Acute rheumatic fever (ARF) is an inflammatory autoimmune reaction that occurs as a result of a Group A Streptococcus (GAS) infection. Acute rheumatic fever (ARF) remains a critical issue in Aotearoa New Zealand (AoNZ), particularly among Māori and Pacific children aged 5 to 14 years who experience disproportionately high rates. To prevent further heart damage, ARF patients receive monthly intramuscular penicillin injections for a minimum of 10 years. However recent research highlights a gap between ARF services and patients/whānau expectations, creating barriers to accessing and engaging with services. This disconnect contributes to recurrences of ARF and increased incidence and severity of its sequalae Rheumatic Heart Disease (RHD). This research aims to bridge these gaps by developing, implementing and evaluating a Māori and Pacific rangatahi (youth) centered model of care in the Waikato region of AoNZ, using a mixed methods kaupapa Māori approach. This presentation will highlight the key themes Identified by rangatahi and whānau to improve current bicillin delivery, including the importance of agency, whanaungatanga (rapport) and how even the little things, like chocolate fish, can make a big difference for rangatahi.