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Ala Mo’ui

Pathways to Pacific Health and Wellbeing

Citation: Ministry of Health. 2014. ’Ala Mo’ui: Pathways to Pacific Health
and Wellbeing 2014–2018
. Wellington: Ministry of Health.

Published in June 2014

by the Ministry of Health
PO Box 5013, Wellington 6145, New Zealand

ISBN 978-0-478-42837-7 (print)

ISBN 978-0-478-42838-4 (online)
HP 5913

This document is available at

ccby This work is licensed under the Creative Commons Attribution 4.0 International licence. In essence, you are free to: share ie, copy and redistribute the material in any medium or format; adapt ie, remix, transform and build upon the material. You must give appropriate credit, provide a link to the licence and indicate if changes were made.


Ala Mo’ui: Pathways to Pacific Health and Wellbeing 2014–2018 is the Government’s national plan for improving health outcomes for Pacific peoples. It is driven by the vision of achieving health equity for all Pacific peoples in New Zealand. I believe that the very essence of health equity comes from realising that something as precious as health is a citizenship right to which all should be entitled. ’Ala Mo’ui 2014–2018 sets out the priority outcomes and accompanying actions for the next four years that will contribute to achieving this vision. It brings together sector-wide initiatives and builds on the progress that has been made with the implementation of the first plan, ’Ala Mo’ui 2010–2014. My ardent belief is that we should be working towards the compliance of district health boards in achieving Pacific health outcomes as a universal expectation from Government. It is about all of us stepping up to deliver.
I am proud of what has been achieved to date with ’Ala Mo’ui 2010–2014. We have increased breast screening coverage for Pacific women to a level that now exceeds the Government’s target of 70 percent. We have developed some innovative initiatives, such as the Aniva programmes, which support the career development of participating Pacific nurses; and Tapuaki, the first-ever smartphone app for Pacific expectant mothers. We have also successfully established four Pacific health provider collectives, which will be instrumental in providing a collaborative service approach that strives to address the multiple, layered health needs of Pacific families and communities. These, along with many other successes, provide a springboard for our efforts over the next four years.
Despite the progress being made, there is still much work to be done. The diversity and unique characteristics of Pacific peoples, coupled with the effects of social and economic issues on the health disparities many Pacific individuals and families experience, continue to pose a real challenge for Government.
Ala Mo’ui 2014–2018 aims to not only keep up the momentum we have achieved to date but also hasten the pace by reinforcing the responsibility and accountability of everyone in the health and disability sector. A collaborative effort and leadership from a strong and trusted workforce are critical as we shift our health system from a traditional sickness model of health care to a wellness model that is responsive to the specific needs of our Pacific families. For this reason, workforce and provider development will continue to be a priority. Reflecting this priority, the Pacific Provider Workforce Development Fund has been incorporated into this refreshed plan.
I consider that Nga Vaka o Kāiga Tapu (Ministry of Social Development 2012a) will be an essential platform for informing the plan. My vision is that the focus on family we see in ’Ala Mo’ui will be supported by the complementary emphasis in both Nga Vaka o Kāiga Tapu and whānau ora.
New Zealand’s Pacific population is growing about three times faster than the rest of the New Zealand population. Pacific communities bring youth and vigour into an ageing New Zealand population. The contributions that Pacific peoples make to New Zealand’s society, economy and identity will form an increasingly important part of the future New Zealand. To realise the full potential of this contribution, we need to ensure our Pacific peoples are able to lead longer, healthier and more independent lives.
We need to ensure that Pacific peoples realise their right to health equity. This is the challenge that lies ahead, and it will take the Government, health services and communities working together in new and different ways to make this vision a reality. ’Ala Mo’ui 2014–2018 and the actions identified within it will help guide us over the next four years of this journey.
I look forward to seeing a significant lift in the health outcomes for Pacific peoples with the implementation of ’Ala Mo’ui 2014–2018 and thank all those who have contributed to this refreshed plan.
Hon Tariana Turia

Associate Minister of Health


Foreword 3

Introduction from the Chief Advisor, Pacific Health 6

Purpose 7

Who should use ’Ala Mo’ui? 8

Focus of this plan 9

Government goals 10

Whānau ora and integrated service delivery 10

Pacific principles 11

Respecting Pacific culture 11

Valuing ’āiga, kāiga, magafaoa, kōpū tangata, vuvale, fāmili (family) and communities 11

Quality health care 11

Working together – integration 11

Enablers of outcomes 13

Increased Pacific responsiveness of the general New Zealand health and disability workforce 13

Priority outcomes and actions 17

Outcomes framework 18

Whole of system measures 19

1 Systems and services meet the needs of Pacific peoples 20

2 More services are delivered locally in the community and in primary care 23

3 Pacific peoples are better supported to be healthy 24

4 Pacific ’āiga, kāiga, magafaoa, kōpū tangata, vuvale, fāmili experience improved broader determinants of health 26

References 28

Appendix 1: Workforce tables 31

Appendix 2: Refreshing ’Ala Mo’ui 33

List of Tables

Table 1: Funded activities to increase the Pacific health workforce 14

Table 2: Pacific and total ASH rates (per 100,000) for the 2012/2013 period 19

Table A1: Distribution of Pacific in the medical workforce,+ 2012 31

Table A2: Gender breakdown of Pacific medical workforce 31

Table A3: Distribution of Pacific in the medical workforce, 2012 31

Table A4: Distribution of Pacific workforce in health and disability sector 32

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