Poster Presentation Lancefield International Symposium for Streptococci and Streptococcal Diseases 2025

Cultural safety training for new zealand secondary prophylaxis providers for rheumatic fever (#81)

Monleigh MM Muliaumasealii 1 , Anneka AA Anderson 1 2
  1. National Hauora Coalition, Auckland, AUCKLAND, New Zealand
  2. University of Auckland, Auckland, New Zealand

Acute rheumatic fever (ARF) is an autoimmune response to a Group A Streptococcus (GAS) infection and remains a significant health issue in Aotearoa New Zealand (AoNZ). Māori and Pacific children aged 5 to 14 years' experience significantly higher rates of ARF than their non-Māori and non-Pacific counterparts. To prevent further damage, ARF patients receive monthly intramuscular penicillin injections for a minimum of 10 years. However, recent research highlights a gap between ARF services and patients/whānau expectations, including a need for culturally safe care. To address this gap, we delivered cultural safety training to more than 60 healthcare workers involved in ARF care in the Waikato. Cultural safety encompasses critical consciousness whereby healthcare professionals are aware of their own values and biases and take responsibility for delivering care that is culturally safe, as defined by the patient and their communities. This presentation will highlight the key elements of the training, and the feedback received from participants. Ongoing collaboration with Te Whatu Ora Waikato (New Zealand's primary publicly funded healthcare system) will help refine and expand this training, ensuring healthcare providers are better equipped to engage with Māori and Pacific whānau.