Impact of Health Guidelines on Individual Groups-Free-Samples

Question: Analyse the impact of health guidelines, strategies or initiatives on individual groups within Aotearoa/New Zealand. Answer: Introduction: The New Zealand Health Strategy has focused on improving health and well-being of the New Zealand population. This can be achieved by improving access to health and service for ethnic groups too. However, one of the major challenges in achieving this goal is the high suicide rate in Maori population. Maoris are one of the most vulnerable indigenous groups in New Zealand and one of the serious health and social issues is the high suicide rate in this group. This is a sign of poor mental and social well-being of the population. Deprivation, stressful life experience, poor socioeconomic status and issues related to ethnic identity might be the cause of suicide in Maoris (Suicide Facts | Waka Hourua, 2017).This reports seeks to evaluate the impact of He Korowai Oranga on improving health and well-being and reducing suicide rate in the group Aim, target group and rational for chosen strategy: This assignment mainly focuses on the population group of Maoris to identify the impact of certain health guidelines or strategies on their health outcome. The main rational for selecting Maori group for analysis is that they are the most vulnerable group having higher level of unmet need for health care compared to other groups in New Zealand (The Health of M?ori Adults and Children, 2017).Chronic disease like stroke, diabetes, arthritis and ischemic heart disease is more common in Maori people than non-Maori population. Apart from chronic health issues, adverse social experience, poor socioeconomic status, high cost of health services and disparities in access to care are some of the reasons for suicide ideation and high suicide rate in this group. Hence, the role of health care system, extended family and health care providers are found crucial in promoting health and well-being in the group (Biddle, 2017). The main aim of this paper is to evaluate the impact of He Korowai Oranga, the New Zealands Maori Health strategy to determine its effectiveness in improving health outcome of Maori group. He Korowai Oranga strategy has been specifically chosen for this paper because it has become important to protect Maori culture and this strategy provides useful framework to the government to improve health and well-being of Maoris (He Korowai Oranga, 2017).Hence, it would be necessary to evaluate how interactive pyramid in the He Korowai Oranga has improves overall health outcome of Maoris. Analysis of alignment to New Zealand Health Strategy: The Maori health strategy was developed in 2002 and it has been recently revised in 2014. It is built on the foundation of Wh?nau Ora, an approach to empower the communities and extended families to cooperate with each other to make a Maori community. Hapy, iwi, health care providers and hospital facilities, well-being expert and group specialists will be the important part of this community. There are certain specific aims of the Maori health strategy which are as follows: Promote the prosperity of nation by the development of whanua, hapu, iwi and Maori community Focus on improving access to health and disability services and improving participation of Maori in this sector Working to develop effective health and disability services and making it a priority to address health inequalities and disparities affecting Maori population Working across all sectors to remove barriers to health and social service at all levels (Pathways for action, 2017). One of the key highlights of the He Korowai Oranga Maori health strategy is that it seeks to improve Maori health by addressing the New Zealand Health Strategy. The New Zealand Health Strategy provides the future direction to improve health system by the five strategic theme of smart system, people powered, closer to home, one team, value and high performance (New Zealand Health Strategy Future direction, 2017). The usefulness of He Korowai Oranga is that its aims and actions are aligned to the New Zealand Health strategy as the focus on developing whanau, hapu and iwi ensures that smart health care system powered by skillful people can be build and the aim of improving health of New Zealand people can be achieved. Secondly, the Maori Health strategy has prioritized removing barriers and disparities in health and social services and this is turn will help to fulfill action plans mentioned in the roadmap of the New Zealand Health Strategy (New Zealand Health Strategy, 2016). Discussion of national and regional demographics of target group: As suicide is one of the specific issues that is likely to act as barrier in fulfilling the goal of the Maori Health Strategy and the New Zealand Health Strategy, there is a need to evaluate regional and national statistics related to suicides in the Maori population. This is essential as it will help to understand the severity of the problem and the extent to which the Government needs to work to address deprivation and health problems in the target group. The Maori population is mainly concentrated in Roturua district of New Zealand. According to 2013 statistics, around 65, 280 people live in Rotorua district and among them 22, 413 comprises the Maori people. This means that about 3.7% of Maori population live in Rotorua district (QuickStats about a place: Rotorua district (2017).In the year 2017, the population in the Roturua district crossed 70, 000 meaning an increase in 1.8% compared to the year 2015(Harris, 2017).According to the 2013 national demographics of New Zealand, tota l population is 4.7 million and among them, about 14.9% consist of Maori population. The review of the demographics of New Zealand has also revealed about the alarming suicide statistics in Maori population. In 2013, suicide accounted for 1.7 of all deaths in New Zealand. One important finding is that the highest suicide rate is found in males youths particularly Maori living in the most deprived areas. In 2013, 365 males and 143 males committed suicide. A consistent trend was the high difference in suicide rate between the Maori and non-Maori youth suggesting urgent action to reduce the impact on lives of Maori youths. The Maori suicide rate was also twice the number compared to other ethnic groups. High suicide rate was also found in rural areas compared to urban areas as rural areas showed 12.5 suicide rate per 100, 000 population compared to 10.8 per 1, 00, 000 urban population (Suicide Facts: Deaths and intentional self-harm hospitalisations 2013, 2017). Critical analysis of the strategy: Considering the high youth suicide rate particularly in Maori population, it can be said that this has been seen mainly due to cultural identity and impact of colonisation issues in the Maori group. In addition, people belonging to deprived areas have been found to have high suicide rate (Marriott Sim 2015). The effectiveness of the Maori Health strategy for improving the health of the Maori people is understood from its overall aim. It is a living strategy aiming to improve overall health of Maoris. This means that the He Korowai Oranga would help address all areas of Maoris life which contributes to mental and physical health issues for them (The Guide to He Korowai Oranga M?ori Health Strategy, 2017). Survey has shown that Maori youths develop suicide ideation due to mental stress and this mainly occurs because of negative experiences like racial discrimination and area deprivation in Maori people. Ethnic density has been also found to effect Maori people. Report has shown that increase in Maori ethnic density has been associated with poor health and common mental disorders. Hence, adjusting for area deprivation, health and socioeconomic inequities and high poverty in the group might promote well-being and eliminate experience of racism in the target group (Bcares, Cormack Harris 2013). The utility of the Maori Health strategy is that it is working to address all these problems in Maori. The strategy symbolizes protective cloak by nurturing the Maori people physically as well as spiritually. The Government is trying to develop skills whanau, hapu and iwi, health professionals and community workers. This will play a role in identifying social and health inequities and resolving th ose gap in Maoris life. This will play a crucial in reducing physical and mental stress in them and reducing suicide rates. The review of suicide statistics in New Zealand has showed that suicide rate is high mainly in youths. This is mainly because of racial and gender disparities. This has been proved in research that youths coming from ethnic background are deprived of basic necessities of life and they experience discrimination in seeking employment opportunities too. Many people live in deprived areas having poor access to health services. These people tend to have high rate of chronic disease. The disease burden and inability to get appropriate treatment also results in suicide ideation in them (Chan et al., 2017). Hence, the He Korowai Oranga has been found beneficial in addressing all kinds of disadvantages in Maori peoples live. Its effectiveness is understood from the following points: It is a web-strategy thus provides all resources and guidance to hapu, iwi, whanua and community groups to secure health of Maori. The Government and health and disability sector is working together to strong platform to Maori. This is evident from the focus on the element of healthy individuals, healthy families and healthy environments. Hence, it is a holistic strategy looking to address all factors influencing quality of lives of Maori group. The pathway for actions is a strategic plan that is focusing on participation of Maori in decision making and service delivery. This will provide equal opportunities to people in all aspects of life. Working across all sector will also ensure that all physical, cultural, geographical and other barriers affecting health and well-being of Maori is addressed (The Guide to He Korowai Oranga M?ori Health Strategy, 2017). Conclusion: The report gave critical insight into the issue of high suicide rate in Maori population and the effectiveness of He Korowai Oranga on providing a supportive and protective framework to Maoris. The element of pathways for action, key threads and directions is a holistic strategy that will provide all support and guidance to plan resource, monitor health, promote Maori participation and develop the community. References Bcares, L., Cormack, D., Harris, R. (2013). Ethnic density and area deprivation: Neighbourhood effects on M?ori health and racial discrimination in Aotearoa/New Zealand.Social Science Medicine,88, 76-82, available: doi:10.1016/j.socscimed.2013.04.007 Biddle, D. 2017.Report highlights New Zealand's health system failing Maori.Stuff. Retrieved 1 December 2017, from https://www.stuff.co.nz/national/health/73949279/report-highlights-new-zealands-health-system-failing-maori Chan, S., Denny, S., Fleming, T., Fortune, S., Peiris-John, R., Dyson, B. (2017). Exposure to suicide behaviour and individual risk of self-harm: Findings from a nationally representative New Zealand high school survey.Australian New Zealand Journal of Psychiatry, 0004867417710728, retrieved from: https://journals.sagepub.com/doi/abs/10.1177/0004867417710728 Harris, G. (2017).Rotorua's population records biggest growth in 10 years.NZ Herald. 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