Māori Health Policy and Plan

This document shows how Dayspring Trust will meet the needs of tangata whai i te ora (whaiora) and their whānau who access our services.

Policy

Dayspring Trust acknowledges the inequities of health outcomes and health status between Māori and non-Māori and upholds the principles of Te Tiriti o Waitangi, in the provision, protection, and improvement of treatment and support for tangata whai ora and their whānau.

Data Collection

Dayspring Trust will collect data on:

• How many service consumers identify as Māori

• How many staff identify as Māori

• How many Board members identify as Māori

• Tribal affiliations of service users and staff

• Training completed by staff in Te Tiriti o Waitangi, Tikanga Māori, and other relevant training

Principles of Te Tiriti o Waitangi

The Treaty principles in the design, delivery and monitoring of health and disability services are:

• Tino Rangatiratanga - guarantee Māori mana motuhake (self-determination) in the design, delivery and monitoring of services

• Equity – the whole system to achieve equitable health outcomes for Māori (i.e equitable access and receive high quality services that are culturally appropriate)

• Active Protection – take practical steps to ensure equitable health outcomes for Māori (i.e collecting high quality data to inform good governance and decision-making)

• Options – Māori to have access to a range of services informed by Māori models of care and reflect their culture

• Partnership – genuinely engaging and working together with Māori

Dayspring Trust will integrate the following principles into service delivery:

Tino rangatiratanga / Self-determination

• With the informed consent of tangata whaiora, whānau voice [whānau, hapu, and iwi] will inform all aspects of assessment, planning, provision of services, discharge, and follow-up.

Equity

• Ensure resources will be given to those Māori with greatest needs

Active Protection

• Utilise Māori language, learning and observing tikanga (Māori rules and protocols)

• Acknowledging the need to protect matauranga (Māori knowledge) and rongoā (medicine)

Options

• Training of staff in Te Tiriti o Waitangi, cultural safety and awareness, Tikanga and Māori models of health and wellness like:

  • Te Whare Tapa Whā (Taha Tinana, Taha Wairua, Taha Whānau, Taha Hinengaro) and

  • the Hui Process (mihi, whakawhanaungatanga, kaupapa, and poroporoaki).

• The articles of Te Tiriti o Waitangi are upheld and integrated in organisational and service delivery processes.

Partnership

• Recognises and protects the link between tangata whai ora and whānau, whakapapa and tūrangawaewae.

• Māori and lived experience will be represented in the development, decision-making, planning and evaluation of Dayspring Trust services

• The concepts of whanaungatanga are actively implemented with whānau:

  • Tātou tātou – collective responsibility

  • Mana tiaki – guardianship

  • Manaakitanga – caring

  • Whakamana – enablement

  • Whakatakoto mahere – planning

  • Whai wāhi– participation

Dayspring’s Cultural competency

An independent Māori Health Plan will be developed to articulate and action Dayspring Trust’s commitment to improving equity of access and outcomes for tangata whai ora and their whānau. This plan will have realistic yet ambitious goals with realistic timeframes.

Culturally competent workforce

Dayspring Trust will respect the values and beliefs of tangata whaiora and their whanau by having a culturally and clinically competent workforce who will:

• Attend Te Tiriti o Waitangi training

• Attend cultural competency training

• Attend training in Māori models of care like Te Whare Tapa Whā

Dayspring Trust will support our kaimahi by:

• Ensuring any and all training aligns with the Let’s Get Real Framework

• Provide or support access to a cultural advisor, Kaumātua, or Kuia

• Provide or support access to cultural supervision

• Provide or support access to Māori models of health literature

• Maintain links with Te Whatu Ora Māori Mental Health Services

• Maintain links with Hauora Māori service providers

Cultural Support

Dayspring Trust will provide/offer appropriate cultural support for clients who identify as Māori, such as and not limited to:

• Culturally appropriate resources

• Service provision that aligns with Te Whare Tapa Whā

• Advocacy via HDC Advocacy Service by a Māori advocacy or Te Ao Mārama Aotearoa Trust

• Written material on consumer rights in Te Reo Māori

• Access to Kaumātua/Kuia support via the community, Ngāti Whātua, or Te Whatu Ora.

• A referral to Māori specific service provider

• Establishing tikanga and kawa for our service context.