Lecture 18 - Maori Health Flashcards
What is the current Maori health status?
There are systemic disparities in health outcomes, exposure to determinants of health, in health system responsiveness and in representation in the health workforce
What is the difference between life expectancy with Maori and Non Maori?
Maori consistently have lower life expectancy for both females and males. Data about this is sometimes incorrectly reported and also there is less maori participation in surveys which means data may not be accurate
What is notable in terms of distribution of maori and non maori in neighbourhood deprivation?
There is an extremely high rate of maori in the most deprived, and a slightly higher rate of non maori in the least deprived
What is the differences in reponsiveness of the healthcare system?
Normal treatment for asthma is being prescribed reliever inhalers and preventers, however it was found like maori children are more likely to be prescribed just relievers
What is notable about maori participation in the health workforce?
Maori enrolments are less than the average, this is important for those needing a maori healthcare worker in terms of the care that they receive, so this needs interventions
What can we learn about interventions from the titanic?
Interventions should be structural instead of being aimed at individual behaviour (instead of giving everyone swimming lessons we should provide more lifeboats), and also social (rights based approach, try create a level playing field)
What happened with maori health in pre contact
They had pretty good health for a growing population and were not exposed to the epidemics that were raging through Europe at the time. Had systems of managing food, waste and sanitation.
What happened with Maori health in early contact?
Initially flourished economically and socially but it was the beginning of complex changes
What happened with Maori Health and official engagement?
Colonisation, declaration of indepedence, treaty of waitangi - led to depopulation, disease and dispossession
Describe colonisation
Not value free but value laden, values were held by colonisers and assumptions about superior and inferior peoples. What is the proper way to conduct business and land use, whos deserving and underserving
What was notable about the law system
Inherited a criminal justice system, inherited a health system, Maori didnt get to vote because they didnt have individual titles to land. Disregarded Maori leadership
How is land alienation related to health?
Associated with social disruption of community, breakdown of political power and alliances, economic resource depletion and poverty, resentment by indigenous peoples
What is the relationship between land alienation and child to women ratio?
Lots of land alienation results in lower fertility and less children surviving
What happened in terms of provisions?
There is equal provisions for Maori and Pakeha, however access for Maori was difficult and Maori were regularly removed from the rolls and had a lower rate pay. Asians didn’t get provisions
What are the layers resulting in maori inequity
A cycle: Historical processes -> different exposure to SDH -> Different access to health services -> Different quality of care received -> Different health outcomes -> historical processes
