Table 2 Core constructs driving equitable implementation pathways in the Aotearoa New Zealand context
Core construct | Description |
|---|---|
Collaborative design | The implementation pathway design is led by, or occurs in partnership with, the community of interest (e.g. population experiencing health inequities). Participatory processes are embedded, with the type of collaborative approach utilised (co-creation, co-design or co-production [63]) determined by the type of intervention and the implementation context. Co-creation is an overarching principle that describes a collaborative approach to problem identification and solving, solution implementation and evaluation between diverse stakeholders who are actively engaged and participating at all project stages [63]. Co-design describes the collaborative process between stakeholders to design solutions to pre-specified problems [63]. Co-production describes stakeholder engagement in the implementation of previously determined solutions to previously determined problems, with a focus on how best to use existing assets and resources [63] |
Anti-racism | There is explicit recognition of and efforts to address ethnicity or “race”-based prejudice and discrimination at the level of individuals, institutions and structures [64,65,66]. This includes the examination of power and privilege by individuals and institutions and how this influences intervention design and implementation, and the re-distribution of power, privilege, resources and opportunities to address racism and achieve health equity [40, 64, 66, 67] |
Māori and priority population expertise | Implementation pathway design and delivery is informed by Māori expertise and, if the intervention is being implemented in a priority population (e.g. Pacific peoples or other minoritised ethnic or population groups), the expertise of that group |
Cultural safety | Self-examination by individuals and organisations involved in the provision of healthcare about the impact of their own culture and biases, assumptions, attitudes, stereotypes and prejudices on clinical interactions and healthcare provision, and actions to address these, with a clear goal of achieving health equity [68] |
Values-based | Explicitly articulate and reflect the guiding principles and beliefs of the intervention’s priority or target population (population experiencing health inequity), as determined by that population |