Understanding the implementation of New Zealand’s immunisation health target for two year olds

TL;DRAbstract

Health targets have been used internationally to stimulate change and improve performance within specific areas of a health system. While some countries have a long history of using health targets, their use within the New Zealand health system is relatively recent. Previous research on health targets has shown that they can be an effective policy mechanism for improving accountability and focusing attention on priority areas. However, critics of health targets have argued that they can create dysfunctional consequences within a health system that can have a negative impact on performance. This research used case study methodology to explore the implementation of New Zealand’s immunisation health target for two years olds within four case study District Health Boards. Understanding the implementation process allowed the researcher to consider how effective the health target was as a policy mechanism for improving immunisation coverage and addressing immunisation inequities between Māor

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