Tongan Mothers In New Zealand A Well

  • Просмотров 275
  • Скачиваний 5
  • Размер файла 18

Tongan Mothers In New Zealand, A Well Child Health Project Essay, Research Paper INTRODUCTION Over the last few decades, the backbone of monitoring child health has been the use of growth chart and childcare records (King, M. 1978). These have been more widely used in developing countries than in developed countries because of lower accessibility of health services. Since the universal promotion of Primary Health Care in 1978 (WHO/UNICEF, 1978), there has been an increase in the investment on child health monitoring, albeit insufficient, especially in deprived communities of both developing and developed countries. In New Zealand, monitoring of child health have been systematically developed through Plunket and Public Health nursing services (MOH, 1998). The focus has been

the use of Well Child Health book (WCH). Over the years, the WCH book have developed from growth monitoring using weight, height and age to a comprehensive booklet to cover growth monitoring, immunization, nutritional status, records of sickness episodes and other reasons for use of health services. The latter version has also included health promotion materials for mothers and health care workers. The wide use of the WCH book has not been accompanied by stringent research to assess its efficacy. That is, the book has been widely used but to date no research have demonstrated that the health of children using the book is better than those not using the book. Much of the work done has been focussed on the utilization and coverage. This project is a pilot study qualitatively

assessing the use of the WCH book among Tongan mothers. There is no ethnic specific data available to examine ethnic specific aspects of use of the WCH book among communities wherein English is a second language. This study will also contextualise the knowledge, attitude and practice of the WCH book of Tongans in Auckland. The research objectives were: + To explore Tongan mothers attitudes towards the Well Child Health book and it’s usefulness + To develop recommendations for better utilization of the Well Child Health book by Tongan mothers. What is Well Child Health book? It is an information book about health and development of child. This book is for the mother to keep and use for your child. It is part of the Well Child – Tamariki Ora Program. The program helps parents

and caregivers keep children well by providing: + Support + Information and advice and + Regular health checks as your baby grows. All children develop at different rates. Your child will have her own state of wellness and health. The Well Child-Tamariki Ora checks is done by a nurse, doctor or midwife who has been specially trained to do immunization and child screening checks of babies and children. The Well Child-Tamariki Ora health workers include midwives, nurses, doctors, community health workers, dental therapists and vision-hearing testers. These health workers are all there to help you bring up a healthy happy child. METHODS Five Tongan mothers in the Auckland area were selected to take part in this research. Convenience sampling method was used, as they were easy to be

recruited, likely to participate and respond and near at hand (Bowling, A. 1997). Moreover, there is no language problem. These mothers were recruited during a Pacific consultation for maternity review in Auckland. Having identified their names, they were then approached about the research, which they were all happy to participate. Names, phone numbers and addresses were taken so I could contact them for the interviews. The youngest respondent was 21 and the oldest was 38 years old. Of the five mothers, one was a single mother and the rest were all married. Geographically, one respondent was from Pakuranga; one from Otahuhu and the other three respondents lived in Mangere. Contact was made and time was arranged for the interview. Each prospective participant was met and explained