efforts to reduce these gaps have seen the achievement of Mäori and Pacific secondary students increase across some areas over the last year. Also, the number of Pacific and Mäori children participating in early childhood education has risen significantly since 2000 (by 12.8 and 9.2 per cent respectively).21 dramatic increase in hospital admissions for infectious diseases such as pneumonia, meningococcal disease and tuberculosis. Two major Ministry of Education strategies to improve educational opportunities for Mäori and Pacific learners were reinvigorated. Ka Hikitia, the Mäori Education Strategy was reviewed for 2013–2017, with revised goals to realise the potential of every Mäori student. The Pasifika Education Plan 2013–2017 set out new goals for raising Pacific learners’ participation and achievement from early learning through to tertiary education. Both strategies set out objectives for schools to: promote Mäori and Pacific achievement; work with families to identify ways of bringing students’ identity, language, and culture into school life; and to track how well Mäori and Pacific students are doing towards achieving National Standards. Study reveals hearing problems for Pacific children Other attempts by schools to boost educational success for disadvantaged students included programmes to give healthy and nutritious food to hungry students; providing health and welfare services in schools; and efforts to increase the number of high quality teachers in low-decile schools. Crowded houses lead to hospital admissions Good health relies on having a safe, comfortable place to live, eating nutritious food and being able to access health care services. Unequal access to these basics can take years off your life. Up to a third of Pacific children could be struggling to cope with hearing problems according to new research led by Professor Janis Paterson from AUT University and Professor Suzanne Purdy from the University of Auckland.23 The research, part of the Pacific Islands Families (PIF) longitudinal study at AUT University, focused on a group of Pacific 11-year-olds in South Auckland. It found that more than 25 per cent of the children failed a hearing test in one or both of their ears, due to inner ear hearing loss or middle ear problems such as glue ear. About a third of the children tested also met the criteria for auditory processing disorder (APD), a condition affecting a child’s ability to listen and process information at school. Pacific and Mäori children are significantly more likely to have permanent hearing problems compared with other children. If these problems are not properly addressed they can affect a child’s wellbeing and educational achievement. 1 in 10 admissions to hospital for infectious diseases is the direct result of crowded households.22 The extent of the inequalities on the population’s health was identified in a significant new study by Otago University which looked at the impact of crowded households on people’s health.22 The study revealed that one in 10 admissions to hospital for infectious diseases were a direct result of household overcrowding. For Mäori and Pacific peoples, the figure jumped to one in five hospital admissions. About 45 per cent of Pacific children and 28 per cent of Mäori children live in crowded houses. Research showed that over the last two decades, an increasingly severe shortage of affordable housing has led to a Tüi Tüi Tuituiä | Race Relations in 2013 Access to habitable and affordable housing and culturally relevant health care services is essential to improving the health of vulnerable populations. Improving health care for culturally and linguistically diverse populations With the growing diversity of Aotearoa New Zealand’s population, health practitioners are experiencing more cross-cultural interactions with patients. Culturally and linguistically diverse groups (CALD) often face disparities in health status compared to other groups. They also tend to underutilise health services. Improving the health of these groups means providing health care which takes account of the language and religion of patients, as well as ensuring services are accessible, culturally appropriate, effective and safe. A new resource published by Waitematä District Health Board contains best practice principles when working with CALD service users, including migrant and refugee 31

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