{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T03:04:58Z","timestamp":1779851098062,"version":"3.53.1"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1635","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: The prevalence of M\u0101ori experiencing ng\u0101 m\u0101uiui kai (eating disorders; NMK) is comparable to that of non-M\u0101ori. Despite this, little is known about M\u0101ori presentations within Kaupapa M\u0101ori health services. This paper uses Kaupapa M\u0101ori kaimahi expertise to describe these presentations and identify steps to strengthen access and support.\nmethod: Informed by Kaupapa M\u0101ori methodologies and participatory action research, this co-designed study involved Purapura Whetu, a Kaupapa M\u0101ori health service in Christchurch. A w\u0101nanga convened eight kaimahi to discuss challenges, service strengths and required supports for M\u0101ori experiencing NMK. Insights and themes were mapped to the New Zealand Eating Issues and Eating Disorders Strategy to show how Kaupapa M\u0101ori approaches can support its implementation.\nresults: Six themes with 24 actionable points were identified. Themes were: 1) food insecurity, 2) the impact of comorbidities, 3) wh\u0101nau ora model of practice, 4) access to secondary services, 5) workforce development, and 6) culturally informed screening and assessment tools. These were mapped to the strategy to highlight required actions and their operationalisation.\nconclusion: While government acknowledgement of Kaupapa M\u0101ori services as a key investment area is important, these services and wh\u0101nau expertise remain underused in policy and commissioning. Achieving health equity for M\u0101ori experiencing NMK depends on sustained resourcing and clear implementation priorities.<\/jats:p>","DOI":"10.26635\/6965.7275","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T02:53:10Z","timestamp":1779850390000},"page":"68-80","source":"Crossref","is-referenced-by-count":0,"title":["Enacting policy: mapping Kaupapa M\u0101ori aspirations onto the New Zealand Eating Issues and Eating Disorders Strategy"],"prefix":"10.26635","volume":"139","author":[{"given":"Mau","family":"te Rangimarie Clark","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Jordan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Summers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Clarke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"McKerchar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11177","published-online":{"date-parts":[[2026,5,29]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T02:53:13Z","timestamp":1779850393000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-139-no-1635\/enacting-policy-mapping-kaupapa-maori-aspirations-onto-the-new-zealand-eating-issues-and-eating-disorders-strategy"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,29]]},"references-count":0,"journal-issue":{"issue":"1635","published-online":{"date-parts":[[2026,5,29]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.7275","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,29]]}}}