Citation: Ministry of Healt


Pacific ’āiga, kāiga, magafaoa, kōpū tangata, vuvale, fāmili experience improved broader determinants of health



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4 Pacific ’āiga, kāiga, magafaoa, kōpū tangata, vuvale, fāmili experience improved broader determinants of health

Why is this outcome a priority?


There is strong evidence that biological factors, health-related behaviours, access to health care and environmental and socioeconomic factors all influence health (Commission on Social Determinants of Health 2008). Environmental and socioeconomic factors – particularly income, education and employment – have the most significant impact on the health of populations.
The determinants of health do not operate independently: there are often complex interactions between individual risk factors and wider environmental influences in maintaining health or causing illness. However, many of the determinants of health can be altered to improve health and wellbeing (Ministry of Health 2012b).
While there have been some improvements, Pacific peoples are still worse off than other New Zealanders across a range of socioeconomic indicators (Ministry of Health 2012b). Improving the incomes, education, employment and housing of Pacific peoples is critical to improving their health outcomes.
Significant current and emerging health, social and economic issues in the Pacific Island region (such as non-communicable diseases, and emerging and re-emerging communicable diseases) also have an impact on Pacific peoples in New Zealand.

What are we seeking to achieve?


Successful interventions to address the negative influences of health determinants tend to be those that involve multiple actions across different sectors and at different levels (Commission on Social Determinants of Health 2008). We therefore want to see more effective interconnected action to improve health, social and economic outcomes at central government, regional and local levels.
We want greater recognition of the impact of intersectoral activity on Pacific health outcomes and to promote wider use of health impact assessments to assess and develop actions to manage the health effects of policies and projects.
In the wider Pacific Island region, we want to continue to contribute to initiatives that seek to foster economic development, eliminate poverty and improve educational outcomes for Pacific peoples.

What will we do to achieve this?


To improve the broader determinants of health:

1. the health and disability sector will work across government to decrease overcrowding in Pacific homes and increase access to healthy housing

2. the Ministry of Health will work in partnership with the Ministries of Social Development, Business, Innovation and Employment, and Education and with the New Zealand Police on the following Better Public Service priorities, targeting vulnerable children:

increase participation in early childhood education

increase infant immunisation rates

reduce the incidence of rheumatic fever

reduce the number of assaults on children.

How are we going to measure this?


The Ministry of Health will use the following indicators to measure whether the actions identified above achieve the intended outcomes.


Action

Indicator

Pacific performance 2013*

Targets

1. The health and disability sector will work across government to decrease overcrowding in Pacific homes and increase access to healthy housing.

Reduction in Pacific rheumatic fever hospitalisation rates per 100,000 by June 2017

Rate 33.2

Rate (per 100,000) 1.4

2. The Ministry of Health will work in partnership with the Ministries of Social Development; Business, Innovation and Employment; and Education and with the New Zealand Police on the following Better Public Service priorities, targeting vulnerable children:

increase participation in early childhood education

increase infant immunisation rates

reduce the incidence of rheumatic fever

reduce the number of assaults on children.


Increase in childhood immunisations at six months of age

74%

77%

Increase in childhood immunisation at six months#

District Health Board

Pacific

Target

Auckland

76%

95%

Canterbury

74%

95%

Capital & Coast

78%

95%

Counties Manukau

75%

95%

Hutt Valley

78%

95%

Waikato

71%

95%

Waitemata

71%

95%

Total

75%

95%

Qualitative: Delivery of the Children’s Action Plan

In progress




* Pacific is defined using prioritised ethnicity.

# Data for three month period to 31 May 2014.







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