Lecture 24: Health Promotion Frameworks in Action

Question 1

what are the system inequities of maori health?

Answer 1

herrep

in health outcomes
exposure to determinants
responsiveness in health system
representation in health workforce

ethnic inequities can be eliminated and prevented

Question 2

what is the conventional health framework?

Answer 2

blusnsb

based on western models
led by non maori
universal formula (one size fits all)
simply adapted for maori
no ground for maori values
structure and superficial
benefit non-maori > maori

Question 3

ottawa charter

Answer 3

brcds

built healthy relationships
reorient health services
create supportive environments
develop personal skills
support community action

Question 4

what is the purpose of maori health promotion?

Answer 4

process of enabling maori to increase control over the determinans of health + strengthen their identity as maori

Question 5

what is the rationale behind maori health promotion?

Answer 5

inequities
rights as indigenous people and treaty partners
less effective for maori than non maori

Question 6

te pae mahutonga

Answer 6

4 key tasks, 2 prereqs

Mauriona: cultural identity, Te Au Maori
Waioru: environmental factors
Toiora: lifestyle factors
Te Oranga: access (education, employment + income), also discrimination

Nga Manakura: leadership (community)
Te Mana Whakahara: autonomy (self governance, political environment, community control)

Question 7

sids

Answer 7

1. originally high disparity –> public campaigns/education resources/support
2. drop in europeans but not maori –> maori sids prevention programme

• travel to listen
• attended to their needs and priorities
• assisted communities to create interventions
• used maori collectives, networks, values, approaches (cnva)

Question 8

relating sids to te pae mahutonga

Answer 8

mauriora: work w communities to revitalise traditional methods
waiora: no smoking, no sharing the same bed
toiora: smoking cessation, breastfeeding promotion
te oranga: access to education, income support

nga manukura: leaders of communities + academics
te mana whakahare: self governance, whatever the communities wanted.

Question 9

principles of maori promotion

Answer 9

lsbwcde

-led and designed by maori
- self determination + control
- based on valid models
- works with maori people, collectives and values
- contemporary tools and methods
- diverse realities
- evidence based