Southern Cross Healthy Futures Report 2020 - A comprehensive look at New Zealand's health and wellbeing
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Southern Cross Healthy Futures Report 2020 A comprehensive look at New Zealand’s health and wellbeing
Shining a light on
New Zealand’s health
and wellbeing
Southern Cross gives care and attention to over a
million New Zealanders and is committed to inspiring
Kiwis to advance their health and wellbeing.
The Southern Cross Healthy Futures Report The Southern Cross Healthy Futures
has been designed to explore what’s on the study was able to capture a glimpse
minds of New Zealanders at a time when of New Zealand’s psyche before the
understanding health and wellbeing has outbreak of the coronavirus and then
never been more important. tracked the attitude and behaviour
shifts that took place during Alert
Together with research partner Colmar Level 4 and 3.
Brunton, Southern Cross spoke to more than
3,000 Kiwis to get insights into how they see These insights offer a unique
and value different aspects of their lives opportunity to see the world through
when it comes to health and wellbeing. the eyes of a diverse New Zealand.
When the outbreak of COVID-19 sent New
Zealand into lockdown, it impacted the way
Kiwis perceive the world and their outlook on
life at home in a way never seen before in
their lifetimes.
How New Zealanders Physical health Emotional health
think about their and wellbeing
is about being visibly
and wellbeing
Health &
health and wellbeing
is about people’s
healthy and what outlook and how they
they are doing with
their body to wellbeing carry themselves
through life.
When Southern Cross set out to uncover
achieve this. in NZ
perceptions about health and wellbeing, Kiwis
said they see it as being interconnected in
three ways – physical, emotional and social.
is all about feeling connected
Social health and having a relationship with
and wellbeing people and the community.
Other aspects such as financial, spiritual,
environmental and academic wellbeing are
viewed as influencing factors to people’s
overall health and wellbeing rather than
standalone categories in their own right. Financial Spiritual Environmental Academic
Delving deeper into health and wellbeing
Physical health Emotional health Social health
and wellbeing and wellbeing and wellbeing
This is the most clear cut of the dimensions New Zealanders see emotional health and For New Zealanders, their sense of social
- everyone feels like they know what they wellbeing as something that needs to be health and wellbeing acts as a source of
need to do to be physically healthy and well. actively pursued and maintained, but there’s feedback and validation for how they are
However it also carries the greatest amount not a lot of clarity around how best to do this. doing in life (their social status). It's a
of guilt and frustration when people don’t Mostly people approach this in a reactive measure of what they believe has been
live up to these ideals because they feel like way - when something goes wrong. given back to them based on what they
they should know better. have put out into the world.
Southern Cross Healthy Futures Report 2020 4
Getting personal
For the most part, Kiwis are on the same page
about what good health and wellbeing looks like.
However there is no one version of health and wellbeing
in New Zealand as it manifests differently depending on…
how people
life stage outlook
prioritise it
Southern Cross Healthy Futures Report 2020 5
University students Parents with older kids (10-17yrs)
For students, health and wellbeing Health and wellbeing is about living a
at its best is just as much about full life, leading by example and providing a
looking the part as it is about good family future.
feeling the part.
Retirees
The many
SINKS (single income, no kids) / Their health and wellbeing is best when
DINKS (double income, no kids) staying positive, appreciating the good
faces of
Their approach to health and things and staying fully involved in life. They
wellbeing is about living their best tend to look to their younger, more able and
New Zealand
life. They measure their health and energetic selves as the benchmark for their
wellbeing against doing well at an current health and wellbeing. This can be
individual level and doing good for disheartening – accepting their mortality
the world. and living for today is key.
Parents with young kids (0-9yrs) Living with disability / illness
Their health and wellbeing is best For people living with a disability or illness,
when achieving balance and the gold standard in health and wellbeing is
simplicity while coping with the about improvement rather than
demands of a young family. These deterioration. Their ability to live their life as
parents put themselves last with successfully and as independently as
their attitude being “if the kids feel possible without being a burden on those
good, then I feel good”. they love is the main factor in how they
track their health and wellbeing.
6
Issues concerning Kiwis most
The top health and wellbeing concerns
reflect a broad range of physical,
emotional and social issues.
General Mental / emotional Physical
86% 85% 84% 83%
80% 79% 79% 79% 79%
77%
The cost Violence Mental Suicide Drugs / alcohol Not having Obesity and Not having Physical The impact of
of living in society health rates addiction / access to good, its impact on access to health food and drinks
abuse affordable people’s health cancer that are high in
healthcare treatment sugar on
services people’s health
Seeking Looking at where Kiwis get their health advice, there is some interesting demographic
differences. Retirees rely heavily on health professionals while more university students
health advice consult social media. The majority of Kiwis look to digital channels for information.
Retirees University
(81%) students
(42%)
65% 63% 46% 45% 29% 20%
Health Online articles / Friends TV shows / Social media Books /
professional websites and family documentaries e.g. Facebook groups / Library
e.g. your doctor / GP influencers
1%
20% 16% 9% 8% 7%
Magazines Work resources / Seminars / Blogs Podcasts Fitness group /
training events gym / personal trainer
Timely health treatment 10% 10%
I usually don’t seek I go immediately
Almost half of Kiwis will seek treatment within professional advice /
treatment
a day or two after starting to feel unwell.
University
One in 10 take steps as soon as they feel sick, but students When
(26%)
unwell, when
the same amount don’t seek any treatment at all. do you seek
This figure is even higher for university students. treatment?
37% 43%
The timeliness of people seeking medical Within a
More than day or two
treatment stays fairly static by income two days
level, apart from a slightly higher
number of low-income earners
BY INCOME LEVEL
looking for immediate treatment.
Low Medium High
income income income
11% 14% 11% 10% 8% 9%
$50K or $50,001 $100,001
under – $100K or above
34% 35% 39%
44% 44%
42%
Visiting the
When unwell…
doctor and With dental pain…
dentist
General Practitioner (GP) 74% Dentist 73%
While almost three
I didn’t seek medical treatment 13% quarters of Kiwis see an I didn’t seek medical treatment 19%
appropriate medical
Pharmacist 6%
specialist when feeling General Practitioner (GP) 4%
Nurse 5% unwell (74 per cent) or
experiencing dental pain Accident and Emergency (A&E) 2%
Accident and Emergency (A&E) 5% (73 per cent), nearly one
Other specialist
in five do not seek any Nurse 1%
(e.g. physio, chiropractor, podiatrist) 5% medical treatment,
Medical specialist especially among those
(e.g. cardiologist, dermatologist) 3% Pharmacist 1%
with dental pain.
Alternative Practitioners
(e.g. naturopath, acupuncturist) 3% Medical specialist (e.g. orthodontist) 1%Barriers to
Cost / it’s too expensive 38%
healthcare
No one is available at the time I want 18%
I can treat it myself 16%
Cost is by far the main
barrier to Kiwis seeking Usually passes quickly without need for the doctor 16%
medical treatment when
No time 13%
feeling unwell, followed by
a lack of convenience and Wait time is too long 11%
choosing to self-treat.
I can self-diagnose via the internet 6%
A high number of people
indicate they would wait it Too embarrassed to go 5%
out rather than seeing a
health professional. Not covered by my health insurance 4%
Don’t trust the doctor / health system 4%
I don’t know who to go to 3%
I have no way of getting to someone 2%
There is no one close to me 2%What physical health There is an overall pattern to what New Zealanders strongly
associate with physical wellbeing. A number of these factors
means to Kiwis are emphasised especially strongly amongst older retirees.
39% 34%
47% 44%
57% 53%
65% 63% 61%
71% 70%
77%
56%
48% 51%
46%
42%
35% 40%
31% 35%
16% 27% 28%
2% 2% 2% 3% 7% 8% 9% 10%
7% 4% 4% 5%
Avoiding Eating a Getting Absence of Maintaining Drinking Physically Having good Longevity / Limiting Healthy Physical
smoking and balanced enough sleep disease / a healthy enough fit teeth living for a alcohol appearance strength
tobacco diet avoiding weight water long time
illness
Strongly associate Slightly associate Don’t associate
Southern Cross Healthy Futures Report 2020 12Physical health concerns
Not being as fit
as I should be 64%
Families with
Kiwis are most concerned about not being Making sure my
62% young kids
kids eat healthy food 81%
as fit as they should be and whether they
are doing right by their children when it Finding the time /
Families with
60% young kids
comes to diet and exercise – particularly energy to get / stay fit 70%
those with young children at home.
Experiencing or developing
an illness / disease 59%
Not getting enough sleep 58%
Not being able to
afford to be healthy 54%
Dealing with ageing /
getting older 54%
Getting physical
injuries / conditions 54%
Making sure my kids get
enough exercise 53%Focus on fitness Getting enough exercise
Only a third of Kiwis feel they are
37% 41%
getting enough exercise. On average YES
YES
Kiwis are putting in three sessions
of 30 minutes of exercise a week. Pre- During
lockdown lockdown
During lockdown, both of these (L4/L3)
measures improved.
63% 59%
NO
NO
Average times per week – minimum of 30 minutes (mean)
3.22
Pre-lockdown
3.52
During lockdown
(L4/L3)34%
Hurdles to
Not enough time
Not motivated 34%
staying active Too tired
Work commitments 25%
33%
Being time-poor, feeling Bad weather 23%
unmotivated and lack of Family commitments 19%
energy are the biggest barriers
Health issues 17%
to people being more active.
Too expensive 14%
Family commitments and I am already active enough 14%
time constraints pose more Not confident enough to exercise in public 11%
of a challenge to families
Don’t enjoy it / don’t want to 11%
with young children.
Physical disabilities 10%
Shift work, especially nights or overtime 7%
Not encouraged to 7%
Lack of facilities in my area 5%
Study commitments 4%
Not having a safe place to exercise 4%
None of these 8%Moving Moving more often 4% 14% 27% 14% 41%
more often Prioritising exercise 2% 12% 32% 20% 34%
Despite these challenges,
many Kiwis are displaying Setting health / fitness goals 2% 20% 30% 19% 28%
positive attitudes and
behaviours towards their
Utilising fitness technology
physical health. (e.g. fitness tracker, apps)
7% 39% 18% 12% 24%
Looking at their behaviour Not applicable Not Considering Have done in the Already
to me considering it doing this past but not currently doing this
regarding exercise in the
past six months, more
than 40 per cent of Kiwis
are moving more often
and a third are prioritising
exercise and setting health
and fitness goals.Keeping active 19% 17%
23% 22%
25%
with tidy homes
Male
(30%) 38%
5% 13% 16%
11%
14%
Kiwis are using a number of ways to get Female
16%
(47%)
their exercise in. The most popular 15%
14%
9% 24%
method is through 'energetic exercise',
but there is a distinct difference 25%
17%
between genders. 30%
A quarter of Kiwis are considering
47%
exercising with friends and family. 45%
34%
31% 31%
Already doing this
27%
Have done in the past
but not currently 10%
4% 5% 6% 6%
Considering doing this Energetic Exercising Use a Flexible Planning Being part
housework with others fitness work outdoor family of a gym
(friends / family) tracking hours activities
Not considering it device
Not applicable to me
Southern Cross Healthy Futures Report 2020A weighty issue
Kiwis are generally happy with the
weight of their children and partner 44 %
Own
but are more critical about their own. weight
69 % 62 %
Child’s Partner’s
weight weight
Happy UnhappyRelationships with food
The majority of Kiwis say they are knowledgeable
when it comes to understanding what is or isn’t
healthy food. Three quarters would like to lose
weight, however they find this difficult and
eating healthy food expensive. Stress also
contributes to less healthy eating for two
thirds of New Zealanders.
89%
75% 72% 66% 64% 60%
50%
41% 39% 31%
20%
I am I would like Healthy eating It is difficult to I tend to eat I always I’m always looking I still haven’t Preparing Healthy eating I don’t know
knowledgeable to lose weight is expensive lose weight unhealthy food plan meals in for new ways to found a diet healthy food is boring how to prepare
about what when stressed advance manage my that works takes too long healthy meals
healthy food is weight for meCooking more from scratch / going back to basics 2% 14% 21% 8% 54%
Knowledge is power Reducing amount of processed food 4% 18% 37% 7% 33%
in the kitchen Reducing portion size / calorie counting 4% 29% 29% 13% 25%
Reducing amount of meat 5% 43% 23% 5% 23%
New Zealanders are using their knowledge about 5% 50% 25% 5% 16%
Moving to a more plant-based diet
healthy food to make better nutrition choices.
Sugar free 4% 46% 26% 9% 15%
Over half are cooking more from scratch and going
back to basics, and a third are already reducing the Intermittent fasting 7% 54% 17% 12% 11%
amount of processed food they are consuming.
Reducing carbs (including Atkins) 9% 60% 15% 8% 7%
The global trends to reduce meat intake and move
to more plant-based diets is also apparent in Dairy free 6% 69% 11% 6% 8%
New Zealand. University students and younger Not applicable
to me
11% 66% 10% 6% 7%
singles / couples are significantly more likely to Gluten free
Not
endorse plant-based diets. considering it
Vegetarian 7% 62% 15% 8% 7%
Considering
doing this
Keto 10% 66% 13% 7% 4%
Have done in
the past but
not currently
Vegan 10% 75% 8% 4% 3%
Already
doing this
Raw food only 7% 76% 9% 5% 3%
Weight loss programs e.g. Weight Watchers 11% 67% 10% 10% 3%
Paleo 11% 72% 9% 5% 2%Those unhappy Waiting more
than two days to
with their health seek medical
treatment
Compared to those happy Not getting
with their health, Kiwis who rate enough sleep
themselves as unhappy are… AND are not
prioritising it
Experiencing Indicating
poor work-life they have been
balance stressed in the
last month
Not getting
More likely
enough exercise
to consider nurturing/
Less likely AND not
maintaining relationships Less likely
to spend time considering it
and spending time with to keep their
family, but are not doing outdoors brain
these already stimulatedRole of mental and emotional
wellbeing in overall health
Kiwis strongly associate mental and emotional wellbeing with being healthy.
One in 10 New Zealanders is unhappy with their current mental state.
12%
Unhappy
73% Strongly associate 70%
24% Mental
Content wellbeing
25% Slightly associate
28%
64% 2% Don’t associate 2%
Happy
Mental Emotional
wellbeing wellbeingEmotional Concerns about money, children’s resilience
and global issues are personally affecting the
wellbeing worries emotional health and wellbeing of Kiwis.
57% 55% 50% 50% 49% 49% 47%
Not having enough Whether Our planet’s Global events / Not being happy My parents / Missing out
money to support my kids will cope future e.g. climate issues in myself / feeling relatives getting on the fun
myself / my family with the pressures change good enough elderly and side of life
of life needing care
46% 45% 41% 41% 40% 38% 36% 29%
Not having Feeling over Whether I Being a Having a mental Being alone Not getting How I compare
a plan for worked / am a good burden to health issue / loneliness a job / good to other
the future burnt out parent others or condition enough job peopleLooking at Feeling less stressed
stress levels NOT AT ALL STRESSED TOTALLY STRESSED OUT
A high proportion of people associate
low stress with being healthy.
Before COVID-19 a quarter of Kiwis had
felt stressed in the past month. During
the lockdown New Zealanders
reported feeling less stressed overall
despite uncertainty about the potential
Pre-lockdown
impact of the pandemic with regard to
health, job security, family pressures 46% 31% 24%
and the economy.
During lockdown
(L4/L3)
48% 31% 21%Kiwis feeling stressed Less likely to
get enough
Less likely to
nurture / maintain
in the past month sleep relationships
Compared to those who were not feeling
stressed in the past month before the
outbreak of COVID-19, people feeling
stressed were…
Less likely
to help others
Less likely to or give back to
get enough the community
exercise
More likely
to have poor More likely to
Taking longer work-life seek professional
to seek medical balance support such as
treatment counsellingSleep deprived Kiwis 67% of those
with young kids 54%
Over half of Kiwis feel that say they don’t get NO
enough sleep
they are not getting enough Get
sleep. This is even higher enough
sleep
among those with young kids. 46%
A third of Kiwis are getting YES
below the recommended
seven to nine hours 6.97
mean
of sleep a night.
36%
23% 24%
8% 6%
2% 2%
Less than 5 5 6 7 8 9 More than 9
AVERAGE HOURS OF SLEEP
Southern Cross Healthy Futures Report 2020 26Keeping Kiwis up at night
The main reasons people aren’t getting sleep are
having too much to think about, being anxious
or stressed and going to bed too late.
SINKS/ SINKS/
DINKS Retirees DINKS
(32%) (30%) (25%)
52% University Living with Living with
students disability older kids Living with
41% 40% (40%) (44%) (33%) young kids
(38%)
24% 23% 20% 19% 17% 14% 11%
7%
Having too Being anxious / Going to bed Being a light Being on a Physical issues Work Other people Working Children Shift work /
much to think stressed too late sleeper device / e.g. restless leg pressures snoring long hours interrupting no set
about watching TV syndrome your sleep schedule
before bedWorries about General concerns of Kiwis: social health and wellbeing
keeping socially HIGHEST CONCERN LOWEST CONCERN
connected
There are many factors affecting
people’s emotional wellbeing with
61%
regards to being socially connected. 50% 51% 50% 49%
44% 41% 38%
As COVID-19 started impacting 34% 30% 29% 25%
New Zealanders personally, global
events and issues became the
biggest concern. Our planet’s Global events / My parents / Being a burden Being alone / How I
future e.g. issues relatives getting to others loneliness compare to
At the same time, despite people climate change elderly and other people
needing care
being isolated physically from friends
University students concerned
and family, feelings of loneliness and about being lonely decreased
from (58% to 42%)
being a burden on others decreased. University students (52% vs 41%) and people
living with an illness / disability (56% vs 67%)
were the most concerned about being a burden
on others before and during lockdown Men and women reported Retirees concerned about
similar concerns about being lonely decreased
being alone / loneliness (27% to 24%)
before lockdown (38%) but
men had a bigger decrease
during lockdown (down to
28% vs. 32% for women)
Pre-lockdown During lockdown (L4/L3)Value of personal 10%
relationships
Most Kiwis are happy in their personal 29%
Social life /
relationships with family, friends friendships Happy
61% Content
and romantic partners.
Unhappy
6% 16%
21%
Romantic
relationships
Family life 25%
73% 58%Connecting with Felt happier with connectedness in the community
communities
Fewer than half of Kiwis feel happy
about the connection they have to 14% 12%
their community although this
improved during lockdown.
Pre-
44% During
Many people got behind widely lockdown
lockdown
reported initiatives such as putting (L4/L3)
49%
teddy bears in windows for children 39%
to spot on neighbourhood walks, 42%
donating much-needed funds to
food banks and the launch of SINKS/DINKS
felt the least Retirees felt the most
the support local / shop connected (41%) connected during the
lockdown (69%)
local campaign.
Happy Content UnhappyLack of Would like to
quality Quality time
with children
spend…
family time per week
3% Less
6% More than 40 hours
Two thirds of Kiwi 4% 31-40 hours
parents spend less than 9% 21-30 hours
11 quality hours with their
17%
children each week.
11-20 hours
42%
Same
More than half want to amount
spend more time with
their kids. This figure is
55%
More time
even higher for parents 64% 0-10 hours
aged 30-39 and 40-49.
…with them.Getting in the What gets in the way of spending more time with them?
way of family time
Work, household tasks and other
family responsibilities are the
main reasons parents don’t spend 60% 49% 35%
as much more time with their Work Household tasks Sport
(e.g. cooking, cleaning) commitments
children as they would like.
13% 10% 3%
Distance Other family They spend time
responsibilities with friends / doing
own things other
than with family
Southern Cross Healthy Futures Report 2020 32Getting the balance right
Most Kiwis agree that finding a good work / life balance is
important, but over half feel that their current balance is only fair
(42 per cent), poor (12 per cent) or very poor (3 per cent).
3%
VERY POOR 10%
88%
EXCELLENT
12%
POOR
find work / life
balance important Work / life
balance
satisfaction
42% 33%
FAIR GOODGood work /
Putting the Bad work /
life balance… right steps life balance…
in place
I have flexible working hours 42% Flexible working My workload is high 63%
hours and switching
I leave work at work / off from work help Financial pressures 42%
I switch off from work when I leave 39%
with maintaining a
I don’t have flexible working hours 41%
good work / life balance.
I have set work hours and I stick to them 34%
Conversely high Not enough energy 30%
I prioritise making time for my personal workload, financial
wellbeing e.g. exercise, socialising, meditation 28% Family responsibilities 22%
pressures and a lack of
My workplace promotes wellness / flexible working hours Shift work 21%
encourages me to be healthy 18% tend to add pressure
I have specific activities with friends on achieving a healthy Work commute takes a long time 16%
and family that I never miss
(e.g. kids’ sports on the weekend)
17% work / life balance.
Health issues 11%
34Pets are part 46%
of the family NO
Kiwis have high rates of pet Own a
ownership (especially cats) pet
and the majority agree
that pets make great
companions and offer
health benefits.
54%
YES
89%
87% 87%
86%
85%
A pet is great Pets are good for the Pets are members Pets help you remain Pets help relieve
companionship health and wellbeing of of the family / be active stress
their ownersDigital and device
behaviour
Most Kiwis recognise the
benefits of technology, but
there are concerns about
time spent on devices.
72%
65% 62% 61% 57% 51%
43%
36% 34% 33% 29%
Technology has Computer games Devices help I worry about I spend too Technology helps I worry about the The time I Social media The internet I compare
brought me and devices can me connect with the impact time much time on my me look after my impact time on spend online has a negative and apps add myself to others
closer to distant help children learn others through on devices is having devices in my health and wellness devices is having on negatively effect on how to my daily based on social
family / friends problem-solving social media on my children’s free time through online my health impacts my I feel about stress level media
and connect to and give me a sense health programmes and real-life myself
others of community apps (e.g. fitness / relationships
diet tracking /
meditation / brain
exercises)Holidays are
important to health
Holidays are viewed as expensive but
worthwhile to save for, because most
Kiwis feel less stressed after a trip.
82% 78% 77% 71% 67% 67% 53% 50% 49% 38%
Holidays require I feel less Holidays are Holidays Holidays are about I prefer to Having a Planning a Having a pre- I would enjoy
a significant stressed after a way to connect are about getting away from save money for pre-existing holiday is existing illness / a wellness
financial sacrifice a holiday to other cultures seeing family the noise of the holidays and illness / condition stressful condition retreat
I’m not or friends city and getting experiences rather excludes people excludes people (e.g. yoga,
familiar with back to nature than objects / from travel from travelling meditation)
items insurance overseas
Southern Cross Healthy Futures Report 2020 37Keeping your brain stimulated 1 6% 16% 16% 61%
Investing in
future health
Spending time outdoors 2 4 17% 17% 59%
Nurturing / maintaining relationships 4 9% 17% 16% 54%
Kiwis have a variety of ways to look
after their emotional health and Spending more time with family 5 9% 17% 15% 54%
wellbeing, which include both
physical and social activities. 21% 18% 53%
Taking time out for yourself 3 5
Many are keeping their brain
stimulated, spending time outdoors, Being physically active 2 5 22% 19% 52%
nurturing relationships and making
time for themselves a priority. Talking to someone (e.g. a friend or family) 4 15% 14% 19% 48%
During lockdown, people found
Gardening 4 20% 14% 15% 48%
more time to focus on more positive
changes. These included minimising
Spending time with animals / pets 9% 22% 12% 15% 43%
things and decluttering, practicing
positive thinking, gardening,
Practicing positive thinking 4 14% 21% 19% 41%
practicing mindfulness and being
in the moment.
Social/ Community
Not applicable Not Considering Have done in the Already
Emotional
to me considering it doing this past but not currently doing this
Physical 38Methodology A total of 3068 people
from across New Zealand
Desktop and qualitative research gave us
an in-depth understanding of the current
situation in New Zealand regarding health,
lifestyle, activity levels and wellbeing.
54 life-streaming discussions: Seven in-home immersions: 2.5 hour
four-day online forum with n=54 immersive / empathy discussion with
people from across New Zealand all New Zealanders at different life stages
logging in for 30 minutes daily to join to understand their world.
discussion and complete tasks.
Due to the outbreak of COVID-19,
Online survey of New Zealanders a separate online survey was
from across the country who undertaken to measure the impact on
completed a 25 minute survey about behaviour and attitudes of the
their attitudes and behaviours. lockdown in New Zealand. Fieldwork
was completed during Alert Level 4
• Wave 1 – fieldwork:
and the first few days of Alert Level 3.
4 – 30 October 2019 (Spring)
n=1000 • Wave 3 – fieldwork:
22 – 28 April 2020
• Wave 2 – fieldwork:
(COVID-19 lockdown dip) n = 1000
2 – 15 March 2020 (Autumn)
n = 1007For more information about the Southern Cross Healthy Futures Report visit: www.southerncrosss.co.nz/healthy-futures
Southern Cross Healthy Futures Report 2020 A comprehensive look at New Zealand’s health and wellbeing
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