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Flashcards in Contact - Day 1 Maori perspective on health Deck (27):
1

Why do health professionals need to understand the Maori perspective on health.

As crown representative having a good understanding of the Treaty of Waitangi as well as the cultural aspect of Maori

2

What is the belief from Maori on health?

Health is a collective (holistic) - encompassing:
- family
- spiritual
- physical
- mental
- cultural identity (social dimension)

3

What does Te Po mean?

The night (the dark)

4

What is the foundation of creation for Maori?

First there was Te Po (the night); from there came the mother and father who could not be separated and they had many children (gods); the children decided collectively that they could not move and Tane decided to separate the mother and father.

5

What is Maori identity linked to?

The air, land, sky, see etc (creation)

6

What does Whakapapa mean?

genealogy, identity

7

What does Tapu mean?

sacred, restricted

8

What does Noa mean?

mundane, balance

9

What does Mana mean?

prestige, honour, power

10

What does Mauri mean?

life force, vibrancy, personality,

11

What does Wairua mean?

soul

12

What does Hau mean?

wind (metaphor for Breath for life)

13

What does Hau-Ora mean?

Health

14

What are some examples of Tapu?

Not sitting on tables - because this is where food is served
Women's breasts - particularly after giving birth

15

Compare Tapu with a modern day concept?

Tapu of washing kitchen towels or cloths with other towels that dry the body.
This is Tapu as there are bugs in the kitchen that can then be transferred to the towels.

In a medical comparison this would be avoiding cross infection through washing hands and keeping things separated.

16

Explain the concept of Mana?

Mana is the honour that a person achieves or loses over their lifetime. They can be born with this, it can be higher through lineage, but it can also be gained through achievements over a lifetime.
Mana can also be lost through doing things which disgrace or dishonour that person and also their lineage.

17

What does Ora mean?

Wellbeing

18

Maori health pre-colonisation was......?

Stable culture
Strong whanau
Active lifestyle
Balanced nutrition (fish, flaura, fauna, no sugar, good fats)
Well developed mechanism for health protection (Tapu) and health promotion (Noa)
Advanced knowledge of illness and disease
Advanced treatment knowledge and skills

19

What is the name for Maori healers?

Tohanga

20

When was the law passed that made it illegal to practice any medicine that was not westernised (The Tohanga suppression act)?

1907

21

Maori post settlement was.....?

Rapid decline of Maori population
Susceptibility to disease
Lifestyle changes
Environmental changes (deforestation, farming)
Tribal warfare (change in lethality due to muskets)
Land wars

22

Post colonisation health system....?

European care philosophy
Hospital/institution based
Absence of Maori health values
Mental health care westernised -lock up

23

What is the history timeline to recognise Maori culture within western culture in New Zealand?

1900-1930 - Mana Rangatira
1931-1975 - Mana Wahine
1976-1992 - Mana Maori

24

What were the main health issues facing Maori post colonisation?

Housing - was damp, mouldy and drafty as was not elevated or protected anymore from the environment due to deforestation

25

What are the four pathways of He Korowai Oranga?

Whanau, hapu, iwi and community
Maori participation
Effective health service delivery
Working across multiple sectors

26

What are the key threads of He Korowai Oranga?

Rangatirtanga - Maori have control over their own health and wellbeing

Building on the gains - priority for next 10 years

Equity - better health and equality for all New Zealanders

27

What are the cultural determinants of health?

Knowledge of whakapapa
Access to whanau
Access to marae
Competence in Te Reo
Familiarity with Tikanga
Enacting cultural responsibilities