Strategic Approach to Immunisation in New Zealand 2025–2030

Immunisation is a highly successful public health intervention. It safeguards individuals, whānau and communities against a range of potentially devastating diseases, and is a critical way of preventing and controlling infectious disease outbreaks. An accessible and effective immunisation system maximises immunisation uptake and coverage, improving the health of the population and enabling pae ora – healthy futures.

Lived experience of affordability as a barrier to prescription medicines: A longitudinal qualitative study

Exploring lived experience provides insights into the multiple ways that lack of affordability prevents access to medicines: directly, through interaction with other barriers to access including transport, by damaging trust and reducing acceptability of services, and by making participants less able to deal with mistakes made by health professionals.

Challenges and opportunities for Aotearoa/New Zealand’s breast screening programme

Around 3500 New Zealand women will be diagnosed with breast cancer each year. Of these, 45% will be diagnosed through mammography screening, either through BreastScreen Aotearoa or through the private sector. Those diagnosed through screening have better outcomes and importantly more equitable outcomes for Māori and Pacific women.

Te Oranga Pūkahukahu research programme: intentional steps towards a national equity-focused lung cancer screening programme in Aotearoa New Zealand

Screening of at-risk, asymptomatic people can significantly reduce mortality from lung cancer. However, evidence about how to optimise lung cancer screening for specific populations, including Aotearoa New Zealand’s Indigenous Māori, who experience disproportionately higher rates of lung cancer, is needed to ensure that a future lung screening programme in Aotearoa New Zealand is equitable.

The potential of a population register for addressing health inequities: an observational study using data linkage to improve breast cancer screening enrolment and participation in Indigenous Māori women in Aotearoa New Zealand

The data linkage approach has evidenced the benefit of a population register to facilitate equitable access to breast screening services. Further work is needed on choices of combined approaches for optimising screening uptake equitably.

Key issues

HEALTH SERVICES AND SYSTEMS

Covering developments in the provision, funding and organisation of health care services.

EQUITY

Exploring the impacts of the health system on minorities within the population, notably including Māori, Pacifica, Asians and LGBTQI.

DRUGS, DEVICE AND DIAGNOSTICS

Covering prescription medicines and medical devices.

PUBLIC HEALTH

Focusing on efforts to promote health and prevent disease through social and economic interventions.

DIGITAL HEALTH

Exploring the potential digital transformation to provide a more connected and accessible health system.

TE TIRITI

Monitoring how the health reforms and the performance of the health sector uphold Te Tiriti obligations.