Lecture 10 - Maori Frameworks Of Health And Well Being Flashcards
What is hauora
A holistic view of health.
Māori philosophy of unique health to NZ
Outline historical context of Māori heath
Pre European times - illness due to breaches in tapu (sacredness) or tikanga (customs)
Arrival of Europeans brought about infectious diseases, resulting in dramatic decrease in Māori population.
Outline land loss
Some legit sales, some dodgy sales, some government acquisitions
Outline the native schools act 1867
Native schools eventually banned the use of Māori on school ground, aiding in the diminished use of the language
Outline language loss
Urbanization of land and proliferation of European settling, English most wide spread language, hence loss of Māori
Outline tohunga suppression act 1907
Tohunga are Māori equivalent of professors, outlawed in 1907, sent message that Māori tohunga knowledge is irrelevant and not respected
Outline Te Whare Tapa Wha
4 interconnected components
Developed in psychiatry
Commonly used model
Similar to World Health Organization models
House doesn’t work with 3 walls
Simplicity is good to remember - doesn’t cover all areas of Māori health that are relevant to health
What are the 4 components to Te Whare Tapa Wha
Wairua - spiritual health
Tinana - physical health
Hinengaro - Mental and emotional well being
Whanau - Social well being
Outline Te Pae Mahutonga
Constellation known as southern cross
4 stars represent goals - all words that translate to health (particular areas in health to work towards)
Two pointers are pre requisites that are needed to obtain the 4 health goals
What are the 4 goals of Te Pae Mahutonga
Mauriora - Access to Te Ao Māori (does person feel connected to important aspects of Māori culture)
Waiora - environmental protection (hard for people to be healthy when environment is sick)
Toiora - Healthy lifestyle (where environment meets personal choice, eg alcoholism poor choice in alcohol rich environment)
Te Oranga - Participation in society (access to education, GP, hospitals, all things needed from society to be healthy)
What are the pre cursors to Te Pae Mahutonga
Nga Manukura - Leadership (multiple different levels of leadership from community to government)
Te Mana Whakahaere - autonomy of group of people.
What is the Meihana model
Begun with Te Whare Tapa Wha
Focused on clinical practice
Whanau - on second Waka
Connections between Waka
Additions in 2014
What are the connections between the Waka in the Meihana Model
Tinana, Hinengaro, and Wairua (from Te Whare Tapa Wha)
Taiao (physical environment/natural environment eg forests)
Iwi Katoa (support services and systems)
What were the 2014 additions to the Meihana model
Nga Hau e Wha (the 4 winds) - historical and societal influences
Nga Roma Moana (the ocean currents) - components of Te Ao Maori
Whare definition
A Māori hut or house
