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Getting it right for children

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.

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Getting it right for children

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  1. Getting it right for children • New Zealand Respiratory Conference • Wellington 19 September2013 Dr Justine CornwallDeputy Children’s Commissioner

  2. 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

  3. The priorities

  4. 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

  5. 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

  6. What do kids saypoverty 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.”

  7. The experiences of childhood are not like footprints in the sand. They are more like footprints in cement – long lasting

  8. So what is happening?

  9. 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

  10. Compass themes 2013: • Best start to a healthy life • Child development and disability • Child, youth and whānau-centredcare • Leadership and governance • Primary care • Youth health

  11. What else can be done to make a difference in addressing child health and poverty? • Get housing sorted • Look at ways to deliver health services through schools or community hubs • Start early – improve antenatal and early childhood services • Work collaboratively – common assessment and referral pathways

  12. 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?

  13. Collective Impact: 5 conditions “Collective impact” describes highly structured collaborate efforts to achieve substantial impact on a large scale social problem

  14. Thank You

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