Improving Health Equity Among the African Ethnic Minority Through Health System Strengthening: A Narrative Review of the New Zealand Healthcare System

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aut.relation.articlenumber21en_NZ
aut.relation.issue1en_NZ
aut.relation.journalInternational Journal for Equity in Healthen_NZ
aut.relation.volume19en_NZ
aut.researcherDrabsch, Julie
dc.contributor.authorKanengoni, Ben_NZ
dc.contributor.authorAndajani-Sutjahjo, Sen_NZ
dc.contributor.authorHolroyd, Een_NZ
dc.date.accessioned2020-05-12T03:05:23Z
dc.date.available2020-05-12T03:05:23Z
dc.date.copyright2020en_NZ
dc.date.issued2020en_NZ
dc.description.abstractBackground: In New Zealand, health equity is a pressing concern and reaching disadvantaged populations has become the goal to close the inequity gap. Building and strengthening health systems is one way to secure better outcomes. However, the discourse to date has predominately focussed on inequities in health outcomes for Māori. This study has interest in the African ethnic minority community in New Zealand. It undertakes a narrative review of the New Zealand health system which aims to identify literature around the attainment of health equity of African minority by: (i) providing a critical overview of the healthcare delivery system using World Health Organization's six inter-related building blocks of health system strengthening; (ii) developing a summary and discussions of the research results and; (iii) identifying priorities and recommendations for future research. Method: A narrative review of 27 articles published between January 2010 and June 2019 were selected from CINAHL, PubMed, Scopus, Google Scholar. Grey literature also informed the review. Articles excluded studies: (i) non-related to New Zealand; (ii) with no focus on equity on ethnic minority in the delivering of healthcare; (iii) had no full text available. Findings: Literature on Africans health outcomes were scarce regarding the six building blocks. However, findings show inequities in accessibility of health services, a non-ethnic inclusive health workforce, a leadership and governance which lack political will on migrant health and resultantly an under-performing health information system which influences resource allocation. Recommendation and conclusion: An improvement and well-functioning health information system is pivotal to capture the unmet needs of the African population. There is a need for research and political will to invest in African minority health and diverse workforce that understands the background of the African population; and action to address structural and institutional racism and white privilege to address root causes of inadequate access and care processes for ethnic minorities.en_NZ
dc.identifier.citationInternational Journal for Equity in Health, 19, 21 (2020). https://doi.org/10.1186/s12939-020-1125-9
dc.identifier.doi10.1186/s12939-020-1125-9en_NZ
dc.identifier.issn1475-9276en_NZ
dc.identifier.issn1475-9276en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13327
dc.publisherBioMed Centralen_NZ
dc.relation.urihttps://equityhealthj.biomedcentral.com/articles/10.1186/s12939-020-1125-9
dc.rightsThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectHealth equity; Africans; Health delivery systems; Ethnic minority; New Zealand; Health system strengthening
dc.titleImproving Health Equity Among the African Ethnic Minority Through Health System Strengthening: A Narrative Review of the New Zealand Healthcare Systemen_NZ
dc.typeJournal Article
pubs.elements-id371365
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Interprofessional Health
pubs.organisational-data/AUT/Health & Environmental Science/Nursing
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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