In many Hawaiian ʻohana, at least one family member is living with a chronic condition such as diabetes, heart disease, or stroke. Since Western contact, illnesses and the loss of resources have deeply affected the once-thriving lāhui of Kānaka Maoli, reshaping their way of life. Many Native Hawaiians in Hawaiʻi experience a higher prevalence of chronic disease due to a combination of genetic, environmental, and systemic factors. While lifestyle choices can influence health, access to resources, such as ʻāina for growing food, can be a significant barrier to making healthier choices.

There are many ways to support overall well-being and reduce the risk of chronic conditions. Engaging in physical activity, eating nourishing foods, breastfeeding, and avoiding tobacco are all beneficial steps. Fortunately, there are numerous resources and community support systems available to help individuals and families on their health journey.

E Ola Mau ~ The Foundation

Papa Ola Lōkahi aligns its efforts with the recommendations outlined in the Native Hawaiian Health Care Act of 1988 and the E Ola Mau reports from 1985, 2019, and 2023. While the E Ola Mau reports do not contain a dedicated chapter on chronic health conditions—as these conditions often intersect with all aspects of health—they are referenced throughout various chapters and incorporated into the broader recommendations.

Disease Prevention & Health Promotion

Breastfeeding

Breastfeeding, hānai waiū, has been shown to help lower the risk of chronic conditions like diabetes, heart disease, and obesity—issues that disproportionately impact Native Hawaiians. It supports both infant and maternal health while aligning with cultural values of ‘ohana and mālama. Reclaiming this traditional practice strengthens community well-being and helps reduce health disparities.

• Hawaii Indigenous Breastfeeding Coalition
• Healthy Mothers Healthy Babies
• Moananui Podcast Kawehi and Kainoa Revilla
• Moananui Podcast Short Clip Post Breastfeeding

Nutrition

• Nutrition & Food Systems

Physical Activity

• Kupu Ola, Hula + Health: Mind, Body, and Spirit in Motion
• Kupu Ola Short Clip “The Power of Unity: Celebrating Our Hālau Experience at Merrie Monarch”
• Kupu Ola Short Clip “Healing Through Hula: Embracing Our Stories”

Tobacco Use

• Tobacco & Vaping Control and Prevention
• Protect Your Ea in 2025

MEDIA