Persistent inequities in health outcomes for wāhine Māori speak to the limited ability of national initiatives to drive health equity. The lack of sustainable change points to a systemic problem that requires analysis of implementation pathways that is reflective of community and cultural engagement. Historically, interventions have been developed outside of target communities. This project will focus on relationship development and priority setting, to establish a strong foundation to partner appropriately with wāhine Māori in the implementation of new innovations within Māori communities. We will use evidence, culturally appropriate tools and a systems approach that starts with activating communities to influence what is happening in the broader health system; establish a clear connection to a health care need substantiated by meaningful end-user engagement and health service leadership in the identification of this need; and ensure community partnership is achieved in the formulation of the intervention and a subsequent implementation research project.