Reflections on the Use of a Māori Conceptual Framework to Evaluate Complex Health Policy: The Case of New Zealand's Healthy Eating,Healthy Action Strategy Evaluation
Restricted accessResearch articleFirst published online March, 2011
Reflections on the Use of a Māori Conceptual Framework to Evaluate Complex Health Policy: The Case of New Zealand's Healthy Eating,Healthy Action Strategy Evaluation
Obesity among Māori is of growing concern in New Zealand with rates for Māori being one-and-a-half times that of the total population. The New Zealand government's Healthy Eating—Healthy Action: Oranga Kai—Oranga Pumau (HEHA) Strategy has, in the past seven years, been a significant policy mechanism through which the health sector has been able to address the increasing prevalence of obesity and associated chronic diseases.
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References
1.
BarnesM., MatkaE., & SullivanH.2003, ‘Evidence, understanding and complexity: evaluation in nonlinear systems’, Evaluation, 2003, vol. 9, no. 3, pp. 265–284.
2.
BoultonA., SimonsenK., WalkerT., CummingJ., & CunninghamC.2004, ‘Indigenous participation in the “New” New Zealand health structure’, Journal of Health Services Research and Policy, vol. 9, Suppl. 2, pp. 35–40.
3.
DurieM.1994, Whaiora: Maori health development, Oxford University Press, Auckland.
4.
DurieM.1999, ‘Te Pae Mahutonga: a model for Māori health promotion’, Health Promotion Forum of New Zealand Newsletter, no. 49, pp. 2–5.
5.
EggerG., & SwinburnB.1997, ‘An “ecological” approach to the obesity pandemic’, BMJ, vol. 315, no. 7106, pp. 477–480.
Howden-ChapmanP., & TobiasM.2000, Social inequalities in health: New Zealand 1999, Ministry of Health, Wellington.
8.
KingA.2002, The Pacific Health and Disability Action Plan, Ministry of Health, Wellington.
9.
KingiT.K.R., & DurieM.H.2000, Hua Oranga: a Māori measure of mental health outcome, School of Māori Studies, Massey University, Wellington.
10.
MackenzieM., & BenzevalM.2005, ‘Evaluating policy and practice: designing the national HAZ evaluation’, in BarnesM, BauldL, BenzevalM, JudgeK, MackenzieM, & SullivanH (eds), Health action zones: partnerships for health equity, Routledge, London.
11.
McLeanR.M., HoekJ.A., BuckleyS., CroxsonB., CummingJ., EhauT.H., Fa'asalele TanuvasaA., JohnstonM., MannJ.I., & SchofieldG.I.2009, ‘“Healthy Eating—Healthy Action”: evaluating New Zealand's obesity prevention strategy’, BMC Public Health, vol. 9, p. 452, viewed 31 July 2008, <http://www.biomedcentral.com/1471-2458/9/452>.
12.
Ministry of Health1995, He Taura Tieke: measuring effective health services for Māori, Ministry of Health, Wellington.
13.
Ministry of Health2002, He Korowai Oranga: Māori health strategy, Ministry of Health, Wellington.
14.
Ministry of Health2003, Healthy Eating—Healthy Action: Oranga Kai—Oranga Pumau: a strategic framework, Ministry of Health, Wellington.
15.
Ministry of Health2004a, Tracking the obesity epidemic: New Zealand 1977-2003, Ministry of Health, Wellington.
16.
Ministry of Health2004b, Healthy Eating—Healthy Action: Oranga Kai—Oranga Pumau: Implementation Plan 2004-2010, Ministry of Health, Wellington.
17.
Ministry of Health2007, Healthy Eating—Healthy Action: Oranga Kai—Oranga Pumau: progress on implementing the HEHA Strategy 2007, Ministry of Health, Wellington.
18.
Ministry of Health2008a, A portrait of health: key results of the 2006/07 New Zealand Health Survey, Ministry of Health, Wellington.
19.
Ministry of Health2008b, Healthy Eating—Healthy Action: Oranga Kai—Oranga Pumau: progress on implementing the HEHA Strategy 2008, Ministry of Health, Wellington.
20.
MokdadA.H., & SerdulaM.K., DietzW.H., BowmanB.A., MarksJ.S., KoplanJ.P.1999, ‘The spread of the obesity epidemic in the United States, 1991-1998’, JAMA, vol. 282, no. 16, pp. 1519–1522.
21.
RobsonB., & HarrisR.2007, Hauora: Maori Standards of Health IV. A study of the years 2000-2005, Te Ropu Rangahau a Eru Pomare, Wellington.
22.
Royal Commission on Social Policy1988, The April report, Royal Commission on Social Policy, Wellington.
23.
World Health Organization1986, Ottawa Charter for Health Promotion, World Health Organization, Ottawa.
24.
World Health Organization2004, Global strategy on diet, physical activity and health, World Health Organization, Geneva.
