Lecture 19 Flashcards
Examples of disparities in Maori Health is
- Unequal access to SDH
- Cardiovascular disease
- Cancer
- Injury
- Diabetes
- Mental health including self-harm
- Infectious diseases
- Disability
- Participation in health workforce
Types of interventions in Maori Health
Structural and social interventions
Structural:
More lifeboats, no barriers
Social interventions:
Rights based approach, commitment to review and level playing field.
Determinants of ethnic inequities in health
- Differential access to health determinants or exposures leading to differences in disease incidence
- Differential access to health care
- Differences in quality of care recieved
Maori health structural contribution:
Power, resources and opportunities of NZ society are organised by ethnicity as well as class deprivation in NZ
MH societal contribution:
That there are values and assumptions widely held in NZ society about the deservedness of different groups of people
Early contact and colonisation summary:
Initially flourished, followed by Treaty, colonisation, heralding an era of depopulation, disease and dispossesion. Notions of superior and inferior peoples. Notions of deserving and undeserving
Implications of treaty:
Creation of government, who got to vote, laws and policies, maori land was the historical basis of settler wealth. Different or denied citizenship (Art III)
Treaty relationship to health:
Land alienation caused a social disruption of community, breakdown of power, economic resource depletion and poverty, resentment, uneual citizenship.
Social security Act 1938:
underpayment continued until after WWII
Maori health is exemplified by systematic disparities:
in health outcomes, in exposure to the determinants of health, in health system responsiveness, and in representation of the work force
