Article Text
Abstract
Objective 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 whānau (families).
Setting 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 Māori providers of healthcare, education and social services to deliver the home safety intervention.
Participants 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.
Methods Kaupapa Māori 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 Māori providers.
Results Five key critical success factors of ‘My Home is My Marae’ were found from interviews: mana tangata (reputation, respect and credibility); manākitanga (showing care for people); kānohi-ki-te-kānohi (face-to-face approach); capacity building for kaimahi, whānau 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.
Conclusions Injury prevention or health promotion approaches that seek to engage with whānau and/or Māori communities would benefit from applying critical success factors of ‘My Home is My Marae’.
- Accident
- Injury
- Prevention
- Kaupapa Māori
- Evaluation
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Footnotes
Contributors This article has been principally developed by the Research and Evaluation Office of Ko Awatea, Counties Manukau Health: BH, DM, LL and LV. ML also contributed to the article development. AE-H of OTS Consulting was the Kaupapa Māori consultant for this evaluation. BH managed the evaluation process including the development of participant documents, data analysis, evaluation reporting and partnerships with stakeholders. ML was the interviewer for the evaluation and also contributed to the development of information sheets, co-analysed interview data and reviewed evaluation reporting. LV developed the evaluation framework in partnership with ACC and reviewed evaluation reporting. DM drafted the paper and analysed home audit data. AE-H provided cultural knowledge and support as a kaupapa Maori expert and ensured integrity of information sheets, evaluation processes and evaluation reporting. LL reviewed all evaluation documents.
Funding The kaupapa Māori evaluation of ‘My Home is My Marae’ was funded and supported by the Accident Compensation Corporation (ACC), Wellington, New Zealand. Views and/or conclusions in this report are drawn from the analyses of evaluation data completed by Ko Awatea's Research and Evaluation Office (Counties Manukau Health) and may not reflect the position of ACC.
Competing interests The authors declare that they have no competing interests.
Ethics approval Ethical approval to conduct this evaluation was granted by The ACC Ethics Committee. The ACC Ethics Committee is made up of a mix of ACC staff and external representatives who review ACC's research methods to ensure the rights and interests of ACC clients and stakeholders are protected. All participating kaikōrero provided written informed consent to participate in this evaluation.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement ‘My Home is My Marae’ data are not available from Ko Awatea. Interested parties should refer to ACC with data requests. New Zealand injury data are publically available from http://www.acc.co.nz/about-acc/statistics/.