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OUR VISION is to improve Māori Health through leadership, education, research and evaluation, health workforce innovation and systemic transformation.

OUR MISSION is to strengthen Māori Health through nationally navigated and locally led solutions.

OUR VALUES are informed by ngā kōrero o ngā tūpuna:

Tika, pono me te aroha: Doing what is right with integrity and compassion

Mahi tahi: in the spirit of togetherness

Manaaki tangata: whilst caring and supporting people

Whakamana i te tangata: to enhance their mana and full potential

Kia ngatahi te waihoe: We do this in unison to achieve Māori goals and aspirations

Ehara taku toa i te toa takitahi, engari he toa takitini: We honour and remember the collective efforts necessary for success

TE RAU ORA

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INCREASED MĀORI CAPACITY & CAPABILITY • To support Māori to build their capacity and capability• To strengthen the strategic direction for Māori and indigenous

health and wellbeing

STRATEGIC & SUSTAINABLE RELATIONSHIPS • To build on existing relationships with stakeholders and partners • To seek new and productive relationships, through activity and

leadership that raises Māori potential across sectors

FUTURE FOCUSED• Continue to extend and strengthen the national reach of Te Rau

Ora• To explore and employ opportunities for new business

experiences and ventures• To build on the wealth of experience in Te Rau Ora for Māori and

indigenous aspirations

MEANINGFUL LEARNING OPPORTUNITIES • To enhance the quality of training and learning that affirm

relevance, an evidence base informed in Māori communities, through innovative teaching and learning methods

OUR SEVEN STRATEGIC PRIORITIES

• To facilitate and offer recognisable educational opportunities and programs to Māori.

RESEARCH EXCELLENCE • To foster Te Kiwai Rangahau as a lead Kaupapa Māori unit

focusing on building Māori and indigenous data intelligence, evidence, research and evaluation

• To align international outreach with other indigenous communities with Te Kiwai Rangahau.

SECTOR LEADERSHIP • To strive for leadership that help Māori people, communities and

organisations to achieve more

STRONG GOVERNANCE• To sustain full responsibility as a Charitable Organisation by

ensuring governance arrangements contribute to the overall performance of Te Rau Ora.  

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Tēnā koutou katoa.

The year 2020 has been challenging for Aotearoa if not for the world.  But despite the setbacks and the inevitable cancellations, we have also witnessed a strong spirit of kotahitanga and manaakitanga.  Te Rau Ora, along with others, has been at the forefront of endeavours to ensure that whānau remain resilient and connected.  ZOOM hui, webinars, e-messaging, and masked meetings replaced our conventional approaches. But in the process they also made us more aware of a wider range of communication options that will likely become part of the norm into the future.  In that respect we are excited about our refreshed education and training programmes that will be rolled out over the next few years. They will be underpinned by mātauranga Māori and will encompass a range of subjects all relevant to Māori health and wellbeing. Meanwhile, and despite

the Covid 19 threats, our achievements in 2020 would not have been possible without dedicated staff, careful management, wise governance, and ongoing commitment to whānau , to Māori health and wellbeing, and to the mauri ora philosophy. 

Ngā mihi Sir Mason Durie

FROM OUR SENIOR ADVISOR

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FROM OUR CHAIR

With every challenge comes an opportunity to look through another lens, grow and develop, to make new choices and take new directions. While COVID has brought its own challenges this year we celebrate the effort and achievements of our CEO and staff to ensure the work has continued in new ways and to position Te Rau Ora for the work ahead. I also want to thank Ta Meihana Durie and the Board for their contributions and efforts throughout the year in support of Dr Maria Baker to hold the waka steady in these uncertain times. I would like to thank Barry Bublitz in particular for his years of service since the beginnings of Te Rau Matatini as he steps down from the board to support the governance board of Te Kete Pounamu.

Health and wellbeing for whānau are the keys to our future and we are poised for a shift towards greater health equity and stronger treaty based relationships to leverage better health outcomes in this next political term.

Workforce training and development remain key priorities along with the ability of the Māori Health sector’s workforce to flex up and flex down in order to respond community outbreaks, and to increased rates of depression, anxiety and stress in relationships. Te Rau Ora is addressing the need to develop a bigger and more diverse Māori health workforce, geared to help whānau to be safe, well, and most importantly be prepared and knowledgeable.

There is so much untapped potential in whānau who are looking for or may have lost their employment as a result of COVID. Te Rau Ora is working to increase the Māori health workforce by making new gateways accessible for whānau to see health as a career option, as well as working with providers and practitioners to address the need for other skills. The recent review of our PTE to sharpen its capability to meet the new opportunities, has been completed.

I also want to acknowledge the expansion of our Wellington office to a larger space upstairs at the same address and the opening of our new Dunedin office to meet our rapidly expanding profile in Te Waipounamu. On the behalf of the Board our thanks again to Maria and to the incredible staff who have been singularly focused and dedicated this year across our numerous workstreams despite the adversity and impact of COVID in their own personal lives.

Ngā mihiTe Puea WiniataCHAIR

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Who would’ve predicted the year we just had or that we would become accustomed to mask wearing, hand santiser use, physical distancing and somewhat comfortable with a virtual existence for our connectedness, communications and people engagement.

2020 has been one of the toughest years with the coronavirus (COVID 19) Pandemic hitting our shores and consistently reminding us that we are in a new reality of living with an infectious disease in our midsts. But one things for sure we have much to be thankful for in comparison to the experiences of COVID among our friends in other Countries.

Alike many Māori Organisations, we have had to dig deep, stay close, and amp up what we know works for our people, be it with awhi, manaakitanga, whanaungatanga and aroha. In amongst, the Public Health restrictions and the disruptions to our flow, it has meant we have had to do things differently and prioritise whats important – which always comes back to our people. It is

certainly true in the well known whakatauki of He aha te mea nui, he tangata he tangata he tangata – as it is our people who are the most important and to keep front of mind.

COVID revealed the underbelly of poverty, struggles and inequities among many in Aotearoa. We know we are hardly through the other end yet, and there maybe more tough times to come as we figure out what the impacts of COVID mean for all of us. So far, we have seen the meaning of community, collaboration and generiosity where people are caring and supportive of each other – we hope this continues going forward.

In the times where we could not see each other physically, where we needed to place rāhui on our most vulnerable. We saw our people draw upon the learnings of our tūpuna for strength, and to find new ways to implement our cultural practices and beliefs that make us Māori. We witnessed Māori in action in their communities responding and proactively leading the charge as Kaitiaki; we saw kaumatua and kuia connecting on line, we experienced online karakia, healing and dissemination of mātauranga Māori via differing mediums to ensure kaupapa continued and the mana of our people honoured. We even saw tangihanga, memorials and celebrations enacted on line. We are a people who are resilient, agile, adaptable yet sustain the elements important to being Māori. It is my privilege to present this Annual Report shaped around a selection of Whakatauki drawn from generations of Māori wisdom handed down to inspire reflection, strength and in recognition of the important connection of Māori to our indigenous intelligence and knowledge in these contemporary times.

FROM OUR CEO

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Rocky Hudson - Ngāti Ruanui, Nga Ruahine, Whakatōhea QSM.

Integral to the establishment of Te Rau Matatini, Papa Rocky as he was commonly known was an inspiration to our organisation. Papa Rocky lived in Papaioa for many years, where he worked for the local Iwi, the radio station, and provided leadership to Te Rau Matatini.

In Memory of Rocky HudsonRocky was a humble, learned, generous, and well-grounded man. I first met him when he worked at the Palmerston North Hospital as an Orderly. I found him to be helpful and compassionate to patients, especially Māori who may have been a bit uneasy in that environment. Subsequently we worked together on many committees at Massey University, at Te Rau Matatini, and in the wider Manawatu Māori community.

Sir Mason Durie

Ka mihi ki ngā taonga ako mai i to tātou Rangatira o Ngāti Ruanui mea Whakatohea - me tona korowai whakamarumaru mo tātou katoa.In March 2002 I was one of many significant Mental Health and Addiction leaders that gathered in Palmerston North to become part of the newly innovative Māori Mental Health Workforce Development Centre (Te Rau Matatini). Within this cohort of leaders was Matua Rocky Hudson who ensured the korowai and mātauranga of our people held its place within our diverse leadership. Matua Rocky held a special place with me as one of my Kaumatua Rangatira from my home people in Hawera, Taranaki (Ngāti Ruanui). During these times Matua Rocky would encourage me to do Karakia at our meetings which evolved into a Tuākana Teina relationship, which has had an incredible effect on who I am today.

Barry Bublitz

 KUA HINGA TE TŌTARA I TE WAO NUI A TĀNE

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• A new evidence base centred on Wahine Māori & whānau

• Exceeded 1000 Whānau Homes with Tiaki Whānau Tiaki Ora

• 74 Successful recipients of the Māori Suicide Prevention Fund

• Elevating the Māori Response to COVID 19

• Procurement of COVID 19 psychosocial fund to 13 Māori mental health & addiction organisations

• Constant commitment for initiatives to improve Māori Wellbeing

• Whare Tukutuku: Māori Grassroots & Community Alcohol and Other Drug Innovation

• First Office base in Te Waipounamu (Dunedin)

• Completion 3 year delivery of a cultural programme across School of Pharmacy (Otago University)

• Kaitiaki Ahurea -300 stakeholders

• Two Au.E! Rangatahi Hui – 200 Rangatahi

• Increased digital learning presence – 5000 Stakeholders

• Cross sector representation – 1000 Stakeholders

• Increased website & social media reach – 1 million Stakeholders

• Mauri Ora Innovation Launch in Waikato

• Increased growth & demand of Te Kete Pounamu

• Wānanga in person and online – 5000 Stakeholders

• Increased response to Māori Mental Health & Addiction Service design, development and evidence capture

• New innovative partnerships to create opportunities for Māori

• Strategic relations with Iwi & Māori Organisations

• Matanga Mauri Ora II- Expert Māori Mental Health Leaders

• The Future of Māori Health Forum at Parliament • Celebration of our Māori Leaders & Successes

KEY 2020 HIGHLIGHTS

Ehara taku toa i te toa takitahi, engari he toa takitini. ‘ Success is not the work of an individual, but the work of many’

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In the COVID 19 wave, we focused on the wellbeing of our employees, and gave support to ensure their whānau members were safe and well; we created a living COVID 19 guidance matrix which continued to emerge as the Governments precautions emerged. We ensured everyone had mobile phone and internet coverage at home with devises and provided additional work at home allowances to buffer the extra financial costs of having everyone at home. We instituted regular Zoom sessions, karakia, waiata, internal staff wānanga and fun activities online to keep the mood of our employees upbeat, in addition to establishing agile working conditions and portfolios of work.

KA MAHI TE TAWA UHO KI TE RIRI. WELL DONE, YOU WHOSE COURAGE IS LIKE THE HEART OF THE TAWA TREE.

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TE RAU ORA RESPONSE TO COVID 19

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https://terauora.com/our-work/public-health/coronavirus-covid-19/

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MĀORI RESPONSE TO COVID 19

With Whakaaue Research we crafted a publication of nine case studies to profile the impact of COVID 19 upon Māori. We facilitated six webinars Ko toku ara rā, Aotearoa COVID 19 2020 to share these Māori COVID 19 responses.

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We supported the Ministry of Health with a COVID 19 psychosocial response fund for 13 Māori Mental Health and Addiction Organisations to increase their support to tangata whaiora and their whānau during COVID 19. Just under #2000 people benefited from a range of programmes delivered by the Māori Organisations.

COVID-19 PSYCHOSOCIAL RESPONSE MĀORI MENTAL HEALTH AND ADDICTION ORGANISATIONS

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Kia tū kotahi tātou kia purea ai tātou e ngā hau o Tāwhirimātea We stand in unity for our future wellbeing and health solutions

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A collaboration focused on improving health outcomes for Māori

MAURI ORA

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Sharing our works and staying connected through various communication methods, strategies and tools are important to us.

TOHAINA Ō PAINGA KI TE AO

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With Ngā Maia Māori Midwives Aotearoa and Counties Manukau Health we developed an indepth and holistic evidence base to inform workforce priorities with a focus on Māori women, babies, children and whānau.

Rapua te Aronga-a-Hine: A Literature Review Kimihia te Aronga-a-Hine: Workforce ReportWhaia te Aronga-a-Hine a Ngā Kaiwhakawhānau Māori: Māori Midwifery Workforce needsWhaia te Aronga-a-Hine Ngā Māmā: Experiences of Māori māmā of the maternity care workforce Te Aronga a Hine Symposium Proceedings Te Aronga-a-Hine Consolidated Summary of Evidence and Recommendations

A NEW EVIDENCE BASE CENTRES ON ‘MĀORI WOMEN, BABIES, CHILDREN AND WHĀNAU’

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We delivered two Au.E! to build resilency among 200 Rangatahi as part of our Rangatahi Suicide Prevention kaupapa.

We are working with the Light Project & SPARK Foundation to enhance Rangatahi digital wellbeing in relation to online exposure of porn.

We have provided two Bob Henare Awards for young Māori with a passion in Māori Mental Health

We have developed our online Rangatahi Led Change Makers Course that will build Rangatahi Leaders confidence in leading the charge in Rangatahi Suicide Prevention

We are developing new resources for Rangatahi Māori ready for 2021.

RANGATAHI ORA

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We are empowering whānau to support each other with Tiaki Whānau, Tiaki Ora. A programme to build healthy whānau and in turn, help prevent suicide.

TIAKI WHĀNAU TIAKI ORA

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Manaaki Ora: A suite of wānanga addressing Māori Suicide, incorporating Māori approaches to working with whānau, individuals and community groups to increase the understanding of the importance and value of a Māori worldview to prevent suicide and self-harm and what you can do to improve the wellbeing of others.

Tangata Ihi – Introduction to Māori concepts (pre-requisite, delivered online).

Manaaki Tangata – A Māori way of being and interacting with one another (face to face, full-day wānanga).

Te Ihi Ora – Exploring Māori paradigms within your work, practice or organisation (face to face, full-day wānanga).

Mihi Whakaora – Exploring the important aspects of working through grief for Māori whānau (still in development, face to face, full-day wānanga).

WĀNANGA

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We deliberately focus on frontline practitioners to understand their impacts when working with kotiro and wahine Māori and ensure the focus on whānau safety from mental distress, suicide, domestic violence and service providers. Tiakina Te Ahuru Mowai develops strong reflective practitioners who work in frontline positions and can place whānau safety at the core of their focus.

Tiakina te Āhuru Mōwai framework is centred on Wahine and positioned upon a foundation of Rangatiratanga. Divided into five categories the framework primarily provides a self-reflective tool for health and social service workforces who engage with wahine and their whānau and ultimately a range of possible questions for practitioners to support assessment.

TIAKINA TE ĀHURU MŌWAI

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We received 139 applications with an overall total of funds requested of nearly $4.7 million.

74 applications were granted to successful recipients for the Māori Suicide Prevention Community Fund for 2020, to receive total funds of $1.6 million dollars to prevent suicide.

“Our focus is on whānau, hapū,  iwi and  Māori communities , and how we can encourage the light in each whānau to shine and reduce the risk of suicide”.

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Transforming Māori Communities through Māori leadership, Mātauranga Māori and a drive to build the capacity among our people to live well & thrive.

NATIONAL CENTRE: MĀORI SUICIDE PREVENTION & POSTVENTION

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Kaitiaki Ahurea: more than a Level Two training programme.

For Māori it provides a safe space to remember & to connect.

For Tauiwi it provides insights, understanding and learning about our history.

Kaitiaki Ahurea is learning with a difference.

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He Puna Whakaata: A therapeutic programme elevating Māori preferences for models of practice and wellbeing. With Whai tikanga value cards; Whakataukī & Applied Practice

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Our Māori Grassroots & Community Alcohol and other Drug Innovation led from Te Waipounamu

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ADVANCING MĀORI TALENT, INTELLIGENCE & STRATEGY.

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Tu Te Akaaka RoaNew Zealand National Office

Hauora hinengaroa Manutuhia

SUPPORTING MĀORI HEALTH PROFESSIONALS.

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WEBINARS: ONLINE DISCUSSIONS, TRAINING AND PRESENTATIONS

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We host Te Mauri-Pimatisiwin: a peer-reviewed, open-access, scholarly online journal. It shares multi-disciplinary indigenous knowledge and research experience amongst indigenous health professionals, leaders, researchers and community members.

https://journalindigenouswellbeing.com/category/article/issuename/volume-5-issue-1-may-2020/

TE MAURI PIMATISIWIN: Journal of Indigenous Wellbeing Contributing to Change!

• National Standards Committees

• Local & Regional mental health & addiction service design and review

• Collaborative programmes focused on advancing Māori Wellbeing

• New Innovations

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RETIRING BOARD MEMBER:

BARRY BUBLITZ NGĀI TAI KI TĀMAKI, NGĀTI KOHUA, TANGAHOE TARANAKI KI TONGA

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NGĀ MIHI

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WHAKAMAHARATANGA

We offer our sincere condolences to whānau, hapu, Iwi and communities who have had bereavements during 2020.

• Ngaire Whata

• Ngaroma Mala Grant

• Wiremu Wiremu

• Jewel Reti

• Kereopa Ratapu

• Lance Phillips

• Piripi Daniels

• Karen Brown

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2 0Call free 0800 628 284 | www.terauora.com