Is Whānau Ora about to be scrapped?

Whānau Ora is under review, with the findings being released this month. Dr Chris Tooley speculates on what the future holds. Whānau Ora was set up by the Māori Party in 2010. It is an intensive intervention programme aimed at and defined by whānau, delivered upon kaupapa Māori frameworks. Kaiārahi (navigators) work with whānau to … Read more

What is the Kaupapa Inquiry into Māori health all about?

For three weeks in October, the Waitangi Tribunal started its long task of hearing claims that are part of Wai 2575 – the Kaupapa Inquiry into health services and outcomes for Māori. Gabrielle Baker reports.  This is not intended to be newsy analysis, nor is it an insightful history essay. I’m simply not qualified to … Read more

2018 is forcing doctors to be advocates as well as healers

Treating the types of conditions and injuries which present in this era requires doctors to become advocates as well as healers, writes Dr Jin Russell. Last Thursday, the National Rifle Association (NRA) posted a deeply provocative and surprisingly idiotic tweet about doctors in the United States. This move was a retaliation against an email from … Read more

NZ faces a daunting health gap. Damned if we’re going to sit and watch it grow

There is an enormous mismatch between the size of the damage caused by tobacco, alcohol and unhealthy food and the amount invested in preventing that damage. Dozens of professionals have formed the Health Coalition Aotearoa, which launches today, to tackle the issue, explains Dr David Galler. In 2014 the Office of the Children’s Commissioner and … Read more

100 years ago, NZ was in the depths of deadly pandemic. Are we ready for the next one?

November was the peak month of the 1918 pandemic that killed 9,000 New Zealanders. A century, will we be able to deal with another outbreak? Philippa Tolley reports for RNZ’s Insight The memories captured from the days and weeks the pandemic took hold in 1918 are tragic. Decades later, in a 1967 interview, a Wellington shop … Read more

‘We’re setting whānau up to fail’: rethinking the Māori approach to obesity

Physiotherapist Ricky Bell pursued groundbreaking research into holistic approaches to obesity and Māori because that’s what his community needed… even if it meant his reputation as a fisherman had to suffer. Ngāti Hine rangatira Te Ruki Kawiti initially refused to sign Te Tiriti o Waitangi, believing it would lead to further loss of land for Māori. … Read more

PSA: You are not dying. You have eaten beetroot

Many of us have suffered the terror of a beetroot poo, but few of us ever talk about our experience. Hayden Donnell says it’s time to bring this important issue into the light. Maybe it hasn’t happened to you yet. But it will. One day, after using the toilet, you’ll glance down and experience a … Read more

There’s a better way than Ray Avery’s pods to save babies in developing countries

Sometimes, the solution to a big problem doesn’t lie in western technology. Sometimes the solution can be simple, writes Amy McDaid More than 2.7 million newborns die each year, and low birth weight and preterm infants in developing countries contribute substantially to this figure. New Zealander Ray Avery, most recently in the news for reportedly … Read more

Not-so-squeaky clean: Why wellness culture is a scam

It’s time we viewed the restrictive philosophy peddled by ‘influencers’ and corporates as what it is: dangerous, manipulative crap.  My firmly held belief that wellness culture is a fucking scam is met by scepticism and bemused looks at every turn. Everyone I know and their mother is trapped in a chase for the panacea of … Read more

Revealed: How c-section scar defects can cause infertility

Defects are ‘currently underdiagnosed and may consequently be left untreated at a staggering rate’, says one of a number of experts calling for more information to be provided to women. A little-known complication of caesarean sections is causing infertility in a small minority of women worldwide. Experts say the evidence is now strong enough that … Read more

Caesarean scar defects and fertility: what you need to know

Experts have told the Spinoff that there is sufficient evidence about cases in which c-section can lead to infertility that women should be given more information. Catherine Woulfe addresses the key questions. Read Catherine Woulfe’s investigation into the connection between c-section scar defects and fertility here. I’ve had a c-section (or I’m about to) and … Read more

C-sections can cause infertility. Mine did

For a select few women, this could be the difference between a baby, and not. I’ll say it again: C-sections can cause infertility. Catherine Woulfe writes. This feature was made possible thanks to reader contributions via the Spinoff Longform Fund. Click here to support our investigative journalism. In October 2014 I had the kind of … Read more

Nurses’ fight should be your fight too

We’re fighting a losing battle for patient safety, says this Auckland nurse – and it’s everyone’s problem. There’s been a lot of chin scratching by the political-pundit class in New Zealand about the nurses strike lately. Why, do they wonder, have nurses waited to take industrial action until a more labour-friendly government is in power? … Read more

Vitamin supplements: how much should we believe the hype?

The road to health is long and winding but should it be paved with vitamin supplements? Madeleine Chapman dives into the world of monthly vitamin subscriptions. Seven-minute abs, that one trick for a slim waist, and the perfect fruit to get rid of cellulite. They all promise a better you with little to no effort. … Read more

Grant Robertson and the blame-it-on-the-last-bunch budget

They’ve left wiggle room for some rainy day expenses, but the Labour-led government more than anything has sought to sell today’s funding announcements as an exercise in cleaning up National’s mess. Rebecca Stevenson reports from Wellington Grant Robertson hammered a few key messages in his budget address today: this is a budget that will lay … Read more

The Bulletin: No money, more problems in health

Good morning, and welcome to The Bulletin. In today’s edition: Health budget feels the strain, National eyes up Green voters, and a gravel shortage looms for big infrastructure projects. Health minister David Clark has been put under the microscope by TVNZ’s Q+A. The theme that ran through the interview was that there simply isn’t enough money to cover … Read more

Rongoā Māori completes the health picture

One hundred and fifty Māori medical practitioners, doctors, nurses and medical graduates converged on Rotorua in April to discuss the Māori health Kaupapa Inquiry. Ātea’s rongoā expert Donna Kerridge made the case for Māori health framework before her peers. “Rongoā Māori is a threat to the medical economy because it is about sharing knowledge, not selling … Read more

How the Waitangi Tribunal can make a difference in Māori health

Last weekend the New Zealand Māori Council with the National Hauora Coalition hosted a hui to discuss Wai 2575, the Waitangi Tribunal’s inquiry into Health Services and Outcomes. Gabrielle Baker was there. For some of the people assembled at the national hui on Māori health issues, this was a long awaited chance to talk about … Read more

Power to the people: finding a cure for healthcare inequity

Māori, Pacific and low income groups have health outcomes well below the rest of the population. In Dunedin there’s a community that’s come up with the medicine to treat itself.  On the grounds of an old school in the South Dunedin suburb of Caversham, there’s a village of healthcare services that’s a vision into a … Read more

The toxic mould and rot of Middlemore is the legacy of a crisis in values

I was embarrassed and outraged by the news about the state of the hospital where I work, writes Dr David Galler – for this systematic betrayal of the very people we are here to serve and of the staff that works so hard to help them. And it goes to the fundamental question about what … Read more

How can councils cut the number of people dying early? Be more like Wellington

Can your local council stop you getting heart disease and cancer? Our research into the way people get around New Zealand cities suggests it can, writes public health expert Caroline Shaw Local and regional councils are important. They arrange for the rubbish to get taken away, deal with water on our behalf, make decisions about … Read more

‘We have two lives in our hands and we’re paid less than minimum wage’

As part of our series on the midwifery crisis, The Spinoff Parents editor Emily Writes asked midwives to share what’s gone wrong, and how they believe the crisis can be solved. It’s coming up to a year since I interviewed dozens of midwives about their experiences working in one of the toughest, most under-paid and … Read more

The least fun parenting game there is: Guess that rash!

It’s almost a rite of passage when you’re parenting small ones – what caused the violent rash spreading over your child’s hands and face? Donnelle Belanger-Taylor was surprised to find the source of her child’s week-long rash might be in your backyard.  Send your kids outside, they said. It’ll be good for them, they said. Get … Read more

Why Health Star Ratings are bullshit

For years, Milo has (literally) been milking its Health Star Rating thanks to a loophole which allows calculations on an ‘as prepared’ basis. Jihee Junn looks at how the Milo’s removal of its rating puts the spotlight back on the system’s shortcomings and why the HSR is due for a serious review. Milo has always … Read more

Summer health series: more funding or wiser spending?

In part four of our series on the future of Māori health, former Ministry of Health advisor and policy analyst Gabrielle Baker looks at where social investment and health intersect and asks if we’re spending money on the right services. In previous weeks I’ve talked about equity, inequality and Māori involvement in decision making. These … Read more

Summer health series: Why ‘reducing inequality’ isn’t enough

What lies beyond the new Labour government’s ‘first 100 days’ for health policy and outcomes for Māori? In part two of our series on the future of Māori health, former Ministry of Health advisor and policy analyst Gabrielle Baker asks if  ‘reducing inequality’ is aiming too low. Click here to read part one. The new … Read more

Summer health series: what comes next for Māori health?

What lies beyond the new Labour government’s ‘first 100 days’ for health policy and outcomes for Māori? In a new series, former Ministry of Health advisor and policy analyst Gabrielle Baker asks Māori health professionals for their recommendations for a more equitable health system. It could just be me, but these first months of a … Read more