In my experience, what works is research and evaluative practices that allow Indigenous issues, concerns, ways of understanding and practice to be placed at the centre. In particular, research should focus on strengthening whānau health and wellbeing that is context-sensitive, promotes social justice and enhances the life circumstances of community.
I would like to see is a shift from consultation with Māori using kupu like “being responsive and appropriate,” which I see written time and time again in organisational documentation and strategic plans, towards practices and policies that are accountable to Māori –
Reciprocal and responsive relationships, where Māori are at the table at the very least 50/50.
I want to see a health system that is embedded in practices of cultural safety, and where the effectiveness and success of service provision are based on whānau experience.
We need to move away from the business commercialisation and compartmentalisation of health and towards the relationships of health – whakawhanaungatanga – relational practice.