L23 Maori Health

Question 1

What are the determinants of ethnic inequities in health?

Answer 1

Differential access to health determinants or exposures leading to differences in disease incidence
Differential access to health care
Differences in quality of care received

Question 2

What is structural contribution?

Answer 2

The idea that the power, resources, and opportunities of NZ society are organised by ethnicity in NZ.

Question 3

What is societal contribution?

Answer 3

There are values and assumptions widely held in NZ society about deservedness of different groups of people

Question 4

Describe a timeline of events in Maori history and the impacts on Maori health

Answer 4

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)

Question 5

How did colonisation impact Maori health?

Answer 5

• 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

Question 6

What are the sources of inequity present in the treaty of waitangi

Answer 6

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

Question 7

What is land alienation?

Answer 7

• social disruption of community
• breakdown of political power and alliances
• economic resource depletion and poverty
• resentment by indigenous peoples