Hayward Brooke, Lyndon Mataroria, Villa Luis, Madell Dominic, Elliot-Hohepa Andrea, Le Comte Lyndsay
Ko Awatea, Counties Manukau Health, Auckland, New Zealand.
OTS Consulting, Rotorua, New Zealand.
BMJ Open. 2017 Mar 20;7(3):e013811. doi: 10.1136/bmjopen-2016-013811.
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).
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 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.
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.
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.
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'.
本研究旨在评估新西兰事故赔偿公司（ACC）的“我的家就是我的毛利会堂”家庭伤害预防方法。
在2013年11月至2014年6月的18个月期间，在新西兰南奥克兰和远北地区开展了14次“我的家就是我的毛利会堂”试验。ACC与当地提供医疗、教育和社会服务的毛利机构合作，实施家庭安全干预措施。
本次评估的参与者是从新西兰南奥克兰和远北地区六个机构组织中选取的14名工作人员组成的有目的样本。
基于毛利理论的评估和积极探寻方法为此次评估提供了支撑。参与访谈者主导了关于该方法的优缺点以及与ACC和其他组织合作关系的讨论。评估还得到了项目文档中已有的信息以及毛利机构收集的定量数据的支持。
通过访谈发现了“我的家就是我的毛利会堂”的五个关键成功因素：mana tangata（声誉、尊重和信誉）；manākitanga（关爱他人）；面对面交流（kānohi-ki-te-kānohi）；为工作人员、家庭和机构进行能力建设以及针对家庭中的危险提供“低成本或无成本”解决方案。远北地区收集的数据显示，所识别出的76%的危险可通过“低成本或无成本”解决方案解决。遗憾的是，南奥克兰没有类似数据。
旨在与家庭和/或毛利社区合作的伤害预防或健康促进方法，将受益于应用“我的家就是我的毛利会堂”的关键成功因素。
