The Framework for Effective and Equitable Implementation in Aotearoa (FrEEIA)
The Framework for Effective and Equitable Implementation in Aotearoa (FrEEIA) is intended to support the design and delivery of equitable implementation pathways for health interventions. This framework provides step-by-step guidance through the process of undertaking equity-focused implementation research for health programmes, services, and systems The focus of this adapted framework is on addressing ethnic health inequities, with an initial focus on those experienced by Māori in Aotearoa NZ. It may also have relevance for other Indigenous peoples and other minoritised ethnic or population groups, such as Pacific peoples.
The framework has FIVE key elements:
-
The foundation is the articles of Te Tiriti o Waitangi.
-
The focus is whānau (extended family)-centred implementation to achieve equitable outcomes for whānau as a group and for individuals within the context of whānau.
-
The core constructs are the five key elements that drive equitable implementation and inform each step of along the implementation pathway: collaborative design, anti-racism, Māori and priority population expertise, cultural safety and values based.
-
The contextual factors are the social, economic, commercial and political determinants of health that impact on implementation and health equity.
-
The implementation pathway includes four main steps: implementation planning, designing the implementation pathway, implementation monitoring, and outcomes evaluation.
Interact with the framework below by clicking through the stages to see more detail
CLICK buttons above to see detail in the framework
Applying the Framework
The FrEEIA framework is, essentially, seven steps. Each step involves some discussion, thinking, and planning. Each of these seven steps is outlined below. Beside each step is a link to a workbook to guide the activity needed for each step. At the end of completing the seven steps the framework has been successfully applied.
