Health status documents

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.  

Documents on health in New Zealand in general can be found on the Ministry of Health website, particularly the NZ Health Statistics section.  

 

Asian health

  • Health needs assessment of Asian people living in the Auckland region (2012)
    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)
    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. 

Child & Youth 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.

  • 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. This evaluation covers 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)
    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 Maternity Quality and Safety Programme Report 
    The Annual Maternity Quality and Safety Programme Report describes the progress and initiatives undertaken over the last 12 months as part of the Maternity Quality and Safety Programme.  It also describes other important activities that have been occurring in the Counties Manukau district related to improving maternity care for CM Health women, their babies and whaanau. The annual reports for CMDHB are found under the Performance and Planning section.
  • 2014 Young people's health in Counties Manukau (2014)
    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.
  • Children and young people with chronic conditions and disabilities (2013)
    There is limited information about the nature and causes of disabilities and chronic conditions (including obesity) in New Zealand children and young people. This report attempts to help address this by collating a range of routinely collected data sources to provide information about children and young people with specific chronic conditions and disabilities in the Northern DHBs.

    The report, which is the third 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) Health Outcomes
    Year 2 (2012) Health Determinants
    Year 3 (2013) Disability and Chronic Conditions 

  • Determinants of health for children and young people in the Northern DHBs (2012)
    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 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) Health Outcomes
    Year 2 (2012) Health Determinants
    Year 3 (2013) Disability and Chronic Conditions 
  • The Health status of children and young people in the Northern DHBs (2011)
    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 as follows:
    • Year 1 (2011) Health Outcomes
    • Year 2 (2012) Health Determinants
    • Year 3 (2013) Disability and Chronic Conditions

  • 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.

  • 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. 

  • The health status of children and young people in Counties Manukau (2008)
    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.

Demography

  • 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.

  • Demographic profile: 2013 Census, Population of Counties Manukau (2015)
    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. 

  • CMDHB health needs assessment (2008)
    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)
    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)
    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.

Diabetes

  • The future of population rgisters: 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)

    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)
    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)
    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)
    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
    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)
    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.

Health service utilisation

Localities

  • Enrolled population service locality overview (As at 31 December 2012)   
    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)
    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.

Maaori health

  • 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).
    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.

Maternal and Perinatal Health

  • 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).
    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

  • Populations who have received care for mental health disorders. Counties Manukau Health (2014).
    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:.
  • 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.

 Older People's health

  • Service Mix Model for Older People  (2008)
    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.

Pacific health

  • Metro-Auckland Pacific population health profile (2012)
    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)
    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.

Primary health care

  • Creating a Better Future - Our Stories (May 2011)
    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
    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.