He Patukinga Tahi

 

Te Kawei Whakaheke - He Patukinga Tahi (Te Kawei Whakaheke – Mid Central DHB, Central PHO and Heart Foundation)

Start date & duration:

2010-2011.

What is the programme trying to achieve:

Increased CVRA.

Who are the target population for this programme or service:

Maori and Pacific tane 35yrs and over.

What is the geographical coverage for this programme or service:

All tane residing within the Tararua, Manawatu, Horowhenua and Otaki districts.

Who can access it:

See above.

How did the programme come about:

The death rate for heart disease is more than twice as high for men than women.  Maori have the highest death rates followed by Pacific Island people.  Maori die 10-14 years younger than their European counterparts.

What approach is used for the service delivery:

A Whanau Ora and strengths-based approach.  Te Whare Tapa Wha, Te Pae Mahutonga, Whakawhanaunga Nga taonga a kui ma, a koro ma Te Reo me ona Tikanga.

What are the successes to date with the delivery of the service:

Collaboration of organizations.  The opportunity to work with others that we have never worked with before.  Project inclusive of whānau, wahine, tamariki.  Men’s health, Maori health, Pasifika health brought to the forefront.  Proactiveness and willingness of people involved in group.  Project covered the whole rohe of Tararua, Otaki, Manawatu and Horowhenua.  Demonstration of equity and equality.  Over 100 kaimahi involved.

What are the measures of success for this programme:

The education provided – the Clinical team talked with participants (and their whānau if they were present) about their diet, suggestions for improvement and the relationship with their heart health. Health education and information disseminated in the preferred language (both written and verbally). Lifestyle changes recommended for participants identified as having over 15% risk of having a heart attack or stroke in the next five years. CVRA assessments conducted.

Has any evaluation of the service been undertaken?  If so, when and what was the outcome:

Yes, in May 2011. 88 CVRA assessments were conducted.  The DHB is currently engaging general stream and a Iwi/Māori service provider to deliver a whole activity approach to Tane Ora and Whanau Ora in 2012.A paper is being drafted and is expected to be submitted to the CPHAC board in Feb.

Who are the funders of this programme:

Maori Community Action Project, Central PHO and the Heart Foundation.  Te Kawei Whakaheke was also partially funded by the Mid Cenrtal DHB through the HEHA plan.