 09 300 3734
Dr Puloka is HPF’s Senior Health Promotion Strategist specialising in Pacific Health Promotion. For more on Dr Puloka click here.