Examining the impact of COVID-19 on Māori:non-Māori health inequities in Aotearoa, New Zealand: an observational study protocol

Introduction The COVID-19 pandemic has had both direct and indirect impacts on the health of populations worldwide. While racial/ethnic health inequities in COVID-19 infection are now well known (and ongoing), knowledge about the impact of COVID-19 pandemic management on non-COVID-19-related outcomes for Indigenous peoples is less well understood. This article presents the study protocol for the Health Research Council of New Zealand funded project 'M & amacr; te M & omacr;hio ka M & amacr;rama: Impact of COVID-19 on M & amacr;ori:non-M & amacr;ori inequities'. The study aims to explore changes in access to healthcare, quality of healthcare and health outcomes for M & amacr;ori, the Indigenous peoples of Aotearoa New Zealand (NZ) and non-M & amacr;ori during the COVID-19 outbreak period across NZ.Methods and analysis This observational study is framed within a Kaupapa M & amacr;ori research positioning that includes Kaupapa M & amacr;ori epidemiology. National datasets will be used to report on access to healthcare, quality of healthcare and health outcomes between M & amacr;ori and non-M & amacr;ori during the COVID-19 pandemic in NZ. Study periods are defined as (a) prepandemic period (2015-2019), (b) first pandemic year without COVID-19 vaccines (2020) and (c) pandemic period with COVID-19 vaccines (2021 onwards). Regional and national differences between M & amacr;ori and non-M & amacr;ori will be explored in two phases focused on identified health priority areas for NZ including (1) mortality, cancer, long-term conditions, first 1000 days, mental health and (2) rheumatic fever.Ethics and dissemination This study has ethical approval from the Auckland Health Research Ethics Committee (AHREC AH26253). An advisory group will work with the project team to disseminate the findings of this project via project-specific meetings, peer-reviewed publications and a project-specific website. The overall intention of the project is to highlight areas requiring health policy and practice interventions to address Indigenous inequities in health resulting from COVID-19 pandemic management (both historical and in the future).