An Exploration of Issues of Primary Health Services for Taranaki Te Atiawa Children Based on the Expectations and Perceptions of Their Female Caregivers

10.26686/wgtn.16920802 ◽

2021 ◽

Author(s):

◽

Patricia Helen Adams-Smith

Keyword(s):

New Zealand ◽

Child Health ◽

Health Services ◽

Research Process ◽

Power Relationships ◽

Structured Interviews ◽

Primary Health ◽

The People ◽

Health Initiatives ◽

Primary Health Services

<p>The debate about Maori child health in New Zealand continues perennially. The intention of this research is, through collaborative discussion and selective conversations, to explore female caregivers' expectations and perceptions of primary health services for some Te Atiawa Maori children. The research process was developed in a partnership between the Maori women participants and myself. In addition, two local kuia actively participated in and supported the process. It is hoped, through thls study, to contribute new knowledge to the discussion, as I found no published research on this topic. If female caregivers choose when to access primary health services for their children, it seemed to me that they should be asked what is important to them in terms of their children's health and access they have. Emancipatory critical social theory underpins and informs the project. Power relationships between the researcher and the participants can be overtly explored within this theoretical framework. In terms of this particular exploratory study, participatory research appeared to be applicable. The participants are female caregivers of Te Atiawa children. Data collection was done using group interactions and semi-structured interviews in the winter of the year 2000. A thematic analysis of the data was used, in which common themes were identified, compared and discussed. From the analysis of the data of the participants' conversations, I identified some key ideas. The major findings have been identified within two main themes. These are: a concept of health is not the same for Pakeha as for Maori, and access issues are still problematic for the participants in this study. Many quotes from the interview participants are included in order to keep the focus of the project on the voices of the women interviewed. In terms of the significant contribution of this research, this study aims to allow voices of female caregivers of Te Atiawa Maori children to be heard. Individual and collaborative interactions offer insights into what is important to them in terms of Maori child health. Clearly, the primary health initiatives promoted by the New Zealand government are not reaching at least some of the people for whom they are intended. The research participants offered their ideas as to how these deficits could be remedied in their community.</p>

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Scaling up primary health services for improving reproductive, maternal, and child health: a multisectoral collaboration in the conflict setting of Afghanistan

BMJ ◽

10.1136/bmj.k4986 ◽

2018 ◽

pp. k4986 ◽

Cited By ~ 5

Author(s):

Jai K Das ◽

Nadia Akseer ◽

Shafiq Mirzazada ◽

Zahra Peera ◽

Omarwalid Noorzada ◽

...

Keyword(s):

Child Health ◽

Health Services ◽

Maternal And Child Health ◽

Scaling Up ◽

Conflict Setting ◽

Primary Health ◽

Primary Health Services ◽

And Child Health

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Regionalization as an Opportunity for Meaningful Indigenous Participation in Healthcare: Comparing Canada and New Zealand

International Indigenous Policy Journal ◽

10.18584/iipj.2012.3.1.2 ◽

2012 ◽

Vol 3 (1) ◽

Cited By ~ 1

Author(s):

Josée G Lavoie ◽

Amohia Frances Boulton ◽

Laverne Gervais

Keyword(s):

New Zealand ◽

Health Services ◽

Indigenous Peoples ◽

Regional Health ◽

Community Based ◽

Primary Health ◽

Indigenous Participation ◽

Primary Health Services ◽

Maori Health ◽

Health Boards

In Canada and New Zealand, policies support Indigenous participation in the planning and delivery of community-based primary health services. However, these services represent only a fraction of the health services accessed by Indigenous peoples. In New Zealand, legislation enacted in 2000 introduced mechanisms to ensure that Māori have a voice in the decisions made by health boards. In Canada, neither policies nor legislation currently ensure that Aboriginal communities are represented in provincial health systems or regional health boards. The New Zealand experience shows that adding mechanisms of participation to legislation and policies creates opportunities for Māori and health boards to engage in discussions about how to best allocate resources to reduce disparities between Māori and non-Māori health outcomes. In Canada, this dialogue may not occur. Requiring that such mechanisms be created in all Canadian jurisdictions would establish meeting places for dialogue, and assist in closing policy and access gaps that remain.

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"Going the Extra Mile": A descriptive exploratory study of Primary Health Services based on the experiences of Pacific Primary Health Organisation Service managers and providers

Aotearoa New Zealand Social Work ◽

10.11157/anzswj-vol30iss2id482 ◽

2018 ◽

Vol 30 (2) ◽

pp. 57-67

Author(s):

Margaret Pack

Keyword(s):

New Zealand ◽

Health Services ◽

Primary Healthcare ◽

Exploratory Study ◽

Service Providers ◽

Research Approach ◽

Health Providers ◽

Primary Health ◽

Primary Health Services ◽

Service Managers

INTRODUCTION: This exploratory study is part of a larger evaluation of the primary health care strategy (PHCS) in Aotearoa New Zealand, using a mixed methods research approach. The aims of this qualitative arm of the research were to explore the extent of use and satisfaction with the PHCS through the operation of Pacific-led Primary Health Organisations (PHOs) in relation to service provision and delivery from the service providers’ and managers’ perspectives.METHOD: The exploratory study was conducted using a case study design and in-depth interviews with service managers and health providers at six Pacific-led PHOs. A review of the literature on primary healthcare was conducted prior to undertaking the research. In this literature review, several themes were noted from the review of policy documents providing background to the development of primary healthcare in New Zealand. CONCLUSION: The themes from interviews suggest a core tension between the business model, Ministry reporting requirements, and more altruistic values of both managers and service providers in their delivery of services. Overall, there was a positive response to the lowered cost of healthcare from the providers and managers interviewed in the Pacific-led primary health services, mirroring the findings of the larger evaluation report of PHOs (Cumming et al., 2005). The availability of wrap-around, holistically based, accessible services delivered by culturally responsive health providers who were considered to “go the extra mile” for their clients was the predominant theme accounting for an increased uptake and use of the services. The implications for health social work are discussed.

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Suicide preceded by health services contact – A whole-of-population study in New Zealand 2013-2015

PLoS ONE ◽

10.1371/journal.pone.0261163 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0261163

Author(s):

Annie Chiang ◽

Janine Paynter ◽

Richard Edlin ◽

Daniel J. Exeter

Keyword(s):

Logistic Regression ◽

New Zealand ◽

Health Service ◽

Health Services ◽

Indigenous People ◽

Time Frame ◽

Demographic Characteristics ◽

Multivariate Logistic Regression ◽

Primary Health ◽

Primary Health Services

New Zealand’s rate of suicide persistently exceeds the global average. The burden of suicide in New Zealand is disproportionately borne by youth, males and Māori (NZ indigenous people). While the demographic characteristics of suicide decedents are established, there is a need to identify potential points of contact with health services where preventative action could take place. This paper aims to determine if suicide deaths in New Zealand were likely to be preceded by contact with health services, and the type and time frame in which these contacts took place. This study utilised a whole-of-population-cohort of all individuals age 15 years and over, who were alive on March 5th 2013, followed up to December 2015. Associations between the odds of suicide, demographic factors, area-based deprivation, and the timing of last contact with primary, secondary, and tertiary services were analysed using univariate and multivariate logistic regression. Contact with a health service in the 6 Months prior to death was associated with the highest odds of suicide. Over half of the suicide decedent population (59.4%) had contacted primary health services during this period. Large proportions of the suicide decedent population contacted secondary and tertiary services in the 6 Months prior to death, 46.5% and 30.4% respectively. Contact with primary, secondary and tertiary services in the prior 6 Months, were associated with an increased odds of suicide of 2.51 times [95% CI 2.19–2.88], 4.45 times [95% CI 3.69–4.66] and 6.57 times [95% CI 5.84–7.38], respectively, compared to those who had no health services contact.

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Public Health and Physicians: Can the current system adapt to the integration of public and private sector primary health services? An exploration

PsycEXTRA Dataset ◽

10.1037/e506832013-108 ◽

2001 ◽

Author(s):

Eileen Patterson ◽

Sharon Yanicki

Keyword(s):

Public Health ◽

Health Services ◽

Private Sector ◽

Current System ◽

Public And Private ◽

Primary Health ◽

Primary Health Services ◽

Public And Private Sector

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Driving digital transformation of comprehensive primary health services at scale in India: an enterprise architecture framework

BMJ Global Health ◽

10.1136/bmjgh-2021-005242 ◽

2021 ◽

Vol 6 (Suppl 5) ◽

pp. e005242

Author(s):

Sunita Nadhamuni ◽

Oommen John ◽

Mallari Kulkarni ◽

Eshan Nanda ◽

Sethuraman Venkatraman ◽

...

Keyword(s):

Primary Care ◽

Health Services ◽

Primary Healthcare ◽

Enterprise Architecture ◽

Digital Health ◽

Security And Privacy ◽

Primary Health ◽

Architecture Framework ◽

Primary Health Services ◽

Enterprise Architecture Framework

In its commitment towards Sustainable Development Goals, India envisages comprehensive primary health services as a key pillar in achieving universal health coverage. Embedded in siloed vertical programmes, their lack of interoperability and standardisation limits sustainability and hence their benefits have not been realised yet. We propose an enterprise architecture framework that overcomes these challenges and outline a robust futuristic digital health infrastructure for delivery of efficient and effective comprehensive primary healthcare. Core principles of an enterprise platform architecture covering four platform levers to facilitate seamless service delivery, monitor programmatic performance and facilitate research in the context of primary healthcare are listed. A federated architecture supports the custom needs of states and health programmes through standardisation and decentralisation techniques. Interoperability design principles enable integration between disparate information technology systems to ensure continuum of care across referral pathways. A responsive data architecture meets high volume and quality requirements of data accessibility in compliance with regulatory requirements. Security and privacy by design underscore the importance of building trust through role-based access, strong user authentication mechanisms, robust data management practices and consent. The proposed framework will empower programme managers with a ready reference toolkit for designing, implementing and evaluating primary care platforms for large-scale deployment. In the context of health and wellness centres, building a responsive, resilient and reliable enterprise architecture would be a fundamental path towards strengthening health systems leveraging digital health interventions. An enterprise architecture for primary care is the foundational building block for an efficient national digital health ecosystem. As citizens take ownership of their health, futuristic digital infrastructure at the primary care level will determine the health-seeking behaviour and utilisation trajectory of the nation.

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