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dc.contributor.authorBeaton, Angelaen_NZ
dc.contributor.authorManuel, Careyen_NZ
dc.contributor.authorTapsell, Jadeen_NZ
dc.contributor.authorFoote, Jeffen_NZ
dc.contributor.authorOetzel, John G.en_NZ
dc.contributor.authorHudson, Mauien_NZ
dc.date.accessioned2019-07-04T03:15:56Z
dc.date.available2019-01-07en_NZ
dc.date.available2019-07-04T03:15:56Z
dc.date.issued2019en_NZ
dc.identifier.citationBeaton, A., Manuel, C., Tapsell, J., Foote, J., Oetzel, J. G., & Hudson, M. (2019). He Pikinga Waiora: Supporting Maori health organisations to respond to pre-diabetes. International Journal for Equity in Health, 18. https://doi.org/10.1186/s12939-018-0904-zen
dc.identifier.issn1475-9276en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/12683
dc.description.abstractBackground Type 2 Diabetes (T2D) is a common long-term condition affecting the health and wellbeing of New Zealanders; one in every four New Zealanders is pre-diabetic. Māori, the Indigenous people of New Zealand, are at an increased risk of developing pre-diabetes and T2D and there are significant inequities between Māori and non-Māori for T2D complications. The purpose of this study was to explore the questions of how the strengths of Māori heath organisations may be leveraged, and how the barriers and constraints experienced by Māori health organisations may be negotiated, for the benefit of Māori; and from a systems perspective, to identify strategic opportunities that may be considered and applied by Māori health organisations, funders and policy makers to respond more effectively to pre-diabetes and reduce health inequities between Māori and non-Māori. Methods Utilising case study methodology, a range of data sources were triangulated including nine semi-structured interviews, documents, and a diabetes system map to identify possible strategic opportunities for key stakeholders to respond more effectively to pre-diabetes. Results Key themes and possible actions to improve health outcomes for Māori with pre-diabetes include: (1) Recognising Māori health organisations as conduits for the community voice and influential partners in the community to effect change; (2) Strengthened partnerships with Māori health organisations for community benefit and to support measurable, evidence-based change and service delivery, particularly when Māori knowledge systems are viewed alongside a Western scientific approach; and (3) Intersectoral integration of health and social services to support provision of whānau-centred care and influence the social determinants of health and local environment. Conclusions Māori health organisations are important actors in systems seeking to improve outcomes and eliminate health inequities. Support from funders and policy makers will be required to build on the strengths of these organisations and to overcome system challenges. To realise improved health outcomes for Māori, the value placed on whānau and community perspectives not only needs to be acknowledged in the implementation of health interventions, health and social policies and funding arrangements, but performance measures, service design and delivery must evolve to accommodate these perspectives in practice.
dc.format.mimetypeapplication/pdf
dc.language.isoenen_NZ
dc.publisherBMCen_NZ
dc.rights© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.subjectScience & Technologyen_NZ
dc.subjectLife Sciences & Biomedicineen_NZ
dc.subjectPublic, Environmental & Occupational Healthen_NZ
dc.subjectMaori healthen_NZ
dc.subjectDiabetesen_NZ
dc.subjectImplementation scienceen_NZ
dc.subjectHealth equityen_NZ
dc.subjectIndigenousen_NZ
dc.subjectPARTICIPATORY RESEARCHen_NZ
dc.subjectCOMMUNITYen_NZ
dc.subjectCENTERSen_NZ
dc.subjectSCIENCEen_NZ
dc.titleHe Pikinga Waiora: Supporting Maori health organisations to respond to pre-diabetesen_NZ
dc.typeJournal Article
dc.identifier.doi10.1186/s12939-018-0904-zen_NZ
dc.relation.isPartOfInternational Journal for Equity in Healthen_NZ
pubs.elements-id231338
pubs.publication-statusPublisheden_NZ
pubs.volume18en_NZ
uow.identifier.article-noARTN 3


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