The New Zealand Cancer Control Strategy: Action Plan 2005–2010 sets out the following goals and objectives for programmes and services for Māori:

 

Action Table

Goal 5, Objective 2: Ensure appropriate programmes and services are accessible to Māori across the cancer control continuum

Outcomes/results

Specific actions

Key stakeholders

Milestones/measures/phasing

95.

Appropriate and effective governance models are developed to address Māori inequalities in access and outcomes.

Ensure Māori are actively involved in identifying Māori priorities across the cancer control continuum.

Evaluate the extent to which Māori inequalities are being addressed in the implementation of the Cancer Control Strategy.

Ensure appropriate resourcing and support for improving Māori capacity and involvement in the implementation of the Strategy.

MOH, iwi, hapū and Māori communities, Māori providers, DHBs, PHOs, NGOs.

Reporting on implementation of the strategy will identify how it has engaged with Māori communities, and how cancer-related inequalities are being addressed for Māori.

Phases 1 and 2

96.

Services across the cancer control continuum are appropriately focused towards Māori priorities and reducing cancer-related inequalities.

DHBs, PHOs and cancer service providers will involve Māori expertise and the range of relevant Māori service providers in multidisciplinary teams and networks.

Planners and funders of cancer services will consider the needs of Māori in the piloting of new initiatives aimed at reducing cancer-related inequalities.

Service providers will investigate the role of Māori patient advocates, navigators or interventions to enhance the patient journey for Māori and their whānau.

Planners and funders of cancer services will support and appropriately fund Māori-led initiatives in cancer control.

MOH, DHBs, PHOs, cancer collaboratives and regional networks, NGOs, Māori service providers, cancer service funders and planners.

DHBs with iwi partners and Māori communities will identify priority areas and incorporate into strategic plans and allocate resources.

Phases 1 and 2

97.

A case management approach is in place for Māori patients from commencement of treatment (overlaps with Goal 3, Objective 3). Māori providers, NGOs. Case management approach for Māori is incorporated into service planning and delivery. Phases 1 and 2

Clinicians will be encouraged to use a case management approach to assist Māori at all levels of the continuum, with a primary health care professional identified at the start.

DHBs, PHOs, cademic and professional groups,

Case management approach for Māori is incorporated into service planning and delivery.

Phases 1 and 2

98.

Decisions about policy and funding address inequalities and Māori priorities in cancer control.

99.

The development of national standards and guidelines reflect priorities for Māori. (Note: see also Goal 3, Objectives 1 and 2.)


Ensure the development of standards and guidelines for the prevention, screening, diagnosis, treatment and management of cancer are reflective of, and give priority to, those cancers that contribute to the greatest disparities for Māori.

Ensure that the development of national standards includes a requirement for effective monitoring of cancer-related outcomes, inequalities and service responsiveness for Māori.

Develop tools to assist service providers and health professionals to communicate effectively with Māori about cancer and cancer care.

MOH, Māori providers, DHBs, PHOs, NGOs, linical and professional groups, training organisations and institutions.

Standards and referral guidelines are developed and monitored to ensure that cancer-related inequalities for Māori are being addressed.

Phases 1and 2

100.

Improved information for, and communication with, Māori communities.

Ensure effective communication with, and development of high-quality resources for, Māori communities to:

  • keep them informed of cancer and cancer service options, and engage Māori in new developments
  • incorporate messages regarding the extent of the problem for Māori
  • encourage Māori to access cancer treatment services at the earliest time.
  • improve the availability of appropriate information to ensure cultural acceptability
  • involve the marae/community in communicating with Māori
  • identify and utilise positive role models.
  • MOH, DHBs, NGOs, Māori providers, iwi, hapū, and Māori communities.

    Communication strategies or approaches for Māori are developed and implemented with Māori stakeholders.

    Phases 1 and 2

    101.

    Ongoing monitoring and evaluation that provides ongoing information about Māori access to cancer services and cancer-related inequalities for Māori will be undertaken.


    Institute systems for the routine monitoring and reporting on equity of access to cancer services for Māori across the cancer control continuum.

    Routinely collect and publish data by ethnicity to reflect the goal of reducing inequalities and to allow for monitoring of ethnic inequalities.

    MOH, DHBs, PHOs and cancer control service providers and networks.

    Monitoring and data collectionprocesses are developed to report on Māori access to cancer control services and activities and cancer related inequalities.

    Phases 1 and 2

    102.

    Research will inform the planning, development, and delivery of cancer services for Māori across the cancer control continuum.


    Develop and implement a research agenda for Māori, and in particular to consider with appropriate responses to address:

  • prioritising cancer research for Māori with cancer, their whänau and communities
  • investigating cases in which cancer stage is unrecorded, including reasons for this
  • exploring the extent to which delays contribute to inequalities in cancer outcomes for Māori, including delays in diagnosis and treatment
  • investigating the existence of, extent and reasons for, differential treatment for Māori and non-Māori which may contribute to cancer-related inequalities.
  • MOH, CCC, tertiary education institutes, research bodies,Māori researchers, NGOs, DHBs.

    A research agenda is developed for Māori cancer research.

    Phase 1

     

    Initiatives

    The Southern Cancer Network works on initiatives from across the cancer continuum.

     

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    Information about services available in the South Island Go to Service Directory

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