According to Ministry of Health Survey, (DHB Toolkit:Physical Activity 2003 and Implementing the New Zealand Health Strategy 2006). 1. One-third of the adults are not physically active sufficient to benefit a healthy living. As a result of 2. Due to inactivity, people suffer from different kinds of health problems such as obesity, low energy, increase in blood pressure, diabetes, heart problem and other conditions that could potentially lead to death. 3. Increase in sedentary lifestyles in develop countries, which are major cause of preventable disease, disability and death (Ministry of Health, 2003).
1. Due to introduction of modern technology and inventions. 2. Convenience and availability of transportation, entertainments, electronic equipments that makes people less active compared during the past when these things were not invented. 3. Too much assignments and no time for physical activity
4. Physical inactivity is third only to smoking and diet as a modifiable risk factor for poor health in New Zealand. It is associated to 9.5% of all deaths and is estimated to account for over 2600 deaths per year (MOH, 2004). 5. SPARC found that among children and adolescents, 66 % of young people are active doing 2.5 hours of physical activity per week and 34% are inactive and are relatively sedentary or inactive. However, young people in Auckland are 63% less active, compared to rest of the country which is 68%.
Young people aged 5-17 years and their rate of activity
Inactivity seems to be a rather common trait in New Zealand, possibly due to many variant factors. A 2003 SPARC report shows that “the Push Play media campaign has been successful by international standards in raising awareness of the 30 minutes a day message” (SPARC, 2007, para.3). An increase from 13-52% of people aware between 1999-2002 demonstrates that the campaign has been significantly influential on the television viewing part of society, however media alone will have little chance of doing anything except raising awareness. (Schofield, 2003).
One political issue is our budget. Politicians such as Michael Cullen believe we are spending too much but many complain we are not spending enough (Kiong, 2006)
“ The financial burden of obesity and physical inactivity is substantial. It is estimated that obesity health care expenditure in New Zealand is NZ$303 million per annum. Further estimates indicate a saving of NZ$25 million per year could result from a 5% increase in physical activity levels” (New Zealand Medical Journal, 2004).
District Health Board’s responsibilities in relation to Moari health, are expected to act in accordance with New Zealand Public Health and Disability Act (2000). This relates to the health priority objective of increasing the physical activity
The responsibilities of DHB, reflects Crown’s overall partnership with Maori under the Treaty of Waitangi
Greater participation by Moari in the health and disability sector with a view to improve Moari health outcomes and reduce health disparities with other population group
Encouraging children to make healthy choices about what they eat and to be more active is the target of a memorandum of understanding jointly signed today by the Ministries of Education and Health and Sport and Recreation New Zealand (SPARC). The three organisations, Ministry of Health, Chief exective SPARC and Ministry of Educaton, see today's signing as of way of strengthening the work they are already doing together to improve student's wellbeing/hauora, and particularly in the areas of nutrition and physical activity. They plan to meet together monthly and to work together to help implement an effective programme of activities (SPARC, 2004).
New Zealand is a multiethnic, bi-cultural country, we have to value equality and diversity through ensuring equality of access to opportunities and to treat people fairly with respect as well as appreciate, understand and realise the benefits of people's differences (HDC, 1996). Westernized healthcare system in itself does not respond to cultural needs of various groups in New Zealand, hence it is important to understand these needs to provide effective healthcare - i.e. cultural needs of Maori with regards to body parts. Value of diversity is demonstrated through establishment of healthcare systems around various cultural groups - i.e. Maori Health, Pacific and Asian Health etc. These healthcare organisations ensure the cultural needs of various groups are met.
The HDC Health and Disability Commissioner is an independent agency set up to:
promote and protect the rights of consumers who use health and disability services; help resolve problems between consumers and providers of health and disability services; and improve the quality of health care and disability services. The Code of Health and Disability Services Consumers' Rights applies to all health and disability services in New Zealand.
the Privacy Act (1993) states “ an agency that holds personal information that was obtained in connection with one purpose shall not use the information for any other purpose unless…” This legislation protects the identity of the patients/clients and safe keeps the practitioner from legal disputes
When dealing with inactive people, we must alter our communication styles so that it fits into the scenario and how to maximize the potential outcome. The key factor is encouragement. This can be done by being assertive in your tone. Motivate the lazy by stating what they should do without being aggressive or passive, and give them a reason why they should do it. You could for example offer to exercise with them or if it is someone really close you could genuinely tell them that you think it is time they did something about their growing weight
Use bus ride instead of private car to encourage walking
Encourage parents to get involved in physical activity
Encourage adolescents to get involved in a sport or physical activity as it is vital to set up behavioural habits that will lead to the habit of exercising in adulthood and also pass on trends to children