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The role and potential of community-based cancer care for Māori in Aotearoa/New Zealand

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Summary:

This article discusses information collated from a nationwide postal survey undertaken in New Zealand in 2011 of all Māori health provider organisations (n=253). The survey, which had a 55% response rate, explored the role that these providers have in cancer care in the community. They deliver a wide range of programmes including cancer prevention services focussed on health promotion, advocacy, information and support. Māori health providers identified financial hardship, transport difficulties, and lack of information as the greatest barriers to cancer care. About half of the respondents reported that a lack of cultural safety in mainstream health systems was a barrier to all cancer services, including primary care and screening. Most respondents emphasised the importance of trust and long-term relationships within their communities, which helps them to focus on families rather than individual-based care throughout the cancer care journey.

Comment:
Comment (MH): A great review of the role that kaupapa Māori services play in ensuring access to and through cancer care pathways. In my experience, they also seem to face barriers similar to those experienced by the whānau they work with, including financial, travel, silo’ed care and discrimination.
Reference: N Z Med J. 2016;129(1430):29-38
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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