Lecture 24 Health Promotion Frameworks Flashcards
What is the state of Maori Health?
There are systematic inequalities in the representation of Maori in the health system, the health system responsiveness, the health outcomes and exposures to determinants of health; These can all be prevented
What causes health inequities?
The unequal distribution of health risks and opportunities in the population
What is the problem with conventional health promotion in New Zealand?
They are based on western models, led by predominantly non maori, one size fits all (only simply adapted for maori), doesn’t take into account Maori cultures and realities, addresses superficial aspects rather than structural, benefits non maori more than maori
What is the problem with the ottawa charter?
It is a good health models but has lots of prerequisites which means it can’t really be applied to Maori
What is Maori Health promotion?
The process of allowing Maori to increase their control over the determinants of health and strengthen their identity as Maori which will in theory improve their health and position in society
Explain Te Pae Mahutonga
It is a health model for Maori that is based on the northern star, it has 2 prerequisites and 4 key tasks. It can also be applied to a wider population
What are the four central stars and two prerequisites?
4 stars: Waiora, Toiora, Maurioia, Te Oranga
2 prerequisites: Nga Manukura, Te Mana Whakahaere
What is Waiora?
Environmental protection
What is Mauriora?
Access to Te ao Maori
What is Toiora?
Healthy Lifestyles
What is Te Oranga?
Participation in society
What is Nga Manukura?
health professional and community leadership
What is Te Mana Whakahaere?
Autonomy and leadership; capacity for self governance and community control and enabling a political environment
What happened in the SIDS example?
SIDS is sudden infant death syndrome, and the mainstream programme failed to reach Maori populations because it was more targetted towards non maori. However when a maori based SIDs intervention was made, it worked much better.
What parts of the SIDS programme was successful?
They travelled around the country and listened to the community, allowed them to come up with their own solutions, attended to their concerns and priorities, and included maori values and beliefs
