Journal Articles

Permanent URI for this collectionhttps://mro.massey.ac.nz/handle/10179/7915

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    Strengthening cancer control in the South Pacific through coalition-building: a co-design framework.
    (Elsevier B.V., 2023-04-28) Hyatt A; Chan B; Moodie R; Varlow M; Bates C; Foliaki S; Palafox N; Burich S; Aranda S
    Background Cancer is a significant problem for the South Pacific region due to a range of complex health challenges. Currently gaps in diagnosis, treatment and palliative care are significant, and while governmental commitment is strong, economic constrains limit health system strengthening. Alliances have been successful in strengthening non-communicable disease and cancer control policy and services in resource constrained settings. A regional coalition approach has therefore been recommended as an effective solution to addressing many of the challenges for cancer control in the South Pacific. However, evidence regarding the effective mechanisms for development of alliances or coalitions is scarce. This study aimed to 1) create a Coalition Development Framework; 2) assess the use of the Framework in practice to co-design a South Pacific Coalition. Methods Creation of the Coalition Development Framework commenced with a scoping review and content analysis of existing literature. Synthesis of key elements formed an evidence-informed step-by-step guide for coalition-building. Application of the Framework comprised consultation and iterative discussions with key South Pacific cancer control stakeholders in Fiji, New Caledonia, Papua New Guinea, Samoa and Tonga. Concurrent evaluation of the Framework utilising Theory of Change (ToC) and qualitative analysis of stakeholder consultations was undertaken. Findings The finalised Coalition Development Framework comprised four phases with associated actions and deliverables: engagement, discovery, unification, action and monitoring. Application of the Framework in the South Pacific identified overwhelming support for a Cancer Control Coalition through 35 stakeholder consultations. Framework phases enabled stakeholders to confirm coalition design and purpose, strategic imperatives, structure, local foundations, barriers and facilitators, and priorities for action. ToC and thematic consultation analysis confirmed the Framework to be an effective mechanism to drive engagement, unification and action in alliance-building. Interpretation A Coalition to drive cancer control has significant support among key Pacific stakeholders, and establishment can now be commenced. Importantly results confirm the effective application of the Coalition Development Framework in an applied setting. If momentum is continued, and a regional South Pacific Coalition established, the benefits in reducing the burden of cancer within the region will be substantial. Funding This work was completed for a Masters of Public Health project. Cancer Council Australia provided project funding.
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    Using the International Alcohol Control (IAC) policy index to assess effects of legislative change in Aotearoa New Zealand.
    (BioMed Central Ltd, 2024-06-11) Casswell S; Randerson S; Parker K; Huckle T
    BACKGROUND: The IAC Policy Index was developed to allow comparison in alcohol policy between countries and within countries over time including in low resource settings. It measures four effective alcohol policies and takes into account stringency of regulation and the actual impact on the alcohol environment, such as trading hours and prices paid. This framework was used to assess policy in Aotearoa New Zealand in a time period covering two relevant legislative changes. This is the first study to use an alcohol policy index to assess and describe legislative change within country. METHODS: Data to calculate the IAC Policy Index was collected for 2013 and 2022. Stringency of policy was assessed from legislative statutes and impacts of policy on the alcohol environment from administrative data and specifically designed data collection. RESULTS: The overall IAC Policy Index score improved over the time period. The scores for the separate policy areas reflected the legislative changes as hypothesised, but also independent changes in impact, given ecological changes including reduced enforcement of drink driving countermeasures and increased exposure to marketing in digital channels. The IAC Policy index reflects the changes in policy status observed in Aotearoa, NZ. DISCUSSION: The IAC Policy Index provided a useful framework to assess and describe change in alcohol legislation contextualised by other influences on policy impact over time within a country. The results indicated the value of assessing stringency and impact separately as these moved independently. CONCLUSIONS: The IAC Alcohol Policy Index, measuring both stringency and actual impact on the alcohol environment with a focus on only the most effective alcohol policies provides meaningful insights into within-country policy strength over time. The IAC Policy Index used over time can communicate to policy makers successes and gaps in alcohol policy.
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    Infrastructure planning emergency levels of service for the Wellington region, Aotearoa New Zealand – A preliminary framework
    (Elsevier Ltd, 2022-04-01) Mowll R; Becker JS; Wotherspoon L; Stewart C; Johnston D; Neeley D; Rovins J; Ripley S
    Elements of a potential emergency response to a major hazard event can be identified early in the response planning process. Having goals for emergency provision of services, particularly infrastructure, would provide clear planning goals and actions for emergency responders. Agreed goals would also help residents more fully understand the likely nature of the service provisions following a major hazard event, allowing them to plan for events and resulting infrastructure outages. This paper proposes a set of ‘planning emergency levels of service’ based in literature and developed by practitioners that could be used to understand post-event planning and actions, across the critical infrastructure sectors. The resulting framework contains proposed planning emergency levels of service for the energy, telecommunications, transport, and water sectors. With potential local adjustment, this framework may be more widely applicable for other high-income regions. Limitations of the framework include that it has been developed based on literature and emergency management professionals' opinions and requires more research to ascertain its operational applicability.