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March 25, 2026International Journal of Environmental Research and Public Health0 citationsOpen Access

The Kaiona Framework: Centering Hawaiian and Pasifika Community in Defining, Measuring, and Promoting Health and Well-Being

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KFKenny S. FerenchakWaianae Coast Comprehensive Health CenterBGBlane K. GarciaWaianae Coast Comprehensive Health CenterJMJ. Kukui Maunakea-ForthInstitute of Organic Chemistry

Key Points

  • The aim is to define well-being through community values specific to Hawaiian and Pasifika cultures.
  • Developed a mixed methods approach, combining formal focus groups and informal conversations.
  • Engaged community members, including youth, parents, and cultural practitioners.
  • Collaborated with a professional artist to create a culturally relevant framework.
  • Reviewed existing health and well-being models.
  • Created the Kaiona Framework, emphasizing connection to ʻāina and community.
  • Identified four core community values: mauli ola, waiwai, pilina, and ea.
  • Shifted the narrative from outside assessments to community-defined well-being.

Abstract

The place and people of Waiʻanae, Hawaiʻi, are rich in connection with ʻāina (natural environment) and culture. Counter to this strengths-based approach, metrics and narratives imposed by outside systems assess many communities like ours as “sick,” “poor,” or “unwell.” This paper details our community’s approach to defining “well-being” around the values specific to our place, overseen by a council of community leaders with decades of experience supporting youth. The development was a mixed methods process including formal focus groups, informal community conversations, review of existing models, and collaboration with a professional artist. Centering community was the priority through each phase, engaging youth, parents, cultural practitioners, healthcare providers, and educators. Our community built the Kaiona Framework around the moʻolelo (traditional story) of Kaiona who helps the lost find home through empathy and compassion. Well-being is grounded in connection to, in relationship with, and in service to ʻāina. The child is at the center of our work, but inseparable from the family, community, and wider nation of people. Wellness comprises four values vital to our community: mauli ola, a balanced state of physical, mental, emotional, spiritual, and environmental health; waiwai, abundance and prosperity; pilina, mutually sustaining relationships; and ea, self-determination and agency.

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Cite This Study

Ferenchak et al. (2026) studied this question.

synapsesocial.com/papers/69c37bd4b34aaaeb1a67ea48https://doi.org/10.3390/ijerph23030402
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