Māori in New Zealand (NZ) frequently experience health outcomes that are worse when compared with the overall population. This difference has been well documented at a population health level. Less well reported is what occurs on a day-to-day basis at the interface between the health system and the Māori person using the health system. Additionally, Māori Health Workers at that interface can have valuable insights to enhance indigenous health.
Key barriers to health for Māori include lower health literacy, access challenges, and a health system that does not usually reflect Māori values, such as wairua (spirituality), whānau (family), and tikanga Māori (customs). Distrust in the health system and inadequate representation of tangata whenua (local people) in health planning are also significant issues. Strategies for improving health outcomes include a focus on wairuatanga (spirituality), advocacy, health literacy support, patient-centred care, navigation services, and promoting cultural safety. Successful initiatives include tailored Māori Health advocacy services, cultural integration in healthcare environments, and iwi-guided service planning.