Lecture 16 - Working with Maori

Question 1

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

Answer 1

moari females : 77.1 years

non maori females : 83.9 years

Question 2

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

Answer 2

maori males 73 years

non maori 80.2 years

Question 3

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

Answer 3

5 x higher

Question 4

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

Answer 4

2x higher

Question 5

maori have higher rates of

Answer 5

diabetes, stroke and cancer

Question 6

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

Answer 6

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

Question 7

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

Answer 7

the Pae Ora (Healthy Futures) Act

Question 8

what are the three maori P words

Answer 8

partnership, participation and protection

Question 9

what is partnership

Answer 9

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

Question 10

what is participation

Answer 10

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

Question 11

what is protection

Answer 11

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

Question 12

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

Answer 12

• tino rangatiratanga
• equity
• active protection
• options
• partnership

Question 13

what is tino rangatiratanga (ministry of health)

Answer 13

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

Question 14

what is equity (ministry of health)

Answer 14

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

Question 15

what is active protection (ministry of health)

Answer 15

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

Question 16

what are options (ministry of health)

Answer 16

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

Question 17

what is partnership (ministry of health)

Answer 17

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

Question 18

what is equity compared to equality

Answer 18

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

Question 19

what is equality using the boxes watching the game of football

Answer 19

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

Question 20

what is equity using the boxes watching the game of football

Answer 20

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

Question 21

consultation does not mean negotiation or agreement, it means

Answer 21

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

Question 22

engagement refers to attracting and involving …

Answer 22

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

Question 23

in good practice of engagement, when should it be started

Answer 23

start engagement early

Question 24

in good practice of engagement find someone …

Answer 24

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

Question 25

in good practice of engagement emphasis on …

Answer 25

emphasis on partnership beyond this specific project

Question 26

in good practice of engagement consider

Answer 26

capacity / capability building of Maori researchers

Question 27

in good practice of engagement respect

Answer 27

respect tikanga (Maori protocol)

Question 28

what interactions are value (good practice of engagement)

Answer 28

Kanohi ki te kanohi (face to face) interaction valued

Question 29

in good practice of engagement disseminate

Answer 29

disseminate results usefully to Maori

Question 30

what is good practice with Maori (data)

Answer 30

• 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

Question 31

what is the most tapu part of the body

Answer 31

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

Question 32

allow who to be present with maori

Answer 32

allow whanau members to be present

Question 33

what is the definition of whanau

Answer 33

family

Question 34

what is the definition of hapu

Answer 34

kinship group or subtribe

Question 35

what is the definition of Hauora

Answer 35

health or vigour

Question 36

what is the definition of iwi

Answer 36

extended kinship group or tribe

Question 37

what is the definition of tapu

Answer 37

to be sacred, prohibited restricted or set apart

Question 38

what is the definition of noa

Answer 38

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

Question 39

what is the definition of rahui

Answer 39

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