The Healthy Homes Initiative (HHI) was established in Auckland in December 2013 as part of the Rheumatic Fever Prevention Programme and was rolled out to the other high-incidence districts with a high incidence of Rheumatic fever, in 2015. The initiative initially focused on low-income whānau with children at risk of rheumatic fever. In 2016, the eligibility criteria was expanded to include children aged 0-5 years and pregnant people. The government’s budget for 2021 provided additional funding to expand the HHI to the remainder of the country and the national roll-out was completed in early 2023. The aim of the HHI is to increase the number of children living in warm, dry and healthy homes and to reduce avoidable hospitalisations and ill health due to housing-related conditions.