1. © National Hauora Coalition An Early Intervention Programme Outcome focussed: Every child has best start in life Universal programme, with targeted service packages Opt Out Runs from early pregnancy to 5 years Access to Whaanau Ora Practitioner with a special interest in families, children and babies Part of an Integrated Child Team

2. © National Hauora Coalition Proactive Support Examples of ServicesDelivered by Full assessment of needs and risks by 12 weeks of pregnancy MPT Practitioner and through engagements with relevant service providers providers Advice during pregnancy on health protective factors such as nutrition, smoking, alcohol and breastfeeding Whānau have the chance to discuss becoming a parent /care giver, and to discuss what they can expect from local and district services Face to face support with caring for a new born and adjusting to life as a new parent, including seeking support of employees to provide flexible working conditions

3. © National Hauora Coalition Protection Examples of ServicesDelivered by Kaupapa based birthing options, antenatal and postnatal care MPT Practitioner, in partnership with LMC, Family General Practice team, and free primary care and community servicesservices Breastfeeding education and support Series of immunisation appointments between 6 weeks and 4 years to protect against infectious disease, and screening Conduct hauora workshops for hapu wahine covering topics such as nutrition, physical activity, smoking cessation, after- hours within community settings Facilitate access to exercise networks Provide access to population health services such as smoking cessation support, alcohol & drug use, sexual health services, depression, cervical screening, heart and diabetes checks Conduct household and environmental safety assessments

4. © National Hauora Coalition Cultural Support Examples of ServicesDelivered by Establish or connect to a support network (i.e. whanau, Maori Coffee Groups) that understand antenatal and first time parenting needs Whanau member in the community Establish or connect Maori Play Centre Groups Local resources network Actively join or participate in Te Reo, Whare Wananga, Kapa Haka, Waka Ama activities Local Marae, or learning institutions / wananga Local Whanau, Hapu / Iwi Groups Actively engage in Kohanga Reo learning, activities and network Local Kohanga Reo

5. © National Hauora Coalition Reviews / Checks Examples of ServicesDelivered by Build and strengthen relationships with LMC to partner during maternity care to 6 weeks MPT Partnership Series of scheduled health and developmental reviews, commencing from birth to five years old and includes:  Partnering with Midwifery  WellChild / Tamariki Ora services  Oral Health  B4 School Checks MPT Practitioner or MPT Partnership with Clinical Team Regular milestone updates against the Whanau Plan MPT Practitioner MPT Partnership with Clinical TeamPractitioner

6. © National Hauora Coalition Social Support Examples of ServicesDelivered by Safe Homes programs and support for whānau to strengthen their capability to protect their children (family violence, child safety initiatives, counselling, health promotion messaging). MPT Practitioner MPT Practitioner engagement with free primary care and community services, or approved providersproviders Information and coordination resource drawing on community networks and local agencies.  Financial planning  Housing – healthy housing assessments and insulation  Relationship Counselling  Family violence supports Haputanga Services with kaupapa based antenatal education and culturally safe information about care options, carers and entitlements. Parenting Programs to include home visiting, whānau learning program and support network/groups.

7. © National Hauora Coalition Access to Additional Support Examples of ServicesCoordinated by Access to support through group sessions, websites and phone lines (resources) MPT Practitioner Access to additional elements over and above the Early Intervention Programme through LMC, Well-Child providers, General Practice, School Based Health Clinics, Family Start etc MPT Practitioner Access to free early learning education for 3 to 4 year olds, 38 weeks a year MPT Practitioner, linked into local resources Access to Kohanga ReoMPT Practitioner, linked into local resources Cultural programs, community networks and social inclusion initiatives MPT Practitioner, linked into local resources Educational, training and employment opportunities for the primary caregivers of tamariki MPT Practitioner, linked into local and district-wide agencies and community supports supports

8. © National Hauora Coalition Service Providers MPT Whānau Ora Practitioners – Proficient in case management competencies – Nursing qualified practitioners with a special interest in families, babies & children – Able to provide immunisation, well child and B4 school checks – Able & skilled to work with whanau to address the social determinants of health including whanau ora planning – May work in teams with community health workers, – Strong focus on parenting and supporting safe families; – Will be part of a Whanau Ora network and able to provide solutions to social issues including housing, economic independence and parenting skills; Lead Maternity Cares – Able to provide antenatal & maternal care with greater support from MPT Whanau Ora Practitioners & in partnership with the medical home able to provide more complex clinical care; Medical Home – All young families are engaged in a medical home which may be concentrated in larger centres; – Additional specialist nursing services for GDM, obesity, mental health including alcohol & drug; – Provides more access for pediatric medical support including observation beds and access to POAC (as described in the GAIHN Child Health Pathway work); – Developed as proactive providers of wellbeing for families; Haputanga/Antenatal Care – Comprehensive antenatal care that is layered with a whanau centred appraoch. Strongly connected to MPT Whanau Ora Practtioner and LMC; – Greater emphasis on whanau, parenting and safe & healthy environments for mothers and babies;

9. © National Hauora Coalition Impact on Outcomes: Best Start in Life