Hauora Māori in Practice across the Lifecourse Flashcards
Life course
Understanding of important aspects of Hauora across the lifecourse, and knowledge of key health issues impacting Māori.
What are 3 aspects of Mātaranga Māori?
- Kete-aronui (knowledge that could help people)
- Kete-tuauri (Knowledge of ritual, memory and prayer)
- Kete-tuatea (knowledge of what is harmful)
Waiwhero
The red Waters
- Menstruation is an ancient river linking generations of women
- ## Sign of mana (from Hinenuitepo) and tapū
Te Pūtake
New phrase of creation was born
- Waiwhero symbolises whakapapa and promised continuation of Whānau and hapū
Kurawaka
Kura - precious treasure, red, incantation
Waka - medium of atua (metaphor for the female genitalia, capacity to convey generations)
Kurawaka conveys the notion of whakapapa and connects to atua Māori
Goddess of the of night/death?
Hine-nui-te-pō
Haputanga
- Pregnancy and birthing practices different between iwi (and hapū)
- Mothers and pēpi should be relaxed throughout
- connection to natural environment
- traditional kōrero says pēpi is aware of their environment
Traditionally procreation and creation process is a state of ___. The female ______ is regarded as tapu ‘__ _____ ______’ where procreation begins. A _______ is in a state of tapu when she is with ____.
Tapu
Genitalia
Te Whare Tangata
Wahine
Pēpi
Hapu
Pregnant
Conceive or being pregnant
Sub-tribe
Hineteiwaiwa is the ātua of ______ and there are links with _______. (Whānau structure). The outside is the _____, the Awhi rrito represents the ______ and the ____ is the child (inner).
Rāranga (weaving)
Harakeke (flax)
Tūpuna
Parents
Rito
Age distribution between Māori and non-Māori.
Māori have more of a younger population (0-14), then a drop at (25-29) and a significant decrease at (70-85+)
Deprivation graph
Māori and especially Pacific Islanders are the lowest % in (1-7) and the highest % of (8-10) more deprived
Important health issues for pēpi?
SUDI
Respiratory infections
Important health issues for tamariki (1-4)?
Respiratory
Infections
Fall injuries
Important health issues for tamariki (5-14)?
Respiratory
Infections
Oral health
Injury
Mental health
Rheumatic fever
Important health issues for rangatahi (15-24)?
Injury (motor vehicle accidents)
Mental health
Suicide
Wahakura
woven harakeke bassinet for infants.
Health sector roles in supporting Māori child health
- Advocacy and Addressing
- Determinants / tackling child poverty
- Prevention / Promotion – key health issues
- Cultural competence – practitioners
- Partnerships and Māori services / providers
- Research
- Accessible services
Ministry of Health –Tamariki ora programmes
- Child growth and development
- family health and wellbeing
- immunisation information
- oral health (teeth and gum) checks
- early childhood education
- vision (sight) and hearing
- health and development checks for learning well at school.
rangatahi
Youth, Younger generation
Whakapiri
Engagement
(relationship building)
Sense of welcome and involvement
Whakamarama
Enlightenment
use of kawa and engagement
Whakamana
Empowerment
(Engagement and Enlightenment should lead to Empowerment)
- Emotional (felt)
- Intellectual (understood)
- Spiritual (sensed)
- Physical (preformed)
- Social (affinity)
Te Taitimu Trust
- Healing hearts and minds of rangatahi reconnectingto Tangaroa.
- Learn tikanga and kawa to assist in confidence, self-esteem and resilience
- Supporting rangatahi to long, healthy and sustainable lives
STRENGTHEN RELATIONSHIP WITH TANGAROA
Rangatahi Tu Rangatira
- Promote cultural and physical wellbeing for rangatahi Māori
- encourage the development of rangatahi as future leaders
- Ngā Taonga Tākaro wānanga, education sessions, regional provider update trainings, and event support throughout Aotearoa
KI O RAHI - RAHITUTAKAHINA
Toi Tangata
- kaupapa Māori based approaches to health, movement, and nutrition
- Creates meaningful connections to kaupapa oranga Māori
- Matua Atua Framework - Exploring whanau, hapū and iwi centric whakapapa to create or support contemporary oranga solution
ENVIRONMENTAL KNOWLEDGE CONNECTION TO ATUA
Roles of Kaumātua
(Elders)
- Shaping Māori society
- Vital survival of Māori culture
- Guardians of the landscape
- Anchors for whanau
- Leadership
Important issues for older Māori
- Cognitive conditions – dementia, alzheimers
- Chronic conditiosn – strokes, diabetes
- Falls and falls prevention
- Muskuloskeletal conditions – arthritis
- Sensory disability – hearing, sight
- Issues not talked about – incontinence, impotence
- Social concerns – isolation, loneliness
- Health and wellbeing – nutrition, exercise
- Issues of competence to make decisions
- Death and dying
Important considerations for Māori health
- Barriers to service utilisation
- Whānau and intergenerational relations
- Poverty
- Cultural diversity
- Supporting social connectedness
- Supporting whānau capacity
- Importance of place
Whānau Navigator Impacts and outcomes for whānau
- Independence and empowerment
- Whanau have direction
- Positive outlook on life
- Healthy lifestyles
- Connection
- Kotahitanga, Collective, Collaborative
- Participating fully in Society
Kotahitanga
unity, togetherness, solidarity, collective action.
Māoritanga
Māori culture, Māori practices and beliefs, Māoriness, Māori way of life.