Rural and remote communities: Health needs and aspirations of Pacific peoples

Abstract

In Aotearoa New Zealand, Pacific peoples have worse health status and substantially limited access to healthcare, particularly in remote and rural communities, when compared to the general population. In addition, Pacific peoples are underrepresented in the Aotearoa health workforce, including within the medical workforce. There is a need for a fit-for-purpose health workforce with the skills and commitment to care for Pacific peoples living in remote and rural communities. In the context of the University of Waikato’s preparations to establish the Aotearoa Graduate Entry Medical School, this Masters study explores the perspectives and aspirations of rural Pacific peoples with the aim of understanding their health needs and their expectations of healthcare, particularly medical care. This qualitative study is underpinned by the Pacific-valued and respect-based Pacific Post-Development Research Framework. The study design includes survey questionnaires, semi-structured interview and focus groups within a talanoa – a Pacific form of discussion/dialogue – space. Research participants will be Pacific peoples (n=9) over the age of 18 years and living in rural Te Rohe Pōtae (South/West Waikato region). The research data was explored using thematic analysis and focused coding. The study suggest rural Pacific peoples want more healthcare services options with better accessibility, and that caters to their cultural differences. They aspire to see more Pacific doctors in their rural communities, as well as a health workforce that is responsive to their cultural needs.