In summary, the report provides a statistical profile based on a sample of 322 Maori (187 Maori adults and 135 Maori children) from 150 households surveyed across the Nelson Marlborough district. The study covers a wide range of topics including culture, health, education, employment and living standards. Families who took part in the study received an initial assessment and will be re-surveyed in 3 years time to determine if there has been change in the family and identify where the impacts were (good or bad).
The survey tells us that most Maori in the NMDHB District are healthy, they are in contact with the primary health care system and they are knowledgeable about healthy lifestyles, yet they are at risk of poor health outcomes in the future. Opportunities for health improvement are in the areas of primary care, smoke free, diabetes and cardio vascular risks, breastfeeding, immunisation, physical activity and nutrition, oral health and cultural responsiveness.
Te Hoe Nuku Roa is a longitudinal study that has been carried out in different parts of New Zealand over the past 12 years. NMDHB commissioned the research group (Research Centre for Maori Health and Development at Massey University) through the NPA programme 2008-09 to provide the DHB with a baseline of ‘real time’ health status and social context of Maori living in Te Tau Ihu. The report ‘Maori in Nelson Marlborough: 2009’ provides us with the findings from the research and in doing so gives us a baseline to measure progress towards improving Maori health status into the future.
The study incorporates four specific aims:
1. It uses a Maori relevant framework to gauge personal and family development.
2. It attempts to objectify the context in which Maori families and individuals exist by examining their relationships with societal structures at local, regional, and national levels as well as their relationship with Maori structures.
3. It proposes an integrated and holistic approach to personal and family development with a simultaneous focus on cultural, social and economic dimensions.
4. It includes a longitudinal component that offers an opportunity to chart the natural history of Maori individuals and families and to assess the impact of policies and programmes designed to address their specific and unique situation.
As the study matures, the longer term goal will be to include questions that cover whanau experiences with health services (Maori health, hospital or primary care) in the district.