Te Arawhata Totika - Wairarapa DHB

whAkAwheNuA NGA hiriNGA – POLiCieS
Explains the way in which processes have been developed to ensure wellness
Crown Health Policy – Striving to improve Mäori health
The current Crown health Policy strives to address
the health inequalities and poor health status that
exists for Mäori in Aotearoa. These policies are
important as they drive the development and
implementation of tools like Te Arawhata Tötika.
He Korowai Oranga –
Mäori Health Strategy 2002
Te Ara Tuatahi
Partnership with Mäori
Te Ara Tuarua
Mäori participation
Te Ara Tuatoru
effective health and Disability Services
Te Ara Tuawha
working across sectors
he korowai Oranga is focused on improving Mäori
health and reducing inequalities that affect Mäori.
Furthermore, it sets the direction for Mäori health
service provision. The purpose of he korowai Oranga
is twofold, firstly, it affirms Mäori approaches of
holistic models and Mäori-led initiatives to improve
the health of whänau, hapü and iwi. Secondly, it aims
to improve Mäori outcomes by supporting DhBs and
the health and disability sector to have a responsibility
to deliver improved health services for Mäori.
Whakatätaka Tuarua – Mäori Health
Action Plan 2006–2011
Whakatätaka Tuarua is ‘designed to ensure that
available resources are used efficiently and
effectively and that a co-ordinated effort is applied to
addressing Mäori health’ (Ministry of Health, 2006).
he korowai Oranga is the framework to achieve
positive outcomes for Mäori while whakatätaka
Tuarua is a single plan for both the Ministry of
health and DhBs that can be monitored over time.
The key priority for this document is to enhance the
effectiveness of mainstream services in delivering
and positively contributing towards improving Mäori
health. The Ministry intends to do this through:
• Building quality data and monitoring
Mäori health
• Developing whänau­ora­based models
• Ensuring Mäori participation: workforce
development and governance
• Improving primary health care
whakatätaka Tuarua emphasises that DhBs
have a responsibility to address existing barriers
to accessible and appropriate services that exist
for many Mäori. ‘The DHBs’ role with respect
to whakatätaka has been to incorporate their
existing responsibilities within the context of
he korowai Oranga, as well as fully realising
the potential for their relationship with iwi
and Mäori’ (Ministry of Health, 2006).
Bicultural partnership
The wDhB Bicultural Partnership Policy (No:
OPO-MAO-00118) emphasises the need for all
wDhB staff to provide effective and appropriate
health care delivery, in regards to cultural
safety and cultural sensitivity. it emphasises the
importance of acknowledging and recognising:
• Cultural difference and diversity
• The need to provide services that protect
culture and beliefs
• Involvement of whänau in a service users
journey alongside wDhB
• To work in such a way that empowers and
uplifts a service user within the comforts
of and according to their culture
Treaty of Waitangi/Te Tiriti O Waitangi
The wDhB Te Tiriti o waitangi Policy (No. OPO-
G-00575) places emphasis on raising awareness,
understanding and commitment to improving the
health status of Mäori.
Te Arawhata Tötika Cultural Competency Framework
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