Inequality in health NZ Flashcards
what is Colonization?
The settling in a land that comes with Inherent Colonialism and Imperialism were Symbolic with Scientific Racism
-made possible by racist ideology and the ideology was inscribed in Practices, Policies, Governance and Institutions (“ institutional racism”)
What us the “Science” behind racism and colonizations?
explained everything and physical characteristics of difference from the majority were aligned with being white, European and that their knowing of the world was superior to other
When was the Treaty of Waitangi signed and what were the main concepts?
1840
MANA, TAPU, RAHUI, UTU, MURU
What does Mana mean
status, either inherited or acquired
what does Tapu mean
sacred prohibition
What does rahui mean?
(a form of tapu restricting access to certain food sources) usually around a place of sacred fishing, or when persona dies in a certain area
What does utu mean
repayment for another’s actions, whether hostile or friendly
what does Muru mean?
a form of utu, usually a ritual seizure of personal property as compensation for an offence
explain the Tohunga supression act 1907
special and sacred rituals for healing and costumery were repressed and not allowed to do
- was lifted in 1962
explain NZ settlements act 1863
the land of any tribe ‘engaged in rebellion’ against the government could be confiscated
define Equality
Everyone getting the Same, treated the same, getting the same health outcome, equal pay, equal voice, being human, listened to and respected
define Equity
Equal Opportunity to Access, Health, Justice, education; independent of age, ethnicity or Gender. It is more than just access…fairness, proactive effort toake it equal.
What are Maori Health Determinants?
Environmental, educational, socioeconomics, cultural variables that impact health outcomes
What are the 4 parts of Durie’s Te Whare Tapa Wha Model
Taha wairua
Taha hinengaro
Taha tinana
Taha whanau
What is Taha wairua
Spiritual health, felt by Mäori to be the most essential requirement for health
implies a capacity to have faith and to be able to understand the links between the human situation and the environment
what is Taha hinengaro
psychological health, about the expression of thoughts and feelings. In Maori thoughts and feelings derive from the same source, located within the individual.
what is Taha tinana
Bodily health, Mäori emphasis is different in that there is the clear separation of tapu (head) and noa (food and water). Certain parts of the body and the head in particular, are regarded as special (tapu), and bodily functions such as sleeping, eating, drinking, and defecating are imbued with their own significance, reflecting various levels of importance and requiring quite different rituals
what is Taha whanau
Family health, the family is the prime support system for Māori, providing care and nurturance, not only in physical terms but culturally and emotionally.
rises in the prevalence of family dysfunction including signs of abuse, do not lessen the point but underline its significance.
what is the Te Tiriti o Waitangi Policy statement?
formal expression that provides high level direction for how we will work to honour our obligations as a Tiriti partner when undertaking our statutory functions and responsibilities as Te Kaunihera Tapuhi o Aotearoa/Nursing Council
What are the goals for the nursing council with the Te Tititi o Waitangi
Mana Māori, Mana tangata, Mana motuhake
What is Mana Māori?
enabling Māori customary rituals framed in te ao Māori (maori world view of creation), encapsulated within mātauranga Māori(? ) and enacted through tikanga Māori(? ).
What is Mana tangata
achieving equity in health and disability outcomes for Māori across the life course and contributing to Māori wellness
what is Mana motuhake
enabling the right for Māori to be Māori and to exercise self-determination over their lives and to live on Māori terms according to Māori philosophies, values and practices including tikanga Māori
What are the principles of Te Tiriti o Waitangi on we will meet our obligations as a Tiriti partner in our every-day work in a modern world?
- Tino Rangatiratanga/ self-determination – this provides for Māori self-determination and mana motuhake. This requires the Nursing Council to work with partners in the design, delivery and monitoring of our relevant statutory work.
- Partnership: requires the Nursing Council and iwi/Māori to work with each other in a strong and enduring relationship.
- Equity: this requires the Nursing Council to commit to achieving equitable health outcomes for Māori through the statutory functions that it is responsible for.
- Active protection: this requires the Council to be well informed on the extent, and nature, of both Māori health outcomes and efforts to achieve Māori health equity through culturally safe nursing standards and the practice of cultural safety.
5. Options: this requires the Nursing Council to ensure that all of its services are provided in a culturally appropriate way that recognizes and supports the expression of te ao Māori models of care… not just western world medicine.
- Active protection: this requires the Council to be well informed on the extent, and nature, of both Māori health outcomes and efforts to achieve Māori health equity through culturally safe nursing standards and the practice of cultural safety.
