Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Ko tēnei te wā hei aro atu ki te moumou o ngā matenga tamariki rangatahi o Aotearoa
Ko tēnei te wā hei aro atu ki te moumou o ngā matenga tamariki rangatahi o Aotearoa
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Ko te pikinga o ngā mate o ngā tamariki me ngā rangatahi o Aotearoa he mea tino rerekē, ā, ko te korenga hoki o te hekenga e kore rawa e pai.
Inā rā ngā kitenga o te Komiti Arotake Matenga Tamariki (CYMRC) i tana pūrongo raraunga 15 i whakaputaina i tēnei rā, e tātari ana i ngā matenga o ngā tamariki me ngā rangatahi i waenga i ngā 28 rā me te 24 tau te pakeke mai i ngā tau 2015 me 2019.
I mea mai tētahi o ngā kaihautū o CYMRC a Tākuta Alayne Mikahere-Hall, puta noa i ngā tau tuku pūrongo e rima nei, e 2,666 ngā pēpi, ngā tamariki me ngā rangatahi i mate.
Tokomaha o ēnei matenga e taea te kaupare. Ko ngā matenga pā noa mai o ēnei matenga ko te whakamomori, te aitua ā-waka, mate pukupuku, me te mate ohorere o te pēpi (SUDI).
Ka mea mai a Tākuta Mikahere-Hall, ‘He mea tino kore pai i ēnei rā e ono putu ake te matenga o ngā pēpi Māori i te mate ohorere SUDI i ērā atu o ngā pēpi ehara i te Māori, ehara i te Pasifika. He mea tino kino ake ko te waru putu ake o ngā pēpi Pasifika i mate’.
‘Ahakoa te kaha mahi hei whakaheke i ngā matenga o ngā pēpi, tamariki me ngā rangatahi kua mimiti taua kaha, kā mutu kua ōrite haere ngā matenga i ngā rima tau ka hori ake nei. Mō mātou ake kāore tēnei i te paku pai.’
Tērā atu o ngā kaihautū o CYMRC Tākuta Matthew Reid ka mea mai mā te whakahoutanga o te pūnaha hauora, pūnaha hauā me te whakatū i te Manatū Hauora Māori hou ka tino whai wāhi ki te tirotiro panoni e hiahiatia ana kaua o roto anake o te pūnaha hauora engari o roto hoki o tō tātou pāpori whānui.
‘Ka kōkiri tēnei pūrongo raraunga i te kaha mahi, te tere hoki hei whakaheke i ngā matenga tamariki, matenga rangatahi. Ko āianei te wā hei whakaiti i ēnei raraunga kino mā roto mai i tētahi pūnaha hauora e whakahoungia anōtia me te piki māramatanga mō ngā putanga hauora e pā atu ana ki ngā pēpi, tamariki, rangatahi hoki o Aotearoa. Ko te tautoko a te Kāwanatanga ki te pūnaha hauora hou mā te mana whakahaere kia whakatikaina ngā rerekētanga he mea arotau. Mā tēnei ka whakakahangia anō te pūnaha kia kaha aro atu hei aukati i ngā matenga me te tautoko i ngā tukanga mana taurite ki tā ā mātou tohutohu e kī ai.
‘Mōhio ana mātou kei ētahi wāhi i Aotearoa ngā ratonga hauora tino pai e ārahina ana e te Māori me te Pasifika e kaha te mahi, nā konei ka kaha akiaki hoki i ngā rāngai hauora hou ki te tautoko me tuku whānui i ēnei mahi hou.
‘Me mātua whakapai ake ngā wawaotanga hauora, huri i te kāwanatanga me te pāpori e tika ana mō ngā pēpi Māori, Pasifika, ngā tamariki, ngā rangatahi hei āwhina i te tiro rerekētanga.’
Mea mai ana a Tākuta Mikahere-Hall me aronui atu ki te whakaiti i ēnei raraunga tino kino.
He tokomaha hoki ngā matenga i ngā wāhi rawakore ko ērā i te Rārangi Rawakore o Aotearoa taumata 10 (te rōpū tino rawakore) e toru putu ake i ērā o te taumata 1 (te rōpū whairawa). Ko te pānga hiato o ēnei kitenga ko te nuinga o ngā matenga ka noho taumaha ki ngā hapori Māori, hapori Pasifika.
‘Me whānau ora mai ngā pēpi katoa. Kei te kōrerotia tēnei pūrongo raraunga mō te oranga o ngā 2,666 pēpi, tamariki me ngā rangatahi i mate tino wawe ai. Kei te karanga atu mātou ngā kaiwhakarite kaupapa here a te kāwanatanga, ngā Kaituku pūtea, me ngā ratonga kia āta tirotiro i ngā hanga rerekē e kokoti ana i te kounga o te orangatanga,’ tā Tākuta Dr Mikahere-Hall.