Not for Profit Organisations in the New Zealand Public Health Sector

Authors Avatar

Introduction

Public health is most commonly defined “in terms of its aims - to reduce disease and maintain health of the whole population” (Beaglehole & Bonita 1997).  It is a broad discipline which has at its core the promotion of wellness and the prevention of disease.  In Aotearoa New Zealand, the mix of international and indigenous approaches to health have led to the development of a holistic approach to the promotion of health supported by a range of Government and Not for Profit (NFP) agencies.  I use public health in this paper as an all-embracing term, cutting across “housing, income, deprivation, local safety and security, transport, communication, children, transitions, old people, training, employment and refugees” (Larner & Craig 2002).

My experience of work within this sector, in forming partnerships between Government agencies, NFP organisations (NFPO’s) and communities, and in developing new projects to address social, health and environmental matters has enhanced my understanding of issues affecting life in Aotearoa New Zealand.  In this paper, I seek to introduce my understanding of NFPO’s in this country, setting clear limits to the area of the sector I will consider.  I will then consider how the Not for Profit sector has developed in this area over the last two decades before presenting my own thoughts around the current situation for this  part of the sector.  

What is a Not for Profit Organisation?

Wikipedia (2006a) defines a NFPO as “an organization whose primary objective is to support some issue or matter of private interest or public concern for non-commercial purposes”. This definition fails to acknowledge the huge diversity of NFPO’s, ranging from hugely commercial operations such as Saudi Aramco, the largest oil corporation in the world, through to the local chess club.  The Free Encyclopedia’s definition of NFPO’s embraces the vast majority of organisations but effectively excludes state owned commercial operations, including Genesis Energy, Landcorp and New Zealand Post.  I shall focus on NFPO’s that provide avenues for the advancement of public health and within that those that see themselves as advocates and service providers.  In doing so I do not seek to detract from the contribution to wellness, social capital and community cohesiveness contributed by sporting clubs, women’s groups and others, nor from the tremendous contribution Housing New Zealand Corporation, Accident Compensation Corporation and other NFP Corporations make to this country, but rather to acknowledge my own limitations in seeking to understand the entirety of this massive sector.

Statistics New Zealand uses a United Nations (UN) definition of NFPO. These government officials define the NFP sector as consisting of agencies that

  • are organised to the extent that they can be separately identified
  • are not for profit and do not distribute any surplus they may generate to those who own or control them
  • are institutionally separate from government
  • are in control of their own destiny, and
  • are non-compulsory in both terms of membership and member’s input
    (Statistics NZ 2005)

The UN is an international organisation established in 1945.  This organisation draws its representation from fifty member states and has within its aims to promote human rights, sustainable economic development and social development across the globe.  New Zealand has shown its commitment to the ideals of the UN through being a signatory to the United Nations Charter and through the ratification of various documents, including the United Nations Convention on the Rights of the Child and through enshrining human rights in law ().  This current Government’s commitment to the ideals of the UN has allowed the space for development of many NFPO’s as it is their core business to promote and work for the rights of the disadvantaged.  Although it should be noted that prior to World War II, Aotearoa New Zealand had a strong non-Government sector with politicial clout (Piddington 2005) which is only now recovering.  If, as the Human Rights Commission articulates, “everyone has a responsibility to act to end violence” and all New Zealanders have a right to health then there is much scope for NFPO’s to work with Government to achieve human rights for all.  This is of particular importance when one considers our founding document, Te Tiriti O Waitangi, which guarantees the same rights for Māori as for Tauiwi and yet it is the tangata whenua who are most affected by violence and have the poorest health expectations.

The UN definition of NFPO’s narrows down the organisations that might be deemed to constitute what  in Aotearoa New Zealand is now frequently called the NFP or Third sector. Through identifying NFPO’s as “non-compulsory”, however, attention is deflected from the organisations created by statute which we are required to contribute through taxation, levies, and so forth.  Within this country, these institutions include District Health Boards and the Accident Compensation Corporation, whilst having a contribution to Public Health, these organisations sit outside the scope of this paper.  

Being “in control of their own destiny” is a defining criteria that few of the agencies of interest to me would feel able meet!  Yes, they have Management Committees or Boards but their increasing reliance on Government contracts has effectively limited their ability to set their own agenda and direction.

I shall use the term NFPO to refer exclusively to those organisation that fulfil the Wikipedia definition but also have a focus on service provision which supports the development and wellness of individuals and communities.  These organisations will have non-commercial purposes as their primary concern, that is to say their primary concern is the arts, education, welfare, research or some other philanthropic goal.  I shall focus on those organisations that fit the Inland Revenue Department’s definition of “non-profit organisations”, that is to say “any society, association or organisation that is not carried on for the profit or gain of any member and has rules that do not allow money, property or any other benefits to be distributed to any of its members” whilst also having a focus on public health in its widest sense.  

The place of Not for Profit Organisations in Aotearoa New Zealand

The formal NFP sector in Aotearoa New Zealand has its roots in the churches and communities of this nation although recognition must also be given to the Māori institutions of whānau and hapū that have supported communities in this country for a thousand years.  It is only relatively recently that these institutions have been formalised by the state and perhaps as a means of controlling Māori in the wider project of colonisation. The Maori Trust Board Act for instance was an attempt by the Crown to reduce its interactions with hapū, despite it being the hapu leaders who were signatories to our founding document, Te Tiriti o Waitangi.    

Join now!

The history of social change in NZ and the configuration of Public and non-Government organisations in that change are well documented by the Royal Commission on Social Policy (1987).  Public sector provisions before the reforms of the 1980s were based on an assumption of “a bounded national economy, government by official agencies . . . a single notion of society and the male breadwinner” as citizen (Larner & Craig 2002).  It was a period when, argue Larner and Craig (2002), the public sector had significantly reduced the “role and influence of non-governmental agencies” in both developing policy and providing services. ...

This is a preview of the whole essay