L23 Maori Health Flashcards
What are the determinants of ethnic inequities in health?
Differential access to health determinants or exposures leading to differences in disease incidence
Differential access to health care
Differences in quality of care received
What is structural contribution?
The idea that the power, resources, and opportunities of NZ society are organised by ethnicity in NZ.
What is societal contribution?
There are values and assumptions widely held in NZ society about deservedness of different groups of people
Describe a timeline of events in Maori history and the impacts on Maori health
Early contact: initially flourished
Official engagement: colonisation, declaration of independence, signing of Treaty of Waitangi, country of NZ formed - heralded an era of depopulation, disease and dispossession (loss of mainly land)
How did colonisation impact Maori health?
- not value-free
- assumptions held by colonisers
- notions of superior and inferior people
- notions of civilization especially religious but also including economic and scientific
- notions of deserving and undeserving
What are the sources of inequity present in the treaty of waitangi
Art I - construction of state sector - justice system, education, health, welfare
e.g.
Constitution Act 1852 - created settler government in which there were obvious disparities on who was allowed to vote
Social Security Act 1938
Art II - Laws and policies disregarding Maori voice and authority
Art III - Different or denied citizenship
e.g. pensions were harder to access as Maori and paid a reduced amount
What is land alienation?
- social disruption of community
- breakdown of political power and alliances
- economic resource depletion and poverty
- resentment by indigenous peoples
