1 of 9 level: 4 credit: 15 planned review date: November 2005 sub-field: purpose: Social Services This unit standard is designed for people who are providing well child care services for children under 5 years of age within the context of whānau or family, under the Well Child Framework, and within the requirements of the Well Child - Tamariki Ora national schedule. People credited with this unit standard are able to: describe social, cultural, and economic determinants of health; describe health promotion as a strategy for enhancing the health of tamariki/children and whānau/family; and plan and implement a health promotion strategy in Tamariki Ora - Well Child services. entry information: accreditation option: moderation option: Open. Evaluation of documentation and visit by NZQA and industry. A centrally established and directed national moderation system has been set up by Community Support Services ITO Limited (Careerforce). special notes: 1 People awarded credit in this unit standard are able to outline the meaning of the articles of Te Tiriti o Waitangi and the relevance of Te Tiriti o Waitangi to social service work, and are able to apply this competence to the context of assessment for this unit standard (for further clarification, please refer to Unit 19408, Outline the meaning and relevance of Te Tiriti o Waitangi in social service work). 2 It is expected that candidates seeking credit for this unit standard will demonstrate competence and be assessed through a combination of theoretical learning
2 of 9 and practical experience as a Well Child worker in Tamariki Ora - Well Child services. This may include classroom activities, and will include work-based settings and practical experience. 3 Glossary The terms used in the range note for performance criterion 2.5 have the following meanings: Availability refers to adequacy of supply of the appropriate type of providers in relation to the volume of clients and their type of needs; Accessibility refers to geographic accessibility including client transportation resources, travel time and distance; Accommodation refers to the organisational features of the providers service eg waiting times and appointment systems; Affordability refers to the relationship between the cost of the service and the client's ability to pay; Acceptability refers to the client's attitude about the personal and practice characteristics of the provider and the provider's attitude about the characteristics of the client. Family - examples may include a nuclear or extended Pākehā family; a Pacific family; a family from another culture (eg refugees and other migrants); a family from a particular community (eg gender-based, gay or lesbian, or deaf communities); a family made up of people such as a support group. Pacific family refers to families from the main Pacific nations represented in Aotearoa New Zealand; namely - Samoa, Tonga, Cook Islands, Niue, Tokelau, Fiji, Tuvalu, Solomon Islands, Kiribati.
3 of 9 Whānau - the following definition of whānau is adopted from Ministry of Health. 1998. Whāia Te Whanaungatanga: Oranga Whānau: The Wellbeing of Whānau - Traditionally, whānau members are related through whakapapa, birth, or intermarriage. Whānau may comprise members who are related through bloodlines and inter-marriage, and may also include family friends, acquaintances, and any other individuals who are accepted by, and deemed a member by a particular whānau. For further definitions of the meaning of whānau, see: Ministry of Health. 1998. Whāia Te Whanaungatanga: Oranga Whānau: The Wellbeing of Whānau: The public health issues. Wellington: Ministry of Health. This publication is available from the Ministry of Health web site: http://www.moh.govt.nz/ Pacific refers to the main Pacific nations represented in Aotearoa New Zealand; namely - Samoa, Tonga, Cook Islands, Niue, Tokelau, Fiji, Tuvalu, Solomon Islands, Kiribati. Well Child worker is used as a term to denote the candidate seeking award of credit in this unit standard. Other terms that may be used in Tamariki Ora - Well Child services include Community Health Worker; Community Well Child Health Worker; Kaiāwhina; Kaitiaki; Plunket Community Karitane; and Plunket Kaiāwhina. 4 Legislation and codes related to this unit standard include but are not limited to: Human Rights Act 1993, Privacy Act 1993, Code of Health and Disability Consumers Rights, Health Information Privacy Code 1994. 5 Resources a Durie, M. 1999. Te Pae Mahutonga: A model for Māori health promotion. Health Promotion Forum of New Zealand Newsletter 49: 2-5.
4 of 9 b Health Promotion Forum of New Zealand - Rūnanga Whakapiki ake i te Hauora o Aotearoa. 2002. TUHA - NZ: A Treaty understanding of hauora in Aotearoa. Auckland: Health Promotion Forum of New Zealand - Rūnanga Whakapiki ake i te Hauora o Aotearoa. This resource is available from the following web site: http://www.hpforum.org.nz/ c Kalil, Ariel. 2003. Family resilience and good child outcomes: A review of the literature. Wellington: Ministry of Social Development. This resource is available on the Ministry of Social Development web site: http://www.msd.govt.nz/ d McMurray, A. 2003 2nd Ed. Community health and wellness: a socioecological approach. Mosby, Marrickville, N.S.W. e Ministry of Health. February 2001. The primary health care strategy. Wellington: Ministry of f Health. Ministry of Health. March 2002. The Well Child framework. Wellington: Ministry of Health. c Ministry of Health. November 2002. Well Child - Tamariki Ora national schedule handbook. Wellington: Ministry of Health. g h g i Ministry of Health. 2002. Well Child - Tamariki Ora national schedule. Wellington: Ministry of Health. Ministry of Health. June 1998. Child health strategy. Wellington: Ministry of Health. Ministry of Health. November 2002. He Korowai Oranga: Maori health strategy. Wellington: Ministry of Health. Ministry of Health. February 2002. The Pacific health and disability action plan. Wellington: Ministry of Health. All of the Ministry of Health publications are available on the Ministry of Health web site: http://www.moh.govt.nz/
5 of 9 j k New Zealand. National Advisory Committee on Health and Disability. June 1998. The social, cultural and economic determinants of health in New Zealand: Action to improve health - A report from the National Advisory Committee on Health and Disability (National Health Committee). Wellington: National Advisory Committee on Health and Disability. This resource is available on the following web site: http://www.nhc.govt.nz/ World Health Organisation; Health and Welfare Canada; Canadian Public Health Association. 1986. Ottawa charter for health promotion. Ottawa: Canada. The Charter is included in Child health strategy, and is also available on the following websites: http://www.mentalhealth.org.nz/ http://www.who.int/hpr/archive/docs The United Nations Declaration of the Rights of the Child and the Convention on the Rights of the Child, which may be found at the following web sites: http://www.unhchr.ch/html/intlinst.htm http://www.unicef.org/crc/fulltext.htm
6 of 9 Elements and Performance Criteria element 1 Describe social, cultural, and economic determinants of health. evidence is required in relation to the report of the National Advisory Committee on Health and Disability referenced at special note 5j. performance criteria 1.1 The major social, cultural, and economic determinants of health are described. 1.2 The causal pathways by which socioeconomic determinants affect health are described. 1.3 The rationale for acting on socioeconomic determinants of health to reduce health inequalities is explained. rationale - risk factors, protective factors, whānau or family resilience. Evidence is required of three examples for each rationale. element 2 Describe health promotion as a strategy for enhancing the health of tamariki/children and whānau/family. performance criteria 2.1 The concept of health promotion is described according to its purpose and the major strategies for health promotion. major strategies include but are not limited to - creating supportive environments, strengthening community action, building healthy public policy, developing personal skills, re-orienting health services. Evidence is required in relation to purpose and three strategies. 2.2 The concept of health promotion is described in terms of the requirements of the Well Child - Tamariki Ora national schedule.
7 of 9 2.3 The concept of health promotion is distinguished from health education. 2.4 Common characteristics of recognised models of health promotion are described. recognised models of health promotion include - Pacific model of health promotion, mainstream model of health promotion, Ottawa Charter, Te Pae Mahutonga, TUHA - NZ. 2.5 The critical characteristics of a health promotion strategy are described in terms of likelihood of success. critical characteristics include but are not limited to - availability, accessibility, accommodation, affordability, acceptability. 2.6 The change process is described in terms of the focus of health promotion strategies. change process - pre-contemplation, contemplation, preparation, action, maintenance, termination; focus of health promotion strategies - health goal; population or group; population or group - whānau, hapū, iwi; Pacific families; other Tauiwi families; Māori community; Pacific community; other Tauiwi community; health service; government. Evidence is required of the change process in relation to one health goal and one population or group.
8 of 9 element 3 Plan and implement a health promotion strategy. performance criteria 3.1 The plan and implementation are in accordance with a recognised health promotion model. recognised model of health promotion - Pacific model of health promotion, mainstream model of health promotion, Ottawa Charter, Te Pae Mahutonga, TUHA - NZ. Evidence is required of one. 3.2 The plan and implementation recognise the change process in relation to the focus of the health promotion strategy. change process - pre-contemplation, contemplation, preparation, action, maintenance, termination; focus of health promotion strategy - health goal; population or group; population or group - whānau, hapū, iwi; Pacific families; other Tauiwi families; Māori community; Pacific community; other Tauiwi community; health service; government. Evidence is required of the change process in relation to one health goal and one population or group. 3.3 The plan and implementation are in accordance with adult education and group facilitation principles and methods. Comments on this unit standard Please contact the Community Support Services ITO Limited (Careerforce) info@careerforce.org.nz if you wish to suggest changes to the content of this unit standard. Please Note Providers must be accredited by the Qualifications Authority or a delegated interinstitutional body before they can register credits from assessment against unit standards or deliver courses of study leading to that assessment.
9 of 9 Industry Training Organisations must be accredited by the Qualifications Authority before they can register credits from assessment against unit standards. Accredited providers and Industry Training Organisations assessing against unit standards must engage with the moderation system that applies to those standards. Accreditation requirements and an outline of the moderation system that applies to this standard are outlined in the Accreditation and Moderation Action Plan (AMAP). The AMAP also includes useful information about special requirements for providers wishing to develop education and training programmes, such as minimum qualifications for tutors and assessors, and special resource requirements. This unit standard is covered by AMAP 0222 which can be accessed at http://www.nzqa.govt.nz/site/framework/search.html.