Module 2 Papaaragi

Question 1

Maori Health is exemplified by _______ _______ in….. (4 points)

Answer 1

Systematic Disparities;

• in health outcomes
• in exposure to the determinants of health
• in health system responsiveness and
• in representation in health workforce

Question 2

Examples of Maori Health Disparities

Answer 2

CVD, Cancer, Injury, Diabetes, Mental Health, Infectious Disease, Disability, Participation in the workforce

Question 3

Definitions of Disparity, Inequality and Inequity

Answer 3

Disparity - Different
Inequality - Unequal
Inequity - Unjust

Question 4

Determinants of Ethnic Inequities in Health

Answer 4

1) Differential access to health determinants or exposures leading to difference in disease incidence
2) Differential access to healthcare
3) Differences in quality of care received

Question 5

Structural contribution to Maori Health

Answer 5

The power, resources and opportunities of NZ society are organised by ethnicity

Question 6

Societal Contribution to Maori Health

Answer 6

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

Question 7

Both Societal and Social contributions have _______ and _______ ________

Answer 7

historical; contemporary; underpinnings

Question 8

Early Contact between Maori and British

Answer 8

• Initially flourished: economically and socially

- Beginning of complex changes

Question 9

Official Engagement between Maori and Birtish

Answer 9

• colonisation; Declaration of Independence, Treaty of Waitangi
• Heralding an era of depopulation, disease and dispossession

Question 10

Colonisation

Answer 10

• assumptions held by colonisers
• notions of superior and inferior peoples
• notions of civilisation especially religious but also including economic and scientific
• notions of deserving and undeserving

Question 11

Relationship to health -Land Alienation

Answer 11

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

Question 12

Relationships to Health

Answer 12

Land Alienation, Policy Alienation and Unequal citizenship

Question 13

Relationship to health - Unequal Citizenship

Answer 13

• entrenchment of poverty and dependency
• increased barriers to development
• acceptance of inequity by non-indigenous groups
• resentment, frustration and anger
• social breakdown, crime, high risk behaviour

Question 14

Treaty Implications - Different or denied citizenship: Old Age Pensions

Answer 14

• equal provisions for Maori and pakeha
• Asians particularly excluded
• Maori access difficult - thru Maori Land Court (more barriers)
• Maori regularly removed from rolls
• Reduced amount paid to Maori

Question 15

Treaty Implications - Different or denied citizenship: Social Security Act 1938

Answer 15

Underpayment continued until after WW2

Question 16

International Evidence on differences in quality of healthcare received

Answer 16

• less likely to feel they have been listened to
• less time spent with health care provider
• less likely to have received adequate explanations
• more likely to have unanswered questions
• more dissatisfaction with health service and system