Te Tiriti
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Monitoring how the health reforms and the performance of the health sector uphold Te Tiriti obligations and how they reflect, advance, and challenge the relationship between Tangata Whenua and the Crown.
Latest
Media coverage
It’s an austerity Budget for Māori providers
Budget 2025 essentially represents a funding cut for hauora Māori services.
#budget2025 The State of New Zealand’s Health System in 2025: A Sector Under Strain
As of mid-2025, New Zealand’s health system is navigating a period of significant upheaval, marked by structural reforms, financial pressures, workforce challenges, and growing concerns over equity and access.
Data showing alarmingly low immunisation rates, delays, costs still undermining Māori Health
Te Tiratū Iwi Māori Partnership Board April Whānau Voice Report mirrored by Te Whatu Ora data has evidenced immunisation rates 33% lower than the national average, widespread inequities, long wait times, and unaffordable care still plaguing whānau Māori in its Tainui waka rohe.
Commentary
Briefing to the Incoming Minister of Health January 2025
Following a change of Minister, the Ministry of Health | Manatū Hauora, produces a Briefing to the Incoming Minister of Health, as is usual practice.
Health Delivery Plan
This plan is the updated reset plan and summarises the work done to date and a roadmap of activities and deliverables to the end of the 2026 financial year. It includes a plan on a page.
Treaties, truth and equality: how NZ, Australia and Canada are all struggling with colonial politics
With the ACT Party’s Principles of the Treaty of Waitangi Bill having its first reading in parliament last week, the debate and protests have been – understandably – focused on the local historical and political landscape.
Academic Literature
Reducing ethnic inequities: Patterns of asthma medication use and hospital discharges in Māori in Aotearoa New Zealand
In Aotearoa New Zealand (NZ) widespread transition to budesonide/formoterol maintenance and/or reliever regimens in clinical practice is temporally associated with reduced rates of asthma hospitalization.
Prolonging the Tobacco Endgame in Aotearoa/ New Zealand: A Tragedy With Global Implications
Aotearoa/ New Zealand was due to introduce a ground-breaking new law that would potentially achieve smoke-free status by 2025 by banning cigarettes completely for people below a certain age and raising that age annually. This move is vital for the population generally but is particularly important for Māori.
Hauora hinengaro o takatāpui: analysing the effectiveness of mental health policies in addressing the needs of Takatāpui in Aotearoa New Zealand
In this paper, we explore whether current Aotearoa New Zealand (hereafter Aotearoa) mental health policies meet the needs of takatāpui.
Legislation and Parliament
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Reports and Government Documents
Ministry of Health Annual Report for the year ended 30 June 2024
The Annual Report for the year ended 30 June 2024 sets out who we are and what we do, how we manage our business, our financial statements and statement of service performance as specified in Vote Health – Main Estimates of Appropriation 2023/24 and (where updated) in Vote Health – Supplementary Estimates of Appropriation 2023/24.
Strategic Intentions 2024–2028 Ko ngā Takune-ā-Rautaki 2024–2028
The document sets out the Ministry’s own strategic focus, functions and priorities aligned and contributing to, but distinct from those of the Government.
MEMORANDUM-DIRECTIONS OF JUDGE D STONE CONCERNING NEXT STEPS IN THE TE AKA WHAI ORA PRIORITY INQUIRY
This memorandum-directions confirms next steps regarding the priority inquiry into the disestablishment of Te Aka Whai Ora (the Maaori Health Authority).
Key issues
HEALTH SERVICES AND SYSTEMS
EQUITY
DRUGS, DEVICE AND DIAGNOSTICS
PUBLIC HEALTH
DIGITAL HEALTH
TE TIRITI