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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.

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Presentation on theme: "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."— Presentation transcript:

1 Charrissa Makowharemahihi & Zara Hale Thrive Teen Parent Conference 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

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4 A Gardeners Tale – Camara Jones

5 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 August; 90(8): 1212–1215.

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7 E Hine Kaupapa Maori qualitative study exploring the lived realities young Māori women through pregnancy, motherhood, and early childhood Within the context of policy environment

8 Disparities in Māori Maternal and Child Health Women ’ s Health Research Centre Research making a difference to women

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11 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 E Hine System Becomin g a mother Health & Social Services, prog

12 Bridging what we do, with the lives of our people

13 Rōpū Māmā 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

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19 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 Initiation of maternity care for young Māori women <20 years. New Zealand Medical Journal. 127(1393)

20 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/Tamariki Ora advising only Evidence of piggy backing to avoid cost

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22 NGA MIHI Advisory Groups Roopu Mama Kaumatua Kāhui 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, Eru Pomare Acknowledgements Nuki Takao Robyn Kahukiwa


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