Lecture 33 Māori Health Flashcards
What are the inequities in Maori Health?
Exemplified by systemic disparities in health outcomes, exposure to determinants of health, health system responsiveness and representation in health workforce
What is the ancestry population?
Those who are directly descended from Maori, used to determine the votes on the electoral rolls and those who can take a claim to the waitangi tribunal
What is ethnicity data?
People who identify with Maori, this is used as the numerator and denominators in health statistics
What is the equities in representation in the health workforce
There is less Maori in the health workforce which leads to cultural concordance leading to inequities
What has led to the inequities in Maori and NZ European health?
The North Island was appropriated through various confiscations, legislations and the Maori land court.
Why was there higher infant mortality for Maori?
Land appropriation lead to a breakdown of social cohesion, which meant less food gathering, sharing and political/economic stability. Overall this led to less social stability which resulted in less fertility
What are lessons from the Titanic?
Individuals play a role in inequities but more so structural and societal issues
Why are there ethnic inequities in health
- Differential access to health determinants/exposures leading to differences in disease incidence
- Differential access to healthcare
- Differences in quality of care received
What should be the focus on maori health
all levels of society are important but mostly governmental issue.
Universal declaration of human rights
Right to a standard of living
International covenant on economic, social and cultural rights:
Governments have a responsibility and should take steps to progressively realize the maximum available resources to the highest attainable standard of health
Reasonableness, a poor country doesn’t have the same ability as a rich country. Rich countries should help poor countries in their development
Government guarantee health but it will do it’s best to maintain and support health
Obligations of state
Respect (respect freedom and right to health, no discriminations), Protect (protection from 3rd countries) and Fulfill (adopting measures to achieve equity)
What does the existence of health inequities say about the laws, policies and practices
Health inequities are evidence of laws, policies and practices that distribute resources and opportunities in a discriminatory manner and limit full participation
What categories does health fall under?
Health is acknowledged as political (power, social context and politics) and health policy decisions have a legal dimension rather than being purely political discretion
What is the R2H framework?
Goes beyond medical, ethical and quality issues to focus on accountability
