Find out about Te Piki Oranga’s new Māori Cultural Competency Framework

By Sonny Alesana, Te Pou Taki (Cultural Advisor)



Tikanga Kaitautōhitotanga is the Te Piki Oranga Māori Cultural Competency Framework and is built around Te Ao Māori concepts. The framework is developed to recognise the unique services Te Piki Oranga provide and the cultural skills staff and board members need to have regardless of their role and where they may work within Te Piki Oranga.


Professor Mason Durie describes cultural competence as the acquisition of skills to achieve a better understanding of members of other cultures. He notes that the goal of culturally competent care is to improve relationships and thereby achieve “better clinical results”. This means that people are best served by those who are part of or in tune with their culture. Māori culture, like other cultures is dynamic and encompasses a range of preferences and practices. The key to understanding this is to understand significant concepts as well as local or regional variations in Tikanga and cultural protocols.

The Framework

The development of Tikanga Kaitautōhitotanga has come about through a culmination of work of the Te Piki Oranga board and feedback from staff. Te Piki Oranga policies that relate to Māori health, Te Puawai Hauora, He Oranga Māori Best Practice, the Nelson Marlborough Māori Health and Wellness Strategic Framework, the vision for Māori health within Te Piki Oranga and Te Piki Oranga Staff Survey were all reviewed during the development of the framework.

Tikanga Kaitautōhitotanga means to be skilled, adept, proficient, wise and specialist in our roles. It embraces Māori tikanga, kawa and values.

Tikanga Kaitautōhitotanga also provides an environment that supports the extension and growth of Māori cultural skills and knowledge so that they can be applied in a way that will:

  • support and build on existing Māori health initiatives within Te Piki Oranga,
  • be consistent across Te Piki Oranga,
  • be culturally safe,
  • empower whānau, kaimahi and
  • help to achieve improved health outcomes for whānau.