Kotahi te manawa he maha ngä wairua ora One Heart Many Lives A Cardiovascular disease (CVD) primary prevention programme. I just said to “‘ man, just getmyself up and do it. tamati Davis – tamati’s story AutHOrs Karen Jacobs, Marama Parore, Tim Corbett. Background and objectives 16 people die every day in New Zealand from heart disease. The death rate from heart disease is more than twice as high for men than women. Mäori have the highest death rates followed by Pacific Islands people, dying 1014 years younger than their European counterparts. The PHARMAC One Heart Many Lives programme has been developed to address this. The primary audience is Mäori and Pacific Islands men over 35 years of age in targeted geographic regions of high need in New Zealand. The One Heart Many Lives programme encourages the need to; • ‘Get your heart checked’ and seek help and medical management if needed; • Improve awareness of heart disease and the likely outcomes if it is diagnosed and treated; • Improve lifestyle habits as part of self management; and • Take long term cholesterol lowering medication (and other heart medications) to help decrease the risk. An implementation model has been developed. It sets out the key steps to building a One Heart Many Lives campaign in different District Health Board (DHB) regions across New Zealand. Strong branding is used to provide a campaign that regional and local organisations can use in their own way. The result is an approach built upon Mäori and Pacific Islands values that is designed and constructed at a regional level by an intersectoral group with a strong audience focus. One Heart Many Lives provides an example of strategic social marketing that aims to reorientate health services to audience needs and desires. 6 out of 10 people in Hawke’s Bay die of Heart disease you can do sometHing aBout it. Evaluation 1. Increase in statin prescribing, uptake and knowledge of use. 2. Increase in Green Prescription2 referral for the target audiences. 3. Increase in CVD risk screening, smoking cessation, awareness of heart disease risk and behavioural change. 4. Improved relationships between stakeholders and communities. 5. Increase in the number of men having a CVD risk assessment. 6. Participation in activities by men and their family/whänau. To listen to and read more about the local heroes who influence more men to get their heart checked, go to www.oneheartmanylives.co.nz Delivery mechanisms • Workforce development • Social marketing • Partnership and community development Description The One Heart Many Lives programme was first piloted in 2003 as an awareness raising campaign using a mix of media to encourage men to eat better, move more and get to their local doctor for a heart check. Using a blend of interventions, social marketing training, direct marketing and service provider development, regional campaigns have been undertaken in Porirua, Gisborne, Bay of Plenty, Hawke’s Bay and Northland. Future direction National programme development is underway, which will focus on local heroes and how they can help others to make changes, with national awareness campaigns to support at regional and Iwi level. Our dads, sons, brothers, uncles and nephews are dying too soon. Six out of ten people in Hawke’s Bay die of heart disease. You can do something about it. You can be there for your family. Are you at risk? Get a free heart check. Call: 0800 300 377 Implementation model 9 Maintenance 8 Lifestyle change programmes-men 1 Planning and strategy development PHARMAC, DHB , PHO and other health providers and local industry 2 Build social marketing competency – 2 day work shop and online support is your bmi less than 25? Your BMI (Body Mass index) can tell you whether you are underweight, overweight or just the right weight. Do you want to know your BMI? If so, TXT BMI height (cm) (space) weight (kg) to 2326 e.g. TXT message BMI 183 98 to 2326 and their whanau 7 Local Provider, action + changeconsistent message 6 Community activities -whanau orientated. 3 Service provider development Direct marketing TXT; POS activity; local radio – to keep awareness high 4 Local Project Team/Steering group One Heart Many Lives brand it’s that simple! If you would like to discuss your BMI score, please see your GP or Practice Nurse TXT cost 20c 5 Develop ‘man friendly’ CVD health services. Take the ‘door’ to the man. Develop local heroes-local champions to spread the word One Heart Many Lives is a PHARMAC project - www.oneheartmanylives.co.nz 1 PHARMAC, the Pharmaceutical Management Agency, is a Crown entity established by the New Zealand Public Health and Disability Act 2000. The Agency is directly accountable to the Minister of Health. To help manage cardiovascular disease, PHARMAC concentrates on getting the right pharmaceuticals to those in need (particularly Mäori and Pacific Islands men) and encouraging men to complete a heart check and change to a healthier lifestyle. 2 A Green Prescription (GRx) is a health professional’s written advice to a patient to be physically active, as part of the patient’s health management. The Sport and Recreation (SPARC) organization run this programme. “ It sets out to inspire Mäori and Pacific Islands men to get their heart checked and take action if the diagnosis is not good. Description Age is an important factor for heart health. After the age of 35 it is important that you have your heart checked regularly. Just like the engine of your car the older you get the more frequently you to have it checked The Bros’ “87-ka mau te wehi!” Dr comment Willy has reached the wonderful age of 87 and is in remarkable health. He is a excellent role model for Maori menmauri ora Willy Bro’s comment “Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Mauris placerat faucibus leo. Morbi eu urna. Pellentesque rutrum urna condimentu m enim. Integer eget felis. Phasellus semper imperdiet nisi. Ut semper convallis eros. Aliquam tristique sagittis elit. Sed commodo est id mauris. “Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Mauris placerat faucibus leo. Morbi eu urna. Pellentesque rutrum urna condimentu m enim. Integer eget felis. Phasellus semper imperdiet nisi. Ut semper convallis eros. Aliquam tristique sagittis elit. Sed commodo est id mauris. “Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Mauris placerat faucibus leo. Morbi eu urna. Pellentesque rutrum urna condimentu m enim. Integer eget felis. Phasellus semper imperdiet nisi. Ut semper convallis eros. Aliquam tristique sagittis elit. Sed commodo est id mauris. There will be a series of questio • Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Mauris placerat faucibus leo. tesque rutrum urna condimentu Morbi eu urna. Pellen m enim. Integer eget felis. Phasellu • Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Mauris placerat faucibus leo. tesque rutrum urna condimentu Morbi eu urna. Pellen m enim. Integer eget felis. Phasellu Age Ethnicity Healthy weight determinant of heart health. Maori need to make sure that they have their hearts checked earlier and more frequently than Non-Maori Ethnicity is an important “Maori-Tihei Mauri ora!” With higher rates of Diabetes, smoking, and other family members having heart problems it is important that Willy has his regular WOF-heart. healthy weight is by the measurement taken around your waistline. Men should have a WC (measured at the level of the pito) of no more than 100cm and women no more than 90cm The easiest way to consider “115cm” Willy is working on this. He attends a local gym and has been watching what he eats. Reducing high fat high sugar foods and remaining active are important mainstays to keeping a healthy weight. ns here: Call to action will go here a contact number will go here? Our dads, sons, brothers, uncles and nephews are dying too soon. Six out of ten people in Hawke’s Bay die of heart disease. You can do something about it. You can be there for your family. Are you at risk? Get a free heart check. Call: 0800 300 377 AUG 2008