{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T22:28:56Z","timestamp":1786487336024,"version":"build-2736575974"},"reference-count":0,"publisher":"Pasifika Medical Association Group","issue":"1640","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NZMJ"],"abstract":"<jats:p>aim: Acute rheumatic fever (ARF) is an autoimmune response to group A Streptococcus (Strep A) infection that can lead to rheumatic\nheart disease (RHD). To prevent Strep A infection for people with ARF or RHD, clinical guidelines recommend monthly intramuscular\npenicillin (Bicillin L-A\u00ae) injections for at least 10 years. However, multiple barriers to accessing healthcare affect adherence. This\nresearch aimed to improve adherence by developing a M\u0101ori and Pacific\u2013centred model of care.\nmethods: Qualitative, Kaupapa M\u0101ori and Kakala methodology underpinned the research. Data collection from people in the Waikato\nregion with ARF, their wh\u0101nau and healthcare providers included interviews, w\u0101nanga and fono. Data were analysed using a general\ninductive approach.\nresults: Forty-seven participants were included: nine people with ARF, 10 wh\u0101nau, eight health professionals and 21 wh\u0101nau\nnavigators. Three themes were identified: impacts of a colonial health system on Indigenous wh\u0101nau; life defined by a disease status;\nand catalysts of healthcare engagement. A community informed, Wh\u0101nau Ora model of care was also developed.\nconclusion: Indigenous methodologies are effective methods to develop community informed, culturally responsive models of care.\nAlthough designed for ARF in Waikato, there is potential to adapt this approach for other health conditions and different regions of\nAotearoa New Zealand.<\/jats:p>","DOI":"10.26635\/6965.7394","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T21:50:14Z","timestamp":1786485014000},"page":"40-50","source":"Crossref","is-referenced-by-count":0,"title":["Whitia Kia Ora: a culturally responsive model of Bicillin L-A\u00ae delivery for people with rheumatic fever in the Waikato region of Aotearoa New Zealand"],"prefix":"10.26635","volume":"139","author":[{"given":"Anneka","family":"Anderson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monleigh","family":"Ikiua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Arrowsmith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tira","family":"Phillipson-Puna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Leilua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manawa","family":"Rhinds","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matire","family":"Harwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rawiri","family":"McKree-Jansen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Ahu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dave","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Bennett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11177","published-online":{"date-parts":[[2026,8,14]]},"container-title":["New Zealand Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T21:50:16Z","timestamp":1786485016000},"score":1,"resource":{"primary":{"URL":"https:\/\/nzmj.org.nz\/journal\/vol-139-no-1640\/whitia-kia-ora-a-culturally-responsive-model-of-bicillin-l-a-delivery-for-people-with-rheumatic-fever-in-the-waikato-region-of-a"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,14]]},"references-count":0,"journal-issue":{"issue":"1640","published-online":{"date-parts":[[2026,8,14]]}},"URL":"https:\/\/doi.org\/10.26635\/6965.7394","relation":{},"ISSN":["1175-8716"],"issn-type":[{"value":"1175-8716","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,14]]}}}