title: Still standing, still here, still dancing.

authors: Clendon-Tau, Iwa

subjects: first person narrative

abstract: A personal narrative is presented which explores the author's experiences on teaching-learning process and her insights on language, culture and learning.

text: Still standing, still here, still dancing. A personal narrative is presented which explores the author's experiences on teaching-learning process and her insights on language, culture and learning.

year: 2002

title: The spatial equity and sustainability of general practitioner services: A mixed methods analysis of the Waikato DHB region

authors: Whitehead, Jesse

subjects: spatial equity

abstract: The New Zealand Primary Health Care Strategy states that quality primary health care is the first level of contact with the health system and should be universally accessible. Effective primary health care is an essential component of health systems, and is associated with more equitable distributions of health outcomes. However, not all New Zealanders have ready access to primary health care. For instance, adult residents of the Waikato region, and in particular Māori, have higher levels of unmet need for primay care than others. Improving the spatial equity of health services is a key step in achieving health equity. Health systems should contribute to achieving health equity and maintaining sustainable and equitable services into the future. 

This thesis research examines the spatial equity and sustainability of general practitioner (GP) services in the Waikato DHB region, using a mixed-methods approach to identify not only where inequities exist, but why they occur. A conceptual framework establishes a foundation for examining spatial equity and sustainability in New Zealand. Next, a systematic literature review identifies common definitions and measures of spatial equity. Primary Health Organisation (PHO) enrolment data is used to examine patterns of patient enrolment at GP services, and a range of health needs indicators were assessed for their suitability in the New Zealand primary care context. These findings inform the development of a Geographic Information Systems (GIS) model of spatial accessibility that is tailored to the Waikato District Health Board (DHB) context. The GIS model is then used, in combination with in-depth qualitative interviews, to examine the spatial equity and sustainability of GP services in the Waikato DHB region. 

Key findings include that spatial equity is commonly defined as a ‘need-based distribution of resources’, which can be quantified using a range of statistical and geospatial measures and techniques. PHO enrolment analysis revealed that most patients do not enrol with their closest service, and that the size of the ‘catchment area’ served by GP clinics varies with rurality. Analysis of indicators of health need suggest that ‘Ambulatory Sensitive Hospitalisations’ are a robust indicator; however, area-level socioeconomic deprivation is also strongly associated with other indicators of need and data is more widely available to researchers. Mixed-methods analysis suggests that GP services are not distributed equitably within the Waikato DHB region and that key barriers to access include the affordability, appropriateness, and availability of services. New Zealand’s history of colonisation and discrimination are identified as fundamental drivers of health inequity. Furthermore, population growth and ageing suggest that current levels of access to GP services are unlikely to be maintained in the future, while participants identify key economic, professional, organisation, and social dimensions that influence service sustainability in New Zealand.

text: The spatial equity and sustainability of general practitioner services: A mixed methods analysis of the Waikato DHB region The New Zealand Primary Health Care Strategy states that quality primary health care is the first level of contact with the health system and should be universally accessible. Effective primary health care is an essential component of health systems, and is associated with more equitable distributions of health outcomes. However, not all New Zealanders have ready access to primary health care. For instance, adult residents of the Waikato region, and in particular Māori, have higher levels of unmet need for primay care than others. Improving the spatial equity of health services is a key step in achieving health equity. Health systems should contribute to achieving health equity and maintaining sustainable and equitable services into the future. 

This thesis research examines the spatial equity and sustainability of general practitioner (GP) services in the Waikato DHB region, using a mixed-methods approach to identify not only where inequities exist, but why they occur. A conceptual framework establishes a foundation for examining spatial equity and sustainability in New Zealand. Next, a systematic literature review identifies common definitions and measures of spatial equity. Primary Health Organisation (PHO) enrolment data is used to examine patterns of patient enrolment at GP services, and a range of health needs indicators were assessed for their suitability in the New Zealand primary care context. These findings inform the development of a Geographic Information Systems (GIS) model of spatial accessibility that is tailored to the Waikato District Health Board (DHB) context. The GIS model is then used, in combination with in-depth qualitative interviews, to examine the spatial equity and sustainability of GP services in the Waikato DHB region. 

Key findings include that spatial equity is commonly defined as a ‘need-based distribution of resources’, which can be quantified using a range of statistical and geospatial measures and techniques. PHO enrolment analysis revealed that most patients do not enrol with their closest service, and that the size of the ‘catchment area’ served by GP clinics varies with rurality. Analysis of indicators of health need suggest that ‘Ambulatory Sensitive Hospitalisations’ are a robust indicator; however, area-level socioeconomic deprivation is also strongly associated with other indicators of need and data is more widely available to researchers. Mixed-methods analysis suggests that GP services are not distributed equitably within the Waikato DHB region and that key barriers to access include the affordability, appropriateness, and availability of services. New Zealand’s history of colonisation and discrimination are identified as fundamental drivers of health inequity. Furthermore, population growth and ageing suggest that current levels of access to GP services are unlikely to be maintained in the future, while participants identify key economic, professional, organisation, and social dimensions that influence service sustainability in New Zealand.

year: 2020

title: Monitoring and identification of airborne fungi at historic locations on Ross Island, Antarctica

authors: Duncan, Shona Margaret

subjects: fungi

abstract: Air sampling in the ‘Heroic Era’ historic huts on Ross Island, Antarctica confirmed fungal presence, viability and winter survival. Cultivation and consensus sequence-based identification of Cladosporium cladosporioides, Pseudeurotium desertorum, Geomyces sp. and Antarctomyces psychrotrophicus demonstrated that they dominated the air environment within the huts. Cadophora sp. and Thebolus sp. were also isolated from the air and identified by morphological characteristics. Viable fungal colony forming units generally dropped in winter 2007 samplings from levels recorded in summer 2006 but were still substantial and greater than observed in summer 2008 and summer 2009 sampling at some locations. Comparing interior to exterior sampling, at the Hut Point and Cape Evans sites, there were more fungi recovered from the air in the interiors but at Cape Royds location, more fungi were recovered from the outside environment, possibly due to the impact of large amounts of organic material from the nearby Adélie penguin rookery. This research reveals airborne fungal biodiversity in summer and winter and demonstrates spores are widespread particularly in the interiors of the huts. Completed conservation efforts appear to have reduced fungal blooms and spores, which should reduce future adverse impacts to wood, textiles, paper and other artefacts so that this important polar heritage can be preserved.

text: Monitoring and identification of airborne fungi at historic locations on Ross Island, Antarctica Air sampling in the ‘Heroic Era’ historic huts on Ross Island, Antarctica confirmed fungal presence, viability and winter survival. Cultivation and consensus sequence-based identification of Cladosporium cladosporioides, Pseudeurotium desertorum, Geomyces sp. and Antarctomyces psychrotrophicus demonstrated that they dominated the air environment within the huts. Cadophora sp. and Thebolus sp. were also isolated from the air and identified by morphological characteristics. Viable fungal colony forming units generally dropped in winter 2007 samplings from levels recorded in summer 2006 but were still substantial and greater than observed in summer 2008 and summer 2009 sampling at some locations. Comparing interior to exterior sampling, at the Hut Point and Cape Evans sites, there were more fungi recovered from the air in the interiors but at Cape Royds location, more fungi were recovered from the outside environment, possibly due to the impact of large amounts of organic material from the nearby Adélie penguin rookery. This research reveals airborne fungal biodiversity in summer and winter and demonstrates spores are widespread particularly in the interiors of the huts. Completed conservation efforts appear to have reduced fungal blooms and spores, which should reduce future adverse impacts to wood, textiles, paper and other artefacts so that this important polar heritage can be preserved.

year: 2010