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The following resources describe and quantify the health status of the people of Counties Manukau. This page includes documents produced by Counties Manukau District Health Board (CMDHB), and selected links to directly relevant reports by other agencies.
Since 2016, CM Health has developed and implemented an Alcohol Harm Minimisation Programme, which focuses on alcohol as a key determinant of population health, wellbeing and equity outcomes, and prioritises prevention and early intervention actions. This report describes the programme evaluation that was undertaken during 2020. The evaluation aimed to describe and understand success and quality aspects of the programme, to support future work. It was a non-experimental, mixed method, process and outcome evaluation addressing key evaluation questions. Overall, the evaluation supports retaining many of existing programme components. There were also aspects that didn’t work so well and the report provides recommendations for improvements. Key areas for strengthening include Maaori governance of the programme to ensure accountability of Te Tiriti o Waitangi commitments and sustainability of partnerships with Maaori, and developing systems and processes to address implicit and explicit biases among staff.
Alcohol ABC Approach (i.e. Ask about alcohol use, give Brief advice, and offer Counselling or other help for alcohol if needed) is a model which enables front-line health and social workers to have conversations with patients/clients about alcohol. This report outlines the findings of an evaluation of a project which aimed to adapt, implement, and refine the Alcohol ABC Approach with social workers at Family Success Matters, a Social Service Agency in South Auckland. The project was a collaborative partnership between Counties Manukau Health and Family Success Matters and was funded by Te Hiringa Hauora/Health Promotion Agency.
Alcohol-Involved Emergency Department Encounters and Hospital Admissions at Middlemore Hospital in 2018 (2019)
(PDF, 1 MB)
This report presents information on alcohol-involved Emergency Department encounters and hospital admissions at Middlemore Hospital during 2018. It shows that alcohol use was associated in 2018 with substantial harms and inequities for people and that alcohol creates a significant burden and cost for hospital services. This report is a supplementary paper to the comprehensive ‘Counties Manukau Alcohol-Related Harm Profile (2018)’ which is available below.
Counties Manukau Health Alcohol-Related Harm Profile (2018)
(PDF, 2.8 MB)
Alcohol causes more harm than any other drug in society. Physical, psychosocial, and economic harms affect individuals, families/whaanau, and the wider community. This report presents a profile or ‘data picture’ of hazardous alcohol use and alcohol-related harm in the Counties Manukau population. It frames alcohol-related harm from a Te Tiriti o Waitangi perspective, explores various data sources (mainly health datasets), and describes selected indicators of alcohol-related harm. Of particular note and great concern are inequities in alcohol-related harms, with Maaori, males, young people, and people living in socio-economically deprived areas being most affected. CM Health has also published a Position Statement ‘Reducing harms from alcohol in our communities’ (2017) which is available here.
Alcohol-Specific Hospital Admissions in Counties Manukau (2019)
(PDF, 678 KB)
This short report presents information on alcohol-specific hospital admissions of people living in Counties Manukau. In this report, the Counties Manukau area has been divided into seven geographic ‘localities’. This report is a supplementary paper to the comprehensive ‘Counties Manukau Health Alcohol-Related Harm Profile (2018)’ which is available above.
Health needs assessment of Asian people living in the Auckland region (2012)
(PDF, 4.9 MB)
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.
Asian health in Aotearoa in 2006-2007: Trends since 2002-2003 (2010)
(PDF, 2.7 MB)
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.
Better focus needed on primary and secondary prevention of cardiovascular disease (2020)
(PDF, 885 KB)
This report summarises the limited improvement in the use of highly cost-effective pharmaceutical treatment for primary and secondary prevention of cardiovascular disease (CVD) over the past few years in New Zealand. It provides a number of new analyses to give further insights to the persistently wide unexplained treatment gaps in the management of CVD and a number of recommendations to optimise population health gain and equity in a sustainable manner.
Immunisation coverage (primary series) and children's interactions with the health system (2021)
(PDF, 1.6 MB)
Childhood vaccination coverage in Counties Manukau is currently well below the target of 95% for all ethnic groups. The purpose of this report is to explore data currently available to help understand the opportunities for action to increase childhood vaccination coverage in CM Health.
Nurse-led school-based clinics for rheumatic fever prevention and skin infection management (2016)
The Mana Kidz programme in Counties Manukau DHB is an innovative way of delivering high quality primary health care through school settings for Year 1-8 students, within high needs communities. Dr Pip Anderson from the Population Health Team of CM Health was the lead author on this paper which summarises the evaluation of service delivery, outcomes, value for money and what has been learned about the effectiveness of the model over the first 18 months of delivery.
Before School Check Audit. Counties Manukau DHB (2014)
(PDF, 1.6 MB)
The Before School Check (B4SC) constitutes the 8th and final Well Child check. The check aims to identify and address any health, behavioural, social or developmental concerns which could affect a child’s ability to get the most benefit from school. This audit examines the delivery and outcomes of the CMDHB B4SC programme for the first six months of 2013.
The Annual Women's Health and Newborn Annual Report
This report recognises the significant work that our maternity services, both hospital and community-based, have done to support the health of women living in the Counties Manukau district and their whaanau. Of note, as women are able to choose where they give birth, we therefore provide care for some women residing outside the DHBs area and some women living in Counties Manukau are cared for elsewhere.The annual reports for CMDHB are found under the Performance and Planning section.
2014 Young people's health in Counties Manukau (2014)
(PDF, 2.6 MB)
It is estimated that there are approximately 120,000 young people aged 10-24 years living in the CM Health area. The purpose of this report, which describes aspects of the state of their health, is to support youth health planning in the Counties Manukau (CM) region. It draws on data from the Youth’12 survey for over 1,400 secondary school students domiciled in the CM Health area, along with other health and education sector data.
This report focuses on the underlying determinants of health for children and young people in the Northern DHBs and 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 Expert Advisory Group, be developed.
The Health status of children and young people in the Northern DHBs (2011)
(PDF, 9 MB)
Report prepared for Northland, Waitemata, Auckland and Counties Manukau DHBs. 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.
This report was produced by the Paediatric Society for CMDHB. It 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.
This 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.
The health status of children and young people in Counties Manukau (2008)
(PDF, 4.1 MB)
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.
This document updates life expectancy and mortality to 2020 for CM Health. 2020 was an unusual year and substantial changes in life expectancy may be attributable to the impacts of preventative measures put in place to response to the global COVID-19 pandemic. There may be differential impacts across ethnic groups from these measures depending on causes of death.
The population served by Counties Manukau Health has many unique features compared to other District Health Board populations, related to its size, age structure, ethnic mix and socioeconomic profile. This report outlines some of the key features of the CM Health population as evidenced by data from, or population estimates and projections based on, the 2018 Census. Percentages derived from the 2018 Census data are then applied to the 2018 Estimated Resident population to give indicative numbers for planning purposes.
This powerpoint summarises information from the demographic profile report ‘Demographic profile: 2018 Census, Population of Counties Manukau (2021)’. It also includes context regarding changes in Statistics NZ population projections for the Counties Manukau Health population once projections were updated to reference the 2018 Census outputs. This summary powerpoint does not include material from all sections of the 2018 Census CM Health population profile; for more detail, see the full profile linked above.
This report provides an update on the life expectancy at birth in Counties Manukau (CM) was 81.7 years in 2018. The improvement of 1.5 years in life expectancy from 2009 to 2018 was similar to the national average (1.4 years) over the same time period.
Chan WC, Papacontantinou D, Winnard D (2016) Life expectancy, leading causes of death and amendable mortality in Counties Manukau. 2015 update. Auckland: Counties Manukau Health.
(PDF, 903 KB)
This report provides an update on life expectancy at birth for the Counties Manukau population (normally generated annually), along with a baseline for healthy life years and amenable mortality to inform actions to impact our Healthy Together health equity goal and the amenable mortality national SLM.
This paper in the New Zealand Medical Journal was written by members of the Population Health Team at CM Health. It demonstrates the issue of numerator and denominator mismatch in relation to estimating Primary Health Organisation (PHO) enrolment rates with a census-derived estimated resident population denominator. It uses the Health Service Utilisation (HSU) population denominator as an alternative and demonstrates how this could support efforts to improve PHO enrolment coverage.
The population served by Counties Manukau Health has many unique features compared to other District Health Board populations, related to its size, age structure, ethnic mix and socioeconomic profile. This report outlines some of the key features of the CM Health population as evidenced by data from, or projections based on, the 2013 Census. Percentages derived from the 2013 Census data are then applied to the 2014 Estimated Resident population to give estimated numbers for planning purposes.
This report describes demographic characteristics, place of death and service utilisation of palliative care adult populations of Counties Manukau Health, based on national and local data from the years 2005-2009 inclusive. It also describes methodology for deriving estimates of the population who may benefit from palliative care. It was undertaken in 2012 to inform palliative care model of care work.
This report was commissioned by the Auckland District Health Board on behalf of the Auckland Regional Settlement Strategy Health Steering Group which represents Waitemata, Auckland and Counties Manukau District Health Boards. The Middle Eastern, Latin American and African (MELAA) ethnicity grouping consists of extremely diverse cultural, linguistic and religious groups. In the 2006 census, 1% of the New Zealand population identified as MELAA and half resided in the Auckland region. This report examines the demography, health service utilisation and health needs of these populations.
Health and Disability Intelligence Unit. (2008). Counties Manukau DHB Health Needs Assessment September 2008. Manukau: Counties Manukau District Health Board.
(PDF, 1.8 MB)
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.
The changing demography of Counties Manukau DHB (2008)
(PDF, 2.3 MB)
Counties Manukau District Health Board (CMDHB) has a diverse population with complex health needs and service requirements. It is the fastest growing area in New Zealand. This report presents the demographic data from the 2006 Census, concentrating on changes over the past 10 years, and then the future changes expected based on Statistics New Zealand projections. The dynamic nature of population changes in Counties Manukau DHB has a direct impact on the health of the people, how health services are provided, and on planning for future services.
Life expectancy in 2005. Contribution to life expectancy gaps of major disease areas in CMDHB (2008)
(PDF, 656 KB)
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. This report describes an 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.
Update on diabetes prevalence in 2019 based on laboratory results in the Auckland metropolitan region (from TestSafe)
(PDF, 1.1 MB)
This report highlights the alarming 35% increase in the number of people with diabetes and poor glycaemic control in Counties Manukau Health in the 3 years from 2016 to 2019. Using longitudinally linked data, the reports describes the key population groups that contribute to the increase quantitatively and the possible policy implications. The 5 year case fatality of people with diabetes in 2014 by ethnicity and by DHBs in metro Auckland region are also reported.
Understanding the heterogeneity of the diabetes population in metro Auckland in 2018 and the challenge of adequate glycaemic control – implications for quality improvement and service planning (2020)
(PDF, 1.6 MB)
This report provides a people’s journey view of people with diabetes with a particular focus on people with poor glycaemic control at a population level in addition to the population level descriptive diabetes epidemiology. It highlights a range of opportunities for service improvement by describing a number of health service interactions of people with diabetes and their associations with HbA1c levels over time. The continuity of comprehensive diabetes management at the appropriate intensity is emphasised as one of the areas to focus service improvement on. The final section of the report provides an updated estimate of the number of people with undiagnosed diabetes in New Zealand given the improved diabetes testing coverage in 2018.
The future of population registers: linking routine health datasets to assess a population's current glycaemic status for quality improvement (2014)
Dr Wing Cheuk Chan from the Population Health Team of CM Health was the lead author on this paper in the British Medical Journal. It describes the use of data linkage to examine diabetes screening levels and known glycaemic status of the population resident in the metro Auckland region in 2010.
Diabetes in Pregnancy in CMDHB, Trends Over Time, a 2011 Snapshot and Service Implications (2013) (PDF, 1.6 MB)
Diabetes in pregnancy (DIP), which includes both Gestational Diabetes (GDM) and pre-existing diabetes, represents a significant risk for poorer pregnancy outcomes and has implications for the future health of both mother and baby. This paper summarises and compares data about diabetes in pregnancy for both the Counties Manukau resident population and the population delivering at Counties Manukau Health facilities.
Let’s Beat Diabetes tracking survey (2010)
(PDF, 5.4 MB)
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.
Survey of people living with diabetes in Counties Manukau (2010)
(PDF, 2.1 MB)
This survey took place as part of the Let’s Beat Diabetes programme. Aims of the survey included identifying knowledge and beliefs about diabetes and it's causes in the Counties Manukau population and documenting the impact of diabetes on quality of life. It also provided information about the quality of service provision and barriers to quality care to inform service provision.
Diabetes in CMDHB and northern region: Estimation using routinely collected data (2008)
(PDF, 844 KB)
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.
The cost of cardiovascular disease and diabetes in CMDHB in 2008
(PDF, 3 MB)
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.
Let’s Beat Diabetes benchmark survey (2007)
(PDF, 3 MB)
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.
Singh, H, Papaconstantinou D, Jackson G (2021) Ambulatory Sensitive Hospitalisations in Counties Manukau Health (2020 Update)
(PDF, 909 KB)
Ambulatory Sensitive Hospitalisations refer to admissions for a condition that may have been (potentially) prevented through prophylactic or therapeutic interventions deliverable in the primary care setting.
Literature on family interventions and family outcomes in health (2016)
(PDF, 352 KB)
A stocktake of literature relating to outcomes measured at the family level from health interventions carried out with families, as at February 2016.
Healthcare services funded by Counties Manukau District Health Board for people in the last year of life (2011)
This paper in the New Zealand Medical Journal was written by public health physicians from Counties Manukau Health’s Population Health Team. It describes the high level of health service utilisation in the last year of life for the population of Counties Manukau, consistent with the international literature.
Enrolled population service locality overview (As at 31 December 2012)
(PDF, 1.6 MB)
The Counties Manukau Health (CM Health) catchment area has been divided into four geographical localities. There are two definitions of locality - enrolled population service locality (or enrolled locality) and residential locality. This document's focus is mainly on the enrolled locality view, providing analysis of the demography and health service utilisation of these populations.
Residential locality profiles for Counties Manukau DHB: CMDHB Overview (2011)
(PDF, 1.4 MB)
This document describes 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.
This report was written by Te Rōpū Rangahau Hauora a Eru Pōmare, University of Otago, Wellington. The Ministry of Health commissioned Te Rōpū Rangahau Hauora a Eru Pōmare to produce a Maaori Health Profile for each District Health Board in Aotearoa New Zealand. The profiles are intended to be used by the health sector for planning purposes. Health indicators contained in the profiles are arranged according to the three interconnected elements of Pae Ora (Healthy Futures) - whaanau ora (healthy families), wai ora (healthy environments) and mauri ora (healthy individuals).
Maa Taatou, Moo Taatou. Information to support Maaori health planning in Counties Manukau (2007).
(PDF, 2.7 MB)
This document provides a summary of data available at the time of publication to inform Maaori health planning in the Counties Manukau district. It incorporates both quantitative population level data in Part One and a review of available literature about what 'best practice' for Maaori health service provision might look like in Part Two. It is a 'work in progress', recognising that not only is new quantitative data continually becoming available, but also that Maaori specific and Maaori responsive health services are increasingly contributing to the body of knowledge publicly available about effective ways to promote whaanau ora.
The Consumer Perspectives on Primary Birthing report analyses how Counties Manukau women chose their place of birth. The report is in response to the declining numbers of pregnant mothers utilising a primary setting for birth in Counties Manukau over the past two years. Research evidence, both local and international, supports well, pregnant women (with no pregnancy complications or risk of developing complications) to birth in a primary setting. The report was commissioned by the Primary Birth Steering Group, and funded by the Maternity Quality and Safety programme.
This report describes the CMDHB maternity population, the provision and use of maternity services in CMDHB with an emphasis on antenatal care, and reviews the literature on antenatal models of care. It was undertaken in 2011 to inform a wider review of maternity care and perinatal mortality in CMDHB and should be read in conjunction with its companion report 'Perinatal Mortality in Counties Manukau'.
Perinatal Mortality in Counties Manukau (2011) (PDF, 1.4 MB)
This report examines perinatal mortality in CMDHB resident women in order to help understand the key drivers of perinatal mortality for this population. It was undertaken in 2011 to inform a wider review of maternity care and perinatal mortality in CMDHB and should be read in conjunction with its companion report ‘Antenatal Care in Counties Manukau DHB: A focus on primary antenatal care’.
Mental health and addictions issues are a growing concern in New Zealand and worldwide. They can have major implications for the person affected themselves but also for whaanau and families, friends and the wider community. This analysis of the populations who have received care for mental health disorders in the Counties Manukau area has been undertaken to inform service development and assist the DHB to match services to the needs of our population. This work provides useful information for planning; however it also raises many questions. It is anticipated that there will be much benefit from consideration and interpretation of these reports by those working with people receiving mental health care, others in the health sector and our communities. It is presented in two companion reports:.
Service Mix Model for Older People (2008)
(PDF, 314 KB)
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 been tested in the model as different scenarios. Three combinations of all the scenarios have been developed.
Telehealth as a mode of outpatient service delivery: A Pacific equity analysis (2021)
(PDF, 851 KB)
Telehealth is increasingly being used as an alternative to in-person healthcare delivery. This report outlines the findings of a joint project by the Population Health and Pacific Health teams. It uses the Kapasa Pacific policy analysis tool to understand the opportunities, risks, and key considerations for equitable implementation and monitoring of telehealth initiatives in the context of outpatient service delivery.
Metro-Auckland Pacific population health profile (2012)
(PDF, 3.9 MB)
This report was developed and written by Health Partners Consulting Group on behalf of the Ministry of Health and the metro-Auckland DHBs to support the DHBs to identify areas for Pacific health improvement. The metro-Auckland Pacific population dataset used for analysis was constructed specifically for this report so some of the figures presented differ slightly from those in other reports.
Ethnic-specific health needs assessment for Pacific people in Counties Manukau (2007)
(PDF, 1.1 MB)
This report compares the four largest Pacific ethnic groups living in Counties Manukau and New Zealand (e.g. Samoans, Cook Islanders, Tongans, and Niueans) to each other rather than simply grouping all Pacific people together. It has information on a range of demography, risk factors, and healthcare utilisation topics. It provides an ethnic-specific picture of Pacific health to contribute to DHB funding and planning.
Creating a Better Future - Our Stories (May 2011)
(PDF, 2 MB)
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.
CMDHB: Changes in Primary Health Care between 2001 and 2009
(PDF, 3.2 MB)
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.