On this page you'll find information outlining the system achievements for hauora Māori care as part of the health system reform implementation roadmap.
Horizon 1 – Financial year 2022-2024
- Enhanced and contracted new Hauora Māori services in place
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Responsible organisation: Te Aka Whai Ora
Context
New and enhanced Hauora Māori services are essential to achieve pae ora for priority populations. These approaches will organise services around 'life stages', taking a holistic approach to health and wellbeing and recognise the importance of the social determinants of health that are underpinned by mātauranga Māori as well as other evidence-based healthcare approaches.
To make a difference to the health and wellbeing of many tamariki, change is required to achieve equity for Māori and Pacific children, including a shift to a more responsive, integrated, and evidence-based approach that is led by whānau to ensure equitable outcomes and to fully support tamariki who are Māori or Pacific, are living with disabilities, are in state care and/or have high needs
What will be achieved
Teams will be created to provide wraparound support for Wellchild Tamariki Ora. A Rangatahi Ora service will be established which is a combination of sexual health nurses, counsellors, and educators (kaiāwhina) to support provide rangatahi with wellbeing and health support services. Funding will be provided for 10 Kaumatua service programmes nationally to assist kuia and koroua Māori to improve their independence and quality of life. A management service will be put in place to focus on improving equitable health outcomes across the care continuum for people living with, or at risk of, diabetes, cardiovascular diseases (CVD), stroke, and gout. Investment will be made in the workforce to increase the number of services and the capability of the workforce to provide Te Ao Māori services
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- Māori data sovereignty framework launched
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Responsible organisation: Te Aka Whai Ora
Context
The use of health data and insights is important to improve health inequities. This includes improving our data collection, knowledge and responsive action through to monitoring and evaluation. To improve health outcomes for Māori through the health reforms the collection of Māori health data, storage and use must give effect to Māori data sovereignty and imbed Māori data sovereignty principles in how the health system manages data.
Access and choice to health services will be supported by improved digital access with a focus on equity embedded in any digital innovations and service redesign.
What will be achieved
An agreed Māori data sovereignty framework covering use of Māori health data is agreed and launched, enabling agencies to collect, store and utilise data in accordance with Te Tiriti o Waitangi and the Pae Ora (Healthy Futures) Act 2022. Māori data sovereignty and data governance from Te Aka Whai Ora will be adopted by Te Whatu Ora and Manatū Hauora
Progress update
This work has progressed in Q2 with the development of a capability tool but is yet to be completed
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- Kahu Taurima child wellbeing service enhanced
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Responsible organisation: Te Aka Whai Ora
Context
The early years of a child life is an important time that impacts on their future health and wellbeing. Māori face several access barriers for kahu taurima services ranging from late presentation for lead maternity care to workforce challenges Mātauranga Māori and other evidence supports investment in the first 2000 day so all children get the strongest start to life.
Kahu Taurima is the joint Te Aka Whai Ora and Te Whatu Ora approach to maternity and early years that involves creating whānau centred service delivery through the redesign and integration of maternity and early years services across Aotearoa.
What will be achieved
The redesign of Kahu Taurima (approach to maternity and early years) and Tamariki Ora Well Child services to implement service enhancements. This will include the design of immunisation and Well Child Tamariki Ora services that work for Māori and build off a strongly integrated maternity service. Whānau-orientated interventions that provide intensive support for maternity and the early years will be developed and wrap-around support will be provided or wāhine hapū antenatal and birthing care, including identifying ways to provide longer-term intervention and prevention services.
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- Mātauranga Māori solutions identified
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Responsible organisation: Te Aka Whai Ora
Context
In order to improve and enrich the lives of whānau Māori, and to provide healthy futures for all in Aotearoa New Zealand, te ao Māori approaches and mātauranga Māori practices need to be embedded within the health system. This will require a multi-faceted approach including improving the capability and capacity of Māori providers and workforce and taking a population approach to improving services for our priority populations – tangata whaikaha, tangata whaiora, kaumātua, rangatahi.
What will be achieved
Mātauranga Māori solutions will be embedded in the reformed health system to enable and support health care approaches that are better tailored to the needs of Māori and so improve service delivery. This will be done by improvement in primary care services delivered by Māori health providers that benefit Māori people. Increased funding will be made available to kaupapa Māori health and disability service providers and there will be an increase in geographical coverage and utilisation of Rongoā Māori Services. There will be a greater investment across entities on Māori health providers and Mātauranga Māori solutions for care services
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- Hauora Māori services redesigned
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Responsible organisation: Te Aka Whai Ora
Context
The health system needs to work better for Māori in all ways, for every condition, through every service from prevention, primary and community care to tertiary care, including every interaction. This will require long term change rather than small changes being made to existing services and it will take many years to see the outcomes and benefits we are aiming for.
What will be achieved
Hauora Māori services will be redesigned to improve health care across a broad range of health care services (ranging from prevention and primary care to tertiary and specialist treatment). Hauora Māori services will be redesigned to support increased Māori-led primary care for long-term conditions, increased cancer support services for Māori, the implementation of life-course interventions for Māori and improved implementation of programmes for care of Māori including those with long-term health conditions.
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- Hauora Māori services improvement initiatives implemented
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Responsible organisation: Te Aka Whai ora
Context
To improve the holistic wellbeing of whānau and address equity, Te Aka Whai Ora has developed an Oranga Whānau Outcomes framework. This framework details the outcomes that Te Aka Whai Ora and partners are working towards within the health reforms. To achieve the Oranga Whānau outcomes, five strategic objectives have been developed to ensure a focus on the following areas for long-term change:
- realisation of mana Motuhake for Māori
- strong internationally recognised indigenous health system
- an accountable health system
- collective impact approaches becoming “the norm” across sectors
- a sustainable and equitably resourced health system.
What will be achieved
Increased opportunity for innovation by Māori to address health inequities and accelerate improved health outcomes through a new approach that enables innovation (including tailored solutions) within each of the IMPB areas, and this enables the development of innovative models for new ways of doing things, and to embed and try new technologies/processes and service delivery methods.
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