Lecture 16: Working with Maori

Question 1

What did the Queen say about the Treaty?

Answer 1

That it has been imperfectly observed

Question 2

Life expectancy Maori vs Non-Maori Females

Answer 2

Maori = 77.1yr
Non-Maori = 83.9yr

Question 3

Life expectancy Maori vs Non-Maori Males

Answer 3

Maori = 73.0yr
Non-Maori = 80.3yr

Question 4

What is the average life expectancy difference?

Answer 4

7 Years

Question 5

Sudden Unexpected Death in Infancy (SUDI) difference in Maori vs Non-Maori

Answer 5

SUDI 5x Higher

Question 6

CVD death difference in Maori vs Non-Maori

Answer 6

CVD death 2x death

Question 7

Maori have higher rates of…

Answer 7

Diabetes, stroke, cancer

Question 8

In Maori and Non-Maori there are differences in…

Answer 8

Life opportunities, access to health care, care in health system

Question 9

What is the Pae Ora (Healthy Futures) Act?

Answer 9

Previous government was trying to directly address this and create a new part of the healthcare system directed at Maori health

Question 10

What is Te Tiriti O Waitangi?

Answer 10

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.

Question 11

How many parts is the treaty?

Answer 11

Three parts called articles

Question 12

What is article one?

Answer 12

The Maori chiefs agreed to give the queen of England sovereignty over NZ

Question 13

How was Article 1 misinterpreted?

Answer 13

The Maori thought the Queen would have control over laws for JUST the Pakeha not Maori aswell

Question 14

What is Article two?

Answer 14

The queen promised that Maori would always have possession of their land for as long as they wished

Question 15

How was article 2 misinterpreted?

Answer 15

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

Question 16

What was article three?

Answer 16

The queen gave all NZ’ers her royal protection and the same rights and privileges as british subjects

Question 17

What are the three P’s?

Answer 17

Summarising the Treaty of Waitangi in the healthcare setting:
- Partnership
- Participation
- Protection

Question 18

What does partnership refer to?

Answer 18

Working together with iwi, hapu, whanau and Maori communities to develop stratagies and services

Question 19

What does participation refer to?

Answer 19

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

Question 20

What does protection refer to?

Answer 20

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

Question 21

What is the more recent set of principles that the Ministry of Health has brought in?

Answer 21

• Tino rangatiratanga
• Equity
• Active protection
• Options
• Partnership

Question 22

What is equality?

Answer 22

Everyone is given the same

Question 23

What is equity?

Answer 23

Everyone given what they need

Question 24

Consultation does not mean….

Answer 24

Negotiation or agreement

Question 25

What does consultation mean?

Answer 25

• 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

Question 26

What is engagement?

Answer 26

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

Question 27

What is good practice for engagement?

Answer 27

• Emphasis on partnership beyond this specific project
• Respect tikanga
• Convey information clearly
• Face to face interactions valued
• Consider Maori protocol, language, treaty training

Question 28

What is tikanga?

Answer 28

Maori protocol

Question 29

What is good practice in general (part 1)?

Answer 29

• 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

Question 30

Before taking any measurements…

Answer 30

• Explain briefly what you will do
• Explain why you are doing it
• Request permission to proceed

Question 31

What is good practice in general (part 2)?

Answer 31

• 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

Question 32

What is Hapu?

Answer 32

Kinship group or subtribe

Question 33

What is iwi?

Answer 33

Extended kinship group or tribe

Question 34

What is hauora?

Answer 34

Health

Question 35

What is Tapu?

Answer 35

To be sacred, prohibited, restricted or set apart

Question 36

What is Noa?

Answer 36

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

Question 37

What is Rahui?

Answer 37

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

Question 38

Key words in the english version of article 1

Answer 38

Sovereignty

Question 39

Key words in the Maori version of article 1

Answer 39

Kawanatanga

Question 40

Key words in the english version of article 2

Answer 40

Possession

Question 41

Key words in the Maori version of article 2

Answer 41

Tino rangatiratanga

Question 42

Key words in both versions of article 3

Answer 42

Protection, rights and privileges