/ 20 District Health Boards
SOCIAL ENVIRONMENTS AND HEALTH PROMOTING SCHOOLS -
REFUGEES AND MIGRANT HEALTH PROGRAMME
PUBLIC HEALTH SERVICES
TIER LEVEL THREE
SERVICE SPECIFICATION
Status:
This service specification may be amended for agreements as required to meet local needs. / NON-MANDATORY
Review History / Date
Approved by Nationwide Service Framework Coordinating Group (NCG)
Published on NSFL
Review:Public Health Handbook (2003)Amendments: inserted into standard service specification template updating Handbook content, added Purchase Unit tables, service linkages and quality requirements, linked to tier one Public Health Services and tier two Social Environments and Health promoting Schools service specifications. / February 2010
Change of status to non-mandatory as an interim step before the specification is retired or replaced. / November 2016

Note: Contact the Service Specification Programme Manager, Ministry of Health, to discuss the process and guidance available in developing new or updating and revising existing service specifications. Nationwide Service Framework Library website

SOCIAL ENVIRONMENTS AND HEALTH PROMOTING SCHOOLS -

REFUGEES AND MIGRANT HEALTH PROGRAMME

PUBLIC HEALTH SERVICES

TIERLEVELTHREE

SERVICE SPECIFICATION

This tier three service specification for Social Environments and HealthPromotingSchools - Refugee and Migrant Health Programme (the Service) must be used with the overarching tier one Public Health Service specification and the tier two Social Environments and HealthPromotingSchoolsservice specifications.

Refer to the Public Health tier one service specification under the following headings for generic details on:

  • Service Objectives
  • Service Users
  • Access
  • Service Components
  • Service Linkages
  • Exclusions
  • Quality Requirements
  • Regulatory

The above heading sections are applicable to all service delivery.

1.Service Definition

The Refugees and Migrant Health Programme includes:

  • improving health for refugee and migrant populations, in particularly screening for treatable disease an avoiding unnecessary emergency department visits and hospital admissions.
  • protection of the New Zealand public from communicable disease borne by migrants e.g. Tuberculosis (TB)

2.Service Objectives

The Service objectives are to:

  • improve, promote and protect the health of refugees, asylum seekers and their families, and the wider community.
  • assess both public and personal health and health service needs, health screening, follow-up and referral, including health promotion for Refugee and Asylum Seeker health.
  • ensure a continuum of care approach is delivered, e.g. screening, through primary care and promoting health reducing avoidable emergency department presentations and hospitalisations.

2.1Māori Health

Refer to the tier one Public Health Services service specification.

3.Service Users

Service users for this service specification are:
recent migrant and refugee arrivals to New Zealand as part of the United Nations High Commissioner for Refugees (UNHCR) mandated quota system, New Zealand Immigration Service (NZIS) humanitarian migrant intake or family reunification programme
asylum seekers (spontaneous refugees) and as identified in the Eligibility criteria (see

4.Access

Public Health Communicable Disease Services will be provided throughout New Zealand.

Access to the Service will be managed ethically and equitably such that priority is based on acuteness of need and capacity to benefit.

5.Service Components

Refugees and Migrant Health

Components of Service /
Service Descriptions/Activities
1.Assess Health and Health Service Needs (Public And Personal Health) / 1.Assess health and health service needs of refugees, asylum seekers and their families, for example, by using research information, conducting surveys, reviewing surveillance information, assessing the adequacy of existing and new services for meeting the needs of refugees and asylum seekers (e.g. availability of trained interpreters).
2.Use assessments to plan services.
2Health Screening, Follow-Up, Referral (Public and Personal Health) / 1.Health screening, referral and follow-up for refugees, asylum seekers and their families to level similar to the Mangere Refugee Resettlement Centre clinic.
2.Public health follow-up, including contact tracing, assistance with Directly Observed Therapy (DOT), Laboratory tests.
3.Health Promotion (Public and Personal Health) / 1.Develop health promotion programmes for refugees, based on assessed needs. Topics could include:
  • Tuberculosis, HIV/AIDS and other infectious diseases
  • Nutrition
  • Cervical and breast screening
  • Diabetes
  • Mental health
  • Women’s health
  • Child health
  • Oral health
  • Vision and hearing.
2.Work with refugee communities to improve access to social and economic resources to influence their overall health status.
6.Service linkages
Service Provider / Nature of Linkage / Accountabilities
  • Refugee and ethnic community associations
  • Immigration New Zealand (INZ)
  • Mangere Refugee Resettlement Centre (MRRC)
  • Refugee Migrant Service (RMS)
  • Refugees As Survivors (RAS)
  • Refugee Resettlement Support (RRS)
  • Refugee Council of New Zealand
  • Refugee Health Education Programme
  • Refugee Health Co-ordinators
  • Refugee Community Health Workers
  • NZ AIDS Foundation (NZAF) and Community AIDS Resource Team (CART)
  • Sexual Health Clinics
  • Education Sector (Ministry of Education Refugee Education Unit)
  • District Health Board Personal and Public Health Services
  • Community, Child and Family Health services
  • Needs Assessment Services and Disability Support services
  • Well Child/Tamariki Ora services
  • Regional Dental services
  • Well Women’s Nursing Service (WONS)
  • Lead maternity carers (LMCs)
  • Primary Care Sector (including Union and Peoples health centres)
  • Community Mental Health services
  • Social services provided by City missions and the Salvation Army
  • English As A Second Language (ESOL) Courses and Co-ordinators
  • City Councils
  • Work and Income
  • Child Youth and Family Service (CYF)
  • Other relevant organisations and community groups, as necessary.
/ Facilitate Service access and participation / Liaise with local communities to ensure culturally appropriateness and accessibility to services.

7.Exclusions

Refer tothe tier one Public Health Services service specification.

8.Quality Requirements

Refer to the tier one Public Health Services service specification.

9.Purchase Units and Reporting Requirements

Purchase Units are defined in the joint DHB and Ministry’s Nationwide Service Framework Purchase Unit Data Dictionary (PUDD). Please refer to the PUDD for purchase units that apply to this service.

All reporting requirements are detailed in the individual contracts.

The Service must comply with the requirements of national data collections where available.

10.Service Planning Information

  1. Migrants face social and educational barriers to health and health services, including language and literacy barriers, cultural differences, discrimination, isolation, and unemployment.
  2. Migrants coming to New Zealand may have a range of physical, mental and social health problems. Areas where public health interventions can be beneficial include:
  • lack of information about accessing the health system in New Zealand
  • communicable diseases, such as tuberculosis, schistosomiasis, HIV/AIDS, viral hepatitis
  • low immunisation uptake rates or incomplete immunisation
  • mental health, including post-traumatic stress disorders and adjustment difficulties
  • nutritional status
  • disabilities
  • women’s health
  • child health
  • oral health.

3.Health screening services for refugees, asylum seekers, and their families coming to New Zealand under Family Reunification should be of a similar extent to that provided by the Mangere Refugee Resettlement Centre (MRRC) for Quota Refugees.

4.Migrants coming from other countries or situations where there is a high risk of communicable and other diseases may also need increased levels of service during the initial period of residence.

Appendix One References for Refugees and Migrant Health

  • Ministry of Health. 2001. Refugee Health Care: A Handbook for Health Professionals. Wellington: Ministry of Health.
  • Ministry of Health, 2003. Achieving Health for All People: Whakatutuki te oranga hauora mo nga tangata katoa. A framework for public health action for the New Zealand Health Strategy

1

Services Social Environments and Health Promoting Schools Refugees and Migrant Health Services Public Health Services tier three service specification. November 2016.

Nationwide Service framework