About Us

With increasing cultural diversity of the population in New Zealand, health practitioners are experiencing more cross-cultural interactions with migrant and refugee patients from linguistically, culturally and religiously diverse backgrounds, as well as cross-cultural interactions between colleagues in a culturally diverse workplace.

The New Zealand Ministry of Health requires District Health Boards to provide services that acknowledge the diversity of cultures and ensure services are accessible, culturally appropriate, effective and safe. As well, the Health Practitioners Competence Assurance Act 2003 (HPCAA) requires registration authorities to set standards of clinical competence and cultural competence.

Asian & MELAA in New Zealand
In New Zealand, Asian peoples were 11.8% of the population (471,708) and Middle Eastern, Latin American and African peoples (MELAA) were 1.2 percent of the population (46,953).

Asian & MELAA in the Auckland Region
In 2013, almost two-thirds (65.1%) of the population who identified with at least one Asian ethnic group lived in the Auckland region.  Of this group, 1 in 4 people (23.1% or 307,233) identified with one or more Asian ethnic groups. Most Middle Eastern, Latin American and African people lived in the Auckland region.

Reference: Statistics New Zealand (SNZ) (2014c). 2013 Census QuickStats about culture and identity. Wellington: Statistics New Zealand. Retrieved from: www.stats.govt.nz.

eCALD® services

eCALD® services is a division of the Institute for Innovation and Improvement (i3) of Waitemata DHB.

eCALD® services have developed e-learning and face-to-face courses as well as online, print and HTML cross-cultural resources to address the lack of CALD cultural competence training and information for the New Zealand health workforce. The provision of eCALD® courses and resources is funded by the Ministry of Health as part of the Auckland Migrant Settlement Strategy Programme.


Vision: Enhancing CALD cultural competence.

Mission: To improve cross-cultural interactions and understanding between health practitioners and CALD patients/families; between staff, as well as between manager and staff.

Goal: To ensure equitable and quality healthcare for the culturally and linguistically diverse (CALD) migrant and refugee patients and families from Asian, Middle Eastern, Latin American and African backgrounds.


We hope you will find the resources we have produced and/or published on this website are useful in your pursuit of CALD cultural competence to work better with your CALD patients / clients and their families, as well as, to work more effectively in a culturally diverse workplace.

CALD refers to culturally and linguistically diverse groups who are migrants and refugees from Asian, Middle Eastern, Latin American and African (MELAA) backgrounds.

Cultural competence refers to an ability to communicate and interact effectively with people of different cultures. Cultural competence comprises four components: cultural awareness, sensitivity, knowledge and skills.