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B4 school checks are started before children are 4 1/2 years old

HQMNZ ID: HQM16.6.29.942


All children and their families and whānau achieve their health and wellbeing potential.


Children receiving a B4 School Check who started the check at younger than 4½ years


Contributory measure

Relationship(s) to other frameworks

This measure is drawn from the Well Child Tamariki Ora (WCTO) Quality Improvement Framework (Quality Indicator 21): Ministry of Health. 2015. Indicators for the Well Child/Tamariki Ora Quality Improvement Framework – March 2015. Wellington: Ministry of Health Framework available at: www.health.govt.nz


The purpose of the B4 School Check is to promote health and wellbeing in four year olds, and to identify any health, developmental or behavioural problems that may have a negative impact on the child’s ability to learn and take part at school. This measure particularly monitors and promotes quality improvement across WCTO providers

Eligible population

Children younger than 4½ years

Measure status



Number of children receiving a B4 School Check who started the check at younger than 4½ years


Number of children receiving a B4 School Check

National target


Local target

Milestones to be decided by Alliance

Data Sources

B4 School Check data set

Data extracted from data sources

B4 School Check

  • National Health Index (NHI) number
  • Date of birth
  • Check completed status (Yes or No)

Data availability

This measure is reported twice a year (normally in March and September) on the Ministry of Health website: www.moh.govt.nz (Search: Well Child Tamariki Ora)

Measure calculation process

1. Extract the data according to the above specification for the reporting period.

2. Divide the numerator by the denominator

3. Multiply by 100 to determine percentage.

Relationship(s) to other measures

Measure development notes

A B4 school check includes the following:

  • Child health questionnaire
  • Hearing and vision screening
  • Measurement of height and weight
  • Behavioural and developmental questings
  • Oral health screen
  • Health promotion and education
  • Referral(s) to appropriate health, education or social service where the B4 school check has identified the need for such services.

Template: System Level Measure Template