Underlying principles: Diversity Research should reflect the different linguistic and cultural contexts that provide different ways of understanding gambling and its effects. 1.9 Alignment of the Strategy with He Korowai Oranga: Māori Health Strategy He Korowai Oranga: Māori Health Strategy is a ‘living document’ that was most recently updated in 2014 (summarised below in Figure 2). Pae Ora (healthy futures) is the Government’s vision and overarching aim for Māori health. Pae Ora is a holistic concept that includes three interconnected and mutually reinforcing elements: Mauri Ora (healthy individuals), Whānau Ora (healthy families) and Wai Ora (healthy environments). Figure : He Korowai Oranga: ‘the cloak of wellness’ The Ministry has aligned the current nine-year Strategic Plan with in acknowledgement of the fact that the Strategy to Prevent and Minimise Gambling Harm contributes to Pae Ora. Table 12: Alignment of the Strategy with He Korowai Oranga He Korowai Oranga Examples of the Strategy’s alignment Overall aim Pae Ora Principles underpinning the Strategy – a focus on improving Māori health gain Objective 2 – a specific Pae Ora objective Elements Mauri Ora Public health service specification purchase unit 5 (effective screening environments) Free intervention services for individuals harmed by their own gambling or by someone else’s gambling Intervention service specification purchase units: 1 – helpline and information service 2 – helpline and information service – brief interventions 3 – full interventions 4 – facilitation of access to other relevant services 5 – follow-up Whānau Ora Objectives 5 and 7, and public health service specification purchase unit 4 (aware communities) Public health service specification purchase unit 3 (supportive communities) Free intervention services for whānau, including dedicated Māori services Wai Ora Principles underpinning the Strategy – public health services based on the Ottawa Charter and New Zealand models (healthy environments is a traditional element of a public health approach, and a component of Te Pae Mahutonga) Objective 8, which has a particular focus on NCGMs; Māori women are particularly vulnerable to harm from NCGMs Public health service specification purchase unit 2 (safe gambling environments)
Directions Māori aspirations and contributions Objective 2 – a specific Pae Ora objective Crown aspirations and contributions The Strategy is a Crown Strategy Overall goal of the Strategy: the Crown working with others, including families/whānau, to prevent and minimise gambling harm and to reduce related health inequities Key threads Rangatiratanga Dedicated Māori services using Māori-derived beliefs, values and practices Building on the gains Principles underpinning the Strategy – a focus on improving Māori health gain Objective 2 – a specific Pae Ora objective Equity Overall goal of the Strategy – a reduction in gambling-harm-related health inequities and a principle underpinning the Strategy – health equity Reference in health equity discussion to Equity of Health Care for Māori: A framework (Ministry of Health 2014) Objective 1 – a specific health equity objective Objective 2 – a specific Pae Ora objective: priority actions related to health equity for Māori Objectives 6 and 9, which require a health equity focus Planning and prioritisation processes – mapping need based on population-specific prevalence and access rates Pathways for action Whānau, hapū, iwi, community development Principles underpinning the Strategy – strengthen communities; and public health service specification purchase units 3 and 4 (aware and supportive communities) Requirements for services to be free of charge Māori participation Māori representation on key forums and bodies and dedicated Māori services Infrastructure intervention and public health service specification purchase unit 2 (workforce development) Effective service delivery Dedicated Māori services Requirements for general services – Māori responsiveness, support for access to dedicated Māori services where available, and a focus on health literacy Infrastructure intervention and public health service specification purchase unit 1 (kaumātua consultation and liaison) Working across sectors Principles underpinning the Strategy – intersectoral approach Objectives 4 and 5 Public health service specification purchase units 1 (policy development and implementation), 2 (safe gambling environments) and 5 (effective screening environments) Intervention service specification purchase unit 4 (facilitation services) Core components Treaty of Waitangi principles Partnership – Māori representation on key forums and bodies Participation – dedicated Māori services using Māori-derived beliefs, values and practices Protection – Objective 2: priority actions related to health equity for Māori Quality improvement Infrastructure intervention and public health service specification purchase unit 2 (workforce development) Overall goal of the Strategy, principles underpinning the Strategy and Objective 1 Gambling Act 2003 requirements for a specified consultation process to develop the Strategy and the problem gambling levy rates are intended to ensure best value for resources