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Measuring disparities in immunisation coverage among children in New Zealand

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Authors:
Summary:

This investigation into immunisation coverage levels in New Zealand used data from the National Immunisation Register of children aged 12 months old in 2007–2009. It reports substantial variations in uptake by ethnicity and District Health Board (DHB) level. After adjusting for socio-economic deprivation, Māori and ‘Other’ ethnicity were substantial risk factors for low immunisation uptake. The paper also reports a general north–south gradient across New Zealand.

Comment:
The presentation of the north–south gradient for childhood immunisations is compelling in itself. As the authors suggest, DHBs with higher rates of Māori, Pacific, and ‘Other’ ethnicities, particularly when combined with higher population numbers in areas of socioeconomic deprivation, are likely to need greater resourcing and attention to services in order to reduce disparities.
Reference: Health Place 2012;18(6):1217-23.
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.

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