The Main Principles
Here we explain the key principles of the HPW Implementation Framework. Each principle is briefly described. If you want to know more there are links to resources that focus on the principle available in the ‘learn more’ sections provided at the bottom of each principle.
Kaupapa Māori research is research that is by Māori, for Māori and with Māori. New Zealand’s history of research being done On Māori has shaped the attitudes and feelings Māori held (and still hold) towards research. Rather than re-applying imported frameworks that are determined in other countries, Kaupapa Māori research embraces the existence and validity of Māori knowledge, language and culture by drawing upon Māori philosophies and knowledge. Often primary emphasis is on localised history, context and experience with a view to make meaningful and sustainable positive change. When research embodies Kaupapa Māori research principles it is highly likely to meet the needs and aspirations of Māori.
Integrated Knowledge Translation
Knowledge-translation processes offer the potential to build bridges between researchers/ academics and communities to increase the potential for research to lead to improved health outcomes and health equity. To understand and influence change in their practice settings, health care professionals and policy makers need to understand theories and frameworks that support knowledge translation.
Systems thinking provides concepts, principles and methods that enables a big picture view of the implementation process. No intervention can address every aspect of a problem, so appreciating multiple perspectives, multiple levels and multiple relationships is critical to ensure boundaries are appropriately drawn around a problem and intervention.
Community Engagement (CE) is a process of collaborating with groups directly affected by a particular health issue or with groups who are working with those affected.
The unique focus of CE is partnership among community members and researchers/health professionals in developing interventions. Especially when guided by principles of shared power, mutual learning, and benefits for the community, CE enables the development of strong relationships that build the capacity of the communities and researchers.
Three characteristics underpin cultural centeredness: community “voice” for problems and solutions, reflexivity, and structural transformation and resources.
The CCA theorizes that domination from various social practices produces communicative erasure through rules, practices, and procedures that limit opportunities for participation and knowledge creation. Centering the discourse with those people most affected empowers them to exercise their own agency; community members can make sense of and create localized health solutions framed by their everyday experiences.
Here we meet Chae again, talking us through the development and co-design of the programme she ran within her community. She also describes the additional benefits of the programme that were unexpected, but nonetheless valuable.