Puloka et al.
This research demonstrates critical elements of an effective, culturally appropriate and empowering National Bowel Screening Programme (NBSP) for Tongans led by Tongan providers. If these findings are enacted, more effective delivery of bowel screening to Tongans will likely be enabled, reducing inequity in participation between Tongans and other New Zealanders. What is required is courage and political will to shift power and resources to ensure equitable outcomes in the NBSP, not only for Tongans but for all Pacific peoples.