Equity
In Aotearoa New Zealand, people have differences in health that are not only avoidable but unfair and unjust. Equity recognises different people with different levels of advantage require different approaches and resources to get equitable health outcomes (Ministry of Health 2019).
While multiple possible equity dimensions exist (socioeconomic, ethnic, gender, geographic, for example), in Aotearoa New Zealand Māori are the most affected by health inequities and with Te Tiriti o Waitangi as the founding document of Aotearoa New Zealand, have a right to be provided with equitable care.
On this page, you will find resources to support your practice to achieve equitable health outcomes.
Please contact the Primary Care Network Team if you would like to schedule a time with the Pou Oraka Matua (Māori Health and Equity Director) or Pou Tōkeke (Project Manager for Health Equity) where tailored equity advice can be provided relevant to your practice's enrolled patients.
Peter Ellison
Pou Oraka Matua (Director of Māori Health and Equity)
Peter Ellison (Kāi Tahu), Pou Oraka Matua/Director of Māori Health and Equity, leads our organisation's commitment to reducing health disparities for Māori and Pacific Peoples. He is part of the Southern DHB Māori Health Team tasked with driving strategy and improvement initiatives to support gains in Māori health status across the Southern Health System.
Peter joined WellSouth in 2014. He previously held Māori Health leadership roles at Bpacnz and Otago DHB.
Peter holds a Bachelor of Commerce from the University of Otago. He is affiliated to Te Rūnanga o Ōtākou and Kāti Huirapa Rūnaka ki Puketeraki - where he is a member of their executive committee.
Miriama Ketu-McKenzie
Clinical Advisor Māori, Pou Haumanu
He mihi māhana ki a koutou katoa,
I have recently been appointed as Pou Haumanu – Clinical Advisor Māori for WellSouth. I whakapapa to Ngati Tūwharetoa (Turangi), Ngati Raukawa ki te Tonga (based in the Horowhenua region) and to Ngati Kuia (Nelson/Marlborough).
I spent my early years growing up in the rural Waikato town of Morrinsville, then relocated as a teenager to the (even more rurual) town of Shannon in the Horowhenua in order to be closer to wider whānau.
I am a Registered Clinical Psychologist with a PhD in Psychology and I am joining WellSouth after having worked as a clinician within the Department of Corrections, Wakari Hospital, Dunedin Public Hospital and Oranga Tamariki. In addition to working part-time for WellSouth, I also work as a Senior Professional Practice Fellow in the Clinical Psychology Programme at University of Otago and I run a small private practice seeing predominantly Maori clients under an ACC sensitive claims contract. I’m also a māmā to three school aged tamariki.
My clinical expertise is in the area of early developmental trauma and later life health outcomes, with a particular focus on the role that the HPA axis plays in stress regulation. I am passionate about improving health outcomes for whanau Maori and I am happy to answer questions about providing quality care for Maori.
Mauri ora.
Dr Letava Tafuna’i
Senior Clinical Advisor, Pasifika in Clinical Advisory
Dr Letava Tafuna'i, a respected GP and Associate Dean Pacific, Dunedin School of Medicine. Letava works closely with the Southern Pacific Provider Trust, the newly formed collective bringing together Pacific Island Advisory Community Trust, Pacific Trust Otago, and Oamaru Pacific Island Community Group to collaborate to improve and promote services for Pacific peoples south of Waitaki.
Letava, is Samoan-born and has Fijian heritage as well, Letava aims to advocate for Pacific communities, reduce barriers to care, encourage engagement with health providers and to help health providers better understand the needs of their Pacific patients. Before taking on the new clinical advisor role, Letava was a GP in Dunedin and has worked in primary and secondary care in Auckland, Australia, and Samoa.
Resources
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Bilingual signage for practices
Te Puni Kōkiri (Ministry of Māori Development) has a Māori - English bilingual signage guide packed full of good tips. Safety Signs NZ offer WellSouth practices 15% off their website prices by using the code WELLSOUTH15 at the checkout.
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Tikanga Best Practice Guidelines
This guideline describes ways to incorporate Māori principles, beliefs and values into the delivery of primary health care services to ensure they are responsive to Māori.
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ACC Cultural Safety and Competency Framework
Supporting cultural safety is part of our commitment to creating a more equitable ACC for Māori that is inclusive for all New Zealanders.
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Cornerstone Equity - Learning Module
Completing this module is a great way to better understand health equity and then start, or build on, delivering that to your patients.
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Gender Minorities Aotearoa - Supporting Transgender People
This free course is designed to increase your knowledge of issues affecting transgender people in Aotearoa, and to build your confidence in speaking about these issues and supporting transgender people.
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GP Māori Health Plan - Example
GP Māori Health Plan - Example
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HQSC Case Study: Diabetes
West Coast Primary Health Organisation: Improving access to care and the journey for Māori and whānau with diabetes
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HQSC Case Study: Gout
Guide for clinical teams using the video “Addressing inequity in primary care”.
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InsideOUT
InsideOUT can support your organisation or workplace to be as safe and inclusive as possible for Rainbow communities.
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Rainbow Tick Accreditation
Nau mai, tomo mai ki tō mātou pae tukutuku ō Rainbow Tick.
Rainbow Tick is a certification mark for organisations that complete a Diversity & Inclusion assessment process.Learn More
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RainbowYOUTH
We work towards creating social change by providing support, information, resources and advocacy for queer, gender diverse, takatāpui and intersex young people across Aotearoa.
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RNZCGP Online Resources
Resources from the Royal New Zealand College of General Practitioners.
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Pride Pledge
The Pride Pledge is a values-based commitment that organisations and individuals can take to demonstrate their dedication to the safety, visibility and inclusion of the rainbow members of their community and workforce.
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Self-Management Cultural Safety
Cultural safety focuses on the patient. It provides space for patients to be involved in decision-making about their care and contributes to achieving positive health outcomes and experiences.
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Te Pou - Disability & Mental Health Training
Te Pou is a national workforce centre for mental health, addiction and disability in New Zealand
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Understanding Bias in Health Care
Learning and education modules on understanding bias in health care.
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