Iwi (tribal) data collection at a primary health care organisation in Aotearoa
James (Hemi) Enright 1 , Anneka Anderson 2 , Rawiri McKree Jansen 3 , Jonathan Murray 4 , Karen Brewer 5 , Vanessa Selak 6 , Matire Harwood 7 81 Whangarei Hospital, Northland District Health Board, New Zealand
2 Te Kupenga Hauora Māori, FMHS, University of Auckland, New Zealand
3 Clinical Director, National Hauora Coalition PHO, New Zealand
4 Primary Health Networks, National Hauora Coalition PHO, Auckland, New Zealand
5 Psychology (Speech Science), Faculty of Science, University of Auckland, New Zealand
6 School of Population Health, FMHS, University of Auckland, New Zealand
7 Department of General Practice and Primary Care, Grafton, FMHS, University of Auckland, New Zealand
8 Corresponding author. Email: m.harwood@auckland.ac.nz
Journal of Primary Health Care 13(1) 36-43 https://doi.org/10.1071/HC20037
Published: 15 March 2021
Journal Compilation © Royal New Zealand College of General Practitioners 2021 This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
Abstract
INTRODUCTION: Indigenous peoples’ rights include the right to self-determine one’s identity. For Māori, this includes self-assignment of ethnicity, and traditional identities such as Iwi (tribe). New Zealand’s Ministry of Health requires health services to collect ethnicity data using standard protocols. Iwi data are also collected by some health services; however, with no health-specific protocols, little is known about Iwi data collection and quality. The National Hauora Coalition (NHC) Primary Healthcare Organisation (PHO) sought to understand Iwi data collection across its network of primary care providers.
AIM: To understand Iwi data collection at the NHC PHO; specifically, is it being routinely collected, how is it being collected and what are the results?
METHODS: In 2017, NHC’s general practice clinics were invited to submit their enrolment forms, which capture ethnicity and potentially Iwi information, by e-mail to the audit team. Forms were reviewed to determine whether Iwi information was being collected and if so, what question was being used. Iwi numbers were collated from the annual data extract.
RESULTS: Thirty-three of a total of 35 clinics (94%) submitted their enrolment forms to the audit team. Nine of the 33 clinics (27%) sought Iwi name/s with a specific question on their enrolment form. Six different ‘Iwi’ questions were used by the nine clinics. The data extract revealed that the NHC had Iwi data for 13% (2672/20,814) of its Māori enrolments. Ngāpuhi were the largest Iwi group at the NHC.
DISCUSSION: This is the first study to describe the quantity and quality of Iwi data collection in NZ primary care. Standard procedures for collecting, recording and using Iwi data are being developed by the NHC PHO. These could inform national protocols to optimise the quality of Iwi data.
KEYwords: Iwi; Indigenous health data; Primary care; Indigenous data sovereignty; Indigenous identification
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