Lecture 16 - Working with Maori Flashcards
what is the life expectancy of maori females compared to non maori females
moari females : 77.1 years
non maori females : 83.9 years
what is the life expectancy of maori compared to non maori males
maori males 73 years
non maori 80.2 years
how much higher are the rates of sudden unexpected infant death (SUDI) in maori compared to non maori
5 x higher
how much higher are the rates of CVD in moari compared to non maori
2x higher
maori have higher rates of
diabetes, stroke and cancer
why do maori have higher rates of disease and lower life expectancy
differences in life opportunities, access to health care, care in health system
what is the act that was for maori health that has been removed by this government
the Pae Ora (Healthy Futures) Act
what are the three maori P words
partnership, participation and protection
what is partnership
working together with iwi, hapu, whanau and Maori communities to develop strategies and services
what is participation
Maori to be involved at all levels of health and disability sector, including decision making, planning, delivery of services
what is protection
ensuring Maori have the same level of health as non Maori and safegaurding Maori cultural concepts, values and practices
what are the 5 principles of te tiriti o waitangi used by the ministry of health
- tino rangatiratanga
- equity
- active protection
- options
- partnership
what is tino rangatiratanga (ministry of health)
provides for Maori self determination and mana motuhake in the design, delivery, and monitoring of health and disability services
what is equity (ministry of health)
requires the crown to commit to achieving equitable health outcomes for Maori
what is active protection (ministry of health)
requires the crown to act, to the fullest extent practicable, to achieve equitable health outcomes for Maori
what are options (ministry of health)
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
what is partnership (ministry of health)
requires the Crown and Maori to work in partnership in the governance, design, delivery and monitoring of health and disability services
what is equity compared to equality
in equality everyone gets the same input, in equity everyone gets the same outcome
what is equality using the boxes watching the game of football
everyone is given the same size box but this doesnt mean that everyone can see
what is equity using the boxes watching the game of football
everyone can see the game, some need bigger boxes than others
consultation does not mean negotiation or agreement, it means
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
engagement refers to attracting and involving …
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
in good practice of engagement, when should it be started
start engagement early
in good practice of engagement find someone …
find someone with connections with local iwi to introduce and guide you
in good practice of engagement emphasis on …
emphasis on partnership beyond this specific project
in good practice of engagement consider
capacity / capability building of Maori researchers
in good practice of engagement respect
respect tikanga (Maori protocol)
what interactions are value (good practice of engagement)
Kanohi ki te kanohi (face to face) interaction valued
in good practice of engagement disseminate
disseminate results usefully to Maori
what is good practice with Maori (data)
- 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
what is the most tapu part of the body
the heat is the most tapu (sacred) part of the body so ask before touching it
allow who to be present with maori
allow whanau members to be present
what is the definition of whanau
family
what is the definition of hapu
kinship group or subtribe
what is the definition of Hauora
health or vigour
what is the definition of iwi
extended kinship group or tribe
what is the definition of tapu
to be sacred, prohibited restricted or set apart
what is the definition of noa
ordinary, unrestricted, void, free from the extensions of Tapu
what is the definition of rahui
a temporary ritual prohibition, ban, closed season or restricted access
what are the basics to the treaty of waitangi
three articles, written in english and then translated to Maori
what happened with Maori signing the treaty
mostly all chiefs that signed the treaty signed the one written in Maori, but many couldn’t read and needed to try have things explained
spoken promises were very important to Maori
explain the first article
key difference : sovereignty vs kawanatanga
sovereignty : meant that the crown would have power to make and enforce New Zealand laws for both Maori and Pakeha
kawanatanga : means governorship, Maori thought the governor would control the British not the Maori
explain the second article
key difference : possession vs tino rangatiratanga
possession : meant that Maori would still own their land but if they ever wanted to sell it they had to offer it to the Crown first
tino rangatiratanga : the role and power of a chief
Maori understood that they were guaranteed ownership of their land unless they sold it to the crown. Chiefs would govern Maori, governor would govern Pakeha
explain the third article
same in both : promised Maori the Queens protection and the same rights as British people
