Lecture 16: Working with Maori Flashcards
What did the Queen say about the Treaty?
That it has been imperfectly observed
Life expectancy Maori vs Non-Maori Females
Maori = 77.1yr
Non-Maori = 83.9yr
Life expectancy Maori vs Non-Maori Males
Maori = 73.0yr
Non-Maori = 80.3yr
What is the average life expectancy difference?
7 Years
Sudden Unexpected Death in Infancy (SUDI) difference in Maori vs Non-Maori
SUDI 5x Higher
CVD death difference in Maori vs Non-Maori
CVD death 2x death
Maori have higher rates of…
Diabetes, stroke, cancer
In Maori and Non-Maori there are differences in…
Life opportunities, access to health care, care in health system
What is the Pae Ora (Healthy Futures) Act?
Previous government was trying to directly address this and create a new part of the healthcare system directed at Maori health
What is Te Tiriti O Waitangi?
signed in 1840 between Māori chiefs and the British Crown, is New Zealand’s founding document that established British governance while promising to protect Māori land rights and autonomy.
How many parts is the treaty?
Three parts called articles
What is article one?
The Maori chiefs agreed to give the queen of England sovereignty over NZ
How was Article 1 misinterpreted?
The Maori thought the Queen would have control over laws for JUST the Pakeha not Maori aswell
What is Article two?
The queen promised that Maori would always have possession of their land for as long as they wished
How was article 2 misinterpreted?
they had to sell land exclusively to the Crown if they wished to do so however Māori believed they retained full authority over their lands and resources, rather than simply ownership rights
What was article three?
The queen gave all NZ’ers her royal protection and the same rights and privileges as british subjects
What are the three P’s?
Summarising the Treaty of Waitangi in the healthcare setting:
- Partnership
- Participation
- Protection
What does partnership refer to?
Working together with iwi, hapu, whanau and Maori communities to develop stratagies and services
What does participation refer to?
Maori to be involved at all levels of health and disability sector, including decision-making, planning, delivery of services
What does protection refer to?
ensuring Maori have the same level of health as non-Maori and safeguarding Maori cultural concepts, values and practices
What is the more recent set of principles that the Ministry of Health has brought in?
- Tino rangatiratanga
- Equity
- Active protection
- Options
- Partnership
What is equality?
Everyone is given the same
What is equity?
Everyone given what they need
Consultation does not mean….
Negotiation or agreement
What does consultation mean?
- Setting out a proposal not fully decided upon
- Adequately informing a party about relevant information
- Listening to others with an open mind
- Reaching a decision
What is engagement?
Attracting and involving someone’s interest, rather than merely canvassing their opinions before making a decision - can be seen as the groundwork for a meaningful consultation
What is good practice for engagement?
- Emphasis on partnership beyond this specific project
- Respect tikanga
- Convey information clearly
- Face to face interactions valued
- Consider Maori protocol, language, treaty training
What is tikanga?
Maori protocol
What is good practice in general (part 1)?
- Take shoes off
- Introduce yourself and anyone with you
- Ask how to pronounce Maori names
- Offer verbal rather than written questions
- Allow whanau to be present
Before taking any measurements…
- Explain briefly what you will do
- Explain why you are doing it
- Request permission to proceed
What is good practice in general (part 2)?
- Ask before touching the head
- Keep biological samples in seperate fridge/freezers
- Offer karakia before disposal
- Never sit or lean on tables or desks
- Honour data sovereignty
What is Hapu?
Kinship group or subtribe
What is iwi?
Extended kinship group or tribe
What is hauora?
Health
What is Tapu?
To be sacred, prohibited, restricted or set apart
What is Noa?
Ordinary, unrestricted, void, free from the extensions of Tapu
What is Rahui?
A temporary ritual prohibition, ban, closed season or restricted access
Key words in the english version of article 1
Sovereignty
Key words in the Maori version of article 1
Kawanatanga
Key words in the english version of article 2
Possession
Key words in the Maori version of article 2
Tino rangatiratanga
Key words in both versions of article 3
Protection, rights and privileges
