05 May 2009
Piki mai rā, kake mai rā,
Tukua mai rā te kaha, te māia, te manawanui,
Tihei mauri ora.
E whakawhetai ana mātou ki tō tātou Matua-nui-i-te-Rangi,
Kia tau mai rā, kia tau mai rā,
Ōnā manaakitanga, ki runga ki a koe, ki a tātou katoa.
E koro mā, e kui mā,
Pakeke mā, tamariki mā,
E ngā hau ahi kā, e ngā hau kāinga,
Ngā marae o te motu, ngā pā o ngā iwi,
Tēnā koutou, tēnā koutou, tēnā koutou katoa.
Strategic Partnership With Te Kōhanga Reo National Trust
"Kotahi Te Hao o Te Ngira"
Te Hotu Manawa Māori (THMM) and Te Kōhanga Reo National Trust (TKRNT) commenced a joint venture project to support the development of Kōhanga Reo whānau in nutrition knowledge. This project begins the realisation of joint aspirations between the two national organisations as expressed last year when a memorandum of understanding was signed. The two parties agreed to work together to help overcome key determinants of heart disease for Māori.
THMM will provide support for Te Kōhanga Reo National Trust to empower kōhanga whānau to improved health through healthy eating, regular physical activity and remaining Auahi Kore. By adhereing to the kaupapa of Te Kōhanga Reo movement and the principals from which it was built, THMM are presented with a significant audience to impact and derive positive outcomes. There are currently 483 kōhanga reo with approximately 9,500 children and an estimated 70,000 whānau members.
Bill Kaua from TKRNT says the purapura structure, where up to six kōhanga are clustered together, will be the focus for whānau development and believes it is where the opportunity for an intervention lies. Needless to say THMM are very excited in working with TKRNT in developing a pilot programme.
“Given the philosophical basis inherent in Te Kōhanga Reo movement we will be able to develop programs that resonate from our own world view and be able to weave some of that rich matauranga into the program,” Leonie Matoe of THMM says.
There are numerous traditional aspects around food, which could be incorporated into the program Leonie explains. For example kai was an important aspect in many of the customs and rituals. In the pōhiri the formal engagement process is completed when both groups sit down to eat. Other examples are the pātaka, the most elaborately carved house in a pā, and there are also important seasonal facets such as Matariki.
Leonie is also excited at the prospect of developing some "beautiful Te Reo Māori resources".
The Ministry of Health has provided the funds to develop and implement the pilot programme, which will be launched towards the end of the year, in an area yet to be confirmed.
It's a Five Star Service
Te Hotu Manawa Maori Kai and Auahi Kore teams have over the last year passed independent evaluations of their services with flying colours.
The evaluations, carried out by Te Ropu Whariki from Massey University, said overall, the Kai Tōtika me Whakapakari Tinana Service (Kai Service) and Auahi Kore (Smokefree Promotion Service) provide a very high quality service and achieves very good short-term impacts from its service provision.
Here are a few quotes from participants in the evaluations:
“Our organisation likes that it is specific training for Māori practices – resources are great, minimal cost, thought out and lots of consultation with rōpū.”
“Since then (Kai Training) our centre has become licensed and we are now taking kids for walks every day and letting children prepare a lot of healthy food – involving the children and asking parents when they have birthdays to look at sugar and fat content. Some parents have come in very proud of their creations.”
“Very informative delivery, great to see Māori working in health with an understanding of where things are and relevance to us as Māori”
“Great to have stats even if it was sad to hear, great guy and love to see Māori who are strong and knowledgeable. This will definitely help with my mahi”
Sandy Kerr from Te Ropu Whariki also made the following comment:.
"I was impressed with the skills and enthusiasm of the team and their commitment to the evaluation process. They were keen to get feedback from stakeholders that would help them to improve the service and ensure the best outcomes for Maori. A small number of stakeholders interviewed for the evaluation made helpful suggestions for how the service might be improved. Overall, responses were overwhelming positive about the range and quality of services offered by the Kai team."
The Kai and Auahi Kore Services would like to thank all who took part in the evaluations and advise THMM is committed to developing ongoing quality assurance systems and processes to ensure our training remains relevant to Maori and most importantly continues to help bring about positive health outcome for our whānau, hapū and iwi.
Positive Results For Pilot Heart Project
Te Hotu Manawa Māori in conjunction with the National Heart Foundation have recently completed a pilot project titled Heart Guide Aotearoa. This is a home-based programme of cardiac rehabilitation designed to improve access to rehabilitation. Five Māori health providers piloted the programme, across three District Health Boards, in the upper North Island. These sites were targeted for their high Māori population.
Māori experience a greater incidence of heart disease, poorer health outcomes and unequal access to interventions such as cardiac rehabilitation. This is about working with survivors of a heart disease incident, such as a heart attack, to promote their recovery, enable them to achieve and maintain better health and reduce the risk of an early death.
Each kaitono (patient) has a heart coach, visiting them in their own homes, to develop personal goals and support them through a three-month programme focused on improving, then maintaining, healthy lifestyle changes. This project aims to provide a home-based service to those who would not otherwise receive hospital-based services.
Reducing the inequalities of access to rehabilitation is another step towards increasing the numbers of kaumātua on our paepae. The initial results are quite promising especially for Māori patients. Heart Guide Aotearoa has shown good results in terms of patients participating in the programme and completing it.
THMM and ABC Cessation Strategy
Te Hotu Manawa Māori has been involved in a major new tobacco control program, being rolled out by the Ministry of Health over the next few months, called ABC.
The programme will train with DHB Smokefree co-ordinators who in turn will deliver the program to their healthcare practitioners within their communities.
The initiative also includes a dual strategy including both an online educational tool and a face-to-face educational programme. The e-learning tool is designed to enable individual healthcare workers to complete a training package in their own time and targets the registered health professional.
The programme will have every healthcare worker, registered and non-registered health professionals such as AKP and Quitline, Ask their patients if they smoke, to provide Brief advice and offer to refer them for Cessation support. The steps of the approach form the name of the programme, ABC; Ask, Brief advice and Cessation support.
THMM has been involved in the first steps to develop a training package for healthcare workers with partners National Heart Foundation and Pacific Heartbeat. This brings together technical expertise and a rich tradition of training, and represents the interests of Māori and Pacific peoples.
Further work targeting this programme towards Māori healthcare workers is yet to be completed.
Te Matatini 09 - Supporting Leadership At Its Best
Na Irene Walker
Te Hotu Manawa Māori are proud to have been involved in one of the best Te Matatini festivals. This involvement began in the early planning stages, in February 2008, with support for a Smokefree events centre.
So THMM approached its contribution to Matatini by acknowledging the tikanga of supporting the hau kainga at this event. No other health organisation was able to engage directly with the hosts of the event to integrate health messages in all the supporting marae and workers running the event. We decided our role was to help at the flax roots level because to support the host was a very Māori thing to do in this pre-eminent occasion, not what we could get out of the event but rather, what we could contribute - our koha to Tauranga Moana. This tactical approach was a priority over and above what minimal gains could be had for our organisation branding objectives or our visibility to the crowd. In any event, the crowd were only ever interested in what was occurring on stage.
My initial approach was through my whānau links back to Tauranga Moana and the Mataatua waka and I offered the services of Te Hotu Manawa Māori. This gave me an opportunity to work with my whānau and get close to the action. One of the highlights was working alongside Te Puni Kōkiri manager, Ngawa Hall and visiting our marae to offer our assistance and support for the Marae Auahi Kore cause.
Marae hosting performers were rapt about the quality of Auahi Kore resources they were given as part of the Te Hotu Manawa Māori’s smokefree promotional efforts.
The kaumātua loved how the resources made their marae look even more beautiful. They were impressed with the Auahi Kore table cloths, tea towels, aprons, etc and loved how practical these resources were.
There were 18 Tauranga Moana marae hosting more than 1000 kapa haka exponents and their supporters from throughout the country and Australia. Auahi Kore is a major sponsor with festival partner status.
These marae were a focus and there was a two-fold objective - reaching out to the marae and secondly the manuhiri. Visits were carried out well in advance of the festival with the kaupapa being outlined. The visits also served to maintain the established relationships - 21 out of the 24 marae in the Tauranga Moana area are Auahi Kore. This also sets up, for the medium and long term Auahi Kore plans, a joint approach with the Bay of Plenty District Health Board.
During the festival, THMM staff were busy helping out as volunteers, spreading the message and handing out nicotine replacement therapy packs and lozenges. This workforce development aspect was appreciated by the whānau.
There were many challenges. Quite a few of the smokers were open to what was said although, some were particularly angry and had a “get out of my face” attitude. This may have been because of the lack of designated areas for smokers. Hone Harawira helped out and took a more positive stance with the smokers.
There is a need for a more sympathetic approach with possibly the provision for more designated areas. The Marae Auahi Kore programme is quite successful partly because smokers are also catered for.
Mokori ana, kia mihia koutou me tāku whānau, kua oho ake te kōrero ai te mana tāngata, pō noa te ao. Kia mau te wehi.
National Nutrition and Physical Hui 2009
Join Te Hotu Manawa Māori and friends in the sunshine capital of New Zealand, Whakatāne for an informative, action-packed two days. This year the National Māori Nutrition and Physical Activity hui is being hosted by Ngāti Awa Social and Health Services (NASH).
It is shaping up to be an exciting hui with confirmed keynote speakers; Harko Brown - author of the recently-released book, Ngā Taonga Takaro, Norm Hewitt and Tama Iti.
Come along and be inspired, refreshed and recharged with new and innovative ideas of what’s on in the Māori nutrition and physical activity sector.
This is also a great opportunity to catch up with colleagues and meet new people working in the sector.
The early bird registration fee is valid until 25 September 2009. The cost is $170 (GST inclusive).
This covers all accommodation at Kōkōhinau Marae on Monday and Tuesday night, all meals, and bus transport to and from NASH. A full refund of fees is available up to 25 September 2009. After that date no refunds will be given.
Numbers are limited. You must register to attend.
For further enquiries please contact:
Matire Seath
Te Hotu Manawa Māori
(09) 638-5806
Ongoing Support With Aukati Kaipapa Site Visits
Na Robert Hita
With 34 Aukati Kaipaipa provider sites situated through out the country, sooner or later, if it hasn’t happened already, you will experience a life-changing, magical, awesome, unforgettable, wonderful visit from either Irene or me.
The purpose is to provide ongoing support and assistance with any service development and training issues by having one-on-one kōrero with kaimahi and managers at every site. As you can appreciate, it doesn’t leave time to smell the roses.
With approximately 20 more sites to visit, a common theme is starting to emerge.
- AKP kaimahi are constantly upskilling themselves in other areas of health, not just smoking cessation.
- They prefer the hands-on, interaction and a fun-filled activity approach to learning.
- There is a need for AKP specific resources (Thanks Mere and HSC).
- Specific training is required to support kaimahi eg mental health.
- New models to improve delivery and support of clients needs to be developed.
- They like the different learning approach for clusters.
At the completion of site visits, a comprehensive report will be sent to managers and organisations acknowledging their support and detailing the outcome of the site visit.
This also provides opportunity for both the provider and THMM to address any issues or opportunities on a more personal level creating a better relationship.
Included in the report are acknowledgements of the support of kaimahi, details of the training that have been delivered, objectives, outcomes, feedback and evaluations.
So, whānau, keep an eye on the door and the kai hot unless its kaimoana as we make our way around the motu for kai at your place.
No reira ngā mihi rawa atu ki a koutou. Tihei mauri ora.
| Provider |
Date |
Time |
Who |
| Nga Miro |
16 April |
10.00am |
Rob |
| Te Runanga o Kirikiriroa |
16 April |
2.00pm |
Rob |
| Te Kohao Health |
17 April |
10.00am |
Rob |
| Ngā Kakano Foundation |
20 April |
10.00am |
Rob |
| Ngāti Awa Social & Health Services |
20 April |
3.00pm |
Rob |
| Korowai Aroha Health Centre |
21 April |
9.00am |
Rob |
| Tipu Ora |
21 April |
1.00pm |
Rob |
| Piki Te Ora Nursing Services |
27 April |
10.00am |
Graham |
| Ngāti Ruanui Health Centre |
27 April |
1.00pm |
Graham |
| Te Korowai Hauora o Hauraki |
30 April |
1.00pm |
Rob |
| Ngāti Maniapoto Marae Pact Trust |
4 May |
9.30am |
Rob |
| Taumarunui Kokiri Trust |
5 May |
10.30am |
Rob |
| Tūwharetoa Health Services |
6 May |
10.00am |
Rob |
Confirm dates again
| Hauora Matauraka CPH Christchurch |
12 May
|
10.00am |
Rob |
| Hauora Matauraka CPH Greymouth |
13 May
|
12.00pm |
Rob |
| Hauora Matauraka CPH Timaru |
14 May
|
11.00am |
Rob |
| Ngā Kete Matauranga Pounamu |
18 May |
11.00am |
Irene |
| Te Roopu Tautoko ki te Tonga |
19 May |
12.00pm |
Irene
|
| Whakatū Marae |
26 May |
12.00pm |
Rob |
| Te Awhina Marae |
26 May |
3.30pm |
Rob |
| Te Hauora o Ngāti Rarua |
27 May |
10.00am |
Rob |
Sharing of Knowledge and Experience a Pleasure
Na Graham Tipene
Ko te ohonga ake o āku moemoea, ko te puawaitanga o ngā whakaaro
The awakening of dreams and aspirations, comes from the blossoming of ideas, thoughts and innovation
The Aukati Kai Paipa Training, Regional Cluster Hui have been an incubator of creativity for the Aukati Kai Paipa whanau through the exchange and sharing of knowledge and experiences in cessation for Māori.
One of the key highlights in my role as trainer is seeing the commitment and dedication the AKP whānau have for supporting whānau, hapū and iwi in fighting this ngangara that has had a huge negative affect on our people for such a long time.
Activity Based Learning is a powerful tool we use for unleashing the skills of the Aukati Kaipaipa whānau. This is a great tool that exhibits the different learning styles that Māori naturally gravitate towards. I have taken great pleasure in facilitating ABL activities with the AKP whānau. As a result, the hui have been full of laughter with some of the most funniest and passionate people participating and developing because of the application of these tools in our training.
As we draw to the close of another year of successful training, a big mihi goes out to all our providers who have hosted the clusters for the last contractual year. Thank you for your love, warmth and hospitality during our stays on the many beautiful marae throughout the motu.
No reira ki a koutou rā, ka nui te mihi, ka nui te aroha mo ō koutou manaakitanga kua utaina nei ki runga i a tātou huihuinga kei runga i te marae maha o te motu. Tēnā koutou, tēnā koutou, tēnā tātou katoa. Kia kaha tonu!
Upcoming regional clusters to complete round 3 are:
| Region |
Host |
Date |
Venue |
| Northern |
Ngāti Hine Trust |
16 & 17 April |
Waitangi |
| Midland |
Tūwharetoa Health |
7 & 8 May |
Pukawa |
| Southern |
Com Public Health |
28 & 29 May |
Greymouth |
Kai Team Welcomes Back Passionate Worker
Te Hotu Manawa Māori welcome back Christina McKerchar to the Kai team of Te Hotu Manawa Māori. Christina returns after a period of maternity leave following the arrival of her handsome boy Isaac late last year. Christina’s expertise has already been re-injected into the Kai programme on a part-time basis as she picks up where Craig Heta left off in the ENHANCE research project that the team is currently involved in. This explores enhancing accessibility to healthy food and physical activities.
Christina is so passionate about our kaupapa she wrote her master’s thesis on it a few years ago. In her thesis she describes the effect of the THMM training programme on Māori community nutrition. A copy is available to view on our website. You may find something interesting in the literature review to inform your next project development.
Service Wishes Him Well
Earlier this month Te Hotu Manawa Māori (THMM) said farewell to a leader among their ranks. Craig Heta stepped up to new challenges in accepting a new role at the Auckland Regional Public Health Service.
Craig was a valued member of the Nutrition and Physical Activity team, bringing a range of skills which saw him grow the research and evaluation component of the team’s work. For those of you lucky enough to receive training from Craig you would have enjoyed his sharp delivery of nutrition information in a way that resonated with Māori realities. We wish him all the very best in his new role. Craig can be assured he always has a place to stand here with the THMM whānau.
Cold, Hard Facts
Face the Facts is a new education campaign that has been developed by the Health Sponsorship Council and the Ministry of Health. It presents six stark facts about smoking:
• 5000 New Zealanders die annually from smoking.
• All cigarettes are deadly, no matter how they are packaged or described.
• Nicotine replacement therapy is safe and doubles your chance of quitting.
• Kids who have a parent who smokes are three times more likely to become smokers.
• Smoking robs your loved ones of 15 years of your life.
• Roll-your-own cigarettes are just as deadly as tailor-made cigarettes.
Te Hotu Manawa Māori supports any initiative that lead to an increase in knowledge about the harm tobacco causes to smokers.
Face the Facts went to air on Sunday 5th April. Look out for it in Moteatea on Māori TV. Most of you may have seen the TV commercials. If you do not have a copy and would like one, please email marija@hsc.org.nz or visit the website: www.facethefacts.org.nz.
Health Portfolio Updates
Te Hotu Manawa Māori congratulates the Hon Tariana Turia on been given the responsibility for parts of the health portfolio. Minister of Health, Tony Ryall has delegated parts of the health portfolio to the three associate ministers. Their areas of responsibility are:
Hon Tariana Turia: Māori health (including Māori provider development); Disability Support Services funded and managed by the Ministry of Health for people under 65 years of age; breast and cervical screening programmes; communicable disease (infectious and notifiable diseases, but excluding immunisation); sexual health; diabetes; tobacco.
Hon Dr Jonathan Coleman: Mental health; therapeutic products; assistance with primary healthcare policy and implementation.
Hon Peter Dunne: Medicines Strategy New Zealand (and assisting PHARMAC); the National Drug Policy, including alcohol; problem gambling; suicide prevention; oral health; assistance with the public/private health sector interface.
Better Research Aims to Improve Tobacco Control
The Tobacco Control Research Strategy Steering Group has recently released a draft strategy, which aims to provide a long-term direction for New Zealand researchers and funders in the field of tobacco control research.
The group are seeking feedback on the document New Zealand Tobacco Control Research Strategy 2009-2012. The over-riding goal of the 2009 Strategy is to improve the evidence base for efforts to reduce the harmful effects of tobacco use in New Zealand. Having an agreed strategic direction means that human effort and financial resources dedicated to tobacco control research can be utilised as effectively as possible. The end result will be improved tobacco control in New Zealand, and, ultimately, a reduction in tobacco-related illness and deaths.
The 2009 Strategy updates and builds on the original Tobacco Control Research Strategy 2003. Development of the 2009 Strategy was led by the Tobacco Control Research Steering Group, which was established by the Ministry of Health in 2007.
The Tobacco Control Research Strategy Steering Group has sought input from the sectors and you can view this through the following link: New Zealand Tobacco Control Research Strategy 2009-2012.
Food Myths Busted
Myth: Taking vitamins gives you energy
Fact: We need the B group vitamins, including thiamin, riboflavin, niacin, biotin and pantothenic acid, to produce energy in the cells of our bodies. But it doesn’t follow that if you have more B vitamins you’ll feel more energetic. If you’re not eating enough of these vitamins it would help, but you’re unlikely to have a deficiency if you eat a normal healthy diet. If taking B vitamins makes you feel better, you may need to take a look at your diet, as you’re likely to be deficient in other vitamins as well. Eating a wide variety of good food and getting some exercise is likely to do more for your energy levels than popping a pill. Source: Healthy Food Guide
 Book Review:
Ngā Taonga Takaro by Harko Brown
Māori games were an important part of traditional Māori society. They were used to transfer skills and techniques from playgrounds to battlefields, to promote learning in wānanga, to problem-solve everyday situations and to pass on values and intellect from one generation to the next.
In Ngā Taonga Takaro, Harko Brown (Ngāti Raukawa, Ngāti Whatua, Ngāiterangi), writes about the revival of more than 20 ancient games and sports of the Māori - including poi, stick games, kites, ball games, memory games, board games.
Brown traces the history and legends behind each game and gives clear instructions on how to play, the rules of the game, and how to create the equipment needed. He discusses the traditional aspects of the games and how these can be applied today in areas such as education and health promotion. The games can be used to enhance the wellbeing and health of Māori.
The games are illustrated with action colour photographs throughout, to enhance readers' understanding of these indigenous sports.
According to Brown, games connected Māori directly and powerfully to their spiritual beliefs and their wairua. Some games were highly evolved within specific hāpū, and so they served as kaitiaki of that particular game.
 Recipe - Puha and Potato SoupPuha was very important to our tipuna and was used as a cure for many health problems, but it was especially good for chest pains and heart problems. It was considered just as valuable as a food as well as a rongoa. Today, as a food puha can play an important part in healthy eating as it is.
· High in fibre
· Low in fat (without the brisket or titi)
Contains valuable amounts of vitamins, especially vitamin C and contains the same amount of iron as silverbeet and spinach! Puha sits in the bottom rourou, try it in different ways, kia kaha te kai nei.
Puha and Potato Soup
1 tsp oil
1 bunch of puha, washed and rubbed well
1 onion, chopped
1/4 tsp nutmeg
2 medium potatoes, cooked and mashed
1/2 cup of trim milk
Freshly ground black pepper
Prepare puha by cleaning in cold water, squeezing out the bitter ‘tae”. Boil prepared puha in 3 cups of water for 15 minutes. While puha is cooking, heat oil in a large pot, add onion, cook until soft. Add undrained, cooked puha, mashed potato and nutmeg. Stir well. Simmer for 10-15 minutes. Stir in the trim milk, season to taste with black pepper and reheat (do not boil).
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