Te Hono o te Kahurangi: Qualification details Title New Zealand Diploma in Kaupapa Māori Public Health (Level 6) Version 1 Qualification type Diploma Level 6 Credits 120 NZSCED 061304 Health > Public Health > Hauora (Māori Health) DAS classification 349 Māori > Hauora Qualification developer NZQA Māori Qualifications Services Next review December 2019 Approval date Dd Mmmm YYYY This qualification is intended for those who have advanced knowledge of Te Ao Māori and extensive experience working with Māori communities who are seeking a specialised qualification to work independently/without supervision in Kaupapa Māori Public Health. Strategic purpose statement The purpose of this qualification is to provide whānau, hapū, iwi, marae, and Māori communities including sector services with competent practitioners who can apply skills and knowledge to demonstrate self-management within a Kaupapa Māori Public Health context. Whānau, hapū, iwi, marae, and Māori communities will benefit from having graduates who are able to lead and advance the principles of Kaupapa Māori Public Health to strengthen whānau decision making, management and empower them to take control of their social, economic, cultural, and collective wellbeing. Graduates of this qualification will be able to use their knowledge and skills based on te Ao Māori concepts to lead, promote, and enhance the principles of Kaupapa Māori 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. Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 1 of 12 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 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 Employment pathway Lead the promotion and practice of Whānau Ora principles in a Kaupapa Māori Public Health context to enable positive health and well-being outcomes for whānau, hapū, iwi, marae, and Māori communities; Demonstrate the principles of Te Oranga to lead the development and presentation of a strategy that will contribute to the participation, confidence, and optimal health and well-being of whānau, hapū, iwi, marae, and Māori communities; Work collaboratively to implement, monitor and review a promotional plan that is likely to strengthen and enhance the concepts of Mauriora amongst whānau, hapū, iwi, marae, and Māori communities; Demonstrate the principles of Waiora to incorporate kawa and tikanga concepts into professional practice in a Kaupapa Māori Public Health context. Demonstrate the principles of Toiora in the design and implemention of Māori community research to promote and contribute to collaborative, positive health outcomes for whānau, hapū, iwi, marae and Māori communities; Reinforce the principles of Ngā Manukura to adopt a collaborative approach with local Māori leaders to effect positive change to improve the health and well -being of whānau, hapū, iwi, marae, and Māori communities; Provide leadership and ensure the principles of Te Manawhakahaere are maintained to develop an assessment tool that identifies and measures health priorities for whānau, hapū, iwi, marae and Māori communities. Graduates of this qualification may undertake study towards degree level qualifications in Kaupapa Māori Health Care, Health Science and Health Care Promotion and Management. Graduates of this diploma will have the transferable skills and knowledge to potentially secure roles as: Kaupapa Māori Public Health Manager Kaupapa Māori Manager in Planning and Funding Kaupapa Māori Public Health Environment Manager Health Contracts Manager Senior Health Adviser Senior Health Researcher Senior Health Analyst Senior Health Manager. The qualification provides a pathway for Graduates who want to specialise in the area of Kaupapa Māori Public health: Graduates of this qualification will be able to: Lead the development of Kaupapa Māori Public Health based on kaupapa Māori principles and practices. Lead and manage Kaupapa Māori Public Health initiatives that reaffirm 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. Minimum standard of achievement and standards for grade endorsements Entry requirements (including prerequisites to meet regulatory body or legislative requirements) 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. 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 Diploma in Kaupapa Māori Public Health (Level 6) 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 Māhutonga”, 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 Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 7 of 12 or community. Risks are more pronounced in populations which are youthful. Risks are increased if risk-taking behaviour is condoned or implicitly encouraged. 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 Mäori 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. Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 8 of 12 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 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. Other conditions 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). For the purposes of this qualification the following terms have been defined: 1. Kaupapa Māori. Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 9 of 12 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, 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. Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 10 of 12 Specific conditions relating to the Graduate profile Programme Guidance/Conditions Programmes should include the following key focus areas of each outcome: Mandatory or Optional Lead the promotion and practice of Whānau Ora principles in a Kaupapa Māori Public Health context to enable positive health and well-being outcomes for whānau, hapū, iwi, marae, and Māori communities. (8 credits) Apply comprehensive communication skills and strategies to manage relationships and foster whanaungatanga in a Kaupapa Māori Public Health context. Research and provide analysis of the benefits to whānau from population based approaches e.g their aspirations are recognised. Show evidence of whānau leadership involvement in the design, development and delivery of KMPH initiatives/projects/programmes. Ensure access and input to information on Cost/Benefit/Risk analysis of whānau driven initiatives. Optional Demonstrate the principles of Te Oranga to lead the development and presentation of a strategy that will contribute to the participation, confidence, and optimal health and well-being of whānau, hapū, iwi, marae, and Māori communities. (8 credits) Implementation of strategies reflect maximum extent of Māori participation. Strategies monitored, reviewed and evaluated with outcomes report accessible to whānau, hapū, iwi and community. Active promotion of Māori leadership, ownership and increased decision making in the development and implementation of strategies. Implementation of strategies strongly demonstrate how the social indicators e.g health, employment, welfare, education, housing are addressed. Optional Work collaboratively to implement, monitor and review a promotional plan that is likely to strengthen and enhance the concepts of Mauriora amongst whānau, hapū, iwi, marae, and Māori communities. (10 credits) Initiatives increasing Māori cultural identity and outcome evaluation measures agreed with the target audience i.e whānau, hapū, iwi. Plans developed in collaboration with whānau, hapū, iwi and/or community. Presentations of outcome evaluation are culturally and socially responsive to whānau, hapū and iwi. Māori leadership involvement in monitoring and reviewing of plans/programmes is evidenced. Optional Demonstrate support of whānau, hapū or iwi involvement in the work of environmental protection. Demonstrate promotion and support with whānau, hapū and iwi of the importance of quality issues that directly impact on marae, e.g drinking water, sanitary, dietary etc. Evidence of facilitation support for whānau, hapū, iwi or community in accessing Māori institutions, events and opportunities that increase Māori participation within te ao Māori. Optional Demonstrated ability to the gathering, analysis and use of statistical data to inform practice in a Kaupapa Māori Public Health context. Optional Qualification outcomes Demonstrate the principles of Waiora to incorporate kawa and tikanga concepts into professional practice in a Kaupapa Māori Public Health context. (9 credits) Demonstrate the principles of Toiora in the design and implemention of Māori Qualification Reference 2345 © New Zealand Qualifications Authority 2015 Page 11 of 12 community research to promote and contribute to collaborative, positive health outcomes for whānau, hapū, iwi, marae and Māori communities. (8 Credits) Reinforce the principles of Ngā Manukura to adopt a collaborative approach with local Māori leaders to effect positive change to improve the health and well-being of whānau, hapū, iwi, marae, and Māori communities. (8 credits) Provide leadership and ensure the principles of Te Manawhakahaere are maintained to develop an assessment tool that identifies and measures health priorities for whānau, hapū, iwi, marae and Māori communities. (9 credits) Implementation of healthy lifestyle promotional plans will be responsively applicable at all levels i.e whānau, hapū, iwi and community. Risk factors and harm minimisation strategies are explicitly considered in the design, development and delivery of promotional plans. Demonstrate s pecific strategy/s that focus on influencing legislation and/or health policy in the promotion of behaviour change. Maximum efforts to ensure whānau, hapū, iwi and community leaders are actively involved in all stages of an initiative/plan/project/programme. Demonstrate the sustainability of an initiative/plan/project/programme within a whānau, hapū, iwi and community setting. Maximum efforts to ensure whānau, hapū, iwi and community leaders and alliances are strongly linked and respectively connected. Communications demonstrate optimal effectiveness i.e culturally, socially, technically responsive to all groups. Ownership (intellectually or otherwise) research, information and findings from any initiative/plan/project/programme to be culturally considered e.g whānau, hapū, iwi access to, guardian/proprietor of taonga (physical, intellectual, spiritual etc). Optional Optional Cultural and social factors are inherent in the monitoring and evaluation of all initiatives. Plans reflect the the importance of whānau, hapū, iwi and/or autonomy and self determination. Transition information Replacement information This qualification replaced the: National Diploma in Hauora (Māori Health) [Ref: 1657] 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