New Zeland

To address health inequality by removing barriers to access, demographically appropriate services are available to those enrolled with Comprehensive Care PHO and who are Māori, Pacific, migrant, refugee or from a lower socio-economic group.

Services provided to improve access to primary health care for high need groups

 

Community project vouchers

This initiative aims to address inequalities of timely and affordable access for the enrolled population and to also reach the non-enrolled population. A voucher valued at $40.25 is supplied to an individual who may not be able to access healthcare for a number of reasons (such as cost, time, locality) to assist with the cost of the GP visit. The vouchers are held by the following community-based groups: Salvation Army (Glenfield and Westgate), North Shore Women’s Centre (Glenfield), Public Health Nurses (Warkworth and Rodney), Homebuilders (Warkworth).

 

Radiology

Where an x-ray or ultrasound is required by the GP for the wellbeing of the patient and the following criteria are met, the procedure will be paid for by Comprehensive Care PHO.

  • The waiting list at the hospital is sufficiently long that the patient may be detrimentally affected if they have to wait
  • The patient does not have private medical insurance
  • The patient cannot afford to pay for the procedure.

 

Skin lesion removal

This service allows patients timely access to general practices for cancerous skin lesion removal. This initiative has been running successfully for more than ten years.

 

Terminal care

This service allows patients to access home-based, practice team (GP and practice nurse) services at no cost, lifting the financial burden on patient and whānau in the last months of life. Māori whānau, Pacific aiga and Asian families generally prefer to have family members die at home but often cannot afford the practice team services required. Inequalities exist for these people due to the lengthy waiting time for hospice services, resulting in undue emotional and financial stress on patients and their families.

 

Youth sexual health

This funding provides free treatment and advice, including contraception, sexually transmitted infection screening and health education, on sexual and reproductive health for under-23-year-olds presenting for consultation at a general practice.

In addition, the student health clinics at Massey University have a pivotal part to play in reducing the prevalence of sexually transmitted infections as there are numerous opportunities for contact with students over a sustained period of time. These young people often do not present within general practice. Removing financial barriers for students is one way to encourage attendance at these clinics.

The Massey University programme aims to increase the awareness of the target population (identified as students predominately under 25 years) of the risks and impact of sexually transmitted infections, and to encourage the reduction of risky behaviours through early diagnosis and treatment. Additional benefits include increased opportunity to discuss cervical screening and to screen for partner abuse during a consultation.

We also provide Youth Health vouchers to Public Health Nurses located in Orewa/Whangaparaoa and Warkworth where there is a strong need for extra sexual health services due to barriers such as access (no sexual health services available in the area) time and cost. These vouchers valued at $65 and can be used at anyone of our practices.

 

Health promotion services and activities

 

Health promotion delivers healthy lifestyle and chronic illness information across the community, aiming to increase health knowledge across the community and reduce inequalities.

 

Funded programmes provided by Harbour Sport: Active Teens, Warkworth and Pacific Equip’d, Auckland North

Active Teens, Warkworth

2020 was the seventh successful year the Active Teens programme has been provided by Harbour Sport in collaboration with Mahurangi College, Warkworth. Active Teens started in April 2014. The programme works with obese and overweight teens to make measurable body changes. Active Teens focusses on personal accountability and aims to motivate teens in ways that are meaningful to them.

Active Teens has had the privilege to work alongside Mahurangi College to provide a support program for current students aged 11–15 years. looking to improve knowledge on health, physical activity and nutrition. Harbour Sport created a sense of belonging through fun activities, team building & whakawhanaungatanga. Weekly physical activity & nutrition challenges gave students a test each week. Providing fruit and energy food after sessions to help understand the benefits. Box-fit was the main physical activity focus which the students loved because it was something different.

This year saw a few interruptions with COVID19, but that gave Harbour Sport the chance to think of other ways to get/keep students active. Each round that was completed saw some great results with all students feeling more confident, stronger and can exercise for longer periods of time. At the same time enjoy what they are doing and having fun and energy to carry on.

Throughout the program we wanted to focus on and get the students to walk away with further knowledge around:

  • Importance of food before and after training.
  • Importance of sleep and controlling screen time.
  • Difference between low, moderate and high intensity exercise.
  • Importance of stretches and the different types of stretching.

This will be the last year Active Teens is delivered to students from the Warkworth and Wellsford area at Mahurangi College. The aim of the programme was to build a successful school based programme and empower the community to then lead it. We will now be placing our priority into another exciting programme so watch this space!

“Learning combos and different punches was cool! ” – Blair D

All students that participate conducted pre and post testing. From this 100% of students Improved fitness and strength. 85% increase in regular physical activity. 100% increase in self-confidence.

 

Pacific Equip’d

The Pacific Equip’d programme has gone from strength to strength, and is now in its in eight year. It aims to increase participation in sport and recreation by Pacific youth. Initially targeting Pacific teen girls attending one North Shore secondary school, within the last year coverage at: We are currently in Northcote Intermediate, Northcross Intermediate, Birkdale Intermediate, Mahurangi College and Carmel Girls High School. Most recently, Pacific Equip’d we will be in Long Bay College to pilot in Term 3, 2021.

Comprehensive Care PHO assists with funding to support the nutritional component of this programme.

Participants love making food especially when it’s something they love, for example smoothies are always a hit and the healthy way of making healthy chopsuey using the Pacific Heart Foundation recipes.

“We enjoy Equip’d because we get to be active and learn a little bit more about our culture” – Carmel Girls.

A total of 86 girls attended weekly sessions over terms 2 and 3.

 

Funded support to North Shore Women’s Centre for their Tai Chi Programme

North Shore Women’s Centre (NSWC) provides a variety of services and programmes focusing on women’s health issues. Comprehensive Care PHO continues to fund the Tai Chi programme.

During the past year, Tai Chi Beginner classes were held in Beach Haven, Devonport, Glenfield and Northcote. With numbers decreasing at Beach Haven at the end of December 2020, the decision was made to change venues from Beach Haven to Northcote. Classes are for one hour and taught at Beach Haven Ratepayers Hall, Devonport Community House, Senior Citizens Hall in Glenfield and at Northcote Memorial Hall. Marie Mills and Joan Smith, proficient Tai Chi instructors, run the classes. The classes are held during school terms.

From 1 July 2020 to 30th June 2021, 106 people accessed Tai Chi classes – 93 Female / 13 Male – One aged 94yrs!

Nearly 70% of participants are aged 65 +

Participants consistently remark on improvements in their health and wellbeing and many of those attending the class have used Tai Chi to help with falls prevention.

Although COVID-19 has had an impact in our communities, attendances have not declined significantly.

Participants consistently report positive in terms of their physical and emotional wellbeing. Some of these participants live alone and have made good friendships and report feeling more connected to their communities.

Tai Chi lessons continue to contribute to the health and wellbeing of North Shore residents as evidenced in the evaluations – particularly for people aged 50+.

“We consider that these classes remain a great success in our community and we thank Comprehensive Care for supporting these women and men to access this valuable community initiative. “

Common Feedback:

  • Feeling less breathless
  • Strengthened leg and arm muscles
  • Increased strength in leg and arm muscles
  • Stronger knees
  • Posture has improved
  • Improvement in lower back pain
  • Shoulder injury recovery

 

Funded support to community based organisation ‘PHAB’

The ACE program is an award-winning fitness and nutrition programme designed for people with disabilities aged 16 and over who want to improve their general health.

A partnership between PHAB and Comprehensive Care PHO, the ACE program aims to create lifestyle change in these young adults through exercise and nutrition education.

The ACE program gives our members the ability to play an active part in their own health and wellbeing and its free!

Current participants include young adults with physical, sensory, and intellectual impairments. Parents and caregivers are welcome to attend.

These exercise and nutrition sessions are run weekly on a Saturday morning from 10am to 12pm by local personal trainer Nick Jury.

Although there were COVID disruptions, thankfully, there was a good template of what to do from the previous lockdowns and smoothly moved the exercises online via a video demonstration (and description).

As previously, this was posted on the PHAB Facebook page for not only ACE members but all PHAB members to have a go at. This exposure online proved to be successful for as since we returned to ACE we have had 5 new members join the group and each has been eager to get involved.

Increasing the variety of activities on offer by ACE maximises the engagement of members and keeps the project fresh and relevant. ACE is open to all disabilities – physical and intellectual – with a wide range of needs and physical health goals.

This consistency was great for the group as they all value our Saturday morning ACE sessions and are quite put out when the sessions can’t go ahead.

These ACE programme includes a full body warm up, jogging, sprinting, circuit work, resistance work, agility, games and plenty of walks around Takapuna. The routine also involves conversations around healthy food and drink choices. This isn’t always the group’s favourite part of the session but they persevere- and it really shows the importance of these conversations. The topics discussed vary between the importance of eating vegetables, drinking more water, avoiding simple sugars, importance of protein (and the different sources it comes from), and portion sizes.

Facilitator Nick Jury said “Apart from it being great to see new faces, it has also been nice to see how my experienced group members exhibit their leadership qualities by showing the new members how it’s all done. As the facilitator of the ACE program I am very happy with where all the participants are with regard to their exercise and conditioning. It also pleases me to see the friendships that are being made and maintained. After all, ACE isn’t just about exercise and nutrition but also about making meaningful connections and having a good time.”

We get new members on board by advertising through disability networks, on our Facebook page, through flyers, emailing all current PHAB members and word of mouth.

ACE Programme Review

Our daughter has attended the ACE programme since its inception and it is greatly appreciated and valued by both our daughter and ourselves (her parents).

Due to our daughter’s physical and intellectual disabilities, the health benefits of the ACE programme are particularly important for her in terms of mobility and flexibility, weight control and appreciation of the importance of exercise and good nutrition for everyday and future life. She is much more likely to listen to and follow suggestions she gets from ACE than her parents!

The social interaction with others in the session and the understanding/empathy of the instructor Nick has also been very important to our daughter’s continuation and motivation to attend the sessions.

We are very impressed with the ACE programme and look forward to its continuation.

PHAB are committed to offering this programme free of charge to ensure complete accessibility for all members.

 

Funded support to community based programme ‘Bikes in Schools’

The Bike On New Zealand Charitable Trust’s main objective is to enable as many New Zealand children as possible to ride a bike on a regular and equal basis within school through its national ‘Bikes in Schools’ programme.

Bikes in Schools is a complete biking package implemented within a school to enable all students to ride a bike on a regular basis. This year, we worked with the Bikes in Schools project manager to identify Northcote Primary School and Henderson Primary School. Funding was provided to help build a bike track/a pump and skills track or purchase biking equipment. Both Primary School’s are aligned to a number of our practices and have a number of Māori, Pacific and Asian students. Bikes in Schools is one way to work to prevent and reduce diabetes and other health conditions among youth. Regular physical activity is woven into the school day – and encouraged outside of school. Feedback from the programme has shown it raises the confidence, self-esteem and resilience of pupils through a fun activity. It delivers health and wellbeing outcomes by promoting a healthy lifestyle. Results show the children and their extended whānau biking more often.

“With the support of organisations like Comprehensive Care, Bikes in Schools projects across Auckland are providing schools with the equipment and facilities for over 20,000 students to ride a bike on a regular basis within the safety of their school grounds.”

 

Funded support to community based organisation Kaipatiki Community Trust for ‘Wahakura Weaving’

Wahakura Wananga is a program aimed at reducing SUDI (Sudden unexplained death in infancy). SUDI also known as “cot death” is the leading cause of death in infants in the under one year of age. Some of these deaths are preventable. After much community consultation and discussion, it was identified that there was a need in the Kaipatiki area as many Maori mothers were having to travel to Waitakere hospital to participate in Wahakura Wananga which was a large barrier.

The programme uses the vehicle of weaving a wahakura (a sleeping basket for baby) to promote healthy maternal and infant care that minimize the risk of SUDI.

The one day program takes them through a process of weaving a wahakura for their pepe and interwoven throughout the day are ways that women and whanau can protect and promote pepe health. The traditional technique uses a simple design (Waikawa weave) that is easily taught and completed in one day without any prior weaving knowledge.

Overall a highly successful Wahakura Wananga was held in Northcote on the 7th of November. A total of 17 hapu mama attended and Nineteen (19) Wahakura were woven at this wananga. All our participants were pregnant, Maori Wahine, and most brought along a support person, such as the dad, partner, friend, or mother. Having a support person being apart of the making process is a great thing.

Many hands on a wahakura in Te Ao Maori is fantastic as the more wairua that is woven into this taonga.

Our weavers also wove another two wahakura for our Kuia who was booked in with her daughter, who is having twins. However, the daughter went to her 30-week scan and found she was in fact having triplets. She has had to deliver straight away, but wanted her mum to still come to our wananga to make a wahakura for the moko. We have gifted this whanau two wahakura, that all our weavers wove on the day.

Community group engagement:

This wananga was supported by several of our community Groups. These were:

  • Kaipatiki Weaving Roopu – Ipu Whenua, Muka Ties
  • North Shore Rock Hounds – supplied a small taonga for the muka ties
  • Give a Kid a Blanket – Donation of a blanket, sheets for Wahakura, baby cloth’s
  • Kaipatiki Project – 22 plants
  • Te Ara Haepapa – Bag with drink bottle, sunscreen, hand sanitizer, car seat information
  • Smoking Cessation – Vapes, patch’s, information
  • Immunisation – Toothpaste, toothbrush’s information
  • Dietitian – Information
  • Te Hapai Hauora – Gift Vouchers for the weavers, magnets and Information books

Ed and I just wanted to give you all some feedback about the wānanga wahakura on Saturday. We loved it and felt so nourished by the energy and support of everyone on the day. It was a beautiful experience and I hope that this program continues to get funding so that more wahine can have a similar experience. Every detail was thoughtful and provided with such generosity, from the kai to the muka ties. It was amazing, thank you! If you ever need volunteers to help out with anything in the future, we’re keen.

 

Funded support provided to community events and organisations

  • Autism Special Needs Children’s Party
  • Kidneys Kids
  • Heart Kids NZ’s Kids Day out
  • Going Bananas
  • Koru Care- children with serious medical disorders such as leukemia, congenital heart defects, cystic fibrosis, whilst others are currently waiting for major surgery

 

Funded support to community based organisation McLaren Park Henderson South Community Trust (MPHS)

McLaren Park Henderson South Community Trust (MPHS) is a not-for-profit organisation, located in Henderson South. Apart of this organisation is their youth studio. Youth Studio is a free, safe, creative space fostering learning and connection for youth aged 10 to 18 years old.

Comprehensive Care placed funding towards a new keyboard which Chief Executive Kathryn Lawlor says is used daily by our youth many who find playing and writing music an outlet that makes them feel good, and a healthy way of expressing themselves.

“We currently have a team of 3 youth aged 11 and 12 year collaborating on their first song and the new keyboard makes this possible. The funding also replenished our art supplies and many of youth enjoy learning and giving fine arts a try,. They love to work together to create murals which once completed are proudly displayed at our community events.”

Having a space to be creative has shown huge benefits for their mental health. We also know that there are still many youth in our community who are isolated and could benefit from the network and resource of community youth activators and leaders associated with MPHS organisation. This year, MPHS will be investing in youth initiatives by looking at how they can use our existing resources, asking youth so together we can co-design initiatives that are meaningful and relevant and will better support, connect and improve the health and wellbeing of youth. Comprehensive Care is hoping to collaborate and support this work.

 

Asian Smokefree

The Asian Smokefree team offer a culturally specific quit smoking support service for Asian people across the Waitemata DHB region. Team members speak Cantonese, Mandarin, Korean and English and have a combined 36 years of experience working in smoking cessation.

We have enrolled over 240 people into our programme with a large number of these being self-referrals.

The level of referrals received from primary and secondary care has continued to be lower than we would like so to supplement this the team has worked on a number of initiatives. This includes phoning practices to check their patients who are on their 15 month lists as well as boosting self-referrals by actively promoting the service within the community.

Over the year we have been privileged to support people with the following ethnicities: Chinese, Korean, Indian, Malaysian, Other Asian, Filipino, Vietnamese, and South East Asian.

New Zeland