Hāpai Te Hauora calls for immediate action from the Government following the Disability Rights Commissioner and
Children's Commissioners’ report to the Prime Minister on Fetal Alcohol Spectrum Disorder.
A report of the Disability Rights Commissioner and Children’s Commissioner to the Prime Minister on Fetal Alcohol Spectrum Disorder: A Call To Action released today, highlights multiple systemic failures within the healthcare system. These failures continue to
disadvantage individuals and whānau living with FASD in Aotearoa, especially Māori women and children. Hāpai Te Hauora
calls for immediate action from the Government to ensure that there are equitable health promotion initiatives as well
as equitable access to healthcare for those living with FASD. The report highlighted the lack of appropriate progress in
providing greater support for those with an FASD diagnosis and their whānau.
Chief Executive Officer of Hāpai Te Hauora, Selah Hart, is dismayed to see the results of the FASD-CAN report, stating
that the implementation of the 2016-2019 FASD Action Plan had ‘failed to contribute anything positive to any of the
FASD-CAN respondents’ (para 28, pg. 5). In conjunction with the inequitable access to Disability Support Services it is
clearly evident that those living with FASD and their whānau require change to occur immediately.
Hāpai Te Hauora, the largest Māori Public Health collective in Aotearoa, implores the Government to ensure that all
further public interventions to improve FASD and other alcohol-related health outcomes for Māori should acknowledge the
historical, social and cultural context of alcohol in New Zealand. FASD outcomes for Māori should be acknowledged as
being a result of systematic failure to provide equitable provisions for Māori and that this be considered a failure to
achieve the underlying principles of Te Tiriti o Waitangi. We also wish to reiterate the importance of support being led
by mātauranga Maori service providers and models of practice that affirm the place of wairuatanga in holistic care. This
includes supporting iwi led supports and approaches, and calls for an intersectoral approach that focuses on Te Ao Māori
solutions.
Maria Ngawati, Research Lead for Hāpai Te Hauora says that "more qualitative research be undertaken to better understand
the relationship being alcohol harm and consumption during pregnancy". Furthermore, an increase in whānau based
interventions aimed at educating younger people about the risks to pēpi in utero are called for, which is supported by
the findings in the report released today.
Overall, Ms Hart welcomes the recommendations of the report, and strongly encourages decision makers take a Tiriti and
Human Rights based approach to FASD because as proven over and over again what works for Māori works for all.