Regional public health services are delivered by 12 district health board-owned public health units (PHUs), and a range of non-governmental organisations. District health board-based services and non-governmental organisations each deliver about half of these services.
Public health units focus on environmental health, communicable disease control, tobacco control and health promotion programmes. Many of these services include a regulatory component performed by statutory officers appointed under various statutes, though principally under the Health Act 1956.
Most statutory officers are designated by the Director-General of Health under the Health Act 1956. These officers – medical officers of health and health protection officers – are accountable to, and subject to direction from, the Director-General. This ensures central oversight of regulatory functions. The majority of these officers are employed in DHB-based public health units.
The Director-General also appoints statutory officers under a range of other Acts, in particular the Smoke-free Environments Act 1990, the Tuberculosis Act 1948, and the Hazardous Substances and New Organisms Act 1996. City and district councils also appoint environmental health officers under the Health Act, who assist councils to perform their environmental health functions under the Act.
Public health units and districts covered
- Ngā Tai Ora - Public Health Northland
Districts covered: Northland
- Auckland Regional Public Health Service
Districts covered: Tamaki Makaurau – Auckland
- Waikato Public Health Unit
Districts covered: Waikato, Ruapehu (Northern part)
- Toi Te Ora - Public Health
Districts covered: Whakatane, Tauranga, Rotorua and Taupo
- Hauora Tairawhiti
Districts covered: Gisborne/Tairawhiti
- Hawke’s Bay District Health Board
Districts covered: Hawke’s Bay
- Taranaki Public Health
Districts covered: Taranaki
- MidCentral District Health Board
Districts covered: Manawatu, Whanganui, Ruapehu (Southern part)
- Regional Public Health
Districts covered: Wellington, Hutt Valley, Wairarapa
- Nelson Marlborough Public Health Service
Districts covered: Nelson-Marlborough
- Community and Public Health
Districts covered: Canterbury, Mid Canterbury, South Canterbury, West Coast and Chatham Islands
- Public Health South
Districts covered include: Otago, Southland