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PhD Thesis - ResearchSpace@Auckland - The University of Auckland

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to their attention, and the establishment <strong>of</strong> the Waitangi Tribunal in 1975 to address<br />

Maori land grievances, created the climate for a ‘Maori renaissance’ from the late<br />

1970s onwards. 100 Certainly the rising visibility <strong>of</strong> Maori culture, and the interest<br />

taken in it by Pakeha, led to a greater awareness <strong>of</strong> Maori themselves and their<br />

associated problems. Within the Health Department in the 1980s there were<br />

increasing levels <strong>of</strong> consultation taking place between Maori leaders and health<br />

providers to determine how best to provide for Maori health and well-being in ways<br />

designed to meet the needs <strong>of</strong> the community. 101<br />

Concern was aired over the results <strong>of</strong> a survey on child health carried out mainly in<br />

the <strong>Auckland</strong> region in the mid-1970s which uncovered ‘a high incidence <strong>of</strong> skin<br />

infestation, obesity, and ear problems in certain schools’. 102 This led to the<br />

establishment <strong>of</strong> the Child Health Committee under the jurisdiction <strong>of</strong> the Board <strong>of</strong><br />

Health in 1977. <strong>The</strong> Committee had the power to recommend measures that would<br />

make more efficient use <strong>of</strong> resources and improve services. 103 One <strong>of</strong> its most<br />

important acts was to produce a report on child health and the provision <strong>of</strong> child<br />

health services released in 1982 that made 195 recommendations. 104 <strong>The</strong><br />

implementation <strong>of</strong> these recommendations was ultimately the responsibility <strong>of</strong> the<br />

Cabinet Committee on Family and Social Affairs, and child health became a<br />

designated priority for 1984 to 1985. 105<br />

One aspect <strong>of</strong> the report focused on child immunisation and reported that levels <strong>of</strong><br />

immunisation had risen since 1977, although not as high, particularly for measles, as<br />

they should have been. 106 Recommendations reflected this concern, highlighting the<br />

need for health pr<strong>of</strong>essionals to encourage immunisation and noting that the improved<br />

reporting <strong>of</strong> immunisation statistics was necessary. 107 Other reports on child health,<br />

including immunisation, followed in the late 1980s. A study by the South <strong>Auckland</strong><br />

100 ibid., p.487.<br />

101 See, for example, AJHR, 1985, E-10, p.5. <strong>The</strong> health initiatives were broad spectrum and as such<br />

are out <strong>of</strong> the scope <strong>of</strong> this thesis.<br />

102 AJHR, 1978, E-10, p.44.<br />

103 ibid.<br />

104 AJHR, 1984, E-10, p.20. 151 <strong>of</strong> these recommendations involved the Health Department. See also<br />

Child Health and Services in New Zealand. <strong>The</strong> Report <strong>of</strong> the Committee on Child Health. Report<br />

Series, No. 31, Board <strong>of</strong> Health, Wellington, 1982, p.207.<br />

105 AJHR, 1984, E-10, p.20.<br />

106 Child Health and Services in New Zealand, p.201.<br />

107 ibid, p.200.<br />

287

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