Strengthening Health Promotion Co-ordination and Activity A vibrant, skilled and co-operative health promotion sector that works effectively with all groups and in all settings to reduce the incidence and impact of diabetes and health inequalities. Strong, coordinated and targeted health promotion is integral to the success of Let’s Beat Diabetes (LBD) and its aims of preventing diabetes, slowing the disease progression and improving the quality of life for people with diabetes. As a consequence, health promotion is undergoing a major transformation in Counties Manukau. Huge progress has been made over the past year in co-ordinating and aligning groups and ideas, understanding barriers to performance and identifying priorities. During 2005/2006, LBD will work to enhance and support the sector by: consolidating a leadership hub to guide and lead the action area and its work programme supporting aligned actions through better coordination of the funding environment coordinated planning improving communications resources within health promotion and primary care improving workforce capacity, and enhancing Maori and Pacific programming and responsiveness.
Interventions/Initiatives for 2005/2006 The interventions/initiatives that are being implemented within this action area in 2005/2006 are: | Interventions/Initiatives | KPIs/Milestones | 5.1 Consolidating a community leadership hub for the health promotion action area Consolidate a leadership forum to provide guidance for, and lead, the health promotion action area. The forum is to be comprised of health promotion leaders - Primary Health Organisation (PHO) and community-based – and be ethnically diverse.
Key partners - ARPHS, PHO Health Promotion Working Group (PHO HPWG), Diabetes Projects Trust (DPT), CODA (Community Organisations Diabetes Awareness – which comprises MCC, NHF, Diabetes Auckland and PHOs), Whitiora Diabetes Service.
| Aug 2005, leadership hub convenes. | 5.2 Supporting aligned actions through better coordination of the funding environment Support funder organisations for health promotion in Counties Manukau to meet annually to share information on funding allocations and strategies as they relate to diabetes risk factors and disease management. It is proposed LBD’s ‘life course’ model will be used to review funding strategies to minimise overlaps, identify gaps and ensure there are programmes operating in synergy with each other. Develop over time a consistent and transparent approach to describing contacted outputs in summary terms so that providers can understand what each other is doing and who they are targeting.
The Qipps database and model provides an opportunity to support internet-based provider-to-provider sharing of strategic information. Key partners - ARPHS, PHO HPWG, DPT, CODA.
Key linkages - LBD all action areas.
- CMDHB Planning & Funding; CMDHB Pacific Health; CMDHB Maori Health; CMDHB Primary Care Development (including Chronic Care Management programme - CCM).
| March 2006, funders meet to discuss funding allocations and strategies for 2006/2007 year. Feb 2006, health promotion providers have entered programme summary information in Qipps and it made available to all.
| 5.3 Improving capacity of the health promotion workforce Develop an e-mail/web-based information network for health promoters working in Counties Manukau, that provides information on programmes, training opportunities, events, policies, practical issues (such as equipment and resource availability) and available specialist help in order to support an informed and interacting workforce that is focused on self directed improvement. Commission the development of health promotion core competencies for diabetes risk factors and disease management. (Need to ensure that any development does not duplicate – and aligns with - national processes) and provide training opportunities to support attainment of competencies. The training solutions may include services from independent providers and also the re-orientation of mainstream education service providers. Integrate formal health promotion competencies into career pathways. Capacity development needs to have a focus on supporting Maori and Pacific health promoters and ensuring mainstream health promoters have good skills to provide quality services for Maori and Pacific peoples. Based on the Pacific Diabetes Literature Review, key learning on effective interventions and approaches to Pacific health education can inform best/good practice to ensure Pacific community education is effective and built on long term learning about disease process and its impact on health. This must be developed in conjunction with any workforce development that is likely to target and/or impact Pacific populations. Key partners - ARPHS, CMDHB Primary Care Workforce Development, Whitiora Diabetes Service, CMDHB Pacific Health.
Key linkages - LBD all action areas.
- CMDHB Planning & Funding; Pacific Health Workforce Development; Maori Health Workforce Development; Primary Care Workforce Development.
| Sept 2005, e-mail/web-based network of health promoters in place and operational. March 2006, health promotion core competencies identified and developed to enable training to proceed. May 2006, training in core competencies begins and formal training in mainstream educational institutions ready to proceed 2nd quarter 2006. 30 June 2006, develop best practice guidelines for health education and promotion resources for Pacific populations.
| 5.4 Improving communications resources for diabetes for use within health promotion and primary care Undertake gap analysis for core diabetes communications resources for use in health promotion, obesity management and diabetes disease management. Gap analysis will look at issues of content, cultural applicability and quality. Health promotion leadership forum to oversee analysis process (multiple organisations have a stake in this process). Resources will be updated or new resources developed, as required. Development and style of new resources should be cognizant of LBD social marketing strategies and of opportunities with electronic media, and the needs of LBD’s other action areas. Resources should also align with Patient Management Systems (where appropriate), the CCM programme and the New Zealand guidelines group. Resources must also be developed within a cultural, collective and relational context of how Pacific people learn and are more likely to sustain behaviour change. Translated print material in isolation of workforce development, models of care and service delivery are no longer an acceptable process. Evidence based resources for Pacific populations must reflect how Pacific people learn and are more likely to act on education and inform change. Develop a well publicized and accessible supply of quality resources available for all health organisations, community organisations and groups and the wider community. Key partners - ARPHS, PHO HPWG, DPT, CODA, CMDHB Primary Care Workforce Development, Whitiora Diabetes Service, CMDHB Pacific Health.
Key linkages - LBD all action areas.
- CMDHB Planning & Funding; ; Maori Health Workforce Development; Primary Care Workforce Development.
| Sept 2005, agreement on hosting, distribution and marketing of communications resources responsibilities within Counties Manukau. Oct 2005, gap analysis for communications resources completed and agreement on initial resources for upgrade or new development. From Nov 2005, upgrade of resources using best practice processes undertaken and based on evidence and literature review appropriate to each target group (e.g. Maori and Pacific populations).
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