1. Childhood Asthma Management Programme
Sharon Ponniah
PHARMAC

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Outline
Background information
Asthma hospitalisation and Data
Reliever: Preventer ratios (SABA:ICS)
Asthma inequalities by region
Space to Breathe Programme
Objectives and activities
Audiences and resources
Asthma education Pilot
Decision support module

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Background information
20% of children in NZ have asthma
Asthma is a leading cause of childhood hospital admissions

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Disparities in asthma management
Around children under 15 use any asthma medicines
About children under 15 use an inhaled corticosteroid
Māori and Pacific children use fewer ICS than NZ European children
SABA:ICS ratio is a measure of asthma control
NZ European  2.6
Māori  3.7
Pacific  4.15

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SABA:ICS Ratios – NZ Total 2008

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SABA:ICS Ratios – Māori 2008

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SABA:ICS Ratios – Pacific peoples 2008

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SABA:ICS Ratios – Asian peoples 2008

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SABA:ICS Ratios – NZ European 2008

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Programme Objectives
Increasing the recognition of childhood asthma in primary care;
Increasing prescribing of inhaled corticosteroids (ICS) to children with persistent asthma;
Increasing correct use of ICS by children with persistent asthma;
Increasing provision of self-management education to children with asthma and their families; and
Increasing the knowledge and confidence of children with asthma and their families in managing asthma.

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Programme Activities
Develop resources and activities to implement childhood asthma guidelines in primary care;
Raise awareness of ethnic disparities in medicines use and morbidity;
Develop activities to promote asthma education for preschool children and their families;
Develop resources to support provision of asthma education.

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Two Approaches
Best practice decision support tool
Childhood asthma education programme
Health prescribers
Carers for children
with asthma
Nurses
GPs
Pharmacists
Families
Asthma Educators
ECE teachers
Extended families

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Best Practice Journal – Childhood Asthma

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Preventer Leaflet

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Personal Action Plan

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Children’s Story-book

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Kaiako Resource
Teaching plans
Activity guides
School medicines policy
Healthy environment

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Whanau Resource

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Asthma flip chart

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Best Practice Decision Support Module
Childhood asthma
D:\Childhood_Asthma_Page_1.htm D:\Childhood_Asthma_Page_5.htm

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Contact details
For additional details, please contact programme manager: