lecture 19: intro to maori health

Question 1

What are the challenges for Māori health?

Answer 1

• much lower life expectancy
• higher rate of sudden infant death in infancy
• socio economic factors
• housing
• access to health care
• onset of chronic and non communicable diseases

Question 2

What is the difference between equity and
equality in a public health/Māori health
context?

Answer 2

equality= equal access for all people, however different people have different needs, so this works well for some people and not well for others
equity= recognizes differences and treats people based on these differences

Question 3

What responses/initiatives/frameworks have
Māori developed to enhance Māori health
outcomes and understandings?

Answer 3

• advocacy
• research
• health promotion
• health services
• health policy
• working with maori patients and whanau
• increase in ‘by maori for maori’ workforce and services

Question 4

How do Māori view health?

Answer 4

• Hauora maori includes individual, whanau, community and population wellbeing across a range of dimensions
• frameworks for auroa encourage weaving together of elements to form a holistic approach to health and wellbeing
• all aspects of health need to be balanced so that the wharenui remains healthy and upright

Question 5

Why was the Whare Tapa Whā model
established and how is this relevant for Māori
health?

Answer 5

dimensions:
1. Hinengaro= mental health
2. whanau = extended family health
3. tinana = physical health
4. wairua = spiritual health

Question 6

What is meant by hauora Māori?

Answer 6

• has its foundations within the maori worldview
• maori philosophy of health and wellbeing
• a whakapapa understanding of hauor highlights the fundamental connection between people and the environment

Question 7

Identify/name the Māori health models mentioned in the textbook and who
created them.

Answer 7

–> Te Whare Tapa Wha
- “Hui Whakaoranga brought together community leaders, Māori health practitioners, government and a broad range of people wanting to tackle and improve Māori health”
- made by mason durie and rose pere
–> te wheke
–> nga pou mana
–> te pae mahutonga
–> meihana
–> te taiao (chanel phillips)
–> maui (chelsea cunninghams)
–> te waka oranga (ngahuia mita)

Question 8

What is the Whare Tapa Whā model and what does each part represent?

Answer 8

A holistic health model that represents holistic health as a four walled house
Taha tinana: Physical wellbeing
Taha hinengaro: Mental and emotional wellbeing
Taha whanāu: Family, community, and social wellbeing
Taha wairua: Spiritual wellbeing

Question 9

What health policy did Dame Tariana Turi introduce?

Answer 9

–> whanau ora policy
- is a key cross government work programme jointly implemented by the ministry of health, te puni kokiri and the ministry of social development
- health practicioners are able to make meaningful contributions to addressing inequity that lead to maori health gains within a context of growing training and practice with an emphasis on cultural safety and cultural competence
- puts whanau and families in control of the services

Question 10

moteatea

Answer 10

a unique maori oral tradition comprising a collection of knowledge, histories, customs and values which are passed down through the generations