Lecture 15. Te Pae Mahutonga Flashcards
What are the reasons for maori health promotion?
- Māori health status / inequalities
- Rights as indigenous peoples and Treaty partners
- ‘Mainstream’ health promotion interventions have generally been less effective for Māori than for non-Māori
- Māori health is everyone’s responsibility
where are systematic inequalities present
– In health outcomes
– In exposure to the determinants of health
– In health system responsiveness
– In representation in the health workforce
What is the cause of health inequalities?
unequal distribution of health risks and opportunities (social
determinants)- eg housing, education, income
what is “conventional health promotion”?
- Based on Western models
- Universal formula (one size fits all)
- Often simply adapted for Māori
- Not grounded in Māori values and realities
- Superficial vs structural approach
- Has tended to benefit non-Māori to a greater extent than Māori
why do conventional health promotion methods not work well for maori?
Enables the people who have the resources to make these changes to benefit the most
Other people cannot implement this because so much poverty and inequity are not addressed
the Ottawa Charter
model for health promotion
Prerequisites – peace, shelter, education, food, income, stable eco-system, sustainable resources, social justice & equity.
ADVOCATE, ENABLE, MEDIATE
- Build healthy public policy
- Create supportive environments
- Strengthen community action
- Develop personal skills
- Reorient health services
who was te Pae Mahutonga developed by?
Professor Sir Mason Durie
Te Pae Mahutonga
• Based on the Southern Cross as a navigational aid
• 4 central stars (key tasks) and 2 pointers (pre-requisites)
• Fundamental components of health promotion from a Māori
world view – “but as they might also apply to other New Zealanders”
can the principles of Te Pae Mahutonga apply to other population groups apart from Maori?
yes
four key tasks in Te Pae Mahutonga
Mauriora
Waiora
Toiora
Te Oranga
two prerequisites in Te Pae Mahutonga
Ngā
Manukura
(leadership)
Te Mana
Whakahaere
(autonomy)
Enabling communities to have self-determination of their own resources. Removing barriers.
Mauriora
Access to Te Ao Maori
“cultural resources: who we are, marai- community, ability to participate in the Maori world”
Waiora
environmental protection
Protecting waterways, air pollution, social and other environments that influence our health( racism). Protection.
toiora
healthy lifestyle
Diet, not smoking, alcohol consumption, PA
Te oranga
Participation in society
Social determinants, education, housing
