Waka ama: An exemplar of indigenous health promotion in Aotearoa New Zealand

Abstract

Issue addressed: The use of old-style, top-down health education and awareness programmes in Aotearoa New Zealand, which adopt a single issue-based approach to health promotion, primarily ignores a broad approach to social determinants of health, as well as indigenous M aori understandings of wellbeing.Methods: This paper draws on the indigenous framework Te Pae M ahutonga as a guide for presenting narratives collated from members of a waka ama r op u (group) who were interviewed about the social, cultural and health benefits of waka ama.Results: This waka ama case study is an exemplar of community-led health promotion within an indigenous context, where M aori values and practices, such as whanaungatanga (the process of forming and maintaining relationships), manaakitanga (generosity and caring for others) and kaitiakitanga (guardianship), are foundational.The findings highlight the multiple benefits of engagement in waka ama and illustrate effective techniques for enhancing wellbeing within local communities. Conclusion:At a time when Aotearoa New Zealand is seeing a decreasing trend in physical activity levels and an increase in mental health challenges, waka ama provides us with an exemplar of ways to increase health and wellbeing within our communities.So what?: The findings of this research contribute to the evidence base of effective indigenous health promotion, bridging the gap between academia and local community action. To better recognise, comprehend and improve indigenous health and wellbeing, we argue that active participation of people in the community is required to achieve long-term and revolutionary change.