Since starting as a nurse at Taihape Hospital aged 21, Judith MacDonald says she has been focused on the health of rural communities - and especially children and older people.
She's seeking a third term elected to Whanganui District Health Board, to continue influencing health policy at a high level.
After being promoted to charge nurse and manager at Taihape, Mrs MacDonald was called to Whanganui Hospital for more management roles. For the last 13 years she's been chief executive of region's primary health organisation, the Whanganui Regional Health Network.
She also has a string of directorships and chairmanships in health-related fields - Whanganui Accident & Medical, Gonville Health, Taihape Health, the Whanganui Children's Team, a Whanganui pensioner housing committee and the region's cancer network.
Involvement in all facets of health gives her a good background for the health board role, she said.