Tihi Ora MAPO

A FAIR SHARE OF HEALTH CAREKia Orite Te Tiaki O Te Hauora

ELIMINATE HEALTH DISPARITIES

NGATI WHATUAAn IWI exercising its own Tino Rangatiratanga within it’s own

tribal boundaries

TE RUNANGA O NGATI WHATUAA mandated Iwi body exercising Iwi Governance on it’s Iwis

behalf

TIHI ORAThe Ngati Whatua Co-ordinated Care and Co-Purchasing

Organisation (MAPO)

NEW ZEALAND GOVERNMENTExercising Kawanatanga – Her Majesty the Queen in

right of New Zealand acting by and through the Minister of Health

MINISTRY OF HEALTHThe Crown Agency exercising Governance over the

Health Portfolio of the Crown

DISTRICT HEALTH BOARDSManaging the delivery of health services within their

own Health District (DHB)

PARTNERS under the TREATY OF WAITANGI

Entering into a TREATY-BASED RELATIONSHIP via a Memorandum of Understanding

Established in December 1995

A business unit of Te Runanga o Ngati Whatua (“the Runanga”), operates as part of the tino rangatiratanga portfolio of the Runanga

Have mandated delegation from the Runanga to work in partnership with the Crown in the co-purchasing, co-monitoring, co-planning and co-consultation of Maori (including mainstream) health and disability services that are being planned for and/or operate within te rohe o Ngati Whatua.

Being cognizant of our Treaty based mandate at the core of our work Tihi Ora MaPO are tasked to work in partnership with the Crown to ensure that te iwi o Ngati Whatua is able to manaaki all residing within its rohe.

Our then core business functions were;co-purchasing; co-planning; co-monitoring; consultation; provider workforce development

TE RUNANGA O NGATI WHATUA11 Trustees Representing 34 Marae

TINO RANGATIRATANGA RESPONSIBILITY

PEOPLE DEVELOPMENT

RESPONSIBILITY

PEOPLE CARING RESPONSIBILITY

ECONOMIC DEVELOPMENT

RESPONSIBILITY

SUPPORT SERVICES

RESPONSIBILITY

Tino Rangatiratanga

Portfolio

Waitangi Tribunal Claims

Tihi Ora

Education, Employment

and, Training & Youth Portfolio

Health & Lifestyle Portfolio

Business Portfolio Administration & Finance Portfolio

Social Development &

Housing Portfolio

Te Ha o Te Oranga o Ngati Whatua Health

Provider

Cultural & Marae DevelopmentRangatahi Portfolio

Cultural & Marae Development

Portfolio

Environment, Science and Land Use & Customary Fisheries Portfolio

1/3 rd Share in Hapai te Hauora

Maori Health Provider and workforce development, mainstream enhancement

2001 Census Review Hauora o Ngati WhatuaEnrolment3 DHBs

2001 till now continue to lead (with DHBs) Maori advancement of Primary Health Care Strategy (eg PHOs)Region wide Hauora Priorities

Cancer NetworkCVD Diabetes (cardiovascular disease)HEHA (healthy eating healthy action)Pandemic PlanningMental HealthHauora o Kaumatua – KuiaHauora o Tamariki - Rangatahi

3 DHBsNorthland DHB Waitemata DHBAuckland DHB

13 Primary Health Organisations PHONorthland DHB

1 PHO Waitemata DHB

6 PHOsAuckland DHB

6 PHOs

Treaty responsivenessMaori leadership in Health strategies,Robust advocacy,Regional solutions

Strategic goals are;Robust Treaty Relationships;

Robust Advocacy

Research Driven Organisation;

Workforce Development; and,

Effective Communications

Tihi Ora MAPO will seek to “Eliminate Health Disparities …”we have zero tolerance for Maori Health disparities and are

committed to eliminating them.

The following are our values;Mana Of Ngati Whatua Not Leave Any One Out Act Professionally Working In Partnership Articulate The Health Needs Of Maori Learning OrganisationGood Employer

Population Demographic Breakdown by Ethnicity 2001 CensusEmployment of Planning and Funding Advisors (2) Tihi Ora MAPO. Direct Liaison with DHBs Funding and Planning Appropriate Level of engagements with DHBsUtilizing MOU with Auckland University of Technology and Auckland University through NWOOMTB Regular Interface with Providers – Maori & Non Maori –PHOs and DHBs Hauora Hikoi & Marae consultation 2006Completion Health Needs Analysis for Rohe O Ngati WhatuaFinancially enabled and capable

0%

10%

20%

30%

40%50%

60%

70%

80%

90%

100%

65+ 13.9 2.7 4.4 4 11.525-64 56.5 44.1 44.6 52.7 55.515-24 11.6 18.4 17.3 21.7 13.90-14 18 34.8 33.7 21.6 19.1

European Maori PI Asian Others

Population Pyramid by EthnicityTihi Ora MAPO, 2001 Census

Maori

8 6 4 2 0 2 4 6 8

0-4

10-14

20-24

30-34

40-44

50-54

60-64

70-74

80-84

Age

Population (%)

MALE FEMALE

European

6 4 2 0 2 4 6

0-4

15-19

30-34

45-49

60-64

75-79

Age

Population (%)

MALE FEMALE

Pacific People

8 6 4 2 0 2 4 6 8

0-4

15-19

30-34

45-49

60-64

75-79

Age

Population (%)

MALE FEMALE

Asian

8 6 4 2 0 2 4 6 8

0-4

15-19

30-34

45-49

60-64

75-79

Age

Population (%)

MALE FEMALE

Access to servicesRights of patientsCultural healthInformation sharing

Timely Timely Clarity over how this information is deliveredClarity over how this information is deliveredAppropriateAppropriateFollow up Follow up –– through feedbackthrough feedback

Pandemic PlanningDecentralization of Service Delivery

Bring back to Marae,Bring back to Marae,Coordinate Secondary (hospital) services with Coordinate Secondary (hospital) services with Primary Services through appropriate providerPrimary Services through appropriate provider

Te Runanga O Ngati Whatua

Auckland DHB, Waitemata DHB, Northland DHB (pending)

Crown Maori Relationship Instrument (CMRI)

View of relationship (Auckland DHB)