Bowel Screening
Bowel Screening (Waitemata District Health Board – Pita Pou, Kaumatua)
Start date & duration:
Programme still in its pilot stage, this runs for 6 months.
What is the programme trying to achieve:
To make our people (Maori and Pacific Islanders) aware that there are services out there to help.
Who are the target population for this programme or service:
Maori and Pacific men and women.
What is the geographical coverage for this programme or service:
All of Auckland
Who can access it:
Anyone
How did the programme come about:
It has been identified that Maori and Pacific men have the highest number of bowel cancer sufferers. Meetings where called on Marae and in local venue that were likely to attract Maori/Pacific men.
What approach is used for the service delivery:
When a full-time Coordinator is appointed they will be able to go out and promote the service.
What are the successes to date with the delivery of the service:
Unsure at this stage until a full-time Coordinator has been appointed.
What are the measures of success for this programme:
Unsure.
Has any evaluation of the service been undertaken? If so, when and what was the outcome:
At the end of the pilot programme a certain amount of meetings will be held.
Who are the funders of this programme:
The Ministry of Health in partnership with the Waitemata DHB.
What is the annual budget associated with the delivery of this service:
The full-time Coordinator position has a salary of 60k attached to it.
Bowel Screening (Waitemata District Health Board - Wai Vercoe, Programme Manager Planning & Funding)
Start date & duration:
Programme rolled out on 13th October 2011. Four-year pilot.
What is the programme trying to achieve:
To reduce inequalities, reduce mortality and incidence and improve access and a shift in the stage at which diagnosis is made.
Who are the target population for this programme or service:
Maori men and women 54 – 70 years old. The Bowel Screening programme targets men in the 50 - 74 age bracket and opting off should not be an issue because the programme is being rolled out using date of birth data and age eligibility criteria. Other initiatives such as CVD risk assessments, Diabetes HBa1c, Cancer navigation can also be included. The ages for each varies from between 35+ and often clients who present do have more than one comorbidity.
What is the geographical coverage for this programme or service:
Waitemata DHB district (i.e. Kaipara, Waitakere, Te Raki Pae Whenua)
Who can access it:
See above
How did the programme come about:
Through a Ministry of Health request for proposal (RFP) process.
What approach is used for the service delivery:
Utilising institutional learning on how to reach Maori, integrating bowel screening with breast screening programmes, integrating bowel screening with Primary Care (in particular GP practices). Screening and assessments are often opportunistically made by providers during the delivery of service in homes, marae etc. When an issue is identified referrals to GPs for diagnosis are made immediately. Maori men however still continue to present only when they have an issue.
Two providers have offered free screening and assessments at 1/2 work sites, the process was difficult to establish with employees and will take time to fully implement. To date the service was able to identify and refer a number of men for diagnosis.
What are the successes to date with the delivery of the service:
Response to rollout has been overwhelming.
What are the measures of success for this programme:
Numbers of interest and numbers of enquiries.
Has any evaluation of the service been undertaken? If so, when and what was the outcome:
No evaluation undertaken at this stage.
Who are the funders of this programme:
The Ministry of Health.