Transcript astham

Fanau Ola kae Fonua Ola
A Pasifika Whanau Ora preventative
approach to the respiratory health and
holistic wellbeing of Pacific children within
their families and communities
Sione Tu’itahi
Executive Director, Health Promotion Forum (HPF)
Regional Vice President, International Union for Health
Promotion & Education ( IUHPE)
Asthma Foundation Conference, Wellington, NZ
September 19-20, 2013
Significance of conference theme
Discuss effective
approaches for Pasifika
children, fanau, family and
communities
 To include preventative
and promotion approach
 HPF leads health
promotion in NZ
 Builds sector &
workforce capacity
 Work at local, national,
global levels
 Peak organisation of
over 100 members
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Asthma and Pasifika Peoples
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Disproportionately affects
Maori and Pacific people, and
lower socio-economic groups.
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The prevalence of asthma in Pacific
Island children is lower than for
other ethnic groups. However,
asthma is more prevalent among
Pacific Island adults (20 percent)
than other adults.
Maori and Pacific Island children
with asthma tend to have more
severe asthma.
 In Auckland, here are about 40,000
Pacific people with asthma, half are
children aged 0–14 years. (MoH,
2012)
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Fanau Ola kae Fonua Ola Approach
Dimensions and levels
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Fanau – siblings, extended
family
Ola – holistic wellbeing
Fanau Ola – Health Family
Fonua – humans & rest of
ecology are one
Fonua Ola – healthy people &
environment or community
Empowered fanau and
communities taking control of
their wellbeing and future
Challenges are noted but
focus on strengths, potentials
& aspirations
Global/ecological
National/collective
Local/mental
Family/ physical
Individual/
spiritual
Health Promotion prevents and promotes
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Empowers families &
communities
Take control of their
wellbeing & address
determinants of health
Masters of their own futures
Prevention, protection and
promotion are socioecological & therefore more
effective
Early intervention (fence on
top of the cliff) saves money
and life of individuals and
communities
Inequities the most important & urgent
challenge of the hour
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Not knowledge
Not resources
But the will to make the right
decision – e.g. healthy public
policies
Status quo policies & strategies
not effective enough
Ideologies and models of
development such as neoliberalism must be re-visited
Transformational strategies that
can distribute power & resources
more equitably are needed
Major paradigm shift (mind &
heart shift) at local, national and
global levels an effective way
forward
Resources
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http://www.mcnz.org.nz/assets/Ne
ws-andPublications/Statements/Besthealth-outcomes-for-PacificPeoples.pdf
More on Fonua model
http://www.hauora.co.nz/resources
/FonuaaPasifikmodel.pdf
HPF website
http://www.hauora.co.nz/
Health Partners Consulting Group
on behalf of the Ministry of Health
and the metro-Auckland District
Health Boards. It is available at:
http://www.healthpartnersconsultin
g.com/ site/wp-