A sporle c kiro n pearce a lee d jansen iaos 2014
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A Sporle , C Kiro , N Pearce, A Lee, D Jansen IAOS 2014. The Maori preventable mortality project: an indigenous partnership initiative. The Context of Maori Health Development. Persistent Disparities. URGENTLY Need more …. Information that is Accessible MAORI focussed Timely LOCAL

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A Sporle , C Kiro , N Pearce, A Lee, D Jansen IAOS 2014

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A sporle c kiro n pearce a lee d jansen iaos 2014

A Sporle, C Kiro, N Pearce, A Lee, D JansenIAOS 2014

The Maori preventable mortality project:

an indigenous partnership initiative.


The context of maori health development

The Context of Maori Health Development

Persistent Disparities

  • URGENTLY Need more ….

  • Information that is

    • Accessible

    • MAORI focussed

    • Timely

    • LOCAL

    • Usable

      • Flexible

      • Rates not just counts

  • Future predictions

Intra Ethnic Variation

National Health Policies + Regional Funders

Maori Service Providers

– local

– prevention focussed


Persistent disparities

Persistent Disparities

Source MoH 2010


Intra ethnic variation in outcomes

Intra-Ethnic Variation in Outcomes


Indigenous diversity by geography

Indigenous Diversity by Geography

  • Differences in:

  • Colonisation history

  • Years of contact

  • Social conditions

  • Language

  • Land retention

  • Governance

  • Resources


Why do this

Why do this?

  • “to transform Maori mortality rates from being a measure of disparity to being a driver for action to improve Maori health at the local and national levels. “


A sporle c kiro n pearce a lee d jansen iaos 2014

  • Needs to:

  • plan services

  • monitor outcomes

  • Requires information:

  • local

  • recent

  • high quality


Why mortality

Why Mortality?

  • Key Public Health Measure:

  • Good quality ethnic data

  • Accessible by researchers

  • Regional data not published

Preventability:

50-60% of difference in mortality due to PREVENTABLE causes

Great EXEMPLAR for improving access and use


The research team

The Research Team

District Health Board

Maori Provider Organisation

Researchers

Andrew Sporle – social epidemiology

Alan Lee – statistician

(Auckland)

Neil Pearce - epidemiology

(LSHTM)

Cindy Kiro – social policy

(Victoria)

Tony Blakely - epidemiologist

(OtagoUni)

Antony Raymont – health services

Advisory Groups

Stakeholders – StatsNZ, Govt. ministries, local Maori organisations

Maori Researchers


Research questions

Research Questions

  • How does preventable mortality vary by:

    • Time

    • Gender

    • Age group / cohort

    • Level of preventability

    • REGION

Purpose:

To identify the best places and ways to intervene


A sporle c kiro n pearce a lee d jansen iaos 2014

www.stat.auckland.ac.nz/~wild/iNZight/


Data visualiser

Data Visualiser

Select:

Population

Region

Gender

Age Range

Standard Population

Comparison

Projection


A sporle c kiro n pearce a lee d jansen iaos 2014

Improving Data Access

Secure Data Archive

  • Public Access

  • Interface

  • Region

  • Gender

  • Age

  • Ref Population

  • Relative Risk

  • Confidence Ints.

  • Graphs and Tables

Data visualiser

Datasets

Epi Methods

Protocols

Maori Providers

Regional Funders


Project impact in 12 months

Project Impact in 12 months

  • Results:

    • Regional differences in data quality

    • Data visualiser pilot

    • Too early for other results

Student placements with providers:

  • Teaching

  • Community

  • Providers

  • Students

  • Other Projects:

  • Mortality by migration and age cohort

  • Longitudinal mortality study

  • Networks

  • Data users

  • Maori researchers


Maori wellbeing research

Maori Wellbeing Research

  • Independent Maori Statutory Board

  • Maori Development Plan

  • Maori Values

  • Key Directions

  • Domains and Focus Areas

  • Maori Outcomes

  • Indicator wish list


A sporle c kiro n pearce a lee d jansen iaos 2014

The Future ?

  • Improving responsive of official statistics leads to

  • Increased use

  • Improved perception

  • Improved quality

  • New ideas

If there is data – then make it available and useable


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