Māori Health - L18

Question 1

What are the determinants of ethnic inequities in health?

Answer 1

Differential access to health determinants or exposures leading to differences in disease incidence
Differential access to health care
Differences in quality of care received

Question 2

What is structural contribution?

Answer 2

The idea that the power, resources, and opportunities of NZ society are organised by ethnicity in NZ.

Question 3

What is societal contribution?

Answer 3

There are values and assumptions widely held in NZ society about deservedness of different groups of people

Question 4

Describe a timeline of events in Maori history and the impacts on Maori health

Answer 4

Early contact: initially flourished
Official engagement: colonisation, declaration of independence, signing of Treaty of Waitangi, country of NZ formed - heralded an era of depopulation, disease and dispossession (loss of mainly land)

Question 5

How did colonisation impact Maori health?

Answer 5

not value-free
assumptions held by colonisers
notions of superior and inferior people
notions of civilization especially religious but also including economic and scientific
notions of deserving and undeserving

Question 6

What are the sources of inequity present in the treaty of waitangi

Answer 6

Art I - construction of state sector - justice system, education, health, welfare
e.g.
Constitution Act 1852 - created settler government in which there were obvious disparities on who was allowed to vote
Social Security Act 1938
Art II - Laws and policies disregarding Maori voice and authority
Art III - Different or denied citizenship
e.g. pensions were harder to access as Maori and paid a reduced amount

Question 7

What is land alienation?

Answer 7

social disruption of community
breakdown of political power and alliances
economic resource depletion and poverty
resentment by indigenous peoples