Lecture 12: Pacific frameworks of health and wellbeing

Question 1

What is Te mana ola?

Answer 1

A pacific health strategy:

• prioritising disease prevention, health promotion and good health and wellbeing
• better understanding the needs of Pacific peoples and enabling them to exercise authority over their health and wellbeing
• ensuring that services are reaching Pacific peoples, wherever they live
• growing and supporting strong Pacific health leadership and workforce

Question 2

What is the Pacific perspective model from (Tamasese Ta’isi, 2007)?

Answer 2

Pacific perspective
* Harmony with the cosmos
* Harmony with the environment
* Harmony with peoples
* Harmony with self

Question 3

How is illness seen in a Pacific perspective?

Answer 3

• ‘The health of Pacific peoples is the balance of different
  factors/dimensions including spiritual, cultural, as well as
  environmental factors on health’ (Sopoaga, 2011)
• Illness can be seen as imbalance in the relationship, caused by oneself or by someone else

Question 4

What does Ola Manuia mean?

Answer 4

Ola Manuia’ means ‘living well or in wellness’

Question 5

What is the Tongan (Kakala (flower necklace)) models key principles?

Answer 5

1. Teu: prepare (research purpose and concept)
2. Toli: picking flowers (data collection and methodology)
3. Tui: thread (data analysis)
4. Luva: gifting (research benefiting the participants)
5. Mālie: monitoring (evaluating)
6. Māfana: result

Question 6

What are the five values of the Tivaevae model (Cook Islands rug)?

Answer 6

Collaboration,

Respect,

Reciprocity = (the practice of exchanging things with others for mutual benefit)

Relationships

Shared vision

Question 7

What are the 6 aspects of the Te Vaka Atafaga health model from the Tokelauan health perspective? Boat

Answer 7

1. Environment (sea, wind, current, stars …)
2. Family (hull, mast)
3. Spirituality (sail)
4. Mental (navigator)
5. Social systems (outrigger)
6. Physical body (shape of the vaka)

Question 8

What is Talanoa?

Answer 8

Talanoa is a form of narrative inquiry developed
from Pacific peoples’ oratory tradition.

It involves the intermingling of the emotions,
knowledge, experience and spirits of researcher and
knowledge giver.

Question 9

What is the Fonofale model?

Answer 9

The Fonofale model incorporates the values and beliefs of Samoans, Cook Islanders, Tongans, Niuans, Tokelauans and Fijians

This model encompasses different foundations of life including family, cultural values and beliefs, spiritual, physical, mental and other aspects

Question 10

What are the key aspects of the Fonofale model?

Answer 10

Foundation: family

Roof: culture
Culture is constantly moving and changing, with adaptation to a new environment, a new language, new relationships, globalization…

4 posts: connecting the roof and the foundation are the
four ‘pou
1: Physical
2: Spiritual
3: Mental
4: Other (age, socioeconomic status…)

Surroundings:
- Time
- Context
- Environment

Question 11

What were the two main findings of the Firestone reading and the three sub findings?

Answer 11

Two main themes were identified:
* Health and well-being must be family centered
* A desire to live longer and be healthier

Three sub-themes:
family support
overcoming barriers
addressing social justice