Post on 15-Jan-2016
description
Childhood Asthma Management ProgrammeSharon PonniahPHARMAC
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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
admissionsAsthma hospitalisations for 12 months, year ending 2007
0
2
4
6
8
10
12
14
16
18
0-4 Years 5-9 Years 10-14 Years
age group
ho
spit
alis
atio
ns
per
'000
European Māori Pacific Island
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Disparities in asthma management• Around 130 000 children under 15 use any asthma
medicines• About 65 000 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 toolChildhood asthma
education programme
Asthma EducatorsECE
teachers
Carers for children
with asthma
Extended families
Families
Health prescribers
GPsNurses
Pharmacists
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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 ModuleChildhood asthma
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For additional details, please contact programme manager:
sharon.ponniah@pharmac.govt.nz
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