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Oceania Tobacco Control Conference 2011Brisbane Convention Centre, Australia
Tuesday 18th October 2011
Achieving the Visionthe past, the present, the future
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High hospital admission and readmission rates
Many in state housing homesMany in low paying jobs
Many Beneficiaries
Pacific people in NZ
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• Almost 1 in 4 Pacific adults in NZ smoke (MoH 2008)
• $72 million spent by Pacific people on tobacco products in 2000 (MoH 2004)
• High rates of pregnant women smoking (Butler 2004)
• Increased uptake after childbirth (Erick-Peleti, 2006)
• Recent increase in prevalence amongst Pacific youth compared to European and Maori (ASH Year 10 Survey, 2010)
Tobacco Use and Pacific people in NZ
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The Past
• 2003, First Pacific Peoples Tobacco Control Action Plan developed
• National, cross sector fono
• Six priorities identified
• A key goal of the plan was to ‘establish a process for highlighting Pacific peoples tobacco control issues’
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• Access• Workforce• Research• Cessation for youth• Community/workforce
mobilisation• Support for Pacific teams
in mainstream services.
Lack of national coordination
Lack of a national strategy Need for national
strategic representation Limited number of
services Limited workforce
numbers
Identified Challenges
(2004, Pacific Peoples Tobacco Control Action Plan)
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Established in 2008 to ensure Pacific peoples:
• Have their say on tobacco issues
• Are actively involved in eliminating tobacco from their communities
• Have a way of coordinating important tobacco control information and activities
Purpose of Tala Pasifika
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Interim Steering Group Feedback
• Focus on elimination and not control
• Be forward thinking
• Consider the next generation
• Emphasis on community champions and action
• Add value to what Pacific providers are currently doing
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The Present: Our Service Priorities
• Eliminate exposure to second hand smoke
• Prevent Pacific young people from smoking
• Eliminate tobacco related disparities with a focus on our target audiences
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Identifying the Needs
• Responding to community and provider needs for information and evidence
• Ethnic specific information
• Regional information
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Prevalence of Pacific Smokers
Ministry of Health, 2007
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Our Target Audience
• Pacific Children
• Pacific Adolescents (13-19yrs)
• All Pacific Males
• Pregnant Women
• Cook Islands Females
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Tala Pasifika services…
RESEARCH WORKFORCE SUPPORTCOMMUNITY
ADVOCACY
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The Future…….
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• Pacific Leadership collectives• Pacific MPs• Community Action Groups• Media – tv and radio• Collaboration with mainstream• Submissions• Mobilising support• Demonstrating support
Keeping the pressure on:
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Pacific Tobacco Control in NZ Health Sector
• Limited number of services
• Limited workforce numbers
• Lack of national coordination
• Lack of a national strategy
• Need for national strategic representation
(2004, Pacific Peoples Tobacco Control Action Plan)
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Challenges
• Access
• Workforce
• Research
• Cessation for youth
• Community/workforce mobilisation
• Support for Pacific teams in mainstream services.(2004, Pacific Peoples Tobacco Control Action Plan)
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Developing a Strategic Plan
Discussions Held
with MOH
Appointment of Interim Steering Group
Considered
Existing Informati
on / Evidence
Discussions with
Key Stakehol
ders
Develop Draft
Framework
Plan Commu
nity / Provider Involvem
ent
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Guiding Principles
1. Community Leadership
2. Advocacy
3. Responsiveness
4. Partnership
5. Evidence Based
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• Pacific Leadership collectives• Pacific MPs• Community Action Groups• Media – tv and radio• Collaboration with mainstream• Submissions• Mobilising support• Demonstrating support
Keeping the pressure on:
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Thank youFaafetai tele lava - Samoa
Malo Aupito - Tonga
Meitaki Maata – Cook Islands
Meitaki atu paka - Aitutaki
Fakaue Lahi - Niue
Vinaka vaka levu - Fiji
Fakafetai – Tuvalu
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Service Structure
Heart Foundation
Advisory Group
Pacific HeartbeatTala
PasifikaCommunity Action
Group
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Priority Groups
• Pacific Children • Pacific Adolescents (13-19yrs)• All Pacific Males• Pregnant Women• Cook Islands Females
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New Zealand Smoking Trends
Tobacco Trends, 2005
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Pacific Smoking by AgeAge group Percent (95% CI)
15-24 29.2 (23.3 - 35.1)
25-34 32.3 (23.9 - 40.8)
35-54 25.8 (20.8 - 30.7)
55-64 21.5 (13.3 - 31.8)
Ministry of Health, 2007
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Pacific Adult Smoking
Ministry of Health, 2007
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Discussions Held
with MOH
Appointment of Interim Steering Group
Considered
Existing Informati
on / Evidence
Discussions with
Key Stakehol
ders
Develop Draft
Framework
Plan Commun
ity / Provider Involvem
ent
The Establishment Process
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What the Evidence tells us…
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Pacific Smoking Prevalence
Pacific % (95% CI)
Non-Pacific % (95%CI)
Current Smoker
Men 35.0 (25.4 – 44.5) 25.2 (22.9-27.4)
Women 28.1 (22.8-33.4) 21.8 (19.8-23.9)
Total 31.4 (26.3-36.5) 23.4 (22.0-24.9)
Source: 2008 New Zealand Tobacco Use Survey