Page 6 - Regional Services Plan 2016/19

Summary of National Māori Health Indicators
National Priorities
Māori Health Indicators
Why this issue is important
Data Quality
1. Ethnicity data accuracy
Collecting accurate ethnicity data in accordance with the national Ethnicity Data Collection Protocols will improve the quality of ethnicity health data enabling us to effectively measure working towards health equity for Māori.
Access to care
2. 100 % of Māori enrolled in PHOs
PHO enrolment is the first step in ensuring all population groups have equitable access to primary health care services and is therefore a critical enabler for first point of contact health care. Differential access to and utilisation of healthcare services plays an important role in health inequities, and for this reason it is important to focus on enrolment rates for Māori.
3. Ambulatory sensitive
hospitalisation (ASH)
0-4 yrs 45-64 yrs
ASH is a proxy measure for avoidable hospitalisations, and unmet healthcare need in a community based setting. There are significant differences in ASH rates for different population groups and a key focus on activities to reduce ASH must address the current inequities.
Child health1
4. Exclusive or fully breastfed at
LMC discharge
5. Exclusive or fully breastfed at 3
months
6. Receiving breast
milk at 6 months
6 weeks 75% 3 months 60% 6 months 65%
Breastfeeding provides infants with nutritional needs and builds infant immunity against a range of infectious diseases within the first 6 months of life.
Diabetes/ Cardiovascular Disease
7. 90% of ‘eligible Māori men in the PHO aged 35-44 years’ who have had a CVD risk recorded within the past five years
The burden of cardiovascular disease (heart and stroke) is greatest among the Māori population, and mortality is more than twice as high compared to non-Māori. CVD risk assessments are an important tool to enable early identification and management of people at risk of heart disease and diabetes. Fast access to treatment for heart related attacks is essential to achieve health equity and improve health outcomes for Māori.
Cancer
8. Breast screening rate 70% of eligible woman
Historically, Māori women have significantly higher incidence and mortality from breast cancer compared to non-Māori. Inequities in access to screening services need to be addressed to ensure Māori women experience the benefits of early detection of breast cancer.
9. Cervical screening rate 80% of eligible woman
In 2012, Māori women were twice as likely as non-Māori to develop cervical cancer, and 2.3 more likely to die from it. Regular cervical screening detects early cell changes that would, over time, lead to cancer if not treated. Nationally, cervical screening coverage for Māori is 62.2%, compared to coverage in European/Other populations with coverage at 82.2%. Improving screening coverage in Māori women is therefore an important activity to improve this equity gap.
1 Ministry of Health. 2016. Indicators for the Well Child / Tamariki Ora Quality Improvement Framework: September 2015. Wellington: Ministry of Health
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REGIONAL INITIATIVES AND ACTIVITIES TO ACHIEVE OUR REGIONAL OBJECTIVES