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This paper will argue that the Treaty of Waitangi, signed on 6 February 1840 by Māori and the Crown, has a made significant contribution to informing and advancing Māori health practices in Aotearoa New Zealand. A key focus of this paper relates to (re)validating the Treaty to improve Māori health outcomes and providing a strategy for evaluating the current health status of Māori. There is a growing concern among Māori that the health sector continues to perpetuate notions of ?treating? Māori health more so than empowering M?ori to control their own processes for being healthy. Moreover, a major shift constitutionally (that is, self-determining the right to be healthy) as well as institutionally (that is, developing approaches to greater access to health provision) is required to enable Māori to achieve better health outcomes moving forward. Finally, a number of important culturally innovative, responsive and inclusive perspectives are shared to enhance our engagement with the Treaty and Māori health from a socio-cultural perspective.
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Māori and Pasifika populations in New Zealand experience poorer health outcomes than other New Zealanders. These inequalities are a deeply entrenched injustice. This qualitative study explores the experiences of six Māori and Pasifika leaders on health policy-making advisory committees. All had extensive experience in the health system. They were recruited, provided semi-structured interviews, the data coded, and a thematic analysis undertaken. Our findings show that inequalities in the health system are reproduced in advisory committees. Participants noted their knowledge and interests were devalued and they experienced racism and tokenistic engagement. Some indicated it took considerable effort to establish credibility, be heard, have impact, and navigate advisory meetings, but even then their inputs were marginalised. Health policy advisory committees need deeper engagement and more genuine recognition of Māori and Pasifika knowledge. Māori and Pasifika leaders have constructive solutions for eliminating health inequities that could benefit all New Zealanders.
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Obesity among M?ori is of growing concern in New Zealand with rates for M?ori being one-and-a-half times that of the total population. The New Zealand government's Healthy Eating?Healthy Action: Oranga Kai?Oranga Pumau (HEHA) Strategy has, in the past seven years, been a significant policy mechanism through which the health sector has been able to address the increasing prevalence of obesity and associated chronic diseases.
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In Canada and New Zealand, policies support Indigenous participation in the planning and delivery of community-based primary health services. However, these services represent only a fraction of the health services accessed by Indigenous peoples. In New Zealand, legislation enacted in 2000 introduced mechanisms to ensure that Māori have a voice in the decisions made by health boards. In Canada, neither policies nor legislation currently ensure that Aboriginal communities are represented in provincial health systems or regional health boards. The New Zealand experience shows that adding mechanisms of participation to legislation and policies creates opportunities for Māori and health boards to engage in discussions about how to best allocate resources to reduce disparities between Māori and non-Māori health outcomes. In Canada, this dialogue may not occur. Requiring that such mechanisms be created in all Canadian jurisdictions would establish meeting places for dialogue, and assist in closing policy and access gaps that remain.
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Colonization has resulted in Maori occupying a vulnerable position in New Zealand society. Comparatively poor health, along with complex social and economic problems, is a reflection of this fundamental insecurity. This article aims to put forward a historical and developmental perspective for understanding some of the current health disparities experienced by Maori, by exploring the concepts of historical trauma, loss of land, and alternative theories of development from post-development theory.
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- colonisation (2)
- data (1)
- disparities (1)
- displacement (1)
- health (2)
- health outcomes (1)
- health policy (1)
- historical trauma (1)
- indigenous data sovereignty (1)
- Inequity (1)
- kaitiakitanga (1)
- land loss (1)
- Māori (1)
- New Zealand (1)
- Pasifika (1)
- racism (1)
- rangatiratanga (1)
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- Journal Article (7)