Browsing by Author "Leslie H"

Now showing 1 - 3 of 3
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    Review Report on Tokelau's Clinical Health Services and Patient Referrals Scheme
    (Massey University, 2019-11-21) Mafile'o T; Foliaki S; Koro T; Leslie H; Redman-MacLaren M; West C; Roskruge M
    Improving Tokelau’s clinical health services and the Tokelau Patient Referrals Scheme (TPRS) patient referral scheme is the key purpose of this independent review. The objectives were to: 1. Review the relevance and effectiveness of clinical health services on Tokelau. 2. Review the relevance, effectiveness, efficiency, impact and sustainability of the Tokelau patient referral scheme (TPRS). 3. Determine the funding required to deliver adequate levels of health service, and the potential budget impacts of the growing incidence of Non-Communicable Diseases (NCDs). 4. Identify the key changes needed to deliver and sustain improved results from health services delivered on Tokelau, and through its patient referral scheme. Covering the period July 2014 to June 2018, the review focused on services in Tokelau and services received by Tokelau’s referred patients in Tokelau, Apia and New Zealand.
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    The 2018 Strategic Defence Statement: Ten Different Views from Massey Scholars
    (2018-08-01) Azizian R; Choi S; Belgrave D; Greener B; Harding N; Hoverd W; Knotter L; Leslie H; Powles A; Prinsen; Greener, B
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    The gift of health: Cuban medical cooperation in Kiribati
    (2023) Werle C; McLennan S; Leslie H
    Since 2006, 33 I-Kiribati students have undertaken medical education in Cuba and returned home as doctors, but little is known about how they translate the Cuban preventive model of care to medical practice in the Pacific context. The research addresses this gap through qualitative fieldwork in South Tarawa and reveals that the assimilation of Cuban-trained doctors into medical practice is complicated by challenges related to clinical skills, language and contextual knowledge. These challenges have been successfully addressed with the development of the Kiribati Internship Training Programme but a misalignment between the prevention-focussed medicine taught in Cuba, and the curative orientation of the Kiribati health system and internship programme remains a concern, and the graduates’ knowledge and experience of primary and preventative care is not yet well utilised. This paper argues that the challenge now is to ensure that the knowledge and skills gained by the Cuban graduates at all steps of this journey are utilised in order to bring better health outcomes for the people of Kiribati.