He Korowai Manaaki: mapping assets to inform a strengths-based, Indigenous-led wrap-around maternity pathway
Anna Adcock
A F , Francesca Storey A , Beverley Lawton A , Matthew Bennett A B , Charles Lambert A , Liza Edmonds C , Kendall Stevenson A , Stacie Geller D and Fiona Cram E
A Centre for Women’s Health Research, Victoria University of Wellington, PO Box 600, Wellington 6140, New Zealand.
B Kohupatiki Marae, PO Box 7, Clive 4148, New Zealand.
C Department of Women’s and Children’s Health, Dunedin School of Medicine, University of Otago, PO Box 56, Dunedin 9054, New Zealand.
D Center for Research on Women & Gender, University of Illinois College of Medicine, Chicago, IL 60608, USA.
E Katoa Ltd, PO Box 105611, Auckland City, Auckland 1143, New Zealand.
F Corresponding author. Email: anna.adcock@vuw.ac.nz
Australian Journal of Primary Health 25(5) 509-514 https://doi.org/10.1071/PY19029
Submitted: 5 February 2019 Accepted: 3 October 2019 Published: 21 October 2019
Abstract
A research partnership between Iwi (tribal group) Ngāti Pāhauwera and a university-based research centre specialising in Kaupapa Māori (by Māori, for Māori) research was formed in response to an invitation from Ngāti Pāhauwera. The initial partnership goal was to address health inequities experienced by Māori women and infants in Te Wairoa (the home place of the Iwi), a predominantly Māori, rural region in Aotearoa (New Zealand). The research developed by the partnership is an example of a culturally responsive research methodology. Key features include: being Iwi-initiated; community identification of strengths and assets; guidance by a community steering group; contribution to local Māori research capacity; and the development of a community-led augmented maternity care pathway that is now being delivered through primary care. These features have strengthened the engagement of the Iwi, researchers and community, and provided opportunities for transformative change.
Additional keywords: community-academic partnerships, Indigenous health, Kaupapa Māori Research, Māori health, maternal health services, primary health care, rural health.
References
Barnes HM, Barnes AM, Baxter J, Crengle S, Pihama L, Ratima MM, Robson B (2013) ‘Hapū Ora: Wellbeing in the Early Stages of Life.’ (Whāriki Research Group, SHORE and Whāriki Research Centre: Massey University, New Zealand)Bécares L, Cormack D, Harris R (2013) Ethnic density and area deprivation: neighbourhood effects on Māori health and racial discrimination in Aotearoa/New Zealand. Social Science & Medicine 88, 76–82.
| Ethnic density and area deprivation: neighbourhood effects on Māori health and racial discrimination in Aotearoa/New Zealand.Crossref | GoogleScholarGoogle Scholar |
Berends L, Roberts B (2003) Evaluation standards and their application to Indigenous programs in Victoria, Australia. Evaluation Journal of Australasia 3, 54–59.
| Evaluation standards and their application to Indigenous programs in Victoria, Australia.Crossref | GoogleScholarGoogle Scholar |
Blakely T, Tobias M, Atkinson J, Yeh L, Huang K (2007) ‘Tracking Disparity: Trends in Ethnic and Socioeconomic Inequalities in Mortality 1981–2004.’ (Ministry of Health: Wellington, New Zealand)
Craig E, McDonald G, Adams J, Reddington A, Oben G, Simpson J, Wicken A (2012) ‘Te Ohonga Ake: the Health of Māori Children and Young People With Chronic Conditions and Disabilities in New Zealand.’ (University of Otago: Dunedin, New Zealand)
Cram F (2001) Rangahau Māori: Tona Tika, Tona Pono. In ‘Research Ethics in Aotearoa New Zealand: Concepts, Practice, Critique.’ (Ed M Tolich) pp. 35–52. (Longman: Auckland, New Zealand)
Grigg CP, Tracy SK (2013) New Zealand’s unique maternity system. Women and Birth; Journal of the Australian College of Midwives 26, e59–e64.
| New Zealand’s unique maternity system.Crossref | GoogleScholarGoogle Scholar | 23107645PubMed |
Guilliland K (1999) Midwifery in New Zealand: the New Zealand experience. In ‘Future Birth: The Place to be Born Conference. New South Wales, Australia’. (Birth International: Camperdown, NSW, Australia) Available at https://birthinternational.com/article/2016/02/ [Verified 1 October 2019]
Harris R, Cormack D, Tobias M, Yeh L-C, Talamaivao N, Minster J, Timutimu R (2012) The pervasive effects of racism: experiences of racial discrimination in New Zealand over time and associations with multiple health domains. Social Science & Medicine 74, 408–415.
| The pervasive effects of racism: experiences of racial discrimination in New Zealand over time and associations with multiple health domains.Crossref | GoogleScholarGoogle Scholar |
Hawke’s Bay District Health Board (2016) Wairoa District Health Needs Assessment Report 2016. Hawke’s Bay District Health Board: Hastings, New Zealand.
Health Committee (2013) Inquiry into improving child health outcomes and preventing child abuse, with a focus on pre-conception until three years of age. Report of the Health Committee. New Zealand House of Representatives: Wellington, New Zealand.
Henry E, Pene H (2001) Kaupapa Maori: locating indigenous ontology, epistemology and methodology in the academy. Organization 8, 234–242.
| Kaupapa Maori: locating indigenous ontology, epistemology and methodology in the academy.Crossref | GoogleScholarGoogle Scholar |
Kretzmann J, McKnight J (1993) ‘Building Communities from the Inside Out: A Path Toward Finding and Mobilizing a Community’s Assets.’ (ACTA Publications: Chicago, IL, USA)
Kretzmann J, McKnight J (1996) Assets-based community development. National Civic Review 85, 23–29.
| Assets-based community development.Crossref | GoogleScholarGoogle Scholar |
Labonte R (2004) Social inclusion/exclusion: dancing the dialectic. Health Promotion International 19, 115–121.
| Social inclusion/exclusion: dancing the dialectic.Crossref | GoogleScholarGoogle Scholar | 14976179PubMed |
LaFrance J (2004) Culturally competent evaluation in Indian country. New Directions for Evaluation 2004, 39–50.
| Culturally competent evaluation in Indian country.Crossref | GoogleScholarGoogle Scholar |
Letiecq BL, Bailey SJ (2004) Evaluating from the outside: conducting cross-cultural evaluation research on an American Indian reservation. Evaluation Review 28, 342–357.
| Evaluating from the outside: conducting cross-cultural evaluation research on an American Indian reservation.Crossref | GoogleScholarGoogle Scholar | 15245624PubMed |
Mahuika R (2008) Kaupapa Māori theory is critical and anti-colonial. MAI Review 3, 1–16.
Mantell CD, Craig ED, Stewart AW, Ekeroma AJ, Mitchell EA (2004) Ethnicity and birth outcome: New Zealand trends 1980–2001: Part 2. Pregnancy outcomes for Maori women. Australian and New Zealand Journal of Obstetrics and Gynaecology 44, 537–540.
| Ethnicity and birth outcome: New Zealand trends 1980–2001: Part 2. Pregnancy outcomes for Maori women.Crossref | GoogleScholarGoogle Scholar | 15598292PubMed |
Marsden M, Royal TAC (Ed. TAC Royal) (2003) ‘The Woven Universe: Selected Writings of Rev. Māori Marsden.’ (Estate of Rev. Māori Marsden: Otaki, New Zealand)
Ministry of Health (2004) A review of neonatal intensive care provision in New Zealand: February 2004. Ministry of Health: Wellington, New Zealand.
Ministry of Health (2018) Health and Independence Report 2017: The Director-General of Health’s annual report on the state of public health. Ministry of Health: Wellington, New Zealand.
Perry B (2013) Household incomes in New Zealand: trends in indicators of inequality and hardship 1982 to 2012. Ministry of Social Development: Wellington, New Zealand.
Perinatal and Maternal Mortality Review Committee (PMMRC) (2015) Ninth annual report of the Perinatal and Maternal Mortality Review Committee: reporting mortality 2013. Health Quality and Safety Commission: Wellington, New Zealand.
Rautaki Ltd and Ngā Pae o te Māramatanga (n.d.) Principles of Kaupapa Māori. (Rautaki Ltd and Ngā Pae o te Māramatanga: Auckland, New Zealand) Available at http://www.rangahau.co.nz/research-idea/27/#smith [Verified 1 October 2019]
Robson B, Harris R (Eds) (2007) Hauora: Māori Standards of Health IV. A study of the years 2000–2005. Te Rōpū Rangahau Hauora a Eru Pōmare: Wellington: New Zealand.
Smith GH (1997) The Development of Kaupapa Maori Theory and Praxis. PhD thesis. University of Auckland: Auckland, New Zealand.
Smith LT (2012) ‘Decolonizing Methodologies: Research and Indigenous Peoples.’ (Zed Books: London, UK)
Stevenson K (2018) A consultation journey: developing a Kaupapa Māori research methodology to explore Māori whānau experiences of harm and loss around birth. AlterNative: An International Journal of Indigenous Peoples 14, 54–62.
| A consultation journey: developing a Kaupapa Māori research methodology to explore Māori whānau experiences of harm and loss around birth.Crossref | GoogleScholarGoogle Scholar |
Te Awekotuku N (1991) He tikanga whakaaro: research ethics in the Māori community (a discussion paper). Manatū Māori Ministry of Māori Affairs: Wellington, New Zealand.
