He Korowai Oranga is a Maori health strategy which acts as an overarching framework to guide the government as well as the health and disability sector. This would help to achieve the best health outcomes for the Maori people of the nation of New Zealand (Came et al. 2016). The following assignment will mainly describe the aim of the assignment which would be followed by how such a strategy would help in developing the health status of the Maori people after implementation.
Aims, target group and rationale for chosen strategy:
The strategy was mainly proposed as an overarching framework which was published keeping in mind to overcome different challenges and thereby create suitable environments for the whanau. This strategy ensured that the environment should not only be liberating but also enable the whanaus to shape as well as direct their own lives in the best possible ways to achieve the quality of the life which the Maori are entitled to as tangata whenua in Aotreora. Basically this strategy mainly aims achievement of whanua ora and healthy families (Jones 2014). This is mainly done through an approach which reciises and thereby builds on the integral strengths and assets of te wnahanu helping the development of the wanahusu. It mainly provides the framework for the public sector so that they can take the responsibility for the part it performs in supporting the different the health status of the whanau. This strategy therefore includes inclusion of policies which are helping in the promoting whanau well being, developing the quality of the education, developing employment opportunities and also for suitable housing (Came et al. 2016). It also provides safe working conditions as well as improvements in income and wealth and addressing systemic barriers that include institutional racism. Building on the integral strengths and assets of the whanau and encouraging their development is the main aim. The main rational for choosing this strategy is that this strategy provides an overall guidance to the healthcare sectors as well as to each and every individuals of the whanau to develop their life not only physically, but also mentally, psychologically and socially, thereby covering each aspect of lives of an individual required for healthy living (Came et al. 2017).
Ways by which the strategy supports the aims of the New Zealand health strategy:
The 2016 New Zealand Health Strategy had mainly stated the direction of the health services so that improvement can be done to the health of the people and the communities of the nation. This strategy mainly has two parts. One of them is the future direction and the other part is the roadmap of action 2016. In the former part of the health strategy five important strategic themes were introduced. This includes empowering people where the individuals of the nation understand their issues, manage their care, take correct choices and communicate well and support navigation. The second system consists of setting up of centers near to people’s homes so that care can be provided to people in their own local areas. The third theme was value and high performance which includes building a culture of performance and quality improvement in proving health care by the public a health workforce ultimately helping in improving of services and systems. The fourth theme was acting as one team while providing care and developing a sustainable community for living trusting each other and keeping family and whanaus eat the centre of work (Came et al. 2015). The fist one is the initiation of smart systems which discovered, developed and shared effective innovations across systems. Therefore it is found that the themes which are incorporated in New Zealand Health strategy are entirely covered by the principles of the He Korowai Oranga. The later also has the main aims of supporting the whanu, hapu an iwi thereby helping in community development in such a way which results in best living conditions of the Maori. Just like the fourth theme called one team of the New Zealand health strategy, He Korowai Oranga was also supporting the Maori participation at each and every levels of the health and disability sector in ways that would not only help the Maoris to practice their culture and tradition but at the same time ensure best health care at the same time. Ensuring effective health service delivery by working across all sectors was also proposed by the New Zealand health strategy (Waitoki et al., 2015). Rangatiranga which is one of the key threads in He Korowai Oranga aligns with the first theme of the New Zealand health strategy like people powered as both are helping in enabling wh?nau, hap?, iwi and M?ori in practicing control over their own health and well being and also shaping an directing their own institutions, communities and development. In such ways, one can rightly state that both the strategies are aligning with each other and are best for the societies.
National and regional demographics of the target group:
The last data collected within the month of June 2017 stated that the total estimation of the Maori population was 734200. It grew for about up to 1.5 percent from the last estimate of the previous year. Out of this, there are 358400 males and 375800 Maori females. In this study only, it was found that the median ages of the Maori males were 22.9 and that of women were 25.9 years. Te Waipounamu population mainly consisted of 80,559 people in 2013 which is estimated to increase to about 93670 Maoris in 2018 (Waitoki et al., 2015). Waikato-Waiariki population comprised of about 174510 populations in 2013 which will increase to 189760 in 2018. While the total New Zealand population was consisting of 692300 Maori in 2013, it is estimated to increase to 762700 in 2018. Therefore, the strategies taken are affecting the population positively helping them in developing the health status of the individual Maoris (Goodwin et al. 2015).
How the implementation of the strategy will support improved outcomes of target group:
The strategy when properly implemented will help in focusing on four important aspects. This includes firstly the development of whanua, iwi and maori communities in such a way that they can actively participate in actively contributing to their own communities and long term health outcomes. This strategy would also ensure that Maoris can actively participate in decision making also provide service delivery in such a way which will ensure services are appropriate and effective for Maoris. Development of effective health and disability services are not only ensured by the implementation of the strategies but also ensured that the strategies work across sectors (Robson & Ellison-Loschman, 2016). Services are organized according to needs of Maoris and whanaus rather than needs of the providers. For example, higher educational attainments and high quality employment can be implemented which will in turn improve health outcomes of the whanaus (Boulton, Tamena & Brannely, 2013). Treaty of Waitangi principles formed the basic foundation of the strategies which involve partnership, participation and protection of the Maoris rights and principles helping in improvement in the quality, safety and experiences of care. it also ensured improvement of health and equity for all populations. This strategy also ensured best value for public health system resources. This strategy also enabled Maoris to entirely exercise entire control over their own health and well being and assured further development in the future ensuring equity in every approach taken in the nation of New Zealand (Came 2014). This strategy which would be implemented by the government contained particularly directing Maori aspirations and contributions ensuring that government are committed in making the health systems work for all New Zealanders. This strategy successfully covered all important aspects of health initiatives of the Maori population ensuring healthy individuals, healthy families and healthy environment for living.
Conclusion:
He Korowai Oranga is a governmental strategy which is proposed in order to develop the quality of lives of Maoris in every region of the nation. It has acted as a platform for the Maori to develop good health and well being by understanding the importance of healthy habits and aligning to behavioral alteration that ensure positive health outcome. Proper participation, protection and partnership of the Maori individuals with the governmental initiatives had been one of the main focuses of this strategy. This ensured Maori participation, effective service delivery, working across sectors, rangatiranga, equity and many others. For achieving the mentioned attributes, proper planning and resourcing, leadership, knowledge, quality improvement and others have been very important. All these are believed to develop health status of the Maori providing them better quality life and stability.
References:
Boulton, A., Tamehana, J., & Brannelly, T. (2013). Whanau-centred health and social service delivery in New Zealand. Mai journal, 2(1), 18-32. Retrieved from https://www.journal.mai.ac.nz/sites/default/files/Vol%202%20(1)%20024%20Boulton.pdf
Came, H. (2014). Sites of institutional racism in public health policy making in New Zealand. Social science & medicine, 106, 214-220. Doi: https://doi.org/10.1016/j.socscimed.2014.01.055
Came, H. A., McCreanor, T., & Simpson, T. (2017). Health activism against barriers to indigenous health in Aotearoa New Zealand. Critical Public Health, 27(4), 515-521. Doi:
https://doi.org/10.1080/09581596.2016.1239816
Came, H. A., McCreanor, T., Doole, C., & Simpson, T. (2017). Realising the rhetoric: refreshing public health providers’ efforts to honour Te Tiriti o Waitangi in New Zealand. Ethnicity & health, 22(2), 105-118. Doi: https://doi.org/10.1080/13557858.2016.1196651
Came, H., McCreanor, T., Doole, C., & Rawson, E. (2016). The New Zealand Health Strategy 2016: whither health equity?. The New Zealand medical journal, 129(1447), 72-77. Retrieved: https://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2016/vol-129-no-1447-16-december-2016/7107
Goodwin, D., Sauni, P., Were, L., Kirkhart, K. E., Cram, F., Hill, M. F., … & Cooper, B. (2015). Cultural fit: An important criterion for effective interventions and evaluation work. Evaluation Matters–He Take T? Te Aromatawai, 1, 25-46. Doi: https://dx.doi.org/10.18296/em.0003
Jones, B. (2014). Guest editorial: How can nurses respond to Maori health disparities in Aotearoa/New Zealand?. Kai Tiaki Nursing Research, 5(1), 3. Retreieved from https://search.informit.com.au/documentSummary;dn=648996205528971;res=IELHEA
Robson, B., & Ellison?Loschmann, L. (2016). M?ori and cancer care in Aotearoa/New Zealand–responses to disparities. European journal of cancer care, 25(2), 214-218. Doi: 10.1111/ecc.12472
Waitoki, W., Nikora, L. W., Harris, P. E. T. K., & Levy, M. P. (2015). Reconnecting wh?nau: Pathways to recovery for M?ori with bipolar disorder. In International Indigenous Development Research Conference 2014 (pp. 147-154). Ng? Pae o te M?ramatanga. Retrieved from https://researchcommons.waikato.ac.nz/bitstream/handle/10289/9278/Reconnecting%20Wh%C4%81nau.pdf?sequence=6&isAllowed=y
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