The Fono's 'Alert Level 4' Story
Keywords:Pacific, covid, integrated model of care, food security, health, transformation
During the 1970s and 1980s, Pacific people tended to seek medical care from Accident and Emergency centres only when they were in an acute condition. As a result, Pacific mortality rates were high and Pacific people were unnecessarily suffering with poorer health outcomes. By 1987, a group of Pacific community leaders in Auckland came together and formed The Fono (originally known as Pasifika Health Care), to provide a Pacific community-led health practice and improve access to high quality, culturally appropriate primary care services. By 2020, The Fono had nine sites with four medical clinics, three dental clinics, a vast range of public health and social services, and a trades training academy.
Aotearoa New Zealand’s initial Covid-19 Alert Level 4 period was a time of intensive service delivery and significant innovation at The Fono. As a result, incubation projects were catapulted into life, transforming key aspects of the organisation. For The Fono, this transformation occurred on the following timeline:
pre-Covid (time before Alert Level 4, before 26/03/2020);
Covid (Alert Level 4 period, 26/03/2020–3/05/2020);
post-Covid (the time after Alert level 4, 13/05/2020 onwards).
This viewpoint outlines the projects that contributed to organisational change at The Fono with the first Covid wave in 2020.
Liu, C. H., Zhang, E., Wong, G. T. F., Hyun, S., & Hahm, H. C. (2020). Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Research, 290, 113172. https://doi.org/https:// doi.org/10.1016/j.psychres.2020.113172
Martin-Neuninger, R. (2021). The impacts of COVID-19 on food security: Emergency food systems (food banks) and policy responses. In S. Ratuva, T. Ross, Y. Crichton- Hill, A. Basu, P. Vakaoti, & R. Martin-Neuinger (Eds.), COVID-19 and social protection (pp. 55–78). Palgrave MacMillan.
New Zealand Government. (n.d). History of the Covid-19 alert system. https://Covid19.govt.nz/about-our-Covid-19- response/history-of-the-Covid-19-alert-system/.
New Zealand Treasury. (2001). Reducing Māori and Pacific inequalities, Vol. 1/30. https://go.exlibris.link/wm8J7lFK
Rush, E., Puniani, N., Snowling, N., & Paterson, J. (2007). Food security, selection, and healthy eating in a Pacific community in Auckland New Zealand. Asia Pacific Journal of Clinical Nutrition, 16(3), 448–454. https://doi.org/10.6133/apjcn.2007.16.3.09
Tanielu, R. (2021). Food for thought: Disrupting food insecurity in Aotearoa. Salvation Army.
World Health Organisation. (2022, 27 April). COVID-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide [Press release]. https://www. who.int/news/item/02-03-2022-Covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide
How to Cite
Copyright (c) 2023 Aotearoa New Zealand Association of Social Workers
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
By completing the online submission process, you confirm you accept this agreement. The following is the entire agreement between you and the Aotearoa New Zealand Association of Social Workers (ANZASW) and it may be modified only in writing.
You and any co-authors
If you are completing this agreement on behalf of co-authors, you confirm that you are acting on their behalf with their knowledge.
By submitting the work you are:
- granting the ANZASW the right of first publication of this work;
- confirming that the work is original; and
- confirming that the work has not been published in any other form.
Once published, you are free to use the final, accepted version in any way, as outlined below under Copyright.
You assign copyright in the final, accepted version of your article to the ANZASW. You and any co-authors of the article retain the right to be identified as authors of the work.
The ANZASW will publish the final, accepted manuscript under a Creative Commons Attribution licence (CC BY 4.0). This licence allows anyone – including you – to share, copy, distribute, transmit, adapt and make commercial use of the work without needing additional permission, provided appropriate attribution is made to the original author or source.
A human-readable summary of the licence is available from http://creativecommons.org/licenses/by/4.0, which includes a link to the full licence text.
Under this licence you can use the final, published version of the article freely – such as depositing a copy in your institutional research repository, uploading a copy to your profile on an academic networking site or including it in a different publication, such as a collection of articles on a topic or in conference proceedings – provided that original publication in Aotearoa New Zealand Social Work is acknowledged.
This agreement has no effect on any pre-publication versions or elements, which remain entirely yours, and to which we claim no right.
Reviewers hold copyright in their own comments and should not be further copied in any way without their permission.
The copyright of others
If your article includes the copyright material of others (e.g. graphs, diagrams etc.), you confirm that your use either:
- falls within the limits of fair dealing for the purposes of criticism and review or fair use; OR
- that you have gained permission from the rights holder for publication in an open access journal.