2014
8–10 July | Waipuna Hotel and
Conference Centre | Auckland
Research aspiration, inspiration, innovation
PROGRAMME
Hui Whakapiripiri
Ma te huruhuru ka rere te manu | Sponsors
The HRC and the HRC Māori Health Committee would like to thank and acknowledge all
of our sponsors, partners and supporters. Without your support, whether it be financial,
provision of resources, or in time, this Hui would not have been possible.
Ngā mihi nui ki a koutou katoa
For more than a century, the University of Otago has valued its strong
links with Māoridom and is committed to continuing to contribute to
iwi aspirations and Māori development. Today the University of Otago
attracts tauira Māori (Māori students) from throughout the country and
across all disciplines.
Since 2005, Whakauae Research for Māori Health and Development has
been assisting Māori to reach their potential by sustainably delivering
Māori research founded on academic and research excellence and
mātauranga Māori. Whakauae focuses primarily on Māori public health
research, health promotion evaluation, primary care research, health
services and health policy research. Whakauae have strong community
linkages with whānau, hapū and iwi, and also partner with academic
institutions and health service providers in the development and delivery
of research.
PHARMAC is the Pharmaceutical Management Agency of New Zealand.
They are part of the New Zealand medicines system working to improve
New Zealanders’ access to, and optimal use of, medicines.
Te Rau Matatini Ltd. is helping to build a strong Māori workforce across
the Māori health and disability sectors. Established in 2002, Te Rau
Matatini coordinate a range of national programmes that contribute
to health, Māori mental health, primary health and public health
workforce priorities. Te Rau Matatini provides a strategic focus for Māori
workforce training, education and capability building solutions for the
advancement of indigenous health and wellbeing.
Photograph Source:
Maori Chief photograph - George Valentine circa 1880
Canoe image - iStockphoto.com
Young boy - Mr Weston Pugh (Ngāpuhi, Ngāti Kahungunu)
Design and production - MindWorks Creative
Tihei Mauriora | Welcome
Message from the HRC Māori Health
Committee Chair
Pro-Vice Chancellor Māori,
The University of Waikato
Professor Linda Tuhiwai Smith, CNZM
Hui Whakapiripiri 2014 is purposely set to focus on positivity.
In this current climate where negativity is constantly
highlighted through different mechanisms such as media,
and politics, we need to celebrate our gains no matter how
small they may seem. We need to know that our battles, and
the battles of those who fought before us, are considered,
recognised and valued.
Hui Whakapiripiri is a place to celebrate who we are, take
stock of our steps, big and small, come together, share, refill
and renew our tanks, ready to take on further challenges that
will leave an imprint for future generations.
Hui Whakapiripiri 2014 July 8 - 10
3
Kōrero Wānanga | About the Hui
Whakapapa| Background
In 1993 Hui Rangahau Hauora provided those involved in
Māori health research with an opportunity to collectively
discuss and share information relating to Māori health
research. Hui Rangahau Hauora identified the need for
such a forum where information could be shared, where
key issues could be brought to the fore, and the direction
of Māori health research discussed. After 17 years the
achievements of Māori within health research have been
numerous and significant steps have been taken, yet the
need for this forum still exists.
Three years after Hui Rangahau Hauora the call for
another hui to discuss the strategic direction of Māori
health research was taken up by Te Rōpu Rangahau
Hauora a Eru Pōmare at Otago University’s Wellington
School of Medicine. This inaugural Hui Whakapiripiri was
held at Hongoeka Marae, Plimmerton in February 1996.
The HRC’s involvement in Māori health research hui
came in 1997, when it hosted Hui Whakatipu in Auckland.
Although this hui was smaller, it raised similar issues as
previous hui.
In 2001 the HRC hosted the second Hui Whakapiripiri,
this time at Tama Te Kapua Marae, Ohinemutu, Rotorua.
For the first time the HRC was exposed to the Māori
research community and the feedback received would
eventually culminate in the release of the HRC’s Strategic
Plan for Māori Health Research 2004–2008.
Te Waipounamu hosted the next Hui Whakapiripiri in
2005. Entitled Matiro Whakamua ki te Oranga o te Māori,
this Hui Whakapiripiri had the theme of looking to the
future for Māori wellness.
A year later Hui Whakapiripiri was held in Wellington at
Te Papa Tongarewa. The HRC was supported by Victoria
University of Wellington’s Health Services Research
Centre and School of Māori Studies in hosting this event.
In March 2009, Hui Whakapiripiri took place in Auckland.
The theme in 2009 was Kanohi ki te kanohi – knowledge
connections through traditional and contemporary
means.
Hui Whakapiripiri 2010 was held in Rotorua under the
theme Hangaia to whare kōrero mā ngā pou rangahau e
tu, and promoted collaboration, understanding and
learning not only among the range of participants at Hui
Whakapiripiri but also the broader health and research
sectors, and Māori communities interested in research.
In July 2012, Hui Whakapiripiri was held in Auckland.
The theme was Whakamahia ngā pou mātauranga hei
whakaongaonga te hauora Māori: Apply the pillars of
understanding to stimulate health gains. This theme
progressed the link between research, policy and practice
extended from the six goals encapsulated in the Ngā Pou
Rangahau: The Strategic Plan for Māori Health Research
2010-2015.
Hui Whakapiripiri is a significant event on the health
research calendar for Māori, and everyone involved in
health research in New Zealand. Since 1993, hui held to
discuss issues in Māori health research have given Māori a
forum to present their findings, voice their concerns, and
forge relationships that will outlast any research project.
These hui have always been characterised by innovative
health research, lively debate and a commitment to
improving health outcomes for Māori.
Hui Whakapiripiri is a
significant event on the health
research calendar for Māori,
and everyone involved in health
research in New Zealand.
4
July 8 - 10 Hui Whakapiripiri 2014
Te Pou Here | Theme
This overarching theme extends from the six goals encapsulated
throughout Ngā Pou Rangahau: The Strategic Plan for Māori
Health Research 2010–2015. The Strategy content arose out of
consultation with Māori communities, providers, researchers
and policy makers.
The theme of Hui Whakapiripiri 2014 is:
Research aspiration,
inspiration, innovation
Ma te ara auaha he
kauanuanu te oranga a te
tangata
Hui Whakapiripiri 2012 had a focus on Goal 3 – Translating
research into Māori health gains. Continuing this theme, this year’s
streams will be made up from all six pou found within the
Māori health research strategy. While negative health statistics
continue to dominate the headlines, we know that Māori
health researchers are undertaking excellent work to improve
Māori health outcomes. Hui 2014 will have a particular focus on
positive approaches and successful outcomes. The HRC’s Māori
Health Research Committee is keen to hear about research that
focuses on community benefits, celebrates current successes,
and identifies future potential. We would especially like to
encourage participation at this year’s Hui by those who are new
to research, including community and iwi groups, providers,
and students.
– Mr Beau Haereroa
(Ngāti Porou, Te Aowera)
åori
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GOAL 1
GOAL 2
GOAL 3
GOAL 4
GOAL 5
GOAL 6
Transforming
Måori health
research
knowledge and
practice
Enhancing the
application of
Måori
methodologies to
health research
Translating
research into
Måori health
gains
Promoting
Måori ethics
processes and
good practice
Extending the
Måori health
research
workforce and
promoting a
culture of
research
Strengthening the
value of the HRC
to respond to the
needs of Måori
for the benefit of
New Zealand
Te Heke Matua | Hui Host
The HRC is the Government’s principal funding and investment
agency for health research, responsible for investing Government
funds allocated for health research. The HRC’s mission is
benefiting New Zealand through health research. Māori health is
one of the Government’s health gain priority areas, and Māori
health research development is an important priority to address
the disparities in health outcomes. The HRC is committed
to ensuring hui opportunities occur for joint planning and
whakawhānautanga, by, with, and for the Māori health research
community – hence our continued role in hosting and organising
Hui Whakapiripiri.
Hui Whakapiripiri 2014 July 8 - 10
5
The hrc Māori Health Committee (mhc)
is a statutory committee of the HRC
responsible for advising the HRC Board on
issues pertaining to Māori, assessment and
distribution of funds allocated for Māori
health research and career development.
Mhc members also chair various assessing
meetings and are responsible for convening
Hui Whakapiripiri, the HRC’s biennial
Māori health research conference.
Te Puna Matatau | The HRC Māori Health Committee
Members
Mr Beau Haereroa
Professor Linda Tuhiwai Smith, CNZM
Ngāti Porou, Te Aowera
HRC Kaumātua
Ngāti Awa, Ngāti Porou
Pro Vice-Chancellor Māori – The University of
Waikato
Mr Beau Haereroa brings a wealth of
knowledge and experience to his role as the
HRC’s Kaumātua. Matua Beau is renowned
for his work as cultural advisor across the
broad area of Māori health. He is currently associated with Te
Rūnanga o Kirikiriroa but has worked in the areas of mental
health, research and alongside the Hamilton mayor. He also
has developed different frameworks and processes that have
been implemented into Australian prisons. Mr Haereroa has
been instrumental with previous Hui Whakapiripiri in addition
to the HRC’s Pacific Fono, HRC Māori Health Research Writing
Workshops, and the Māori Health Research Strategy launch.
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July 8 - 10 Hui Whakapiripiri 2014
Linda Tuhiwai Smith is Professor of Education
and Māori Development, Pro-Vice Chancellor
Māori, and Dean of the School of Māori and
Pacific Development at the University of Waikato. In 2013 she
was awarded a Companion of the New Zealand Order of Merit
for her services to Māori and education. She is a member of
the HRC Board, Chair of the HRC Māori Health Committee,
a member of the Marsden Fund Council and Convener of
the Social Sciences Assessment Panel, and a member on the
Council of the Royal Society of New Zealand. Professor Smith
was a founding Joint Director of New Zealand’s Māori Centre of
Research Excellence from 2002–2007. She is a former President
of the New Zealand Association for Research in Education
and most recently served as a member of the Constitutional
Advisory Panel. Professor Smith has worked in the field of
Māori education and health for many years as an educator and
researcher and is well known for her work in kaupapa Māori
research. Her book ‘Decolonising Methodologies Research and
Indigenous Peoples’ has been an international best seller in the
indigenous world since its publication in 1998.
Dr Matire Harwood
MBChB, PhD
Ngāpuhi
Senior Lecturer, Director of Tōmaiora – Te Kupenga
Hauora Māori – The University of Auckland
Dr Matire Harwood joined the HRC Māori
Health Committee in February 2009 and was
appointed to the HRC Board later in 2009. A graduate of the
Auckland Medical School (MBChB) and University of Otago
(PhD in Medicine), Matire is Senior Lecturer and Director of
Tōmaiora Research Group at Te Kupenga Hauora Māori, the
University of Auckland. As a primary care clinician, Matire’s
research focuses on monitoring and improving health services
for Māori, particularly in relation to long-term conditions
(such as stroke and lung cancer) and kaupapa Māori clinical
governance. She is mum to Te Rangiura and Waimarie.
Dr Amohia Boulton
Ngāti Ranginui, Ngai te Rangi, Ngāti Pukenga
Associate Director – Whakauae Research for Māori
Health and Development
Dr Amohia Boulton is the Associate Director
at Whakauae Research for Māori Health
and Development, an iwi research centre
in Whanganui. Dr Boulton’s career has spanned both public
policy and academia, including roles as a data analyst at
the Ministry of Education, policy analyst and senior analyst
at Te Puni Kōkiri, and Private Secretary (Māori Affairs)
for Hon. Parekura Horomia. Trained as a health services
researcher, Dr Boulton’s research interests are in the fields
of Māori health, particularly leadership and governance,
service-level evaluation, and the interface between health
policy and service implementation, interests which have led
to research and evaluation projects in the fields of mental
health, primary health care, public health and communitybased health promotion. Dr Boulton’s HRC projects include
a study investigating the health service arrangements that
best support rongoā Māori (traditional Māori healing) in a
contemporary setting, and supervising a postdoctoral student
who is exploring Māori views on rongoā Māori and primary
health care. Dr Boulton is a Visiting Research Fellow at the
Health Services Research Centre, School of Government,
Victoria University of Wellington; an Adjunct Research
Associate at the Graduate School of Nursing, Midwifery and
Health, Victoria University of Wellington; on the Executive
of the Health Services Research Association of Australia and
New Zealand; and a member of the New Zealand Evaluation
Reference Group. She lives in Marton in the Rangitikei with her
partner and assorted (non-edible) animals.
Dr Kahu McClintock
Tainui, Ngāti Mutunga, Ngāti Porou
Research Manager – Te Rau Matatini
Dr Kahu McClintock was invited to be a
member of the HRC Māori Health Committee
in July 2008. She graduated with her
Doctorate of Philosophy (Psychiatry) PhD
thesis at the University of Auckland, which was titled ‘Te
Tomokanga, Acceptable Child and Adolescent Mental Health
Services (CAMHS) for Māori in Aotearoa’. She is a past recipient
of a HRC Māori Career Development Award, which supported
her PhD research activities, and a HRC postdoctoral recipient.
In her spare time, Dr McClintock is a keen swimmer, stepping
up to the challenge and completing her first Iron Māori in 2011.
Dr McClintock trained as a psychiatric nurse in the 1970s and
the last clinical position she held was in the Kaupapa Māori
Tamariki Mokopuna Service of Te Puna Hauora, Tauranga
Hospital. She is also a qualified primary school teacher
and has vast experience in special education and Kaupapa
Māori education. More recently Dr McClintock has worked
as a researcher with Te Wānanga o Aotearoa, Te Rūnanga
o Kirikiriroa and is currently employed by Te Rau Matatini,
the national Māori health workforce centre. Dr McClintock
currently leads the research component of Waka Hourua Māori
and Pasifika Suicide Prevention Fund for Te Rau Matatini.
Dr Suzanne Pitama
Ngāti Kahungunu
Associate Dean Māori and Director, Māori
Indigenous Health Institute – University of Otago,
Christchurch
Dr Suzanne Pitama is a registered
psychologist and has been involved in Māori
health research for over 18 years. She is a keen advocate for
Kaupapa Māori-based methodologies and has interests in
child mental health, Māori access to quality health services and
indigenous health curriculum development. Dr Pitama’s PhD
examined the place of an indigenous health within a medical
curriculum. Dr Pitama is completing an HRC funded project
that is focusing on the prevalence of cardiovascular disease in
Māori communities (five-year follow up study) and is a named
investigator on the ICIHRP project ‘Educating for Equity’.
Associate Professor Helen Moewaka Barnes
Ngāpuhi, Ngāti Wai
Co-Director SHORE and Whariki Research Group –
Massey University, Auckland
Associate Professor Helen Moewaka Barnes
is a multidisciplinary Māori social scientist,
with expertise in quantitative and qualitative
methods and evaluation. She is the Co-Director of Whariki, a
Māori research group, which is part of the SHORE and Whariki
Research Centre at Massey University. She has particular
expertise in the fields of Māori health, Māori methods and
methodologies, research ethics and tikanga, community
engagement and Māori research capacity building. Associate
Professor Moewaka Barnes’ research areas currently include
developing and growing Māori research capacity and use;
developing methods and methodologies within Māori
paradigms; privilege and racism; and developing theoretical
Hui Whakapiripiri 2014 July 8 - 10
7
concepts and research and restorative action around the
health of people and the health of land/environments. She
is a founding and current executive member of the Māori
Association of Social Scientists and has sat on numerous
committees, including HRC assessing committees and the
current Steering Committee for the HRC/Ministry of Health
Queen Elizabeth II Jubilee Research Grant – Health Knowledge
to Action.
Mr Paul White
Te Rarawa
Director – Toreatai
Paul White has a 25-year background in
Māori development and wide experience in
the public service. He comes from the Ngai
Tupoto hapū in Motukaraka, Hokianga,
which is part of Te Rarawa iwi, and has served on a variety of
trusts, incorporations, and governance boards. He is currently
a self-employed management and development consultant
and lives in Rawene in the Hokianga. Previously, Mr White was
the Chief Executive of Ngāi Tahu Development Corporation,
a Regional Director for Te Puni Kokiri in Tai Tokerau, and
Branch Manager for the Housing Corporation in Northland.
Mr White is a qualified architect and has a Masters in Business
Studies. He has served as a board member on Housing NZ Ltd,
CHRANZ, Health Sponsorship Council, FITEC and Canterbury
District Health Board. He is also a director on the Top Energy
Board; the Chairman of Te Rarawa’s asset holding company; a
Te Rarawa representative on Te Hiku o te Ika Leadership Forum
and an elected negotiator for Te Rarawa’s Treaty Claims Team.
Mr White has been involved as a member of Te Rarawa’s Iwi
Research and Development group which coordinates and
integrates research at an iwi and hapū level. He also led the
historical Treaty claims research for Te Rarawa, and has been
involved in a number of research projects, including whanau
ora and environmental health initiatives.
Te Taumata Tiketike |
Keynote Speakers
Dr Lance O’Sullivan – Dinner speaker
Te Rarawa, Ngāti Hau, Ngāti Maru
Te Kohanga Whakaora
Dr Lance O’Sullivan is a GP based in Kaitaia.
A Māori doctor fluent in te reo, he is a
passionate advocate for Māori health and
treating patients regardless of whether or
not they can afford treatment. His drive for accessible health
care extends beyond his patient-centric clinic in Kaitaia,
which offers flexible hours and payment methods. He is also
responsible for establishing MOKO (Manawa Ora, Korokoro
Ora, “Healthy Heart, Healthy Throat”), V-MOKO, a schoolbased and online service focused on preventing rheumatic
fever among primary and intermediate students in and
around Kaitaia. Lance also set up Kainga Ora (“Well Home”),
a home improvement project tackling one family home at
a time, a proactive measure against ailments resulting from
poor living conditions. In recognition of his achievements,
Lance was named Kiwibank New Zealander of the Year 2014,
received a Sir Peter Blake Leadership Award and Public Health
Association Public Health Champion Award in 2013, and was
named TVNZ Māori of the Year 2012. Dr O’Sullivan a GP, is a
creator of revolutionary health programmes, and a pioneer
for equal health care in his community. He is charismatic and
hardworking, making great contributions to health care in the
Far North. His philosophy towards his patients is: “Rob people
of their self-belief and you deny them a bright future. I’ll never
turn a kid away and say he’s a lost cause or a patient when
people say he’s just trouble.”
Dr Maureen Holdaway
Te Atihaunui-a-Paparangi, Ngāti Hauiti
Associate Director of the Research Centre for
Māori Health & Development – Massey University,
Palmerston North
Dr Maureen Holdaway was appointed
Associate Director of the Research Centre for
Māori Health & Development (RCMHD) at Massey University
in 2005. Dr Holdaway’s qualifications include a PhD in Māori
Studies at Massey University, 2002, a Postgraduate Diploma
of Social Sciences (Massey University 1995), and a Bachelor of
Arts. Majoring in Nursing and Social Anthropology (RGON
N.Z. Massey University, 1990). Dr Holdaway is well experienced
in research, assessment, teaching and supervising both
undergraduate and postgraduate students. Her knowledge
and skills span across a number of domains that will be
beneficial for her role as part of the Māori Health Research
Committee.
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July 8 - 10 Hui Whakapiripiri 2014
Professor Linda Tuhiwai Smith, CNZM
Ngāti Awa, Ngāti Porou
Pro Vice-Chancellor Māori – The University of
Waikato
Linda Tuhiwai Smith is Professor of Education
and Māori Development, Pro-Vice Chancellor
Māori, and Dean of the School of Māori and
Pacific Development at the University of Waikato. In 2013 she
was awarded a Companion of the New Zealand Order of Merit
for her services to Māori and education. She is a member of
HRC Board, Chair of the Māori Health Committee, a member of
the Marsden Fund Council and Convener of the Social Sciences
Assessment Panel, and a member on the Council of the Royal
Society of New Zealand. Professor Smith was a founding Joint
Director of New Zealand’s Māori Centre of Research Excellence
from 2002-2007. She is a former President of the New Zealand
Association for Research in Education and most recently served
as a member of the Constitutional Advisory Panel. Linda has
worked in the field of Māori Education and Health for many
years as an educator and researcher and is well known for her
work in Kaupapa Māori Research. Her book ‘Decolonising
Methodologies Research and Indigenous Peoples’ has been
an international best seller in the indigenous world since its
publication in 1998.
Dr Chelsea Bond
Dr Elana Taipapaki Curtis
Senior Lecturer with the Aboriginal and Torres
Strait Islander Studies Unit – The University of
Queensland
Ngāti Rongomai, Ngāti Pikiao, Te Arawa
Public Health Physician and Senior Lecturer
Te Kupenga Hauora Māori – The University of
Auckland.
Dr Chelsea Bond is an Aboriginal
(Munanjahli) and South Sea Islander
Australian and a Senior Lecturer with the
Aboriginal and Torres Strait Islander Studies Unit. Born and
raised in Brisbane, Dr Bond has worked as an Aboriginal health
worker and researcher in communities across south-east
Queensland for over 15 years. Dr Bond’s work has focused on
interpreting and privileging indigenous experiences of health
and the health care system, including critically examining the
role of Aboriginal health workers, the narratives of indigeneity
produced within public health, and advocating for strengthbased community development approaches to indigenous
health promotion practice. Her PhD research,which examined
the disjuncture between indigenous and public health
narratives of identity in an urban Aboriginal community, was
awarded a Dean’s Commendation for Academic Excellence,
placing her among the top 10 per cent of her graduating
year. Dr Bond has published a number of papers in regards to
indigenous health promotion practice, social capital, and the
conceptualisation of Aboriginality within public health, and
has been awarded such honours as NAIDOC Scholar of the
Year, UQ Young Alumnus, and Congress Lowitja’s Emerging
Indigenous Health Researcher. Dr Bond is a member of the
Australian Health Promotion Association of Australia, a
founding board member of Inala Wangarra (an Indigenous
community development association within her own
community), a Visiting Research Fellow with the School of
Social Work and Public Health at the University of Queensland,
and a proud mum to five beautiful children.
Associate Professor Papaarangi Reid
Te Rarawa
Tumuaki – Deputy Dean Māori and Head of
Department Te Kupenga Hauora Māori – The
University of Auckland
Associate Professor Papaarangi Reid is
Tumuaki and Head of Department of Māori
Health at the Faculty of Medical and Health Sciences, at the
University of Auckland. She holds science and medical degrees
from the University of Auckland and is a specialist in public
health medicine. She has tribal affiliations to Te Rarawa in
the Far North of Aotearoa, and her research interests include
analysing disparities between indigenous and non-indigenous
citizens as a means of monitoring government commitment to
indigenous rights.
As Director of Vision 20:20, Dr Elana
Taipapaki Curtis has leadership responsibility
for the Whakapiki Ake Project (Māori recruitment), the
CertHSc (Māori and Pacific foundation education) and MAPAS
(Māori and Pacific Admission Scheme). In 2004–2005, Dr
Curtis was a Harkness Fellow in healthcare policy based at
the University of California (San Francisco), investigating
ethnic disparities in breast cancer mortality and survival.
She has previously worked at the National Screening Unit,
Ministry of Health (Māori:non-Māori disparities in breast
cancer epidemiology) and Te Rōpū Rangahau Hauora a Eru
Pomare, University of Otago (ethnic disparities in access to
invasive cardiovascular procedures/caesarean sections). Dr
Curtis is currently working towards her MD focused on Māori
and Pacific health workforce development within a tertiary
education context. She is proud mum and step-mum to three
beautiful kōtiro – Bryanna (14 years), Taipapaki (6 years) and
Iritekura (3 years).
Associate Professor Beverley Lawton, ONZM
Ngāti Porou
Director and Senior Research Fellow, Women’s
Health Research Centre – University of Otago,
Wellington
Associate Professor Lawton trained at Otago
Medical School. She worked as a general
practitioner in Newtown, Wellington, for 17 years and cofounded the Wellington menopause clinic. These experiences
led to an interest in research to answer the many questions
relevant to women’s health. She established the Women’s
Health Research Centre, University of Otago. In 2004, Associate
Professor Lawton was made an Officer of the New Zealand
Order of Merit for services to women’s health. She is currently a
member of the National Maternal Monitoring Group, member
of the National Kaitiaki group for the cervical screening
programme, Co-Chair of the International Indigenous HPV
Alliance, and past member of the New Zealand Perinatal
Maternal Mortality Committee. Her areas of research interest
include: women’s health with specific focus on sexual and
reproductive health; mid-life health and menopause; diabetes
and heart disease risk; clinical trials; Māori health and
inequalities; Kaupapa Māori research; and maternal and infant
health.
Hui Whakapiripiri 2014 July 8 - 10
9
Ms Bernadette Jones, Dr Tristram Ingham and Ms Cheryl Davies
Panel Presentation
Ms Bernadette Jones
Ngāti Apa, Nga Wairiki
Research Fellow and Lecturer – University of Otago, Wellington
Bernadette Jones has worked for the University of Otago, Wellington, for the past 10 years and is currently
a Research Fellow and Lecturer in Hauora Māori. She trained at Wellington Hospital as a registered nurse
specialising in intensive care and paediatrics, practising in both New Zealand and Australia. As well as
coordinating clinical trials, Mrs Jones has been involved in a variety of Māori community partnership projects. The
disparities for Māori in chronic respiratory diseases led to her focus on the reduction of these disparities, with a particular focus on
involving the Māori community in partnership with her research. Her current studies include ‘Māori Health Literacy’ (funded by the
Ministry of Health and Asthma Foundation) and ‘Supporting Māori Tamariki with Asthma in Schools’, a HRC-funded project.
Dr Tristram Ingham
Ngāti Kahungunu, Ngāti Porou
Senior Research Fellow, Department of Medicine – University of Otago, Wellington
Dr Tristram Ingham is a Senior Research Fellow in the Department of Medicine at the University of Otago,
Wellington. He has led a number of large epidemiological and clinical studies. His major research interests are
respiratory health, with a focus on the burden of disease among Māori. He is on a number of advisory committees
within the Capital Coast District Health Board and works closely with Māori health providers to support their
community-based research. Dr Ingham is currently leading two studies funded by the HRC. These include exploring the risk factors
for children hospitalised with acute respiratory infections, and the role of vitamin D and housing in respiratory health.
Ms Cheryl Davies
Ngāti Raukawa
Manager – Tu Kotahi Māori Asthma Trust
Ms Cheryl Davies has worked in the Māori health sector for the past 25 years. Eighteen years ago, she was
instrumental in establishing the first Māori Asthma Society in the country and has been with the same
organisation to watch its fruition into contributing to and making a difference for Māori, particularly those with
respiratory conditions. Her research was recognised in the establishment of Tu Kotahi as being an essential
component to the Māori health services they were providing for the community. Over the past 13 years, Ms Davies has been an
investigator for a number of research projects focused on Māori and respiratory, housing, cancer and smoking. She is a keen
advocate for Kaupapa Māori-based methods of research that ensure Māori providers and the Māori community are able to develop
meaningful and reciprocal relationships with the many different facets of research.
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July 8 - 10 Hui Whakapiripiri 2014
Whakapakari Whānau | HRC Writing Workshop
Tuesday, 8 July 2014
Over the past three years the HRC
has seen a significant increase in the
numbers and the quality of funding
applications for the Māori health
research career development awards
and funding round initiatives. The
Māori health research roadshows and
writing workshops have shown to be
a contributing factor to the increase
in applications. Participants in the
writing workshops receive up-to-date
information from those that have
experience and have been successful
in applying for, and assessing, various
funding initiatives.
The writing workshops focus on the HRC
structure, application and assessment
process and the do’s and do not’s of
application writing. There is also a
practical component where participants
can bring a key research question to
work on.
10:00am - 10:15am
Arrival (tea and coffee)
Horizon Lounge
Ground Level
10:15am - 10:45am
Whakawhanaungatanga
Banquet Room 2
Ground Level
10:45am - 11:30am
Background
Developing the research question
Methods
Timeline
Banquet Room 2
Ground Level
11:30am - 12:00pm
Light refreshments
Horizon Lounge
Ground Level
12:15pm - 1:45pm
Bringing a research team together/
collaborations
Budgets
Ethics
Dissemination
HRC Gateway for uploading
Reporting
Reviews and rebuttals
Key dates
Banquet Room 2
Ground Level
1:45pm - 2:00pm
Break (tea and coffee)
Horizon Lounge
Ground Level
2:00pm - 3:00pm
One on one with researchers
Banquet Room 2
Ground Level
Hui Whakapiripiri 2014 July 8 - 10
11
Ngā mahi o te hui | Hui Programme
Day One: Wednesday, 9 July 2014
12
7:45am - 8:25am
Arrival/Registration
8:25am
Assemble in the foyer for powhiri protocol
8:30am - 9:30am
Powhiri – Mr Beau Haereroa
9:40am - 10:15am
Welcome and directions for the day
Professor Linda Tuhiwai Smith, CNZM
Opening address: Sir Robert Stewart, KNZM
Foyer
Banquet Room
Ground Level
10:30am - 11:00am Morning tea
Exhibition Hall
Ground Level
11:15am - 11:45am
Keynote Speaker: Dr Chelsea Bond
Facilitator: Dr Amohia Boulton
Banquet Room
Ground Level
12:00pm - 1:00pm
SESSION ONE
Stream One: Transformative Research Practice
Facilitator: Dr Will Edwards
Dr Meihana Durie
Te Papa o te ora: Mātauranga Māori as a basis for Māori health and wellness
Dr Huhana Hickey
Whānau Hauā identity: Integrating the intersectional nature of indigeneity and disability identity
frameworks
Dr Isaac Warbrick
Gaining weight but improving ‘health’ anyway: The impact of exercise on the well-being of Māori men
Banquet Room
Ground Level
Stream Two: Māori Methodologies
Facilitator: Dr Mera Penehira
Ms Gill Potaka-Osborne and Dr Amohia Boulton
A picture is worth a thousand words: The use of imagery in qualitative research methodology
Ms Anna Dawson
The key concepts and content of a cultural competence intervention
Dr Glenis Mark
Health treatment aspiration, Rongoā Māori inspiration, and photo methodology innovation
Conference Room 1
Mezzanine Level
Stream Three: Knowledge Translation
Facilitator: Dr Kahu McClintock
Ms Rachel McClintock
An exploration of taiohi Māori: Rites of passage
Mr David Patterson
Urban design, mental health and Māori
Dr Laurie Morrison and Ms Mahina Rerehau-Richards
Deconstructing gambling misuse using the Ngā Pou Wāhine Intervention wānanga to assist wāhine
Māori to reduce gambling harm to improve their well-being for whānau ora
Conference Room 2 and 3
Mezzanine Level
Stream Four: Building Māori Health Research Capacity and Capability
Facilitator: Dr Maureen Holdaway
Ms Te Moana Campbell-Knowles
Whānau Ora – Whānau-centred engagement and provision
Dr Louise Parr-Brownlie
Lighting the way for improved brain stimulation protocols to treat Parkinson’s disease
Dr Sue Crengle and Dr Terryann Clark
Trends in Māori youth health 2001-2012: Results from the Youth2000 national health and well-being
surveys
Promenade Room
Lower Level
Stream Five: Promoting Ethical Processes
Facilitator: Mr Maui Hudson
Ms Charrissa Makowharemahihi
Developing a kaupapa Māori research project to reduce disparities for young Māori women and their
babies
Mr Jonathan Kilgour and Ms Okeroa Karyn McRae
The value of relevant research methodologies for iwi: Using community researchers as a means of
increasing the relevance and ownership of research in communities
Ms Moe Milne and Professor Khyla Russell
Cultural constructs and biobanking
Carbine Room
Ground Level
July 8 - 10 Hui Whakapiripiri 2014
1:15pm - 1:45pm
Lunch
2:00pm - 3:00pm
SESSION TWO
Stream One: Transformative Research Practice
Facilitator: Dr Matire Harwood
Mr Paul Davis
New Zealand paramedics are ready for an autonomous pre-hospital thrombolysis protocol
Associate Professor Denise Wilson
Connectedness and confidence: Wāhine Māori and safety
Dr Karen Brewer
Beginning the development of a kaupapa Māori intervention for stroke-related communication
disorders
Stream Two: Māori Methodologies
Facilitator: Ms Justine Camp
Miss Jodi Porter
Ka pioioi i te tihi o ngā Kahikatea. Measuring Ngai Tai aspirations for vitality
Dr Nina Scott
Māori prostate cancer politics; stories from the trenches
Dr Will Edwards and Dr Reremoana Theodore
Te Kura mai i Tawhiti. A lifecourse approach to health and well-being
Stream Three: Knowledge Translation
Facilitator: Mr Jordan Waiti
Mr Kimiora Henare
Re-educating the tumour stroma for the treatment of cancer
Dr Geoff Kira
Te whānau matemoe – Results at six months from the sleepy family study
Mr Andrew Sporle
Health statistics: The good, the bad and the free
Exhibition Hall
Ground Level
Conference Room 1
Mezzanine Level
Conference Room 2 and 3
Mezzanine Level
Promenade Room
Lower Level
Stream Four: Building Māori Health Research Capacity and Capability
Facilitator: Dr Isaac Warbrick
Dr Simon Lambert
Tangata Whairoa: Geographies of care post-disaster
Mr Trevor Clark
What has sport got to do with health?
Dr Anneka Anderson and Dr Phillipa Malpas
We all have a role: Exploring the challenges and rewards of working within a collaborative kaupapa
Māori consistent research project on physician-assisted dying
Carbine Room
Ground Level
Stream Five: Panel Presentation
Facilitator: Dr Paul Reynolds
Dr Rebecca Wirihana, Ms Helena Rattray, Dr Lily George, Mr Andre Mclachlan, Ms Caroll
Aupouri-McLean
Encouraging healing by validating historical trauma
Banquet Room
Ground Level
3:15pm - 3:45pm
Afternoon tea
Exhibition Hall
Ground Level
4:00pm - 4:30pm
Keynote panel: Ms Bernadette Jones, Dr Tristram Ingham and Ms Cheryl Davies
Facilitator: Dr Te Kani Kingi
Banquet Room
Ground Level
4:30pm - 4:45pm
Summary of the day: Professor Linda Tuhiwai Smith, CNZM
Banquet Room
Ground Level
6:15pm - 6:45pm
Pre-dinner mix and mingle
Horizon Lounge
Ground level
7:00pm
Dinner starts
Banquet Room
Ground Level
7:30pm
Conference Dinner Speaker: Dr Lance O’Sullivan (2014 New Zealander of the Year)
Facilitator: Dr Meihana Durie
Banquet Room
Ground Level
8:30pm - Late
Entertainment Band – Urban Drift
Banquet Room
Ground Level
Hui Whakapiripiri 2014 July 8 - 10
13
Nau te rourou, naku te rourou
Ka ora te mahi Rangahau | Abstracts
Day One: Wednesday, 9 July 2014
SESSION ONE
Presenter: Dr Meihana Durie
Rangitāne; Ngāti Kauwhata; Ngāti Porou; Ngāi Tahu; Rongowhakaata
Ngā Purapura – Te Wānanga o Raukawa
Te Papa o te ora: Mātauranga Māori as a basis
for Māori health and wellness
The potential for the application of Mātauranga Māori (Māori
Knowledge) to drive tangible and enduring outcomes in
Māori health and wellness is yet to be fully realised. This
presentation, Te Papa o Te Ora, advances the position that
significant gains in Māori health and wellness will occur when
initiatives are underpinned and driven by:
• Identifiable values (kaupapa) fundamental to Māori
cultural identity
• The application of Māori theoretical frameworks relevant to
health and wellness
• Integration of Māori cultural practices that are specific
to health promotion, enhanced participation and risk
mitigation
• Research that positions Mātauranga Māori as the basis for
enabling enhanced and tangible outcomes in Māori health
and wellness
Case studies will demonstrate the application of this approach
to Māori communities and will emphasise the interface
that exists between Mātauranga Māori, Science and Health
Promotion. Whereas conventional initiatives often focus
on the problem, this presentation highlights the benefits of
placing emphasis upon common Māori values and aspirations.
Presenter: Dr Huhana Hickey
Waikato (Ngāti-Tahinga), Whakatōhea (Ngai Tai)
AUT University
Whānau Hauā identity: Integrating the
intersectional nature of indigeneity and
disability identity frameworks
In recent years, disability as an identity discourse has
developed from the medical, social work and rehabilitation
fields into what are now seen as identity-based critical
fields of study, as are women’s studies and queer-based
studies. The disability identity work has also begun to
increase the recognition and knowledge of the diversity
that exists within our different communities. With this
increasing knowledge has also come an understanding of the
complicated factors that have an impact on these different
identity frameworks. The identity of indigenous people with
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July 8 - 10 Hui Whakapiripiri 2014
disabilities is inextricably linked to ethnicity and gender
status and yet little research has been carried out to explore
these intersectionalities and their impact on the well being
of indigenous people with disabilities. Research undertaken
to date has been from a provider’s perspective and focuses
on how to provide culturally appropriate services regarding
the health status of indigenous peoples. Little analysis has
been done from the position of identity around indigeneity
and disability. Drawing on research with Māori whānau with
disabilities, this presentation focuses on whānau hauā identity
using indigenous and western disability paradigms.
Presenter: Dr Isaac Warbrick
Ngāti Rangitihi, Ngāti Whakaue, Ngāti Te Ata, Ngāpuhi
Massey University, Palmerston North
Gaining weight but improving ‘health’ anyway:
The impact of exercise on the well-being of
Māori men
The success of exercise and nutrition interventions for Māori
are often measured by the amount of weight lost, but is
‘weight’ a true measure of ‘health’ in Māori men? How does
measuring weight align with a Māori view of ‘health’, or are
there more culturally relevant ways to assess the success of
health interventions? Is it even ethical to measure weight?
Thirty ‘sedentary’ Māori men, between 28 and 50 years (BMI
>25), were randomly assigned to one of two 12-week exercise
programmes. Group discussions took place after completing
the programs to assess the programme’s impact on markers
of overall well-being. These discussions revealed that
participation in a ‘kaupapa-enhanced’ exercise programme
impacted positively on many aspects of well-being and
lifestyle, from relationships with spouse and children, to
workplace productivity and mood. Results also suggest that
the approach used and the social environment established
within an intervention is more important to participants than
the method of exercise, and perhaps even the quantifiable
results.
Presenter: Ms Gill Potaka-Osborne
Te Atihaunui a Paparangi
Whakauae Research for Māori Health and Development
Co-presenter: Dr Amohia Boulton
Ngāti Ranginui, Ngai te Rangi, Ngāti Pukenga, Ngāti Mutunga
Whakauae Research for Māori Health and Development
A picture is worth a thousand words: The use of
imagery in qualitative research methodology
In 2011 Te Puni Kōkiri selected Whakauae Research for Māori
Health and Development to work alongside three health
service providers to evaluate their Whānau Ora programmes.
One of these, Te Taiwhenua o Heretaunga, is currently
in the final phase of research. An important objective of
the evaluation is to describe the impact of the Whānau
Ora programme on whānau themselves. Using methods
framed from a Māori-centred research approach, Whakauae
researchers completed qualitative interviews with engaged
whānau. The data describing their respective ‘whānau ora’
journeys was then analysed and translated into diagrams
to provide a visual representation of whānau ora; one that
could be easily read and understood by the evaluation’s
commissioners. Due to the success of the vignettes in
illustrating the whānau ora journey, we subsequently modified
and improved them, drawing particularly from the PATH
(Planning Alternative Tomorrows with Hope) tool (1.Pipi, 2010).
In our presentation we will discuss the method we devised
first to develop the whānau ora vignettes and then describe
the modifications we made as the evaluation continued.
We conclude that the method has been very successful for
commissioners and whānau alike; providing participants with
a voice and researchers and funders with a powerful portrait of
the impacts of whānau ora.
1. Pipi, K. (2010). The PATH Planning Tool and its Potential for Whanau
Research. MAI Review(3)
school), which focused on three particular elements of
cultural competency: awareness, knowledge and action. The
main findings are discussed in relation to the participant’s
experiences of cultural awareness, cultural knowledge and
cultural action. A number of recommendations relating
to researchers, academics and health professionals will be
presented for future research.
References:
1. Papadopoulos, I, Promoting culturally competent research, in Transcultural
Health and Social Care. Development of Cultural Competent Practitioners, I.
Papadopoulos, Editor 2006, Elsevier. p. 85-98.
2. Papadopoulos, I and S. Lees, Developing culturally competent researchers.
Journal of Advanced Nursing, 2002. 37(3): p. 258-264.
Presenter: Dr Glenis Mark
Ngāpuhi, Tainui, Ngāi Tahu
Whakauae Research for Māori Health and Development
Health treatment aspiration, Rongoā Māori
inspiration, and photo methodology innovation
This research explores Māori cultural perspectives of health
and illness, and how these contribute to health treatment
choices. Participants were asked to complete two semistructured interviews; take photographs with a digital
camera representing their perspectives on health and health
services; and keep a research diary of their thoughts about
the meaning of these images. The innovative creation of
“Māori-voice” or the voice of Māori through photo storytelling
used adapted photovoice methods to provide several ways
for Māori participants to express their views, orally, in written
form as well as pictorially. Results showed that Māori preferred
self-care practices when they become ill, which included
the use of rongoā Māori but they also understood the need
to use Western medicine and mainstream health clinics as
a last resort. The aspirations of health treatment change
were inspired by rongoā Māori stories, told through photo
methodology innovation.
Presenter: Ms Anna Dawson
Kāi Tahu
University of Otago
Other authors:
Rosalina Richards
Joanne Baxter
Samoan
University of Otago
Kāi Tahu, Ngāti Apa ki te Rā Tō
University of Otago
The key concepts and content of a cultural
competence intervention
There is a growing appreciation that health researchers should
have a basic understanding of culture and in New Zealand
particular emphasis is placed on the responsiveness to Māori
and their unique culture. Māori are the indigenous people
of New Zealand, constituting about 15 per cent of the total
population. In Britain a model has been developed specifically
for researchers. The model consists of four concepts: cultural
awareness, cultural knowledge, cultural sensitivity and cultural
competence [1]. Based on Papadopoulos et als theoretical
frameworks, [2] an intervention was developed which was
tailored specifically for a small group of researchers working
within the Cancer Society Social and Behavioural Research Unit
(SBRU). The intervention consisted of three Wanaka (Training
Days), held at te Kura Kaupapa o Ōtepoti (Māori full immersion
Hui Whakapiripiri 2014 July 8 - 10
15
Presenter: Ms Rachel McClintock
Presenter: Dr Laurie Morrison
Waikato/Ngāti Maniapoto, Ngāti Porou
Te Runanga o Kirikiriroa
Ngāti Whakaue, Te Arawa
Taupua Waiora Māori Health Research Centre
Other authors:
Co-presenter: Ms Mahina Rerehau-Richards
Mere Blazer
Keri Thompson
Te Arawa, Ngāti Raukawa, Ngāti
Ranginui
Te Rūnanga o Kirikiriroa
Tainui, Ngāti Haua, Ngāti Maniapoto,
Te Atiawa
Ngāti Haua Mahi Trust
Michelle Levy
Arianna Waller
Tainui, Ngāti Mahuta
Te Rau Matatini National Māori
Health Workforce Organisation
Ngai Te Rangi, Ngāti Ranginui
University of Otago
An exploration of taiohi Māori: Rites of passage
This presentation will share the findings from a Kaupapa
Māori, strengths-based research project which sought to
provide a better understanding of the concept of rites of
passage in a contemporary Māori society. Using photovoice,
the project explored what is in communities that assist Māori
taiohi (adolescent) in their transition to adulthood. The aim of
the study was to inform the development of culturally specific,
solution-orientated strategies and policies which will enhance
the capacity of Māori whānau (family/lies) to support their
taiohi.
Presenter: Mr David Patterson
Ngāti Whakaue, Ngāi te Rangi
The University of Auckland
Urban design, mental health and Māori
The relationships between urban design, mental health and
Māori are explored. How might the city be better designed to
include provision for people in a state of mental distress? What
is the Māori world view as it relates to tāngata whaiora and
their interpretation and existence in our urban centres? How
do experts in the areas of Māori mental health, anthropology,
architecture and urban design, along with traditional Tohunga,
see the city as an ideological and physical entity? How does
their experience working with whaiora, and observing the best
environments for such people, inform their opinion of the way
forward? The ideas discussed aim to flex the perspectives of
the audience in terms of the current situation for those Māori
with mental health challenges, inspired by the experience of
the author who lives with bipolar disorder. The author is of Te
Arawa and Ngā te Rangi descent, so comes from a position of
experiential knowledge. It is a personal driving force of the
author to ensure that people in the same situation he found
himself in his late teens get through their struggles and grow
into fully functioning, constructive, positive influences on
themselves, their whānau, and their communities.
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July 8 - 10 Hui Whakapiripiri 2014
Waiohua, Waikato
Raukura Hauora o Tainui Trust
Deconstructing gambling misuse using the Ngā
Pou Wāhine Intervention wānanga to assist
wāhine Māori to reduce gambling harm to
improve their well-being for whānau ora
Current surveys and prevalence studies consistently provide
evidence that indicate wāhine Māori, are an “at-risk group”.
They are a population with relatively high rates of poverty,
spend disproportionately large amounts of their income on
pokie machines and have relatively poorer health status. The
Ngā Pou Wāhine Intervention wānanga was based in Te Ao
Māori and used eight pou (posts) to depict a process for change
towards self-empowerment following gambling misuse.
The first four pou was used to determine their potential. The
remaining four will guide strengthening the potential of the
wāhine to achieve whānau ora. Thirty five wāhine Māori in
Auckland and the Bay of Plenty region participated in the
wānanga. Kaupapa Māori principles and qualitative approach
using interview schedules, workbooks and photo-voice, were
digitally recorded and transcribed. Inductive analysis was
used to identify themes and In-vivo codes were used to name
the themes. The themes included: family affair; planting the
seed; a living hell; escaping everyday reality; change from
within. Our findings confirmed the symbols were practical and
relevant to Māori culture for wāhine to address, stop or reduce
gambling misuse. Limitation and recommendations suggested
by wāhine for the continuity of the wānanga will be discussed.
Presenter: Ms Te Moana Campbell-Knowles
Ngāti Ruanui, Ngaruahinerangi, Tangahoe
Te Kupenga Matauranga o Taranaki
real brain activity, we may optimise movement recovery,
reduce side effects and improve the quality of life for affected
kaumātua and kuia. This new technology may one day replace
electrical stimulation to treat Parkinson’s disease.
Other author:
Presenter: Dr Sue Crengle
Mihi Ratima
Whakatōhea, Ngāti Awa
Te Kupenga Mātauranga o Taranaki
Kāi Tahu, Kāti Mamoe, Waitaha
Waitemata District Health Board
Whānau Ora – Whānau-centred engagement
and provision
Ngāpuhi
The University of Auckland
Whānau Ora has a high level of political support currently
as a framework for health service delivery. However, there
is a lack of consistency in the way the concept is understood
and applied within the sector among mainstream and
Māori providers. This presentation provides an overview of
research findings from a project that investigated from a
whānau perspective: the meaning of Whānau Ora as it relates
to health; key issues in localised Whānau Ora provision in
health; characteristics of a whānau driven framework for
health service provider engagement with whānau; and
the characteristics of robust localised Whānau Ora health
service provision. The research involved a literature review,
community-based wānanga with Tangahoe (a South Taranaki
iwi) whānau, interviews with Tangahoe whānau members and
interviews with other Whānau Ora stakeholders including
health service providers. While the research was carried out
through a Tangahoe lens, findings are likely to be of high
relevance to other iwi and Māori community groups.
Presenter: Dr Louise Parr-Brownlie
Ngāti Maniapoto, Ngāti Pikiao
University of Otago
Other authors:
Clementine Bosch-Bouju
Brian Hyland
University of Otago
University of Otago
Co-presenter: Dr Terryann Clark
Other authors:
Adolescent Health Research Group
The University of Auckland
Trends in Māori youth health 2001-2012: Results
from the Youth2000 national health and wellbeing surveys
Aim: To report trends in major health and well-being
indicators for Māori youth in secondary schools between the
2001 and 2012. Methods: The Youth2000 survey series has
provided comprehensive and representative data about the
health and well-being of New Zealand youth in secondary
schools in 2001, 2007 and 2012. This presentation will describe
the prevalence of various health indicators for Māori youth
compared over the three survey waves to identify trends.
Results: There have been significant improvements in
health status for Māori youth since 2001. Despite these
improvements, there remain significant and persistent
disparities when comparing Māori youth to their New Zealand
European/Pākehā peers. Conclusions: While considerable
progress is being made for Māori youth well-being, continued
work to address heath disparities is required alongside
culturally relevant and evidence-based interventions.
Stephanie Hughes
University of Otago
Lighting the way for improved brain stimulation
protocols to treat Parkinson’s disease
Parkinson’s disease is a neurological disorder that primarily
affects older people and causes slowness of movement,
resting tremor and postural instability. Following loss of
the chemical dopamine in the brain, activity is altered
throughout motor pathways. While drugs and electrical
stimulation effectively treat movement deficits, they also
cause unwanted side effects in many patients. Our goal is to
improve treatment options for patients by identifying new
brain targets and stimulation protocols that restore normal
activity in the brain and movements with minimal side effects.
We are using optogenetic technology that enables light to
activate very specific groups of brain cells and we are applying
activity associated with normal reaching movements into the
parkinsonian brain. Using optogenetic stimulation we are able
to improve reaching performance and effects are significantly
better than conventional stimulation protocols currently used
on patients. Our results indicate that the pattern of stimulation
is critical and by applying stimulation patterns that mimic
Hui Whakapiripiri 2014 July 8 - 10
17
Presenter: Ms Charrissa Makowharemahihi
Presenter: Mr Jonathan Kilgour
Ngāti Kahungunu, Ngāti Tūwharetoa, Waikato
University of Otago, Wellington
Rereahu, Ngā Rauru
Waikato-Tainui College for Research and Development
Other authors:
Co-presenter: Ms Okeroa Karyn McRae
Beverley Lawton, ONZM
Selina Brown
Ngāti Porou
University of Otago, Wellington
University of Otago, Wellington
Fiona Cram
Ngāti Kahungunu
Katoa Ltd
Tina Ngata
Pa Warihi Campbell
Ngāti Porou
Bridget Robson
Ngāti Raukawa
University of Otago, Wellington
Ngāti Porou
University of Otago, Wellington
Developing a kaupapa Māori research project to
reduce disparities for young Māori women and
their babies
Young Māori mothers experience stigma and their babies
experience poor health outcomes. Interventions to reduce
these health disparities need to understand the lives of
these young women. ‘E Hine’ is a kaupapa Māori qualitative
study that explores the lived realities of young Māori women
<20 years and their infants. This presentation will describe
the consultation processes employed preparatory to, and
throughout the study, to seek agreement to undertake the
research with young Māori mothers to be conducted in two
regions (Hawke’s Bay and Wellington). Consultation occurred
with tribal authorities, Māori health providers, district health
boards, and community stakeholders. Endorsement was
gained for strength-based research with young pregnant Māori
women and their babies. The research also included service
provider interviews, and analysis of policy and the strategic
environment. Project oversight is by three advisory groups:
Kāhui Kaumatua, Roopu Māmā, and an Academic Technical
advisory group. Community feedback occurs throughout
the project. Consultation is an ongoing process conducted
within a relationship context. It enhances the development,
implementation and translation of research that seeks to
represent the lives of those who are vulnerable, and eliminate
health disparities.
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July 8 - 10 Hui Whakapiripiri 2014
Te Arawa
Waikato-Tainui College for Research and Development
The value of relevant research methodologies
for iwi: Using community researchers as
a means of increasing the relevance and
ownership of research in communities
This presentation discusses the engagement and use of
community researchers in He Whakaoranga, a HRC-funded
project that investigates cultural connectedness and its
relationship to wellbeing from a Waikato-Tainui perspective.
Community researchers were commissioned from across
marae clusters within Waikato-Tainui and engaged because of
their existing relationships within the tribe. Researchers from
the communities being researched added to the credibility of
the project, increased participant trust in the research process
and enabled the communities to be participants rather than
subjects. It also provided an opportunity for capability building
for people who had varying degrees of research experience.
This research describes the methodology employed in
the project and the experiences of the project team in
implementing the research.
Presenter: Ms Moe Milne
Ngāti Hine
Te Moemoea
Co-presenter: Professor Khyla Russell
Ngāi Tahu
Otago Polytechnic
Cultural constructs and biobanking
Te Mata Ira: Informing cultural guidelines on biobanking and
genomic Research is a HRC-funded research project exploring
Māori views on biobanking and genomic research. Biomedical
research projects use human tissue to help understand disease
processes and responses to treatments. Māori individuals
continue to agree for their tissue to be used for health research
in a variety of contexts. Māori communities have expressed a
number of concerns about how consent is gained and what
happens to the tissue, which is commonly stored within
biobanks and has often been consented for genetic research.
This presentation will share the Māori cultural constructs that
have been used by participants to inform their views on human
tissue collection and its use in future biomedical research.
SESSION TWO
Presenter: Mr Paul Davis
Te Runanga o Te Rarawa
St John Ambulance
AUT University
Presenter: Associate Professor Denise Wilson
Ngāti Tahinga (Tainui)
AUT University
Other author:
Debra Jackson
University of Technology, Sydney
Connectedness and confidence: Wāhine Māori
and safety
Other authors:
Graham Howie
Bronwyn Tunnage
AUT University
AUT University
Bridget Dicker
St John Ambulance Service
New Zealand paramedics are ready for an
autonomous pre-hospital thrombolysis protocol
Objective: To investigate if current paramedic education
in New Zealand is sufficient for the introduction of an
autonomous paramedic clinical decision-making model of prehospital thrombolysis (PHT) administration for ST-elevation
myocardial infarction patients. Methods: A one hour workshop
introduced a new PHT protocol to 81 self-selected paramedics,
who were then tested in protocol application, using four
written scenarios that required 12-lead electrocardiogram
(ECG) interpretation, understanding of protocol inclusion/
exclusion criteria, and rationale. Ten multiple-choice questions
probed cardiac knowledge and protocol detail.
Results: Clinical decision-making (identifying each scenario
and treating appropriately) showed a sensitivity of 92.0%
(95% CI: 84.8-96.5), and a specificity of 95.6% (95% CI:
89.1-98.8). Misinterpretation of the 12-lead ECG was the
commonest error, with Bundle Branch Blocks (BBBs) and Left
Ventricular Hypertrophy (LVH) misinterpreted most often.
University educated paramedics were significantly better
at clinical decision-making than in-house industry trained
paramedics (p = 0.001), as were Advanced Life Support (ALS)
paramedics compared to paramedics of lesser qualification
(p = 0.001). Conclusions: New Zealand paramedics have a
sound 12-lead ECG and cardiac knowledge base, sufficient
for the introduction of a new autonomous paramedic PHT
protocol. BBBs and LVH should be revised. Recent changes in
paramedic education toward university degree programmes
are supported.
Wāhine Māori (indigenous people of Aotearoa New
Zealand) are the kaitiaki of whānau (extended family) and
have important roles in whānau wellbeing and the intergenerational transmission of information and strategies for
safety. Little is known in the literature about how women,
in general, view safety – how they learn about it, how they
keep themselves safe, and how they pass safety messages
and advice onto other women. We asked, what are the
thoughts and understandings of wāhine on safety? We used
a Māori-centred life story approach to conduct qualitative
semi-structured interviews. We interviewed 20 wāhine
aged between 18 and 70 years, about their views on safety
particularly the strategies they used to keep themselves
safe. Transcribed interviews were thematically analysed.
Four themes were identified: Feeling safe, keeping safe, keeping
others safe and feeling unsafe. We will share the findings that
provide insight about the strengths wāhine have regarding
safety, keeping safe and transmitting information to keep
others safe. We will also present our concerns about these
wāhine’s exposure to ongoing daily racism and discrimination,
particularly in their workplaces. The significance of these
findings for building on wāhine Māori strengths and existing
strategies will be discussed.
Presenter: Dr Karen Brewer
Ngāi Te Rangi, Whakatōhea
The University of Auckland
Other authors:
Matire Harwood
Clare McCann
Ngāpuhi
The University of Auckland
The University of Auckland
Beginning the development of a kaupapa Māori
intervention for stroke-related communication
disorders
Aphasia (a language disorder, most commonly caused by
stroke) has a profound impact on Māori whānau. We present
the findings of a kaupapa Māori research programme about
the experiences of Māori with aphasia, their whānau and
speech-language therapists (SLTs). We also discuss the
application of these findings to transform practice; the
development of a kaupapa Māori intervention for strokerelated communication disorders. Interviews with 11 whānau
living with aphasia and 10 SLTs revealed many similarities
between the needs of whānau with aphasia and SLTs. Māori
with aphasia and whānau members are seeking: Information
about stroke, communication disorders and the role of the
SLT; culturally-safe guidance from SLTs to enable the whānau
to enhance communication and take responsibility for
rehabilitation; and language therapy provided in a suitable
Hui Whakapiripiri 2014 July 8 - 10
19
location using resources that reflect their world view and
identity. SLTs are seeking: Training focused on working with
Māori whānau; Māori colleagues to guide their work with
whānau; a workplace culture that allows time to practise in a
culturally safe manner; and language therapy resources that
reflect the world view and identity of Māori patients. Because
these needs are similar, addressing them in parallel, as in the
intervention research, is likely to have considerable impact.
Presenter: Dr Will Edwards
Taranaki, Ngāruahine, Tāngahoe, Pakakohi, Ngāti Ruanui
Te Pou Tiringa
Co-presenter: Dr Reremoana Theodore
Ngāpuhi, Te Arawa
National Centre for Lifecourse Research
Other authors:
Presenter: Miss Jodi Porter
Ngai Tai, Whakatōhea, Te Whānau-a-Apanui, Ngāti Porou
Massey University, Palmerston North
Ka pioioi i te tihi o ngā Kahikatea. Measuring
Ngai Tai aspirations for vitality
Central to the concept of iwi vitality is the notion that iwi
are able to actively determine what matters to them from a
mana whenua perspective. An iwi perspective privileges iwi
ways of knowing and being, and maintains iwi integrity by
asserting an iwi world view that acknowledges iwi are at the
centre of determining their own vitality. This research argues
that progress towards the achievement of iwi vitality can
be measured in a way that is consistent with iwi values and
aspirations. A key focus of this research was to explore what
it means to be well as Ngai Tai and contributed towards the
development of a Ngai Tai Vitality Outcomes Framework.
This framework provides a mechanism through which Ngai
Tai, and potentially other iwi, are able to align their efforts
towards identified iwi-specific vitality outcomes, effectively
monitor what matters to them and plan for the future towards
the realisation of iwi vitality. The research involved wānanga
at Torere Marae with Ngai Tai participants and 14 ‘expert’
interviews.
Presenter: Dr Nina Scott
Ngāti Whātua, Waikato
Waikato District Health Board
Māori prostate cancer politics; stories from the
trenches
In 2009, a Māori public health physician was appointed to
the role of advisor to a Select Committee Inquiry into prostate
cancer, and so began a long journey in the realms of politics,
the media, millions of dollars into research, accusations of
racism, trouble and consternation. As well as giving a brief
overview of why prostate cancer screening for Māori men is a
catch 22 situation, this presentation will trace recent progress
on cancer control actions for Māori prostate cancer. Hindrances
to progressing Māori prostate cancer control will also be
discussed, including the function of institutional racism as a
determinant of Māori prostate cancer control.
20
July 8 - 10 Hui Whakapiripiri 2014
Aroaro Tamati
Mihi Ratima
Taranaki, Ngāti Ruanui, Te Atiawa, Te
Whanau-ā-Apanui
Te Pou Tiringa
Whakatōhea, Ngāti Awa
Te Pou Tiringa
Erana Hond-Flavell
Taranaki, Ngāti Ruanui, Te Atiawa, Te
Whanau-ā-Apanui
Te Pou Tiringa
Hinerangi Korewha
Ngāti Apa/Ngā Wairiki, Ngāti
Kahungunu
Te Pou Tiringa
David Craig
National Centre for Lifecourse
Research
Richie Poulton
National Centre for Lifecourse
Research
Te Kura mai i Tawhiti. A lifecourse approach to
health and well-being
Te Kōpae Piripono is a Taranaki Māori immersion early
childhood education (ECE) centre with a primary aim of
intergenerational whānau development. Te Kōpae has
partnered with the National Centre for Lifecourse Research
(NCLR) to investigate what constitutes effective early life
kaupapa Māori programming leading to improved health
outcomes. The transformational research focuses on the
potential of quality early life and whānau development
programming to impact health and social well-being through
the life course. The research will generate evidence around a
specific model and approach – Te Kōpae Piripono – that may be
scaled up and implemented in a range of contexts. The Te Pou
Tiringa (the governance body of Te Kōpae Piripono) side of the
research partnership brings academic expertise in education,
health and kaupapa Māori research and an entry-point to the
local Māori community and community credibility. While the
NCLR contributes infrastructure, expertise in Western scientific
research and other resources. This presentation discusses
the practical application of Māori methodologies in a health
research partnership project at the interface between Māori
knowledge and Western science.
Presenter: Mr Kimiora Henare
Presenter: Mr Andrew Sporle
Te Aupōuri, Te Rarawa
The University of Auckland
Ngāti Apa, Rangitane, Te Rarawa
The University of Auckland
Other authors:
Health statistics: The good, the bad and the free
Cristin Print
Health statistics are routinely used by policy makers and
funder to make planning or funding decisions about health
services. Recent developments have improved the quality of
Māori health statistics, but more could be done to make this
important information tool relevant to Māori development at
a local level. This workshop will outline how health statistics
are produced in different part of the health sector and the
different ways of accessing them. Participants will be shown
freely available data, methods and training resources that will
be useful for collecting data as well as research.
The University of Auckland
Lai-Ming Ching
The University of Auckland
Re-educating the tumour stroma for the
treatment of cancer
Māori succumb to cancer at a rate 67 per cent higher than
non-Māori. Among the most lethal for Māori are cancers of
the lung, breast, stomach, pancreas, and liver; mortality rates
for which are between 1.7 to 3 times higher than in non-Māori.
A common feature of these cancers is the formation of a
solid tumour consisting of both cancer cells and surrounding
stromal cells. Cancer cells are able to manipulate or ‘educate’
the surrounding cells to maintain tumour growth and disease
progression. Communication networks between the cancer
cells and the surrounding cells are complex and incompletely
understood, but are recognised as critical for tumour survival
and are therefore attractive targets for treating cancer. An
emerging and innovative approach to cancer therapy is to alter
these communication networks in order to ‘re-educate’ the
surrounding cells to fight back. This concept formed the basis
for HRC-funded doctoral research that has provided training
using cutting edge technology for biomedical and cancer
research, where there is a severe shortage of Māori scientists.
Importantly, the skills and knowledge gained from this work
can one day be translated into better treatment options for
cancer patients, of which many are Māori.
Presenter: Dr Geoff Kira
Ngāpuhi
Massey University, Palmerston North
Other authors:
Rhys Jones
Stephen Stannard
The University of Auckland
Massey University,
Palmerston North
Presenter: Dr Simon Lambert
Ngāti Ruapani, Tūhoe
Lincoln University
Other authors:
Melanie Mark-Shadbolt
Angelia Ria
Ngāti Kahungunu ki Wairarapa
Te Awa o te Ora
Rongomaiwahine, Ngāti Ruapani
Te Awa o te Ora
Tangata Whairoa: Geographies of care postdisaster
The recent (and ongoing) earthquakes in Christchurch radically
altered the physical and psycho-social landscapes of the
city. This research presents two analyses of data collected in
collaboration with a Kaupapa Māori service provider in the
dynamic post-disaster contexts of a devastated city. Semistructured interviews provide rich narratives of personal
experiences of a massive urban disaster with key themes
of family, housing and accommodation, and rapid service
provider support. This data also enables a social network
analysis of support networks in which key nodes and pathways
outline geographies of care and trust which are culturally
attuned to leverage off Māori institutions and practices.
Results point to a more efficient and comprehensive coverage
of what is too often considered a vulnerable community but
whose experiences actually point to a great resilience.
Te whānau matemoe – Results at six months
from the sleepy family study
Sleep is a necessary behaviour that instils health benefits. In
contrast, poor sleep, sleep that is low in quality and duration,
is associated with many physical and mental conditions
including obesity. Poor sleep can affect any age group and
taitamariki (adolescents) are an age group that is particularly
afflicted for reasons both biological and pyscho-social. It
was hypothesised that sleep improvement could manage or
reduce body fat without nutrition or physical activity advice.
Four behaviour change workshops were conducted with three
groups of young (13 to 16 years old) taitamariki (n=22, boys:
27%) at a high school boarding hostel in the lower north island.
Body composition outcomes (percentage body fat, body mass
index, fat free mass, fat mass, waist:hip ratio) were recorded at
baseline and at six months. Sleep, dietary and physical activity
habits, and pubertal status were self-reported. This study is
a world-first for taitamariki and sleep improvement health
outcomes.
Hui Whakapiripiri 2014 July 8 - 10
21
Presenter: Mr Trevor Clark
Tainui
Massey University, Palmerston North
What has sport got to do with health?
Māori men have a particularly bad prognosis in terms of health
and are arguably the most vulnerable group in New Zealand
for developing cardiovascular disease. It is surprising therefore,
that given the high rates of participation of Māori men in sport,
and particularly rugby league, that lifestyle-related diseases
are so prevalent. This research aims to identify how retiring
from rugby league impacts upon the health and well-being
of both elite and non-elite Māori players. This is a prospective,
non-intervention study being carried out to establish
baseline data and generate future hypotheses for testing. The
health status of retired players (n=125) from across different
timeframes [those currently playing, recently retired (<1 year)
and players retired for longer (<15 years)] will be examined over
a period of 24 months, to ascertain the presence of disease,
physiological condition and psychological well-being.
Presenter: Dr Anneka Anderson
Kāti Māmoe, Kāi Tahu
The University of Auckland
Co-presenter: Dr Phillipa Malpas
The University of Auckland
We all have a role: Exploring the challenges
and rewards of working within a collaborative
kaupapa Māori consistent research project on
physician-assisted dying
Physician-assisted dying (PAD) is currently illegal in Aotearoa,
however, the public response to a number of high profile
cases suggests that many people support PAD in certain
circumstances. Despite the growing public interest in and
support of this issue to date, little research in New Zealand has
explored Māori perceptions towards PAD. The primary aim of
this kaupapa Māori consistent research was to explore Māori
attitudes and beliefs towards PAD though applying qualitative,
focus group interviews with self-identified Māori participants.
The research was a collaborative project, where everyone
involved (kaumātua participants, researchers and kaimahi)
each had a role to play, yet worked together to develop the
research design, data collection, analysis and dissemination.
The paper will discuss the challenges and positive benefits of
this study. We will highlight the importance of creating and
maintaining trust, rapport and communication among the
research rōpū; how we negotiated the various and fluid roles
each of us had to play; and how we worked towards creating a
safe place for the rōpū to work given the sensitive nature of the
research material. The experiences from this research could be
used to inform and promote future collaborate kaupapa Māori
health research in Aotearoa.
22
July 8 - 10 Hui Whakapiripiri 2014
Ngā mahi o te hui | Hui Programme
Day Two: Thursday, 10 July 2014
8:30am - 8:45am
Arrival/Registrations
Horizon Lounge
Ground Level
8:45am - 9:00am
Welcome:
Mr Beau Haereroa and Dr Suzanne Pitama
Banquet Room
Ground Level
9:10am - 9:40am
Keynote Speaker: Dr Elana Taipapaki Curtis
Facilitator: Dr Suzanne Pitama
Banquet Room
Ground Level
9:45am - 10:45am
SESSION THREE
Stream One: Transformative Research Practice
Facilitator: Dr Mera Penehira
Dr Matire Harwood
SMART for Māori with asthma
Dr Tess Moeke-Maxwell
‘Running on Empty’: The financial cost of end of life care
Ms Marnie Reinfelds
Hapū ora ki Taranaki – What constitutes optimal antenatal care for Māori women in Taranaki from
a life course and whānau ora perspective
Carbine Room
Ground Level
Stream Two: Māori Methodologies
Facilitator: Dr Will Edwards
Dr Kirsten Aroha Gabel
“E toru ngā Hawaiki” – Exploring traditional philosophies of maternal well-being
Ms Jeannine Stairmand
Māori centred research – Cancer care journeys, clinical decision-making and disparity
Dr Lynne Russell
Learning through indigenous storytelling
Conference Room 2 and 3
Mezzanine Level
Stream Three: Panel Presentation
Facilitator: Dr Amohia Boulton
Dr Mere Kēpa, Mrs Betty McPherson, Dr Waiora Port and Mrs Leiana Reynolds
And never be ashamed to act on principles
Banquet Room
Ground Level
Stream Four: Building Māori Health Research Capacity and Capability
Facilitator: Mr Jordan Waiti
Dr Margaret Dudley
Māori experiences of neuropsychological assessment
Mr Steve York
Te tirohanga o ngā poronga waewae nā te matehuka – he haerenga o tētahi Kaitiaki Waewae.
Examining diabetes related lower limb amputations – a Māori podiatrist’s journey.
Dr Sue Crengle and Dr Vanessa Selak
Designing and conducting a clinical tria0l that supports Māori participation: Learnings from the
IMPACT (polypill) trial
Conference Room 1
Mezzanine Level
11:00am - 11:20am
Morning tea
Exhibition Hall
11:30am - 12:00pm
Keynote Speaker: Associate Professor Beverley Lawton
Facilitator: Dr Suzanne Pitama
Banquet Room
Ground Level
Hui Whakapiripiri 2014 July 8 - 10
23
12:15pm - 1:15pm
24
SESSION FOUR
Stream One: Transformative Research Practice
Facilitator: Dr Isaac Warbrick
Dr Fiona Cram and Dr Paula King
Improving Māori access to health care
Associate Professor Beverley Lawton
Wāhine hauora: Early identification of infants at risk of hospitalisation for respiratory disease
Dr Marilyn McPherson (Brewin)
It takes a community to raise a child like ours: One in a million - the diagnoses
Conference Room 1
Mezzanine Level
Stream Two: Māori Methodologies
Facilitator: Dr Maureen Holdaway
Ms Kimiora Raerino
Marae food gardens – Health and well-being through urban marae in Tāmaki Makaurau
Ms Renee Davies and Ms Christine Roseveare
Beyond the workshop – Next steps to building practice research skills and capacity for new Māori
health researchers
Conference Room 2 and 3
Mezzanine Level
Stream Three: Building Māori Health Research Capacity and Capability
Facilitator: Ms Justine Camp
Mr Ronald Ngata
Understanding Matakite: An exploration of the health issues related to spiritual experiences
Dr Nina Scott
Prostate cancer and Māori men; recent findings from six studies
Dr Sue Crengle, Ms Julia Brooking and Ms Lisa Reddy
Improving health literacy about cardiovascular disease medications – Implementing a clinical trial
in two Māori providers and summary of results
Carbine Room
Ground Level
Stream Four: Panel Presentation
Facilitator: Professor Khyla Russell
Mrs Rangimahora Reddy, Mr Beau Haereroa and Mrs Kay Berryman
Optimising the palliative care pathway: Kaumātua and whānau communication aspirations
Banquet Room
Ground Level
1:20pm - 1:45pm
Open Microphone Session
Strengthening the value of the HRC to respond to the needs of Māori
Facilitators: Professor Linda Tuhiwai Smith and Dr Matire Harwood
Banquet Room
Ground Level
1:45pm - 2:15pm
Lunch
Exhibition Room
Ground Level
2:30pm - 3:00pm
Keynote Speaker: Dr Papaarangi Reid
Facilitator: Dr Matire Harwood
Banquet Room
Ground Level
3:00pm - 4:00pm
Summary and closing comments:
Professor Linda Tuhiwai Smith
Banquet Room
Ground Level
4:00pm - 4:30pm
Karakia and closing:
Mr Beau Haereroa
Banquet Room
Ground Level
4:30pm onwards
Refreshments
Exhibition Hall
Ground Level
July 8 - 10 Hui Whakapiripiri 2014
Nau te rourou, naku te rourou
Ka ora te mahi Rangahau | Abstracts
Day Two: Thursday, 10 July 2014
SESSION THREE
Presenter: Dr Matire Harwood
Ngāpuhi
The University of Auckland
maintenance therapy. Conclusion: The main finding, that
SMART regimen has a favourable risk/benefit profile in Māori,
should be incorporated into evidence-based practice. However
the study also identified differences in the management of
asthma, regardless of treatment regimen, between Māori and
non-Māori. The role of ‘medical management’ alongside wider
determinants (e.g. health literacy and timely care) will also
be discussed.
Presenter: Dr Tess Moeke-Maxwell
Other authors:
Janine Pilcher
Alison Pritchard
Medical Research Institute of
New Zealand
Medical Research Institute of
New Zealand
Ann Smith
Justin Travers
Te Arawa
Tu Kotahi Māori Asthma
Medical Research Institute of
New Zealand
Cheryl Davies
Richard Beasley
Ngāti Raukawa
Tu Kotahi Māori Asthma
Medical Research Institute of
New Zealand
Mitesh Patel
Mark Weatherall
Medical Research Institute of
New Zealand
Wellington School of Medicine
Peter Black
SMART for Māori with asthma
Background: There are significant disparities between Māori
and non-Māori with asthma, despite nearly 40 years of
Māori-led research showing that barriers to health care and
differences in management contribute to these inequities.
This study sought to test the effectiveness of a groundbreaking asthma management regimen in New Zealand,
with a focus on Māori asthma outcomes. International
studies have shown that Single combination budesonide/
formoterol inhaler as Maintenance And Reliever Therapy
(SMART) regimen is associated with substantially fewer severe
asthma exacerbations than alternative regimens. ‘SMART’ may
therefore be of specific benefit to Māori.
Objective: To investigate outcomes for Māori with asthma in
a randomised controlled trial of combination budesonide/
formoterol inhaler therapy.
Ngai Tai ki Tamaki
The University of Auckland
Other Author:
Merryn Gott
The University of Auckland
‘Running on Empty’: The financial cost of end of
life care
Research aims: This pilot study explored the financial cost
associated for Māori and non-Māori whānau who provided
care to a family member with a life limiting condition.
Participants’ preferences were sought on the best way to gather
this information in a larger future study. This presentation
reports on the Māori findings. Study design and method: A
Māori-centered research design provided the frame for the
study. Free media networks (Māori television, community
newspapers, radio) were utilised in recruitment. Kanohi ki
te kanohi interviews gathered information on the financial
costs of care of 11 Māori whanau AND recorded their views of
preferred data gathering methods. Analysis: Māori-centered
research methods informed the analysis supported by a social
constructivist analytical approach. Results and interpretation:
All Māori whānau interviewed in the Māori cohort were low
income earners or beneficiaries. They struggled to cope with
meeting the financial demands of caring for someone at
end of life. This placed a huge burden on them to fulfil their
familial and cultural obligation to provide care/āroha to the ill
and dying. Whānau identified that the best method to gather
sensitive information on the financial cost of care is through
kanohi ki te kanohi whānau interviews and marae based
focus groups.
Methods: 303 adult asthma patients, 44 of whom were Māori,
were recruited. Participants were randomised to either a
‘SMART’ or STANDARD regimen.
Results: The SMART group had fewer days of high use
(Relative Rate (RR) (95% CI) 0.57 (0.38-0.85)), days of high use
without medical review within 48 hours (RR 0.49 (0.32-0.75)),
and severe exacerbations (RR 0.54 (0.36-0.81)) compared to
Standard. The magnitude of the benefit from the SMART
regimen was similar in Māori and non-Māori. Regardless
of treatment regimen, Māori demonstrated more days of
high use, high use without medical review, and underuse of
Hui Whakapiripiri 2014 July 8 - 10
25
Presenter: Ms Marnie Reinfelds
Ngāti Mutunga
Te Kupenga Mātauranga o Taranaki
Hapū Ora ki Taranaki – What constitutes
optimal antenatal care for Māori women in
Taranaki from a life course and whānau ora
perspective
The maternity care needs of Māori women are greater than
for non-Māori and there are persistent inequalities in birth
outcomes between Māori and non-Māori. As well, there are
persistent differences in Māori experiences of and access to
maternity services. It is possible that some of these factors
may vary by region depending on the range of services and
support mechanisms that are available. This presentation
presents an overview of a community research project that
sought to explore “what constitutes optimal antenatal care
for Māori women in Taranaki from a life course and whānau
ora perspective”. Specifically the research sought to address
1. What, according to Māori women and to Māori maternity
care stakeholders, constitutes optimal antenatal care taking
into account a whānau ora perspective? 2. What is the role
of antenatal care and care during labour and delivery from
a life-course perspective? 3. How can ethnic inequalities in
receipt of antenatal care and care during labour and delivery
be addressed for Māori women and their whānau? The
research involved a literature review, focus groups with Māori
women who have been pregnant, face-to face interviews
with individual Māori women who have been pregnant, and
interviews with selected key stakeholders (including those
with community expertise).
Presenter: Dr Kirsten Aroha Gabel
maternities are indeed a significant space of resistance and
tino rangatiratanga today.
Presenter: Ms Jeannine Stairmand
Ngāti Porou
University of Otago, Wellington
Māori centred research – Cancer care journeys,
clinical decision-making and disparity
This paper considers Māori-centred research using an example
of research on cancer care journeys, clinical decision-making
and disparity. The research is led by the University of Otago and
is in four phases. In this paper we first review the characteristics
ascribed to Māori-centred research against the first two
phases of the study – Phase 1: clinical decision making in
multidisciplinary meetings and Phase 2: patient and clinician
responses to treatment consultations. Key elements are the
leadership of two principal investigators, one Māori and one
Pākehā, operating by Māori values and key involvement of
Māori researchers in the research team. Secondly, we reflect
on our research and share some of the learnings, challenges
and rewards of undertaking Māori centred qualitative research
within secondary services. These include how to express
values such as whānaungatanga and manaakitanga for all
participants throughout the research process, recruiting
busy clinicians to participate in qualitative Māori-centred
research and ensuring that the mana of all those involved is
maintained. This project demonstrates that Māori-centred
social science research, using both Māori knowledge and
western methods, can be undertaken in the clinical setting and
produce knowledge to aid the advancement of hauora Māori.
Presenter: Dr Lynne Russell
Ngāti Kahu, Te Paatu
The University of Waikato
Kāi Tahu, Ngāti Kahungunu, Kāti Māmoe, Rangitāne, Ngāti Porou
Victoria University of Wellington
“E toru ngā Hawaiki” – Exploring traditional
philosophies of maternal well-being
Learning through Indigenous storytelling
This paper will present the findings of my doctoral research
into Māori maternities. In particular, it will discuss some
traditional philosophies pertaining to maternal wellbeing.
Drawing from accounts of our cosmologies, from mōteatea,
whakatauki and pakiwaitara, it will consider aspects of our
maternities that for many Māori mothers today have become
buried under the plethora of Western maternal knowledge.
Māori maternities represent a conflicted space for Māori
women and whānau in contemporary Aotearoa/New Zealand.
Colonisation has acted to significantly corrupt a traditionally
empowering and healthy philosophy of Māori motherhood.
This research draws on Māori and indigenous legal theories,
on mana wahine theories and on kaupapa Māori theories
in its analysis. It unpacks some of the specific legislative and
policy initiatives introduced by the state that have served
to undermine traditional Māori maternities and maternal
wellbeing. In the face of a comprehensive and targeted
colonisation process, Māori maternities have survived and
continue to be a site of resistance and empowerment for Māori
whānau. Despite the best attempts of the state to undermine
Māori maternal wellbeing, Māori whānau have continued
employ strategies of resistance and resilience, and to find ways
of mothering that reflect our traditional philosophies. Māori
26
July 8 - 10 Hui Whakapiripiri 2014
This paper draws on the distinctive Indigenous approach
to knowledge-gathering used in my postdoctoral research
between 2009 and 2012. Although not new to Māori or other
indigenous communities, indigenous storytelling (‘kōrero’,
‘yarning’ and ‘sharing circles’) was used to explore Indigenous
interpretations of mental health experiences and the
meanings attached to them. The collective understandings of
100+ elders, health service providers, researchers and other
experts in indigenous mental health from across Aotearoa,
Australia and Great Turtle Island (North America), melded
with my own personal and professional experience as a wahine
Māori, resulted in the identification of a number of commonly
significant areas of importance for indigenous well-being.
The research exposed both historical and contemporary
barriers that inhibit the health and well-being of indigenous
whānau and weaken their potential to thrive, but more
importantly, generated positive findings about successful
approaches to whānau healing and keeping whānau well.
The research’s embrace of mātauranga Māori and wider
indigenous wisdom facilitated innovative thinking to inform
alternative approaches to Māori mental health policy and
practice. The learnings gained, shared in a ‘storybook’ entitled
‘Sharing Our Space: Stories of Indigenous Wellbeing’, which is due
for publication in September, will be expanded on in this brief
presentation.
Presenter: Dr Mere Kēpa
Ngāti Whātua, Ngāpuhi, Ngai Tūhoe, Whakatōhea
The University of Auckland
Co-presenters:
Mrs Betty McPherson
Mrs Leiana Reynolds
Te Rārawa, Te Aupōuri
The University of Auckland
Ngāti Rēhia, Tūwharetoa
The University of Auckland
Dr Waiora Port
Te Rārawa, Te Aupōuri
The University of Auckland
And never be ashamed to act on principles
Te Puāwaitanga o Ngā Tapuwae Kia Ora Tonu/Life and Living
in Advanced Age: A Cohort Study in New Zealand (LiLACS NZ)
is the only study of Māori women and men aged 80 to 90 years
old, in Aotearoa New Zealand. The research is the only study of
indigenous peoples of advanced age, in the world. The authors
argue that the principles of courage, honour, courtesy, sincerity,
and generosity are the body and spirit of the area of research
conducted with Tangata Whenua or the earliest people
of Aotearoa New Zealand who migrated from the ancient
homeland of Rangiātea. In the quantitative investigation,
these principles frame a kaupapa Māori ethos of research
related to translating questionnaires and documentation that
require ethical and moral conduct.
The purpose of the presentation is to illustrate a bilingual,
bicultural practice of translation in the research area of health
and ageing. The focus is on relationship, commenced in
2010, to translate the LiLACS NZ’s documents from English
language and scientific inquiry to Māori language and culture
by members of Te Rōpū Kaitiaki o Ngā Tikanga Māori, the
protectors of principles of conduct in Māori research in the
study funded by the HRC.
Reference
Kēpa, M., Kēpa, C., McPherson, B., Kameta, F., Kameta, H., Port, W., Loughlin,
H., Smith, P., & Reynolds, L (in review). E kore e ngāro ngā kākano i ruia mai
i Rangiātea: the language and culture from Rangiātea will never be lost in
health and ageing research. AlterNative an International Journal of Indigenous
Peoples. Ngā Pae o te Māramatanga.
Presenter: Dr Margaret Dudley
Te Rarawa, Te Aupōuri, Ngāti Kahu
AUT University
Māori experiences of neuropsychological
assessment
The presence of cultural bias in neuropsychological testing
is well established. In this study we aimed to (a) explore
whether any aspects of Māori culture had been included in the
assessment process, and (b) determine if the assessment had
been culturally appropriate.
Method: This qualitative study used semi-structured
interviews encompassed in a kaupapa Māori framework. The
sample comprised of 16 Māori, balanced for gender, urban
and rural demographic variables. Age range was 16 years to
64 years. All participants had suffered a traumatic brain injury
ranging from mild to severe. Eligibility criteria included:
Research design: A qualitative study using semi-structured
interviews that were digitally recorded and transcribed.
Thematic analysis was used to identify themes.
Results: The four themes identified were: positive experiences,
cultural invisibility, having little or no choice, and preferred
ways of doing things.
Conclusion: Minimal enquiry into the participants’ cultural
background took place. However, the participants wanted
to include more aspects of Māori culture both in the content
and the administration of the measures. There was a clear
preference to be assessed by a Māori neuropsychologist.
Presenter: Mr Steve York
Ngāpuhi, Ngāti Raukawa, Ngāti Tūwharetoa
Northland District Health Board
Other authors:
Nick Garrett
Te Kani Kingi
Ngāti Maniapoto
AUT University
Ngāti Pukeko
Massey University,
Wellington
Te tirohanga o ngā poronga waewae nā te
matehuka – he haerenga o tētahi Kaitiaki
Waewae. Examining diabetes related lower
limb amputations – a Māori podiatrist’s journey
New Zealand’s diabetes population is increasing at an
alarming rate. The prevalence rate for Māori is higher than
non-Māori (7.8% vs 5.3%). The risk of irreversible longterm complications is considerable – increasing lower-limb
ulcerations, amputations and subsequent mortality. This
causes significant health, social and economic consequences
for the individual and their whānau. These issues were evident
in the clinical environment and initiated a Māori podiatrist to
examine the extent of this problem for Māori in Te Tai Tokerau.
With a HRC Māori Health Research Summer Studentship, a
study was undertaken to research trends of diabetes-related
lower-limb amputation in Northland from 2000 to 2010.
Findings highlighted that of 708 amputations performed over
this period, 400 were diabetes-related (212 individuals). Inpatient costs were $5.7M. Māori had more amputations than
non-Māori. Approximately half of the individuals had multiple
amputations and 50 per cent did not survive more than four
years post-amputation. Following this studentship, a HRC
Māori Health Research Master’s Scholarship was awarded to
further investigate these issues, undertaking an observational
study on mortality outcomes for Māori following amputation
(nationally). Analysis will examine potential risk predictors
to provide preventative management for improved health
outcomes. This presentation outlines how HRC funding has
supported a Māori podiatrist’s journey towards research-based
solutions and developing Māori health research capacity and
capability.
(1) self- identification as Māori,
(2) had been assessed within the previous 5 years, and
(3) had good recall of the assessment.
Hui Whakapiripiri 2014 July 8 - 10
27
Presenter: Dr Sue Crengle
SESSION FOUR
Kāi Tahu, Kāti Mamoe, Waitaha
Waitemata District Health Board
Co-presenter: Dr Vanessa Selak
The University of Auckland
Presenter: Dr Fiona Cram and Dr Paula King
Other authors:
Matire Harwood
C. Raina Elley
Ngāpuhi
The University of Auckland
The University of Auckland
Chris Bullen
The University of Auckland
Designing and conducting a clinical trial that
supports Māori participation: Learnings from
the IMPACT (polypill) trial
Māori are disproportionately affected by cardiovascular
disease (CVD), which is the main reason for the eight year
difference in life expectancy between Māori and non-Māori.
The primary care-based IMPACT (IMProving Adherence using
Combination Therapy) trial evaluates whether fixed dose
combination therapy (a “polypill”) improves adherence to
guideline-based therapy compared with current care among
people at high risk of CVD. Interventions shown in trials to be
effective do not necessarily reduce ethnic disparities, and may
in fact widen them. Indigenous populations with poorer health
outcomes are often under-represented in trials, so the effect
of interventions cannot be assessed for them, specifically.
Therefore, the IMPACT trial aimed from its inception to ensure
that the design and implementation of the trial supported
Māori participation and allowed us to specifically examine the
effect of the polypill for Māori with CVD. We will discuss the
processes used in the design and implementation of the trial
and the effects of these on recruitment and retention of Māori
participants. Lessons for other researchers undertaking clinical
trials in New Zealand will be shared.
Ngāti Pahauwera
Katoa Ltd
Improving Māori access to health care
The focus of the improving access research project was the
contribution that health services can make to the reduction of
Māori health inequalities through ensuring equity of access
to health care. The project focused on cardiovascular disease,
diabetes and cancer, and had three objectives. (1) Increase
the health sector’s understanding of the issues affecting
Māori access to health services; (2) Provide an evidence base
for action to improve access to health services for Māori;
(3) Provide solutions to improve access to health services
for Māori. Māori access to health care is about the entry
of Māori into health care, as well as their journey through
health care. Overcoming financial and logistical barriers to
access is important, as is facilitating Māori access through
intermediaries, such as community health workers who have
time to build relationships. Changes in health organisation
policies, structures and practices can further improve Māori
access when the changes reflect an understanding of Māori
health needs and aspirations. The health system can support
Māori health care access by articulating expectations
(through strategy, policy and funding formulas) that health
organisations will engage with Māori in the development,
implementation, and monitoring of local initiatives to improve
Māori access to health care.
Presenter: Associate Professor Beverley Lawton
Ngāti Porou
University of Otago, Wellington
Other authors:
James Stanley
Sally B. Rose
University of Otago, Wellington
University of Otago, Wellington
Sara Filoche
Sue Garrett
University of Otago, Wellington
University of Otago, Wellington
Bridget Robson
Ngāti Raukawa
University of Otago, Wellington
Wāhine hauora: Early identification of infants at
risk of hospitalisation for respiratory disease
Background: Respiratory diseases are a significant contributor
to morbidity and mortality of infants of Māori mothers.
Aim: To identify maternal and birth-related factors that
potentially predict subsequent infant hospital admissions for
respiratory disease.
Methods: A retrospective analysis was conducted of public
hospital data (54,980 births between 1995 and 2009) from the
Wellington region.
Results: 53,312 infants were included in the data analysis set
28
July 8 - 10 Hui Whakapiripiri 2014
with 6.4% of infants (3,435 infants) admitted to hospital for
respiratory illness at least once in the first year of life. Infants
of Māori and Pacific mothers (reference group New Zealand
European) had substantially higher rates of admission (for
Māori, crude RR = 3.42, 95% CI 3.11, 3.75; for Pacific, crude RR
= 3.79, 95% CI 3.45, 4.17). At a maternal age of 17.5, infants
of Māori women had a rate of hospitalisation three times
higher than for infants of New Zealand European women
(RR = 3.08, 95% CI 1.57, 6.04). Increasing levels of deprivation
and maternal smoking status were associated with increased
rates of hospitalisation. Conclusions: This evidence supports
prenatal interventions to improve health outcomes for the
infants of Māori and Pacific mothers.
members in an effort to understand the appropriateness
and effectiveness of siting food gardens on urban marae. The
results of the proposed research will contribute to providing an
understanding of the essential conditions needed to achieve
wellbeing outcomes for indigenous people.
Presenter: Ms Renee Davies
Ngāi Tūhoe, Ngāti Raukawa
Kokiri Marae Keriana Olsen Trust
Other author:
Christine Roseveare
Regional Public Health, Hutt Valley District Health Board
Presenter: Dr Marilyn McPherson (Brewin)
Te Rarawa, Te Aupōuri, Ngāti Kahu
Ngā Pae o te Maramatanga
It takes a community to raise a child like ours:
One in a million, the diagnoses.
My research was launched on 26 March, 2014 as the opening
seminar for the 2014 Horizons of Insight Seminar. If accepted,
this will be my second presentation based upon my research.
This presentation will be based upon the Diagnoses, which led
to the recognition of Kyle’s condition: San Fillipo Syndrome.
San Fillipo Syndrome is a rare disease or orphan condition
which a child inherits from the genetic material carried
by both parents. My presentation will discuss the ongoing
series of visits to numerous doctors, based upon his maternal
grandmother’s ongoing fear that something was not right
with him. Although very happy in himself and couched within
a whānau who loved him, his freedom to enjoy his life and
be himself, with parents who thought everything was fine,
with a grandfather who thought he was “one in a million”,
his grandmother continued to worry. This worry would be
the trigger which led to the eventual diagnosis of San Fillipo
Syndrome, which marked him truly as “one in a million”.
Presenter: Ms Kimiora Raerino
Ngāti Awa, Rangiwewehi
The University of Auckland
Beyond the workshop – Next steps to building
practice research skills and capacity for new
Māori health researchers
This presentation shares the experience of a 2013 “on a
shoestring” pilot programme to develop research skills in a
Māori health organisation. The programme was based on
an “operational research” (practice research) training model
which has achieved promising results in the Pacific. The Pacific
model combined hands-on workshops on different aspects
of the research process, with between workshop mentoring
over a year to reach a final milestone of submitting a paper to
a journal. Our scaled down programme took participants over
nine months from the initial stage of identifying and planning
a small project through to writing a report and presenting
findings. The aim was to ‘use not lose’ workshop learning by
supporting participants to apply their new knowledge and
skills to a project that benefitted their organisation. The
programme involved three provider organisations (Regional
Public Health, SHORE Whaariki and Parker Duignan) and two
community organisations (a Māori provider and a PHO). The
presentation will present costs, benefits, strengths from the
perspective of a participant (Renee Davies, Kokiri Seaview)
who completed an evaluation of a Māori parenting project for
this programme, and public health trainer/mentor (Christine
Roseveare). Results of the pilot evaluation, (due in June) will be
included if available.
Marae food gardens – Health and well-being
through urban marae in Tāmaki Makaurau
This is a HRC project, and my PhD research. I am exploring the
influence of culture and the importance of locational context
to indigenous participation in health promotion, as evidenced
in food gardens situated on urban marae. I contend that the
site of health promotion is pivotal to indigenous participation,
and that co-locating the pursuit of healthier activities on
culturally relevant sites can contribute to wellbeing through
raising cultural efficacy. Food gardens can be used as an
effective healthy activity that promotes wellbeing, and
siting gardens on marae may ensure that cultural factors are
incorporated into the activity. Inspired by kaupapa Māori
research and using a qualitative approach, I aim to provide
an in-depth understanding of marae food gardens and their
multi-dimensional outcomes. A narrative analysis approach
will be undertaken to examine and describe the stories
of the participants about their perceptions, motivations,
benefits and achievements within the food gardens. I will
analyse the multi-dimensional outcomes described by marae
Hui Whakapiripiri 2014 July 8 - 10
29
Presenter: Mr Ronald Ngata
Presenter: Dr Sue Crengle
Ngāti Porou
Massey University, Palmerston North
Kāi Tahu, Kāti Mamoe, Waitaha
Waitemata District Health Board
Understanding matakite: An exploration of the
health issues related to spiritual experiences
Co-presenters:
Ms Julia Brooking
The term “matakite” refers to a Māori cultural experience of
heightened intuition. It is the experience of “second sight”
recognised by cultures around the world. This presentation
will reveal the findings of a doctoral thesis that made a
kaupapa Māori exploration of the health issues related to this
experience. The study reveals new understandings about the
nature of matakite, which may support efforts to distinguish
it from pathology. Multiple factors are identified as impacting
upon the wellbeing of people experiencing matakite. The
impact of social, political, and cultural factors upon the
wellbeing of people experiencing matakite are identified, and
possible strategies for enhancing and protecting wellbeing
are discussed. To this end the study challenges the norms and
structures in mainstream western mental health and highlights
how traditional Māori knowledge about matakite can be used as
a resource for mental health in Aotearoa New Zealand.
Ngāti Porou
Ngāti Porou Hauora
Presenter: Dr Nina Scott
Ngāti Whātua, Waikato
The University of Auckland
Other authors:
Charis Brown
Chunhuan Lao,
The University of Auckland
The University of Auckland
Zuzana Obertova,
Ross Lawrenson
The University of Auckland
The University of Auckland
Prostate cancer and Māori men; recent findings
from six studies
Prostate cancer is a top priority for Māori cancer control.
Due to limited resources for Māori focussed prostate cancer
research, and minimal Māori involvement in such research,
until recently, academic discourse on Māori prostate cancer
was largely limited to descriptive epidemiology and victim
blaming analyses. In 2010, following a 2009 Select Committee
Inquiry, the University of Auckland’s Waikato Clinical School
gained funding for research on prostate cancer for Māori and
non-Māori men. Starting in March 2011, Māori, academic
and consumer groups were established. Four studies were
completed looking at; 1) national trends in prostate cancer
over time; 2) patterns of PSA testing in primary care; 3)
management for localised prostate cancer,;and 4) costs and
complications of treatment, including the impact on men and
whanau. In 2012 the team received funding from Janssen-Cilag
a subsidiary of Johnson and Johnson for research on metastatic
prostate cancer, which involved three studies; 1) National
trends in management of metastatic prostate cancer; 2)
Pathways and cost of care for a cohort of men with metastatic
prostate cancer; and 3) treatment barriers for metastatic
prostate cancer from the perspective of a cohort of men.
This presentation will contain an overview of these studies,
including key findings for Māori and recommendations.
30
July 8 - 10 Hui Whakapiripiri 2014
Ms Lisa Reddy
Waikato Tainui, Fijian
Te Hononga o Tamaki me
Hoturoa
Other authors:
Michelle Lambert
Susan Reid
Ngāti Kahungungu
The University of Auckland
Te Rarawa
Workbase
Jennie Harre
Hindmarsh
Marion Hakaraia
Ngāti Porou
Ngāti Porou Hauora
Ngāpuhi
Te Hononga o Tamaki me
Hoturoa
Improving health literacy about cardiovascular
disease medications – implementing a clinical
trial in two Māori providers and summary of
results
This project was funded by the International Collaborative
Indigenous Health Research Programme funded by the HRC,
NHMRC (Australia) and CIHR (Canada). We have designed
and implemented a clinical trial with the aim of improving
health literacy about cardiovascular disease (CVD) medications
among Indigenous people and take these medicines. In
phase one we conducted in depth interviews with patients to
identify the scope, content and nature of the intervention that
would be trailed. The intervention itself is a programme for
use by nurses and includes training for the nurses, a written
resource for patients, and the use of a tablet app to structure
and guide the intervention sessions and print out resources
for the patient. After development we implemented the trial
in two Māori providers (Te Hononga o Tamaki me Hoturoa
in Auckland and Ngāti Porou Hauora on the East Coast. We
will present the process used in the design of the project, the
development of the intervention and the implementation
of the trial. We will also discuss participant recruitment and
retention, and staff development. The trial results are very
exciting and we will also provide an overview of these. Finally
we will discuss what steps are being taken/can be taken to
implement the intervention in an on-going way in these
providers and more widely across the sector.
Presenter: Mrs Rangimahora Reddy
Ngāti Maniapoto, Ngāti Raukawa, Ngāti Rangiwewehi
Rauawaawa Kaumatua Charitable Trust
Co-presenters:
Mr Beau Haereroa
Ngāti Porou
Te Runanga o Kirikiriroa
Mrs Kay Berryman
Ngāti Maniapoto
Waikato-Tainui College for
Research and Developmen
Optimising the palliative care pathway:
Kaumātua and whānau communication
aspirations
Māori perspectives toward the end-of-life journey centre on
balance, unity, and harmony (Ngata, 2005). The living and
spiritual worlds are connected and the end-of-life journey
is about ensuring a person’s wairua has balance, calm, and
connection to whānau on its journey to the spirit world (Ngata,
2005). In our research Māori Health Literacy and Communication
in Palliative Care: Kaumātua led models we sought to identify
key communication practices that contribute to Māori health
literacy and kaumātua and whānau experiences of palliative
care. The need to do this research was kaumātua inspired.
The research methods included kaumātua interviews and
whānau hui. For the purpose of this presentation, we focus on
four communication tensions experienced by kaumātua and
whānau; a) tino rangatiratanga and tino whānaungatanga
(autonomy and connection); b) conflict and connection; c)
isolation and connection; and d) balancing needs of self and
other. Managing these tensions helps to facilitate kaumātua
and whānau communication aspirations during this critical
time. It also supports end-of-life journey aspirations for
connection and helps to optimise the palliative care pathway
for kaumātua and whānau.
Hui Whakapiripiri 2014 July 8 - 10
31
Ngā mihi maioha | Thank you
Ki ngā ipu mareikura me ngā ipu whatukura. He mihi tenei nā mātou
nā te komiti Hauora Māori mo a koutou āwhina manaaki hoki ia
mātou kia rewa totika te kaupapa nei ki tōna taumata.
The HRC and the Māori Health Committee would like to
acknowledge the support provided by participants of Hui
Whakapiripiri 2014. We also thank our generous sponsors for their
support of the hui. Without your attendance and support, the hui
would not be possible. We hope that you enjoy the hui and the
opportunity for engagement with colleagues and friends.
Health Research Council of New Zealand
Te Kaunihera Rangahau Hauora o Aotearoa
Phone: +64 9 303 5200
Fax: +64 9 377 9988
Level 3, 110 Stanley Street, Auckland 1010
PO Box 5541, Wellesley Street, Auckland 1141
www.hrc.govt.nz