oceania tobacco control conference 2011 brisbane convention centre, australia tuesday 18th october...
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Oceania Tobacco Control Conference 2011Brisbane Convention Centre, Australia
Tuesday 18th October 2011
Achieving the Visionthe past, the present, the future
High hospital admission and readmission rates
Many in state housing homesMany in low paying jobs
Many Beneficiaries
Pacific people in NZ
• 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
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’
• 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)
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
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
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
Identifying the Needs
• Responding to community and provider needs for information and evidence
• Ethnic specific information
• Regional information
Prevalence of Pacific Smokers
Ministry of Health, 2007
Our Target Audience
• Pacific Children
• Pacific Adolescents (13-19yrs)
• All Pacific Males
• Pregnant Women
• Cook Islands Females
Tala Pasifika services…
RESEARCH WORKFORCE SUPPORTCOMMUNITY
ADVOCACY
The Future…….
• Pacific Leadership collectives• Pacific MPs• Community Action Groups• Media – tv and radio• Collaboration with mainstream• Submissions• Mobilising support• Demonstrating support
Keeping the pressure on:
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)
Challenges
• Access
• Workforce
• Research
• Cessation for youth
• Community/workforce mobilisation
• Support for Pacific teams in mainstream services.(2004, Pacific Peoples Tobacco Control Action Plan)
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
Guiding Principles
1. Community Leadership
2. Advocacy
3. Responsiveness
4. Partnership
5. Evidence Based
• Pacific Leadership collectives• Pacific MPs• Community Action Groups• Media – tv and radio• Collaboration with mainstream• Submissions• Mobilising support• Demonstrating support
Keeping the pressure on:
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
Service Structure
Heart Foundation
Advisory Group
Pacific HeartbeatTala
PasifikaCommunity Action
Group
Priority Groups
• Pacific Children • Pacific Adolescents (13-19yrs)• All Pacific Males• Pregnant Women• Cook Islands Females
New Zealand Smoking Trends
Tobacco Trends, 2005
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
Pacific Adult Smoking
Ministry of Health, 2007
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
What the Evidence tells us…
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