Childhood Asthma Management Programme

1. Childhood Asthma Management Programme Sharon Ponniah PHARMAC

2. Main Template for inside pages Outline • Background information • Asthma hospitalisation and Data • Reliever: Preventer ratios (SABA:ICS) • Asthma inequalities by region • Space to Breathe Programme • Objectives and activities • Audiences and resources • Asthma education Pilot • Decision support module

3. Main Template for inside pages Background information • 20% of children in NZ have asthma • Asthma is a leading cause of childhood hospital admissions

4. Main Template for inside pages Disparities in asthma management • Around 130 000 children under 15 use any asthma medicines • About 65 000 children under 15 use an inhaled corticosteroid • Māori and Pacific children use fewer ICS than NZ European children • SABA:ICS ratio is a measure of asthma control • NZ European  2.6 • Māori  3.7 • Pacific  4.15

5. Main Template for inside pages SABA:ICS Ratios – NZ Total 2008

6. Main Template for inside pages SABA:ICS Ratios – Māori 2008

7. Main Template for inside pages SABA:ICS Ratios – Pacific peoples 2008

8. Main Template for inside pages SABA:ICS Ratios – Asian peoples 2008

9. Main Template for inside pages SABA:ICS Ratios – NZ European 2008

11. Main Template for inside pages Programme Objectives • Increasing the recognition of childhood asthma in primary care; • Increasing prescribing of inhaled corticosteroids (ICS) to children with persistent asthma; • Increasing correct use of ICS by children with persistent asthma; • Increasing provision of self-management education to children with asthma and their families; and • Increasing the knowledge and confidence of children with asthma and their families in managing asthma.

12. Main Template for inside pages Programme Activities • Develop resources and activities to implement childhood asthma guidelines in primary care; • Raise awareness of ethnic disparities in medicines use and morbidity; • Develop activities to promote asthma education for preschool children and their families; • Develop resources to support provision of asthma education.

13. Main Template for inside pages Two Approaches Best practice decision support tool Childhood asthma education programme Health prescribers Carers for children with asthma Nurses GPs Pharmacists Families Asthma Educators ECE teachers Extended families

14. Main Template for inside pages Best Practice Journal – Childhood Asthma

15. Main Template for inside pages Preventer Leaflet

16. Main Template for inside pages Personal Action Plan

17. Main Template for inside pages Children’s Story-book

18. Main Template for inside pages Kaiako Resource • Teaching plans • Activity guides • School medicines policy • Healthy environment

19. Main Template for inside pages Whanau Resource

20. Main Template for inside pages Asthma flip chart

21. D:\Childhood_Asthma_Page_1.htmD:\Childhood_Asthma_Page_5.htm Best Practice Decision Support Module Childhood asthma

22. Main Template for inside pages Contact details For additional details, please contact programme manager: sharon.ponniah@pharmac.govt.nz