Community & Public Health Advisory Committee. Healthy Eating Healthy Action: Oranga Kai Oranga Pumau (HEHA) Ministry Approved Plan (MAP) for 07-08

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1 T: Thrugh: Cmmunity & Public Health Advisry Cmmittee Margt Mains Date: 11 June 2007 Subject: Healthy Eating Healthy Actin: Oranga Kai Oranga Pumau (HEHA) Ministry Apprved Plan (MAP) fr PURPOSE The Purpse f this paper is t seek CPHACs apprval f C&C DHB s HEHA Plan fr 07/ RECOMMENDATION It is recmmended that CPHAC recmmend t the Bard that it endrse the C&CDHB HEHA Plan fr 07/08. Apprved fr release: Officer Bard MARGOT MAINS Chief Executive Capital & Cast District Health

2 3. BACKGROUND In February 2007 C&CDHB appinted a Prject Manager t manage the Healthy Eating Healthy Actin: Oranga Kai Oranga Pumau (HEHA) Strategy. An imprtant first task fr the prject manager has been t develp a district-wide HEHA Plan fr 07/08. The initial plan is cnsidered t be a plan fr a plan, with mre cmprehensive jint planning ccurring with stakehlders ver the next year fr 08/09. The attached plan is a summarised versin f the Ministry Apprved Plan (MAP) r 07/08. At the time f writing a range f internal and external stakehlders are prviding cmment fr the final plan t be submitted t the Ministry f Health in mid-june GOVERNMENT STRATEGY Healthy Eating Healthy Actin: Oranga Kai Oranga Pumau (HEHA) is the Ministry f Health s strategic apprach t imprving nutritin, increasing physical activity and achieving healthy weight fr all New Zealanders. The Ministry has asked DHBs t make implementatin f HEHA a pririty fcus and has recently identified several new initiatives that will supprt this a yuthfcused campaign entitled Missin On, new funding fr nutritin initiatives in schls and early childhd settings, and the purchasing f prject management psitins in each DHB. 5. ANNUAL PLAN/STRATEGIC PLAN The attached Ministry Apprved Plan (MAP) is the first plan f a three-year planning prcess fr the HEHA fr 07/08. Each DHB is required t reprt quarterly against bjectives/deliverables in the MAP as specified in the Crwn Funding Agreement. 6. TREATY IMPLICATIONS As a ppulatin grup Märi have n average the prest health f any ethnic grup in New Zealand. Märi are a pririty fr HEHA with Märi children significantly mre likely t be verweight r bese. In terms f the Treaty C&CDHB has a cmmitment t actively prtect the health f Märi and t utilise the fllwing strategies in ding s:- Partnership wrking tgether with iwi, hapü, whänau and Märi cmmunities t develp strategies fr Märi health gain and apprpriate health and disability services Participatin invlving Märi at all levels f the sectr, in decisin making, planning, develpment and delivery f health and disability services Prtectin Wrking t ensure that Märi have at least the same level f health as nn-märi, and safe guarding Märi cultural cncepts, values and practices Specific challenges fr reaching Märi in the C&CDHB district are:-

3 The strng assciatin f pr nutritin and reduced levels f physical activity with lw sci-ecnmic status and assciated challenges addressing the determinants f health Diverse living circumstances and cnnectedness f Märi with whanau, hapü and iwi and identifying ways t facilitate behaviur change. 7. PACIFIC ISLAND IMPLICATIONS Pacific peples are a pririty grup fr HEHA with Pacific children mst likely t be verweight r bese. Specific challenges fr reaching Pacific peples and reducing inequalities are the fllwing:- The strng assciatin f pr nutritin and reduced levels f physical activity with lw sci-ecnmic status and assciated challenges addressing the determinants f health Each Pacific Island grup has their wn identity and a single Pacific prgramme is nt applicable t all Pacific peples 8. REPORT DETAIL: The attached HEHA Plan is the first Ministry Apprved Plan (MAP) t be submitted t the Ministry f Health. The first MAP is viewed as a Plan fr a Plan. That is, the perid until June 2007 is a time fr establishing the gvernance structure fr the prject, with 2007/8 as the main perid f cnsultatin and planning. The Ministry f Health has identified breastfeeding, schls and early childhd educatin (ECE) services, and wrkfrce (specifically Märi and Pacific wrkfrce where apprpriate) as pririty areas fr the first iteratin f the MAP planning prcess. In additin, each DHB is required t chse tw ther areas f fcus. The tw additinal areas C&CDHB has chsen are cmmunicatins and scial marketing. 9. RISKS Outlined belw is assessment f all risks in relatin t the implementatin f HEHA and hw these will be mitigated. Risk Raised expectatins f prviders f new funding fr HEHA Failure t deliver n agreed timeframes Prviders unable t cmmit fully t HEHA activities due t lack f capacity Schls may be unable t cmmit fully t HEHA activities due t lack f capacity Mitigatin Strategy Reduce expectatins by infrming prviders abut available HEHA funding in 07/08 (i.e. Prject Management, Nutritin Fund and Cmmunicatins nly) Quarterly cntract mnitring Avid fragmentatin f activities. Cncentrate n a few pririties Keep messages and cmmunicatin clear and simple HEHA presentatins t principal clusters t gain cmmitment t HEHA Health stakehlders wrk cllabratively t crdinate activities and cntacts within schls. Aim t gain cmmitment t intrductin f the Nutritin and Physical Activity guidelines by making the wrkshps interesting and meaningful

4 Inequalities exacerbated by pr decisin-making Lack f buy in frm stakehlders Lack f buy in frm Märi cmmunities Lack f buy in frm Pacific cmmunities Minimal media interest in HEHA Cnfusin ver the many HEHA brands Cmmunicatin des nt reach target audience, r is nt understd Effective cnsultatin with pririty grups n HEHA plans and activities Seek active invlvement frm pririty grups n the HEHA Steering Grup Admit mistakes early and aim t crrect Ensure the grup is representative f all sectrs and interest grups Timely, prfessinal, tw-way cmmunicatin Open cmmunicatin Actively seek stakehlder feedback Prmpt reslutin f issues Regular cmmunicatin n prgress t Märi Partnership Bard Seek active feedback frm Märi n the HEHA Plan utilising a range f frums Be aware f relevant cultural issues affecting fd and nutritin Demnstrate a cmmitment t reducing inequalities and imprving the health f Märi Utilise a strengths-based apprach avid blame Capture gd news HEHA stries fr Märi as a pririty grup in cmmunity newspapers and ther media Seek active feedback frm Pacific n the HEHA Plan utilising a range f frums Be aware f the differing identity and needs f each Pacific grup Be aware cultural issues related t fd and nutritin and bdy size Demnstrate a cmmitment t reducing inequalities and imprving the health f Pacific Utilise a strengths-based apprach avid blame Capture gd news HEHA stries fr Pacific as a pririty grup in cmmunity newspapers and ther media, Prepare a cmmunicatins strategy which prepares a variety f newswrthy items f interest utilising different angles Stries/ articles / advertising are placed strategically thrughut the year i.e. d nt fld agencies with cpy Explain the use f brands in the Nutritin Guideline wrkshps Utilise relevant brands in different settings Seek expert advice t ensure messages and channels are suitable fr Märi, Pacific and ther pririty grups Cmmunity cnsultatin with Märi and Pacific and HEHA lcality grup t identify the apprpriateness f messages and delivery methds. 10. IMPLICATIONS TO OTHER COMMITTEES The HEHA Strategy crsses all sectrs and is f relevance fr primary care, child health, public health, Mari, Pacific, secndary services, mental, peple with disabilities, aged care and s n.

5 11. OTHER IMPLICATIONS Nutritin and physical activity are existing aspects f the wrk prgramme fr RPH (Nutritin and Physical Activity, Health Prmting Schls and Scial Envirnments teams). The HEHA Prject Manager is currently wrking cllabratively with team leaders at RPH t ensure that wrk activity is apprpriately aligned t ur DHB. Obesity is ne f the mst imprtant mdifiable risk factrs fr a number f lifethreatening diseases and fr serius mrbidity. There is significant untapped ptential fr health prfessinals and clinicians t assess risk, initiate discussin n physical activity and nutritin and t refer as required. An imprtant aspect f the plan is t cnsider ways in which effrts by health prfessinals may be imprved and better crdinated. 12. COMMUNICATIONS STRATEGY A key aspect f the HEHA strategy will be capitalising n natinal HEHA scial marketing campaigns fr bth nutritin and physical activity and develping lcal cmmunicatin/scial marketing strategies t mtivate behaviur change.

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