Data are reported from a national survey of health equity outcomes across the New Zealand District Health Boards (DHBs). The survey aimed to identify the extent of evidence-based practices in the chronic condition management of stroke, cardiovascular disease, chronic obstructive pulmonary disease, congestive heart failure and diabetes. The survey data were supplemented with interviews conducted with 31 expert informants on program reach and the cultural needs of Māori and Pacific peoples. Responses were received from 15 of the 21 DHBs surveyed and from 21 of 84 Primary Health Organisations. Analyses revealed that measuring, monitoring and targeting equity is not systematically undertaken. The Health Equity Assessment Tool is used in strategic planning but not in decisions about implementing or monitoring disease programs. Variable implementation of evidence-based practices in disease management and multiple funding streams made program implementation difficult. Equity for Māori is embedded in policy, this is not so for other ethnic groups or by geography. Populations that conventional practitioners find hard to reach, despite recognised needs, are often underserved. Nurses and community health workers carried a disproportionate burden of care. Cultural and diversity training is not a condition of employment.
