This integrative literature review sought to understand the evidence for whānau-centred primary health provision towards improved Māori and Pacific health outcomes. A focus was to gain insights regarding the enablers, inhibitors, and challenges in delivering effective primary health care services and support for Māori and Pacific communities across Aotearoa. A key aim was to identify components (critical success factors) required to give effect to such approaches that were cognisant of communities’ diverse characteristics, needs, and aspirations, and agencies’ public accountability obligations.

Recommendations

1. Ensuring whānau-centred primary health provision and government policies and funding arrangements recognise and respond to the aspirations and needs of whānau across intersections of gender, sexuality, ethnicity, age, health status, socio-economic status, and dis/ability
2. The need for sustained, adequate funding for whānau-centred primary health provision, particularly across high needs areas and rohe
3. Ensuring wider government policy environments, funding and monitoring arrangements for primary health care are aligned to Te Tiriti o Waitangi obligations and developed in collaboration with whānau, hapū, iwi and whānau-centred primary health care providers
4. Ensuring greater collaboration and partnerships between government agencies, whānau, hapū, iwi and whānaucentred primary health care providers to identify locally defined performance measures for evaluation purposes.