Maori Health
We are committed to reducing the disparity in health status between Maori and non-Maori
in the Bay of Plenty. To that end the Board and Runanga work closely to find ways
to integrate the principles of the national plans into everything we do.
Maori Health Runanga
The Bay of Plenty District Health Board area is unique in having 18 iwi and the
highest number of Maori health providers.
See a map of Bay of Plenty iwi (pdf)
See a list of Bay of Plenty Marae (116kb pdf)
Representatives from the 18 iwi (Maori Health Runanga), meet monthly with the Board
providing advice and looking at proactive solutions.
The role of the Runanga is to provide input and direction to the Board on all strategic
matters affecting health and disability services for Maori.
Read more about the role of the Runanga in the Maori Health Strategic Plan. See
a list of members and meeting dates.
Te Ekenga Hou: Maori Health Strategic Plan 2008 - 2011
There are three prongs to this plan:
- Tino Rangatiratanga
Leveraging Maori potential to achieve Toiora
- Tuituinga Pou Hauora
Ensure responsiveness of mainstream services
- He Ranga Hua Hauora
Increase capacity of Maori providers and communities.
The Maori Health Plan gives direction to health providers about what they need to
do to achieve the national plans. It recognises that health and well-being are affected
by influences that historically were seen as outside the Healthcare and Disability
Support arena.
The Board is working with the Runanga to tackle these broader 'health determinants'
with a range of health providers and agencies in other sectors such as housing.
Download the Strategic Plan (1.2MB pdf)
He Pou Oranga Tangata Whenua
Maori tend to look at health as encompassing whanau, mental, spiritual and environmental
well being, and in recognition of this, the Health Board has established a new business
structure based on Mäori principles – He Pou Oranga Tangata Whenua.
The result of consultation with Maori Health Runanga over the past two years, it
incorporates cultural sensitivity, service delivery, planning, philosophy and strategy.
The framework will ensure that traditional tangata whenua values, knowledge and
institutions are recognised as key indicators of toiora: optimum health and well-being.
Any organisation can use the framework to determine if its services are culturally
appropriate and to assess if these services are meeting the needs of Maori.
Read the framework document (860 kb pdf)
Frequently asked questions (624 kb pdf)
Ko te whaanau te toka tuuaapapa haapai ake te tangatawhenua nei- family is the bedrock of human civilization.
Healthy whanau is a imperative for Toiora.
Iwi Health Plans
2008 is the first year that local iwi will create their own health plans for incorporation
into the District Annual Plan.
Iwi Health Plans will provide meaningful, community-based information about health
goals that are relevant and meaningful for iwi.
The local input will allow planning and funding initiatives to take into account
information from Hapu and the local community. It will also help health providers
to know the specific needs of their local communities and to plan services that
fit best for the people.
Specialist planning team
A specialist Maori Health Planning and Funding team assists Maori providers to make the most of opportunities
to provide health services. The team is the point of contact for Maori providers
and helps them to navigate through the various quality and performance requirements.
HEAT Tool
Bay of Plenty District Health Board area has a large percentage of the population
living in Quintile 5 (the most deprived) and this is concentrated in areas where
Maori live. There is a direct link between high deprivation and high health needs.
For more detail see page 11 of the District Strategic Plan.
Maori health status compares poorly with non-Maori in the Bay of Plenty for:
- Cardiovascular disease
- Cancer
- Diabetes and kidney disease
- Lung disease
- Pregnancy complications
- Conditions around the time of birth
- Infectious diseases
- Mental health.
Portfolio Managers use the HEAT tool to apply a
series of analytical questions. It helps them to consider how particular inequalities
in health have come about, and to assess the options for change.
Read more about the funding process.
He Ritenga – Treaty of Waitangi Principles: Health Audit Framework
He Ritenga is a tool to monitor progress against He Korowai Oranga, Whakatataka
and the BOPDHB Maori Health Plan. Information from the audit is used to plan ways
of improving what we do.
Read more about He Ritenga
National plans
There are many national plans that set the context for Maori health planning, for
example: The New Zealand Health Strategy;
Reducing Inequalities in Health(2002);
and the Disablity Support Strategy(2002).
He Korowai Oranga: Maori Health Strategy set
the principles and direction for Maori health development in the health and disability
sector in 2001.
Whakatataka: Maori Health Action Plan 2006-2011, outlines how the
strategy is to be implemented.
Our mental health and addictions services are informed by two national strategy
documents:
See the
Ministry of Health website for more detail.