Report: Health Promotion for Smoking Prevention Among Maori Women

This report addresses the critical health concern of smoking among Maori women in the Bay of Plenty (BOP), New Zealand, where smoking rates are disproportionately high compared to other populations. The report outlines two primary objectives: mental health promotion to reduce smoking rates and smoking prevention among pregnant Maori women through awareness and healthcare support. It details the implementation of these objectives through community care settings, counseling by mental health nurses, and health awareness programs targeting the harmful effects of smoking on both active smokers and fetuses. The plan is structured around the Te Pae Māhutonga framework, emphasizing leadership, autonomy, social participation, and healthy lifestyles. Furthermore, the report aligns with the Ottawa Charter of Health Promotion, focusing on building healthy public policy, creating supportive environments, strengthening community action, developing personal skills, and re-orienting healthcare services. The intended outcome is a reduction in smoking levels among Maori women, with the unintended outcome being the potential marginalization of pregnant women with smoking habits, which needs to be carefully managed. Desklib provides access to similar solved assignments and study tools for students.

Justification of the chosen health concern:
Smoking
According to the Bay of Plenty (BOP) District Health
Board Hauora of Toi (2018), the BOP tops in the quit
smoking rate in New Zealand (NZ). The Bay of
Plenty’s free Stop Smoking Support service, Hapainga
is known for its high quit smoking rate. However, as
per the tobacco control statistics published by the BOP
District Health Board during the tenure of 2015 to
2018 highlights that the overall rate of smoking is
higher among the Maori population irrespective of
gender in comparison to Pacific population and the
total population residing in BOP. The percentage of
regular smoker counts of 42% of Maori in BOP.
As per the data, the rate of smoking is high among
the Maori women, Tucker, Kivell, Laugesen and
Grace (2017) stated that the Maori women suffer
from poor socio-economic status along with lack of
proper access to the healthcare set-up and respect at
home. This the reason behind high smoking rates
among Maori women. The health promotion will
aim towards reduction of smoking among the
Maori women residing in BOP.
Ottawa Charter of Health Promotion towards
smoking prevention
Building Healthy Public Policy Policy towards prevention of
smoking among Maori women with special notice to pregnant
women of BOP
Creation of supportive environment: Supportive environment
will be created through the presence of culturally competent
Maori nurse as this will help to increase the overall participant
of this group of population. In order to increase the support
further the family members of the women like their husbands
will also be asked to join in the community health promotion
and thereby helping smoking prevention in a comprehensive
manner (Rose et al., 2015)
Strengthening of community action: This will be done through
increasing the empowerment of the communities (World Health
Organisation, 2018).
Development of personal skills: This will be facilitated by
promotion of healthy food habits ad physical activity and this
will help in the prevention of smoking (Hyland et al., 2015)
Re-orientation of the healthcare service towards smoking
prevention will be done through taking feedbacks from the
participants and making subsequently changes in the health
promotion plan. Like feedback in making the plan more
culturally competent.
Intended and Unintended outcomes
Intended outcomes: Reduction in the level of
smoking among Maori women
Unintended outcomes: Marginalization of the
pregnant women pregnant women who have
smoking habits. This marginalization will surface
when the pregnant women with smoking habits will
come to participate in health promotion campaign.
This marginalization or social exclusion will
hamper their mental health and well-being (Stibe &
Cugelman, 2016)
Student Names and ID
Objective of health promotion
1.Mental health promotion among Maori women in
order to reduce the smoking rate
2. Prevention of smoking among pregnant Maori
women through smoking awareness and healthcare
support
Achievement of objectives
Objective 1: Counselling of the Maori women in
order to help them overcome from depression and
thereby helping to improve their mental health
condition and thereby helping to prevent smoking.
The counselling will be given under community
care settings through mental health nurse.
Objective 2: Proper health-related awareness
program will be structured encompassing pregnant
Maori women and their family members. This
health awareness program will target harmful
affects of both active and passive smoking and how
this can hamper the health of the foetus. The
training will be given by community health nurse
under the active supervision of the healthcare
professionals. Proper healthcare assistance will also
be generated through funding from government
under the banner of Tobacco Control Strategic
Action Plan (2015 to 2018) of BOP District Health
Board.
Plan implementation as per Te Pae Māhutonga framework in public health
1. Nga Manukura: Leadership
The leadership in the community health promotion plan will be done through effective communication coming from
community health nurse and alliances coming from the social leaders (Community and Public Health, 2018). This, will help to
increase the overall participation of the Maori women in the health promotion program (Hyland et al.,2015)
2. Te Mana Whakahaere: Autonomy
The health promotion program towards the prevention of smoking should be done in such a way that it increases the autonomy
of the participant. Kindly self-initiative and will to quit smoking and this will help generate awareness further (Hyland et
al.,2015)
3. Te Oranga: Participation in society
In order to improve the socio-economic condition of the women, the women will be provided with proper employment options
and this help to overcome their depression and thereby helping to quit smoking (Hyland et al.,2015)
4. Toira: Healthy lifestyles
In the domain of healthy lifestyles, women and their husband will be asked to quit smoking through explaining the
consequences of active and passive smoking on health of the family and fetus. Moreover, this will help to improve their overall
health status and health of the fetus. In the health promotion campaign, under the community health settings will also target
healthy diet plan and this will further promote smoking cessation and improvement in overall health (Åkesson, Larsson,
Discacciati & Wolk, 2014).
Health Promotion: Smoking Prevention among Maori Women of Bay of Plenty
Figure: Smoking rate among different population as per
the population census of 2013
Source: Bay of Plenty (BOP) District Health Board
Hauora of Toi (2015)
Figure: Gender Based Smoking Rates
Source: Bay of Plenty (BOP) District Health Board
Hauora of Toi (2015)