Presentation on theme: "Pacific people in New zealand Debbie Ryan and Ineke Meredith Marmot symposium Wellington 13 july 2011."— Presentation transcript:
1 Pacific people in New zealand Debbie Ryan and Ineke Meredith Marmot symposium Wellington 13 july 2011
2 Pacific people in nz 2011Pacific peoples constitute 6.9% of NZ population (2006 Census)38% Pacific population under 15yr of ageBy 2051, NZ student population will rise from 1 in 10 as it is currently to 1 in 5Poorer life expectancyHighest mortality rate for cerebrovascular diseaseMortality rate for cardiovascular disease higher than that for non-Maori non-Pacific PeopleDiabetesObesityAmenable mortality
3 Pacific Child Health in NZ 85% Pacific children completely immunised by age 2Highest failure rates new entrant hearing testsAt 5yr of age, only 32% Pacific children caries freePacific children aged 5-14yr are 6x more likely to be obese than other children in NZUnintended pregnancy and longterm consequences: poor antenatal care, obstetric complications, low birth weight infants, poor educational attainment and child abuse (The Best Intentions: Unintended Pregnancy and the Well-Being of Children and Families, 2005)Rheumatic FeverRheumatic Heart DiseaseMeningitisHighest hospitalisations for asthmaWaikato and Waitemata report >90%And PI children more likely to have missing/decayed teeth at age 12
4 Acute rheumatic fever in nz Acute Fever Rheumatic Admissions in 0-24 Year Olds by Ethnicity, New ZealandSource: New Zealand Child and Youth Epidemiology Service
5 Serious skin infections Hospital Admissions due to Serious Skin infections in Children and Young People 0-24 years byEthnicity, New ZealandSource: New Zealand Child and Youth Epidemiology Service
6 Avoidable hospitalisations NZHS 2006: Decreasing unmet needPharmaceutical expenditure approximates that expected based on health needIncreasing rates of emergency care self-presentation for less urgent conditionsASH rates per 1000 for Counties Manukau 0-74 year olds, by ethnicityPacificMaorinon-Maori non-PacificSource: CMDHB: Changes in Primary Health Care
7 Focus on youthDisadvantage at different stages of life affects adult health (Power and Kuh 2006)Are there circumstances which make inequality later in life more likely?“Although all children gain from quality early childhood education, society benefits most from the investment in children from low-income or disadvantaged homes” (Improving the Transition, May 2011)
8 A Focus on Reducing inequalities For Pacific Peoples System Response Legislation NZ Public Health and Disability Act 2000 – “...to reduce health disparities by improving the health outcomes of Maori and other population groups...”National strategiesNew Zealand Health Strategy 2000Primary Health Care Strategy 2001Public HealthPacific Health and Disability Action Plan 2002 and Pacific Provider Development FundQuality focusEvidence based guidelinesPrimary health care accreditationPerformance managementResearch and evaluationWorkforce development
9 Determinants of health and Empowerment DHB Pacific community and church based programmesEnua OlaLotu MouiHealth Village Action ZonesHEHAHousing programmesAnti-smokingHealth prevention- immunisation (MenzB, childhood, Influenza, HPV), cancer screening, early childhood health checksPacific unemployment rate in was 4.7%, (3.4%) in December 2007 compared with 26.1% (10.6%) in 1992.
10 A new approach – understanding “adaptive challenges”
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