1. Herding cats: Reaching your high priority population CERVICAL SCREENING UPDATE

2. Overview - About the programme - Who is the target and what do we know? - Activity – break into groups - Feedback from groups - Key themes - Go home and watch Coro Street

3. The programme - MOH have added cx screening as a target for 2014/15 - Goal is ≥80% of all eligible women screened - Northland PHOs continue funding for priority group women

4. Upcoming activities - Data matching project on the horizon - Strengthen linkages – information sharing, referrals between services etc. - Further promotion

5. The priority population - Maori, Asian, Pacific Island women aged 25-69 years - Any woman aged 30-69 years never had a smear, or - Not had a smear for 5 years or more

6. Types (from Phoenix Research report, for MOH) FATALISTSORGANISERS What you don’t know can’t hurt youConscientious and busy ACCEPTORSINFORMED DISSENTERS We all have to die somehow My body, my decision All are further segmented by life stage, age & ethnicity Blahblahblah..not listening…

7. Types (from Phoenix Research report, for MOH) FATALISTSORGANISERS What you don’t know can’t hurt you May be older, alone & needing support Respond well to: the personal touch, gentle Persuasion, encouragement & care Conscientious and busy Put it on the list and get it done Respond well to: being sent a letter with an appointment time & day ACCEPTORSINFORMED DISSENTERS We all have to die somehow Prefer quality of life over quantity Respond well to: hearing about simplicity of process My body, my decision Lots of research, decided no Respond well to: respect for their self-knowledge, new facts or info All are further segmented by life stage, age & ethnicity

8. Maori women - messages - Do it so you’re around for your whanau - Cervical cancer affects our whakapapa - Get your smear – you’ll get to know what’s going on down there - Try some humour

9. 2014 Cervical Smear Olympics

10. CONGRATULATIONS! Katie Phiskie Gold medallist Priority women category

11. CONGRATULATIONS! Alison Rossiter Gold medallist All women category

12. Honourable mentions Dot Dawson Barbara Jobe Helen Procter Rae McLauchlan Kathryn Molloy

13. Activity 1. What do you see as the barriers for having a smear (from your own experiences both as a woman, and a nurse)? Please discuss in your groups and note down points, circling the common themes (if there are any)

14. 2. What approach(es) have you found success with in addressing the barriers? Please discuss in your groups and note down points, circling the common themes (if there are any)

15. Consider - Verbal or face-to-face communication! - Persistence - Humour (Maori and Pacific Island) - Not a cancer test – wellness check - Privacy, the whole experience