Te Hono o te Kahurangi: Qualification details Title New Zealand Certificate in Kaupapa Māori Public Health (Level 5) Version 1 Qualification type Certificate Level 5 Credits 120 NZSCED 061304 Health > Public Health > Hauora (Māori Health) DAS classification 349 Māori > Hauora Qualification developer NZQA Māori Qualifications Services Next review December 2020 Approval date Dd Mmmm YYYY This qualification is intended for those who are seeking to work under limited supervision in the area of Kaupapa Māori Public Health. Strategic purpose statement The purpose of this qualification is to provide graduates who can apply Kaupapa Māori Public Health skills and knowledge to develop preservation, protection, and promotion strategies to improve the health and wellbeing of whānau Māori. Te iwi Māori and Aotearoa will benefit from graduates who are able to apply a Kaupapa Māori Public Health perspective within a social, economic, cultural and environmental context to reduce inequalities and improve the health of Māori populations. Graduates of this qualification will advocate and educate in the promotion, prevention, and intervention of Kaupapa Maori Public Health. Explanatory Note: Kaupapa Māori Public Health Kaupapa Māori Public Health simply blends two well established theoretical frameworks together, (Kaupapa Māori and Public Health), to enable Māori health to be analysed and addressed within the wider NZ population. It also provides a framework that focusses on the determinants of health , which realistically aligns with the health needs and realities of whānau, hapū, iwi, and Māori communities . The fundamental principles of Public Health also align with the Māori principles of Te Oranaga, Mauriora, Whānau Ora, Toiora, Waiora, Ngā Manukura and Te Mana Whakahaere. Guiding Principles Whānau Ora This kaupapa places whānau at the centre of decision making and sector service delivery that is distinctly built on Māori cultural foundations. It recognises whānau as a collective entity, and endorses whānau capacity for self-determination. Kaupapa Māori Public Health (KMPH) also highlights the cohesive and interdependent relationships of whānau, hapū and iwi, and asserts that whānau aspirations are reflective in the delivery of KMPH community initiatives. The organised efforts at hapū, iwi and community levels can be expected to provide significant benefits to whānau and to individual members. Te Oranga (Participation in Society) This kaupapa is dependent on the terms under which Māori participate in society and on the confidence with which they can, for example, access good health services, or the school of their choice, or sport and recreation. The aim of Kaupapa Māori Health is to Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 1 of 12 broaden the boundaries of Māori participation in society so that they can participate in raising the economy, improving education, increading employment and extending the knowledge of society to include the strengths of Māori society. All social indicators of Māori wellbeing rests with full Māori participation in the economy, education, employment, justice and other areas where Māori health profile indicators note Māori health disparities. Mauriora (Cultural Identity) This kaupapa refers to feeling safe to explore the cultural identity and inner strength and vitality of an individual, whānau, hapū, iwi and/or Māori community. Māori interaction with the environment,their cultural expressions and endorsement within societys’institutions is therefore essential. Entry to and involvement in learning of tribal lore, te reo, tikanga and kawa strongly embraces Mauriora. Acknowledgement, recognition and understanding of legal obligations, systems, procedures, compliances and ethics is also an important responsibility. Waiora (Physical Environment) This kaupapa highlights the inseparable and enduring relationship between Māori and their natural environment. Waiora embraces both the physical and spiritual elements that connect Māori to their environments e.g. land, sea, air, rivers, lakes, mountains and forests, and facilitates access by Maori to the Maori world of knowledge, understanding, and cultural expressions and institutions. Promoting the protection and sustainability of the physical environment is essential, as is the importance of ensuring opportunities for Māori to interact with their natural environment is maximised. Toi Ora (Healthy Lifestyles) This kaupapa supports the development, strengthening and maintenance of Māori healthy lifestyles towards reducing the preventable consequences of unhealthy lifestyles e.g. eating habits, alcohol and drugs, unsafe roadway practices (seatbelts, helmets), tobacco, and sedentary habits. Protection from injury, self-harm, illness and influencing legislation and health policy changes are major challenges facing KMPH promoters, whose interventions and acitivities must be culturally responsive. Ngā Manukura (Community Leadership) This kaupapa is based on the principle of local leadership and is a critical success factor in any community initiative and cannot be replaced by the important role of health professionals regardless of technical or professional qualifications. Relational and collaborative approaches must be adopted as no single group has sufficient expertise to encompass the range of skills and necessary linkages necessary for transformative change. Self-determination is a key object in realtion to whānau, hapū, iwi, marae, and community populations, and supports the development of distinct and unique Māori world-view initiatives and interventions. Te Mana Whakahaere (Autonomy – Leadership in Health) This kaupapa assures whānau, hapū, iwi, marae and community are able to demonstrate a level of autonomy and self-determination in promoting their own health. Maintaining the balance of KMPH leadership so not to unwittingly compromise this autonomy is very important. Te Mana Whakahaere appropriately demonstrates the balance of the KMPH worker leadership role when working with the range of leaders and population groups in the community. Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 2 of 12 Graduates of this qualification will be able to: Graduate profile Education pathway Promote and practice the principles of Whānau Ora in a Kaupapa Māori Public Health context to contribute to positive health and well-being outcomes for whānau, hapū, iwi, marae, and Māori communities; Demonstrate the principles of Te Oranga to develop and present strategies that will contribute to the participation, confidence, and optimal health and well-being of whānau, hapū, iwi, marae, and Māori communities; Work collaboratively to design and develop a promotional plan to strengthen and enhance the concepts of Mauriora amongst whānau, hapū, iwi, marae, and Māori communities; Demonstrate the principles of Waiora to strengthen knowledge of local kawa and tikanga concepts and their appropriate application and practice in a Kaupapa Māori Public Health context; Identify key policies and strategies that align with the principles of Toiora to describe how they contribute to minimising preventable health consequences amongst whānau, hapū, iwi, marae, and Māori communities; Reinforce the principles of Ngā Manukura to describe kaupapa Māori approaches to improving the health and well-being of whānau, hapū, iwi, marae, and Māori communities; Ensure the principles of Te Manawhakahaere are maintained to explain a Māori perspective of positive health outcomes. This qualification provides a pathway for people wishing to develop a higher level of expertise in the Public Health sector and may lead to New Zealand Diploma in Kaupapa Māori Public Health (Level 6) [Ref: XXXX]. Alternatively, Graduates may undertake further study towards other level six or degreelevel qualifications in Kaupapa Māori and general Health Care, Health Science, or Health Care Promotion and Management. Graduates of this certificate will have the transferable skills and knowledge to potentially secure roles in the Kaupapa Māori and the general public health sector including: Employment pathway Kaupapa Māori Public Health Researcher Kaupapa Māori Public Health Analyst Kaupapa Māori Public Health Environment Co-ordinator Kaupapa Māori Public Health promoter, facilitator, and liaison. This qualification provides a pathway for graduates to develop capability and capacity to work effectively in Māori communities. Graduates of this qualification will be able to: Contribute to the development of Kaupapa Māori Public Health based on kaupapa Māori priorities and practices. Promote awareness of Kaupapa Māori Public Health and reinforce the need to care for our whakapapa and the future aspirations of whānau and hapori Māori. Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 3 of 12 Qualification specifications This qualification will be awarded to people who have met the requirements of the graduate outcomes. Awarding bodies for this qualification will be any education organisation accredited under section 38 of the Education Amendment Act 2011 to deliver an approved programme leading to the qualification. Qualification award The certificate will display the NZQF logo and the name and logo of the tertiary education organisation (TEO) offering the training leading to the award of the qualification, the full qualification title, NZQA reference number, and the date of award of the qualification. If the TEO has been awarded the MMEQA Qual Mark for a programme of study leading to this qualification, the certificate will also display the Mātauranga Māori Quality Assurance Mark. The process for ensuring consistency of Kaupapa Māori Public Health graduate profiles will be evidence-based, outcomesfocussed, and grounded in the MM EQA kaupapa Māori principles: Te Reo Māori, Tikanga, Whanaungatanga, Manaakitanga, Pūkengatanga, Kaitiakitanga, Rangatiratanga, Tūrangawaewae. Evidence for consistency Each education organisation is responsible for preparing a summary self-assessment report which uses evidence to demonstrate how well its graduates meet the graduate profile outcomes at the appropriate threshold. Evidence of the following must be provided for Kaupapa Māori Public Health consistency events: Evidence requirements for assuring consistency Effective internal and external moderation processes, including internal moderation results relating to graduate outcomes Feedback and actions taken by the education organisation in response to feedback ­ must include feedback from graduates, current students, tutors/assessors, and graduate destinations (such as employers, next programme provider, the community/other stakeholders) Samples of assessment materials Samples of Learner assessments/work Programme completion data and course results Moderation outcomes which may include moderation/benchmarking across common programmes Relevant MM EQA external evaluation and review data where applicable Evidence of the following may be provided for the consistency event: Kaupapa Māori Public Health programme evaluation reports Portfolios of work Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 4 of 12 Credit transfer and recognition of prior learning arrangements Benchmarking with other providers Site visit reports Other relevant and reliable evidence. Employer surveys Graduate surveys Whānau, hapū, iwi, and/or hapori surveys. To facilitate credit transfer, education organisations must clearly demonstrate the equivalency or comparability between each of the outcomes in the graduate profile, and the assessment components of their programmes. Education organisations must have policies and procedures in place for managing credit transfer, and assessing recognition of prior learning and recognition of current competency. These policies and procedures, and associated fees must be available to candidates prior to enrolment. Assessment standards already achieved by the candidate, which are specified in this qualification, may be credited to the qualification. The minimum standard of achievement required for award of the qualification will be the achievement of all of the outcomes in the graduate profile through successful completion of an NZQA approved programme. Minimum standard of achievement and standards for grade endorsements Entry requirements (including prerequisites to meet regulatory body or legislative requirements) There are no mandatory prerequisites to meet regulatory body, or legislative requirements for this qualification. Qualification conditions Overarching conditions relating to the qualification Conditions for programme structure The context for the delivery of programmes leading to the award of the New Zealand Certificate in Kaupapa Māori Public Health (Level 5) actively supports Māori preferred ways of teaching, learning, learning support, and pastoral care. This qualification is distinctively Māori, and while the skills and knowledge will be transferable, this qualification is custom-designed specifically for application in Māori contexts. The term kaupapa Māori includes te reo me ngā tikanga ā-hapū, or ā-iwi. Conditions for programme context The programme must have in place appropriate mechanisms/protocols, to ensure tangata whenua and/or mana whenua associated with a wāhi tapu or Māori heritage and sites of cultural significance are engaged, involved and consulted at all times. Mechanisms/protocols may include, but are not limited to: Memorandum of Partnership Relationship strategy and supporting operational policies and requirements in place Designated Māori relationship role/position. Provisions for Kaumātua or whānau, hapū or iwi knowledge holders acting in an advisory capacity. Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 5 of 12 Ngā Mātāpono The Mātāpono adopted for the Kaupapa Māori Public Health Suite of qualifications are taken from “Te Pae Mahutonga”, a Māori Model of Health developed by Mason Durie. Te Pae Māhutonga To bring together the elements of modern health promotion in a cohesive manner it is useful to examine the well-known celestial body, Te Pae Māhutonga. Te Pae Māhutonga is the name for the constellation of stars popularly referred to as the Southern Cross. It is visible low in the night sky and identifies the magnetic south pole. Te Pae Māhutonga has long been used as a navigational aid and is closely associated with the discovery of Aotearoa and then New Zealand. The constellation has four central stars arranged in the form of a cross, and there are two stars arranged in a straight line which point towards the cross. They are known as the two pointers. Because it is an icon of New Zealand, and because To Pae Māhutonga has served as a guide for successive generations, it can also be used as a symbolic map for bringing together the significant components of health promotion, as they apply to Māori health, but as they might also apply to other New Zealanders. The four central stars can be used to represent the four key tasks of health promotion and might be named according to reflect particular goats of health promotion: Mauriora, Waiora, Toiora, Te Oranga. The two pointers are Ngā Manukura and Te Mana Whakahaere. Mauriora Access to te ao Māori Mauriora rests on a secure cultural identity. Good health depends on many factors, but among indigenous peoples the world over, cultural identity is considered to be a critical prerequisite. Deculturation has been associated with poor health whereas acculturation has been linked to good health. A goal of health promotion therefore is to promote security of identity. In turn that goal requires the facilitation of Māori entry into the Māori world. It is a sad commentary that perhaps more than one half of Māori people have very inadequate access to the Māori world. Land alienation is common enough so that fewer than one half of all Māori have any ongoing links with tribal land; nor is access to a marae secure; and fluency in Māori language is the Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 6 of 12 province of a minority. In addition there are also reduced opportunities for cultural expression and cultural endorsement within society’s institutions. Too many are unable to have meaningful contact with their own language, customs, or inheritance. A task for health promotion is therefore to facilitate access to te ao Māori: access to language and knowledge access to culture and cultural institutions such as marae access to Māori economic resources such as land, forests, fisheries access to social resources such as whānau, Māori services, networks access to societal domains where being Māori is facilitated not hindered. Waiora Environmental Protection The distinctions between waiora and mauriora are subtle but whereas mauriora encompasses inner strength, vitality and a secure identity, waiora is linked more specifically to the external world and to a spiritual element that connects human wellness with cosmic, terrestrial and water environments. Good health is difficult to achieve if there is environmental pollution; or contaminated water supplies, or smog which blocks out the sun’s rays, or a night sky distorted by neon lighting, or earth which is hidden by concrete slabs, or the jangle of steel which obliterates the sound of birds. Something is lost when the spiritual connection between people and the environment is felt second hand through a television screen or via a computer simulation. Health promotion must take into account the nature and quality of the interaction between people and the surrounding environment. It is not simply a call for a return to nature, but an attempt to strike balance between development and environmental protection and recognition of the fact that the human condition is intimately connected to the wider domains of Rangi and Papa. In this context health promotion is about harmonising people with their environments. It is about protecting the environment so that: water is free from pollutants air can be breathed without fear of inhaling irritants or toxins earth is abundant in vegetation noise levels are compatible human frequencies and harmonies opportunities are created for people to experience the natural environment Toiora Healthy Ljfestyles Major threats to health come from the risks that threaten health and safety and have the capacity to distort human experience. Risk-laden lifestyles have wellknown and largely preventable consequences. Risks can be found in the patterns of nutritional intake, the use of alcohol and drugs, unsafe roadway practices (seatbelts, helmets), tobacco use, disregard for the safety of others, unprotected sex, sedentary habits, reckless spending, and the use of unsound machinery, including motor vehicles. Protection from injury, self-harm, and illness are major challenges facing health promoters. Too many Māori, young and old, are trapped in risk-laden lifestyles and as a consequence will never be able to fully realise their potential. The loss to Māori wealth, and to the wealth of the nation is correspondingly high. Further, entrapment in lifestyles which lead to poor health and risk taking, is so closely intertwined with poverty traps and deculturation that macro-solutions become as important, if not more important, than targeted interventions at individual or community levels. Toiora, as distinct from mauriora and waiora, depends on personal behaviour. But it would be an over simplification to suggest that everyone had the same degree of choice regarding the avoidance of risks. Risks are highest where poverty is greatest. Risks are high where risk-taking behaviour is the norm within a whānau or community. Risks are more pronounced in populations which are youthful. Risks are increased if risk-taking behaviour is condoned or implicitly encouraged. Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 7 of 12 A shift from harmful lifestyles to healthy lifestyles requires actions at several levels and the key areas for consideration include: harm minimisation targeted interventions risk management cultural relevance positive development Te Oranga Participation in Society It is now well recognised that health promotion cannot be separated from the socioeconomic circumstances. Wellbeing is not only about a secure cultural identity, or an intact environment, or even about the avoidance of risks. It is also about the goods and services which people can count on, and the voice they have in deciding the way in which those goods and services are made available. In short, wellbeing, te oranga, is dependent on the terms under which people participate in society and on the confidence with which they can access good health services, or the school of their choice, or sport and recreation. And while access is one issue, decision making and a sense of ownership is another. There is abundant evidence that Māori participation in the wider society falls considerably short of the standards of a fair society. Disparities between Māori and non-Māori are well enough documented and confirm gaps on almost every social indicator. Health promotion is about enhancing the levels of wellbeing, te oranga, by increasing the extent of Māori participation in society: participation in the economy participation in education participation in employment participation in the knowledge society participation in decision making. MEETING THE CHALLENGES Health promotion is not the province of any one group nor is there a simple formula which can always be applied. But if it is to be effective there are two important prerequisites, ngā manukura (leadership) and Te Mana Whakahaere (autonomy). Nga Manukura Leadership Leadership in health promotion should reflect a combination of skills and a range of influences. Regardless of technical or professional qualifications, unless there is local leadership it is unlikely that a health promotional effort will take shape or bear fruit. Health professionals have important roles to play but cannot replace the leadership which exists in communities; nor should they. Moreover, given the nature of health promotion and the several dimensions which must be taken into account, there must be some co-ordination of effort. Health promotional leadership will be more effective if a relational approach is fostered and alliances are established between groups who are able to bring diverse contributions to health promotional programmes. No single group has sufficient expertise to encompass the range of skills and linkages necessary for effecting change. Often most progress will be made simply by bringing the leaders together. In health promotion there is no place for rigid sectoral boundaries, or institutional capture, or isolated initiative. Health promotional workers form an important part of the leadership network. The skills required for health promotion are quite different from those required for personal treatment services. Importantly, health promotional workers must be able to establish working alliances with a range of community and professional Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 8 of 12 leaders. Moreover they must be able to relate to communities in terms which make sense to those communities. Sometimes cultural barriers will reduce the effectiveness of campaigns; sometimes differences in socio-economic status will impose barriers. And always the language used and the idiom with which messages are expressed will be a key factor. Leadership for health promotion needs to reflect: community leadership health leadership tribal leadership communication alliances between leaders and groups Te Mana Whakahaere Autonomy No matter how dedicated and expertly delivered, health promotional programmes will make little headway if they operate in a legislative and policy environment which is the antithesis of health, or if programmes are imposed with little sense of community ownership or control. Good health cannot be prescribed. Communities — whether they be based on hapū, marae, iwi, whānau or places of residence — must ultimately be able to demonstrate a level of autonomy and self determination in promoting their own health. It is important therefore that health workers do not assume such a high level of leadership that community autonomy is unwittingly undermined. Autonomy is reflected in the participation people have in health promotion and their control over it. Autonomy is also evident in the unique aspirations of a community. While official priorities might be at one level, quite different priorities might be contained in the aspirations of a marae, or local community. And it goes without saying that the processes adopted in health promotion - the way in which it is done — should make sense to a particular community. No point in running an elaborate health campaign if it is couched in a language or a style that bypasses local custom. Further, in evaluating the success of a campaign, it is important that the indicators used, the measures, are relevant to the group in question. The capacity for self governance, not only for a specific health promotional programme but more importantly for the affairs and destinies of a group are central to notions of good health and positive wellbeing. Self governance should exist at several levels-local, marae, hapu, iwi and at national levels. It does not necessarily mean separatism or total independence – indeed collaboration and alliances are critical in a small country such as New Zealand but it does mean a capacity to organise and assert a measure of control over future development. To the extent that self governance is only occasionally realised, then opportunities for good health are correspondingly limited. The promotion of health therefore requires the promotion of autonomy: control recognition of aspirations relevant processes sensible measures self governance All programmes leading to a qualification approved under Te Hono o te Kahurangi and listed on the NZQF, will be assessed under Mātauranga Māori Evaluative Quality Assurance (Programmes of Study). Other conditions For the purposes of this qualification the following terms have been defined: 1. Kaupapa Māori. In its most basic form, Kaupapa Māori is referred to as the philosophy and practice of being Māori: “It assumes taken for granted social, political, Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 9 of 12 historical, intellectual and cultural legitimacy of Māori people, in that it is a position where Māori language, culture, knowledge and values are accepted in their own right” (Smith, 1992, cited by Bishop, 1996, p.12). This philosophy is most often expressed in the delivery of culturally appropriate and relevant services to Māori in the education, health and welfare sectors. These services are colloquially referred to as “by Māori, for Māori” according to Durie (2001) and involve a number of defining characteristics including; the use of cultural values, whānau participation, use of Māori language and custom, outcomes measures relevant to Māori and a competent and professional workforce. Mai review, 2008, 1, Target Article – Theoretical underpinnings of Kaupapa Maori directed practice. - Anaru Eketone (2008). 2. Public Health Public health refers to "the science and art of preventing disease, prolonging life and promoting health through organized efforts and informed choices of society, organizations, public and private, communities and individuals." It is concerned with threats to health based on population health analysis. The population in question can be as small as a handful of people, or as large as all the inhabitants of several continents (for instance, in the case of a pandemic). The dimensions of health can encompass "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity", as defined by the United Nations' World Health Organization. Public health incorporates the interdisciplinary approaches of epidemiology, biostatistics and health services. Environmental health,community health, behavioral health, health economics, public policy,insurance medicine and occupational safety and health are other important subfields. The focus of public health intervention is to improve health and quality of life through prevention and treatment of disease and other physical and mental health conditions. This is done through surveillance of cases and health indicators, and through promotion of healthy behaviors. Examples of common public health measures include Promotion of hand washing, breastfeeding, delivery of vaccinations, and distribution of condoms to control the spread of sexually transmitted diseases. Modern public health practice requires multidisciplinary teams of public health workers and professionals including physicians specializing in public health/community medicine/infectious disease, psychologistsepidemiologists, biostatisticians, medical assistants or Assistant Medical Officers, public health nurses, midwives,medical microbiologists, environmental health officers / public health inspectors, pharmacists, dental hygienists,dietitians and nutritionists, veterinarians, public health engineers, public health lawyers, sociologists, community development workers, communications experts, bioethicists, and others. http://en.wikipedia.org/wiki/Public_health 25/2/15. Specific conditions relating to the Graduate profile Qualification outcomes Programme Guidance/Conditions Programmes should include the following key focus areas of each outcome: Mandatory or Optional Promote and practice the principles of Whānau Ora in a Kaupapa Māori Public Health context to contribute to positive Aspirations of whānau are evident Whānau leadership and autonomy is active KMPH practitioner support of whānau is balanced and appropriately responsive Ability to convey the benefits to whānau when applying a Optional Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 10 of 12 health and well-being outcomes for whānau, hapū, iwi, marae, and Māori communities. (16 credits) Design and develop plans (with the target audience) that reflect the principles of Te Oranga to support the development of strategies that may contribute to the participation, confidence, and optimal health and well-being of whānau, hapū, iwi, marae, and Māori communities (16 credits) Design and develop (with target audience) promotional initiatives and/or activities to strengthen and enhance the concepts of Mauriora amongst whānau, hapū, iwi, marae, and Māori communities. (20 credits) Demonstrate the principles of Waiora to strengthen knowledge of local kawa and tikanga concepts and their appropriate application and practice. (18 credits) Identify key policies and strategies that align with the principles of Toiora to describe how they contribute to minimising preventable health consequences amongst whānau, hapū, iwi, marae, and Māori communities. (16 Credits) population approach Social indicators are reflected Demonstrate cost/benefit and risk analysis Impacts of legislation, policy or regulation compliances are identified Effective enagagement with whanau, hapū, marae, and Māori communities is understood. Optional Māori cultural identity with evaluation measures are agreed with the target audience. Relevant organisations and institutions are actively involved Whānau, hapū, iwi and/or Māori communities have appropriate autonomy and leadership. Optional Explain and provide examples of the cultural significance of environmental landmarks such as tūrangawaewae, urupā and marae strengthen the knowledge of local kawa and tikanga concepts and their appropriate application and practices. Research and provide analysis of relevant legislation, regulatory compliances , policies that can impact on the natural environment and Māori access, involvement and enduring relationship. From Te Ao Māori view describe and explain the concepts of protection, conservation and sustainability in reference to the environment . Optional Use technology to promote healthcare issues to whānau Māori in a culturally appropriate manner. Reflection of healthy lifestyles and harm reduction/minimisation approaches used Efforts on influencing legislation and health policy changes is evident Communication of technical information with whānau,hapū,iwi and communities is responsive and culturally effective Cost/benefit and risk analysis evident with all promotion activities and communicated effectively with target Optional Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 11 of 12 audience Reinforce the principles of Ngā Manukura to describe kaupapa Māori approaches to improving the health and well-being of whānau, hapū, iwi, marae, and Māori communities. (16 credits) Ensure the principles of Te Manawhakahaere are maintained to explain a Māori perspective of positive health outcomes. (18 credits) Leadership is evident at whānau, hapū, iwi and/or community level in health promotion activities/initiatives Demonstrated KPMH practitioner support is appropriately provided in that it is mindful of risks and comprises if an imbalance of power and autonomy occurs Communications are culturally and socially responsible Evidence of distinct Māori world view initiatives are facilitated and promoted. Identify Māori leaders who have applied rangatiratanga in the area of Maori health and explain a Māori perspective of positive health outcomes. Leadership is evident at whānau, hapū, iwi and/or community level in health promotion activities/initiatives Māori health promotion research information by whānau, hapū, iwi or communities is rightfully owned and properly maintained. Effecting change involving relational and collaborative alliances of whānau, hapū, iwi, community, health leaders and groups Optional Optional Transition information Replacement information This qualification replaced the: National Certificate in Hauora (Māori Health) [Ref: 0710] The last date to meet the requirements of the replaced qualification will be 31 December 2017 at which time the qualification will be discontinued. From that date no results can be reported against the qualification. Learners currently enrolled in programmes working towards the replaced qualification may either complete the requirenments by 31 December 2017 or transfer their results to the replacement New Zealand qualification. It is the intention of Māori Qualifications Services that no existing Learner will be disadvantaged by these transition arrangements. However, any person who considers they have been disadvantaged may appeal to: Māori Qualifications Services PO Box 160 Wellington 6140 Telephone: 04 463 3000 Email: mqs@nzqa.govt.nz Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 12 of 12