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In New Zealand, the Pacific population (those resident with a Pacific Islands heritage) is one of the fastest growing population subgroups and on census night, 7 March 2006, numbered 265974 usual residents or 6.6% of the total population. 1 Auckland is the preferred region of domicile. 2 Samoans constitute the largest group (50%), followed by Cook Island Maori (23%), Tongan (18%), Niuean (9%), Fijian (3%), Tokelauan (3%) and Tuvalu Islanders (1%). 2 This ethnic diversity is manifest in differing cultures, languages, and differential access to and utilization of education, health and social services. Pacific people are overrepresented in many adverse health and social statistics2–4 leading to higher rates of communicable and non-communicable disease, 2, 4, 5 hospitalization3, 4, 6 and death. 2 Yet, prior to this study, there was relatively little culturally specific information on which to base efficacious coordinated …