Speaker: Isabella Smart
Facilitator: Paula Pelletier-Butler
The image of clean, green, Covid-free New Zealand is admired throughout the world. But behind the bungee jumps and spectacular scenery is one of the highest rates of domestic violence in the southern hemisphere. Counties Manukau District Health Board (CMDHB) community midwives service South Auckland and offer care to around 2000 women a year. CMDHB has the highest level of urban poverty and social disadvantage in Aotearoa, with high rates of homelessness, poor housing, food insecurity, transport and absolute poverty, alcohol/drug use and child protection interventions. Our population baseline health profile is poor. Most women under our care experience significant non-maternity factors which affect their engagement in care and their pregnancy outcomes. The presentation outlines how innovative midwifery service delivery has evolved in response to a deficit environment with the aim of tackling health and social inequity and challenging the impact of colonisation and racism on Maaori and Pasifika whaanau.