Make health equity the norm

2017 Aotearoa New Zealand Election Statement

Healthy housing icon 
Make
healthy housing
the norm

Good work icon 
Make
good work
the norm

Whanau wellbeing icon
Make
whānau wellbeing
the norm

news-nz-election

As physicians and paediatricians we care for patients struggling with preventable illnesses every day.

We know that unhealthy housing, insecure and precarious work and poor mental health directly impact our patients’ health and wellbeing. Too often we treat illness knowing our patients are returning to social and environmental situations that will perpetuate poor health. 

Our College’s purpose is to serve the health of patients, carers, communities and populations. We have a responsibility to use our collective voice to positively influence health and social policies, and bring vital improvements to the health of our nation’s people. Our College can make a real difference when it focuses on issues where we can lead through our strength in diversity of specialist expertise.

We wish to challenge the current state, where unacceptable levels of child poverty and shocking housing conditions have become apparently ‘normalised’ in our society. Inequities in health outcomes will persist unless such stark social inequities are urgently addressed. Taking action on the social determinants of health needs a whole-of-society response led by government, and such action is overwhelmingly supported by the evidence. 

Our campaign calls for policymakers to make health equity the norm to improve health outcomes for the most vulnerable people in our communities. 

We call for immediate actions, including: 

  • making healthy housing the norm by introducing a regulation to mandate a Warrant of Fitness and Health for residential dwellings
  • making good work the norm by promoting the Living Wage to support the health and wellness of employees and their whānau 
  • making whānau wellbeing the norm by taking a child-centred approach to all legislation, policy and regulation.

As New Zealand President, I am proud to lead our College’s New Zealand Election Statement and our call for action. Former Prime Minister Norman Kirk said: “People don’t want much – just somewhere to live, something to do, someone to love and something to hope for.” As specialists and trainees of our College let’s work together to achieve a society in which people grow, live, work and age in community conditions that promote health and wellbeing, and in which equity of health outcomes is the norm.

Dr Jonathan Christiansen FRACP
New Zealand President
Royal Australasian College of Physicians

Introducing our case study whānau 

Our whānau can be found in any town or city in New Zealand, living in a privately rented house. The house is overcrowded. High prices for rent, redundancy and separation have meant that 12 members of an extended whānau are living together in a three bedroom house, with the teenage children in the garage. 
We spotlight six characters from this family. The stories have been developed by RACP physicians and paediatricians from the dozens of examples they see every day in clinical practice. All characters have interactions with the health system from inpatient paediatrics, to a youth clinic, to primary care. The characters represent ages and stages across the life course, from a toddler to an older woman, and show the complexity, interaction and affect between housing, work and whānau wellbeing.

Case studies

 shirley-face

Shirley (70 years old)

 tania-face

Tania (26 years old)

 amy-face

Amy (9 years old)

 tania-josh-face

Joshua (3 years old)
with his mother Tania

matthew-face

Matthew (15 years old)

 brian-face

Brian (48 years old)

Support the campaign

Read

RACP New Zealand President’s letter (PDF)

Make it the norm: Equity through the social determinants of health position statement (PDF)

Key facts: Healthy Housing, Good Work, Whānau Wellbeing

Media release: Make health equity the norm (PDF)

Media release: Make healthy housing the norm (PDF)

Media release: Make good work the norm (PDF)

Key facts: Make good work the norm (PDF)

Media release: Make whānau wellbeing the norm (PDF)

Support

Tweet: #MakeItTheNorm social media champions pack (PDF)

New Zealand 2017 General Election: Enrol, check or update your enrolment details

Template: send a letter to your local Member of Parliament (DOC)

List of New Zealand electorate MPs

Infographics: Make healthy housing the norm, Make good work the norm, Make whānau wellbeing the norm (PNG)


Related resources

Pomegranate Health podcast, Episode 24: Social Medicine – Themes from Congress 2017

Pomegranate Health podcast, Episode 18: Integrating Health and Social Care

RACP Health in All Policies Position Statement (PDF)

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