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PACIFIC PEOPLE IN NEW ZEALAND DEBBIE RYAN AND INEKE MEREDITH MARMOT SYMPOSIUM WELLINGTON 13 JULY 2011.

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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 peoples constitute 6.9% of NZ population (2006 Census)  38% Pacific population under 15yr of age  By 2051, NZ student population will rise from 1 in 10 as it is currently to 1 in 5  Poorer life expectancy  Highest mortality rate for cerebrovascular disease  Mortality rate for cardiovascular disease higher than that for non-Maori non-Pacific People  Diabetes  Obesity  Amenable mortality PACIFIC PEOPLE IN NZ 2011

3  85% Pacific children completely immunised by age 2  Highest failure rates new entrant hearing tests  At 5yr of age, only 32% Pacific children caries free  Pacific children aged 5-14yr are 6x more likely to be obese than other children in NZ  Unintended 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 Fever  Rheumatic Heart Disease  Meningitis  Highest hospitalisations for asthma PACIFIC CHILD HEALTH IN NZ

4 ACUTE RHEUMATIC FEVER IN NZ Source: New Zealand Child and Youth Epidemiology Service Acute Fever Rheumatic Admissions in 0-24 Year Olds by Ethnicity, New Zealand

5 SERIOUS SKIN INFECTIONS Hospital Admissions due to Serious Skin infections in Children and Young People 0-24 years by Ethnicity, New Zealand Source: New Zealand Child and Youth Epidemiology Service

6  NZHS 2006: Decreasing unmet need  Pharmaceutical expenditure approximates that expected based on health need  Increasing rates of emergency care self-presentation for less urgent conditions AVOIDABLE HOSPITALISATIONS Source: CMDHB: Changes in Primary Health Care ASH rates per 1000 for Counties Manukau 0-74 year olds, by ethnicity Pacific Maori non-Maori non-Pacific

7  Disadvantage 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) FOCUS ON YOUTH

8  Legislation NZ Public Health and Disability Act 2000 – “...to reduce health disparities by improving the health outcomes of Maori and other population groups...”  National strategies  New Zealand Health Strategy 2000  Primary Health Care Strategy 2001  Public Health  Pacific Health and Disability Action Plan 2002 and Pacific Provider Development Fund  Quality focus  Evidence based guidelines  Primary health care accreditation  Performance management  Research and evaluation  Workforce development A FOCUS ON REDUCING INEQUALITIES FOR PACIFIC PEOPLES SYSTEM RESPONSE

9  DHB Pacific community and church based programmes  Enua Ola  Lotu Moui  Health Village Action Zones  HEHA  Housing programmes  Anti-smoking  Health prevention- immunisation (MenzB, childhood, Influenza, HPV), cancer screening, early childhood health checks  Pacific unemployment rate in was 4.7%, (3.4%) in December 2007 compared with 26.1% (10.6%) in DETERMINANTS OF HEALTH AND EMPOWERMENT

10 A NEW APPROACH – UNDERSTANDING “ADAPTIVE CHALLENGES”


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