My Home is My Marae: Kaupapa Maori evaluation of an approach to injury prevention

Hayward, B., Lyndon, M., Villa, L., Madell, D., Elliot-Hohepa, A., &amp; Le Comte, L. (2017). My Home is My Marae: Kaupapa Māori evaluation of an approach to injury prevention. <i>BMJ open</i>, <i>7</i>(3), e013811. Link to full text<b>Abstract</b><b>Objective:</b> The objective of this study was to evaluate the New Zealand Accident Compensation Corporation’s (ACC) ‘My Home is My Marae’ approach to injury prevention for wh?anau (families).<b>Setting:</b> Over an 18 month period from November 2013 to June 2014, 14 ‘My Home is My Marae’ trials were conducted across the South Auckland and Far North regions of New Zealand. ACC engaged with local Maori providers of healthcare, education and social services to deliver the home safety intervention.<b>Participants:</b> Participants of this evaluation were a purposive sample of 14 staff from six provider organisations in South Auckland and the Far North regions of New Zealand.<b>Methods:</b> Kaupapa Maori theory-based evaluation and appreciative inquiry methodologies underpinned the evaluation. Interview participants led discussions about strengths and weaknesses of the approach, and partnerships with ACC and other organisations. The evaluation was also supported by pre-existing information available in project documentation, and quantitative data collected by Maori providers.<b>Results:</b> Five key critical success factors of ‘My Home is My Marae’ were found from interviews: mana tangata (reputation, respect and credibility); manakitanga (showing care for people); kanohi-ki-tekanohi (face-to-face approach); capacity building for kaimahi, whanau and providers and ‘low or no cost’ solutions to hazards in the home. Data collected for the Far North area showed that 76% of the hazards identified could be resolved through ‘low or no cost’ solutions. Unfortunately, similar data were not available for South Auckland.<b>Conclusions: </b>Injury prevention or health promotion approaches that seek to engage with whanau and/or Maori communities would benefit from applying critical success factors of ‘My Home is My Marae’.