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Hazel Neser Pauline Wharerau Cancer Society of New Zealand Best Care Whakapai Hauora Wellington Division Charitable Trust, Palmerston North
Shaking up the Living Well Programme: The Development of Kia Ora e Te Iwi
PONZ Conference November 2011
Development of Kia Ora e Te Iwi | 2011
This journey starts with a story about:
Relationships/
Whakawhanaungatanga and Aroha
Development of Kia Ora e Te Iwi | 2011
A working party was convened by the CSNZ during 2009 to work on ways to strengthen capacity and
capability for the Living Well Programme (LWP)
Development of Kia Ora e Te Iwi | 2011
1. This programme is one of the support services offered by the Cancer Society of New Zealand (CSNZ)
2. Delivered in Aotearoa NZ for 20 years
3. Maori participation has remained low
4. Willingness to work in partnership with Maori providers to develop LWP for delivery by and for Maori
Development of Kia Ora e Te Iwi | 2011
The aims of LWP are to:
Increase knowledge of cancer and its treatments Encourage discussion in a safe setting Learn from each other Build on coping skills Discuss common concerns Raise awareness of support options Assist with survivorship issues
Development of Kia Ora e Te Iwi | 2011
Equity of access to appropriate support for all patients and whanau/famiy
Guiding policy:
Matatuhi Arahi Service Plan for Maori (Wellington Division)
Cancer Control Strategy
Development of Kia Ora e Te Iwi | 2011
What happened next?
Phase 1: Getting acquainted
Phase 2: In this together
Phase 3: A new arrival in the
whanau!
Development of Kia Ora e Te Iwi | 2011
Phase One: Pre-‐Pilot 2009-‐2010 Getting Acquainted
LWP Working Group used a community-based approach to build relationships with a local Maori provider working in cancer control, Kokiri Marae, to pre-pilot LWP:
Promote understanding of programme Delivery of facilitator training and support Resources needed to support pre-pilot Process evaluation
including participant evaluation
Kokiri Marae, Seaview, Wellington
Manager: Teresea Olsen
Development of Kia Ora e Te Iwi | 2011
Feedback and evaluation from Kokiri Marae and whanau:
local in-put for each session of LWP identified resources needed developed plan to promote programme developed generic base-line framework for a 6-week programme
Development of Kia Ora e Te Iwi | 2011
July 2010 Expressions of Interest called from CSNZ to facilitate pilot of LWP August 2010 3 Maori Health Providers from throughout NZ notified of successful applications
Development of Kia Ora e Te Iwi | 2011
October 2010 8 MPH staff attended LWP facilitator training at Kokiri Marae, Seaview, Petone February and Six week pilot programme March 2011 held at Te Hotumanawa o Rangitaane Marae, Palmerston North April 2011 Facilitator debrief in Wellington
Development of Kia Ora e Te Iwi | 2011
Programme adverstised on Kia Ora FM89.8 Rangitaane Iwi Radio Station alongside other normal avenues of media and organisational networks, RCTS and other local Maori Health Providers Maori clients and whanau of Maori Cancer Co-ordination Service at Best Care (Whakapai Hauora) Charitable Trust
Development of Kia Ora e Te Iwi | 2011
Te Whare Tapa Wha model underpins promotion of kaupapa taha wairua, taha whanau, taha tinana, taha hinengaro
Development of Kia Ora e Te Iwi | 2011
Marae-based: familiar environment where they feel safe to share their experiences and korero Tikanga maori practices ensure whanau are comfortable and familiar with karakia, manaakitanga, whanaungatanga and waiata
Development of Kia Ora e Te Iwi | 2011
What is cancer? Nutrition & diet Personal reactions Self Care Where to from Here?
Key Message: gaining knowledge, confidence and empowerment
Development of Kia Ora e Te Iwi | 2011
Other Maori with the same story made me feel better. My information improved enormously.
Development of Kia Ora e Te Iwi | 2011
I received more information on different types of cancers and questions were answered and I am no longer ignorant.
Development of Kia Ora e Te Iwi | 2011
I am more knowledgeable now than I was at the beginning it was at my pace and I could understand it better. Very warming for me to be in a kaupapa Maori setting.
Development of Kia Ora e Te Iwi | 2011
A healing experience some of us have carried a load or a burden for a long time this was the first time I had cried since aunty died I was comfortable to do this, to tell my own story with
Development of Kia Ora e Te Iwi | 2011
Here?
Clinicians and specialists have a greater understanding of Maori who have a different worldview Barriers will be reduced simply by hearing stories in another setting as opposed to consultation in clinics only
Development of Kia Ora e Te Iwi | 2011
CS Trainer will be supported by Maori co-facilitator at next KOETI facilitator training, February 2012 Source local funding from Cancer Society Divisions, Regional Cancer Networks Inequalities Funding and District Health Boards in order for Kia Ora e Te Iwi to be sustainable