The Determinants of Health for Children and Young People in the Northern DHBs
(Nov 2012)  475 pages
Report prepared for Northland, Waitemata, Auckland and Counties Manukau DHBs [file size 7.03MB]

This report focuses on the underlying determinants of health for children and young people in the Northern DHBs, provides an overview of many of the factors that would need to be addressed, should an integrated policy package, such as that outlined by the Office of the Children’s Commissioner’s EAG’s, be developed.

The report, which is the second of a three part series on the health of children and young people in the Northern DHBs, fits into the reporting cycle as follows:

Year 1 (2011) The Health Status of Children and Young People

Year 2 (2012) The Determinants of Health for Children and Young People

Year 3 (2013) Children and Young People with Chronic Conditions and Disabilities

In addition to reviewing some of the determinants shaping children and young people’s health and wellbeing, this report aims to assist District Health Board (DHB) staff to consider the roles other agencies play in influencing child and youth health outcomes. Further, it aims to assist those working locally, to utilise all of the available evidence when developing programmes and interventions to address child and youth health need.

August 2012

Health Needs Assessment of Asian People Living in the Auckland Region (Aug 2012), 123 pages

Report commissioned by the Northern DHB Support Agency [file size 4.93 MB]

ISBN 978-0-473-21083-0 (paper back)

ISBN 978-0-473-21083-7 (PDF)

 

This report, by Dr Suneela Mehta, was commissioned by the Northern DHB Support Agency on  behalf of the Auckland Regional Settlement Strategy Migrant Health Action Plan, which represents Waitemata, Auckland and Counties Manukau DHBs. It is the most comprehensive report to date examining the health status and health service use of Chinese, Indian and Other Asian communities in the Auckland region. The report includes analyses of health issues that have not previously been addressed in detail for Asian communities in Auckland, such as mental health, health of older people, family violence, patient safety and disability.

November 2011

The Health Status of Children and Young People in the Northern DHBs 2011 - 561 pages
Report prepared for Northland, Waitemata, Auckland and Counties Manukau DHBs [file size=9179KB]
This report is the first of three reports, in the third series on the health of children and young people in the Northern DHBs, and fits into the reporting cycle as follows:

1. Year 1 (2011) Health Outcomes

2. Year 2 (2012) Health Determinants

3. Year 3 (2013) Disability and Chronic Conditions

While the aim of the first two reporting cycles was to present an overview of the major issues affecting the health of children and young people in the Northern DHBs individually, this third series, while building on the frameworks developed in the previous two, aims to take a more regional approach to child and youth health needs assessment.

October 2011

Residential Locality Profiles for Counties Manukau DHB: CMDHB Overview (Oct 2011), 113 pages 
Click here to download [file size=1392KB]
This document is the overarching report in a series of reports which describe populations and health status at a locality level and summarises the demography and various health indicators for the CMDHB population, with a focus on differences by locality.

May 2011

Creating a Better Future - Our Stories (May 2011) - 91 pages 
Document prepared for Counties Manukau District Health Board* [file size=2003KB]
This document's emphasis is on celebrating the successes of our Counties Manukau community, providers and partner organisations in response to the burden posed by diabetes, cardiovascular diseases, cancers and chronic respiratory diseases on the community of Counties Manukau. 
*Also available in hard copy (until stocks last).

November 2010

Health of Children & Young People with Chronic Conditions & Disabilities in Counties Manukau  
Report prepared for Counties Manukau District Health Board [file size=5192KB]
Produced by the Paediatric Society for CMDHB, this report reviews a range of routinely collected data on children and young people in Counties Manukau, with a view to identifying the numbers of children and young people with chronic conditions and disabilities accessing health services within the region. In addition, given a trend towards deinstitutionalisation and a greater emphasis on community care, the in-depth topics consider common areas of unmet need for families caring for children and young people with chronic conditions and disabilities, as well as the impact health and disability support services may have on their wellbeing.

July 2010

Asian Health in Aotearoa in 2006-2007:   Trends since 2002-2003 (July 2010) - 58 pages 
Report commissioned by Northern DHB Support Agency (NDSA) [file size=2809KB]
ISBN: 978-0-473-17242-8 (Book)
ISBN: 978-0-473-17243-5 (Internet)
This study by Assoc. Prof. Robert Scragg was commissioned by the Northern DHB Support Agency (NDSA) on behalf of the Auckland Regional Settlement Strategy Health Steering group which represents Waitemata, Auckland and Counties Manukau District Health Boards. It provides an overview of the health status of Asian communities in 2006-07, in comparison with the rest of the New Zealand population; and at the same time provide information on trends in health status among the Asian communities since 2002-03. The large number of Asian participants has allowed analyses of the health status of the main Asian communities - Chinese, South Asian and Other Asian - covering sociodemographic status; health risk and protective factors (lifestyle), chronic disease and utilisation of health services. It is the first report to describe national data on the health status of children from the main Asian communities in New Zealand.

June 2010

CMDHB: Changes in Primary Health Care between 2001 and 2009 - 182 pages 
Report prepared for Counties Manukau District Health Board [file size=3236KB]
ISBN 978-0-9582961-8-2

This report summarises the activity in Primary Health Care (PHC) in the Counties Manukau district from 2001 to 2009 and focuses on PHC provided by Primary Health Organisations (PHOs), established under the Primary Health Care Strategy from 2002.  The report is structured in alignment with the six key directions of the Strategy and to 'set the scene' the report begins with a snapshot view of the health status of the Counties Manukau population in 2001, along with details on the development and funding of the PHOs in the district.  The report concludes with a further snapshot of health status in 2009 and learnings relevant to CMDHB, PHC providers and the community.

March 2010

Let’s Beat Diabetes Tracking Survey, 2010 - 211 pages
Click here to download [file size=5480KB]
This survey built on the Benchmark Survey by identifying changes in behaviour, attitude and knowledge over 2½ years between 2007 and 2009. It also identified areas which had not changed and areas of need in the community. It involved over 2300 participants and was used to inform the review of Let’s Beat Diabetes and the development of the Creating a Better Future strategy. A further tracking survey is planned as part of the ongoing evaluation of Creating a Better Future.

Let’s Beat Diabetes Benchmark Survey, 2007 - 170 pages
Click here to download. [file size=3088KB]
Undertaken in 2007, this survey established a benchmark against which to measure the impact of the Let’s Beat Diabetes strategy. It also gathered information about attitudes towards nutrition and physical activity, knowledge of diabetes and openness to change among the 2500 participants involved. Results were used to help inform the planning and development of the Let’s Beat Diabetes strategy.

January 2010

The cost of cardiovascular disease and diabetes in CMDHB in 2008 - 14 pages
Report prepared for Counties Manukau District Health Board [file size=470KB]
ISBN 978-0-9582961-6-8
Over 40,000 people are known to have cardiovascular disease and/or diabetes in CMDHB. They accounted for 13% of the adult population but contributed to 46% of the total adult inpatient hospitalisation costs in 2008 ($101 million). Investment in prevention programs has great potential in promoting wellness, reducing illness and preventing premature death, as well as saving health service costs in the future.

November 2009

The Determinants of Health for Children and Young People in Counties Manukau - 368 pages  

Report prepared for Counties Manukau District Health Board [file size=5.25MB]

The early years of life provide a crucial foundation for future health and wellbeing. The Determinants of Child and Youth Health in Counties Manukau is the second report in a three part series on the health of children and young people in the region. It aims to provide an overview of the determinants shaping children and young people’s lives during their crucial early years, and to assist the DHB consider some of the other agencies influencing the wellbeing of children and young people in the region.

This Report was produced by the NZ Child and Youth Epidemiology Service, a joint venture between the Paediatric Society of New Zealand and Auckland UniServices. While every endeavour has been made to use accurate data in this Report, there are currently some variations in the way data is collected from District Health Boards and other agencies that may result in errors, omissions and inaccuracies in the information contained in this Report. The NZ Child and Youth Epidemiology Service do not accept liability for any inaccuracies arising from the use of this data in the production of these reports, or for any losses arising as a consequence thereof.

February 2009

The prevalence and care of mental disorders in Counties Manukau District Health Board from linked health data - 70 pages
Report prepared for Counties Manukau District Health Board [file size=2137KB]
ISBN 978-0-9582961-5-1
Health datasets were linked to identify those people in CMDHB and other Northern DHBs that received care for a mental illness in 2007. This study has defined a new methodology for estimating the descriptive epidemiology of mental health disorders using linked anonymised health data. Although not formally validated it provides a view of mental health care not previously available for CMDHB, and reveals service use by different groups, relationships between services, and linkages between mental health and physical health.

December 2008

Otarians Taking Care of Business:  Strengthening Youth Health and Wellbeing in Otara -77 pages
Report prepared for Counties Manukau District Health Board [file size=4398KB]
ISBN 978-0-473-14585-9
This report examines information from young people, community service providers and best evidence research to look at how to support the health and wellbeing of young people in Otara.  Counties Manukau District Health Board (CMDHB) initiated this project with the support of Manukau City Council.
 

Life expectancy in 2005:  Contribution to life expectancy gaps of major disease areas in CMDHB - 59 pages
Report prepared for Counties Manukau District Health Board [file size=656KB]
ISBN 978-0-9582961-3-7
Life expectancy at birth for Maaori living in Counties Manukau has consistently been around ten years less than that for non-Maaori, non-Pacific peoples.  For Pacific peoples this life expectancy gap has been around five-to-eight years in recent times.  This report describes analysis that examined the main causes of death that contributed to disparities in life expectancy at birth between Maaori and Pacific peoples living in Counties Manukau in 2005 and those of non-Maaori, non-Pacific ethnicities.  The contribution of each of the main causes is quantified.  Smoking is identified as an important driver of inequity in life expectancy and the contribution of smoking to life expectancy gaps is examined in detail.

November 2008

The Health of Children and Young People in Counties Manukau - 351 pages
Report prepared for CMDHB [file size=4188]
This Report was produced by the NZ Child and Youth Epidemiology Service, a joint venture between the Paediatric Society of New Zealand and Auckland UniServices. While every endeavour has been made to use accurate data in this Report, there are currently some variations in the way data is collected from District Health Boards and other agencies that may result in errors, omissions and inaccuracies in the information contained in this Report. The NZ Child and Youth Epidemiology Service do not accept liability for any inaccuracies arising from the use of this data in the production of these reports, or for any losses arising as a consequence thereof.

September 2008

CMDHB Health Needs Assessment 2008 - 122 pages
Report prepared for Counties Manukau District Health Board [file size=1859KB]
ISBN 978-0-9582961-4-4
A compendium of recent health data for Counties Manukau DHB.  It includes data on demography, mortality (to 2005), hospitalisations (to 2007), life expectancy, and CMDHB-specific information from the NZ Health Survey 2006/07 on risk factors, disease prevalence and health service utilisation. This report was commissioned by CMDHB from the Health and Disability Intelligence Unit (formerly Public Health Intelligence) of the Ministry of Health. It is one of a series of DHB-specific reports prepared by HDI which share the same layout and coverage allowing easy comparability.

July 2008

Service Mix Model for Older People - 36 pages
Report prepared for Counties Manukau District Health Board [file size=314KB]
ISBN 978-0-9582842-9-5
System modelling is a part of CMDHB's Older People's Strategy "to plan future services for older people by developing a system dynamic model focusing on the coordination and integration across the continuum of services to ensure the variety and capacity of services meet their assessed needs".

This model has been determined using available information within CMDHB and operational and management staff have been consulted in its development. All the key variables have tested in the model as different scenarios. Three combinations of all the scenarios have been developed.

May 2008

Health Needs Assessment for Asian People in Counties Manukau - 114 pages
Report prepared for Counties Manukau District Health Board [file size=2260KB]
ISBN 978-0-9582842-7-1
People of Asian ethnicities form the fastest growing group in Counties Manukau society.  This health status comparison looks at the Chinese, Indian and Other Asian ethnic groups living in Counties Manukau.  Specific chapters on demography and socioeconomic circumstances, health outcomes, healthcare utilisation, risk and protective factors, child health and women’s/maternal health are included. The report found high rates of diabetes and cardiovascular disease in people of Indian and South Asian ethnicity which had been disguised by the 'averaging' of all Asian people into one group.  This health needs assessment provides an ethnic-specific picture of Asian health to inform DHB funding and planning and ensure that interventions and services being designed by CMDHB take into account this relatively healthy but increasingly large sector of our community.

Diabetes in CMDHB and northern region: Estimation using routinely collected data - 55 pages
Report prepared for Counties Manukau District Health Board [file size=845KB]
ISBN 978-0-9582842-8-8
This report provides an estimate of the prevalence of diabetes in Counties Manukau and three other district health boards in the northern region.  It uses three separate sources of routinely collected administrative data to identify individuals likely to have diabetes, during a two-year period (2006-2007).  Laboratory monitoring test frequency and pharmaceutical prescription claim patterns in people with diabetes are reviewed.  Medical and surgical hospital discharge data for people with diabetes are compared to discharge data for people without diabetes in 2007.

March 2008

The Health of Children and Young People in Counties Manukau - 464 pages
Report prepared for CMDHB [file size=4904KB] and Executive summary [file size=167KB]
The third in a series of child health reports produced by the Paediatric Society for CMDHB, this report provides a catalogue for all the measures in the NZ Child and Youth Indicator Framework.  In addition to providing national level data, each section where possible provides an analysis of how Counties Manukau's rates compare with the New Zealand average, as well as the extent to which any disparities are evident within the DHB.  This comprehensive overview of health status covers ages 0-24 years, and where data permits ethnicity and deprivation analyses are included.