Embedding Te Tiriti o Waitangi in abortion services

The health sector’s Tiriti o Waitangi (Te Tiriti) framework is embedded in Whakamaua: Māori Health Action Plan 2020–2025. This framework draws on the findings of the Hauora Report on the Health Services and Outcomes Kaupapa Inquiry (Wai 2575) and adopts an approach based on both the principles and articles of Te Tiriti. See Te Tiriti o Waitangi for more information.

Manatū Hauora requires the health and disability system, and abortion services and providers to embed Te Tiriti o Waitangi into their processes and service delivery. Over time, Manatū Hauora expects to see meaningful actions delivered by the agencies and providers responsible for abortion services that strive to eliminate health disparities for Māori in Aotearoa New Zealand. 

To ensure our regulatory approach is underpinned by Te Tiriti we will continue to use:

Te Tiriti principles and articles – to guide our work programme

Manatū Hauora is committed to supporting a Māori world view of health and ensuring quality (culturally and clinically safe), equitable, and effective services for Māori. This includes:

  • equitable access so that Māori can access the service in ways that meet their needs;
  • services that are provided in a culturally appropriate way that recognises and supports the expression of Māori models of care; and
  • expectation of engagement with Iwi.

Ngā Paerewa Health and Disability Services Standard

Ngā Paerewa Health and Disability Services Standard (NZS 8134) (Ngā Paerewa) is a guide to best practice for regulating abortion services. The Ministry will use Ngā Paerewa as it sets out the minimum requirements for acceptable care and support within abortion services. Abortion services should provide for Māori self- determination and mana Motuhake, meaning services are person-centred and whānau-centred. Ngā Paerewa describes Te Tiriti outcomes statements and a suite of criteria that can be applied to achieve best practice abortion services provision to Māori.

Sector guidance has been co-created with abortion sector stakeholders to support them in implementing Ngā Paerewa requirements.

Māori data and analytics

The Annual Report contains a range of indicators reported by ethnicity, as well as a specific section that looks at the experiences of Māori compared to non-Māori non-Pacific. Manatū Hauora will assess in future annual reports how well the system and services are embedding Te Tiriti and examine whether issues for Māori, including tāngata whaikaha Māori, are being addressed with meaningful actions and timeframes. We collect quality ethnicity data using the HISO 2017 Ethnicity Data protocol.


Formal partnerships provide ongoing guidance and direction. Te Apārangi: Māori Partnership Alliance will work in partnership with Manatū Hauora to provide guidance, direction and recommendations to ensure accessible, equitable, person-centred, and quality abortion services across Aotearoa New Zealand. 

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