1. The journey so far... Midland Cancer Research & Audit Component Sharing Day July 19th 2011 By Wayne Johnstone

2. Oranga Tāne Māori
3 year research project funded by the Health Research Council and the Foundation for Research, Science and Technology
Waikato Region
Rural / Urban

3. Oranga Tāne Māori Project started in March 2009
The project is lead by Te Puna Oranga (Waikato DHB Māori Health Service)
Waikato Clinical School, University of Auckland
Māori Health Providers, Health organisations/groups

4. Oranga Tāne Māori
Explores the Whānau Ora Journey of Māori men from a number of stakeholders including:
- Māori men, 40 years > who have a
chronic illness or cancer
(Total 62 interviews, with 47 Māori men and
15 support persons)
- Service providers
- Māori community health workers (MCHWs)
Clinicians
Qualitative
Interviews

5. OUTCOMES
Identified and address barriers and enablers to enhance services for Māori men with a:
Chronic disease
Cancer
Provide an evaluation of the Whānau ora contracts
Detailing Whānau ora as a feature of health and health journey
Addressing health inequalities for Māori men

6. Cancer 19 interviews with Māori males with cancer
Includes co-morbidities
Prostate 4
Bowel 7
Lung 7
Throat 1
Average age = 64 years
Age range = (years)

7. Cancer Informal interviews with participants
Prompt questions included:
How did you first come to know that you had cancer
What prompted you to seek medical advice/ attention with this illness
What challenges/ support have you encountered
What does the term Whanau Ora mean to you

8. Cancer
Interviews were transcribed and coded accordingly to Te Korowai model, developed by the research team as an evaluation tool.
Kaupapa Māori basis
Engagement with and by Māori
Model developed with consultation by Māori elders
Korowai (Māori cloak) worn on special occasions, weaving of parts comprise the finished korowai
Symbolic to concept of Whānau Ora

9. Cancer Te Korowai Tuapapa Vision & foundation whanaungatanga
relationships
Uara Tu
Guiding values, tikanga
Huarahi
Pathway of the person
Oranga & Hauora
Health & well being
Mana tangata
Empowerment, responsibility
Rangatiratanga/ whakaruruhau
Self determination

10. Huarahi (pathway)
“I went to hospital for a scan on my shoulder (hurt at work) and scan picked up cancer [growth] on my lung”
Mana Tāngata (responsibility/Barriers)
“I went on ACC then moved onto invalids benefit..no money.. Having to make [hospital] appointments, not when needed, but when having money to get transport there…”
Uara Tu (guiding values)
“Holistic models of health are important for Māori..”

11. Whanaungatanga (relationships)
“Whānau ora means to me family… if you can get [their] help that’s good…”
Rangatiratanga (self determination)
“I’m independent… I hate asking for help… its always the way I’ve been…” (63, Lung cancer)

12. Oranga and Hauora
“It’s a horrific sensation to have this happen to you an you don’t know what’s going to happen to you…your hinengaro, your wairua, and your tinana all work together.” (71, Bowel cancer)
Huarahi
“I didn’t like it because he actually told me over the phone…I had no one at home to talk to…” (52, Lung cancer)

13. Whanaungatanga
“I don’t want to become a burden to them
(family/whānau)…I’d rather not be here
than be a burden. My family is everything
to me. (49, Prostate Cancer)

14. Questions