Lecture 11: Māori frameworks of health and well-being

Question 1

What is Hauora?

Answer 1

• Hau = breath/air
• links to creation narrative (Hine-ahu-one)
• Ora = alive/healthy

→ Holistic view of health

Question 2

What are the four walls of the Te Whare Tapa Whā model?

Answer 2

Wairua = Spiritual health
Whānau = Social well-being
Tinana = Physical health
Hinengaro = Mental and emotional well-being

Question 3

What are the 6 parts of the Te Pae Māhutonga
Durie, (1999) Health promotion model?

Answer 3

Involves the stars

Goals:
* Mauriora -> access to Te Ao Māori
* Waiora -> environmental protection
* Toiora -> healthy lifestyles
* Te Oranga -> participation in society

Prerequisites:
* Ngā Manukura -> leadership
* Te Mana Whakahaere -> autonomy

Question 4

Explain the Meihana Model of health:

Answer 4

• Began with Te Whare Tapa Whā - Focused on clinical practice
• Whānau – on second waka
• Connections between the waka
• Tinana, Hinengaro and Wairua
• Taiao (physical environment)
• Iwi Katoa (support services and systems)

In 2014, added
* Ngā Hau e Whā (the 4 winds) - historical and societal influences
* Ngā Roma Moana (the ocean currents) - components of Te Ao Māori

Question 5

Compare the three Maori health models covered:

Answer 5

Te Whare Tapa Whā
* Psychiatry -> general
* House
* 4 walls

Te Pae Māhutonga
* Health promotion
* Constellation
* 4 goals and 2 prerequisites

Meihana Model
* Clinical practice
* Waka
* 2 hulls and 5 crossbeams