Characteristics of effective primary and community healthcare for tāngata whaikaha Māori māmā and pēpi (Новая Зеландия - Тендер #63072461)

The Ministry is the chief steward of the health system and the Government’s lead advisor on matters relating to policy, regulation, and monitoring of the health system, including how it supports the health of disabled people.

The Ministry’s approach to the health of disabled people is guided by legislative requirements, including the Health of Disabled People Strategy, the Māori Health Strategy and the Government Policy Statement on Health (GPS), which sets the Government’s priorities for the publicly-funded health sector. These are mandated by the Pae Ora (Healthy Futures) Act 2022.

The GPS includes objectives and expectations that are relevant to models of healthcare, for example, developing models of care to better meet people’s needs closer to home. The Government expects that new and expanded models of healthcare in primary and community-based settings will emerge. The GPS also recognises the need to develop and expand Māori health providers and Māori health service models.

One of the priorities for the Ministry’s work to improve the health outcomes of disabled people is taking action for those with the highest health need, including a focus on models of healthcare. One of the population groups that experiences high health need is tāngata whaikaha Māori.

Evidence shows that Māori experience worse health outcomes than non-Māori. This is more pronounced for tāngata whaikaha Māori. Despite a higher prevalence of disability, Māori have higher proportions of unmet need for access to health professionals and special equipment when compared with non-Māori. The 2,000 days between pre-conception and a child’s fifth birthday are critical to give babies and children the best start in life and secure long-term health and wellbeing gains.

To progress its work, the Ministry wants to understand the characteristics of, and barriers to, effective primary and community healthcare for tāngata whaikaha Māori māmā and pēpi.

It is envisaged that outputs from the proposed research will provide evidence to inform the Ministry’s strategy and policy work, and monitoring of system performance for tāngata whaikaha Māori.

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