The theme for this issue stresses the importance of cultural competence in health delivery and the impact of culture on ill-health and well-being. Everyone has a culture, and everyone operates, lives and breathes their culture either in the family, workplace or is woven into social and community interactions. Pacific peoples in our many Islands and those resident outside the Islands have some cultural similarities and stark differences in culture. I am sure every reader will have examples of how someone’s culture affects their health seeking behaviour.  

It is not uncommon for assumptions of cultural effect when a Pacific person presents late to conventional health care due to trials of traditional remedies. But it is more complex than that. Health carers and systems need to address barriers to access such as distance to the nearest health centre, cost of treatment and trust in the carers. Lack of trust is usually due to other lacks – lack of information that patients can understand, lack of empathy and lack of respect for patients’ autonomy, privacy and views.

Published: 2018-02-28

Editorial

Impact of Culture on Health

Colin Tukuitonga
Abstract 327 | pdf Downloads 104 | DOI https://doi.org/10.26635/phd.2018.901

Page 5-7

The importance of Pacific cultural competency in healthcare

Jemaima Tiatia-Seath
Abstract 288 | pdf Downloads 153 | DOI https://doi.org/10.26635/phd.2018.909

Page 8-9

Original Research

Traditional Medicine Use in the Dunedin Pacific Community in New Zealand

Evan Wilson, Ben Grant, Rosa Tobin-Stickings, Hanneke Lewthwaite, Gina Franklin, Sarah Oh, Simon Guan, Thomas Borowsky, Kirsty Thwaites, Timothy Leaper, Jun Lee, Jack Susan; Faafetai Sopoaga
Abstract 378 | pdf Downloads 53 | DOI https://doi.org/10.26635/phd.2018.903

Page 17-26

Are there differences within pre-school aged Pacific peoples’ hospital presentations with preventable conditions?

Damaris Dekker, Jesse Kokaua, Glenda Oben, Jean Simpson, Rose Richards
Abstract 180 | pdf Downloads 24 | DOI https://doi.org/10.26635/phd.2018.904

Page 27-36

Perspectives

Telehealth in the Pacific: Update 2018

Wame Baravilala
Abstract 193 | pf Downloads 23 | DOI https://doi.org/10.26635/phd.2018.905

Page 37-38

Case Reports

Emergency awake tracheostomy for an impending upper airway obstruction in a child while beheading a live fish

Losalini Tabakei, Maloni Bulanauca, Mara Vukivukiseru, Jitoko Kelepi Cama
Abstract 156 | pdf Downloads 8 | DOI https://doi.org/10.26635/phd.2018.906

Page 39-42