The Challenges of Health Promotion within African Communities in New Zealand

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Tuwe Kudakwashe reports on his research, which identified eight key health promotion challenges faced by New Zealand (NZ) African communities.

This presentation was given at the Under the Baobab African Diaspora Networking Zone at the International AIDS Conference, AIDS 2014.

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The Challenges of Health Promotion within African Communities in New Zealand

  1. 1. African Diaspora Networking Zone/African Diaspora Networking Zone/ Global Village; 2014 AIDS ConferenceGlobal Village; 2014 AIDS Conference TOPIC: The Challenges of health promotion within African communities in New Zealand DATE: 22nd July 2014 VENUE: Melbourne, Australia PRESENTER: K Tuwe [MBA, MPhil, MIPMZ & FICB (SA)] Programme Manager– African Communities New Zealand AIDS Foundation k.tuwe@nzaf.org.nz
  2. 2. Both Refugees & MigrantsBoth Refugees & Migrants
  3. 3. Research Procedures orResearch Procedures or MethodsMethods ParticipantsParticipants  20 Community Leaders (10 Akld, 4 Hmltn & 6 Wgtn)20 Community Leaders (10 Akld, 4 Hmltn & 6 Wgtn)  60% Refugee Background60% Refugee Background  40% Migrant Background40% Migrant Background  10 Service Providers (5 Akld, 3 Hmltn & 2 Wgtn)(5 Akld, 3 Hmltn & 2 Wgtn)  5 DHBs5 DHBs (3 Akld, 1 Hmltn & 1 Wgtn)(3 Akld, 1 Hmltn & 1 Wgtn)  4 Refugee Background Orgs4 Refugee Background Orgs  1 Migrant Background Org1 Migrant Background Org  Focus Group-Focus Group- One in Auckland (60% Refugee Background)One in Auckland (60% Refugee Background)
  4. 4. Topic:Topic: The challenges of health promotion withinThe challenges of health promotion within the African communities in Newthe African communities in New ZealandZealand  Methodology:Methodology: 1.1. Phenomenological andPhenomenological and 2.2. Ethno-methodology  Results:Results: n African communities’ understanding of the concept of public health n African communities’ access to health services n Language barrier as a main challenge to accessing health promotion n Spirituality and traditional beliefs of African health consumers n Lack of understanding of the cultural context of African communities by health practitioners n Racism and discrimination within the health sector n Housing issues as a challenge to the promotion of health within African communities n HIV and AIDS related-Stigma as a challenge to the promotion of health within the African communities 1.1. Conclusion:Conclusion: 2.2. The study revealed that the above eight were the main health promotion challenges faced by theThe study revealed that the above eight were the main health promotion challenges faced by the New Zealand-based African communities.New Zealand-based African communities. 3.3. The international literature review supported the evidence given by participantsThe international literature review supported the evidence given by participants
  5. 5. Understanding the Concept of Public Health African Concept:“ fat” Perceived as Rich Coupled (Lack of Physical Exercises)  Appointment System  No Prescriptions of Antibiotics and Injections  Waiting List and Time Delays at Emergency Hospitals  Lack of Employer-assisted Medical Aid Schemes  Lack of Medical Check-ups  Local Health Professionals not Familiar with African Tropical Diseases  Lack of Consultation by Service Providers  NGOs/ Government Departments Creating Dependency Syndrome  Types of Different Food and Environment and Lack of Physical Activities
  6. 6. Access to Health Services  Prohibitive General Practitioners (GPs) Consultation Fees  Work versus Visiting a General Practitioner  Referral System  Immigration Legal Status- 2 yr policy  Waiting List for Surgery or Specialists  Community Members not Knowing Existing Services: Respite Services  Difficulties in Securing Community Funding  Lack of Information on New Zealand Public Health System
  7. 7. Language Barrier as a Main Challenge to Accessing English Language as a Communication Barrier  Difficulty to Communicate with Health Professionals  Use of Young Children as Interpreters: Confidentiality & culturally wrong  Fear of Community-Gossiping: Use of community interpreters  Suspicion: Confidential Information Passed on to Other Government Departments  Community Members Uncomfortable to Use Strangers as Interpreters  Possible Loss of Essential Meaning When Using Interpreters  Lack of Information in African Languages
  8. 8. Spirituality and Traditional Beliefs  Strong Belief in God  God’s Spiritual Healing Powers: Chronic Diseases Diabetes and HIV/AIDS  African “Holy Water”  Ancestors and the “Spiritual World”  African Traditional Medicine and Spirituality  Psychological Effects: Self-fulfilling Prophecy-A Matter of Believing and Having Faith  Principle of “Sankofa”-Relationship between, the Present, the Morrow and the Future  “Evil Eye” Concept  Religion: A tool to Oppress Women  Integrating ATM with New Zealand Mainstream Public Health System
  9. 9. Cultural Context :Lack of Understanding by Health Practitioners  Understanding and Appreciating One’s Culture-Cultural labels: Stereotyping  Lack of Respect for other Cultures: Arrogance and Negative Attitude  Non-involvement of Those Who Know the Cultural  Cultural Shock: Physiological Effects  Sensitive Health Issues: Gynaecological Matters  Cultural Ambiguity – “Sore all over”  Power Dynamics: Health Professional and Patient  Africans: More Secretive Than Others- Personal health matters  Cultural Differences: Direct Talk on Terminal Medical Conditions of Relatives  Cultural Gestures and Body Languages  Mono-Cultural Vs Collectivism Philosophical Approach  Culture and Counselling  Culture and Religion  Cultural Taboos: Women Walking Club/ Physical Exer  Conflict: Circumcision Practices  Male Dominance over Women
  10. 10. Racism and Discrimination (R& D) within the Health Sector  R & D: Based on Skin Colour and Appearance: A Key Health Promotion Challenge  Racist Attitudes and Tendencies by Health Professionals towards African Patients  Hospital Queue Jumpers  Inhumane Treatment: Use of a Stick by a Medical Doctor  Dehumanising Treatment: Medical Doctors “Holding and Blocking” Nose - Bad Odour  Institutionalized Racism and Discrimination in New Zealand Health System  African Accent  False Perception on Health Service in Africa  New Zealand Health Professionals’ Lack of Exposure: Stereotyping and Under-estimating health Care Systems in Africa  Misleading Information about the Goodness of New Zealand verses the Reality on the Ground  Belief that Africans Live in Holes and Trees in Africa  R & D: Experienced by African Health Professionals from Local Kiwis  Unfriendly Attitude by General Practitioners: Absence of Family Doctor  Racism and Discrimination: Employment Issues
  11. 11. Housing Issues   Wet, Dirty and Dumpy Houses  Ghettoized Settlement  Smaller Houses
  12. 12. HIV and AIDS Related-Stigma  HIV and AIDS related-Stigma  HIV/AIDS Associated with Shame and Promiscuity  Churches Playing a Pivotal Role  Targeting Africans with Jail Terms
  13. 13. AcknowledgementAcknowledgement  Dr Love M Chile – SupervisorDr Love M Chile – Supervisor  All ParticipantsAll Participants  The African Communities in NZThe African Communities in NZ  My Employer (NZAF)My Employer (NZAF)  My familyMy family
  14. 14. My Inspirational HeroesMy Inspirational Heroes
  15. 15. My Inspirational Heroines: I have AMy Inspirational Heroines: I have A Dream…..Dream…..

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