enhancing food security and physical activity for maori, pacific and ...

More documents

Recommendations

Info

Enhancing Food Security and Physical Activity for Māori, Pacific and Low-income Peopleschurch leader to transfer from Christchurch to Auckland to establish a Tongancommunity health outreach project.SummaryThe programmes above were chosen to provide examples of current initiatives within theNew Zealand environment. The list was not intended to be exhaustive but rather tohighlight how capacity building has been incorporated into culturally-specific physicalactivity and related programmes. What these examples do highlight is that capacitybuilding is clearly ‘on the radar’; however, the implementation and approaches used todevelop capacity have not been very systematic. There does appear to be an underlyingphilosophy of training project coordinators to support, nurture, and develop the capacityof local people to run community initiatives. Also, utilising a Māori for Māori or Pacific forPacific people approach permeates many of the existing programmes. Consistent withthe international literature, most of the New Zealand programmes have incorporated acommunity development and support model. Within the national context, capacitybuilding does not appear to be based on any conceptual framework or theoreticalapproach. There is also a clear lack of evaluation to determine the effectiveness ofcapacity development approaches. These issues should be considered in futureprojects.Feasibility (Level of evidence of effectiveness)There is some evidence within New Zealand that it is feasible to build capacity todevelop, implement and evaluate culturally-specific physical activity interventionprogrammes. There is a variety of culturally-specific physical activity or lifestyleinterventions that have incorporated some degree of capacity building. From theexamples presented few appear to use any type of framework or systematic approachfor developing capacity. The OPIC study incorporated many of the strategies fordeveloping research capacity highlighted in the international literature. A number ofevaluations of the interventions have been conducted and some are in progress. Manyof these have included some documentation of capacity issues. As with internationalliterature, there is a lack of robust evaluation or quantitative data to support theeffectiveness of capacity development approaches.SustainabilitySustainability is an important component of capacity building; however, few high qualityevaluations have been conducted to provide data on this issue. From the limitedknowledge available there is a need to provide ongoing support in the form of educationand training, mentoring, advice etc, as well as adequate and sustained funding to ensureongoing development of capacity. More research is required.Effect on equityDevelopment of capacity in culturally-specific physical activity programmes will likelyhave a positive impact on equity.Acceptability to stakeholdersEngagement of stakeholders is a vital aspect of developing capacity and will likelyincrease acceptability by participants, whānau, and the greater community. There arefew data to support the acceptability for those who have been recipients of capacity161
Enhancing Food Security and Physical Activity for Māori, Pacific and Low-income Peoplesbuilding initiatives. However, key stakeholders urged this development in ENHANCEworkshops.Key components for effectivenessThere are limited data on the effectiveness of building capacity in New Zealand. This isdue in part to the inconsistency in workforce data and a general lack of timelyinformation to inform long-term workforce planning and trend analysis. Notwithstandingthis, the following approaches have been highlighted from the New Zealand literature foreffective capacity development.• Establishing strong links within the community.• A collaborative community participatory approach.• Early, meaningful and ongoing engagement with community leaders and diversestakeholder advisory groups.• Education and training to provide the requisite knowledge and skills to initiateprogrammes, compete for funding, and develop effective knowledge translationstrategies. Undergraduate and graduate-level training for Māori and Pacificpeople is critical, and more opportunities for people to obtain some form ofpractical experience are essential. Research and policy practicums wouldsupport trainees to more fully develop the skills required for health services andpolicy work.• Mentoring strategies are critical in helping develop capacity and increase thequality and rigour of future and existing programmes. Opportunities to workalongside programme leaders, senior researchers, etc., both on-site and bydistance provide a venue for discussing ways to balance research with teaching,clinical and administrative demands, and developing supervisory skills.• Strengthening existing networks is critical.• Those working in culturally-specific programmes require access to basic researchinfrastructure (eg, computers, databases, personnel support etc.).• Private sources of funding also need to be tapped, and major funders of healthresearch need to be made aware of Māori and Pacific people’s rising capacity toundertake health services and policy-relevant research. Targeted funds forresearch should also be considered.• The ability to compete successfully for peer-reviewed research funds is fosteredby relevant practical experience.• Continued Māori and Pacific representation on advisory boards, and governingbodies where research funding priorities are determined is required.Potential side-effectsSimilar to the international literature, there are generally no anticipated side-effects ofdeveloping capacity. However, it is unethical to train people and then not provide supportfor them at the most basic level. There is a responsibility for organisations andcommunities to ensure that whoever is trained develops skills that can be supported bysustained work. To do otherwise would be a waste of resources, and potentiallyexacerbate inequitable distribution of these resources.Cost benefit analysisNo cost-benefit analyses were identified in New Zealand literature.162
Page 1 and 2:
ENHANCING FOOD SECURITYAND PHYSICAL
Page 3:
Enhancing Food Security and Physica
Page 8 and 9:
Page 10 and 11:
Page 12 and 13:
Page 14 and 15:
Page 16 and 17:
Page 18 and 19:
Page 20 and 21:
Page 22 and 23:
Page 24 and 25:
Page 26 and 27:
Page 28 and 29:
Page 30 and 31:
Page 32 and 33:
Page 34 and 35:
Page 36 and 37:
Page 38 and 39:
Page 40 and 41:
Page 42 and 43:
Page 44 and 45:
Page 46 and 47:
Page 48 and 49:
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
Page 60 and 61:
Page 62 and 63:
Page 64 and 65:
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115: Enhancing Food Security and Physica
Page 214 and 215:
Page 216 and 217:
Page 218 and 219:
Page 220 and 221:
Page 222 and 223:
Page 224 and 225:
Page 226 and 227:
show all

enhancing food security and physical activity for maori, pacific and ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?