Wāhine, pēpi and whānau experience persistent health inequities that impact wellbeing throughout pregnancy, birth and childhood. Without profound system change, there will continue to be unacceptable, avoidable harm and death for Māori. It’s time to lift the silence, intervene and transform with iwi-led care models and hold our health systems accountable. This kaupapa Māori programme ’Manaaki Te Iti Kahurangi,’ puts whānau at the centre and takes a strength-based approach to improve postnatal health and wellbeing outcomes for Māori wāhine, pēpē and whānau. The three projects are: 1. An in-depth look at why Māori term babies are more likely to die or be harmed. 2. Trial of an iwi-led and owned postnatal intervention hub to improve Māori whānau health and wellbeing. 3. Follow the experiences of women and whānau using the new postnatal hub. This programme is led by Māori and aims to directly inform health delivery practice and system changes.