Auckland District Health Board



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Area deprivation


Figure : Distribution by NZDep 2013 decile, Auckland DHB, 2013

Source: 2013 Census, Statistics New Zealand. Atkinson J, Salmond C, Crampton P. 2014. NZDep2013 Index of Deprivation. University of Otago Wellington.

Auckland Māori have a less deprived small area profile than the national population, although Māori are still over-represented in the most deprived neighbourhoods. In 2013, 20% of Māori lived in the most deprived decile areas (decile 10) compared to 10% of non-Māori. Non-Māori were more likely than Māori to live in the four least deprived decile areas (46% compared to 31%).

Mauri ora: Pepi, tamariki

− Infants and children




This section presents information on infants and children. Indicators include birth-weight and gestation, immunisations, breastfeeding and other well-child/tamariki ora indicators, oral health, skin infections, middle ear disease, acute rheumatic fever, and potentially preventable hospitalisations.

Infant mortality, including perinatal mortality and sudden unexpected death in infants (SUDI), are also important indicators of Māori health need. Although the numbers are too small to present at a DHB level, the national data shows that Māori infant mortality and SUDI rates are improving, but significant inequities still remain. The reports of the Perinatal and Maternal Mortality Review Committee (PMMRC) and the Child and Youth Mortality Review Committee (CYMRC) provide useful information and recommendations on preventing infant and child deaths.

Other useful sources of information include the DHB reports by the Child and Youth Epidemiology Service (CYES) on health status (2011), the determinants of health (2012), chronic conditions and disability (2013). The Te Ohonga Ake reports by the CYES also include in-depth information on Māori child and youth health at a national level.

Births


Table : Birth-weight and gestation, Auckland DHB, 2009–2013

Indicator

Māori

Non-Māori

Māori/non-Māori ratio (95% CI)

Rate difference

Ave. no. per year

% of live births

(95% CI)


Ave. no. per year

% of live births

(95% CI)








Low birth-weight

56

6.1

(5.5,

6.9)

331

5.9

(5.6,

6.2)

1.04

(0.92,

1.18)

0.3

High birth-weight

20

2.2

(1.8,

2.7)

119

2.1

(1.9,

2.3)

1.05

(0.85,

1.29)

0.1

Preterm

76

8.3

(7.5,

9.1)

380

6.7

(6.5,

7.0)

1.23

(1.11,

1.37)

1.6

Source: Birth registrations, Ministry of Health
Notes: Low birth-weight less than 2500g, High birth-weight greater than or equal to 4500g, Preterm less than 37 weeks gestation

During 2009 to 2013 there were 916 Māori infants born per year on average, 14% of all live births in the DHB (6,545 per year). Fifty-six Māori babies per year were born with low birth-weight, 6% of Māori live births, and 20 per year (2%) with high birth-weight. Seventy-six Māori babies per year were born preterm, 8% of Māori live births, 23% higher than the non-Māori rate.





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