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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
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

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. “
slide7
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

data visualiser
Data Visualiser

Select:

Population

Region

Gender

Age Range

Standard Population

Comparison

Projection

slide13
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
slide17
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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