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Adapting an equity-focused implementation process framework with a focus on ethnic health inequities in the Aotearoa New Zealand context

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Summary:

An equity-focused framework, to support the planning and delivery of equitable implementation pathways for health interventions, has now been adapted for use in New Zealand. After a scoping review to identify existing frameworks, the Equity-based framework for Implementation Research was selected for adaptation. Māori and consumer advisory groups were involved in the adaptation process. The principles of Te Tiriti o Waitangi are at the core of the adapted framework, and it takes a whānau-centred approach. The implementation pathway is underpinned by constructs of collaborative design, anti-racism, Māori and priority population expertise, cultural safety and values. Social, economic, commercial and political determinants of health are included in the pathway.

Comment:
A key part of clinical research is the step/s to improve practice and implement ‘evidence-based medicine’ – yet it is often incomplete or inadequate. I found this framework incredibly useful and pragmatic, and invite researchers and services to utilise it.
Reference: Int J Equity Health. 2024;23(1):15.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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