Māngere Integrated Community Health

A Tangata Whenua worldview values interconnection. So too does a Hindu worldview. Interconnectedness is a reality for many Pasifika cultures as well. In cultural terms the interconnection of everything that exists, living and not living, has a direct relationship to the health of people and communities.

The implications of this are that the mind: body separation is not relevant to many people in our community.

Talking with us not past us

Asking for help or giving advice is more effective if there are good relationships between people and health professionals. But developing good relationships takes time.

The first step is when the health professional acknowledges the person, their identity and culture. This happens before anything else.

Relationships show culture in action. We believe culture leads the way. People want to express fundamental values of welcome, hospitality and respect as these values operate throughout the communities of Māngere.

They can be worked on in a coherent and inclusive way using a Tiriti/Treaty of Waitangi relationships framework. These values, and the many practices that give them life, need to become part of the environment where services are provided.

Focus on the patient and their family

Patients and their families have the greatest interest in service delivery.

So they should be the focus of all general practices, health care providers, NGOs and government agencies.

There is an important difference between a relationships approach and the usual transactional approach to the delivery of health care and social services.

The former starts with the person and their whānau. The latter starts with the service needed to solve a problem.

Relationships really do matter

Health and service providers need to know how to form and maintain relationships across culture gaps. A relationships approach to working with the Māngere community means working with cultural difference. MICH can help agencies to do this.

To discuss how what we can do together click below:

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Changing the power balance

When a patient arrives at a general practice or an agency office, they need support to ensure the discussion and the whole experience works well. The person may be on their own or with whānau. Support is needed because many of our people find themselves in a powerless position. This position only changes when the more powerful participant (the professional, for example) reduces their power. This happens when the professional acknowledges the person and their whānau. Then the professional works with cultural practices that suit the person. This means that real engagement is possible. So too are ongoing relationships and practical, effective ways of working together.