1. Empowering Hawaiians, Strengthening Hawai'i Updated and Presented Friday, June 24, 2016 3:00 – 3:45pm Carson Center, CA HALL B Office of Hawaiian Affairs Image © Solomon Enos Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016 Ms. Kealoha Fox, PhD (ABD), MA 2016 Native Hawaiian & Pacific Islander Health Summit “Reducing Obesity and Related Chronic Diseases”

2. Empowering Hawaiians, Strengthening Hawai'i PRESENTATION SUMMARY Research shows that there is a Native Hawaiian public health crisis where 44% Native Hawaiians adults are obese and 75% Native Hawaiians are at risk of becoming obese – higher than any other ethnic group in the state. The Office of Hawaiian Affairs (OHA) is committed to working to improve the health and well-being of Native Hawaiians through strategic approaches that integrate culture. OHA’s approach is rooted in a holistic understanding of mauli ola: that the entirety of our well- being contributes to the health of ourselves and the larger community. By empowering partners both inside the health field and other areas, we seek to improve state policy that leads to effective use of resources and better health outcomes for all. Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

3. Empowering Hawaiians, Strengthening Hawai'i SUMMARY OHAs MissionOHA Strategic Plan Social Determinants of Health Health DisparitiesHealth AdvocacyHealth Policies Image © Dietrich Varez 30+ years of research documenting significant Native Hawaiian & minority Health Disparities in the State Social Determinants of Health are well documented as the major contributing factors to the disproportionate chronic and co-morbid disease burden in these groups National attention focused on Cultural Competency as a primary driver of improvements in HD and SDH, rather than a cultural foundation to NH health and healthcare for NH Among minority groups, Native Hawaiian health disparities are some of the worst in the State However, we can point to successful programs and initiatives where disparate gaps are being reduced Thoughtfully crafted and carefully executed policies show promising success that should be continued and expanded through community advocacy! Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

4. WHEN YOU LISTEN TO NATIVE VOICES… Empowering Hawaiians, Strengthening Hawai'i OHA RESEARCH & DATA Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

5. WHEN YOU LISTEN TO NATIVE VOICES… Empowering Hawaiians, Strengthening Hawai'i SELECTED CHRONIC & OTHER HEALTH CONDITIONS Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

6. Empowering Hawaiians, Strengthening Hawai'i PROMISING PRACTICES ‘Aha WahineKKV ‘EhuolaHana Ulu Pono WCC Nursing Pathway Program ‘Aha KanePILI ‘OhanaMA‘O FarmsHACBED Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

7. Empowering Hawaiians, Strengthening Hawai'i LAYERS OF WELL-BEING Source: McGregor, D., Morelli, P. T., Matsuoka, J. K., Rodenhurst, R., Kong, N., Spencer, M.S. (2003). Pacific Health Dialog. An Ecological Model of Native Hawaiian Well-being, 10(2), 106-28. INDIVIDUAL NATIVE HAWAIIAN: Elder, male, female, adults, adolescents, child, and infant ‘Ohana Community Lāhui ‘ Āina An Ecological Model Of Native Hawaiian Well-Being. This model examines each of these arenas in relation to achieving and sustaining Native Hawaiian well-being. Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

8. Empowering Hawaiians, Strengthening Hawai'i ROLE OF ADVOCACY AT OHA OHA’s advocacy role is to effectively identify, assess, and monitor internal and external policy that may impact Native Hawaiian health and well-being. FederalStateCounty Executive Judicial Administrative ADVOCACY International Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

9. WHEN YOU LISTEN TO NATIVE VOICES… Empowering Hawaiians, Strengthening Hawai'i HIGHLIGHTING ACT 155 “RELATING TO HEALTH PLANNING” Best Practice DAGS DOAAGB&FDBEDTDCCADODDOEGOVOHADHHLDOHDHRDDHSDLIRDLNRDOTTAX UH Planning Prevention Intervention All state agencies are guided by the Hawaii State Planning Act “improve the planning process in this state, to increase the effectiveness of government and private actions, to improve coordination among different agencies and levels of government, to provide for wise use of Hawaii’s resources and to guide the future development of the state”. Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

10. WHEN YOU LISTEN TO NATIVE VOICES… Empowering Hawaiians, Strengthening Hawai'i SR60 “ NATIVE HAWAIIAN HEALTH IMPROVEMENT TASK FORCE ” Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

11. Empowering Hawaiians, Strengthening Hawai'i MODELING POSITIVE CHANGE Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016

12. Empowering Hawaiians, Strengthening Hawai'i Office of Hawaiian Affairs Image © Solomon Enos NĪNAU: QUESTIONS & ANSWERS Ms. Kealoha Fox, PhD (ABD), MA KealohaF@oha.org 808-754-8439 www.oha.org/health MauliOla@oha.org Share you feedback, pass on your success stories, and ask more questions of us. We would love to hear from you! Mauli Ola: Raising the Health of Our Lāhui through Community Advocacy Presented at NHPI Summit on June 24, 2016