He Tūāpapa Hauora: Housing-Related Health Outcomes in Te Tai Tokerau – A Mixed Methods Study “A foundation for health”

Te Tai Tokerau has one of the highest proportions of Māori in Aotearoa, with around 48% of residents identifying as Māori compared to 17% nationally. Many communities face lower household incomes and poorer housing quality, with cold, damp, and overcrowded homes that often do not meet Healthy Homes Standards. These conditions are known social determinants of health and contribute to persistent inequities for Māori whānau and tamariki.

resilience2
Principal Investigator
Tia Ashby
Te Hau Ora O Ngāpuhi
Public Contact
teniwhacomms@otago.ac.nz
Project Status
In Process
Funding
$450,000.00

Kaupapa Rangahau Summary of Research

This research seeks to better understand how housing conditions affect infectious disease outcomes across Te Tai Tokerau. By analysing anonymised health data from 2020–2025, the study will identify which communities experience the greatest burden of respiratory, skin, and gastrointestinal infections, and how these patterns compare nationally.

Guided by kaupapa Māori principles and aligned with Te Niwha’s mission to prevent infectious diseases and advance equity, the project places Māori governance and data sovereignty at its centre. Through a Te Tiriti o Waitangi partnership approach, it supports collective action between housing, health, and social sectors to inform policy, direct investment, and improve wellbeing for whānau across Te Tai Tokerau.

>> PROJECT STARTED - 25th July 2025

Ngā whakaaweawe Research Impact

This project will deepen understanding of how housing conditions influence infectious disease patterns in Te Tai Tokerau, identifying where inequities are most pronounced and why. The evidence generated will help decision-makers across housing, health, and social sectors to target resources and design interventions that deliver measurable impact.

The study will create a regional baseline on the burden of housing-related infections, showing how outcomes differ by age, gender, ethnicity, and levels of deprivation. These insights will guide policies that improve housing quality, reduce preventable illnesses, and enhance community wellbeing.

The evidence base produced will also strengthen cross-sector collaboration between health, housing, and social agencies, helping build resilience to future infectious disease threats. Ultimately, it supports transformative, data-driven decision-making that can reduce hospitalisations, improve quality of life, and advance long-term health equity for Māori and all communities across Te Tai Tokerau.

Te Niwha

Ngā Pourangahau Research Leaders

Tia Ashby
IWI: Te Rarawa, Te Aupōuri, Ngāpuhi,
Ngāti Kuri, Te Āti Awa

Te Hau Ora O Ngāpuhi 
Co-Lead Investigator

Dr Fiona Cram

IWI: Ngāti Pāhauwera
Katoa LTD
Co-Investigator
 
Prof. Stephen Chambers
University of Otago 
Lead Investigator

 


 

Ngā Poumahi Research Personnel

Meremere Paitai
IWI: Te Rarawa, Ngāti Kahu,
Ngāpuhi, Te Āti Awa

Massey University 
Student

 
Dr Jonathan Williman
University of Otago 
Data Analyst / Biostatistician
 
Mareea Paitai
IWI: Ngāti Rāhiri, Te Āti Awa
Independent
Research Coordinator

 
Dr Grace Walker
IWI: Ngāti Kahungunu
Think Analytics
Associate
 

 

 

 

 

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