ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 320
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Breaking through: Successful delivery of healthcare
programs to indigenous peoples
Ms Mabli Jones, Mrs Jo Henson
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Tū Ora Compass Health
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Tū Ora is a Primary Care Network covering a population of 360,000 people in the Wellington region.
We deliver care through a network of medical centres and community-based providers.
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In New Zealand, as is frequently the case around the world, public health programs deliver inequitable
outcomes for indigenous people.
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In 2021, our government’s target was a 90% COVID vaccination uptake for the general population.
Applying a pro-equity approach, we deliberately targeted our indigenous Māori population, focusing
on addressing the constraints that might limit peoples’ access to the vaccine, with the aim of ensuring
the same uptake as non-Māori.
We partnered with iwi (Māori community)-based organisations to co-design an approach to deliver our
vaccination program, including predictive modelling, dashboards and heat maps, to support a directed
pro-equity approach.
We applied a communication technique, designed by Māori companies to resonate with key target
groups. It was intended to address the specific needs of the people.
Vaccination clinics on Maraes, in Māori immersion schools and places of work were delivered.
Outreach events were organised, targeting Black Power bikers, homeless hostels and churches.
Family-centred festival events, to facilitate large groups being vaccinated together, were another
success, and we employed a diverse, representative workforce to head up these initiatives.
We were the first region to hit 90% vaccine coverage for our Māori population. Some regions have
yet to achieve this uptake. To date, Tū Ora has maintained its nation-leading performance on
vaccination rates.
Due to the success of this approach, we have made the decision to continue using it with other public
health programs (eg childhood immunisation, cervical, bowel and breast screening).
We will present information on our implementation approach, and on outcomes. This will include
the recent success we have attained with our cervical screening rates for Māori women overdue a
cervical screen.
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