据新西兰新闻秘书处2021年7月13日上午11时消息，政府承诺为好孩子塔马里基奥拉改变。
政府承诺对一项方案进行重大改革，该方案支持从出生到五岁所有塔马里基人的健康、发展和福祉。
“100多年来，人们一直对儿童进行某种形式的健康筛查监测，并为whénau提供支助。但是，该方案没有跟上现代家庭的需要”卫生部副部长Ayesha Verrall博士说。
卫生部副部长Ayesha Verrall博士说: “对婴儿的筛查、育儿支持和建议由Whénau[whina Plunket]和其他60多个以毛利人和太平洋非政府组织为主的好孩子塔马里基·奥拉提供。
随着pēpi的增长，这些访问和检查旨在确定儿童的健康或家庭是否会受益于早期干预服务，并提供支持。
但数据显示，在发现需求时，将塔马里基转介给专业服务部门必须更加一致”。
卫生部对井孩子塔马里基奥拉方案进行了全面审查，这是2019年儿童青年和福祉战略下的一项关键行动。
虽然好孩子塔马里基奥拉已经发展了良好的意图，并正在对许多儿童的健康和福祉产生积极的影响，它已经过时了。
“新西兰的人口发生了重大变化，这一方案没有跟上whénau的需要：包括贫困、吸毒、心理健康挑战、住房和家庭状况的影响。它需要更好地与其他保健、产妇、社会和早期学习服务相结合。
我们需要使该系统达到一个标准，以便我们能够推动高质量的性能 – 这意味着监控和为儿童、母亲和 whénau 提供进一步的供应他们需要。这项工作必须响应科学围绕生命的前1000天，这显示了强有力的证据表明，在怀孕期间和婴儿的早年投资可以对终身健康产生最大的影响。嗯， 儿童塔马里基奥拉服务是完全有能力支持父母和谁在这段时间。但是，获得和参与是不公平的，该方案需要更大的灵活性来满足个别家庭的需要。政府认识到，我们需要做更多的工作，一刀切的做法是行不通的。我们必须以不同的方式设计、交付和为该计划提供资源，以实现公平″。卫生部副部长Ayesha Verrall博士还说。
政府计划改革保健和残疾制度的关键内容之一是设计适合不同家庭需要的服务，以及儿童塔马里基奥拉的变化将由增强的支持飞行员通知：一种类似于护士家庭伙伴关系的由whénau主导的护理模式，支持父母及其家庭。每个whénau都有一名凯蒂亚基（关键工人），他可能是一名护士或凯伊希纳，由多学科团队支持。他们可以帮助支持心理健康、保健、获得社会服务或教育，或了解养育子女和儿童发展。其中两名飞行员正在顺利进行。
需要转向反应更迅速、综合和基于证据的方法，以充分支持毛利人或太平洋人、残疾人、国家照料和/或有很高需求的塔马里基人。
卫生部副部长Ayesha Verrall博士说:”我们必须在整个方案的治理、设计、交付和监测过程中与毛利人建立有意义的伙伴关系”。
Ayesha Verrall在访问波里鲁瓦的奥拉托亚社区卫生股时宣布了审查结果，该股21年来一直为好孩子塔马里基奥拉提供服务，并为审查作出了贡献。
在六个优先领域确定了一系列短期改进和长期变化的必要性：护理模式：供资和调试;治理;质量、监测和评价：信息和技术：和劳动力。
卫生部已经在采取短期行动，在改善公平性的同时，加强目前的井童塔马里基奥拉服务。
这包括精简信息系统和报告，以确保儿童不会从裂缝中溜走，并审查资金的分配方式，以便更好地支持可持续性和公平性。目前正在就当前和未来的劳动力需求进行工作，并更积极地监测与提供者的新生儿入学情况。
政府致力于为更美好的未来奠定基础。如果年轻人通过诸如好孩子塔马里基·奥拉等项目获得他们作为父母所需要的支持，那么结果对他们、他们的塔马里基和社区都会更好。
卫生部副部长Ayesha Verrall博士说:”与以后的干预相比，尽早提供适当的支持成本更低，效果更有效”。
卫生部网站获得： https://www.health.govt.nz/publication/well-child-tamariki-ora-review-report
。 新西兰皇家普伦凯特成立于1907年，旨在提高人口水平的婴儿营养和存活率。考帕帕毛利人和太平洋社会服务提供者在1980年代和1990年代开始提供好孩子塔马里基奥拉服务。2002年，第一个国家WCTO服务框架被引入
。 以及儿童塔马里基奥拉是由一系列的供应商，包括首席产妇照顾助产士，WCTO供应商，一般实践团队，B4学校检查提供者，以及视力和听力技术人员
。 2020年，每87个在新西兰出生的所有婴儿中，有一分钱在第一年就注册并接受了一家好孩子塔马里基奥拉提供者的服务。然而，居住在高贫困地区的毛利人、太平洋人和瓦瑙人的入学率较低，分别为79、83和82
。 DHB湖和马努考县DHB正在进行强化支持试点，第三组将于今年在泰莱希提DHB启动
。 方案转型的选择和成本将在明年制定
According to news from the New Zealand Information Secretariat at 11 a.m. on July 13, 2021,Government commits to change for Well Child Tamariki Ora
The Government is promising significant change to a programme which supports the health, development and wellbeing of all tamariki from birth until five years old.
“For more than 100 years there has been some form of health screening surveillance of children, and support available to whānau. But that programme has not kept up with the needs of modern families,” said Associate Minister of Health Dr Ayesha Verrall.
“Screening of babies, parenting support and advice is delivered through Well Child Tamariki Ora, by Whānau Āwhina Plunket and more than 60 other predominantly Māori and Pacific non-government organisations.
“These visits and checks as pēpi grow are to identify whether a child’s health or family would benefit from early intervention services, and provide support.
“But the data shows there has to be more consistency in referring tamariki on to specialist services, when a need is detected,” said Ayesha Verrall.
A comprehensive review of the Well Child Tamariki Ora programme has been carried out by the Ministry of Health, as a key action under the Child Youth and Wellbeing Strategy 2019.
“While Well Child Tamariki Ora has been developed with good intent, and is making a positive difference to the health and wellbeing of many children, it’s outdated.
“New Zealand’s population has changed significantly, and this programme has not kept pace with the needs of whānau; including the impact of poverty, drug use, mental health challenges, housing and family situations. It needs better integration with other health, maternity, social and early learning services.
“We need to bring the system up to a standard where we can drive high-quality performance – which means a combination of surveillance and providing children, mothers and whānau with the further support they need.
“And that work must respond to the science around the first 1,000 days of life, which shows strong evidence that investing in whānau during pregnancy and a baby’s early years can make the biggest difference to lifelong wellbeing.
“Well Child Tamariki Ora services are well-positioned to support parents and whānau during this time. But access and engagement is inequitable, and the programme needs more flexibility to respond to the needs of individual families.
“The Government recognises we need to do more, and a one-size-fits-all approach does not work. We have to design, deliver and resource this programme differently, to achieve equity,” Ayesha Verrall said.
One of the key elements of the Government’s planned reforms to the health and disability system, is designing services that work for different families’ needs.
Well Child Tamariki Ora’s changes will be informed by the enhanced support pilots; a whānau-led model of care similar to nurse-family partnerships, that supports parents and their whānau. Each whānau has a kaitiaki (key worker), who may be a nurse or kaiāwhina, backed by a multidisciplinary team. They can help with support for mental health, health care, accessing social services or education, or learning about parenting and child development. Two of the pilots are well underway.
“A shift to a more responsive, integrated, and evidence-based approach is needed to fully support tamariki who are Māori or Pacific, are living with disabilities, are in state care, and/or have high needs.
“We must embed meaningful partnerships with Māori throughout the governance, design, delivery and monitoring of the programme,” Ayesha Verrall said.
Ayesha Verrall announced the findings of the review during a visit to Porirua’s Ora Toa Community Health Unit, which has been providing Well Child Tamariki Ora services for 21 years, and contributed to the review.
The need for a range of short-term improvements and longer-term changes were identified across six priority areas: models of care; funding and commissioning; governance; quality, monitoring and evaluation; information and technology; and workforce.
The Ministry of Health is already progressing short-term actions to strengthen current Well Child Tamariki Ora services while improving equity.
This includes streamlining information systems and reporting to ensure children don’t slip through the cracks, and reviewing how funding is allocated so it can better support sustainability and equity. Work is also underway into current and future workforce needs, and to more actively monitor new-born enrolments with providers.
“The Government is committed to laying the foundations for a better future. If young people get the support they need in their role as parents, through programmes such as Well Child Tamariki Ora, the outcomes will be better for them, their tamariki, and the community.
“Providing appropriate support early is less costly, and more effective, than interventions later in life,” Ayesha Verrall said.
The Well Child Tamariki Ora Review Report is available from the Ministry of Health website: https://www.health.govt.nz/publication/well-child-tamariki-ora-review-report
· The Royal New Zealand Plunket was established in 1907 to improve population-level infant nutrition and survival rates. Kaupapa Māori and Pacific social service providers began delivering Well Child Tamariki Ora services in the 1980s and 1990s. In 2002, the first national framework for WCTO services was introduced
· Well Child Tamariki Ora is delivered by a range of providers, including Lead Maternity Carer midwives, WCTO providers, general practice teams, B4 School Check providers, and vision and hearing technicians
· In 2020, 87 percent of all babies born in New Zealand were enrolled and received a service from a Well Child Tamariki Ora provider in their first year. However, enrolment rates for Māori, Pacific, and whānau living in high deprivation areas were lower – 79 percent, 83 percent, and 82 percent respectively
· Enhanced Support Pilots are underway in Lakes DHB and Counties Manukau DHB, with a third set to start in Tairāwhiti DHB this year
· Options and costings for the programme’s transformation will be developed over the next year
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