WONCA Working Party: Indigenous & Minority Groups Health Issues

Indigenous & Minority Groups Health Issues

At the WONCA World Council meeting in Prague, June 2013, Dr Tane Taylor (New Zealand) led the development of the WONCA Working Party on Indigenous & Minority Groups Health Issues. It was formed from the WONCA Asia Pacific Region Subcommittee on Indigenous & Minority Groups Health Issues.

Discrimination based on age, gender , race, sexual orientation or religious beliefs are uniformly condemned by our modern society. Download summary of relevant United Nations declarations.

The working party has shamelessly looked at and adopted work done by the WONCA Working Party on Women and Family Medicine (WWPWFM). We acknowledge and thank them for allowing us to incorporate their work.

Readabout the first meeting of the working party, who attended, what was discussed, the themes that fell out of that and the groups’ next steps.

Convenor / Chair


Dr Tane A Taylor (NZ)

Email Convenor

 

Introducing Dr Tane Taylor

Dr Tane Taylor is a family doctor, GP teacher, primary care consultant - working as a general practitioner, mostly in South Auckland, Aotearoa New Zealand. His family origins are that he is Tainui, Te Arawa, Takitimu, English & Scottish descendent.

Recently retired from six years as chair of the Royal New Zealand College of General Practitioners’ (RNZCGP) Maori faculty: Te Akoranga a Maui, Dr Taylor is a Distinguished Fellow of the College and a former member of its Board of Education and Council. He is an honorary senior lecturer with the University of Auckland, examiner and assessor of the GP Fellowship Training programme and senior assessor for the RNZCGP’s Cornerstone Practice Accreditation Programme. He also holds a Diploma in Obstetrics (Auckland), and FACNEM.

Tane is a consultant to East Tamaki Healthcare Group (ETHC) and Advisor to the Centre for Advanced Medicine Ltd in Auckland. He was Chief Clinical Advisor at Raukura Hauora O Tainui, a Maori health provider, before his current appointment.

Current work focus – indigenous peoples’ health

Tane’s current focus is on bridging the health gap between those who have, and those who have not. "In New Zealand, those who have not commonly are our indigenous and minority groups and those living in lower socioeconomic areas."  He believes filling this gap is a matter of justice.

Not only that, if we get things right for our indigenous peoples, we get things right for everybody. The way I see it is to increase the value of your house, you first repair what will bring you the greatest value, or return on your investment. If the roof leaks you fix that first not redecorate the living room. In health we can be so busy rearranging furniture, buying curtains and light fittings that we have lost sight of the fact that the hard and costly to fix roof will, in the end, be the ruin of the entire house"

Every country in the world has communities of people who are not receiving the kind of quality health care they are entitled to, this is not a dilemma faced by New Zealand alone, nor even by just one or two continents, it is a worldwide phenomenon – a hard nut that no one has cracked and only a few seem willing to try.

Tane’s work with one of the largest primary care organisation in New Zealand, ETHC, is focused on delivering affordable high-quality healthcare to high-needs populations. To be successful this work requires creative, divergent thinking and compassion.

  read Tane's full biography

Co-Convenor or other office bearers

Executive Members

Vision and Mission of WONCA Working Party on Indigenous & Minority Groups Health Issues

Vision

To provide a universal gold standard of healthcare care by empowerment through primary care and in collaboration with all interested stakeholders.

Mission

To eliminate inequalities in health outcomes for all people.

Objectives of the WONCA Working Party on Indigenous & Minority Groups Health Issues

Statement of Intent

The WONCA Working Party on Indigenous and Minority Group Health Issues makes the following statement:

1. Cognizant of the fundamental aspiration of all individuals, families, communities and peoples to achieve and maintain the highest quality of life;

2. Recognizing the centrality of improved and optimal health to the achievement of the highest quality of life;

3. Recalling the important provisions of the charters, declarations and instruments of the United Nations, WHO, UNDP and other international organisations regarding human rights, equity, development, health and human dignity;

4. Recognizing that the elimination of ethnic inequality (as well as other violations of universal human rights) is an important prerequisite for development, including the improvement and achievement of optimal health;

5. Affirming that the improvement and achievement of optimal health is dependent on high standards and levels of health care provision, organisation, teaching and research;

6. Convinced that general practice/family medicine is the cornerstone of the achievement of high standards and levels of health care provision, organisation, teaching and research throughout the world;

7. Noting the global benefit of organisation and knowledge exchange between general practice/family medicine organisations and practitioners, and between general practice/family medicine and other organisations concerned with health and medical care;

The working party urges the general practice/family medicine organisations of the world that are constituted as the WONCA to adopt the following fundamental recommendations regarding indigenous and minority group equity:

  1. Enshrine the principle of indigenous and minority group equity within WONCA governance.
  2. Implement indigenous and minority group equity in all activities of WONCA, in particular the scientific programs of its triennial, regional, and rural meetings.
  3. Promulgate the pivotal role of ethnicity, indigenous, and minority group as a key determinant of health.

Objectives

• To serve as a focus to stimulate and promote standards of excellence in the primary care management of cultural competency, consistent with patient and professional values and with reference to evidence based health care
• To promote the concept of indigenous and minority groups health issues
• To promote and develop indigenous and minority groups health research activities in primary care and the primary care interface
• To hold scientific meetings, which may include sessions and workshops, during WONCA regional and world conferences, to present original papers and to address broader educational issues through discussion, training and debate
• To develop and promote appropriate literature for primary care professionals using a variety of resources, including WONCA Online
• To promote cultural competency world-wide through collaborative working within WONCA, NGOs, government organisations, patient groups and other medical colleges
• To address the issue of stigma associated with indigenous and minority groups health issues.

 

Activities

Report on the first meeting of the Working Party, held in Prague, In July 2013.

Our proposed activities are:
• Guideline development on indigenous and minority groups health issues
• Scientific presentations on indigenous and minority groups health issues
• Advice to WONCA and affiliated Colleges on indigenous and minority groups health issues
• Participation in WONCA activities and conferences with a focus on the indigenous and minority groups health agenda
• Working with WHO to develop a resource book on the integration of indigenous and minority groups health issues into primary care
• Provision of a regular working party newsletter and educational materials
• Supporting the indigenous and minority groups health curriculum in primary care education
• Developing and supporting postgraduate accreditation programs for general practitioners with a special interest (GPwSI) in cultural competency.

History



Meeting in Prague 2013




Members of the original Asia Pacific subcommittee (l to r): Prof Khaya Mfenyana (South Africa), Dr Tane A Taylor (New Zealand), Assoc Prof Jan Radford (Australia), Dr Peter Jansen (New Zealand)

Publications