Designing an indigenous-led internship model to strengthen the Māori health workforce: the Kura Raumati programme in Aotearoa New Zealand

Growing a culturally grounded Māori (Indigenous People of Aotearoa New Zealand) health workforce is a critical strategy for addressing cardiovascular disease (CVD) inequities in Aotearoa New Zealand. CVD remains the leading cause of death, with Māori experiencing significantly higher rates of disease and mortality. These disparities are rooted in structural determinants shaped by colonisation and systemic racism. Workforce initiatives that are Indigenous led and culturally grounded can strengthen health services by embedding Māori knowledge, values, and community relationships across care systems. This paper describes the theoretical foundations, design, and implementation of the programme across two programme cohorts. Kura Raumati is a Māori-designed internship programme developed to strengthen Māori participation and leadership in heart health research and practice. Hosted by a Māori-led community research centre, the programme includes a culturally grounded residential learning workshop, paid research placements in university and community settings, and intensive mentorship. Guided by kaupapa Māori (Māori knowledge, skills and values) theory, the model prioritises self-determination, relational learning, and collective wellbeing. Across two cohorts, 21 Māori students engaged in diverse research projects addressing cardiovascular health equity. The internship model is designed to foster cultural identity, build research capability, and support ongoing engagement in health-related careers. It is anticipated that the programme will strengthen relationships between Māori students, communities, and academic institutions, contributing to the development of a culturally grounded Indigenous heart health workforce. Future evaluation will assess the programme’s contribution to workforce preparedness, cultural safety, and Indigenous leadership in heart health research. Kura Raumati describes how an Indigenous-led, culturally grounded programme design may support research capability and strengthen the responsiveness of health services to Indigenous communities. By embedding Māori pedagogies, relationships, and values throughout the learning journey, the programme is designed to contribute to a sustainable, equity-focused health workforce. The model offers transferable insights for health systems seeking to integrate Indigenous knowledge into workforce and service development, with formal evaluation of outcomes planned for future phases.