Lecture 16 Flashcards

Working with Maori

1
Q

what is the life expectancy of maori females compared to non maori females

A

moari females : 77.1 years

non maori females : 83.9 years

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2
Q

what is the life expectancy of maori compared to non maori males

A

maori males 73 years

non maori 80.2 years

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3
Q

how much higher are the rates of sudden unexpected infant death (SUDI) in maori compared to non maori

A

5 x higher

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4
Q

how much higher are the rates of CVD in moari compared to non maori

A

2x higher

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5
Q

maori have higher rates of

A

diabetes, stroke and cancer

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6
Q

why do maori have higher rates of disease and lower life expectancy

A

differences in life opportunities, access to health care, care in health system

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7
Q

what is the act that was for maori health that has been removed by this government

A

the Pae Ora (Healthy Futures) Act

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8
Q

what are the three maori P words

A

partnership, participation and protection

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9
Q

what is partnership

A

working together with iwi, hapu, whanau and Maori communities to develop strategies and services

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10
Q

what is participation

A

Maori to be involved at all levels of health and disability sector, including decision making, planning, delivery of services

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11
Q

what is protection

A

ensuring Maori have the same level of health as non Maori and safegaurding Maori cultural concepts, values and practices

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12
Q

what are the 5 principles of te tiriti o waitangi used by the ministry of health

A
  • tino rangatiratanga
  • equity
  • active protection
  • options
  • partnership
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13
Q

what is tino rangatiratanga (ministry of health)

A

provides for Maori self determination and mana motuhake in the design, delivery, and monitoring of health and disability services

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14
Q

what is equity (ministry of health)

A

requires the crown to commit to achieving equitable health outcomes for Maori

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15
Q

what is active protection (ministry of health)

A

requires the crown to act, to the fullest extent practicable, to achieve equitable health outcomes for Maori

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16
Q

what are options (ministry of health)

A

requires the Crown to provide for and properly resource kaupapa maori health and disability services.

Furthermore, the crown is obliged to ensure that all health and disability services are provided in a culturally appropriate way

17
Q

what is partnership (ministry of health)

A

requires the Crown and Maori to work in partnership in the governance, design, delivery and monitoring of health and disability services

18
Q

what is equity compared to equality

A

in equality everyone gets the same input, in equity everyone gets the same outcome

19
Q

what is equality using the boxes watching the game of football

A

everyone is given the same size box but this doesnt mean that everyone can see

20
Q

what is equity using the boxes watching the game of football

A

everyone can see the game, some need bigger boxes than others

21
Q

consultation does not mean negotiation or agreement, it means

A

setting out a proposal not fully decided upon, adequately informing a party about relevant information upon which the proposal is based

listening to what others have to say with an open mind, undertaking that task in a genuine and not cosmetic manner, reaching a decision that may or may not alter the original proposal

22
Q

engagement refers to attracting and involving …

A

someones interest, rather than merely canvassing their opinions before decision making

it can be seen as the ground work on which a meaningful formal consultation process can be conducted

23
Q

in good practice of engagement, when should it be started

A

start engagement early

24
Q

in good practice of engagement find someone …

A

find someone with connections with local iwi to introduce and guide you

25
Q

in good practice of engagement emphasis on …

A

emphasis on partnership beyond this specific project

26
Q

in good practice of engagement consider

A

capacity / capability building of Maori researchers

27
Q

in good practice of engagement respect

A

respect tikanga (Maori protocol)

28
Q

what interactions are value (good practice of engagement)

A

Kanohi ki te kanohi (face to face) interaction valued

29
Q

Ensure team is aware of responsibilities to maori

A

Consider maori protocol, language, treaty training

30
Q

in good practice of engagement disseminate

A

disseminate results usefully to Maori

31
Q

what is good practice with Maori (data)

A
  • take you shoed off before entering home
  • introduce yourself clearly
  • ask how to pronounce Maori names
  • offer verbal rather than written administrations of questionnaires if possible
  • if any hair ornaments are worn ask them to remove if essential
  • keep biological and food samples seperate
  • offer participants the option of karakia to be said before disposal of biological samples
  • never sit or lean on tables or desks
32
Q

what is the most tapu part of the body

A

the heat is the most tapu (sacred) part of the body so ask before touching it

33
Q

allow who to be present with maori

A

allow whanau members to be present

34
Q

what is the definition of hapu

A

kinship group or subtribe

35
Q

what is the definition of Hauora

A

health or vigour

36
Q

what is the definition of iwi

A

extended kinship group or tribe

37
Q

what is the definition of tapu

A

to be sacred, prohibited restricted or set apart

38
Q

what is the definition of noa

A

ordinary, unrestricted, void, free from the extensions of Tapu

39
Q

what is the definition of rahui

A

a temporary ritual prohibition, ban, closed season or restricted access