Key arguments for increasing New Zealand's health development assistance in the Pacific.

Abstract

New Zealand is a relatively poor contributor of financial aid to developing countries – with a rank of 15th in the OECD. Given the poverty and poor health status within some Pacific Island Countries (PICs), there is an ethical imperative to do more. This imperative is strengthened by the need for the remediation of current and past harms to the health of Pacific peoples (eg, from New Zealand tobacco exports). Development aid can also lead to direct and indirect health (and other) benefits for New Zealand. These benefits are most obvious for communicable disease control (eg, for tuberculosis, measles, pandemic influenza, and vector-borne diseases). These benefits will apply more broadly to any health intervention of relevance to the Pacific Island community in New Zealand (eg, diabetes prevention programmes). The reduction of poverty and population stabilisation in PICs may also enhance regional stability. Such stability would benefit New Zealand in terms of trade, reduced needs for peacekeeping, and a lowered risk of refugees arising from internal conflicts.

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