charrissa makowharemahihi zara hale thrive teen parent conference 24 25 september 2014 auckland n.
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Charrissa Makowharemahihi & Zara Hale Thrive Teen Parent Conference 24-25 September 2014 Auckland. E Hine: The voice of Young Māori Mothers in a Māori teen pregnancy study. Women ’ s Health Research Centre Research making a difference to women. A Gardeners Tale – Camara Jones.

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charrissa makowharemahihi zara hale thrive teen parent conference 24 25 september 2014 auckland
Charrissa Makowharemahihi & Zara HaleThrive Teen Parent Conference 24-25 September 2014Auckland

E Hine:

The voice of Young Māori Mothers in a Māori teen pregnancy study

Women’s Health Research Centre

Research making a difference to women

a gardeners tale an allegory of racism
A Gardeners Tale – An allegory of racism

Institutionalised racism

Structural barriers, differential access, inaction in face of need, privilege

Personally-mediated racism

Intentional or unintentional, commission, omission

Internalised racism

Erodes individual sense of value

Who is the gardener?

Power to make decisions, to act, control resources, not concerned with equity

Ref: Jones CP. Levels of racism: a theoretic framework and a gardeners tale. Am J Public Health. 2000 August; 90(8): 1212–1215.

e hine
E Hine

Kaupapa Maori qualitative study exploring the lived realities young Māori womenthrough pregnancy, motherhood, and early childhood

Within the context of policy environment

slide8

Disparities in Māori Maternal and Child Health

Women’s Health Research Centre

Research making a difference to women

slide10

System

Provider/Clinician

Provider/Clinician

System

methods participants
Methods/Participants
  • 44 Participants (41n at end of study)
  • Two case study sites (HB; WN)
  • Between 14 – 20 at time of birth
  • Retrospective & Prospective Cohorts
  • Between 2 – 5 interviews
  • In-depth interviews

Data summary:

  • 160 participant interviews

(includes 16 birth interviews)

  • 69 whanau interviews
  • 17 Sector interviews
r p m m
RōpūMāmā

Involve young Maori mothers in the study development & implementation

Credibility with participants they feel their korero is received and used in context of their own worldview

Ensure advice, recommendations, and subsequent policy decisions impacting on them are informed by their perspectives

Permission of image use by Robyn Kahukiwa

findings published
Findings - published

Finding out – Finding a Midwife

  • Majority of participants confirmed their pregnancy in the first trimester
  • Early interaction with primary care services
  • Proactive
  • Pregnancy tests

Barriers

  • Identifying, confirming and enrolling with an LMC problematic
  • Lack of information and support about pathways
  • Over expectation on young pregnant women
  • Limited resources and knowledge to navigate system

Structural & service changes to ensure a seamless maternity care pathway

  • Makowharemahihi C, Lawton B, Cram F, Ngata T, Robson B, Brown S. 2014. Initiation of maternity care for young Māori women <20 years. New Zealand Medical Journal. 127(1393)
preliminary findings unpublished
Preliminary Findings – unpublished

Contraception Before pregnancy

  • Majority (88%) had a contraception interaction with a health professional prior to pregnancy
  • Long term contraception methods (64% / 34%)
  • Quality of health interactions

“have a little rest then hop back on it” (CCHB01.1 – age 18 at birth).

Contraception After Pregnancy

  • Few received contraception from LMC (9%)
  • WellChild/TamarikiOra advising only
  • Evidence of piggy backing to avoid cost
nga mihi
NGA MIHI

Advisory Groups

Roopu Mama

KaumatuaKāhui

Funders

Ministry Youth Development - RM

Health Research Council – Preg –1 yr

Ministry of Health – Year 2

Research Team

Dr Bev Lawton, Tina Ngata, Selina Brown - WHRC

Fiona Cram, Katoa Ltd

Bridget Robson, EruPomare

Acknowledgements

Nuki Takao

Robyn Kahukiwa