Lecture 20- Introduction to Hauora Maori Flashcards
Hauora and maori worldview
-Our worldview refers to ‘the central systemisation of conceptions of reality
to which members of its culture assent and from which stems their value
system. The worldview lies at the very heart of culture, touching, interacting
with and strongly influencing every aspect of culture’ (Maori Marsden).
-Creation narratives help us to make sense of the world around us and our
place in the world – the concept of hauora is closely connected to our
whakapapa, highlighting a connection between ngā atua (gods), tangata (people) and the natural environment.
What does Hauora break up into grammatically?
Hau- Breath
Ora - Wellbeing
Hauora = wellness of the breath
How does the ‘Hauora’ link with creation narratives?
-Hauora means breath of life
-Links to when Tane breaths life into the first human
Te Whare Tapa Wha
-Helps non-maori to articulate what hauora means to maori
Conceptualised as a four sided house with each side contributing a different aspect of health:
- Taha hinengaro -> mental health (emotions, thoughts)
-Taha Whanau -> extended family health (wider social systems, belonging, sharing and caring -> could be family you create/ choose)
-Taha Tinana - physical health, good physical health (aligns most with western biomedical approach).
-Taha Wairua - spiritual health + unseen and unspoken energies, faith spiritual awareness (most difficult for western individuals and healthcare workers to conceptualise)
All of these are interlinked and need all four dimensions to be balanced.
Te Pae Mahutonga
-A different framework for public health -> how can you create interventions and projects in a way that improves maori health outcomes
-stars of the southern cross are things that you need to consider in maori health
-> Te Mana Whakahaera - autonomy (guiding star)
->Nga Manukura -leadership (guiding star)
-> Waiora - physical environment
->Mauiora -cultural identity
->Toiora - healthy lifestyles
-> Te Oranga - participation in society
Why is Hauora Māori important?
- Improving Māori health outcomes
- Addressing health inequities
- Upholding Māori rights under Te Tiriti o Waitangi -> article 3 in particular
Maori population
17% total population
25% children < 15 yrs
30% of babies born
young population : healthcare workers are going to working with more and more maori as these individuals aged -> important to recognise this as the health care system doesn’t advantage maori
Equality versus equity
Equality = giving everyone the same
Equity = giving people different things based on different needs
An approach that aims for equality not equity isn’t always helpful -> it does not recognise the social determinants that results in differing outcomes even when individuals are given the same things.
Social determinants of health
-Childhood experiences
-Housing
-Education
-Social support
-Family income
-Employment
-Our Communities
-Access to health services
Present since colonisation -> society set up to advantage pakeha
Life expectancy
Maori die 7-8 years earlier than pakeha counterparts on average
Suicide rate by ethnicity
-Maori have the highest rates of suicide (particularly young maori men)
-Then European
-Then pacific
-Then Asian
Making a difference in Hauora Maori
- Advocacy
- Research
- Health promotion -to support health and wellbeing (what behaviours are good during stressful times?)
- Health services
- Health Policy
- Working with Maori patients and whānau
SUDI
-Sudden unexpected death in infancy
-Disproportionately high in maori and pacific family
-Original campaigns targeted at pakeha simply saying to not have babies in the same bed while sleeping didn’t work
-It was only when a maori solution was found that began to saw progress - promoted flax baskets that could be put anywhere
Summary
- Hauora Māori as a concept includes individual, whānau, community and population wellbeing – across a range of dimensions
- Frameworks for Hauora encourage weaving together of elements to form a holistic approach to health and wellbeing
- Addressing health inequities for Māori is essential
- There are many opportunities to support tackling inequity with
many positive examples of strategies and initiatives that are
making a difference
Waiora
Physical environment
