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Research has found that knowledge alone is not sufficient to change health and social behaviours. The key to lasting change, is to harness the strength of local community organizations, employers and faith groups committed to the health and wellbeing of their members. The argument that health needs and social needs are separate issues is dispelled by Dr Mason Durie, who states that there is a distinct link between health and economic adversity and furthermore that Maori health and social advancement is intimately connected to Maori culture. It is his view that Maori participation in society is about enhancing the levels of wellbeing by increasing the extent of Maori participation in theeconomy, education, employment, knowledge of society and decision making.
Durie encapsulates this view in a health promotion model adopted by Te Kohao Health in their service delivery called Te Pae Mahutonga (The Southern Cross). The model is a holistic approach to enhancing community leadership (Nga Manukura) and autonomy (Te Mana Whakahaere). The four components of this model focus on the following:
- Mauriora – Access to te ao Maori;
- Waiora – Environmental Protection;
- Toiora – Healthy Lifestyle; and
- Te Oranga – Participation in Society.
Te Kohao Health offers a wide ranges of services, each of which incorporates these components into their business plans demonstrating implementation.
