Lay summary
In Aotearoa, avoidable health inequities for Māori persist because of deeply entrenched health and social systems that are designed to privilege the New Zealand European population. Perinatal mental health outcomes and maternal suicide rates demonstrate that Māori birthing parents have the worst outcomes relative to other ethnic groups. This project will examine the rates of screening, diagnosis, treatment options offered, and referral to specialist services to ascertain where any differences occur for Māori, highlighting where the health system contributes to known inequitable outcomes. Educational resources for health professionals working with whānau Māori in the perinatal period will be developed and evaluated. Finally, a cost-benefit analysis of a Kaupapa Māori perinatal mental health service will be completed. This project aims to support the development of solutions that can improve perinatal mental health outcomes for Māori. This research will inform best practice guidelines for those working with Māori experiencing perinatal mental distress.