Engaging CommunitiesWorking with Pacific people in NZ

Oceania Tobacco Control Pre-Conference 2011Brisbane Convention Centre, Australia

Monday 17th October 2011

High hospital admission and readmission rates

Many in state housing homesMany in low paying jobs

Many Beneficiaries

Pacific people in NZ

Pacific people in NZ

• Sports teams and athletes

• Leadership

• Film makers

• When we’re healthy we’re generally Good looking people

• Almost 1 in 4 Pacific adults in NZ smoke (MoH 2008)

• $72 million spent by Pacific people on tobacco products in 2000 (MoH 2004)

• High rates of pregnant women smoking (Butler 2004)

• Increased uptake after childbirth (Erick-Peleti, 2006)

• No reduction in prevalence amongst youth compared to European and Maori (ASH Year 10 Survey, 2010)

Tobacco Use and Pacific people in NZ

• Access• Workforce• Research• Cessation for youth• Community/workforce

mobilisation• Support for Pacific teams

in mainstream services.

Limited number of services

Limited workforce numbers

Lack of national coordination

Lack of a national strategy Need for national

strategic representation

Challenges

(2004, Pacific Peoples Tobacco Control Action Plan)

Planning

• 2004, First Pacific Peoples Tobacco Control Action Plan developed

• National, cross sector fono

• Six priorities identified

• A key goal of the plan was to ‘establish a process for highlighting Pacific peoples tobacco control issues’

Established in 2008 to ensure Pacific peoples:

• Have their say on tobacco issues

• Are actively involved in eliminating tobacco from their communities

• Have a way of coordinating important tobacco control information and activities

Purpose of Tala Pasifika

Interim Steering Group Feedback

• Focus on elimination and not control

• Be forward thinking

• Consider the next generation

• Emphasis on community champions and action

• Add value to what Pacific providers are currently doing

The Present: Our Service Priorities

• Eliminate exposure to second hand smoke

• Prevent Pacific young people from smoking

• Eliminate tobacco related disparities with a focus on our target audiences

Identifying the Needs

• Responding to community and provider needs for information and evidence

• Ethnic specific information

• Regional information

Prevalence of Pacific Smokers

Ministry of Health, 2007

Our Target Communities

• Pacific Children

• Pacific Adolescents (13-19yrs)

• All Pacific Males

• Pregnant Women

• Cook Islands Females

Tala Pasifika services…

RESEARCH WORKFORCE SUPPORTCOMMUNITY

ADVOCACY

• Pacific Leadership collectives• Pacific MPs• Community Action Groups• Media – tv and radio• Collaboration with mainstream• Submissions• Mobilising support• Demonstrating support

What we do with communities:

• Pacific Leadership collectives• Pacific MPs• Community Action Groups• Media – tv and radio• Collaboration with mainstream• Submissions• Mobilising support• Demonstrating support

Keeping the pressure on:

They are:

• Diverse• Changing• Have their own

leadership styles• Busy (have their own

priorities)

You need to provide:

• Flexibility• Resources• Patience and respect• Skills and knowledge• Reason for change

In working with Pacific communities

The Future…….

Pacific Tobacco Control in NZ Health Sector

• Limited number of services

• Limited workforce numbers

• Lack of national coordination

• Lack of a national strategy

• Need for national strategic representation

(2004, Pacific Peoples Tobacco Control Action Plan)

Challenges

• Access

• Workforce

• Research

• Cessation for youth

• Community/workforce mobilisation

• Support for Pacific teams in mainstream services.(2004, Pacific Peoples Tobacco Control Action Plan)

Developing a Strategic Plan

Discussions Held

with MOH

Appointment of Interim Steering Group

Considered

Existing Informati

on / Evidence

Discussions with

Key Stakehol

ders

Develop Draft

Framework

Plan Commu

nity / Provider Involvem

ent

Guiding Principles

1. Community Leadership

2. Advocacy

3. Responsiveness

4. Partnership

5. Evidence Based

Thank youFaafetai tele lava - Samoa

Malo Aupito - Tonga

Meitaki Maata – Cook Islands

Meitaki atu paka - Aitutaki

Fakaue Lahi - Niue

Vinaka vaka levu - Fiji

Fakafetai – Tuvalu

Service Structure

Heart Foundation

Advisory Group

Pacific HeartbeatTala

PasifikaCommunity Action

Group

Priority Groups

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

New Zealand Smoking Trends

Tobacco Trends, 2005

Pacific Smoking by AgeAge group Percent (95% CI)

15-24 29.2 (23.3 - 35.1)

25-34 32.3 (23.9 - 40.8)

35-54 25.8 (20.8 - 30.7)

55-64 21.5 (13.3 - 31.8)

Ministry of Health, 2007

Pacific Adult Smoking

Ministry of Health, 2007

Discussions Held

with MOH

Appointment of Interim Steering Group

Considered

Existing Informati

on / Evidence

Discussions with

Key Stakehol

ders

Develop Draft

Framework

Plan Commun

ity / Provider Involvem

ent

The Establishment Process

What the Evidence tells us…

Pacific Smoking Prevalence

Pacific % (95% CI)

Non-Pacific % (95%CI)

Current Smoker

Men 35.0 (25.4 – 44.5) 25.2 (22.9-27.4)

Women 28.1 (22.8-33.4) 21.8 (19.8-23.9)

Total 31.4 (26.3-36.5) 23.4 (22.0-24.9)

Source: 2008 New Zealand Tobacco Use Survey