grant pollard ministry of health new zealand november 2014 healthy families nz
TRANSCRIPT
Grant PollardMinistry of HealthNew ZealandNovember 2014
Healthy Families NZ
Outline
• The journey to date
• Overview of Healthy Families NZ model
• Update on where we are at in establishing Healthy Families NZ
Overweight and obesity 31% of NZers are obese and a further 34% are overweight 11% children (12-14 years) are obese Total of 1.2 million obese New Zealanders 2/3 Pacific adults and almost half Maori adults are obese 29% of European /Other adults are obese Adult obesity rate has tripled since 1970s (from 10% in
1977 to 30% in 2011-13) Obesity strongly positively associated with deprivation –
even after adjusting for age, sex and ethnicity Dietary risk factors have now overtaken tobacco as the
leading cause of heath loss in NZ (11.4% vs 9.1%)
Timeline
November 2013 – Cabinet paper commissioned & approved
March 2014 – Registration of Interest to identify lead providers released – Healthy Together Victoria managers delivered workshops on systems approach
July 2014 – Short-listed organisations invited to develop detailed response to request for proposal
September 2014 – First contract with lead providers signed
November 2014 – Last contract with lead providers signed
Aims to improve people’s health where they live, learn, work and play by taking a dynamic systems approach to prevention
About encouraging families to live healthy lives – by making good food choices, being physically active, sustaining a healthy weight, being smoke-free and moderating alcohol consumption
The Healthy Families NZ Model
Key elements of each Healthy Families Community
Lead provider as ‘backbone organisation’
Dedicated health promotion workforce (x 4 FTE min) that works across the community to create sustainable change
Establishment of local Prevention Partnership - bringing together a partnership of key stakeholders
Establishment of local governance arrangements
Explicit focus on engaging settings to become health promoting environments – including schools, ECEs, workplaces, and other community settings
Whole of system working
Traditional health promotion Whole of systems approach
Projects
Planning
Expert leads
Technical leadership
Knowledge transfer and translation
Meetings
Training
System networks and activation
Implementation and improvement
Communities lead
Adaptive leadership
Knowledge co-creation
‘Everyone in the room’ sessions
Networks of practice
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Prevention planning and delivery sub system
SCHOOLS
WORKPLACES
COMMUNITIES
Settings (focus of interventions) sub systems
Causative/contributing sub systems
Food System
Planning System
Alcohol System
Tobacco System
Transport System
Networks of communication & influence within and between
settings
Local government: part of delivery system, a setting for change and a system in own right
Media System
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National
10 Healthy Families NZ communities
• Far North District
• Waitakere Ward
• Manukau Ward
• Manurewa-Papakura Ward
• Rotorua District
• East Cape
• Whanganui District
• Lower Hutt City
• Spreydon-Heathcote Ward
• Invercargill City
Procurement process to select providers that are:
• Embedded in their community with an excellent understanding of local needs, strengths, networks and infrastructure
• Well placed to lead a systems approach to prevention in the community selected
• Perceived by the community as credible and supported as lead provider by key stakeholders
• Strong relationships with key stakeholders who could have a role in making Healthy Families NZ successful
• Demonstrated an ability to work strategically, collaboratively, and to work across sectors and settings
• Linked into key initiatives underway in the community (for example, Social Sector Trials, Whānau Ora, Children’s Action Plan, and other initiatives related to Better Public Services)
10 Healthy Families lead providers
Far North District – Te Runanga o Te RarawaWaitakere Ward – Sport WaitakereManukau Ward – (Auckland Council in partnership with Alliance Health Plus and Ngā Manawhenua o Tāmaki Makaurau)Manurewa-Papakura Ward – (Auckland Council in partnership with Alliance Health Plus and Ngā Manawhenua o Tāmaki Makaurau)Rotorua District – Te Arawa Whānau Ora & Kowhai Health AssociatesEast Cape – Horouta Whanaunga (Hauiti Hauora)Whanganui District – Te OranganuiLower Hutt City – Hutt City CouncilSpreydon-Heathcote Ward – Pacific Trust CanterburyInvercargill City – Sport Southland
Healthy Families NZ Principles
1. Implementation at Scale
Strategies are delivered at a scale that impacts the health and wellbeing of large number of the
population in the places where they spend their time – in schools, workplaces and communities
Healthy Families NZ Principles
2. Collaboration for Collective Impact
Long term commitment is required by multiple partners, from different sectors, at multiple levels, to generate greater collective impact on the health of all New Zealanders
Knowledge is co-created and interventions co-produced, supported by a shared measurement system, mutually reinforcing activities, ongoing communication and a “backbone” support organisation
Healthy Families NZ Principles
3. Adaptation
Strengthening the prevention system requires constant reflection, learning and adaption to ensure
strategies are timely, relevant and sustainable
Healthy Families NZ Principles
4. Experimentation
Small scale experiments provide insight into the most effective interventions to address chronic disease
These experiments are underpinned by evidence and experience, monitored and designed to be
amplified across the system if they prove effective
Healthy Families NZ Principles
5. Leadership
Leadership is supported at all levels of the prevention effort including senior managers, elected officials, and health champions in our schools, businesses, workplaces, sporting clubs and other settings in the community
Healthy Families NZ Principles
6. Equity
Health equity is the attainment of the highest level of health for all people.
Healthy Families NZ will have an explicit focus on improving Māori health and reducing inequalities for groups at increased risk of chronic diseases
Māori participation at all levels of the planning and implementation of Healthy Families NZ
community is critical
Where we are at
Supporting communities in establishment phase
• Participation in recruitment process
• Guidance and support around governance arrangements
Developing evaluation and monitoring framework
Establishing the Ministry’s Healthy Families NZ team (4 FTE)
Establishment of national networks
Where we are at
Development of national level support structures
• Working through licencing arrangements with Victorian Department of Health
• Finalising agreement with Health Promotion Agency to lead adaptation of Healthy Together Victoria’s Achievement Program for NZ context
• Orientation process and ongoing workforce development approach to support systems thinking, leadership for prevention, evaluation capacity building
Challenges and opportunities
Questions?