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P a g e
Hapu Wananga classes a hit
Hapu Wānanga is an antenatal and parenting two-
day course developed by Waikato DHB’s Te Puna
Oranga (Maori Health) team which uses a kaupapa
Maori approach. The first of 11 programmes was
completed in October with midwife Alys Brown
delivering the course to a very appreciative group of
teenagers (mums, partners and supporters).
The course covers antenatal information, labour,
preparation for birth, and post-natal information,
but a feature of the programme is the way a much
broader range of life skills and information is woven
in. Guest speakers cover topics from healthy eating,
smokefree, and immunisation to careers and
education opportunities
Te Puna Oranga general manager Ditre Tamatea
says young Māori tend not to access mainstream
services. “This programme is designed for them and
has a kaupapa Māori approach, but it is open to
anyone who is looking for this way of learning.”
Photo: (top) course participant; (below) tutor Alys Brown.
Health Target – Reducing Maternal Smoking
Congratulations! Nearly all women are being asked
their smoking status at first registration and offered
cessation support and we have more than
doubled
the percentage of women accepting support to quit.
One of the goals of the Call to Action on Maternal
Smoking is that 50 per cent or more of pregnant
women who smoke accept smoking cessation
support at their first registration visit with a lead
maternity carer. In quarter 2 2013 (Oct-Dec) only
11% of all women who were offered smoking
cessation advice from their LMC accepted support.
We have since had an intensive focus on providing
ABC training for LMCs. In quarter 1 2014 (July-
September), we doubled the percentage of women
accepting support to quit – let’s keep that number
moving up.
Another indicator that LMCs are strengthening their
skills is the somewhat counter-intuitive good news
that reported smoking prevalence for Maori women
has increased from about 35% to almost 50%. This
probably does not mean there are more women
smoking. It’s more likely to mean that LMC skills
have improved in talking about tobacco use and so
women are more comfortable disclosing their
smoking status
Pregnant women
who smoke
Q2
2013
Q1
2014
Maori
Women
All
Women
Maori
women
All
Women
offered cessation
support
75%
71%
94%
96%
acceptance of
cessation support
10%
11%
21%
21%
prevalence of
smoking
35%
17%
49%
20%
1,2 4,5,6