Conceptualisation and measurement of iwi wellbeing : a thesis presented in partial fulfilment of the requirements for the degree of Master of Public Health at Massey University, Wellington, New Zealand

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Measures used in the New Zealand health sector to gauge the state of Māori health and the effectiveness of health services are poorly aligned to Māori understandings of wellbeing and iwi and Māori community aspirations. This thesis explores the conceptualisation and measurement of wellbeing from an iwi perspective and is therefore distinct in that it is localised within an iwicentred Māori inquiry paradigm that privileges iwi worldviews. The study has been informed by a qualitative methodology and a multi-methods approach that included a literature review, three Ngai Tai marae-based wānanga and 14 key informant interviews. The term iwi vitality was identified in this research as best capturing iwi aspirations for wellbeing. Central to the concept of iwi vitality is the notion that iwi are able to actively determine what matters to them from a local perspective and how best to monitor progress towards the achievement of iwi vitality. Iwi vitality is both ecologically localised and context specific, and is best expressed through the following seven iwi vitality outcomes that have been derived from this study - a secure iwi identity, intergenerational sustainability, collective cohesion, environmental stewardship, self-determination, economic prosperity and whānau health and wellbeing. In combination these outcomes reflect what constitutes iwi vitality. Progress towards the achievement of iwi vitality can be measured in a way that is consistent with iwi values and aspirations, through the application of the Iwi Vitality Outcomes Framework described in this thesis. The framework is based on iwi values, and therefore is located within an iwi paradigm. Application of the framework provides a mechanism through which iwi are able to align their efforts to iwi vitality outcomes, effectively monitor what matters to them and plan for the future towards the realisation of iwi vitality.
Iwi wellbeing, Maori health, Health services, New Zealand, Ngai Tai