Research on the health outcomes of Pasifika people in New Zealand has begun to focus on the church’s role as well as that of the Pasifika worldview. This study explores the relationship between the church, Pasifika families and the health system through the concept of vā. Five Pasifika participants, four parishioners and their church minister were interviewed online to facilitate dialogue and gather their voices. Four themes emerged from the interviews and the data analysis: (1) the role of family and close relationships, (2) interactions with healthcare, (3 the role of the church and (4) overarching systemic discussions.