By RNZ

All three of the events who will kind the following Government have campaigned on disestablishing the Māori Health Authority. What does it even do, and what is going to occur if it’s scrapped?

It was to be a game-changer that may give Māori a robust voice within the well being system.

But practically 18 months on, the incoming National-led Government needs to scrap Te Aka Whai Ora (the Māori Health Authority) saying it hasn’t achieved anything worthwhile in its quick existence.

RNZ In Depth te ao Māori journalist Ella Stewart (Ngāpuhi) says the Māori Health Authority was altering the steadiness of energy within the well being system.

“Te Aka Whai Ora came into effect on July 1st, 2022. It is the first time in Aotearoa that we’ve had a commissioning agency for Māori at that upper central government level with the power to do a whole bunch of things,” Stewart says.

“That includes commissioning Māori [health] services and also monitoring performance of the publicly-funded health system. It was this idea that it’s putting power back into the hands of Māori so that tino rangatiratanga, that mana motuhake – that sovereignty, self-determination and independence – to make decisions for Māori and by Māori, and that is informed by speaking with Māori on the ground.”

How do they do this? Iwi-Māori partnership boards are tasked with talking to native Māori and Māori well being suppliers about what works greatest for them, then going again to the Māori Health Authority and asking them to fee sure companies.

In as we speak’s episode, The Detail visits the workplaces of Turuki Health, a South Auckland-based kaupapa Māori well being supplier.

Its CEO Te Puea Winiata (Ngāti Ranginui) explains what’s modified from the times of the district well being boards (DHBs).

“The DHB contracted us to deliver certain services. When we saw a contract that we thought we could deliver, we applied with a range of other providers who might also see themselves delivering that service. It was a contestable process and the DHB chose one provider or a few providers to cover a wider geographic area,” Winiata says.

She says the Māori Health Authority has turned that mannequin on its head.

“They sent out proposals to say ‘hey, if you were to meet the needs of this particular community, with these particular issues, how would you go about that and would you be interested basically in entering into a design process, along with us, to look at how we could achieve better outcomes for our communities’.”

She treads a cautious line when discussing the proposed disestablishment of the authority.

“I would hope that whatever government is in power at the time while we do this work, that they will be supporting the delivery of services that are most meaningful and most relevant to whānau.”

Hikitia Ropata (Ngāti Toa Rangatira, Ngāti Raukawa, Te Āti Awa, Ngāti Porou) is the chairwoman of the Āti Awa Toa Hauora Partnership Board.

Despite a report being launched that claims, amongst different issues, that the function of the boards has lacked readability, Ropata says she’s “150 per cent” clear about what its duties are.

“Our main job is to interact with our community, our Māori whānau, and collect and analyse their voice and bring that back to the system to influence [and] encourage demand for what services are in our communities in the future.”

And she’s calling for the Māori Health Authority to be saved.

“We’re iwi. It doesn’t matter which government’s sitting there, we’ve been having this fight for a long, long time to have our voices heard.

“What I do want to say is they need to give it a chance. What we’ve got here is the opportunity to have our people – have Māori people – really have what I call self-determination and rangatiratanga. After all, isn’t that what any government would want? For people to self-determine what their health needs are?”

To discover out extra about how the Māori Health Authority works on the bottom, take heed to the total podcast episode.