3388

NEW ZEALAND GAZETTE

No. 142

experiencing multiple social and economic disadvantage,
and also progress new developments in these areas.

d) develop additional gender and ethnic-group specific
approaches that support improved health outcomes for
groups experiencing historic disparities, including
anti-smoking, healthier lifestyles and community
development programmes.

Goal 5: Improved mental health

Improve services to decrease the prevalence of mental
illness and mental health problems, and reduce the
impact of mental disorders on consumers, their families,
caregivers and the general community.

In particular:

a) increase access to specialist mental health services for
the three percent of the population with the greatest
needs, including Māori, Pacific people, children and
young people and those with the highest support needs.

b) in making funding decisions, focus on improving the
appropriateness, safety, quality and effectiveness of
services.

c) support the effective development of the mental health
workforce, in co-operation with the Ministry of Health
and other agencies, to meet the workforce needs of New
Zealand throughout the continuing implementation of the
National Mental Health Strategy.

Goal 6: Improved child health

Implement the Government’s Child Health Strategy
and improve the health status of children at high risk of
poor health.

In particular:

a) improve children’s access to health services through:

• ensuring that all children are enrolled with a primary
  care/well child provider

• encouraging and supporting the co-ordination of well
  child providers at a local level.

b) develop in association with groups in the community
(including national groups where appropriate)
programmes to address child health issues.

c) reduce the rates of significant illnesses and injury,
especially in populations of children at high risk of poor
health, by:

• implementing, in co-operation with other agencies,
  funding and other policies to significantly increase
  immunisation coverage rates, with the aim of
  eliminating epidemics of vaccine-preventable diseases

• reducing repeat hospital admissions for respiratory
  disease in Māori children and in Pacific children

• reducing rheumatic fever incidence and prevalence in
  Māori children and in Pacific children

• reducing the rate of sudden infant death syndrome in
  Māori infants

• reducing the rate of hearing loss at 5 years amongst
  Māori children

• reducing intentional and unintentional injury rates for
  all children.

Goal 7: Improved disability support services

Improve disability support services, with the aim of
maximising the ability of people with disabilities and
their caregivers to enjoy a full and independent life.

In particular:

a) work to ensure that the HFA’s prioritisation framework
equitably allocates disability support services resources
throughout New Zealand and appropriately targets
resources to address disparities.

b) contribute to the Ministry of Health’s development of a
new strategic framework for the provision of well
integrated and co-ordinated services for people with
disabilities, within disability support services and across
other government agencies.

Goal 8: Greater emphasis on population health
approaches

Improve population health approaches to improve the
overall health outcomes for all New Zealanders,
especially those who traditionally have less healthy
outcomes. This includes making further progress on
immunisation rates, healthier lifestyles, less smoking,
better diets, and screening and health promotion
programmes.

In particular:

a) prioritise to shift, over time, funding from programmes
that treat illness to programmes that promote and deliver
improved health status in the community generally and
adopt, as a priority, early interventions designed to lower
the level of secondary and tertiary interventions required
for individuals.

b) develop, in association with the Ministry of Health,
consumer groups and others, strategies to address major
long-term health issues, including:

• coronary heart disease

• stroke

• cardio-pulmonary disease

• cancer, including lung and colorectal cancer

• dementia

• asthma

• arthritis

• diabetes

• parkinsons

and the risk and protective factors for:

• obesity

• motor vehicle crashes

• injuries

• gender specific health issues

• healthy lifestyles.

c) develop and implement funding plans as resources allow
which give effect to the key priorities and desired
outcomes set out in existing Government strategies for
health improvement:

• Whaia te ora mo te iwi

• New Zealand Youth Suicide Prevention Strategy
  (including both In Our Hands and Kia Piki te Ora o te
  Taitamariki)

• National Drug Policy

• Strategies for the Control and Prevention of Diabetes
  in New Zealand

• Breast Cancer Control Strategy

• Child Health Strategy

• Sexual and Reproductive Health Strategy

• Moving Forward, the national mental health strategy

• Maternity Services Strategy

as well as those strategies currently under development:

• Oral Health Strategy