HRC
Pacific news
June 2014
Researcher thriving on the challenge to
outsmart viruses
By Suzy Botica
As a young child, Zabeen Lateef was always intrigued by how things worked and, more
importantly, why they worked that way. During school she was good at math and science,
particularly biology as it helped answer questions about where we come from, how we get sick, and
why some people recover from infections and others don’t.
laboratory field. After finishing her
MSc, she was awarded a 2004 HRC
Pacific Health Research Postgraduate
Scholarship to study an orf virus
protein that can reduce inflammation.
“During my PhD, I learnt that viruses
can selectively attract or repel our
immune cells and even reprogramme
them, so that these cells which are
supposed to fight infection end up
helping the virus.”
Currently, Zabeen is studying human
norovirus as part of a 2012 HRC
Pacific Health Research Postdoctoral
Fellowship.
Dr Zabeen Lateef
“Most viral diseases are like a game of
chess played between the virus and the
host,” says Zabeen. “The unfathomable
thing is that we humans are alive,
and our cells are more complex
and advanced. Viruses are just little
parcels of genetic material that are
not technically alive, so how can they
outsmart us?”
Zabeen started off learning about
human viral diseases in the medical
“Noroviruses are a fascinating
challenge – we understand so little
about them because we cannot grow
them in the laboratory. Their genomic
information is encoded by ribonucleic
acid1 rather than DNA, which means
they are smaller and can mutate faster.”
Norovirus outbreaks in New
Zealand cost about $50.5 million to
manage each year. In cases where
hospitalisation is required, studies have
shown that Pacific Island children are
1 Ribonucleic acid is used to translate instructions from
DNA to make proteins in the body
1.5 times more likely to be admitted for
more severe gastroenteritis than other
New Zealand children.
One of the viral proteins found only in
noroviruses is NS1-2. This is the first
protein made when the virus replicates,
but its role is unknown.
“The aim of my project is to
characterise this protein. Once it’s
made inside the cell, where does it go
and what does it do? NS1-2 is an ideal
drug target as the first segment of the
protein is disordered, which gives it the
ability to change shape under different
conditions. This flexibility means
that the protein plays multiple roles
during infection. By making anti-virals
to target this part of the protein, we
should theoretically be able to stop
virus replication.”
Zabeen says the HRC Pacific research
awards that she’s received have had a
big influence on her career, enabling
her to balance family and work
commitments.
“I’ve been incredibly lucky to have the
opportunity to do what I love and still
raise a family.”
(Continued on page 4)
HRC Pacific News June 2014
Message from the Pacific Health Research
Committee Chair
Conference to be held in Auckland
on 3–5 November 2014 is well
underway. This conference is an
extraordinary opportunity for
interdisciplinary dissemination
of health research, practice, and
knowledge under the broad theme
of Pacific health solutions through
research and practice. Registrations
for the conference open at the end
of July. See the conference website,
pacificconference.hrc.govt.nz for more
information.
Dr Edward Saafi
Malo e lelei, warm Pacific greetings,
and welcome to this June edition of
HRC Pacific News for 2014.
Since our last newsletter, a lot has
happened and it is therefore my
pleasure to give you a brief update on
progress to date.
First, the HRC’s Pacific Health
Research Committee (PHRC) has
successfully completed its strategic
planning for the period 2014–2016.
The Strategic Activities for Pacific
Health Research (2014–2016) document
has now been signed off by the HRC
Board as the agreed strategic road map
forward to help the PHRC achieve its
aims and objectives.
The strategic activities document
consists of four main parts: Part
one consists of the vision statement
‘Optimal health for Pacific peoples’ and
mission statement ‘Pacific solutions
through research’; Part two deals with
responsiveness, or ways in which
decisions relating to Pacific health
research could be influenced; Part three
looks at workforce/research capacity
development; and Part four focuses on
collaborations and partnerships.
Second, the planning for the
International Pacific Health
2
This conference is supported by the
HRC in partnership with the Ministry
of Health; Secretariat of the Pacific
Community; Institute for Social
Research at the University of Michigan;
AUT University Pacific Islands Families
Study; the University of Otago; John A.
Burns School of Medicine, University
of Hawai‘i at Mānoa; Le Va; Ministry
of Social Development Pasefika
Proud; the University of Auckland;
AUT University; and the Pasifika
Medical Association. If any other
organisation wishes to take part in this
conference, please contact Dr Nuhisifa
Seve-Williams at the HRC for more
information (email: nseve-williams@
hrc.govt.nz).
Third, I am pleased to acknowledge
the completion of the revised HRC
Pacific Health Research Guidelines
document. This piece of work has been
driven by the PHRC with the help
of the hardworking group members
Dr Tai Sopoaga (Chair), Dr Mele
Taumoepeau, Dr Karlo Mila-Schaaf,
Dr Ieti Lima, and Dr Julia IoaneApaula. This was a necessary piece of
work to update the original document
to reflect new methodologies,
information, and technologies – now
embraced as part of the methodology
repertoire – for Pacific health research.
The revised Pacific Health Research
Guidelines document was launched at
the HRC on Thursday, 5 June.
Health Research Council of New Zealand
Te Kaunihera Rangahau Hauora o Aotearoa
Fourth, I wish to congratulate Dr
Colin Tukuitonga on his appointment
as the new Director General of the
South Pacific Commission. Due to his
recent change in circumstances, Dr
Tukuitonga has asked to step down
from the PHRC to focus on his new
role. On behalf of the PHRC, I extend
our appreciation to Dr Tukuitonga for
his many valuable contributions as the
regional member and representative to
this committee during his tenure.
Fifth, the PHRC is delighted to
welcome Dr Paula Vivili, Acting
Director: Policy, Planning and
Regulation in the Public Health
Division of the South Pacific
Commission. Dr Vivili has joined
the PHRC as the Pacific regional
replacement for Dr Tukuitonga. Dr
Vivili brings extensive experience in the
areas of non-communicable diseases,
health promotion, ophthalmology,
diabetes, internal medicine, and
surgical services.
Last, but not least, I wish to thank
the PHRC team (Dr Vili Nosa,
Dr Josephine Herman, Dr Mele
Taumoepeau, Dr Palatasa Havea,
and Ms Hilda Faasalele) for their
continued dedication to this work.
I also acknowledge the guidance of
the HRC Board, the HRC’s Chief
Executive, Dr Robin Olds, the HRC
Group Manager, Research Partnerships,
Ms Sharon McCook, and especially
our HRC Project Manager, Pacific
Health Research, Dr Nuhisifa SeveWilliams, for supporting the work of
the committee.
Faka’apa’apa Atu
Dr Edward Saafi, PhD, MBA
Chair, HRC Pacific Health Research
Committee
HRC Pacific News June 2014
Revised Pacific Health Research
Guidelines available
On 5 June 2014 the HRC’s
Pacific Health Research
Committee launched
the second edition of the
‘Guidelines on Pacific Health
Research’.
The original guidelines were
developed in 2005 through a process
of wide consultation with relevant
stakeholders, and laid the initial
foundations for considering the ethical
principles of Pacific health research.
Since then, however, the Pacific health
research landscape has changed
significantly.
“There have been huge advancements
in the plethora of methodologies
available for the study of Pacific
people’s health. Hence, there was a
need to update the original guidelines,
to keep pace with, and remain relevant
to the progress in research methodologies that are now being
applied to Pacific health research,” said
Dr Edward Saafi, Chair of the HRC
Pacific Health Research Committee.
This edition of the Pacific Health
Research Guidelines targets both Pacific
and non-Pacific researchers who
are engaged in HRC-funded health
research with Pacific populations
residing in New Zealand and the
realm countries of New Zealand
(Cook Islands, Niue, and Tokelau).
Researchers conducting non-HRCfunded studies in Pacific communities
may also find this document useful.
The guidelines aim to ensure that
the research undertaken informs
and empowers Pacific peoples about
health research within their own
communities, and their rights as
research participants; provides an
ethical and operational guide for
health research that contributes to the
attainment of the highest level of health
and wellbeing for Pacific peoples in
Pacific research proposal
writing workshop
The HRC has arranged for a Pacific research proposal
writing workshop to be held in Auckland on 25 June
2014. This workshop is specifically focusing on the
HRC’s Project and Emerging Researcher First Grant
contract types for Pacific health researchers. The
workshop facilitator is Professor Robert Scragg. Video
conferencing links will be available for researchers
outside of Auckland. To register for this workshop,
please email Dr Nuhisifa Seve-Williams, [email protected].
Details:
25 June 2014 | School of Population Health
The University of Auckland | Tamaki Campus
Room 730–266 | 12pm–3pm
(Light refreshments available)
New Zealand; and provides a common
template and shared vision on Pacific
health research for the various Pacific
health research stakeholders, including
the HRC, researchers, research
participants, and Pacific communities.
Hardcopies of the revised Pacific
Health Research Guidelines are now
available by contacting Dr Nuhisifa
Seve-Williams, email: nseve-williams@
hrc.govt.nz. You can also download the
guidelines from www.hrc.govt.nz.
–
Problem gambling research
opportunity
The HRC is administering the Preventing and
Minimising Gambling Harm Career Development
Awards, which are funded by the Ministry of
Health. Applicants are invited to apply for Masters,
PhD, and Postdoctoral awards to support the career
development of emerging health researchers seeking
to prevent and minimise gambling-related harm
for Māori and Pacific populations in New Zealand.
Applicants will apply using the standard HRC Māori or
Pacific career development forms, which will be available
on the HRC’s website, www.hrc.govt.nz, in June.
Health Research Council of New Zealand
Te Kaunihera Rangahau Hauora o Aotearoa
3
HRC Pacific News June 2014
International Pacific Health Conference update
The International Pacific Health Conference 2014 (Auckland, 3–5 November) is a chance for
community stakeholders, policymakers, philanthropic leaders, researchers and students to engage
in interdisciplinary dissemination of health research, practice and knowledge. Check out the
conference website – pacificconference.hrc.govt.nz – for regular updates.
Challenges facing Pacific peoples at a
global level
Some of the key issues that will be
discussed at the conference include
the: high incidence, prevalence
and economic cost associated with
non-communicable diseases; high
chronic disease burden, particularly
for cardiovascular disease and type
2 diabetes; growing health inequities
in the Pacific region; and the greater
prevalence of mental health disorders,
suicide attempts, and tobacco and
alcohol use among Pacific youth.
Abstracts
Abstract submissions closed on 2 June.
Many thanks to all those who applied.
The HRC will advise all applicants
about the outcome of the abstract
review by Monday, 16 June 2014.
Keynote speakers:
The conference has a great line up of
keynote speakers.
These include:
• Professor Sir Mason Durie,
(Retired) Professor of Māori
Research and Development and
Assistant Vice-Chancellor (Māori
and Pasifika), Massey University
• Global health challenges:
Associate Professor Keawe’aimoku
Kaholokula, John A. Burns School
of Medicine at the University of
Hawai’i at Mānoa
• Panel of Pacific health leaders of
tomorrow:
• Dr Dianne Sika-Paotonu,
Victoria University of
Wellington
• Dr Yvette C. Paulino,
University of Guam
• Seini Jensen, Pasifika Medical
Association, Auckland
• Dr El-Shadan Tautolo, AUT
University, Auckland
Registrations
Registrations for the conference will
open at the end of July.
For more information, please contact
Dr Nuhisifa Seve-Williams at the HRC,
email: [email protected].
(Continued from page 1)
“Without HRC funding, the supportive
environment at my department, and
the understanding of my family, I could
not have come this far in my research
career. The flexibility to have a family
and do research is a bit like having your
cake and eating it, too!”
Zabeen’s Fijian and Indo-Fijian
cultural background has also played an
important part in how she approaches
her work.
4
“In Fiji I was part of a multicultural
and multi-religious society. This made
me realise that there are multifaceted
aspects to everything in life. I use this
maxim in my research as well. My
research is multifaceted in the sense
that I study genetics, proteins, cellular
biology, and gut immunology all as
part of a single project.”
In the future, Zabeen hopes to
remain at the University of Otago and
eventually secure enough funding to
Health Research Council of New Zealand
Te Kaunihera Rangahau Hauora o Aotearoa
manage her own lab.
“Discoveries in science are only
possible by standing on the shoulders
of giants. There are a lot of scientists
who have forged the path for the next
generation and all we have to do is
follow and build on previous work,
piece by piece, until we see the bigger
picture. I’ve been privileged to work
with great scientists here in New
Zealand, and I hope to leave behind a
similar legacy.”
HRC Pacific News June 2014
2015 funding round: Pacific roadshows
The HRC’s 2015 annual funding round gets underway next month. In addition to the main funding round roadshows held in
Auckland, Hamilton, Wellington, Christchurch and Dunedin (see www.hrc.govt.nz/news-and-media/events), the HRC has also
organised a series of roadshows tailored specifically for students looking at applying for a HRC Pacific health research grant. See
the following table for dates, times and locations.
Date
Location
Monday, 21 July 2014
University of Otago, Dunedin
Venue: Pacific Islands Research and Student Support Unit, Room GO5–71, Frederick Street
Time: 6pm–8pm
Tuesday, 22 July 2014
University of Canterbury, Christchurch
Venue: Pasifika Student Fale, 45 Creyke Road
Time: 1pm–3pm
Wednesday, 23 July 2014
Victoria University, Wellington
Venue: Ground floor of the new Alan McDiarmid Building, Kelburn Campus, Room AM103
Time: 11am–12.30pm
Whiteria Polytechnic
Venue and Time: TBC
Thursday, 24 July 2014
Massey University, Palmerston North, Manawatu Campus
Venue: Fale Pasifika (YFC Building, University Ave)
Time: 11am–1pm
Monday, 28 July 2014
Waikato University, Hamilton
Venue: Lecture theatre B.G.24
Time: TBC
Tuesday, 29 July 2014
The University of Auckland, Tamaki Campus
Venue: School of Population Health, 261 Morrins Road, Glen Inn3pm
Wednesday, 30 July 2014
AUT University, Manukau Campus
Venue: MB317
Time: 11am–12.30pm
Thursday, 31 July 2014
Massey University, Albany Campus
Venue: SC5, Ground Floor, Study Centre, East Precinct
Time: 10am–12pm
Upcoming closing dates
For an up-to-date list of all application registration,
opening and closing dates, please go to the HRC
website: www.hrc.govt.nz. Pacific Career Development
Award forms and guidelines for the HRC’s 2015
funding round will be available from the HRC website
this month.
Pacific Health Research Development Grant
Pacific Health Research Summer Studentship
Pacific Health Research Masters Scholarship
Pacific Health Research PhD Scholarship
Pacific Health Research Postdoctoral Fellowship
Full applications open 2 July 2014 (9am)
Full applications close 2 September 2014 (12pm)
About HRC Pacific News
Current and past issues of HRC Pacific News can be
viewed on the HRC website: www.hrc.govt.nz.
Contributions are welcome. All articles in HRC
Pacific News may be reprinted, provided the source is
acknowledged.
If you would like to subscribe to HRC Pacific News,
please email [email protected], put ‘Subscribe HRC
Pacific News’ in the header and include your name and
mailing address details. You can also use this email
address to advise us if you no longer wish to receive
HRC Pacific News.
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5
HRC Pacific News June 2014
Study investigates Pacific parent-child
interactions
By Suzy Botica
A HRC-funded study by Miss Manatu Fia, a postgraduate psychology student at Otago University,
provides insights into how Pacific parents influence their children’s social and emotional
development.
“Investigation into the socioemotional
development of our Pacific children
should be a priority so that we can seek
ways in which we can prevent the onset
of behavioural problems. Identifying
what supports healthy socioemotional
development in the Pacific context may
also help in tackling the high Pacific
mental illness rates in New Zealand,”
says Manatu.
Manatu Fia
Manatu, of Tongan-New Zealand
heritage, recently completed the 10week study under the supervision of
Dr Mele Taumoepeau as part of a HRC
Pacific Health Summer Studentship.
Her main aim was to describe the
effects of parent-child interactions
on children’s behaviour in a Pacific
context, an area where there has been a
notable lack of research.
According to the World Health
Organization, family and social
environment play major roles in the
prevalence, onset and course of mental
and behavioural disorders. Behavioural
problems in young children include
internalising (shyness, social
withdrawal and depressive symptoms)
and externalising (aggression, noncompliance, lack of impulse control)
difficulties.
Manatu says it’s important to target
interventions at an early age and
perhaps prevent these problems from
further developing throughout school
and even later in life.
6
In her study, Manatu studied 41 Pacific
families living in New Zealand with
toddlers varying in age from 27 to 37
months. She first tested if the Strengths
and Difficulties Questionnaire (SDQ)
was a valid measure of emotional
and behavioural problems for Pacific
people.
The SDQ is a universal measure of
children’s psychological wellbeing,
including prosocial behaviours –
positive behaviours intended to help
others (e.g. sharing, cooperating).
To perform the validation test, Manatu
correlated observed child behaviour
with the SDQ scores of the children as
reported by their primary caregivers.
The behavioural interactions recorded
were based on a new coding system
Manatu helped develop to look at
Pacific parent-child interactions.
“Although we didn’t fully validate the
use of the SDQ with Pacific toddlers,
the results were promising,” says
Manatu.
“As expected, there was a negative
correlation between children’s
prosocial skills and their reported
conduct problems. The more the
child is reported to misbehave, the
Health Research Council of New Zealand
Te Kaunihera Rangahau Hauora o Aotearoa
fewer prosocial skills were observed.
There was also a negative correlation
between children’s responses to
physical directions and their reported
hyperactivity.”
Manatu also examined how verbal and
non-verbal (e.g. eye contact, pointing,
facial expressions, touch) interactions
between parent/caregiver and child
might support the development of
prosocial behaviour.
She found caregivers were just as likely
to use verbal as non-verbal interactions
to teach and encourage their child’s
prosocial skill development.
Interestingly, she says the children
in the study were more likely
to voluntarily display prosocial
behaviours when their primary
caregivers used non-verbal
encouragement, rather than when the
caregivers used verbal language.
“If we could identify the specific nonverbal languages involved in Pacific
parent-child interactions then we can
promote these behaviours within our
Pacific families,” says Manatu.
However, the opposite correlations
were found when observing secondary
caregiver-child interactions.
“The mothers were effective in eliciting
voluntary prosocial acts from their
child when they used non-verbal
methods, whereas the secondary
caregivers – mostly fathers – were
more effective when they used verbal
language.”
Manatu says that although causal
implications can’t be made from her
HRC Pacific News June 2014
findings, they do provide insight into
Pacific parent-child interactions. For
example, how children interact with
and learn from their mothers will be
different from how they interact and
learn from their fathers. She says this
should be taken into account when
Manatu received the Cogita Inspiration
Award at the Prime Minister’s Pacific
Youth Awards ceremony in 2013. She
is currently in her Honours year at
Otago University and plans to become
a clinical psychologist, developing
interventions which will help Pacific
people manage mental illness.
developing intervention programmes
for Pacific Island families.
“I know that the knowledge and
practice I’ve gained from doing this
summer studentship will be of great
help in the future. I look forward to
developing this research further.”
Cultural focus could aid recovery from
spinal cord injury
By Suzy Botica
Updating current informational resources to address spiritual and mental wellbeing could help
Pasifika people’s recovery from spinal cord injuries, according to a HRC-funded study by AUT
University student Tainafi Lefono.
may help challenge preconceived ideas
of disability in cultural communities
and clear guidance on where to seek
specific cultural support if required,”
says Tainafi.
Tainafi Lefono
Tainafi’s four-month study, part of a
2014 HRC Pacific Health Research
Summer Studentship, examined
the informational materials that are
routinely given to patients at New
Zealand’s spinal units following a
spinal cord injury (SCI). He found that
these materials were missing culturally
relevant information in some key areas
that could aid the recovery of Pasifika
patients.
“My analysis revealed the absence
of a Pasifika model of health that
incorporates the physical, mental and
spiritual facets of a Pasifika person,
SCI involves lifelong neurological
impairment, which is correlated
with disabilities that affect not just
mobility and sensation, but also other
areas such as sexual function, body
temperature regulation, and bowel and
bladder function. New Zealand has
one of the highest rates of SCI in the
western world, with Pasifika peoples at
increased risk.
As part of his study, Tainafi analysed
four qualitative interviews1 with
Pasifika peoples who had experienced
a SCI. Extracts from the interviews
were grouped into categories related to
the definition of culture2. He identified
five key factors that contribute to the
recovery of Pasifika peoples with a SCI.
These are:
1. Change in roles within the family
and community – changes in these
roles as a result of SCI affected both
male and female participants
2. Seeing disabled people as able –
more community education about SCI
3. Opportunities for work and study
post-injury – the change to work or
study post-SCI, whether returning to
pre-injury work or pursuing something
entirely new, was important for Pasifika
participants
4. Spirituality and mental wellbeing
– this was very important to Pasifika
participants, who expressed a sense of
loss of control and self-confidence due
to their SCI
5. Family and peer support –
participants described family and peer
support from other spinal-injured
individuals as vital to their recovery
“Injury and disability affected all
the participants in different areas
of their lives,” says Tainafi. “Many
talked about the debilitating effect
SCI had on their wellbeing. From a
cultural lens, it was clear that areas
beyond physical functioning, such as
mental and spiritual wellbeing, were
just as important for Pasifika people’s
recovery.”
(Continued on page 8)
Health Research Council of New Zealand
Te Kaunihera Rangahau Hauora o Aotearoa
7
HRC Pacific News June 2014
(Continued from page 7)
Tainafi says the findings could present
some challenges for healthcare services
due to the differences between Pacific
and New Zealand cultures.
“This is important as culture
can often be a barrier to Pasifika
peoples acquiring healthcare and
understanding the implications of
injuries or conditions on themselves
and their families.”
Tainafi presented the preliminary
findings of this study at the Le Va
Growing Pacific Solutions Health
and Disability Conference earlier this
year, and will provide a summary
of the findings to the Auckland and
Christchurch spinal units involved
and to the Accident Compensation
Corporation. He also plans to present
the findings at the HRC’s International
Pacific Health Conference in
November.
“I believe that having a spinal cord
injury and being Pasifika has provided
me with deep insight into this topic.
However, this project has also given
me much back in terms of what I’ve
learned about Pacific health and the
importance of culture,” says Tainafi.
Tainafi’s study was supervised by
AUT University researchers Dr Alice
Theadom and Dr Joanna Fadyl, in
collaboration with Professor Kathryn
McPherson.
1 These interviews were undertaken as part of a larger
research study conducted in 2010. See Fadyl, J K,
McPherson, K M (2010). Understanding decisions about
work after spinal cord injury. Journal of Occupational
Rehabilitation, 20(1), 69–80.
2 Definition of culture as used in Macpherson, C, Macpherson,
L (1990). Samoan Medical Belief and Practice. Auckland,
New Zealand: Auckland University Press.
Sign up for HRC Gateway
The HRC’s new online submission system,
HRC Gateway, is now open for sign up at
https://gateway.hrc.govt.nz.
If you would like to apply for funding in the HRC’s
2015 annual funding round and you haven’t been an
investigator on an HRC application since 2008, you’ll
need to sign up for HRC Gateway and provide us with
your details. Instructions on how to sign up to HRC
Gateway can be found in the user guide link at the bottom
of any page of the HRC Gateway website. We advise
that you sign up for HRC Gateway well in advance of
an application closing date to ensure you don’t miss out.
(Please note that the First Named Investigator needs to
ensure that anyone they intend to add to their application
as a Named Investigator has signed up to HRC Gateway.)
If you have previously been an investigator on an HRC
application since 2008, you don’t need to worry about
signing up to HRC Gateway. You should have been sent
an email with your user name and password and asked to
sign on to HRC Gateway and reset your password. Once
you’ve done this, you can then sign on and update your
details (e.g. new phone number or job title). If you didn’t
receive an email from the HRC, then you’ll need to sign
up for HRC Gateway as a new user.
HRC documentation on how to apply for funding using
the new HRC Gateway system is now available on the
HRC Gateway (Online Submission System) website –
https://gateway.hrc.govt.nz and the HRC website –
www.hrc.govt.nz.
If you have any questions about HRC Gateway, please
contact the HRC’s Business Systems Manager, Vivien
Lovell, email: [email protected].
Contact the Project Manager,
HRC Pacific Health Research
Dr Nuhisifa Seve-Williams
Project Manager, Pacific Health Research
[email protected]
✆ (09) 303 5225
Mobile: 021 588 155
Website: www.hrc.govt.nz
Physical address: Level 3, 110 Stanley Street, Grafton,
Auckland, New Zealand
Phone: +64 9 303 5200 Fax: +64 9 377 9988
Level 3, 110 Stanley Street, Auckland
PO Box 5541 Wellesley Street, Auckland 1141
www.hrc.govt.nz
Postal address: PO Box 5541, Wellesley Street,
Auckland 1141, New Zealand
ISSN 1171-4069 (Print) ISSN 1171-3976 (Online)
Health Research Council of New Zealand
Te Kaunihera Rangahau Hauora o Aotearoa