Māori and Pacific peoples in Aotearoa New Zealand (NZ) face significant inequities in cardiovascular disease (CVD) risk factors, hospitalisations and management rates, compared with non-Māori, non-Pacific peoples. These inequities are intimately linked to factors such as colonisation and the intergenerational impacts of systemic racism. This is the protocol for Manawataki Fatu Fatu for ACCESS (Māori and Pacific hearts in unison for Achieving Cardiovascular Care in Equity StudieS), a mixed-methods programme of research, combining kaupapa Māori and Pacific research methodologies (i.e. incorporating the knowledges, skills and values of Māori and Pacific peoples). In this Māori and Pacific led research programme, we will use qualitative and quantitative methodologies to identify evidence-practice gaps along the healthcare continuum that can be addressed to improve heart health outcomes for Māori and Pacific people in NZ.
The programme is built on three foundation projects: (i) the assessment and management of CVD risk in primary care; (ii) pre- hospital delays in accessing care following an acute cardiac event in the community; and (iii) post-discharge and long-term management of heart failure. There are three phases. Phase 1 aims to systematically document research, completed or underway, about equitable access to evidence-based heart health care. We will establish a national collaboration of equity-focused heart health researchers and providers, and undertake systematic reviews relating to the three foundation projects. In Phase 2, we will undertake qualitative and quantitative research in the three foundational projects, to identify interventions to increase access to heart health care that have most potential to improve Māori and Pacific health outcomes and achieve equity. The quantitative and qualitative studies will be undertaken in parallel and will inform each other. Phase 3 will use findings from Phases 1 and 2 to create a Quality-Improvement- Equity Roadmap to inform interventions to improve M”aori and Pacific people’s access to evidence-based CVD care.
social justice, emancipatory research, methods in qualitative inquiry, mixed methods, community based research
Featured Resources
Melissa L. Palma, Donna Lynne Demanarig, Kristine Cecile Alarcon, Maria Acedo Kronenburg, Meredith Anne Capuli, Jamille Nagtalon-Ramos, Melanie Sabado-Liwag, and Joyce Javier
2025 | United States
Kuwentuhan is an indigenous Filipino oral storytelling method used to preserve history and values and demonstrates how cultural values and knowledge are passed down through generations. Kuwentuhan incorporates collaborative experiences as individuals share their personal stories and perspectives. Indigenous Filipinos use the practice of kuwentuhan to build kapwa (shared identity)…
Robyn Williams (Noongar), Francine Eades (Noongar), Justine Whitby (Noongar Yamatji), Katiska Davis (Noongar), Christopher McKay (Wiradjuri), Lina Gubhaju, Sandra Eades (Noongar)
2024 | Australia
Indigenous research frameworks are key to enhancing cultural safety for participants, while facilitating capacity building for Indigenous researchers. Indigenous frameworks can address and balance out the potential harms of western research methods. This methodology article describes the experiences of an Indigenous research team in Western Australia (WA) and the developed…
Donna LM Kurtz, Julianne Barry, Peter Hutchinson, Karlyn Olsen, Diana Moar, Rosanna McGregor, Edna Terbasket, Carol Camille, Arlene Vrtar-Huot, Mary Cutts, Kelsey Darnay, Haley Cundy, Mariko Kage, Nikki McCrimmon, Cal Albright, Charlotte Jones
2024 | Canada
Indigenous methodology is a living methodology of doing research in a good way that honours respectful relationships with Indigenous Peoples and communities in which knowledge is co-created and ownership is shared. Guided by Indigenous methodologies, the Urban Indigenous Collective Governance Circle was co-developed for urban Indigenous health research. The Collective…
Adrian Teare, Anne Mease, Claudia Madampage, Alexandra King, Malcolm King
2024 | Canada
Historically, research partnerships between Indigenous communities and academic institutions were often harmful for communities; wise ways of achieving more balanced and just relationships are emerging. This project focuses on the research partnership between Grandmother’s Bay and the University of Saskatchewan with the objectives of providing knowledge on initiating Indigenous community-based…
Featured Resources
Melissa L. Palma, Donna Lynne Demanarig, Kristine Cecile Alarcon, Maria Acedo Kronenburg, Meredith Anne Capuli, Jamille Nagtalon-Ramos, Melanie Sabado-Liwag, and Joyce Javier
2025 | United States
Kuwentuhan is an indigenous Filipino oral storytelling method used to preserve history and values and demonstrates how cultural values and knowledge are passed down through generations. Kuwentuhan incorporates collaborative experiences as individuals share their personal stories and perspectives. Indigenous Filipinos use the practice of kuwentuhan to build kapwa (shared identity)…
Robyn Williams (Noongar), Francine Eades (Noongar), Justine Whitby (Noongar Yamatji), Katiska Davis (Noongar), Christopher McKay (Wiradjuri), Lina Gubhaju, Sandra Eades (Noongar)
2024 | Australia
Indigenous research frameworks are key to enhancing cultural safety for participants, while facilitating capacity building for Indigenous researchers. Indigenous frameworks can address and balance out the potential harms of western research methods. This methodology article describes the experiences of an Indigenous research team in Western Australia (WA) and the developed…
Donna LM Kurtz, Julianne Barry, Peter Hutchinson, Karlyn Olsen, Diana Moar, Rosanna McGregor, Edna Terbasket, Carol Camille, Arlene Vrtar-Huot, Mary Cutts, Kelsey Darnay, Haley Cundy, Mariko Kage, Nikki McCrimmon, Cal Albright, Charlotte Jones
2024 | Canada
Indigenous methodology is a living methodology of doing research in a good way that honours respectful relationships with Indigenous Peoples and communities in which knowledge is co-created and ownership is shared. Guided by Indigenous methodologies, the Urban Indigenous Collective Governance Circle was co-developed for urban Indigenous health research. The Collective…
Adrian Teare, Anne Mease, Claudia Madampage, Alexandra King, Malcolm King
2024 | Canada
Historically, research partnerships between Indigenous communities and academic institutions were often harmful for communities; wise ways of achieving more balanced and just relationships are emerging. This project focuses on the research partnership between Grandmother’s Bay and the University of Saskatchewan with the objectives of providing knowledge on initiating Indigenous community-based…
