Economic & Social Determinants Philippa Howden-Chapman He Kainga Oranga/Housing and Health Research Programme www.healthyhousing.org.nz New Zealand Centre for Sustainable Cities www.sustainablecities.org.nz University of Otago, Wellington
Jan 12, 2016
Economic & Social Determinants
Philippa Howden-ChapmanHe Kainga Oranga/Housing and Health
Research Programmewww.healthyhousing.org.nz
New Zealand Centre for Sustainable Citieswww.sustainablecities.org.nz
University of Otago, Wellington
The importance of empathy
Most respondents in the NZ Values Survey were prepared to pay increased taxes to provide better health services and a better standard of living for the elderly and the disabled. Carroll et al, THE WIDENING GAP, Social Policy Journal, 2011
Waitangi Tribunal: truth, reconciliation, and compensation
Newspeak?
???
• Current HNZ tenants most deprived 5% of households
• Healthy Housing Programme27% fall in the total number
of acute and arranged hospitalisations of year
61% fall in hospitalisations after crowding reduction
• Excluding 55 % of applicants is a faster path to overcrowding, infectious disease (25% of acute hospitalisations) + homelessness
• Unfair to reduce small stock of social housing when private rental properties unregulated +
some landlord’s discriminatory
Energy poverty
“Any one who has ever struggled with poverty knows how extremely expensive it is to be poor”
James Baldwin, Nobody Knows My Name, 1961.
Built Environment
-- Private rental housing stock requirements extremely limited
Boarding houses and camping grounds increasingly housing of last resort
Insecurity of tenure -> residential mobility -> irregular primary care -> school attendance
++
Evidence-based policies+ Government funding – underpinned by
research – has led to step change in retrofitting insulation and heaters for home-owners
co-benefits: health, education, energy + climate change
+ Experiment with mixed-tenure, low carbon urban houses with low operating costs
Develop economies of scale
+ Social Inclusion