Te Marae Ora Cook Islands Ministry of Health (Te Marae Ora) is the main provider of primary and secondary healthcare services in the Cook Islands. Certain tertiary level health services are provided through visiting health specialists from New Zealand and Australia. The Ministry is also responsible for providing health policy advice to the Minister of Health.
The Cook Islands health system is made up of eight pieces of legislation. The most significant are the Ministry of Health Act 2013 and the Public Health Act 2004. The legislative framework establishes the Secretary of Health as the Head of the Ministry, and key advisor to the Minister of Health on all matters pertaining to the Cook Islands health system and health care services.
The Health Road Map is a 20-year plan for the health sector. The vision of the Road Map is a 'healthy and peaceful Cook Islands that values human rights and dignity through the provision of quality equitable health care and services based on the principles of primary health care and universal health coverage'. There are three focus areas to achieve this vision over 20 years, including strengthening health systems, health care service excellence and public and private partnership.
The Health Strategic Plan operationalises the three key focus areas outlined in the National Health Road Map. The strategic plan sets out goals and measures for success across six different areas: health administration and management, community health services, hospital health services, allied health services, Pa Enua health services and health partners.