Facilitators and barriers for implementation of health programmes with Māori communities
Abstract Background Addressing health inequities that Māori (Indigenous peoples) communities face in New Zealand is a key aim of researchers and practitioners. However, there is limited understanding of the implementation processes and outcomes of health programmes for addressing these inequities. T...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Implementation Science Communications |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43058-024-00567-y |
| _version_ | 1827310227519700992 |
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| author | John Oetzel Renei Ngawati Darrio Penetito-Hemara Tori Te Puke Akarere Henry Sulita Povaru-Bourne Dianne Sika-Paotonu |
| author_facet | John Oetzel Renei Ngawati Darrio Penetito-Hemara Tori Te Puke Akarere Henry Sulita Povaru-Bourne Dianne Sika-Paotonu |
| author_sort | John Oetzel |
| collection | DOAJ |
| description | Abstract Background Addressing health inequities that Māori (Indigenous peoples) communities face in New Zealand is a key aim of researchers and practitioners. However, there is limited understanding of the implementation processes and outcomes of health programmes for addressing these inequities. The aim of this study was twofold: (a) to identify correlates of implementation outcomes and (b) to identify facilitators and barriers to implementation effectiveness. Methods The study involved a concurrent mixed method approach. Through an online survey, 79 participants with experience in implementing a health programme with a Māori community identified outcomes and processes of the programme. Additionally, nine Māori community providers shared their perceptions and experience of facilitators and barriers to implementation effectiveness through an in-depth interview. The quantitative and qualitative findings were integrated to address the aims of the study. Results For the first aim, we identified two key outcomes: overall health impacts and sustainability. Three of the variables had significant and positive bivariate correlations with health impacts: cultural alignment, community engagement, and individual skills. The only significant correlate of sustainability was evidence-based. For the second aim, participants described four facilitators (leadership, whanaungatanga [relationships], sharing information, digestible information) and four barriers (system constraints, lack of funding, cultural constraints, lack of engagement) to effective implementation. Conclusion Overall, leadership, aligning culture, and building on whanaungatanga, while getting financial resources and systems support, are the core elements to supporting implementation efforts in Māori communities. |
| first_indexed | 2024-04-24T19:56:19Z |
| format | Article |
| id | doaj.art-bb4ffbf36bd6464bb9b395ab916c55b1 |
| institution | Directory Open Access Journal |
| issn | 2662-2211 |
| language | English |
| last_indexed | 2024-04-24T19:56:19Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science Communications |
| spelling | doaj.art-bb4ffbf36bd6464bb9b395ab916c55b12024-03-24T12:22:14ZengBMCImplementation Science Communications2662-22112024-03-01511910.1186/s43058-024-00567-yFacilitators and barriers for implementation of health programmes with Māori communitiesJohn Oetzel0Renei Ngawati1Darrio Penetito-Hemara2Tori Te Puke3Akarere Henry4Sulita Povaru-Bourne5Dianne Sika-Paotonu6University of WaikatoTe Hotu Manawa Māori trading as Toi TangataTe Hotu Manawa Māori trading as Toi TangataTe Hotu Manawa Māori trading as Toi TangataSouth Waikato Pacific Islands Community Services TrustSouth Waikato Pacific Islands Community Services TrustUniversity of Otago, WellingtonAbstract Background Addressing health inequities that Māori (Indigenous peoples) communities face in New Zealand is a key aim of researchers and practitioners. However, there is limited understanding of the implementation processes and outcomes of health programmes for addressing these inequities. The aim of this study was twofold: (a) to identify correlates of implementation outcomes and (b) to identify facilitators and barriers to implementation effectiveness. Methods The study involved a concurrent mixed method approach. Through an online survey, 79 participants with experience in implementing a health programme with a Māori community identified outcomes and processes of the programme. Additionally, nine Māori community providers shared their perceptions and experience of facilitators and barriers to implementation effectiveness through an in-depth interview. The quantitative and qualitative findings were integrated to address the aims of the study. Results For the first aim, we identified two key outcomes: overall health impacts and sustainability. Three of the variables had significant and positive bivariate correlations with health impacts: cultural alignment, community engagement, and individual skills. The only significant correlate of sustainability was evidence-based. For the second aim, participants described four facilitators (leadership, whanaungatanga [relationships], sharing information, digestible information) and four barriers (system constraints, lack of funding, cultural constraints, lack of engagement) to effective implementation. Conclusion Overall, leadership, aligning culture, and building on whanaungatanga, while getting financial resources and systems support, are the core elements to supporting implementation efforts in Māori communities.https://doi.org/10.1186/s43058-024-00567-yMāoriImplementation barriersImplementation facilitatorsHealth equityIndigenous |
| spellingShingle | John Oetzel Renei Ngawati Darrio Penetito-Hemara Tori Te Puke Akarere Henry Sulita Povaru-Bourne Dianne Sika-Paotonu Facilitators and barriers for implementation of health programmes with Māori communities Implementation Science Communications Māori Implementation barriers Implementation facilitators Health equity Indigenous |
| title | Facilitators and barriers for implementation of health programmes with Māori communities |
| title_full | Facilitators and barriers for implementation of health programmes with Māori communities |
| title_fullStr | Facilitators and barriers for implementation of health programmes with Māori communities |
| title_full_unstemmed | Facilitators and barriers for implementation of health programmes with Māori communities |
| title_short | Facilitators and barriers for implementation of health programmes with Māori communities |
| title_sort | facilitators and barriers for implementation of health programmes with maori communities |
| topic | Māori Implementation barriers Implementation facilitators Health equity Indigenous |
| url | https://doi.org/10.1186/s43058-024-00567-y |
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