A commentary on a series of policies aimed at reducing Māori infant mortality in New Zealand demonstrated that consideration of differential risks associated with disadvantaged groups is necessary for policy to successfully address inequities. Prior to 1994, health policy did not account for the differential risks of Māori populations, and although infant mortality decreased on a national level, inequities increased. After policy was adjusted to account for Māori specific risks, inequities in infant mortality significantly declined. Consideration of differential risks was highly associated with the decrease in corresponding inequities.
As I’ve suggested elsewhere in this issue, it’s really important to monitor the impact of political action, and inaction, on equity and outcomes. Having said that, I was surprised to see that colonisation hadn’t been listed as a ‘differential risk’.
Independent commentary by Dr. Matire Hardwood
Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.
Research Review publications are intended for New Zealand health professionals.
Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.
