Rural Kiwis less likely to be admitted to hospital
New research has found that rural New Zealanders are less likely to be admitted to a hospital.
Southland District Health Board (SDHB) claims it is stepping up its investment in primary maternity services in rural areas.
SDHB’s Lisa Gestro – executive director strategy, primary and community – told Rural News its maternity services in the entire region have already been systematically reviewed. This comes in response to a Rural Women NZ (RWNZ) call for a wide ranging review.
“It has been independently reviewed and found that when fully implemented it will increase services across the district,” she says.
“We’re one year into a two year implementation timeframe.
“We recognise that some aspects of this have not gone as smoothly as we’d like and are having the implementation to date independently reviewed.”
RWNZ and others -- including signatories of two petitions -- are strongly objecting to the downgrading in April of Lumsden Birth Centre to a maternal and child hub and several subsequent emergency births at the centre, one in the carpark.
RWNZ has called for urgent reinstatement of the Lumsden birthing centre and has criticised the extent of two current reviews by Southland DHB. But Gestro says a systematic review of primary maternity services across the DHB’s entire, largely rural, district was precisely the exercise done from 2016 to 2018.
“There had long been calls to address the provision of maternity services across the district,” she said. “In particular, we faced challenges with the sustainability of the lead maternity carer (LMC) midwifery workforce.”
Gestro says while LMC midwives are paid directly by the Ministry of Health, SDHB recognises the particular challenges of practising in rural areas require extra support.
She says the ‘integrated primary maternity system of care’ aimed to take a holistic view to direct resources differently and increase the reach of services across the whole district.
“This meant creating maternal and child hubs in Wanaka, Te Anau and Lumsden to support midwives in those communities and improving integration with primary care services.”
Additional ‘sustainability’ payments are made to remote rural midwives, with 16 LMCs in the district taking the extra payment.
But Gestro says they need to think more broadly about how best to use their resources to care for rural women and their families.
The country’s 4200 commercial fruit and vegetable growers will vote from May 14 on a new HortNZ levy.
Meat processor Alliance Group is asking farmer shareholders to inject more capital in order to remain a 100% co-operative.
A vet is calling for all animals to be vaccinated against a new strain of leptospirosis (lepto) discovered on New Zealand dairy farms in recent years.
Dairy
Rural banker Rabobank is partnering with Food Rescue Kitchen on a new TV series which airs this weekend that aims to shine a light on the real and growing issues of food waste, food poverty and social isolation in New Zealand.
Telco infrastructure provider Chorus says that it believes all Kiwis – particularly those in the rural areas – need access to high-speed, reliable broadband.