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:
- He Pikinga Waiora community website (www.hpwcommunity.com)
- Framework puts community at core of achieving health equity.
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.
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.
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:
- Mr Terry Ehau, Te Rōpū Mate Huka
- Dr Jeff Foote, University of Otago
- Ms Moana Rarere, University of Waikato
Poutiri Community Project
Te Kōhao Community Project
- Framework puts community at core of achieving health equity February 2018
- Implementation framework to aid outcomes in indigenous communities November 2017
- Videos from the Diabesity Crisis symposium April 2017
- Towards whānau, hapū, iwi wellbeing: Te Ritorito March 2017
- He Pikinga Waiora webinar hosted by Toi Tangata YouTube (44m 57s), November 2016
- Healthier Lives Kōrero Tahi 2016 launched two new tools for research:
- Healthier Lives researchers prominent in HRC funding round June 2016
- Māori researchers share strengths April 2016