Waiata at celebration

Reducing health inequalities and achieving health equity for Māori will depend on a better understanding of the science of implementation.

We will develop communication and engagement strategies that improve the uptake and implementation of prevention and treatment programmes, with the aim of providing patient-centred, culturally effective care and interventions within culturally diverse health care settings.

As well as improving health, the research will lead to a greater understanding of how to harness community involvement, i.e. Activating Communities, so that interventions are more readily adopted.

Read more about the project:



Planning tool developed

We have developed the He Pikinga Waiora Implementation Framework which is intended as a planning tool to guide the successful development and implementation of interventions. Funders can use the Framework to assess the likely effectiveness of proposed interventions. Community organizations can use the Framework to work with researchers or policy makers to strengthen each of the four elements.

He Pikinga Waiora Implementation Framework 2016  (PDF 13.7 MB)

We’d be very interested to know how you are using the Framework, and any feedback is most welcome.

Email hpwadmin@waikato.ac.nz


Health Interventions

The He Pikinga Waiora team is working with two Māori health providers to develop two innovative interventions following the He Pikinga Waiora Implementation Framework. The interventions are being implemented and evaluated in 2018. Both interventions address pre-diabetes along with related conditions such as obesity and cardiovascular disease.



Puka rangahau
Implementation framework for chronic disease intervention effectiveness in Māori and other indigenous communities Globalization and Health (2017) 13:69

Identifying strategic opportunities for Māori community organisations to respond to pre-diabetes: Building a platform for integrated care to deliver change that matters to communities International Journal of Integrated Care (2017) 17(5):A166

He Pikinga Waiora Implementation framework: A tool for chronic disease intervention effectiveness in Māori and other Indigenous communities International Journal of Integrated Care (2018) S1:A68.

Addressing health inequities in cardiovascular health in indigenous communities: Implementation process matters as much as the intervention itself International Journal of Cardiology (2018) VOL269:325-326

An integrated approach to prevent chronic lifestyle diseases in Māori men International Journal of Integrated Care (2018) S2:A73

He Pikinga Waiora: supporting Māori health organisations to respond to pre-diabetes International Journal for Equity in Health (2019) 18:3

What protects against pre-diabetes progressing to diabetes? Observational study of integrated health and social data Diabetes Research and Clinical Practice (2019) 148 119-129



He Pikinga Waiora: Making health interventions work for Māori communities

Science leader and principal investigator:

Co-principal investigators:

Associate investigators:


Poutiri Community Project

Principal investigator:


Te Kōhao Community Project

Co-principal investigators:

Associate investigators:


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