BACKGROUND In New Zealand, health equity is a pressing concern and reaching disadvantaged populations has become the goal to close the inequity gap. Building and strengthening health systems is one way to secure better outcomes. However, the discourse to date has predominately focussed on inequities in health outcomes for Māori. This study has interest in the African ethnic minority community in New Zealand. It undertakes a narrative review of the New Zealand health system which aims to identify literature around the attainment of health equity of African minority by: (i) providing a critical overview of the healthcare delivery system using World Health Organization's six inter-related building blocks of health system strengthening; (ii) developing a summary and discussions of the research results and; (iii) identifying priorities and recommendations for future research. METHOD A narrative review of 27 articles published between January 2010 and June 2019 were selected from CINAHL, PubMed, Scopus, Google Scholar. Grey literature also informed the review. Articles excluded studies: (i) non-related to New Zealand; (ii) with no focus on equity on ethnic minority in the delivering of healthcare; (iii) had no full text available. FINDINGS Literature on Africans health outcomes were scarce regarding the six building blocks. However, findings show inequities in accessibility of health services, a non-ethnic inclusive health workforce, a leadership and governance which lack political will on migrant health and resultantly an under-performing health information system which influences resource allocation. RECOMMENDATION AND CONCLUSION An improvement and well-functioning health information system is pivotal to capture the unmet needs of the African population. There is a need for research and political will to invest in African minority health and diverse workforce that understands the background of the African population; and action to address structural and institutional racism and white privilege to address root causes of inadequate access and care processes for ethnic minorities.

中文翻译：

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通过加强卫生系统提高非洲少数民族的卫生公平性：对新西兰卫生系统的叙述性回顾。

背景技术在新西兰，健康公平已成为迫切关注的问题，使处境不利的人群成为缩小不平等差距的目标。建立和加强卫生系统是确保取得更好成果的一种方法。但是，迄今为止，讨论主要集中在毛利人健康成果的不平等方面。这项研究对新西兰的非洲少数民族社区感兴趣。它对新西兰的卫生系统进行了叙述性回顾，旨在通过以下方式确定有关实现非洲少数群体健康平等的文献：（i）利用世界卫生组织的六个相互关联的构成要素，对卫生保健提供系统进行重要概述。加强卫生系统；（ii）对研究结果进行总结和讨论；以及 （iii）确定未来的研究重点和建议。方法从CINAHL，PubMed，Scopus和Google Scholar中选择2010年1月至2019年6月发表的27篇文章的叙述性综述。灰色文献也为评论提供了信息。不包括研究的文章：（i）与新西兰无关；（ii）在提供医疗保健时不注重少数族裔的平等；（iii）没有全文。发现关于非洲人健康状况的六个方面的文献很少。但是，调查结果显示，在获得卫生服务，不分种族的包容性卫生人力，缺乏领导力和治理的移民服务方面缺乏政治意愿的不平等现象，以及影响信息资源配置的健康信息系统表现不佳。建议和结论完善和运作良好的卫生信息系统对于捕捉非洲人口的未满足需求至关重要。需要研究和政治意愿来投资了解非洲人口背景的非洲少数民族健康和多样化的劳动力；解决结构性和制度性种族主义的行动，以及白人特权，以解决少数民族获得和护理程序不足的根本原因。