Working with Pacific people in NZ Oceania Tobacco Control Pre-Conference 2011 Brisbane Convention Centre, Australia Monday 17 th October 2011

High hospital admission and readmission rates Many in state housing homes Many in low paying jobs Many Beneficiaries 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… RESEARCHWORKFORCE SUPPORT COMMUNITY 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 Information / Evidence Discussions with Key Stakeholders Develop Draft Framework Plan Community / Provider Involvement

Guiding Principles 1.Community Leadership 2.Advocacy 3.Responsiveness 4.Partnership 5.Evidence Based

Thank you Faafetai 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 Heartbeat Tala Pasifika Community 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 Age Age groupPercent (95% CI) ( ) ( ) ( ) ( ) Ministry of Health, 2007

Pacific Adult Smoking Ministry of Health, 2007

Discussions Held with MOH Appointment of Interim Steering Group Considered Existing Information / Evidence Discussions with Key Stakeholders Develop Draft Framework Plan Community / Provider Involvement 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 ( ) Women 28.1 ( )21.8 ( ) Total 31.4 ( )23.4 ( ) Source: 2008 New Zealand Tobacco Use Survey