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The purpose of this study is to examine the views from Pacific addiction service providers with the aim of exploring perceived barriers and solutions for Pacific substance and behavioural addiction services in Aotearoa, New Zealand.

One-on-one semi-structured interviews were conducted with eight Pacific alcohol other drugs and gambling health professionals in New Zealand. Interviews were audio recorded and transcribed verbatim. A general inductive thematic analysis was then used to identify themes.

Pacific alcohol other drugs (AOD) services have adapted well to the COVID climate; stigma and time remain persistent barriers to access for clients. Pacific AOD services expressed concerns regarding their disconnect with primary health care and the need for collaboration and partnership. Pacific AOD models of care and workforce development would be encouraged, supported and provisioned with increased and stable funding within the sector.

The lack of prioritisation and adequate funding that Pacific AOD services continue to face needs to be addressed. This will ensure that the expansion of Pacific AOD services is not only sustainable in regards to growing the Pacific AOD workforce but can also safeguard the responsiveness of the Pacific AOD sector to the changing demographics and increasing AOD needs of future Pacific populations in New Zealand.

Stigma, timing of AOD services and the disconnect between primary and secondary Pacific addictions continue to hinder accessibility to AOD services for Pacific people. The findings highlight that Pacific AOD services require a health system embedded in equity, operating to protect, foster, enhance Pacific models of addiction care and service delivery.

The lack of prioritisation and adequate funding that Pacific AOD services continue to face needs to be addressed. This will ensure that the expansion of Pacific AOD services is not only sustainable in regards to growing the Pacific AOD workforce but can also safeguard the responsiveness of the Pacific AOD sector to the changing demographics and increasing AOD needs of future Pacific populations in New Zealand.

It has been over a decade since the last study identifying the effectiveness of Pacific AOD services. The findings highlight that Pacific AOD services require a health system embedded in equity, operating to protect, foster, enhance Pacific models of addiction care and service delivery. The lack of prioritisation and adequate funding that Pacific AOD services continue to face needs to be addressed. This will ensure that the expansion of Pacific AOD services is not only sustainable in regards to growing the Pacific AOD workforce but can also safeguard the responsiveness of the Pacific AOD sector to the changing demographics and increasing AOD needs of future Pacific populations in New Zealand.

It is predicted that increasing numbers of citizens of the Pacific Island nation of Tuvalu will migrate to New Zealand in the coming decades due to the threat of climate change. Tuvaluans currently living in New Zealand face disparities in income, education and health. This study aims to understand the views of recent Tuvaluan immigrants to Auckland, New Zealand on health behaviors, health care and immigration.

The authors conducted semi-structured interviews, key informant interviews and participant observation using a focused ethnography methodology.

Participants explained that Tuvaluans in New Zealand do not fully use primary care services, have a poorer diet and physical activity compared to those living in Tuvalu, and struggle to maintain well-paying, full-time employment.

As Tuvaluan immigration to New Zealand continues, it will be important to educate the Tuvaluan community about the role of primary health-care services and healthy behaviors, facilitate the current process of immigration and provide job training to recent immigrants to improve their opportunities for full-time employment and ensure cultural survival in the face of the threat of climate change.

This paper contributes to a greater understanding of the challenges to be faced by Tuvaluan environmental migrants in the future and features a high proportion of study participants who migrated due to climate change.