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Getting it right for children. New Zealand Respiratory Conference Wellington 19 September 2013. Dr Justine Cornwall Deputy Children’s Commissioner. Office of the Children’s Commissioner. - PowerPoint PPT Presentation
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Getting it right for children
Dr Justine CornwallDeputy Children’s Commissioner
New Zealand Respiratory Conference
Wellington
19 September 2013
Office of the Children’s Commissioner
• Independent Crown entity, with the role to advocate for better outcomes for New Zealand children under the age 18 years
• Main functions include:– Monitoring CYF delivery– Advocating for children– Promoting UNCROC
The priorities
More children grow up healthy
More children grow up with
access to adequate resources
More children achieve their
education potential
More children are safe and free from all
forms of abuse and
neglect
Child PovertyMany children do not have access to the resources they need to
thrive.
NZ has high levels of child poverty25% or 270,000 children living in poverty in NZ (was 11% in
1986)Child poverty is costly and affects everyone
about 3% of GDP per annumChild poverty can be reduced
… but there are no inexpensive simple solutions: we need an evidence-informed, comprehensive, sustained effort
Child health
So who is growing up in poverty?
Children living in poverty and their families are diverse and there is no one typical “poor child”.
• Family structure• Income source• Ethnicity• Housing tenure• Age of children• Size of families• Geographical area
Child HealthNZ has poorer child and youth health outcomes compared to
many OECD countriesWe have marked health disparities among Māori and Pacific peoples and among those living in poverty 9 differences exist
within and among DHBNZ children have high levels of infectious disease, injury,
maltreatment, social morbidity, and suicide.
Child poverty
Some children are at greater risk
• Young children experiencing poverty– as many significant aspects of child
development occur in the earliest years and harm in this period has life-long impacts
• In New Zealand, we need to give specific attention to:– overcoming inequalities for Māori and
Pasifika – the particular issues facing children in
sole-parent families– children facing severe and persistent
poverty
Child poverty
Child health
What do kids say poverty is?
“Get sick ‘cause it’s cold – can’t afford heating.”
“You can’t afford basic necessities – can’t afford to go to the doctors. Live in shit damp, cold houses.”
“If you don’t have much money you can’t afford to get there [to the doctor] – petrol, public transport and then you can’t afford to pay the doctor.”
“You may get into debt with paying any medical treatment.”
The experiences of childhood are not like footprints in the sand.
They are more like footprints in cement
– long lasting
So what is happening?
What’s the problem we’re trying to solve?• Unexplained variation between
services in delivery & outcomes across DHBs-> potential to improve outcomes by – Identification of “positive deviance”• Innovation, leaders, areas with
> expected outcomes –Peers supporting peers to improve– Improve equity of outcomes
Compass themes 2013:
1.Best start to a healthy life
2.Child development and disability
3.Child, youth and whānau-centred care
4.Leadership and governance
5.Primary care
6.Youth health
What else can be done to make a difference in addressing child health and poverty?
1. Get housing sorted 2. Look at ways to deliver health services
through schools or community hubs3. Start early – improve antenatal and early
childhood services 4. Work collaboratively – common assessment
and referral pathways
Our Challenge
We know there are a range of fantastic initiatives out there in communities working to address health and poverty related issues.
But how do we get the impact we need?
How can we harness the range of activity going on so that agencies and services are working side by side to the same goal?
Collective Impact: 5 conditions
Common agenda
Backbone support
Shared measurement
Mutually reinforcing activities
Continuous communications
“Collective impact” describes highly structured collaborate efforts to achieve substantial impact on a large scale social problem
Thank You