Module 2: Enablers of wellbeing Flashcards

1
Q

What is the Oxford definition of indigenous

A

People inhabiting or existing in a land from the earliest times or from before the arrival of colonists

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2
Q

What is the UN understanding of indigenous

A

Self identification, historical continuity, strong link to land and natural resources, distinct language, culture and beliefs, non dominant groups of society

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3
Q

What is UNDRIP

A

Legally non binding resolution passed by the UN in 2007. Overarching principles: the rights of indigenous peoples to the full enjoyment of all human rights, non discrimination, self determination and autonomy, maintenance of indigenous institutions and the right to a nationality

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4
Q

How does UNDRIP relate to health

A

Indigenous people have the right to be actively involved in developing and determining health, right to their traditional medicines and health practices, access to all social and health services. Equal right to the highest attainable standard of physical and mental health

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5
Q

What is dichotomy

A

Us and them separation

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6
Q

What does article 1 of the treaty say

A

The chiefs give governance of their lands to the Queen of England (not sovereignty)

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7
Q

What does article 2 of the treaty say

A

Maori will sell land to the Crown when happy to sell and with price. Give sovereignty/control to the Crown over their taonga

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8
Q

What does article 3 of the treaty say

A

The Crown gives to Maori all rights and privileges of British citizens

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9
Q

What is tino rangatiratanga

A

Maori self determination (in the design, delivery and monitoring of health and disability services)

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10
Q

What is active protection

A

Crown required to act to achieve equitable health outcomes for Maori

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11
Q

What is kaupapa Maori

A

Maori centred: by maori, for maori. Crown obliged to ensure that all health and disability services are provided in a culturally appropriate way

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12
Q

What is indigeneity

A

A quality of a person or group’s identity that links them to specific places with knowledge of and respect for original ways.

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13
Q

What is matauranga maori

A

Maori knowledge: all branches, past, present and still developing. Foundation to all things Maori, passed down through generations (e.g purakau)

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14
Q

What is the Te Kore-Te Po-Te Ao Marama narrative

A

Te Kore: the nothing/void
Te Po: the dark or night
Te Ao Marama: the world of light, with it came knowledge and understanding

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15
Q

Who is Hine-ahu-one

A

The first woman, created from soil/earth (papatuanuku). Life breathed into her (tihei mauri ora)

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16
Q

What is Tawhaki/Pou whenua

A

Ascended to highest heaven, had to overcome challenges and chant the right karakia on the way. Brought knowledge to earth

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17
Q

How can the maori worldview be described

A

Holistic, collectivist, non homogeneous, informed by whakapapa (humans come after papatuanuku, so should respect it)

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18
Q

What are some enablers of wellbeing for Maori

A

Language, connections (iwi, hapu, whanau, place), traditional knowledge (matauranga maori: purakau, whakatauki)

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19
Q

What do enablers of wellbeing ensure

A

Create a sense of belonging, social support you can go to, pride, knowing who you are, identity, sense of security and stability. Know you’re safe or where you can go to be safe

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20
Q

What are the pacific islands divided into

A

Micronesia, melanesia and polynesia (geographic)

21
Q

What is an atoll

A

Low island

22
Q

What are the three types of political status in the pacific

A

Dependencies (don’t possess political independence), compact of free association (international agreement), independent states

23
Q

What are the common values of pacific cultures

A

Respect, service, collectivism, family, spirituality, holistic approach to wellbeing

24
Q

How does family differ in Pacific culture compared to western culture

A

Much more extended, not just nuclear

25
Q

What is hauora

A

Hau: breath/air
Ora: alive/healthy
A holistic view of health

26
Q

Pre Europeans, what did Maori think caused sickness

A

Breaches of tapu

27
Q

What are the 4 walls of Te Whare Tapa Wha

A

Taha wairua (spiritual), tinana (physical), hinengaro (mental and emotional) and whanau (social). Good starting point for understanding Maori health, quite simplistic

28
Q

What is Te Pae Mahutonga

A

Maori model of health using the southern cross and two other stars. A health promotion model aiming to improve access to Te Ao Maori, environmental protection (e.g access to drugs, alcohol), healthy lifestyles and participation in society. Prerequisites to these are leadership and autonomy

29
Q

What is the Meihana model

A

Waka on a voyage to hauora, created after Te Whare Tapa Wha, focussed on clinical practice. Double hulled (patient and whanau) to be more stable. Planks hold it together (tinana, hinengaro, iwi katoa (support services), wairua, taiao (physical environment)), waves push it on (ahua, whenua, whanau, tikanga), wind pushes it back (marginalisation, racism, colonisation, migration) (wind and waves added in 2014)

30
Q

What 4 themes are common across the 3 Maori health models

A

Whanau, tinana, hinengaro, wairua

31
Q

What is Te Mana Ola

A

Pacific health strategy 2023: population health prioritising disease prevention, health promotion, good health and wellbeing. Better understanding needs of pacific people, enabling them to exercise authority over their health and wellbeing. Ensuring that services are reaching pacific peoples, wherever they live. Growing and supporting strong pacific health leadership and workforce

32
Q

What constitutes the pacific perspective of health

A

Harmony with the cosmos, environment, peoples and self: to obtain an overall balance of peace

33
Q

What is the pacific definition of health

A

Links and relationships between nature, people, nonliving and living things. Very holistic.

34
Q

What is Ola Manuia

A

Living well or in wellness. Highlights on the range of factors that impact on pacific peoples’ health. Collective approach requiring more effective collaboration within the health and disability system and between the health system and the social, housing, employment and education sectors

35
Q

What are the key values of pacific health models

A

Respect, reciprocity, family, spirituality, holism and community focus, relational space (mental and spiritual dimension)

36
Q

Why do we need pacific health models

A

Cultural misunderstanding and unconscious bias have contributed to the state of pacific health. Pacific health models are preferred by pasifika peoples and produce better health outcomes than other models. Need them to acknowledge cultural norms in treatment.

37
Q

What are some pacific health models

A

Kakala, Tivaevae, Te Vaka Atafaga, Fonofale

38
Q

What are the 5 values in the Tivaevae (patches) model (Cook Islands)

A

Collaboration, respect, reciprocity, relationships, shared vision

39
Q

What are the aspects of the Te Vaka Atafaga model (Tokelau)

A

Environment, family, spirituality, mental, social systems, physical body

40
Q

What is talanoa

A

A form of narrative inquiry developed from pacific people’s oratory tradition. Intermingling of emotions, knowledge, experience and spirits of researcher and knowledge giver

41
Q

What is the fonofale model

A

Pan pacific (incorporates values and beliefs of Samoans, Cook Islanders, Tongans, Niuans, Tokelauans and Fijians) model encompassing foundations of life including family, cultural values and beliefs, spiritual, physical, mental and other aspects. Foundations are interrelated and health is about maintaining balance between these foundations

42
Q

What is the structure of the fonofale model

A

Foundation: family
Roof: culture
4 posts (pou): connect family and are continuous with each other
Surroundings

43
Q

What are the pou making up the fonofale model

A

Physical, spiritual (belief system), mental, other (e.g gender, age, SES)

44
Q

What are the surroundings impacting the fonofale model

A

Time, context, environment

45
Q

What were the themes discovered by the study done on pacific people to develop and end product relevant to their needs

A

Health and wellbeing must be family centred. A desire to live longer and be healthier. Sub themes: family support, overcoming barriers, addressing social justice

46
Q

What are important mortality risk factors for pacific islanders (as seen by influenza pandemics and epidemics)

A

Previous exposure and degree of epidemiological isolation

47
Q

What contributes to low vaccination rates amongst pacific islanders

A

Past experiences to vaccinations, cultural norms (e.g if chief does), language barrier, low health literacy, poorly communicated incentive programmes

48
Q

What is traditional medicine (TM)

A

Incorporates a holistic approach which engages a patient’s mental, emotional, physical and spiritual wellbeing

49
Q

What challenges to indigenous health services face

A

Underfunded (less per head, insecure: can’t conduct long term projects, funded only for specific tasks), expected to operate under western, business style conditions (performance indicators, financial goals/expectations, difficult to justify intangible outcomes)