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level:
4
credit:
15
planned review date:
November 2005
sub-field:
Social Services
purpose:
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:
Open.
accreditation option:
Evaluation of documentation and visit by NZQA and industry.
moderation option:
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
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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.
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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.
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b
c
d
e
f
c
g
h
g
i
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/
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/
McMurray, A. 2003 2nd Ed. Community health
and wellness: a socioecological approach.
Mosby, Marrickville, N.S.W.
Ministry of Health. February 2001. The primary
health care strategy. Wellington: Ministry of
Health.
Ministry of Health. March 2002. The Well Child
framework. Wellington: Ministry of Health.
Ministry of Health. November 2002. Well Child Tamariki Ora national schedule handbook.
Wellington: Ministry of Health.
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/
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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
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Elements and Performance Criteria
element 1
Describe social, cultural, and economic determinants of health.
Range:
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.
Range:
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.
Range:
2.2
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.
The concept of health promotion is described in terms of the requirements of
the Well Child - Tamariki Ora national schedule.
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2.3
The concept of health promotion is distinguished from health education.
2.4
Common characteristics of recognised models of health promotion are
described.
Range:
2.5
The critical characteristics of a health promotion strategy are described in terms
of likelihood of success.
Range:
2.6
recognised models of health promotion include - Pacific model of
health promotion, mainstream model of health promotion, Ottawa
Charter, Te Pae Mahutonga, TUHA - NZ.
critical characteristics include but are not limited to - availability,
accessibility, accommodation, affordability, acceptability.
The change process is described in terms of the focus of health promotion
strategies.
Range:
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.
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element 3
Plan and implement a health promotion strategy in Tamariki Ora - Well Child services.
performance criteria
3.1
The plan and implementation are in accordance with a recognised health
promotion model.
Range:
3.2
The plan and implementation recognise the change process in relation to the
focus of the health promotion strategy.
Range:
3.3
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.
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.
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.
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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.
 New Zealand Qualifications Authority 2016