This annual report - Taranaki District Health Board

Stream Indicator New Zealand Distribution and Trends Midland DHBs Distribution and TrendsWell Child/TamarikiOra ServicesImmunisationCoverageWell Child Visits:Plunket WellChild DataRisk and Protective FactorsDuring 2009 (Q2) to 2012 (Q2), immunisation coveragewas highest for children aged 12 and 24 months > 18months > 5 years > 6 months. Coverage rates increasedfor all age groups during this period.During 2009 (Q2) to 2012 (Q2), coverage at 6 and 18months was higher for Asian > European > Pacific >Māori children. While similar ethnic differences wereevident at 24 months during early 2009, by early 2012,coverage was higher for Asian and Pacific > European >Māori children. During 2012 (Q2) coverage at 24 monthswas 97.6% for Asian, 96.8% for Pacific, 93.3% forEuropean and 92.2% for Māori children.During 2009 (Q2) to 2012 (Q2), coverage at 6, 12 and 18months and 5 years was higher for children from the leastdeprived (NZDep deciles 1–2) > average (NZDep deciles5–6) > most deprived (NZDep deciles 9–10) areas. Whilesimilar socioeconomic gradients were evident at 24months during early 2009, these lessened, so that by thefirst two quarters of 2012, coverage rates were similar forthose from the most and least deprived areas.During July 2007–June 2012, the proportion of Plunketchildren receiving their Core 1 contact increased from75.5% to 83.5%, while the proportions receiving theirCore 2, Core 3 and Core 4 contacts were more static.In the cohort of Plunket children born during July 2007–June 2008, a higher proportion of European/Other >Pacific > Māori children received their Core 1–7 contacts.For this cohort, the Core 1 and 7 contacts were the leastlikely to be received, while the Core 2–5 contacts werethe most likely to be received by children of all ethnicgroups.In the same cohort, a higher proportion of children fromthe least deprived and average (NZDep deciles 1 and 5)areas received their Core 1–6 contacts, than did childrenfrom the most deprived (NZDep decile 10) areas.Differences by NZDep decile were less evident for theCore 7 contact.Amongst the DHBs in the Midland Region during 2009(Q2) to2012(Q2), immunisation coverage rates were highest forchildren aged 12 and 24 months, followed by 18 months andfive years, with coverage being lowest for children 6 months ofage. Immunisation coverage rates however increased for allage groups and in all Midland DHBs during this period. Thusby 2012(Q2), immunisation coverage at 24 months was 91.6%in the Waikato, 90.5% in the Bay of Plenty, 94.1% in LakesDHB, 94.9% in Tairawhiti and 91.2% in Taranaki, ascompared to 93.1% for New Zealand as a whole.In the Waikato during 2009(Q2) to 2012(Q2), immunisationcoverage rates at 24 months were generally higher for Pacificand Asian children than for European and Māori children. Inthe Bay of Plenty, Lakes DHB, Tairawhiti and Taranaki whileimmunisation coverage rates at 24 months was generallyhigher for European children than for Māori children during2009, by 2011, with the exception of Taranaki, these ethnicdifferences had disappeared. There were however, noconsistent socioeconomic gradients (as measured by NZDepdecile) in immunisation coverage rates at 24 months of age.Of the Waikato Plunket cohort born during July 2007–June2008, 65.6% had received their Core 1 contact, as comparedto 72.6% in the Bay of Plenty, 81.2% in Lakes DHB, 78.4% inTairawhiti and 90.9% in Taranaki. The Core 2–4 contactswere the most likely to be received in all DHBs, while the Core6 and 7 contacts were the least likely to be received.Of the Waikato DHB Plunket cohort born during July 2010–June 2011, a higher proportion of European/Other childrenreceived their Core 1–5 contacts than did Pacific or Māorichildren. In the Bay of Plenty, Lakes DHB, Tairawhiti andTaranaki a higher proportion of European/Other childrenreceived their Core 1–5 contacts than did Māori children.Of the Plunket cohort born during July 2010–June 2011, ahigher proportion of children from the least deprived (NZDepdecile 1) areas received their Core 1–5 contacts, than didchildren from the most deprived (NZDep decile 10) areas in allMidland DHBs.Introduction and Overview - 34