Ngā Pūkenga Hauora Tamariki Ora
Well Child Tamariki Ora (WCTO) Services

Service Eligibility and Service Users

All tamariki living in New Zealand are eligible for the Service. The Service Users are those tamariki and their whānau that are enrolled in the Service. The service is specifically designed for Māori.

The Service includes a universal health and development assessment, whānau care and support, and health education service that is offered to all New Zealand tamariki and their whānau from the date of accepted enrolment to four years of age.

The Service assists whānau to improve and protect the health of their tamariki. The Service provides care as three parallel streams delivered as an integrated package of care for each tamariki and their whānau. The three parallel streams are:

Health and Development Clinical Assessment: the universal health and development assessments that relate specifically to kōhungahunga and tamariki and that are undertaken at every visit to identify health, disability and / or development needs.

Whānau care and support: the assessments, interventions and referrals to services that relate to the context within which kōhungahunga and tamariki live. These are offered and documented in response to the specific clinical assessments and care plan agreed with the whānau.

Health Education: the range of health education activities (giving of information) that should be delivered appropriate to the core contact age bands. Information will be provided in response to professional judgement and the needs assessment and care plan that is reviewed with the whānau.

Ratonga Whāinga / Service Objectives

The key objectives are to:

  • protect and improve the health outcomes of all New Zealand tamariki/children
  • protect and improve the health outcomes of New Zealand Maori tamariki/children and
  • contribute to the reduction of health inequalities


  • providing 100 percent coverage of tamariki born (or as near as possible accounting for tamariki whose parents decline the service)
  • supporting whānau of kōhungahunga and tamariki to enter into the service from birth to four years, to maximise their tamariki developmental potential and health status and to establish a strong foundation for ongoing healthy development
  • promoting and facilitating access to the General Practice Team and other health or community services, especially for those tamariki of whānau at risk of adverse outcomes

Entry Process

  1. Referral at four to six weeks of age - Written referral by the Lead Maternity Carer (LMC) needs to occur before the end of the fourth week following birth. A referral is usually made before the mother leaves the maternity hospital. The mother needs to choose the Tamariki Ora service. Where there is no LMC, the referral will be made by the General Practice Team (GPT) or District Health Board (DHB).
  2. Referral of older children - Older children can be referred to the Service. Reasons for referral of older children include:
    - tamariki new to the country, quota refugee or new migrant
    - preterm babies or medically-fragile tamariki who may be under the care of secondary services such as NICUHomecare Nurses (on oxygen, enteral feeding, disability etc.) and not ready for WCTO Care until over 6 weeks of age
    - tamariki older than six weeks who do not have a WCTO provider referred to provider by whānau or by other agencies. This may have resulted from moving to another area without advising previous WCTO provider, or having not engaged with initial provider.
  3. Self-referrals can be accepted by Tamariki Ora.