Ala Mo'ui - Ministry of Health

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To improve its evidence base, the Ministry of Health will:• undertake analysis of the 2006/07 New Zealand Health Survey on health care utilisationby Pacific people compared with other New Zealanders and by immigration status• develop options to increase Pacific response rates to health surveys• improve the ability to capture within-Pacific diversity in health surveys.The Ministry of Youth Development will identify health and wellbeing issues for Pacificyouth through analysis of data from Youth ’07: the National Survey of the Health andWellbeing of New Zealand Secondary School Students.12 'Ala Mo'ui: Pathways to Pacific Health and Wellbeing 2010–2014
4. More services delivered locally in thecommunity and in primary careWhy is this outcome a priority?Primary health care is one of the most effective ways to promote healthy behaviour, protectagainst diseases through immunisation, and prevent serious illness through screening,early detection and treatment. Primary health care is vital in managing care for Pacificpeople with complex health needs, and is the main channel into secondary care and othertypes of care.Primary health care is often a patient’s first point of contact with health services, and canprovide an access point for other social services, such as financial assistance or housing/accommodation entitlements. This is particularly important for Pacific people withdisabilities or with long-term debilitating conditions. Primary health care is better able toreach and engage Pacific families through community nurses and other community healthworkers. The more Pacific communities are actively involved in the design and delivery ofservices, the more accessible and effective such services will be.Pacific people use both Pacific and non-Pacific primary health care services. Pacific primarycare or community-based providers include general practitioner (GP) services, disabilitysupport services and mental health providers. They play a key role in the delivery ofculturally competent services to Pacific people and families, particularly where there wouldotherwise be cultural or language barriers to care. Pacific providers often facilitate accessto social services for Pacific patients, acknowledging the Pacific notion of holistic healthencompassing spiritual, mental, social and physical wellbeing. Pacific health and disabilityproviders are often very effective at developing innovative and adaptive services to meetPacific health needs.As the majority of Pacific people engage with non-Pacific providers for most of their healthand disability needs, the importance of culturally competent primary health care providerscannot be overstated (Ministry of Health 2008a).What are we seeking to achieve?Pacific people want high quality and culturally competent primary health care servicescloser to home, that are available whatever time of the day they are required (Finau andTukuitonga 2000). Pacific people also want to have effective and long-term relationshipswith their GPs (Pacific Health Research Centre 2003).The Government wants to build on the existing strengths of primary care and communitybasedservices for Pacific peoples by:• encouraging co-located, multidisciplinary family health teams• delivering primary care in a closer relationship with social care• developing a more comprehensive programme for chronic conditions• continuing to deliver affordable services in accessible and convenient settings for Pacificpeople• using appropriate resources and strategies to improve Pacific people’s use of primarycare services• increasing the cultural competence of primary care providers• supporting innovative primary and community-based services for Pacific young people.'Ala Mo'ui: Pathways to Pacific Health and Wellbeing 2010–2014 13
Page 1: Pathways to Pacific Health and Well
Page 5: ForewordHon Tony RyallMinister of H
Page 9 and 10: Introduction from the Chief Advisor
Page 11 and 12: Figure 1:'Ala Mo'ui:Government goal
Page 13 and 14: PrinciplesRespecting Pacific cultur
Page 15 and 16: 1. Pacific workforce supply meets s
Page 17 and 18: 2. Systems and services meet the ne
Page 19: 3. Every dollar is spent in the bes
Page 23 and 24: 5. Pacific people are better suppor
Page 25 and 26: 6. Pacific people experience improv
Page 27 and 28: How will we demonstrate success?The
Page 29 and 30: ReferencesBarwick H. 2000. Improvin
Page 32: 24 'Ala Mo'ui: Pathways to Pacific

Ala Mo'ui - Ministry of Health

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