Northland District Health Board has rated lowest in the country for immunisation as many parents continue to pass up on vaccinating their children in the region.
The DHB's performance rating for increasing immunisation in the July to September quarter was just 88 per cent - the joint lowest with West Coast DHB of the country's 20 health boards. Northland was second last when the report was last published.
However, the DHB's performance was rated average or above average in all other areas. It had the highest rating in the country for improving access to elective surgery, and Manaia Health was the top performer of all primary health organisations in the Ministry of Health's "Better Help for Smokers to Quit" programme.
Northland DHB medical officer of health Dr Juliet Rumball-Smith described the region's low immunisation coverage as "highly concerning".
"This means our children, whanau and wider communities do not have the same level of protection as they would in other regions," she said.