A place-based evaluation of a healthy homes initiative

Abstract

Issue addressed: Limited qualitative evaluations of healthy homes initiatives exist in the literature and even fewer look past physical health benefits to wider health outcomes. A qualitative evaluation of Manawa Ora, a healthy homes initiative implemented by a Māori health provider in Northland, New Zealand, was conducted to ascertain the wider health benefits a healthy homes initiative. Methods: Participants of Manawa Ora were recruited; their experiences were analysed through qualitative semi-structured interviews. Results: Two main themes emerged from the semi-structured interviews. “Becoming active actors” pertains to improved health, both physical and mental, following the program. It also describes the way participants have redirected their focus from their illness to broader, more purposeful activity. “From a simple space to a place with meaning” highlights the way Manawa Ora improved the home environment by creating a “place” that holds meaning. Conclusions: Healthy homes initiatives can improve physical health as well as wider health outcomes. Through the provision of beds, bedding, insulation and heating, Manawa Ora has created a “therapeutic place” out of the home that promotes healing and well-being. So what: Greater focus on connections to place in public health initiatives may bring about wider health gains.