Page 7 - Regional Services Plan 2016/19

National Priorities
Māori Health Indicators
Why this issue is important
Smoking
10. 95% of pregnant Māori women who are smoke free at two weeks postnatal
Hapu Māori wahine have very high smoking prevalence (three times higher than the national prevalence). Smoking during pregnancy increases the risk for pregnancy complications and tobacco smoke harms babies before and after they are born.
Immunisation
11. 95% of infants fully immunised by 8 months of age
Immunization is the most effective way to actively protect your child from preventable diseases, ranging from whooping cough to meningitis and measles (Immunisation Advisory Centre, 2013). Although immunization rates are high there is still a large health equity gap between Māori and non-Māori. Initiatives need to target Māori pēpi in order to achieve health equity.
12. 75% of the eligible population (>65 years) are immunised against influenza annually
In 2014 Māori had the second highest rate of influenza confirmed hospitalisation, 49.2 per 100,000. The 65 years and over age group also have the highest rates of influenza admissions to ICU. A 75 percent influenza vaccination rate is required to provide the best protection for this age group and in particular for Māori. If we are able to increase immunisation rates for Māori, we will see a significant reduction in overall influenza cases.
Rheumatic Fever
13. 55% reduction in the number and rate of hospitalisations for acute rheumatic fever rate 1.2 per 100,000
Rheumatic fever is a serious but preventable illness that mainly affects Māori and Pacific children and young people aged 4 to 19 years. Reducing rheumatic fever will contribute to achieving equity of health for Māori.
Sudden Unexplained Death in Infancy
14. National SUDI target - 0.4 SUDI deaths per 1,000 live births
The target for SUDI will be lowered from 0.5 to 0.4 SUDI per 1,000 live births. The target has been lowered to match the reduced rate of SUDI among non-Māori infants (0.38 SUDI per 1,000 live births during 2010-2014). Yet there is still a significant difference in SUDI rates between Māori and non-Māori families living in Waikato DHB.
15. All caregivers of Māori infants are provided with SUDI prevention information at Well Child Tamariki Ora Core Contact 1 (minimum of 70% of all caregivers)
Mental Health
16. Mental Health Act: section 29 community treatment order comparing Māori rates with other (per 100,000)
New Zealand has very high rates of compulsion under the Mental Health Act, compared with similar jurisdictions. Māori are nearly three times as likely as non-Māori to be treated under a community treatment order which represents a significant disparity.
Oral Health
17. 95% of Māori preschool tamariki are enrolled in the community oral health service
The inequity between Māori and non-Māori enrolments is significant therefore the need for more Māori targeted initiatives and programs is crucial.
REGIONAL SERVICES PLAN 2016-2019
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