He Ako Hiringa
At He Ako Hiringa our mission is to contribute to eliminating inequitable access to funded medicines. We want everyone to have a fair opportunity to receive the treatments that are best for them, so they can attain their full health potential.
To learn more about the drivers of medicine access equity read Achieving Medicine Access Equity in Aotearoa New Zealand: Towards a theory of change
INEQUITABLE access to medicine is a known contributor to poorer health outcomes.
We know that Māori are less likely to access funded medicines and Pacific peoples, rural populations, those with high socioeconomic deprivation and people from former refugee backgrounds may also be missing out.
CONDITIONS that are significantly amenable to treatment with medicines include asthma, CVD, diabetes and gout.
He Ako Hiringa will focus on these conditions and priority groups of people, providing primary care clinicians with evidence-informed educational materials centered around medicine access equity.
SYSTEM BARRIERS prevent some people from getting the care they need.
We aim to provide tools and resources that clinicians can use to break down these barriers. In doing this we will address the five drivers that have been identified as important in facilitating equitable access to medicines - availability, accessibility, affordability, acceptability and appropriateness.
The people who make up He Ako Hiringa include health sector experts, data scientists, equity advisors, clinical educators, clinical writers and subject matter experts. We all have a common drive to achieve equitable health outcomes for all New Zealanders.
Professor Sue Crengle brings a depth of understanding of equity and hauora Māori to our team. As our equity advisor, Sue supports us to ensure that equity is embedded throughout the work of He Ako Hiringa. She has been supporting us in the development of frameworks, guidelines and templates, ensuring these support the goals of medicines access equity.
Sue is a Professor Hauora Māori in the Department of Preventive and Social Medicine at the University of Otago and a practising GP in Invercargill. Sue’s research focuses on health inequities, health services research and quality of care, and youth health.
Sue was a recipient of a Harkness Fellowship in Health Policy 1999-2000. As a researcher with over 25 years' experience and a focus on identifying where and how inequities occur, she brings a wealth of experience to He Ako Hiringa.
Expert Advisory Group
He Ako Hiringa also is guided by The Responsible Use of Pharmaceuticals in Primary Care Expert Advisory Group. This group is made up of key individuals, appointed for a period of two years, who have a strong understanding of medicines access equity and our priority populations.
Members of the Expert Advisory Group are: Dr Dougal Thorburn, Dr Emily Gill, Dr Jason Tuhoe, Dr Maryann Heather, Bridget Wild, Jo Hikaka, Brendan Duck, Sheenal Kumar and Marie-Lyne Bournival.
Brendan Duck is a pharmacist prescriber at Totara Health and team leader, clinical pharmacist facilitation at Health Hawke’s Bay. Brendan has wide-ranging experience across primary care practice and pharmacy. In 2011, Brendan joined the Hawke’s Bay District Health Board's pilot of Clinical Pharmacist Facilitators in General Practice. The pilot was successful, receiving recognition nationally for an integrated approach, medicine safety and equity of health outcomes.
Brendan has completed postgraduate studies in clinical pharmacy, primary healthcare and pharmacist prescribing. He has a strong interest in diabetes care and other long-term conditions, with a particular focus of working alongside Māori and Pacific peoples to help them achieve their health goals.
Ko Tainui te waka, Ko Waikato me Tangata Tiriti ōku iwi. Ko Dougal Thorburn tōku ingoa.
I’m a general practitioner with a strong interest in Māori public health. I completed my undergraduate (MBChB) and postgraduate (DPH, MPH) studies at Otago University. I’ve had a diverse work experience, including working as a research fellow in Māori health workforce development and recent past as clinical director for population health at Te Awakairangi Health Network. As a Wellington-based Fellow of the RNZCGP, for the past eight years I have worked as a GP serving communities in Porirua and Pomare, and am currently working at Mauri Ora, Student Health Services at Victoria University of Wellington. I look forward to supporting the sector to develop tools and resources to enhance the delivery of quality primary care services for people of Aotearoa.
Dr Emily Gill is a senior lecturer at the Department of General Practice and Primary Health Care, University of Auckland, and a rural GP in Te Kaha and Ōpōtiki. Emily is the 2017-18 New Zealand Commonwealth Fund Harkness Fellow and has published peer-reviewed articles on the management of diabetes in aged-care facilities, cardiovascular disease risk assessments and care coordination in the community setting. Emily also contributes to research about clinical informatics and rural health. She has been nominated to this Expert Advisory Group by the Clinical Informatics Leadership Network (CiLN).
Of American descent, Emily (she/her/hers) was born in Aotearoa New Zealand and immigrated here permanently in 1996. He Tangata te Tiriti ahau.
Dr Maryann Heather is a Consultant General Practitioner who has worked in South Auckland for the last 15 years and currently practicing at Etu Pasifika Auckland in Mt Wellington. Maryann graduated from Auckland Medical School with postgraduate qualifications from University of Otago and University of Auckland.
Maryann is a member of the Pacific GP network, Pacific Chapter RNZCGP, Auckland Faculty Board RNZCGP, Goodfellow Unit Advisory Board Member, NZ Breast Cancer Foundation Medical Advisory Committee and Covid-19 Independent Safety Monitoring Board ( CV-19 ISMB). She was also part of the PACMAT team that was deployed during the Samoan Measles Outbreak in January 2020. Maryann is an emerging Pacific Health researcher and Senior Lecturer in Pacific Health at the School of Population Health FMHS University of Auckland. Maryann also has a special interest in Pacific health, diabetes, gout, rheumatic fever, breast cancer, endometrial cancer and SUDI, and health equity & health inequalities in primary care and Pacific people.
Bridget is a practice nurse at Nelson Family Medicine in lovely sunny Nelson. Bridget has over 16 years’ experience in primary health care as a practice, urgent care and a hyperbaric nurse.
Bridget enjoys working in primary care and is passionate about the diversity of the role and working alongside clients, community and other health professionals. Bridget is also on the Executive Committee for the New Zealand College of Primary Health Care Nurses and the Chair of the Professional Practice Committee.
Marie-Lyne Bournival (BSc, PGDipHealthSc, MN) is a Nurse Practitioner with over 30 years’ experience in the areas of clinical research, practice nursing and global humanitarian relief. She has specialised in primary healthcare since 2003.
Marie-Lyne currently works as an NP Locum for a number of health practices, serves on the International Council of Nurses - Nurse Practitioner - Advanced Practice Nurse Network Core Steering Group, and serves as a reviewer of the Nurse Prescriber Guidelines. Marie-Lyne is also on the Nurse Practitioner New Zealand executive committee and the Nursing Council of New Zealand NP Assessment Panel and Competency Board. Marie-Lyne is a regular contributor to New Zealand Doctor/Rata Aotearoa, and during the initial New Zealand lockdown, was part of a COVID-19 CBAC team.
Dr Jason Kohamutunga Tuhoe (Hauraki, Ngā Puhi, Ngāti Pikiao) is a Māori general practitioner who has worked in both urban and rural settings. A graduate of the University of Auckland’s MAPAS scheme, Jason completed his postgraduate hospital attachments at Middlemore Hospital before entering the RNZCGP training programme in 2013. He became a Fellow of the RNZCGP in 2016. Jason has a passion for his whānau, Te Reo Māori, Māori health and community medicine.
Jo Hikaka (Ngāruahine) is a pharmacist and health researcher living and working in Waitematā DHB. Jo has experience in older adult health, Māori health and health services research, and has worked in primary, secondary and aged residential care settings. She is a past president of Ngā Kaitiaki o Te Puna Rongoa o Aotearoa - The Māori Pharmacists’ Association and is currently a Health Research Council clinical research training fellow undertaking her PhD at the University of Auckland. Her PhD examines equitable access to medicines and pharmacist services for older Māori
Sheenal Kumar works as a community pharmacist in West Auckland and is an active member of the Pacific Pharmacists’ Association. She gained her BPharm(Hons) from the University of Auckland in 2008. Sheenal enjoys working in primary care, has great interest in equity and is very passionate about medicine management.
Lydia Farley works as a registered nurse prescriber across two rural practices in the Waikato. She graduated from UCOL in 2015 and completed her postgraduate diploma through the University of Auckland. Lydia has a passion for primary care and rural health and feels lucky to be able to work alongside people to improve their health and wellbeing.
Education - The Health Media Team
The He Ako Hiringa team at The Health Media are primarily focused on delivering educational material to clinicians with a focus on improving medicines access equity. Whether it is videos, podcasts or articles, He Ako Hiringa creates content that reduces the barriers patients face to accessing medicines.
Anna Mickell is a co-owner of The Health Media, a director of Matui and the relationship manager for He Ako Hiringa. She is a health sector expert with over 30 years of experience in medicine data and decision support sales, nursing, health publishing and pharmaceutical wholesaling. In addition to her management expertise, Anna has key skills in strategic planning, stakeholder and relationship management communication, advocacy and sales.
firstname.lastname@example.org | 021 488 709
Custom Education Lead
Andrea Copeland graduated with a BPharm from the University of Otago in 1995. She is a registered pharmacist and holds postgraduate qualifications in medicines management and in public health. Andrea has gained more than 25 years’ experience in the health sector from her work in clinical, regulatory, educational and quality improvement roles in various PHOs and DHBs, and the Ministry of Health.
email@example.com | 021 353 163
Alice McRae is the clinical writer for He Ako Hiringa, creating and sourcing the equity-focused educational content that is distributed to clinicians. Alice is committed to creating engaging content in a range of formats that is accessible to all.
firstname.lastname@example.org | 027 305 4648
Data Reporting - The Matui Team
Based in Dunedin, the Matui team provides the data science behind the He Ako Hiringa content. With health researchers and data experts at the helm, Matui uses the national health data sets to inform where the opportunities for targeted behaviour change exist.
Dr Alesha Smith is a Matui director and associate professor at the School of Pharmacy at the University of Otago. With over 15 years' experience as a health researcher and education consultant for multiple DHBs, PHOs and health organisations, Alesha has a unique skill set and specialises in bridging the gap between health and data.
email@example.com | 021 222 9711
Dr Noni Richards is a New Zealand registered pharmacist and a senior consultant with Matui. Noni has experience and postgraduate qualifications in research and has worked as a contract researcher producing evidence-based articles for both health professionals and patients. Noni has been involved in equity programmes and investigations involving big data sets.
firstname.lastname@example.org | 027 228 9594