are currently excluded and for simplifying the system to make it easier for people more widely
to access appropriate supports
Aotearoa-specific prevalence data
15. The government has not obtained data on the prevalence of FASD in Aotearoa New Zealand.18
The government declined the opportunity to take part in a World Health Organisation study
that would have gathered Aotearoa-specific data. It has however, accepted estimates and
models based on international data and comparative drinking behaviours (from Canada and
the United States) and adopted a figure of 3 to 5 percent.19 However, the lack of Aotearoaspecific data makes it difficult for health and social systems to accurately plan and budget,
make evidence-based decisions, and adequately support people with FASD.20
16. Article 31 requires States to collect appropriate information, including statistical and research
data, to enable them to formulate and implement policies to give effect to the rights in the
CRPD. To properly identify, plan and budget around the size and needs of the population
affected by FASD within the New Zealand context, research into its prevalence here is
essential.21 Research and accurate prevalence data is also crucial for prevention.
Recent developments
17. There have been some recent developments in support for individuals with FASD. A new
Ministry is being set up on 1 July 2022, whose responsibilities will include the national
implementation of the Enabling Good Lives approach to DSS, which will give disabled people
and whānau more choice and control of their lives and supports. However, due to their
exclusion from the eligibility criteria for DSS, those with FASD will not be covered by these
changes. No definitive information is publicly available on future directions, including
timeframes, for inclusion of FASD within the services provided through new Ministry. Under
existing structures, some government funding is provided to FASD-CAN Inc until the end of
2024.22 However, it is not enough to provide a national level of support for individuals and
their whānau, and there is no direct support to individuals with FASD separate from their
whānau.
18
19
20
21
22
The Growing up in New Zealand study is an estimate of incidence, rather than a prevalence study,
which uses the internationally recognised case ascertainment method. See Growing Up in New
Zealand ‘Prevalence of Foetal Alcohol Spectrum Disorders’ (2017) at
https://www.growingup.co.nz/node/1741.
Ministry of Health ‘Fetal alcohol spectrum disorder’ (March 2022) at https://www.health.govt.nz/ourwork/diseases-and-conditions/fetal-alcohol-spectrum-disorder.
For example, it is important to collect Aotearoa-specific data on the prevalence of FASD among
persons within the prison and youth justice systems, and among school exclusion rates.
Reliance on a 3 to 5 percent estimate of prevalence based on international data and research should
only be used as an interim planning measure, pending the availability of Aotearoa-specific data.
FASD-CAN Inc is a charity which was established in 2013 and comprises parents, caregivers, extended
whānau and professionals working alongside persons them. It is a non-profit incorporated society and
charity and run by volunteers. It receives limited government funding.
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